Podcast appearances and mentions of ryan wells

I came up with at least one way to tell the difference between making a fair profit and profiteering. If someone makes more money when the patients or members they serve are worse off, yeah, call that profiteering. 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. For more on what is fair profit versus what is profiteering, I would recommend you go back and listen to the episodes on mission and margin with Ben Schwartz, MD, MBA (EP481) and then with Mick Connors, MD (EP495). But it's probably not an accident that I have started an episode about Medicare Advantage in this fashion. To this end, I am very much looking forward to hearing what's up with Medicare Advantage from the one and only Betsy Seals, who is back for her third appearance on Relentless Health Value. And her advice in a nutshell is this: Don't profiteer. There are ample ways to make a fair profit. Just go back to basics and do it the right way. I wanna kind of tick through the list of things that I think about when I think about Medicare Advantage and just how it is relevant to absolutely everybody. The first thing I think about when I think about Medicare Advantage—and this is very obvious—is what Medicare Advantage plans do or don't do are our tax dollars at work or not at work, as the case may be. Along these same lines, the second thing: How does this impact our elders, our family, our friends, our grandparents? These are our senior citizens, getting the care or not getting the care that they may need. Those two are obvious. Now let's talk about a few less obvious things. Here's the third point that I think about as I listen to conversations about Medicare Advantage: cost shifting. Right? It is a well-known fact how big, vertically integrated carriers—and when I say big, vertically integrated carriers, I mean ones that have a Medicare Advantage line of business—when negotiating with big, consolidated health systems, the release valve of those negotiations is commercial rates. These are the rates that the self-insured employers are paying. So, the carrier says, "Look, gimme the best Medicare Advantage rates. I want the best Medicare Advantage rates because I, the carrier, am paying for those." Savings from those lower rates accrues to the Medicare Advantage plan and its shareholders or investors or executives, right? So, the carrier with the Medicare Advantage plan is like, "Look, go as low as we can go on the Medicare Advantage rates, but it's okay, health system, if you make up the difference with the ASO commercial book of business." Because right … ASO means administrative services only. It's not the carrier who's paying those commercial rates at the end of the day. So, the carrier uses its full book of business to negotiate lower rates for itself while, at the same time, cost shifting to commercial members. In fact, there was some research that was cited. It was episode 436 with Elizabeth Mitchell, and I quoted Luke Prettol. But there was research that puts this markup at 4.7% above what employers would otherwise pay if they had an ASO that did not have a Medicare Advantage Plan. So, yeah … number three big thing that I think about when listening to MA insights like the ones that Betsy drops today, I think about will this accelerate or ameliorate or really have anything to do with what is going on around those negotiating tables with ASOs and health systems? Because let's not forget, health systems account for about 50% of most self-insured employers' total health spend. The fourth thing that I think about: Will MA carriers underpay independent practices, especially primary care practices? Will it pay indies less? And then if it pays 'em a lot less, would ultimately manage to put them out of business, ultimately raising the total cost of care for everybody. But if we're thinking about this strictly from Medicare Advantage financial perspective, a really great move here, these are big, vertically integrated companies, don't forget. Many of them own provider organizations. This is why the FTC tends to frown on vertical integration. So, will these Medicare Advantage organizations who own provider organizations pay the provider organizations they own more? By the way, it's the same thing that's going on on the pharmacy side of the house when a PBM pays pharmacies that they own more. Here's a LinkedIn post by Stanley Warren about this topic. And there are a lot of obvious, maybe less obvious reasons for why paying providers the carrier itself owns more is a great short-term move. One of them is intracompany eliminations. Listen to the episode with Preston Alexander (EP482). But here's another reason: Rate increases paid by the government for Medicare Advantage plans are based on fee-for-service benchmarks. So, if fee-for-service rates go up, then the Medicare Advantage plans can negotiate more money for themselves. If the MA plans own the providers that are charging said FFS rates, then this is, I don't know, a great strategy, especially given the lobbying budget that some of these entities have. So, look … on today's show, I get the distinct opportunity to speak with Betsy Seals, my guest today, as I mentioned earlier; and we go through her advice for MA plans and what they need to get busy with and ensure, make a fair profit, go back to basics, and do it the right way. That's her bottom-line advice. Don't be putting your hands in the cookie jar. Sooner or later, you're gonna get caught. Focus on the members that you're really good at serving. And lastly, when it comes to STARS or other quality measures, lift them the right way—like, actually through better member health and actually better member experience, not some engineered mechanism by which one can check a box that honestly doesn't deserve to get checked. Because now we're back to the beginning and you're gonna get caught with your hand in the cookie jar, and it's profiteering. Let's just get real about that. If somebody's checking boxes that they don't deserve to check, member health is not improving. Betsy Seals, my guest today, as I have said at least three times, co-founded Rebellis Group, which is a Medicare Advantage consultancy. She became CEO of its parent company, Alerion Advisors. Now she is a board member, and also she works with start-ups in our industry. This podcast is sponsored by Aventria Health Group with an assist today from Payerset to help us with the financial support that we need to stay on the air. And with that, here is my conversation with Betsy Seals. Also mentioned in this episode are Alerion Advisors; Rebellis Group; Benjamin Schwartz, MD, MBA; Mick Connors, MD; Elizabeth Mitchell; Luke Prettol; Luke Trocchio; LoVasco; Stanley Warren; Preston Alexander; Aventria Health Group; Payerset; Eric Bricker, MD; Scott Conard, MD; Bob Herman; and Vivian Ho, PhD. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here.   You can learn more by visiting the Rebellis Group blog and by connecting with Betsy on LinkedIn. You can also email her at bseals@rebellisgroup.com.     Betsy Seals is the co-founder of Rebellis Group, former CEO of Rebellis Group and Alerion Advisors, and a current board member of the Alerion Advisors family of companies. With over 25 years of experience across Medicare and Medicaid programs, Betsy is a nationally recognized leader known for her regulatory expertise, strategic vision, and ability to deliver measurable results. Betsy's work spans mergers and acquisitions, compliance, enterprise strategy, sales and marketing, supplemental benefits, and innovative benefit design that optimizes health plan performance and improves health outcomes. Betsy brings a strong blend of executive leadership, business acumen, and deep regulatory knowledge, with a focus on driving operational excellence and meaningful member impact.   00:00 Introduction to this episode. 00:43 Past episodes on profiteering: EP481 with Benjamin Schwartz, MD, MBA, and EP495 with Mick Connors, MD. 01:25 How Medicare Advantage is relevant to everyone. 06:15 A preview of today's conversation. 07:49 The "state of the state" of Medicare Advantage plans. 08:49 Video by Eric Bricker, MD, on the financial performance of the U.S. healthcare system. 09:32 Does Medicare Advantage's losses matter to the patients? 10:29 A recap of Betsy's insights so far. 11:19 The underlying strategic through line that needs to be considered. 13:04 The impact of Goodhart's Law. 14:12 What the players that are succeeding right now are doing. 14:22 The first pillar of a back-to-basics strategy: Don't get caught with your hand in the cookie jar. 16:07 EP463 with Betsy Seals. 16:50 Why short-term strategies don't work. 18:26 Stats report on prior authorizations serving the beneficiary. 19:32 EP482 with Preston Alexander. 19:38 Why prior authorization needs change. 21:28 The better strategy to use. 21:43 EP462 with Scott Conard, MD. 23:17 The second pillar of a back-to-basics strategy: Focus on the beneficiaries you actually serve well. 24:37 What it looks like to implement this focus on the beneficiaries you serve well. 25:29 How special needs plans play into this. 27:43 The third pillar of a back-to-basics strategy: Think about how STARS in clinical programs improve health. 30:04 The ethical component to implementing a Medicare Advantage program. 31:04 Betsy's advice for independent practices dealing with prior authorizations. 33:37 STAT article by Bob Herman about the effectiveness of Medicare Advantage lobbying on policy. 34:08 Betsy's final notes for all players impacted by what's currently happening.   @betsyseals discusses the impact of #medicareadvantage news on our #healthcarepodcast. #healthcare #podcast #financialhealth #commercialpayermarketplace #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Patrick Nelli; Lee Lewis; Stacey Richter with 15 experts (EP507); Jerry DiMaso; Dr Ahilan Sivaganesan; Ryan Jacobs; Stacey Richter (INBW46); Ryan Wells, Dr Leo Spector, and Adam Stavisky  

