Podcast appearances and mentions of price transparency

"We did this survey with a third-party consulting group who talked to 2,000 brokers. Their perception was that 25% of bills are going to be balance bills; it's actually 3%."Is Reference-Based Pricing (RBP) still something that just creates endless problems for HR?My guest this week is Jeff Bak, CEO of Imagine360. Jeff brings 30 years of healthcare and private equity experience to the table, and he's leading the charge to rebrand and evolve RBP from a defensive "pay and defend" model into a comprehensive, full-stack alternative health plan.In this episode, we tackle the persistent broker misconceptions surrounding RBP, dissecting exactly why the actual balance bill rate is closer to 3% while plan savings average over 20%. We also explore how Imagine360 blends RBP with strategic direct hospital contracts (like Baylor and Northwestern) to give employees a seamless "PPO-like" experience without the inflated PPO price tag. Jeff also breaks down the reality of the No Surprises Act (NSA) and Independent Dispute Resolution (IDR) process, and why hospitals are currently winning the majority of those arbitration cases.If you are a benefits consultant or an employer looking to truly break away from the traditional "BUCA" networks, while ensuring your employees aren't stranded with unmanageable balance bills, this conversation is the reality check you need.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Dispelling Broker Myths Around RBP (00:03:52) Jeff's Background: From the NFL to Healthcare CEO (00:10:15) Defining Reference-Based Pricing (Cost-to-Charge vs. Medicare) (00:14:22) Why Traditional Plans are Like Buying a Ford F-150 Every Year (00:16:19) The Evolution from ELAP's "Pay and Defend" to Imagine360 (00:20:09) Blending RBP with Direct Hospital Contracts (00:26:01) Unpacking the Broker Survey: Perceived vs. Actual Balance Bill Rates (00:34:19) Building an Integrated, Full-Stack Health Plan (00:39:11) How to Transition a Workforce to RBP (Dual Option & Slice) (00:45:34) Managing Single Case Agreements & Redirection (00:50:16) Navigating the NSA and the IDR Arbitration Process (00:54:26) The Ideal Employer Profile for an Alternative Health Plan (00:59:37) The Future of RBP & Price Transparency (01:04:57) Closing Thoughts: The "Barbecue Sandwich" MarginKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

"We did this survey with a third-party consulting group who talked to 2,000 brokers. Their perception was that 25% of bills are going to be balance bills; it's actually 3%."Is Reference-Based Pricing (RBP) still something that just creates endless problems for HR?My guest this week is Jeff Bak, CEO of Imagine360. Jeff brings 30 years of healthcare and private equity experience to the table, and he's leading the charge to rebrand and evolve RBP from a defensive "pay and defend" model into a comprehensive, full-stack alternative health plan.In this episode, we tackle the persistent broker misconceptions surrounding RBP, dissecting exactly why the actual balance bill rate is closer to 3% while plan savings average over 20%. We also explore how Imagine360 blends RBP with strategic direct hospital contracts (like Baylor and Northwestern) to give employees a seamless "PPO-like" experience without the inflated PPO price tag. Jeff also breaks down the reality of the No Surprises Act (NSA) and Independent Dispute Resolution (IDR) process, and why hospitals are currently winning the majority of those arbitration cases.If you are a benefits consultant or an employer looking to truly break away from the traditional "BUCA" networks, while ensuring your employees aren't stranded with unmanageable balance bills, this conversation is the reality check you need.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Dispelling Broker Myths Around RBP (00:03:52) Jeff's Background: From the NFL to Healthcare CEO (00:10:15) Defining Reference-Based Pricing (Cost-to-Charge vs. Medicare) (00:14:22) Why Traditional Plans are Like Buying a Ford F-150 Every Year (00:16:19) The Evolution from ELAP's "Pay and Defend" to Imagine360 (00:20:09) Blending RBP with Direct Hospital Contracts (00:26:01) Unpacking the Broker Survey: Perceived vs. Actual Balance Bill Rates (00:34:19) Building an Integrated, Full-Stack Health Plan (00:39:11) How to Transition a Workforce to RBP (Dual Option & Slice) (00:45:34) Managing Single Case Agreements & Redirection (00:50:16) Navigating the NSA and the IDR Arbitration Process (00:54:26) The Ideal Employer Profile for an Alternative Health Plan (00:59:37) The Future of RBP & Price Transparency (01:04:57) Closing Thoughts: The "Barbecue Sandwich" MarginKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Ryan and Dana discuss the Trump administration's push to enforce hospital price transparency rules after more than 500 hospitals were warned for failing to provide basic pricing information to the public. See omnystudio.com/listener for privacy information.

