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In this episode of The Dish on Health IT, host Tony Schueth, CEO of Point-of-Care Partners (POCP), is joined by colleagues Mary Griskewicz, Regulatory Resource Center Lead, and Janice Reese, Senior Consultant and Program Manager of FHIR at Scale Taskforce (FAST), for a wide-ranging discussion on two major proposed rules released in mid-December 2025: the HTI-5 proposed rule from the Assistant Secretary for Technology Policy (ASTP) and CMS's latest proposal on healthcare price transparency.Rather than treating these rules as abstract policy exercises, the conversation focuses on what the government is trying to accomplish, how these proposals may reshape the interoperability and data access landscape, and why stakeholder participation during the comment period is not optional if the industry wants workable outcomes.Setting the Stage: How Proposed Rules Become RealityThe episode opens with a level set for listeners who do not spend their days in the Federal Register. Mary walks through how proposed rules originate, typically from legislation or executive policy, and how they move from proposal to public comment to either a final rule, an interim final rule, or, in some cases, a complete pause or reset.She emphasizes a point that often gets overlooked: every public comment is read and reviewed. The agencies group and analyze the comments section by section and respond to themes and concerns in the final rule text. Janice builds on this by explaining that the comment period is where high-level policy intent meets operational reality. The most effective comments are not lengthy manifestos, but specific, experience-based feedback that highlights feasibility issues, sequencing challenges, and unintended consequences.HTI-5: From Experimentation to ExecutionThe discussion then turns to HTI-5, with Mary outlining the core problem the rule is trying to address. Prior certification requirements placed a significant burden on vendors, often locking innovation into long development cycles while the market waited for updates. HTI-5 seeks to modernize this approach by reducing prescriptive certification requirements and relying more on modern, open architecture, particularly FHIR-based APIs, to enable faster, more scalable data exchange.Janice frames HTI-5 as a clear signal that the industry is moving out of the experimentation phase and into execution. By reinforcing a “FHIR-first” direction while pulling back on some certification detail, the rule implicitly raises expectations for real-world performance. As FHIR becomes the default, security, identity, consent, and trust cannot be treated as optional or inconsistently implemented components.From a FAST perspective, this shift is critical. HTI-5 creates the regulatory space, but the infrastructure and implementation guidance needed to make trusted interoperability work at scale must come from industry-led collaboration. Janice explains that FAST's work on security, identity, consent, and national directory services is about operationalizing trust so organizations are not reinventing these foundations on their own.Information Blocking, Automation, and Trust at ScaleA pivotal moment in the conversation centers on HTI-5's clarification that information blocking explicitly includes automated and AI-driven access. Mary underscores that automation is now central to how data moves across the healthcare ecosystem. When access decisions are embedded in APIs, workflows, and algorithms, trust becomes the defining requirement.Janice expands on this by noting that the issue is not just whether data can be accessed, but whether access is appropriate, provable, and governed. As automation increases, expectations shift toward accountability, auditability, and consistent enforcement of identity and consent. FHIR APIs, once viewed as certification checkboxes, are becoming the primary channel for data exchange across networks, including consumer-facing applications.Stakeholder Impacts: Vendors, Providers, and PayersThe episode then walks through how HTI-5 affects different stakeholder groups. For health IT vendors and digital health companies, Janice describes a trade-off: fewer certification guardrails provide flexibility but also remove a layer of protection. Vendors will be judged less on formal compliance artifacts and more on how their systems perform across networks at scale, including security, identity management, and reliability.Mary cautions that vendors should not interpret HTI-5 as traditional deregulation. With HTI-6 already on the horizon, organizations that underinvest now risk facing more stringent outcome-based expectations later. Tony reinforces this point, arguing that the real risk is collective. A single high-profile failure due to weak security or identity practices could undermine trust across the ecosystem and invite a regulatory response that affects everyone.For providers and health systems, the shift means becoming more informed consumers of technology. Certification alone will no longer guarantee interoperability or trustworthiness. Providers will increasingly need to ask vendors how solutions perform in environments beyond a single one and how identity, consent, and security are handled across organizational boundaries.From a payer perspective, Mary explains that while HTI-5 does not directly change prior authorization requirements, it fundamentally reshapes the data access environment. As FHIR APIs become the default, plans will be expected to exchange data more dynamically and through automated workflows. This raises expectations around timeliness, quality, and trust, and accelerates a shift from managing transactions to managing trust at scale.Price Transparency: Compliance Without ClarityThe conversation then transitions to CMS's proposed price transparency rule, with Tony noting the absence of POCP's usual price transparency expert and setting expectations for a higher-level discussion. Mary explains that this tri-agency proposal builds on earlier rules by clarifying standards, easing some reporting burdens, and refining requirements around machine-readable files, metadata, and reporting timelines.While these changes offer some relief to plans, Janice highlights a deeper challenge. Making pricing data available does not make it meaningful. Without consistent ways to connect clinical concepts to billing codes and pricing structures, patients and employers are left with technically accurate but practically unusable information. True transparency will require better integration of pricing data into real-time workflows, supported by APIs, governance, and trust frameworks.Mary also reminds listeners that employers are a critical stakeholder often overlooked in these discussions. As purchasers of coverage, they rely on usable pricing data to understand utilization and manage costs, making their perspective essential during the comment period.The Closing Message: Comment, Participate, Get InvolvedThe episode closes with a strong call to action. Mary urges listeners to “get off the bench” and engage, regardless of which rule is at issue. Comment periods directly affect compliance programs, product roadmaps, and competitive positioning. Janice reinforces that policy alone cannot solve interoperability challenges. Progress depends on shared implementation guidance, testing, governance, and sustained participation in standards organizations and multi-stakeholder initiatives, including FAST.The final takeaway is clear: HTI-5 and the price transparency proposal are not just regulatory events. They are inflection points. Organizations that participate now can help shape outcomes that are achievable, scalable, and trusted. Those that sit out will be left reacting to decisions made without their operational realities at the table.Listeners are reminded that both proposed rules have comment deadlines in late February, and that POCP is available to support organizations in understanding the implications and crafting effective comments. The episode closes, as always, with the reminder that Health IT is a dish best served hot.