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Sarah Monroe: Hi. This is Sarah Monroe in Chicago, and I'm a benefits procurement leader. And I'm curious why you think so few executives take proactive bold action in health benefits strategy given the magnitude of opportunity. Stacey: Isn't that a great question? 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. Okay … so, last week we did an Ask Me Anything episode with Lee Lewis (EP508) where we answered this exact same question Sarah just asked from the standpoint of a CEO (chief executive officer). This week, we're taking the same question but from the standpoint of a CFO (chief finance officer) and/or the finance team writ large. And this week we're going through a very crisp roadmap for how to move forward toward proactive bold action in alignment with said CFO/finance team. This roadmap, though, since we are talking about finance folks here, it does double duty setting up the hardcore why—as in, Why should finance wish to upgrade benefits? Why get away from being kind of complacent and maybe a passive price taker? I mean, consider Step 1 of the roadmap that we're gonna cover here in a moment. Step 1 is to recommend that the finance team set their next-year and out-year forecasts at an accurate, greater than 7.7% trend. You might be able to see how that will get a finance team to find their why pretty quick. Oh, was that a spoiler of what's to come? Why, yes, it was. My guest today, Patrick Nelli, is currently the CEO of Aligned Marketplace, which has a really cool premise based on the power of advanced primary care. Check them out. Patrick Nelli is also a former CFO. So, yeah … you can see why he'd be a really great guest to take us through this roadmap for how folks at a plan sponsor not in finance can align with finance to move forward toward a health plan that works better and costs less. So, without further ado, here's Patrick's roadmap. But, for sure, listen to Patrick explain it. The points that he makes and the details that he brings up are both helpful and also really thought provoking. Step 1: Stop the renewal surprise. Engage with CFO finance teams and take in the advice of John Quinn from episode 493 and Lee Lewis (EP508) from last week. This is an ongoing engagement-type engagement, not a "see ya right before renewal" thing. Step 2: Confront an accurate trend. Set year-over-year trend accurately. As just stated a minute ago, this trend is not CPI (the consumer price index). Trend will be two to three points minimum above CPI, which is gonna be in the 7.7% range or higher for reasons that Patrick will lay out coming up here. When you speak in finance talk like this and forecast these out-years accurately, the why for taking bold action becomes really crystal clear. The status quo is financially untenable. Here's a link, by the way, to a page that Patrick gave me that covers this #2 forecasting step. Step 3: Offer a win-win alternative to the status quo. So, make it clear that this high estimated trend is only accurate if—and this is the important part here—if we stick with the status quo. It is possible to create an actually better plan that is more affordable and better for everybody. I will say this Step 3 is maybe a little bit more fraught than I had previously considered. Go back and listen to the show last week with Lee Lewis (EP508) for more of a deep dive into this Step 3 in the roadmap. Step 4: Lean into proven strategies that have been shown time after time to bend said cost curve and improve the health of employees, such as, again, advanced primary care. How many times does this need to come up? Step 5: Align your incentives and also your safeguards. So, look, if you decide to implement a model like advanced primary care, you gotta ensure that the payment model actually incents the behavior you want to see. You gotta think that through. There is a pachinko machine in the healthcare industry and a pachinko effect of incentives. So, know what they are and then put up safeguards and backstops to prevent unintended consequences if you know that the incentives are, in fact, misaligned. Step 6: Optimize via your contracting, which includes direct contracting. So, once you consider the incentives and figure out what you gotta watch out for, optimize contracts accordingly. And often that means finding ways to direct contract with independent practices such as primary care practices. Listen to that episode from two or three weeks ago with Ryan Jacobs (EP504), which is one half-hour fully getting into what the perverse incentives that just batter the premise of primary care if you don't take them on board. So, that's Step 6 of the roadmap. Optimize contracting, maybe direct contract. Step 7: Steer and tier. Steer and tier, especially for rising risk and/or to make sure employees get the highest value. In other words, risk stratify and disproportionately engage those with rising risk. Steer and tier them to high-value provider organizations. And look, as I said in episode 507, define value and then demand it. Steer and tier away from wildly expensive organizations who may not perform at the level that you're looking for. Is that easy? No. Can you start with, for example, advanced primary care organizations with a clear mandate who to refer to? Yes. This podcast is sponsored by Aventria Health Group. Today we got an assist from Aligned Marketplace. They gave us some financial support to help cover our expenses around here, and for that I am very, very grateful to Aligned Marketplace. And with that, here is my conversation with Patrick Nelli. Also mentioned in this episode are Aligned Marketplace; Sarah Monroe; Lee Lewis; John Quinn; Ryan Jacobs; Aventria Health Group; Gary Campbell; Shane Cerone; Sam Flanders, MD; Scott Conard, MD; Stan Schwartz, MD; Vivian Ho, PhD; Al Lewis; Dave Chase; Ryan Wells; Adam Stavisky; Leo Spector, MD, MBA; Barbara Wachsman; and Tom Nash. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here.   You can learn more by visiting alignedmarketplace.com and by connecting with Patrick on LinkedIn.   Patrick Nelli is the CEO and founder of Aligned Marketplace, a national, value-based advanced primary care and specialty marketplace for employers. Prior to Aligned Marketplace, Patrick spent a decade at Health Catalyst, a data and analytics company focused on supporting some of the largest healthcare organizations in the country, where he was president and chief financial officer and helped take the company public. Previously at Health Catalyst, he helped build value-based care analytics for some of the largest ACOs in the country in pursuit of Health Catalyst's mission to deliver data-informed improvement. Prior to Health Catalyst, Patrick invested across the healthcare space and performed drug discovery research. Patrick's passion is to drive healthcare improvement through innovation.   00:00 Introduction to this episode. 02:48 Roadmap Step 1 highlights. 03:07 Roadmap Step 2 highlights. 03:49 Roadmap Step 3 highlights. 04:15 Roadmap Step 4 highlights. 04:27 Roadmap Step 5 highlights. 04:58 Roadmap Step 6 highlights. 05:19 EP504 with Ryan Jacobs. 05:37 Roadmap Step 7 highlights. 06:28 Introduction to the conversation with Patrick Nelli. 06:36 Step 1 to Patrick's roadmap: Open the conversation. 07:57 What Patrick thinks is sometimes missing in health benefits. 09:07 What finance teams need in order to change their behaviors. 09:53 What Baumol's cost disease is. 10:58 EP341 with Gary Campbell. 11:14 EP492 with Sam Flanders, MD, and Shane Cerone. 12:18 The second item stacked against employers: Being price "takers." 13:49 The percent inflation employers should expect if they follow the status quo. 15:39 INBW46 with Stacey. 16:54 Proven strategies to bend the health benefits finance curve. 18:42 EP391 with Scott Conard, MD. 19:37 SUMS11 with Stan Schwartz, MD. 20:18 How employers and plan sponsors can bend the cost curve. 21:47 The two distinct business models that finance teams need to consider when setting up their health benefits model. 24:11 Milbank study on the role of primary care. 24:53 A quick reminder of high-cost spending within health plans. 25:00 EP466 with Vivian Ho, PhD. 25:10 EP464 with Al Lewis. 25:59 What finance teams need to hear right now to understand why disrupting their health benefits plan is worth it. 27:45 The next step when an employer recognizes that they should seek out an advanced primary care option for their members. 28:41 EP503 with Ryan Wells; Leo Spector, MD, MBA; and Adam Stavisky. 30:27 Next steps after an employer enlists an advanced primary care system and aligns values and incentives in their benefits plan. 34:26 A last word to benefit teams working with finance teams. 34:55 EP430 with Barbara Wachsman. 35:08 How Aligned Marketplace fits into this entire conversation.   @PatrickNelli of @AlignedMP discusses aligning #healthfinance with #benefitdesign on our #healthcarepodcast. #healthcare #podcast #financialhealth #commercialpayermarketplace #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Lee Lewis; Stacey Richter with 15 experts (EP507); Jerry DiMaso; Dr Ahilan Sivaganesan; Ryan Jacobs; Stacey Richter (INBW46); Ryan Wells, Dr Leo Spector, and Adam Stavisky; Brian Machut  