S1E11: AI and Prescription Price Transparency, with Miriam Paramore, Founder and CEO of RxUtility On this episode, host Dr. Heather Bassett welcomes Miriam Paramore, founder and CEO of RxUtility, discussing a problem most patients don't realize exists: prescription drug prices are opaque, highly variable across pharmacies, and can fluctuate multiple times in a single day — leaving patients to discover the real cost only when they reach the counter. Miriam explains how RxUtility functions as a utility layer across health systems, payers, pharmacists, and digital health partners, aggregating insurance copays, manufacturer coupons, cash prices, and direct-to-consumer options into a single, actionable view at the point of prescribing and pickup. Miriam shares how she built RxUtility from inception with a small team by leaning on AI in place of traditional legal, financial, and operational roles — and what that taught her about the real-world limits and potential of agentic AI in healthcare. Dr. Bassett and Miriam also discuss Mimi™, RxUtility's generative AI orchestrator managing real-time pricing data across 20,000 drugs and 60,000 pharmacies, and their shared belief that AI should enhance clinical efficiency to bring more human connection to patient care. 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/

"To quote my business partner, a broker makes you broker."To celebrate the 5-year and 250th-episode anniversary of the podcast, we recorded a special live panel in front of an audience featuring three of the most forward-thinking minds in the benefits space: Chris Hamilton (Hotchkiss Insurance), Taylor Rogers (CCIG), and Seth Denson (Acrisure).In this "State of the Union" episode, we tackle the existential crisis facing mid-market employers and the healthcare industry at large. The panel holds nothing back as we debate the illusion of PPO network discounts, the weaponization of AI in medical billing, and why staying fully-insured absolutely does not protect a CFO from fiduciary liability lawsuits. The guys also share their personal "Jerry Maguire" moments - the exact turning points in their careers when they decided to stop chasing commissions and start fighting for the patients and employers footing the bill.Following the main discussion, we hosted a Q&A featuring questions from the audience.If you are an employer looking to take control of your healthcare spend or an advisor wanting to stay relevant in a rapidly changing market, this live discussion is packed with actionable strategy.Thank you to all who have listened for helping us get to 5 years!Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Episode Chapters(00:00:00) Intro: Welcome to the 5-Year Anniversary Live Show (00:01:51) Meet the Panel: Chris Hamilton, Taylor Rogers, and Seth Denson (00:04:56) State of the Union: Is the Benefits Industry in a Crisis? (00:11:12) Broker vs. Consultant: Defining the Difference (00:17:26) Following the Money: Controlling Facility Costs & Member Experience (00:24:02) Are Traditional PPO Networks a Scam? (00:34:46) Building Tiered Benefit Structures and Narrow Networks (00:40:22) The AI Threat: Weaponized Billing and the Loss of the "Training Ground" (00:55:40) Fiduciary Responsibility and the Threat of Employer Lawsuits (01:05:03) The Next 5 Years: Breaking Up Insurance Monopolies (01:11:18) Audience Q&A: Preventing High-Cost Claimants with DPC (01:15:30) The Panel's "Jerry Maguire" Career Moments (01:20:46) The Reality of Price Transparency and Medical Shopping (01:26:03) Navigating the Wild West of the No Surprises Act (NSA) (01:29:45) Why Fully-Insured Plans Don't Protect CFOs from Fiduciary Liability (01:32:21) Closing Remarks and the 5-Year Whiskey GiveawayKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