WMAL GUEST: CYNTHIA FISHER (Founder and Chairman of PatientRightsAdvocate.org) on the "Make America Healthy Again" push for upfront medical pricing TRANSPARENCY: Cynthia Fisher applauds the Department of Health and Human Services for its new push to require hospitals and insurers to disclose actual costs to patients. HEALTH REFORM: Discussing how radical price transparency under President Trump and RFK Jr. will drive down costs and eliminate surprise billing for American families. Where to find more about WMAL's morning show: Follow Podcasts on Apple Podcasts, Audible and Spotify Follow WMAL's "O'Connor and Company" on X: @WMALDC, @LarryOConnor, @JGunlock, @PatricePinkfile, and @HeatherHunterDC Facebook: WMALDC and Larry O'Connor Instagram: WMALDC Website: WMAL.com/OConnor-Company Episode: Friday, January 16, 2026 / 6 AM HourSee omnystudio.com/listener for privacy information.
In this Season 4 premiere of The Right Idea podcast, TPPF Chief Communications Officer Brian Phillips and Chief Policy & Research Officer Derek Cohen dive deep into one of the biggest government fraud stories in America: Minnesota's massive daycare and nutrition program scandals.Guest John Hart, CEO of Open the Books, joins the show to break down:– How systemic loopholes and weak oversight enabled billions in fraud– Why real-time transparency (every dime online, instantly) is the best defense– The difference between waste vs. fraud and how AI + citizen journalism can expose it– Lessons from the federal earmarks moratorium that saved ~$140 billion– Why empowering parents and consumers beats centralized bureaucracy– Healthcare's perverse incentives, state-level variation, and reforms that actually workIf you're concerned about taxpayer money, government accountability, or the future of fraud prevention in Texas and beyond, this episode is a must-listen.Timestamps: 00:00 – Intro & Season 4 Launch01:30 – Hot Take: It's Hollywood Award Season: avoid it or watch the trainwreck? 05:01 – Guest Intro: John Hart, CEO of Open the Books05:57 – Anatomy of Government Fraud – Bug or Feature?07:04 – History of Federal Transparency (Coburn-Obama Law)10:46 – Real-Time Transparency: Why Every Dime Should Be Online Now12:34 – Counterarguments to Full Transparency & How to Overcome Them14:30 – Waste vs. Fraud: Definitions & Real-World Impact16:00 – Transparency as a Force for Freedom18:09 – Minnesota's Mistakes (No Treasurer + Enrollment-Based Payments)19:44 – Texas vs. Other States: Voucher Systems & Oversight22:14 – Performance Audits and Measuring Bang for the Buck26:21 – AI for Fraud Detection + Surveillance Citizenry28:22 – Preventing Fraud Upfront (Income Verification, Parent Empowerment)30:49 – Healthcare Fraud & Perverse Incentives33:16 – Price Transparency & State Innovation in Healthcare36:21 – Where Fraud Is Worst: Federal vs. State Level37:36 – Wildest Fraud Examples (Social Security "Adult Baby" Case)40:22 – Current Efforts to Stop Fraud (OMB, DOGE, Chip Roy Bill)42:10 – The Return of Earmarks: What Changed & Why It Matters44:00 – $140 Billion Saved by Earmarks Moratorium47:39 – Best States for Transparency & Reform (Texas, Virginia, Oklahoma)49:18 – PIA/FOIA Abuse & Outrageous Costs for Public Records50:39 – Rise of Citizen Journalism (Nick Shirley & Viral Exposés)
Texas State Representative Caroline Harris Davila discussed her experiences and initiatives in healthcare transparency in the Texas legislature while being interviewed at the ALEC 2025 States & Nation Policy Summit in Fort Worth. Special Guest: Caroline Harris Davila.
Are you "robbing Peter to pay Paul" just to keep your job sites running? In this episode, Seth sits down with Nick, co-founder of Buildplus, to discuss why the traditional construction cash flow model is broken—and why so many contractors are unknowingly operating like a Ponzi scheme.We dig into the messy reality of construction finance, from the "receipt in the cup holder" problem to the "napkin math" that passes for estimating today. Nick explains how Buildplus is using fintech and "Cost Plus" models to force radical transparency, eliminate client anxiety, and ensure every project stands on its own financial feet.If you're tired of estimates that are "slop" and want to stop flying by the seat of your pants on high-end projects, this conversation is for you.In this episode, we cover:The Origin Story: How a builder bankruptcy sparked the idea for Buildplus.The "Ponzi" Trap: Why using Project A's deposit to fund Project B is a ticking time bomb.Cost Plus vs. Fixed Fee: Why transparent pricing actually builds trust (and protects your profit).The "Receipt in the Cup Holder": Solving the chaos of expense tracking in the field.AI & The Future: Why current estimates are "BS made up on a napkin" and how AI might fix it.