Episode 508 is the first Ask Me Anything installment of Relentless Health Value, where Stacey Richter and Lee Lewis (Chief Strategy Officer and GM Medical Solutions at the Health Transformation Alliance and host of Broken Benefits) address a question from benefits procurement leader Sarah Monroe about why executives rarely take bold action on health benefits despite large opportunity.  Lewis describes three false C-suite "dogmas" that lead to "stay in the herd and keep it quiet": health benefits are a fixed expense, saving money hurts people (via cost shifting, low quality, or narrow networks), and fixing healthcare isn't worth the risk or disruption. They also discuss external deterrents including CEOs' proximity to health system leaders, "balance of trade" retaliation threats, vendor-provided personal incentives, and executives' limited empathy for deductibles/costs faced by lower-wage employees.  Lewis offers de-risking tactics (same-network TPAs, carrier-enabled vendor changes, narrow pilots, mid-year tests) and advises CEOs to encourage bold action, tie bonuses to plan performance, and staff benefits teams with diverse skills. === LINKS ===

Look, we wonks, meaning you and me, you're listening to this, so I am on to you. But we wonks in the Relentless Tribe, we move like lightning on Relentless Health Value. We tend to cover lots of ground pretty fast. So, sometimes I like to, with great intention, sum up what's been said—really lock into the big revelations, the big points made, the through lines. 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. I like to do this so that points stick in my mind and I remember them and can build on them later. I am thinking you like this, too, because actually our through line shows in the past have been pretty popular. But this, today, is not your average through line show. I am trying something new and actually playing clips of earlier episodes so that you can recall what a guest may have said exactly and specifically and also really see the ways that episodes may interlock. So, to that end, let me just get to it and tell you the four core concepts to buy or deliver the highest-value healthcare that we will cover today. Core Concept 1: Buy healthcare. And by the way, health insurance is not healthcare. Jonathan Baran talks about that, and then Cynthia Fisher, Mark Newman, and Justin Leader cover the why, which is billions of dollars. Core Concept 2: When buying said healthcare, avoid the myth of less expensive healthcare. What is the myth of less expensive healthcare? Well, there's a lot of them, actually. One myth is that low price means low quality. Wrong. Most of the time there is actually no correlation between price and quality, but sometimes less expensive is higher quality. Also, low quality can be the most expensive care irrespective of the cost. Also, the same exact healthcare service or product can cost wildly different prices. Just keep that in mind. You'll hear Elizabeth Mitchell; Sam Flanders, MD; Shane Cerone; Jerry DiMaso; Ivana Krajcinovic, PhD, talk about this, this whole idea of when buying healthcare, avoid the myth of less expensive healthcare. Core Concept 3: So, of course, at this point, direct contracting enters the building. Because direct contracting between ultimate buyers of healthcare (meaning plan sponsors like self-insured employers etc.) and the actual purveyors of healthcare (meaning clinicians) is a fairly obvious strategy if we're going to try to get high quality at a fair price. I mean, get the beginning and the end of the road together. When you do that, it not only can spotlight—and thereby help eliminate—who might be low value that's sitting in the middle of the road collecting tolls like a toll booth, but it also enables collaboration in other ways, really, between the ultimate purchasers and the ultimate deliverers of care. Because there can be conversations about integration. There can be goals and then work out issues together, right? Collaboration is the next breakthrough innovation. So, that's our Core Concept 3: Consider direct contracting or even just, you know, as a start, go talk to, if you're a self-insured employer or you're a purveyor of care, go just find somebody to have a conversation with. Go talk to each other. Just have a chat. And I might include pharmacies, actually, in that mix. It's amazing what can happen, actually, when those buying care and selling care sit in the same room. In this number three core concept, consider direct contracting, we hear again from Ivana Krajcinovic but then also from Ryan Jacobs, Adam Stavisky, and then lastly, we have a quote from Ryan Wells. Core Concept 4: When direct contracting, or otherwise purchasing healthcare, buy the highest-value healthcare. How is that for an aspirational goal? But really, what do you want a direct