"To quote my business partner, a broker makes you broker."To celebrate the 5-year and 250th-episode anniversary of the podcast, we recorded a special live panel in front of an audience featuring three of the most forward-thinking minds in the benefits space: Chris Hamilton (Hotchkiss Insurance), Taylor Rogers (CCIG), and Seth Denson (Acrisure).In this "State of the Union" episode, we tackle the existential crisis facing mid-market employers and the healthcare industry at large. The panel holds nothing back as we debate the illusion of PPO network discounts, the weaponization of AI in medical billing, and why staying fully-insured absolutely does not protect a CFO from fiduciary liability lawsuits. The guys also share their personal "Jerry Maguire" moments - the exact turning points in their careers when they decided to stop chasing commissions and start fighting for the patients and employers footing the bill.Following the main discussion, we hosted a Q&A featuring questions from the audience.If you are an employer looking to take control of your healthcare spend or an advisor wanting to stay relevant in a rapidly changing market, this live discussion is packed with actionable strategy.Thank you to all who have listened for helping us get to 5 years!Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Episode Chapters(00:00:00) Intro: Welcome to the 5-Year Anniversary Live Show (00:01:51) Meet the Panel: Chris Hamilton, Taylor Rogers, and Seth Denson (00:04:56) State of the Union: Is the Benefits Industry in a Crisis? (00:11:12) Broker vs. Consultant: Defining the Difference (00:17:26) Following the Money: Controlling Facility Costs & Member Experience (00:24:02) Are Traditional PPO Networks a Scam? (00:34:46) Building Tiered Benefit Structures and Narrow Networks (00:40:22) The AI Threat: Weaponized Billing and the Loss of the "Training Ground" (00:55:40) Fiduciary Responsibility and the Threat of Employer Lawsuits (01:05:03) The Next 5 Years: Breaking Up Insurance Monopolies (01:11:18) Audience Q&A: Preventing High-Cost Claimants with DPC (01:15:30) The Panel's "Jerry Maguire" Career Moments (01:20:46) The Reality of Price Transparency and Medical Shopping (01:26:03) Navigating the Wild West of the No Surprises Act (NSA) (01:29:45) Why Fully-Insured Plans Don't Protect CFOs from Fiduciary Liability (01:32:21) Closing Remarks and the 5-Year Whiskey GiveawayKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Are stagnant wages the hidden price tag of a broken healthcare system? On this week's Capitalisn't, Yale health economist Zack Cooper tells Bethany McLean and Luigi Zingales that the U.S. healthcare market is failing because of structural flaws like employer-sponsored insurance, which hides true costs from consumers. He argues this opaque system has quietly become one of the leading drivers of income inequality in America. Cooper explains why standard economic principles break down in healthcare: in one of his studies, the average Manhattan patient drives past six cheaper MRI options to reach the one their doctor recommends. He also shows that when premiums rise equally across a workforce, companies are financially incentivized to lay off lower-wage workers to absorb the cost. And when hospitals acquire physician practices, doctor behavior shifts to maximize hospital revenue, significantly increasing rates of expensive, potentially unnecessary procedures like cesarean sections. Looking ahead, Cooper argues the U.S. will soon face a stark choice to control costs. The system must either roll back employer-sponsored insurance to push more people into the individual market, or expand Medicare to bring more of the public under regulated pricing. If you've ever stared at a medical bill and wondered how those numbers got there, this episode is worth a listen. Connect with us:

"If we can do it for Whole Foods, which is a very large organization, why can't we do this for other employers?"Is the era of relying on national, opaque "BUCA" networks finally coming to an end?My guests this week are Blake Allison, CEO of Employers Health Network (EHN), and Philip Eaves, from Ascension. Together, they break down the exact blueprint they used to build a direct-to-employer, high-performance network for Whole Foods - and how they are scaling that exact same model for self-funded employers across the country.In this episode, we explore the hospital system's perspective on direct contracting. Phil explains why massive health systems like Ascension are eager to bypass traditional carriers to work directly with employers, citing faster payments, zero collection risk, and the ability to proactively manage patient care. We also discuss how to successfully integrate Direct Primary Care (DPC) into a localized network, the lessons commercial plans must learn from Medicare Accountable Care Organizations (ACOs), and why the future of healthcare relies on "re-localizing" how we buy medical services.If you are an employer, benefits consultant, or healthcare provider who is fed up with the transactional, nickel-and-dime nature of traditional insurance carriers, this conversation proves that a better, more collaborative model already exists.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Whole Foods and the Move Away from BUCAs  (00:07:29) The Whole Foods Case Study: Building a Direct Network (00:12:15) Why Health Systems Want Direct Employer Contracts (00:17:15) The Evolution from RBP to High-Performance Networks (00:19:21) Integrating Direct Primary Care and Care Management (00:23:41) The Challenges of Scaling Direct Contracts Nationally (00:28:15) Re-Localizing Healthcare: Buying Care in Your Community (00:33:36) Overcoming the Negative Stigma of "Networks" (00:36:55) Applying Medicare ACO Lessons to Commercial Populations (00:42:31) Defining True Value-Based Care and Downside Risk (00:45:51) The Ideal Employer Profile for Direct Contracting (00:50:52) Lowering Costs with Local, Community-Based Care (01:05:17) Future Predictions: Site Neutrality and Price Transparency (01:11:25) Closing Thoughts: Providers Are Open for BusinessKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