X: @StephenMoore @ileaderssummit @americasrt1776 @NatashaSrdoc @JoelAnandUSA @supertalk Join America's Roundtable (https://americasrt.com/) radio co-hosts Natasha Srdoc and Joel Anand Samy with Stephen Moore, a brilliant economist, author and co-founder of the Committee to Unleash Prosperity, alongside Arthur Laffer and Steve Forbes. Steve Moore served as a senior economic advisor to the Donald Trump for President campaign in 2016. He was a key economic adviser to President Trump in drafting the Tax Cuts and Jobs Act (TCJA), which lowered the corporate tax rate and income taxes for American taxpayers. From 2005 to 2014, Moore served as the senior economics writer for The Wall Street Journal editorial page and as a member of the WSJ editorial board. The substantive conversation with Stephen Moore will focus on the following topics: U.S. economy Government shutdown Reducing the cost of healthcare, specifically skyrocketing health insurance rates Tax Cuts and Jobs Act (TCJA) to fuel economic growth Reducing government spending and debt Trade and tariffs americasrt.com (https://americasrt.com/) https://ileaderssummit.org/ | https://jerusalemleaderssummit.com/ America's Roundtable on Apple Podcasts: https://podcasts.apple.com/us/podcast/americas-roundtable/id1518878472 X: @StephenMoore @ileaderssummit @americasrt1776 @NatashaSrdoc @JoelAnandUSA @supertalk America's Roundtable is co-hosted by Natasha Srdoc and Joel Anand Samy, co-founders of International Leaders Summit and the Jerusalem Leaders Summit. America's Roundtable (https://americasrt.com/) radio program focuses on America's economy, healthcare reform, rule of law, security and trade, and its strategic partnership with rule of law nations around the world. The radio program features high-ranking US administration officials, cabinet members, members of Congress, state government officials, distinguished diplomats, business and media leaders and influential thinkers from around the world. Tune into America's Roundtable Radio program from Washington, DC via live streaming on Saturday mornings via 68 radio stations at 7:30 A.M. (ET) on Lanser Broadcasting Corporation covering the Michigan and the Midwest market, and at 7:30 A.M. (CT) on SuperTalk Mississippi — SuperTalk.FM reaching listeners in every county within the State of Mississippi, and neighboring states in the South including Alabama, Arkansas, Louisiana and Tennessee. Tune into WTON in Central Virginia on Sunday mornings at 6:00 A.M. (ET). Listen to America's Roundtable on digital platforms including Apple Podcasts, Spotify, Amazon, Google and other key online platforms. Listen live, Saturdays at 7:30 A.M. (CT) on SuperTalk | https://www.supertalk.fm
Join Nate Thurston in this solo edition of Good Morning Liberty as he covers the end of the longest government shutdown in U.S. history. Nate discusses the Senate vote and the implications of the compromise used to reopen the government. He shares his thoughts on the overall messiness of the political situation, including the impact on health insurance, layoffs of federal workers, and the proposed extended health insurance tax credits. Nate explores Trump's new proposals over the weekend, like $2,000 stimulus checks from tariff money, 50-year mortgages, and bonuses for air traffic controllers. He addresses the issues surrounding Obamacare, Bernie's critique of recent decisions, and investigates the real impact of the Affordable Care Act on health insurance stock prices. Nate also proposes alternative solutions for healthcare reform, focusing on health savings accounts, interstate insurance sales, and more efficient market-based strategies. 00:00 Intro 00:43 Government Shutdown Update 01:45 Political Commentary and Personal Views 02:22 Senate Moves to End Shutdown 03:59 Impact of Shutdown on Federal Workers 06:15 Trump's Weekend Proposals 07:41 Critique of Trump's Strategy 08:27 Shutdown Winners and Losers 09:50 Obamacare Subsidies Debate 14:33 Economic Implications of Shutdown 19:33 Trump's Tariff Stimulus Proposal 32:53 Health Insurance Companies and Obamacare 43:20 Radical Healthcare Reform Ideas 43:42 The Role of HSAs in Healthcare 47:00 Government's Role in Healthcare 49:33 Employer-Provided Healthcare and Tax Implications 52:33 Price Transparency and Market Competition 56:22 State Mandates and Insurance Across State Lines 01:01:49 Certificate of Need Laws 01:09:52 Preexisting Conditions and Risk Pools 01:14:55 Taxation in Healthcare
In this episode of Relentless Health Value, host Stacey Richter speaks with Shane Cerone and Dr. Sam Flanders of Kada Health about three pervasive myths in the healthcare industry. They discuss the belief in a functioning healthcare market, the necessity of high prices for hospital survival, and the notion that reducing prices means lower quality care. Highlighting the inefficiencies and lack of competition in the current system, they address the importance of transparency and competition. This episode sets the stage for a follow-up discussion focusing on tangible solutions and improvements for the healthcare system. === LINKS ===
Ben Schwartz, MD, MBA, wrote an article recently, and yeah, he makes a really compelling point. Dr. Schwartz wrote, “Ultimately, the most successful care models are those that create value inherently. The goal isn't simply cost arbitrage; it's creating a sustainable system that makes value attainable. Care delivery innovation is about more than optimizing for VC [venture capital] returns or maximizing operational efficiency.” For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. That mention of value and how to achieve it for real—like, actually create a care model that delivers value inherently—is a great segue to introduce the show this week. It's a continuation of our mission/margin theme, and this week, we're talking about the margin part of the “no margin, no mission” cliché. So, taking this from the top, last week—and go back and listen to that show if you have not yet (and you can listen to both of these parts in no particular order; you do you)—but last week, we talked mission. That part about value and creating value inherently? The tie-in here to mission and margin could be a value equation, really. Like, mission divided by margin is how you calculate the value delivered (less carrier spread), but that's a whole other show with Cynthia Fisher (EP457). So, let me introduce my guest this week, who was also my guest last week: Dan Greenleaf, CEO of Duly, which is a multispecialty group in Chicago. So, last week Dan and I talked mission, as I said; but today we're talking margin, which is, again, gonna be the denominator of so many value equations. Last week in that mission show, quick review (or spoiler alert, depending on the order in which you may be listening to these shows), but last week, Dan Greenleaf broke mission, Duly's mission, into four quadrants. The four quadrants of mission being affordability, access, consumer experience, and quality. In this conversation today, the margin conversation, Dan Greenleaf emphasizes that achieving these four quadrants reduces friction for patients and clinicians that leads to not only better care outcomes but also financial sustainability (ie, margin). Margin can therefore be a function of mission. And again, as Dr. Ben Schwartz put it, “Ultimately, the most successful care models are those that create value inherently.” So, here we go. To be noted with one big fat fluorescent highlighter marker, a big part of this mission that comes up over and over again last week, it's about making prices reasonable and predictable and transparent for patients. Financial toxicity is a thing. Financial toxicity not only is clinical toxicity when so many people are delaying needed care. And look, I don't often quote Marjorie Taylor