contract for? What do you want your partners to be accountable to deliver? And what's rolled up into all of that? What is value? What is value, right? We go there, and when I say we, I mean we hear from Mick Connors, MD; Dr. Siva, otherwise known as Ahilan Sivaganesan, MD; and then we have Kenny Cole, MD, to bring us home. We finish up really at a very human level for why all of this matters. So, in summary, here's our four concepts. When you buy healthcare, buy healthcare. Focus on what you're actually getting for your money and how you are buying it. When you do that, direct contracting starts to make some sense. Just make sure the care that you are buying is truly high value. That's the whole shebang in a nutshell. One more thing before we kick into this. So, yeah, while I was quietly contemplating the vast universe of things gone wrong and right in the healthcare sector, Tom Nash, our producer extraordinaire, wandered in and asked me to try out his new Relentless Health Value Chatbot that he's been working on possibly 18 hours a day, including weekends ever since the incident with Michelle Bernabe and the AI futurist philanthropist, which you can hear all about in Inbetweenisode 46. But anyway, with Tom's Relentless Health Value Chatbot, you can ask a question and have it answered by me and/or one or more of the 500 guests we've had on Relentless Health Value so far. I am not sure if I am more concerned about my impending obsolescence or thrilled to report that this thing actually works. And I will admit I did use it with, I'm going to say, a light to medium touch to help out with the episode today. At the end of the show, if you are interested, I will tell you how to get access to said Relentless Health Value Bot. But right now, let's do this thing that we have set out to do. Featured Experts by Core Concept Concept 1: Buy Healthcare, Not Insurance Jonathan Baran, CEO, Self Fund Health (EP483) Cynthia Fisher, founder and chairman, PatientRightsAdvocate.org; co-founder and chairman of Power to the Patients (EP457) Mark Newman, co-founder and CEO, Nomi Health (EP496) Justin Leader, founder and CEO, BenefitsDNA (EP433) Concept 2: Avoid the Myth of Less Expensive Healthcare Elizabeth Mitchell, president and CEO, Purchaser Business Group on Health (EP436) Sam Flanders, MD, senior advisor, Kada Health (EP490) Shane Cerone, CEO, Kada Health (EP492) Jerry DiMaso, co-founder and CEO, Payerset (EP506) Ivana Krajcinovic, PhD, former vice president for healthcare delivery (retired), UNITE HERE HEALTH (EP501) Concept 3: Consider Direct Contracting Ivana Krajcinovic, PhD, former vice president for healthcare delivery (retired), UNITE HERE HEALTH (EP501) Suhas Gondi, MD, MBA, chief medical officer, HealthStrategy (EP404) Ryan Jacobs, senior vice president of health plan strategy and partnerships, Marathon Health (EP504) Komal Bajaj, MD, professor of obstetrics and gynecology, Albert Einstein College of Medicine (EP458) Adam Stavisky, business advisor, Stavisky LLC (EP503) Cristin Dickerson, MD, founder and CEO, Green Imaging (EP485) Stan Schwartz, MD, chief medical officer, ZERO.health (EP486) Leo Spector, MD, MBA, CEO, OrthoCarolina (EP503) Ryan Wells, founder and CEO, Health Here (EP503) Concept 4: Buy the Highest-Value Healthcare Mick Connors, MD, pediatric emergency medicine physician, Dayton Children's Hospital (EP495) Ahilan Sivagenesan, MD, neurosurgeon, Hospital for Special Surgery; Head of Quality and Value, Mishe Health (EP505) Kenny Cole, MD, System VP, Clinical Improvement, Ochsner Health (EP473)   00:00 Introduction to this episode and guests. 01:38 The four core concepts to buy or deliver highest-value healthcare: a summary. 06:01 An exciting show announcement. 07:32 Core Concept 1: Why buy highest-value healthcare, not "best" coverage? 11:28 Core Concept 2: Will employers fall victim to the myth of inexpensive care? 13:00 Why better-quality care vs. more affordable care is a false choice. 17:09 Core Concept 3: Direct contracting. 17:58 Why demand curve matters in healthcare cost. 22:08 How Centers of Excellence play into all of this. 22:54 Core Concept 4: How do you conceive of and buy high-value healthcare? 23:48 The value equation in healthcare. 25:35 What is value? 28:20 What whole-person care looks like. 30:24 Relentless Health Value Chatbot sneak peek announcement. 32:14 Coming up: looking at the episodes ahead.   This week our #healthcarepodcast features 15 (!) experts weighing in on the core concepts to buying and delivering #highestvaluehealthcare. #healthcare #podcast #financialhealth #commercialpayermarketplace #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Jerry DiMaso; Dr Ahilan Sivaganesan; Ryan Jacobs; Stacey Richter (INBW46); Ryan Wells, Dr Leo Spector, and Adam Stavisky; Brian Machut; Ivana Krajcinovic; Dr Jacob Asher (Take Two: EP398)