"If we can do it for Whole Foods, which is a very large organization, why can't we do this for other employers?"Is the era of relying on national, opaque "BUCA" networks finally coming to an end?My guests this week are Blake Allison, CEO of Employers Health Network (EHN), and Philip Eaves, from Ascension. Together, they break down the exact blueprint they used to build a direct-to-employer, high-performance network for Whole Foods - and how they are scaling that exact same model for self-funded employers across the country.In this episode, we explore the hospital system's perspective on direct contracting. Phil explains why massive health systems like Ascension are eager to bypass traditional carriers to work directly with employers, citing faster payments, zero collection risk, and the ability to proactively manage patient care. We also discuss how to successfully integrate Direct Primary Care (DPC) into a localized network, the lessons commercial plans must learn from Medicare Accountable Care Organizations (ACOs), and why the future of healthcare relies on "re-localizing" how we buy medical services.If you are an employer, benefits consultant, or healthcare provider who is fed up with the transactional, nickel-and-dime nature of traditional insurance carriers, this conversation proves that a better, more collaborative model already exists.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Whole Foods and the Move Away from BUCAs  (00:07:29) The Whole Foods Case Study: Building a Direct Network (00:12:15) Why Health Systems Want Direct Employer Contracts (00:17:15) The Evolution from RBP to High-Performance Networks (00:19:21) Integrating Direct Primary Care and Care Management (00:23:41) The Challenges of Scaling Direct Contracts Nationally (00:28:15) Re-Localizing Healthcare: Buying Care in Your Community (00:33:36) Overcoming the Negative Stigma of "Networks" (00:36:55) Applying Medicare ACO Lessons to Commercial Populations (00:42:31) Defining True Value-Based Care and Downside Risk (00:45:51) The Ideal Employer Profile for Direct Contracting (00:50:52) Lowering Costs with Local, Community-Based Care (01:05:17) Future Predictions: Site Neutrality and Price Transparency (01:11:25) Closing Thoughts: Providers Are Open for BusinessKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Health Affairs Publishing's Jeff Byers welcomes Stacey Pogue of Georgetown University's McCourt School of Public Policy about her recent Forefront article examining proposed updates to health plan price transparency rules, focusing on efforts to improve data usability and the ongoing challenges in making healthcare costs more accessible and actionable.Join Health Affairs Publishing on May 13 for an exclusive Insider virtual event exploring individual coverage health reimbursement arrangements (ICHRAs) with Urban Institute's Jason Levitis. Related Links:Taking Stock Of Proposed Updates To Health Plan Price Transparency Rules (Health Affairs Forefront)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

What has price transparency data taught us about healthcare prices? Price transparency laws were originally put in place to make it possible for patients to act like consumers. We're not there yet. But as federal requirements and enforcement tighten, health plans and providers are sharing more and better data, giving us a clearer picture of the price of care across services, organizations, and markets. In this episode, host Abby Burns sits down with CEO of Revelar Analytics, Maria Nikol, to better understand how and why leaders across the industry should leverage price transparency data to help them navigate mounting financial pressures. Maria shares concrete examples of how organizations are using the data to defend rates, uncover underpayment, and prepare for rate negotiations — while also breaking down common data pitfalls and why interpretation matters. They also discuss recent and proposed policy changes and what they mean for healthcare leaders in 2026 and beyond. We're here to help: Infographic | Real-time transparency Report | 4 steps for successful risk contracting with payers Expert Insight | 3 ways to make VBC contracting easier Learn more | Revelar Analytics l Price Transparency l Home Page 2026 State of Healthcare Procurement: Cost, Quality, Resilience A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