Greene, but recently she was in the New York Times and was quoted as saying, “The cost of health care is killing people.” This is what we should be focusing on. I just read the other day that one-third of adults in this country are currently delaying or forgoing care due to cost. One-third! Not one-third of low income or something like that. One-third of adults in this country are delaying or forgoing care due to fear of cost. In today's world, affordability and price transparency is part of what customer experience means—not just, like, lemon water in the waiting room. This is what struck me the most about the conversation from last week. But wait. Does affordable for patients spell trouble when it comes to the margin part of the operation? Will an affordability mission wreak havoc on margin? Is this business model doomed? Is there even a successful care model that creates value inherently that is sustainable? Such a good question, which is why I ask it to Dan Greenleaf right out of the gate. So, just to sum this all up in the conversation that follows, Dan Greenleaf gets into the challenges and the strategies involved in balancing mission-driven healthcare with financial realities. Duly's approach to being fiscally solid includes, well, I'm just gonna say many of the same types of efficiency things to maintain and retain margin that other more mainstream health systems might deploy. But I'd say there's a really striking difference in the why and the how. And the impact of this why and how is striking when you look at Duly's prices and the impact it has on its overall community. So, even though it's using similar types of strategies, maybe, as big consolidated health systems or other organizations, the impact and what it all adds up to is, again, very, very different. This is what I mean. At health systems, and maybe my head is just lost in a couple of anecdotal bits of evidence right now, but I just had two conversations in the past two days with physician leaders at big health systems (different ones), but both of these individuals said variations of the same theme. And if you wanna picture the scene, picture the saddest expressions, and one of them had a martini and the other one had a big-boy glass of wine. And both of them said, Look, my organization has lost sight of patient care, but also my organization has lost sight of, like, financial goals in most parts of the organization. All I seem to do all day is play politics with a whole lot of middle managers or even senior leaders jockeying for position and having turf wars within these sprawling bureaucracies. These are just great people who are trying so hard to do the right thing and are just struggling to find the foothold to do so within their own organizations. So, let's just say it was refreshing to hear Dan Greenleaf talk about an alignment of incentives and hook the margin up with the mission train in a really tight way throughout the entire organization. And to do this really well—achieve that mission/margin alignment across the whole entire organization—Dan underscores the value of clinician involvement in leadership and having, as I just said, aligned incentives with clinical teams. Keep in mind, this is the margin show, where clinical leadership came up and the number of doctors on their board and the level of physician ownership in the organization. I'm highlighting that this is the margin show here because usually so-called dyad leadership with physicians in leadership roles only comes up in mission conversations, right? Like, in situations where somebody wants the doctor to be the defender of mission and the battle to keep the MBAs in check. And I say this as the comic book stereotype, obviously. But yeah, it's true often enough. But then we have Dan, who is thinking about clinicians who have, again, aligned incentives across the organization so you don't have your physician leaders day drinking while I'm sitting across from them finding myself quoting Sun Tzu The Art of War and helping them craft the perfect PowerPoint slide to weaponize a reorg. Honestly, in my experience, there's no better way to waste metric assloads of money than in an organization where personal power grabs start to supersede anything that smells vaguely like an organizational imperative. And again, these just big bureaucracies at many health systems … yeah, too big not to fail at this is often the way of it. Then lastly, I grilled Dan Greenleaf about capital partners and how to manage to achieve private equity (PE) funding, where there's support for a model that delivers inherent value—a model that benefits both patients and providers as well as investors. And I'm saying this, keeping all of the things that Yashaswini Singh, PhD, said in that episode (EP474) about private equity a few weeks ago. Go back and listen to that. And by the way, Dan Greenleaf in this show has roughly the same ideas as Tom X. Lee, MD (EP445), founder of One Medical and Galileo told me, and also Rushika Fernandopulle, MD (EP460), founder of Iora. Great minds think alike. So, should figuring out how to work with PE be a topic of interest, there you go. Listen to my conversation today with Dan Greenleaf and then go back and listen to those other two shows. Dan Greenleaf, CEO of Duly, my guest today, has been in healthcare for 30 years. He's a six-time CEO: three public companies and has also run three companies backed by private equity and thus very aware of the many different funding mechanisms that exist in the marketplace. This podcast is sponsored by Aventria Health Group, but I do just wanna mention that Duly offered Relentless Health Value some financial support, which we truly appreciate. So, call this episode not only sponsored by Aventria but also Duly. And with that, here is my conversation with Dan Greenleaf. Also mentioned in this episode are Duly Health and Care; Benjamin Schwartz, MD, MBA; Cynthia Fisher; Cristin Dickerson, MD; Yashaswini Singh, PhD; Tom X. Lee, MD; Galileo; Rushika Fernandopulle, MD; Vivian Ho, PhD; Scott Conard, MD; Stanley Schwartz, MD; Vivek Garg, MD, MBA; and Dave Chase. You can learn more at Duly Health and Care and follow Dan on LinkedIn. You can also email Dan at dan.greenleaf@duly.com. Daniel E. Greenleaf is the chief executive officer of Duly Health and Care, one of the largest independent, multispecialty medical groups in the nation. Duly employs more than 1700 clinicians while serving 1.5 million patients in over 190 locations in the greater Chicago area and across the Midwest. The Duly Health and Care brand encompasses four entities—DuPage Medical Group, Quincy Medical Group, The South Bend Clinic, and a value-based care organization. Its scaled ancillary services include 6 Ambulatory Surgery Centers, 30 lab sites, 16 imaging sites, 39 physical therapy locations, and 100 infusion chairs. Its value-based care service line provides integrated care for 290,000 partial-risk and 100,000 full-risk lives (Medicare Advantage and ACO Reach). Dan has nearly 30 years of experience leading healthcare services organizations. He is a six-time healthcare CEO, including prior roles as president and CEO of Modivcare; president and CEO of BioScrip, Inc.; chairman and CEO of Home Solutions Infusion Services; and president and CEO of Coram Specialty Services. Dan graduated from Denison University with a bachelor of arts degree in economics (where he received the Alumni Citation—the highest honor bestowed upon a Denisonian) and holds an MBA in health administration from the University of Miami. A military veteran, he was a captain and navigator in the United States Air Force and served in Operation Desert Storm. 09:56 How does Dan achieve his mission given the realities of margin? 14:49 How Duly Health's approach and incentives differ from other health systems. 16:04 EP466 with Vivian Ho, PhD. 16:28 EP462 with Scott Conard, MD. 16:31 Summer Shorts episode with Stan Schwartz, MD. 17:27 EP460 with Rushika Fernandopulle, MD. 17:29 EP445 with Tom X. Lee, MD. 17:30 EP407 with Vivek Garg, MD, MBA. 18:50 How having physicians on the hospital board greatly improves margin and mission. 20:04 How Dan explains his approach to his capital partners. 22:23 Fee for service vs. institutional care. You can learn more at Duly Health and Care and follow Dan on LinkedIn. You can also email Dan at dan.greenleaf@duly.com. @d_greenleaf of @dulyhealth_care discusses #margin creating a path to #mission in #multispecialtycare on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation Recent past interviews: Click a guest's name for their latest RHV episode! Dan Greenleaf (Part 1), Mark Cuban and Cora Opsahl, Kevin Lyons (Part 2), Kevin Lyons (Part 1), Dr Stan Schwartz (EP486), Dr Cristin Dickerson, Elizabeth Mitchell (Take Two: EP436), Dave Chase, Jonathan Baran (Part 2), Jonathan Baran (Part 1), Jonathan Baran (Bonus Episode)