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 ===

Stacey Richter interviews neurosurgeon Dr. Ahilan Sivaganesan (Dr. Siva) about replacing vague healthcare "value" claims with quantified outcomes and unit-level costs, introducing his Operative Value Index (OVI). They discuss how hospitals often lack true internal episode costs and how common quality metrics miss patient-reported outcomes and appropriateness across the full care journey.  Using time-driven activity-based costing (TDABC) and condition- or procedure-specific patient-reported outcomes, OVI creates a common mathematical language to compare surgeons, practices, or health systems, risk-adjust for confounders, and support steering/tiering and direct contracting for self-funded employers.   Siva describes transparency via bubble charts that spur clinician behavior change without new incentives and argues this infrastructure is essential as bundled payments and risk-based arrangements expand, framing a "Yahoo vs Google" shift from fee-for-service volume to measurable value.  === LINKS ===

In this Inbetweenisode, Stacey shares listener feedback and reflects on making better decisions in employer-sponsored healthcare, spotlighting LinkedIn posts by Ken Wosczyna and Michelle Bernabe.  Ken argues Relentless Health Value moves from theory to practical transformation by sharpening judgment, which Stacey ties to how millions of workplace decisions shape the healthcare system and how actuaries and executives can align choices with values.  Stacey emphasizes that good decisions require both transparency and understanding, previewing an upcoming episode with Jerry DiMaso about using transparency files to compare what peer companies pay, and citing examples of misleading "transparency" through complex contracting and financialization (e.g., CABG pricing and PBM tactics).  She also questions what "disruption" means when the status quo already harms access. Stacey highlights direct contracting, Centers of Excellence, and upcoming advanced primary care episodes. === LINKS ===

Episode 503 of Relentless Health Value features Stacey Richter with Adam Stavisky, Dr. Leo Spector (OrthoCarolina), and Ryan Wells (Health Here) discussing how self-insured employers and specialists rarely connect directly due to intermediaries and fee-for-service "rails."  They outline three common pitfalls when bridging this gap: defining and measuring quality and appropriateness (limits of claims data and missing patient-reported outcomes), achieving scale across geographies and specialties, and ensuring benefit design and incentives so members actually use direct-contracting programs. The conversation frames the evolution of Centers of Excellence from 1.0 (travel to brand-name hospitals) to 2.0 (more local but administratively manual) to 3.0 (new infrastructure enabling direct, efficient contracting).  Health Here is described as a digital bridge to support payment and communication pathways and reduce administrative waste. === LINKS ===