In this episode of The Dish on Health IT, Tony Schueth is joined by Dr. Thomas Keane, National Coordinator for Health IT at ONC, along with Alix Goss and Janice Reese. The conversation moves between policy, standards, and real-world implementation, with Tony often grounding the discussion in the practical friction points the industry continues to face. Tony opens by noting that “ONC is ONC again,” setting a lighter tone while also framing the broader conversation around where federal health IT policy is headed. He highlights Dr. Keane's unusual background spanning engineering, clinical practice, and federal leadership, asking how that path shaped his perspective on impact. Dr. Keane explains that his transition into policy was driven by exposure and opportunity, but importantly, he continues to practice medicine. Tony picks up on that point, noting how rare it is for a National Coordinator to still be actively practicing, reinforcing the value of having a policy leader grounded in real-world care delivery. Interoperability at the “Speed of Trust” Tony then shifts the conversation to one of his core themes: interoperability as infrastructure. He references Dr. Keane's framing of interoperability needing to operate at the “speed of trust,” and pushes on the tension between that vision and the reality of legacy systems still dominating the market. Dr. Keane responds by walking through ONC's dual-track approach. On one hand, rulemaking like HTI-5 is pushing toward a FHIR-based, API-driven future. On the other, ONC recognizes that legacy standards are deeply embedded and must continue to be supported. He also points to the CMS Health Tech Ecosystem initiative as a powerful example of how government can accelerate progress by convening stakeholders rather than relying solely on regulation. Tony brings Janice Reese into the discussion to ground this vision in implementation reality. Janice emphasizes that the biggest barriers are not the APIs themselves, but the underlying trust infrastructure. She outlines identity, security, consent, and directory services as the key gaps preventing interoperability from scaling nationally. Imaging as a Case Study in Misaligned Incentives Tony pivots to diagnostic imaging, framing it as a clear example where standards exist but adoption lags. He references the continued reliance on physical media like CDs and asks whether the issue is less about technology and more about incentives and certification. Dr. Keane agrees and shares a detailed example from his time as a radiologist, describing how consolidating imaging workflows improved efficiency and reduced turnaround times. He uses this to illustrate the broader point: the technology exists, but economic and operational incentives often work against seamless data exchange. He also notes that ONC's recent RFI is intended to better understand these barriers and inform future rulemaking. Tony keeps the tone light with a quick aside about McDonald's and queue efficiency, but uses it to reinforce a serious point. Even when better systems exist, organizations sometimes stick with less efficient models because they are familiar or expected. Prior Authorization: Progress, but Still Fragmented Tony then moves into prior authorization, referencing CMS-0057 and Da Vinci use cases as signs of progress, particularly on the medical side. He contrasts that with the ongoing fragmentation in pharmacy prior authorization and asks how ONC is thinking about bridging that gap. Dr. Keane emphasizes that standards alone are not enough. Real progress depends on making those standards usable in practice. He points to ongoing work with EHR vendors, PBMs, and intermediaries to ensure that real-time prescription benefit tools deliver complete and accurate information that clinicians can trust. Tony and Alix build on this by connecting real-time benefit checks to broader price transparency efforts, suggesting that combining these capabilities could fundamentally change how patients and providers make decisions together at the point of care.  Price Transparency: Still Not Patient-Friendly Tony directly challenges the current state of price transparency, asking how the industry moves beyond “check-the-box” compliance to delivering something that is actually usable for patients. Dr. Keane acknowledges that while progress has been made, much of the data remains too complex and not sufficiently tailored to individual patients. He notes that CMS continues to iterate on requirements, but that making cost information actionable at the point of care remains an ongoing challenge. AI: From Hype to Real Utility Tony transitions to AI with a callback to a joke Dr. Keane made about AI either transforming healthcare or reducing it to three bullet points. He uses that setup to ask whether AI can realistically make complex healthcare data usable for patients and clinicians. Dr. Keane answers with a firm yes, pointing to existing use cases in radiology and clinical workflows where AI is already improving accuracy and efficiency. He shares examples of AI identifying stroke patterns, highlighting abnormalities in imaging, and even summarizing clinical reports. Tony then brings the conversation back to risk, asking about overreliance on AI and how policy should address bias and accountability. Dr. Keane is clear that responsibility still sits with the clinician, noting that physicians are trained to recognize bias and must independently validate AI-driven insights. Janice and Alix add that AI's success ultimately depends on the quality and standardization of the underlying data. Without consistent, trusted data, AI will simply amplify existing gaps. Information Blocking and Enforcement Tony closes the main discussion by turning to information blocking, asking what message ONC has for organizations that continue to restrict data access under the guise of technical or legal constraints. Dr. Keane outlines a range of enforcement mechanisms, from corrective action plans to potential financial penalties. He emphasizes that while ONC prefers to work with organizations to resolve issues, the expectation is clear: data must flow. Final Call to Action: Data Liquidity As always, Tony ends with a call-to-action question. If there were one thing the industry could do starting tomorrow, what would it be? Dr. Keane's answer is direct: make data liquid. He ties this back to reducing administrative burden, improving price transparency, and enabling better patient decision-making. The goal is a system where data flows seamlessly, at the direction of the patient, to support care and operations. Janice and Alix close by reinforcing that the industry does not lack standards or policy direction. The real challenge is aligning stakeholders and scaling adoption.  