We did it - officially the best wedding industry podcast - in fact the best business podcast! We won Gold in the business category of the 2025 British Podcast awards.To celebrate here's my reflections on the evening and a chance for you to listen to our award winning entry!With thanks to Ciara Crossan, Ian Ramirez, Anshika Arora and Michelle Miles who all featured in our entry.Time Stamps00:01 - Reflections on our win01:42 - Celebrating Success and Future Directions06:13 - The Importance of Imagery in Multicultural Marketing13:55 - The Importance of Price Transparency in Sustainable Marketing
In this episode of Relentless Health Value, host Stacey Richter sits down with Dr. Stan Schwartz, co-founder of ZERO.health, to explore the practical realities and benefits of direct contracting in healthcare. Dr. Schwartz shares his journey from traditional healthcare to pioneering bundled payments and direct contracts, offering actionable insights for employers, providers, and anyone interested in making healthcare more affordable and predictable. The conversation covers the challenges of claims, cost variability, operationalizing direct contracts, and the impact on both patients and providers. Discover how employers and providers can use bundled payments to cut costs, simplify administration, and deliver $0 out-of-pocket care for patients. It was an honor to get Dr. Schwartz on the pod, and we are doubly thankful because he stepped up and offered to help support Relentless Health Value financially as well as spending his time with me and you. So, thanks to everyone over at ZERO.health for being part of the kind of folks who support shows like this one. Dr. Stan Schwartz is co-founder over at ZERO.health. ZERO gets members access to high-quality providers for $0 out of pocket, leveraging bundled payments and direct contracting. This episode, as I just said, is sponsored by ZERO.health, with an assist from Aventria Health Group. === LINKS ===
I interviewed two healthcare executives and we talked about the importance of price transparency in pharmacy benefits management to make life easier for patients taking prescription medications and for providers who use e-prescribing. Episode Resources Connect with Arundhati Parmar aparmar@medcitynews.com https://twitter.com/aparmarbb?lang=en https://medcitynews.com/ Connect with Javier Gonzalez https://www.linkedin.com/in/jgonzalezpharmd/ Connect with Otto Sipe https://www.linkedin.com/in/ottosipe/ Review, Subscribe and Share If you like what you hear please leave a review by clicking here Make sure you're subscribed to the podcast so you get the latest episodes. Click here to subscribe with Apple Podcasts Click here to subscribe with Spotify Click here to subscribe with Podbean Click here to subscribe with RSS
What begins as a story about basketball evolves into a powerful conversation about grief, legacy, and the future of funeral service software.It's personal, smart, and packed with fresh ideas!
September 3, 2025- Food Industry Alliance of New York State President & CEO Mike Durant weighs in on legislation intended to let New Yorkers know if they're paying more for groceries they order online compare to shopping in a store.
The Big Unlock · Ramesh Kumar, CEO and Co-Founder, zakipoint Health In this episode, Ramesh Kumar, CEO and Co-founder of Zakipoint Health, shares his perspective on addressing healthcare's persistent challenges—high costs, lack of price transparency, and fragmented care. He emphasizes that patients, or ‘members,' often struggle to understand the true value of care, even as regulatory pushes for transparency continue. Ramesh highlights how greater data visibility and patient empowerment can shift the system toward value-based outcomes. He emphasizes that true digital transformation goes beyond compliance and organizations must leverage transparency in data to create actionable insights for patients, employers, and providers alike. He also discusses the role of AI and agentic AI in simplifying complexity, reducing administrative burden, and enabling more personalized, efficient care delivery. Ramesh underscores the need for co-creation between payers, providers, and technology innovators to build sustainable solutions. For him, the convergence of transparency, digital innovation, and AI marks a pivotal moment to reimagine healthcare's future. Take a listen.
Welcome back to the Finding Financial Freedom Podcast with Dr. Disha Spath. Today, we're joined by Carl Hall CFA, a wealth advisor at CapTrust who helps individuals and families manage their financial lives and achieve their unique goals. CapTrust specializes in delivering financial planning, portfolio management, and investment advice—helping clients navigate complex decisions with confidence. In this episode, Carl dives into the often-overlooked connection between healthcare decisions, price transparency, and retirement planning. From choosing the right health plan during open enrollment to understanding how HSA's can strengthen your retirement security, Carl breaks down how your medical choices today can significantly impact your financial freedom tomorrow. Key Topics Covered: 1. Making Smart Open Enrollment Decisions Why many people miss out on the optimal health plan and how to avoid common mistakes. 2. Understanding Health Plan Costs The real impact of premiums, deductibles, and co-insurance on your finances. 3. Affording Healthcare in Retirement Strategies to prepare for medical costs later in life. 4. The Shoeboxing Approach A practical method for tracking healthcare expenses. 5. FSA vs. HSA The key differences and why HSAs can be a powerful retirement tool. 6. Changes in the DPC Ecosystem What's new and how it affects both patients and providers. 7. Healthcare Price Transparency & Retirement Security How knowing the cost of care can protect your long-term finances. 8. Aligning Provider & Patient Interests Why DPC providers should have the same goals as their patients. Listener Takeaways: How your healthcare plan choice can directly impact your retirement savings. Why HSAs are a game-changer for long-term financial health. The value of price transparency in protecting your future wealth. How to align healthcare decisions with your financial freedom goals. Resources Mentioned: CapTrust Price Transparency Tools Connect with Us: Host: Dr. Disha Spath, The Frugal Physician Guest: Carl Hall CFA, Wealth Adviser at CapTrust
The Social Democrats introduced a Bill to the Dáil today calling for full transparency on the profits that supermarkets are making. To discuss this Cian O'Callaghan is the acting Leader of the Social Democrats, and Spokesperson on Finance and Damian O'Reilly, Lecturer in Retail Management at TU Dublin.