"If you ask the surgeon how much time they have to spend thinking about the business side of their practice, it's too high... Let's let doctors be doctors." - Ryan WellsMy guest this week is Ryan Wells, Founder and CEO of Health Here. Ryan joins me to explain why the key to fixing the broken doctor-patient relationship is getting providers out of the debt collection business.We explore how Episodic Care (bundled payments) can finally align the financial incentives of self-funded employers and high-value specialists. Ryan breaks down how his platform automates payments, getting surgeons paid in under 15 days while eliminating patient liability entirely.We dive deep into Ryan's background in the OR, the lessons learned from the "Metal on Metal" hip recall, and why we need to move from "open enrollment confusion" to real-time, event-driven patient navigation.If you are tired of administrative waste and want to see a model where doctors focus on care instead of claims, this episode is for you.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 ParetoHealth.com 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) Let Doctors Be Doctors(00:03:04) Ryan's Journey: From Anthropology to the OR (00:07:00) Lessons from Medicare's Acute Care Episode Demo (00:10:46) Defining the "Bundle" vs. Fee-for-Service (00:13:00) Value-Based Care = Outcome / Cost (00:16:14) Why Orthopedics is the Perfect Starting Point (00:18:32) Moving from "Elective" to "Discretionary" Care (00:21:38) The Navigation Problem: Open Enrollment Fails (00:31:48) Owning the Payment Rails: 15-Day Payments (00:37:38) Automating the "Outlier Workflow" (00:41:35) The "Metal on Metal" Hip Recall & Registries (00:48:30) Expanding to Cardiology and Bariatrics (00:53:03) The Moonshot: Removing the Business Burden from MDsKey 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 you ask the surgeon how much time they have to spend thinking about the business side of their practice, it's too high... Let's let doctors be doctors." - Ryan WellsMy guest this week is Ryan Wells, Founder and CEO of Health Here. Ryan joins me to explain why the key to fixing the broken doctor-patient relationship is getting providers out of the debt collection business.We explore how Episodic Care (bundled payments) can finally align the financial incentives of self-funded employers and high-value specialists. Ryan breaks down how his platform automates payments, getting surgeons paid in under 15 days while eliminating patient liability entirely.We dive deep into Ryan's background in the OR, the lessons learned from the "Metal on Metal" hip recall, and why we need to move from "open enrollment confusion" to real-time, event-driven patient navigation.If you are tired of administrative waste and want to see a model where doctors focus on care instead of claims, this episode is for you.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 ParetoHealth.com 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) Let Doctors Be Doctors(00:03:04) Ryan's Journey: From Anthropology to the OR (00:07:00) Lessons from Medicare's Acute Care Episode Demo (00:10:46) Defining the "Bundle" vs. Fee-for-Service (00:13:00) Value-Based Care = Outcome / Cost (00:16:14) Why Orthopedics is the Perfect Starting Point (00:18:32) Moving from "Elective" to "Discretionary" Care (00:21:38) The Navigation Problem: Open Enrollment Fails (00:31:48) Owning the Payment Rails: 15-Day Payments (00:37:38) Automating the "Outlier Workflow" (00:41:35) The "Metal on Metal" Hip Recall & Registries (00:48:30) Expanding to Cardiology and Bariatrics (00:53:03) The Moonshot: Removing the Business Burden from MDsKey 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/

See omnystudio.com/listener for privacy information.

Want to Start or Grow a Successful Business? Schedule a FREE 13-Point Assessment with Clay Clark Today At: www.ThrivetimeShow.com   Join Tim Tebow, LIVE and in-person at Clay Clark's December 5th & 6th 2024 Thrivetime Show  Business Workshop!!! Learn Branding, Marketing, SEO, Sales, Workflow Design, Accounting & More. **Request Tickets & See Testimonials At: www.ThrivetimeShow.com  **Request Tickets Via Text At (918) 851-0102   See the Thousands of Success Stories and Millionaires That Clay Clark Has Helped to Produce HERE: https://www.thrivetimeshow.com/testimonials/ Download A Millionaire's Guide to Become Sustainably Rich: A Step-by-Step Guide to Become a Successful Money-Generating and Time-Freedom Creating Business HERE: www.ThrivetimeShow.com/Millionaire   See Thousands of Case Studies Today HERE: www.thrivetimeshow.com/does-it-work/  

Want to Start or Grow a Successful Business? Schedule a FREE 13-Point Assessment with Clay Clark Today At: www.ThrivetimeShow.com   Join Tim Tebow, LIVE and in-person at Clay Clark's December 5th & 6th 2024 Thrivetime Show  Business Workshop!!! Learn Branding, Marketing, SEO, Sales, Workflow Design, Accounting & More. **Request Tickets & See Testimonials At: www.ThrivetimeShow.com  **Request Tickets Via Text At (918) 851-0102   See the Thousands of Success Stories and Millionaires That Clay Clark Has Helped to Produce HERE: https://www.thrivetimeshow.com/testimonials/ Download A Millionaire's Guide to Become Sustainably Rich: A Step-by-Step Guide to Become a Successful Money-Generating and Time-Freedom Creating Business HERE: www.ThrivetimeShow.com/Millionaire   See Thousands of Case Studies Today HERE: www.thrivetimeshow.com/does-it-work/  

The Saskatchewan Open is next week at Elk Ridge Resort, Ryan Wells fills us in on the details!

Dan sits down with Ryan Wells, frontman and songwriter for Red Means Run (you betcha that's a Neil Young nod). Ryan talks about growing up in Manasas, getting turned onto music by bands like U2 and REM, both of whom were still proving themselves to the world as he was a teen. He recalls his first band Radio Ghost Town while he was living in NYC, moving to Philly and casting around for a new group of folk to play with, and putting together Red Means Run. Ryan also goes into how producer Derek Chafin (BarnSound) helped shape their newest LP, 'Things You Hold True', from Ryan's usual alt-country leanings into something broader and fuller, borrowing from as much Tom Petty as Uncle Tupelo. 'Things You Hold True' is out now and available wherever you get your digital music.  Just a reminder: we're taking off the month of August to do summer stuff, go down the shore, all that. See you back here in September for a fall season full of great bands, shows, records, conversations, and intimate performances. Check out the archives in the meantime, lots of great artists to discover! See you in September!