In this podcast, Greg Voisen sits down with serial entrepreneur and executive coach Jim Bramlett to discuss his transformative new book, Cracking the Growth Code, a tactical manual designed to help leaders move beyond the "hustle" and build sustainable, scalable organizations. Bramlett deconstructs the hidden DNA of industry giants like Amazon to reveal the "Aligned Leadership Operating System," a framework that bridges the gap between deep industry expertise and the formal leadership training most executives lack. By focusing on four universal pillars—Convenience, Price, User Experience, and Trust—the book provides a high-impact 30-day action plan and a 90-day roadmap to shift companies from a rigid "Command and Control" style to a coaching-centric culture that maximizes employee engagement and customer loyalty.

Shoot us a Text.Episode #1321: Dealers double down on price transparency training, a new autonomy “Big Three” takes shape with Waymo, Tesla, and Uber, and AI boosts worker productivity but struggles to move the needle at the organizational level.At the Ethical Finance and Insurance Managers Conference in Las Vegas, industry leaders made it clear: the FTC's warning letters are just the trigger and the real focus is on how dealers adapt operations and training to meet rising expectations.Speakers from compliance, F&I, and training organizations emphasized that execution—not awareness—is the biggest risk for dealerships right now.Leaders like Shannon Robertson (AFIP) and Tony Dupaquier (iA American Warranty Group) highlighted that regulators are watching closely, pushing dealers to tighten processes.The message: pricing consistency must be trained, reinforced, and monitored across sales, F&I, and even social media activity.Experts stressed that today's buyers shop online for months, making pricing accuracy critical before they ever walk in.“Do we train employees that the price they quote has to match that online price?” Robertson saidA new mobility power trio is emerging, but its not Detroit's legacy OEMs. Waymo, Tesla, and Uber are moving autonomy from testing to real-world deployment, the race is shifting from building tech to scaling full-blown transportation networks.Robotaxis and autonomous trucks are already operating in multiple U.S. cities but the next battleground is scale—charging hubs, maintenance depots, and fleet optimization will separate winners from the rest.Waymo leads in deployment with 500,000 weekly rides, while Uber brings unmatched ride-matching infrastructure and partnerships.Tesla's edge lies in massive real-world driving data and its Supercharger network, though full autonomy still requires supervision.“Waymo is probably less than a year from becoming a verb,” said autonomy expert Grayson Brulte.AI is making employees more productive—but companies aren't seeing the payoff at scale. New data from Gallup shows a growing gap between individual efficiency gains and real organizational transformation, with leadership and engagement emerging as the missing links.65% of workers say AI improves their productivity, yet only 12% feel it's truly transforming how their organization operates.Leaders echo the disconnect—89% report no measurable productivity gains from AI so far, despite heavy adoption.Manager involvement is the difference-maker, with employees far more likely to see value when leaders actively support AI use.Many organizations are falling short—less than one-third of employees say their managers are actively backing AI adoption.AI fears are rising too, with 23% of workers in Join Paul J Daly and Kyle Mountsier every morning for the Automotive State of the Union podcast  as they connect the dots across car dealerships, retail trends, emerging tech like AI, and cultural shifts—bringing clarity, speed, and people-first insight to automotive leaders navigating a rapidly changing industry.Get the Daily Push Back email at https://www.asotu.com/JOIN the conversation on LinkedIn at: https://www.linkedin.com/company/asotu/