Jackie Selby, Partner, Epstein Becker & Green PC, Maria Nikol, CEO, Revelar Analytics LLC, and Karen Mandelbaum, Senior Counsel, Epstein Becker & Green PC, discuss current trends and developments related to price transparency. They cover why price transparency is important; provide an overview of the hospital transparency rule and the transparency in coverage rule for health plans; and detail how the rules are impacting providers, payers, and consumers. Jackie, Maria, and Karen wrote an article about this topic for Health Law Connections magazine. From AHLA's Regulation, Accreditation, and Payment Practice Group.Watch this episode: https://www.youtube.com/watch?v=5cbxUKpklYQRead the article: https://www.americanhealthlaw.org/content-library/connections-magazine/article/f2560233-685a-4065-a989-d286ae43b2e6/Putting-Price-Transparency-into-Perspective Learn more about AHLA's Regulation, Accreditation, and Payment Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/regulation-accreditation-and-paymentAHLA's Health Law Daily Podcast Is Here! AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Premium members. Get all your health law news from the major media outlets on this new podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.
Dive into price transparency with Danny Moore and Greg Mottet, founder of Vairate. In this episode, they discuss a study exploring inpatient maternity rates in Washington, as well as the use of price transparency in payer-provider negotiations and its impact on consumers, payers, providers, and employers.
In this episode, we unpack Airbnb's global rollout of total price display and what it means for short-term rental managers, plus explore how hotels are embracing — and struggling with — AI adoption. From pricing strategy to data cleanup, we dive into the trends reshaping hospitality in 2025.Are you new and want to start your own hospitality business?Join our Facebook groupFollow Boostly and join the discussion:YouTube LinkedInFacebookWant to know more about us? Visit our websiteStay informed and ahead of the curve with the latest insights and analysis.
Health plans are under mounting pressure to comply with federal price transparency regulations. But compliance isn't easy due to vast and complex data sets. In this episode of Healthcare Insider, Heather Cox, president of Insights and Empowerment at Zelis, breaks down the top challenges health plans are facing and offers insightful strategies for achieving compliance. Cox also explores how transparency requirements can be more than a regulatory requirement, but a catalyst to improve member engagement and experience.
As healthcare regulations continue to evolve, organizations must stay ahead of complex compliance requirements to remain competitive and protect patients. In this episode of Healthcare Insider, Ann Phillips, Senior Director of Regulatory and Standards at PurpleLab, unpacks the current landscape of price transparency rules –including updates to the No Surprises Act and the Transparency in Coverage rule – and what they mean for providers, payers and patients alike. She dives into the latest regulatory guidance, enforcement challenges and how technology and industry collaboration can bridge data gaps and support compliance. Listen to learn how your organization can navigate shifting regulations and leverage data to support compliance, inform strategy and improve decision-making.
Is your medical practice reaping the rewards it deserves? Listen in as Iván Watanabe hosts Mitch Spolan, founder of Payorology, to explore the intriguing intersection of healthcare and economics. Mitch shares his fascinating career journey from architecture to the Internet, and finally to entrepreneurship—where Payorology was born. Learn how this innovative approach can have a … Read More Read More
Legislative attempts to compel price transparency from health care providers ignores an important factor: Price transparency emerges naturally from well-functioning markets. Michael Cannon explains. Hosted on Acast. See acast.com/privacy for more information.
In this episode, Emily Porter, VP of External Affairs at Sidecar Health, discusses the latest executive order on price transparency, its impact on insurers and hospitals, and how Sidecar Health is using transparent pricing to empower consumers.
In this episode, Editor-in-Chief Laura Dyrda joins Scott Becker to discuss key healthcare trends, including the latest executive order on price transparency, potential Medicaid cuts, and rising patient volumes in hospitals across the U.S.
March 6, 2025: Sarah Richardson and Kate Gamble discuss Ohio becoming the first state to mandate hospital price transparency. The hosts explore the technical challenges CIOs face in implementing these requirements, potential impacts on hospital-insurer negotiations, and implications for healthcare competition as similar legislation is being considered in Hawaii, Oregon, Pennsylvania, and Washington.Subscribe: This Week Health Twitter: This Week Health LinkedIn: This Week Health Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.Thanks to all of you for making this a Top 15 Podcast for 4 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/Sonal's 14th Season starts up and Episode 10 features a Newsworthy update on Hospital Price Transparency for 2025.Sonal's Trusty Tip and compliance recommendations focus on new HCPCS code G2076 (and my bonus G2077!).Spark inspires us all to reflect on change based on the inspirational words of John F. Kennedy.Thanks to HCPro®:Website: https://hcpro.com/Use Promo Code Sonal15 at checkout for Certified Coder Bootcamp - Original at: https://hcmarketplace.com/Paint The Medical Picture Podcast now on:Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3XApple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcastFind Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7AFind Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/And checkout the website: https://paintthemedicalpicturepodcast.com/If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com
Share your thoughts and comments by sending me a text messageS.11 E.10 Many people find the American health care system to be confusing, especially due to lack of price transparency. In this episode, I discuss some important steps that the Trump administration is taking to ensure price transparency in health care.ABOUT: Tawsif Anam is a nationally published writer, award-winning public policy professional, and speaker. He has experience serving in the private, public, and nonprofit sectors in United States and overseas. Anam earned a Bachelor of Arts degree in Political Science and a Master of Public Affairs degree from the University of Wisconsin – Madison. Tawsif Anam's opinions have been published by national, state, and local publications in the United States, such as USA Today, Washington Examiner, The Washington Times, The Western Journal, The Boston Globe, Pittsburgh Post-Gazette, Milwaukee Journal Sentinel, Wisconsin State Journal, The Capital Times, and The Dodgeville Chronicle. His writings have also appeared in major publications in Bangladesh including, but not limited to, The Daily Star and The Financial Express. Visit my website www.tawsifanam.net Visit my blog: https://tawsifanam.net/blog/ Read my published opinions: https://tawsifanam.net/published-articles/ Check out my books: https://tawsifanam.net/books/
House Passes GOP Budget Resolution in Close Vote; Trump Signs Healthcare Price Transparency Order | NTD Good Morning
In this episode of 1st Talk Compliance, we dive into an increasingly crucial topic in healthcare: price transparency and its ever-growing impact on the industry. Kevin Chmura, CEO at Panacea Healthcare Solutions, joins us to share expert insights on strategic pricing and compliance, emphasizing the transformative benefits for healthcare providers. Learn how to proactively engage with CMS regulations and set your organization apart as an ethical leader in the realm of price transparency.