Meet the most interesting man in the Peloton, Ryan Wells.   Ryan is one of the most outgoing, friendly, and genuine guys you'll meet.  Ryan grew up in the Olympus Cove neighborhood skating, playing the guitar, and working on his tan at his parent's swimming pool.  He went to high school at Skyline and later got both a degree and postgraduate degree from the University of Utah. Ryan is living the life that many of us think about living when we are daydreaming on the bike.  Ryan teaches during the school year and travels around the world cycling during the summer.  As an example, in the past year, Ryan has biked in Austria, Italy, Slovenia, Croatia, France, Spain, Mallorca, and the Canary Islands.  Additionally, he has biked and attended several stages of the Giro, Tour de France, and Vuelta all within the last year.  Ryan has been living in Spain during the 23/24 school year teaching English.   Ryan has followed his passions to the extreme. Ryan is passionate about learning, teaching, cycling, oh and the grateful dead.  Ryan has leveraged his passion for learning and teaching to become one of the state of Utah's best teachers.  Ryan teaches Spanish at Taylorsville High School.  He was awarded Teacher of the Year in Granite School District and nominated as Teacher of the Year by the State of Utah Board of Education.  He's followed his passion for cycling to become one of the most consistent and strongest cyclists on the team.  Don't let his 27-minute Emigration time fool you.  Ryan is a freight train that will get his power to about 280 watts and just park it there for hours. He finished on the podium for Lotoja last year and he's charging for the top spot this year.   If you are lucky enough to ride next to Ryan, be sure to chat with him about his favorite dead show or his favorite podcast.  He'll chat your ear off.  He's a great dude and I'm stoked he is part of the team. 

Ryan Wells joins in Studio!Playlist: Lootbeg - Imagine This TogetherDubet - AlternativeBODJ - Bamboo SkirtCarlo - MediterraneoMax Ulis - I don't mindMolly - CrystalEN, Kl-an - ScatterRyan Wells - Hill ClimberJosh Caffe - Do you want to take me homeUnit Moebius - PopcornRyan Wells - MidsommerDJ Chrysalys - Orions Belt (fast mix)

CTex interviews 2016 American Flat Track GNC 2 champion Ryan Wells. Wells has had quite the journey over the years racing Flat Track. From winning, to losing and everything in between. Subscribe to our channel on SoundCloud, iTunes and Spotify. Leave us a review. Also, follow us on social media: Facebook: Tank Slappin' Podcast Instagram: @TankSlappinPodcast YouTube: Cory Texter Racing Shout out to our sponsors: Mission Foods, Roof Systems, Bell Helmets, MotoAmerica, Indian Motorcycle, Dunlop Motorcycle Tires, Yamaha Racing, Manscaped To save 20% on Manscaped, use the code: TankSlap20

CTex interviews 2016 American Flat Track GNC 2 champion Ryan Wells. Wells has had quite the journey over the years racing Flat Track. From winning, to losing and everything in between. Subscribe to our channel on SoundCloud, iTunes and Spotify. Leave us a review. Also, follow us on social media: Facebook: Tank Slappin' Podcast Instagram: @TankSlappinPodcast YouTube: Cory Texter Racing Shout out to our sponsors: Mission Foods, Roof Systems, Bell Helmets, MotoAmerica, Indian Motorcycle, Dunlop Motorcycle Tires, Yamaha Racing, Manscaped To save 20% on Manscaped, use the code: TankSlap20

Subscribe to our podcast! Jonathan Moody and special guest Ryan Wells talk about the 2002 Comedy, "Orange County" Written by Mike White (School of Rock, The White Lotus) and Directed by Jake Kasdan (Bad Teacher, Walk Hard).  Follow us on social media:  @Indiefilmcafe  @hollywoodknockbusters Websites:  http://sickflickproductions.com  http://indiefilmcafe.reviews  http://indiefilmcafe.podbean.com http://patreon.com/indiefilmcafe 

We are joined today by a frequent EOFire guest, former United States Small Business Administration Entrepreneur of the Year Award Winner, author, a master of scale and business growth coach, Clay Clark and a long-time Clay Clark client and success story by the name of Ryan Wells of Flow Photography! Top 3 Value Bombs: 1. The point of a business is to create both time and financial freedom so you can do what you believe God has called you to do. 2. Nail it then scale it. Most entrepreneurs don't have a system. Once you've put a system in place, things become easier. 3. Be careful about defining what matters. Say no to the distractions and say yes to actions that matter. Schedule your FREE 13 point assessment with Clay today! - ThriveTimeShow.com/eofire Sponsors: HubSpot: A platform that's easy for your entire team to use! Learn how HubSpot can make it easier for your business to grow better at Hubspot.com! Lending America: Fund your business with 0% interest with the help of Lending America! Visit EOFire.com/lending for more details and for service disclaimers. Thinkific: Learn how to build your own thriving community that will transform how you sell - for free! Enroll today at Thinkific.com/eof-access.

We are joined today by a frequent EOFire guest, former United States Small Business Administration Entrepreneur of the Year Award Winner, author, a master of scale and business growth coach, Clay Clark and a long-time Clay Clark client and success story by the name of Ryan Wells of Flow Photography! Top 3 Value Bombs: 1. The point of a business is to create both time and financial freedom so you can do what you believe God has called you to do. 2. Nail it then scale it. Most entrepreneurs don't have a system. Once you've put a system in place, things become easier. 3. Be careful about defining what matters. Say no to the distractions and say yes to actions that matter. Schedule your FREE 13 point assessment with Clay today! - ThriveTimeShow.com/eofire Sponsors: HubSpot: A platform that's easy for your entire team to use! Learn how HubSpot can make it easier for your business to grow better at Hubspot.com! Lending America: Fund your business with 0% interest with the help of Lending America! Visit EOFire.com/lending for more details and for service disclaimers. Thinkific: Learn how to build your own thriving community that will transform how you sell - for free! Enroll today at Thinkific.com/eof-access.