Stacey Richter interviews Jerry DiMaso, CEO of Payerset, about how hospital and carrier price transparency data (mandates beginning with hospitals in 2019 and carriers in 2022) is being used by plan sponsors and providers. For self-insured employers and unions, DiMaso highlights three key uses: benchmarking against competitors via EIN to compare negotiated rates and carve-outs, identifying high-cost billing codes, and exposing "discount shell games" by validating whether claimed discounts reflect real savings.  Employers can use the insights to guide TPA negotiations, implement service carve-outs/direct contracts and calculate objective savings, and model alternative plan types (e.g., PPO vs HMO) while maintaining access. For clinics, transparency data can level information asymmetry by enabling rate benchmarking, revealing new contracting opportunities with previously unknown carriers, and supporting rate increases by pairing price comparisons with quality/outcomes; the discussion also addresses concerns about prices rising and an emerging transparency "arms race." === LINKS ===

What if the biggest opportunity in healthcare reimbursement is finally having a clear view of what “fair” actually looks like? In this episode, Dilpreet Sahota, CEO and founder of Trek Health, discusses how his company is helping health systems and health plans turn price transparency data into a strategic tool for payer negotiations. He explains why publicly available reimbursement data is still difficult to use in practice, how AI can simplify both massive pricing datasets and highly complex payer contracts, and why providers need a clearer benchmarking strategy as reimbursement pressures continue to shift. He also shares his perspective on trust, validation, and explainability in AI, along with a future vision in which providers negotiate with greater clarity, and patients can better predict the true cost of care before receiving services. Tune in to learn how better reimbursement intelligence could reduce friction, strengthen negotiation strategy, and increase transparency for both providers and patients. About Dilpreet Sahota: Dilpreet Sahota is the CEO and founder of Trek Health, a company focused on building healthcare payment products that help organizations better understand reimbursement, contracts, and market benchmarks. Since founding Trek Health in 2022, he has worked to make price transparency data more usable for healthcare finance leaders and provider organizations navigating payer negotiations. Before launching Trek Health, Dilpreet held roles across healthcare growth, analytics, operations, and research, including work at Big Health, Health IQ, Massachusetts General Hospital, and Stanford University School of Medicine. He holds an M.Sc. from Stanford University and a B.A. from the University of California, Berkeley. Things You'll Learn: Price transparency data is now public, but it is still difficult for providers and payers to access and use strategically.  AI can help sift through massive pricing datasets and extract key terms from payer contracts in seconds rather than hours.  Providers need plan-specific reimbursement strategies instead of treating all payer relationships the same way. Trust in AI depends on validation, sourcing, auditability, and the ability to trace outputs back to underlying truth. Lower-cost outpatient alternatives will likely play a major role in reducing total cost of care over the next decade. A more mature transparency ecosystem could help patients predict healthcare costs much more accurately before treatment. Resources: Connect with and follow Dilpreet Sahota on LinkedIn. Learn more about Trek Health on LinkedIn and visit the website here. 

James Virgoe, senior vice president and managing director of GWC Warranty, appeared on another special sponsored episode of the Auto Remarketing Podcast at a time when domestic and foreign turbulences have added even more complexities to the car business. Virgoe sifts through the noise to help dealers maintain a stable path toward inventory management while building value and trust with potential buyers.