Grace Walsh speaks with Kevin Chmura, CEO at Panacea Healthcare Solutions, to explore an extremely timely topic: price transparency and its far-reaching impact on how healthcare providers interact with consumers, with each other, and with the market at large. Tune in as Kevin shares some important insights about how price transparency has opened the door to a whole new world of data analysis and strategic business strategies for healthcare providers, and covers what we might expect to see for the future of price transparency. We'll also include some key resources for listeners hoping to boost their knowledge of CMS price transparency regulations and learn how they can leverage price transparency data to empower their own strategic initiatives.
Price transparency in healthcare is essential for providing patients with clear, upfront costs of medical services, empowering them to make informed financial decisions.In this episode of Straight Out of Health IT, Dr. Jonathan Kaplan, founder and CEO of BuildMyHealth, explains how their new platform DrWell addresses this challenge by offering real-time cash-pay price transparency, connecting patients directly with providers to ensure both affordability and continuity of care. Historically, healthcare pricing has become complex due to advancements in technology, third-party insurance involvement, and evolving payment models. Therefore, patients often face hidden costs, such as copays and deductibles, leading to unexpected financial burdens.In this conversation, Dr. Kaplan highlights that cash-pay options can often be more cost-effective than relying on insurance, especially for non-emergency services like outpatient procedures and medications. Increased price transparency drives competition among providers, ultimately reducing costs for patients while encouraging them to explore cash-pay options. For providers, adopting transparent pricing models and embracing cash-pay services can ensure financial sustainability and independence, particularly as insurance reimbursements continue to decline. Dr. Kaplan believes that moving forward, the healthcare system is expected to shift toward a market-driven model where insurance primarily covers catastrophic events, while patients pay out of pocket for more routine services. Consumers are advised to check prices ahead of time, explore cash-pay rates, and avoid defaulting to insurance when it isn't cost-effective. Providers are encouraged to treat patients transparently, offering clear cost estimates and embracing models prioritizing affordability, trust, and improved care outcomes.Tune in for an eye-opening conversation on how price transparency in healthcare can save you money, empower your choices, and transform the way you approach medical care!
Health Affairs' Jeff Byers welcomes Senior Editor Leslie Erdelack back to the program to discuss the latest hospital price transparency requirements that began in 2025, how many hospitals are actually following these regulations, and what effect noncompliance has on consumers' access to health care.Check out a recently released Health Policy brief from Derek Griffith and Andrew Twinamatsiko exploring the laws and policies prohibiting the discussion of what the Trump administration labeled “divisive concepts” and their impact on health equity. And we recently unveiled a refresh to our Health Affairs Insider program. Learn more about the recent changes and how to become an Insider today!Watch our Virtual Briefing on Uses of Health Care Price Transparency Data: Status, Innovations, & OpportunitiesRelated Articles:Many hospitals still aren't complying with price transparency rule: OIG (Healthcare Dive)HHS: Nearly half of hospitals aren't following CMS price transparency rule (Healthcare Brew)Latest updates to hospital price transparency rules aim to make the data more useful (Stat News)
The Healthcare Revolution: Challenges and Innovations with Dutch RojasIn this episode, George hosts Dutch Rojas, a Senior Vice President of Direct Healthcare at Naomi Health, to discuss the transformative landscape of healthcare. Dutch shares his journey from an accounting student to a healthcare innovator advocating for private physicians and transparency. They delve into healthcare issues, such as market concentration, regulatory challenges, and unfair pricing structures. Dutch emphasizes the importance of competition and the role of physicians in improving the healthcare system. They also explore innovative models like physician-led practices and Direct Primary Care (DPC) to enhance care and reduce costs. The conversation touches on policy implications, the influence of large health systems, and potential solutions through collaboration and market-led changes. Dutch suggests building coalitions of independent physicians to negotiate better contracts and reduce expenses, ultimately aiming for a fairer and more efficient healthcare system.00:00 Introduction and Setting the Scene00:10 Introducing Dutch Rojas01:07 Dutch Rojas' Journey into Healthcare03:44 Challenges in the Healthcare System05:33 Market Concentration and Regulation Issues17:53 The Role of PBMs and Insurance Companies27:54 Forming Coalitions for Independent Physicians31:30 Unite the Physicians: Overcoming Legal Barriers32:06 Innovative Organizational Structures in Healthcare32:53 Ownership and Revenue Generation for Doctors33:30 Understanding Payroll and Insurance Integration33:57 Explaining Key Acronyms: PEO, GPO, and MSO35:06 Legal Challenges and Costs in Healthcare36:01 Introducing Physicians Capital36:07 Negotiation Strategies with Healthcare Providers36:36 Flexibility in Healthcare Contracts38:01 Addressing Healthcare System Problems38:58 Competing Against Academic Health Systems39:52 Challenges in Primary Care and Solutions41:27 The Role of Innovation in Healthcare42:47 The Importance of Relationships in Medicine56:41 Direct Primary Care (DPC) and Its Impact01:00:49 The Need for Price Transparency in Healthcare01:02:58 Concluding Thoughts and Future DiscussionsSupport the show
LISTEN: On the Tuesday, Dec. 10 edition of Georgia Today: A new report shows some Georgia hospitals aren't posting their prices as required by law; new legislation aims to ease the veterinarian shortage; and the Athens Rock Lobsters face another delay of their home opener.