This episode's Community Champion Sponsor is Ossur. To learn more about their ‘Responsible for Tomorrow' Sustainability Campaign, and how you can get involved: CLICK HEREEpisode Overview: The prescription journey has become one of healthcare's most frustrating operational bottlenecks – fragmented pricing, disconnected systems, and zero transparency when it matters most.Our next guest, Joseph Kleiman, is transforming this broken experience as President of Buzz Health.With over 25 years building and scaling businesses, Joseph brings a rare combination of operational execution and strategic vision to one of healthcare's toughest challenges.What started 15 years ago as BuzzRx – a pharmacy discount platform – has evolved into a comprehensive pricing transparency engine embedded directly into clinical workflows.From provider systems to pharmacies to payers, Joseph shares how Buzz Health is delivering real-time cost visibility across the entire prescription ecosystem.Join us to discover how upstream pricing intelligence is reducing friction, improving adherence, and making medication affordability actionable at the point of care. Let's go!Episode Highlights:Joseph Kleiman emphasizes solving real healthcare problems by staying close to patients, pharmacies, payers, and PBMs before building solutions.Buzz Health evolved from BuzzRx discount cards to RxCompare technology, embedding real-time prescription pricing across the entire healthcare ecosystem.Successful pricing transparency requires minimal IT lift through API integrations that work alongside existing legacy systems without disruption.Moving pricing intelligence upstream to the doctor's office gives patients actionable cost information before leaving the waiting room.The future prescription ecosystem will integrate vouchers, copay cards, and health plan rates into one centralized transparent pricing engine.About our Guest:Joseph Kleiman is President of Buzz Health, where he leads the company's strategy, partnerships, and operations to help expand access to more affordable prescription medications and improve price transparency across the healthcare ecosystem. With more than 25 years of experience building and scaling businesses, including BuzzRx as Chief Financial and Operating Officer, Kleiman has a strong track record in strategic planning, operational leadership, and growth. Previously, he founded the consulting firm Projixx, served as Chief Operating Officer of 944 Media, and co-founded Bullseye Wireless.Links Supporting This Episode: Buzz Health Website: CLICK HEREJoseph Kleiman LinkedIn page: CLICK HEREMike Biselli LinkedIn page: CLICK HEREMike Biselli Twitter page: CLICK HEREVisit our website: CLICK HERESubscribe to newsletter: CLICK HEREGuest nomination form: CLICK HERE

Welcome to another episode of Fratello On Air! This week, we address a listener's question about price transparency in the vintage market. Does it exist, and if not, how should a new collector navigate these murky waters? Listen in as we take a long look at this interesting topic.After last week's episode about what happens when a previously undervalued brand gains attention, we decided to focus on another deep topic. This time, we pick a listener's suggestion and discuss price transparency in the vintage watch marketplace. Thanks to Tachytales for the suggestion, and thankfully, we've got a lot to say!HandgelenkskontrolleWe begin our discussion with discussions about TV shows. The second season of Paradise is a must-watch. Then, we discuss the Oscars and several of the movies featured during the annual award show (yes, we made a mistake about Sinners winning the Best Picture award). Balazs has just returned from a business trip in Miami, and he has plenty to say about the weather, the clothing, and the Miami Heat. While there, he also had the chance to check out the latest Omega Speedmaster Professional "Reverse Panda" in steel. Regarding the Handgelenkskontrolle, Mike is wearing the Aquastar Benthos H2, a great watch for the rainy weather in London. Balazs brought a trio of watches to Miami and has opted for the one he wore the least. Today, he's donning his Rolex Submariner 5513.Price transparency in the vintage watch marketFor our main topic, we attempt to answer a faithful listener's question about market pricing for vintage watches. Yes, it can be difficult to know what to pay for a given watch when prices are all over the map. The same is true when past sales prices are challenging to find. And what about dealers who seem to charge a lot more than others?First, we understand that some collectors of vintage watches are more comfortable taking risks than others. Still, we advocate research ad nauseam until purchasing feels like less of a gamble. Frankly, we feel that some watches are worth paying a dealer premium for, while others are more apt for finding on a site like eBay or at a local auction. For example, we'd likely refrain from buying an older Rolex or Patek Philippe on a whim.Of course, there are other considerations, such as condition and service history. Some dealers specialize in museum-like new-old-stock pieces, which garner premium prices. Others ensure that all watches have received a full service before sale, a costly feature that isn't insignificant for an older timepiece.We always come back to doing one's homework, but it's not just about the watches. More than ever, we've seen a surge in Instagram-based dealers with dubious credentials. Digging deep to learn about their reputations, the watches they're selling, and even checking if commenters are always the same are sound tactics. In the end, though, there are few absolutes on the pricing of vintage watches. If a watch is honest, in your price range, and desirable, then it's probably a good buy.We hope you enjoy today's show. Feel free to leave us your comments below, and don't hesitate to suggest any additional show topics. Thanks for listening!

From ViVE 2026 in Los Angeles, Michael chats with Rafiq Ahmed, CEO and Co-founder of Serif Health. Together, they discuss how Rafiq uncovered the need to make healthcare pricing more transparent; his vision amid launching Serif Health and price transparency regulation; why price transparency data lacks accessibility; what's at stake if organizations aren't taking advantage of good transparency data; how Serif Health's approach to data quality sets it apart from other platforms; what the future of healthcare price transparency looks like moving forward; and much more.

On 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. 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/

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.

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, 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

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.

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

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.

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