Since January 2021, hospitals and health systems have been required to post the prices of standard charges publicly. The goal of the Hospital Price Transparency Rule has been to increase competition and bring down the cost of healthcare for consumers. Since the regulation went into effect three years ago, researchers at Turquoise Health wanted to see if the market had responded. Carol Skenes, Interim Vice President of Product at Turquoise, joins host J. Carlisle Larsen to talk about what their researchers found after reviewing industry-wide data. You can find the white paper discussed on today's episode here. Hosted on Acast. See acast.com/privacy for more information.
A new report finds that few Montana hospitals are complying with a federal rule to publicly post prices for common procedures.
Feeling overwhelmed about putting your pricing on your website? In this episode, I share why price transparency is no longer optional in today's market. Learn how showcasing your value upfront builds trust, qualifies leads, and boosts sales—all while saving you time and frustration.========================= EPISODE SHOW NOTES BLOG & MORE:https://brandeegaar.com/price-transparency-wedding-business/=========================JOIN THE WEDDING PRO CEO ACCELERATOR!!!Transform From Overwhelmed Business Owner to Confident CEO:https://www.brandeegaar.com/accelerator=========================Thank you for tuning in to this episode of the Wedding Pro CEO Podcast. If you find these strategies helpful, make sure to share this episode with your fellow wedding pros. And remember, in the world of weddings, it's all about building genuine relationships and showcasing your best work. Until next time, keep shining, CEOs!SUPPORT THE PODCAST! LEAVE A REVIEW HERE: https://ratethispodcast.com/swdHave a question you'd like Brandee to answer? Ask here: http://bit.ly/3ZoqPmz=========================Black Friday Deal: Join Wedding Pro CEO during the month of November and get six additional months of working with us absolutely free! Support the show
Learn about the challenges that hospitals face in keeping up with CMS's evolving price transparency regulations with Alex Muckenthaler. Brought to you by www.infinx.com. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
Learn about the challenges that hospitals face in keeping up with CMS's evolving price transparency regulations with Alex Muckenthaler.
Erica Stocker joins Maddie News to discuss the recent Government Accountability Office (GAO) report on hospital price transparency and how it could spur congressional action.
On today's episode, Ashley sits down with with Keith Somers. CRO at HealthCorum. Keith is an entrepreneur with a finance background who co-founded HealthCorum after a series of frustrating experiences navigating the healthcare system as a patient and caregiver. As CRO at HealthCorum, he leads the sales/marketing team on all market interactions while maintaining responsibility for company operations. HealthCorum is a company that provides data analytics and insights focused on the healthcare industry. They specialize in analyzing data on healthcare providers, such as hospitals and physicians, to assess their quality, efficiency, and overall value in comparison to other similar providers. HealthCorum's platform and underlying data helps healthcare organizations, insurers, and employers identify high-performing providers, reduce costs, and improve the quality of care.
How can price transparency reshape the way we approach healthcare, especially in the realm of medical weight loss? In this episode, Dr. Grant Stevens is joined by Dr. Jonathan Kaplan, the CEO and Founder of BuildMyHealth. Seeking to revolutionize patient care by giving consumers a clear understanding of costs before committing to treatments, Dr. Kaplan explains how he built a platform to champion price transparency, and empower patients to make better decisions and ultimately improve their overall healthcare experience.The conversation also shifts to the growing need for effective weight management solutions. As Dr. Kaplan highlights, weight loss is becoming a central focus in medicine, and offering patients both clarity in pricing and access to the latest treatments is crucial. In this episode, you'll hear about weight management in the context of aesthetic medicine and how it aligns with the broader healthcare landscape. With a fascinating look into the background and history of GLP-1 agonists dating all the way back to 2005, and a deep dive into the intricacies of compounding pharmacies, join Dr. Stevens and Dr. Kaplan for an enlightening discussion that showcases how price transparency, technology, and innovation are transforming the future of medical weight loss.» Apple Podcasts | https://podcasts.apple.com/us/podcast/technology-of-beauty/id1510898426» Spotify | https://open.spotify.com/show/0hEIiwccpZUUHuMhlyCOAm» Recent episodes | https://www.influxmarketing.com/technology-of-beauty/» Instagram | https://www.instagram.com/thetechnologyofbeauty/» LinkedIn | https://www.linkedin.com/company/the-technology-of-beauty/The Technology of Beauty is produced by Influx Marketing, The Digital Agency for Aesthetic Practices. https://www.influxmarketing.com/Want more aesthetic insights? Subscribe to Next Level Practices, the show where we discuss the ever-changing world of digital marketing and patient acquisition and bring you the latest ideas, strategies, and tactics to help you take your practice to the next level. https://www.influxmarketing.com/next-level-practices/
Sept. 13, 2024 - Sen. Andrew Gounardes, a Brooklyn Democrat, is prescribing more transparency at the pharmacy, as he pushes a bill intended to expose the true cost drivers of medications.
Creating an ambulatory surgery center (ASC) with transparent, affordable pricing is possible and can go a long way in protecting our patients' health, pockets, and futures. Dr. Keith Smith, founder of Oklahoma Surgery Center and the Free Market Medical Association, joins us to explain how to do it. --- CHECK OUT OUR SPONSOR Reflow Medical https://www.reflowmedical.com/ --- SYNPOSIS Dr. Smith shares his journey of creating transparent and affordable healthcare pricing, the challenges faced due to government regulations and insurance companies, and the rapid growth of self-funded companies seeking value in medical services. He highlights the importance of simple, honest pricing and the impact of the Free Market Medical Association in connecting buyers and sellers. Dr. Smith also discusses the expansion of his model beyond Oklahoma and into new surgical centers, emphasizing the need for price transparency in healthcare. --- TIMESTAMPS 00:00 - Introduction 05:06 - Challenges & Growth 14:18 - Self-Funding & Price Transparency 16:47 - Free Market Medical Association 21:44 - Government & Price Transparency 26:19 - Expansion & Future Plans --- RESOURCES Oklahoma Surgery Center: https://surgerycenterok.com/ Free Market Medical Association: https://fmma.org/