What business did two Physiotherapists from Toronto have starting a financial education platform? Re-introducing ourselves: Ryan Wells (1:15) Re-introducing ourselves: Giacomo Silvestri (2:12) Why we built this reason #1 - Lack of financial literacy (3:55) Why we built this reason #2 – Lack of access to adequate financial products (5:23) Financial education is not enough (8:41) Time to take action: Wealthcare for Healthcare (9:35) How to become a Founding Member (10:09) Resources Download the Financial Toolkit Become a Founder Contact Us   Theme Music: Pamgaea Kevin MacLeod.  Licensed under Creative Commons: By Attribution 3.0 License

Giacomo Silvestri and Ryan Wells had a passion to help their fellow healthcare workers understand the world of finances. They formed Allied Healthcare - an educational financial podcast. Now they are taking the next step in getting great service to healthcare providers. Track their progress here ... This material is for informational purposes and is not a recommendation, offer or solicitation to buy or sell any securities, to provide tax or legal advice. The information and opinions are not guaranteed as to accuracy or completeness. Reliance upon information in this material is at the sole discretion of the listener. Investors should consult with their own advisors. The provision of investment management and investment advisory services is a regulated activity in Canada, subject to strict rules. For more information on the services offered by Justwealth, please refer to www.justwealth.com.

Meet Ryan Wells:Ryan Wells is the founder and CEO of Health Here, a consumer patient platform that smooths the healthcare process. Ryan also founded InVivoLink and served as its Chairman and CEO. Prior, Ryan spent 12 years with Johnson & Johnson DePuy Orthopedics, working in sales and management. He received a Bachelor's in Anthropology at the University of Tennessee and sits on the board of Directors for Siloam Family Health Center, Ethiopia ACT, and Oak Hill School.Key Insights:Artificial intelligence and big data can inform healthcare; however, healthcare should never lose its human touch. Ryan explores his journey through healthcare technology and founding his own digital solutions.The Human Variable. Due to constraints in data quality, Ryan believes that AI should be applied to only non-clinical parts of healthcare at this time. Additionally, AI will likely never displace the relationship between provider and patient, rather augment other aspects of the healthcare journey. (7:36)Problem-Solution Cycle. Observation and pattern recognition allows you to get to the root of a problem, and creating solutions requires timing and decisiveness. If you make a bad decision, don't worry. Ryan emphasizes that bad decisions can often be unwound. Besides, solutions often create more problems to solve. It's part of the process of invention. (12:43)Humility. Humility is fundamental to the early journey of entrepreneurs. It might be necessary to shift from the original vision, and success requires understanding the consumer and market, especially for more disruptive businesses. (17:50)This episode is hosted by Marcus Osborne. He is a member of the Advisory Council for Day Zero and is the Senior Vice President for Walmart Health.Relevant Links:Read more about Health Here“The Health Here Story” by Ryan Wells“Innovator CEO Profile: Health Here's Ryan Wells” by Health Evolution

We celebrate the 30% EPIC GROWTH of Ryan Wells, the real estate photographer and founder of FLOW Real Estate Photography. Within just 5 short months Ryan has been able to successfully implement Clay Clark’s proven system including (website optimization, online reputation enhancement, video reviews, optimized advertisements, Dream 100 marketing, etc.)

Time to talk all things finances, saving, retirement, investing, money management and the list goes on! So excited to have Ryan Wells and Giacomo Silvestri from Allied Health Financial. Ryan and Giacomo are physiotherapists based out of Toronto, Canada who started Allied Health Financial after recognizing a lack of financial education among allied health professionals. They feel that many individuals who are focused on the care of their patients have not spent a lot of time focusing on their financial future. Their goal is to empower Canadian allied health professionals to take control of their financial future by providing evidence-based personal finance education. A great place for people to get started is by downloading their free Financial ToolKit which includes their Financial Planner, Tax Tracker and Savings Calculator.We discuss all things finances for both parents, students, new grads and allied healthcare professionals. Topics such as rent, savings, retirement planning, budgeting with a child with special needs, effective ways to pay off student loans and investing are all discussed. Find Ryan and Giacomo on Instagram @ahfcan, Facebook, twitter, YouTube, and they also have a podcast!Click here for the link we refer to throughout the podcast.As always, please rate and review my podcast and thank you for listening! Follow me on:Facebook - SLP Corner Instagram - slpcornerCheck out my blog: www.slpcorner.com

Subscribe to our podcast!    Jonathan and special guest Ryan Wells chat about the 1998 MTV Films comedy Dead Man On Campus.    Follow us on Social Media:  @HwoodKBusters  @Indiefilmcafe    Websites:  http://indiefilmcafe.net  http://indiefilmcafe.reviews  http://indiefilmcafe.podbean.com  

When we are going into adulthood, we tend to think we need to have it all figured out. Arguably we are told that we should have it figured out by influencers and sometimes even our own parents. This can be very frustrating especially if we do not know what we want to do, or who we want to be. Ryan grew up on a dirt bike like so many other great athletes. However his career on a bike came to a stop after a divorce between his parents. He then picked up BMX biking with some friends and crushed it at the park. The thing is about a dirt bike though, you cannot escape the feeling you get twisting the throttle and sending it down a trail, through a whoop section, up and over a rock, or up a gnarly sand mountain. That feeling cannot be replaced, and such was the case for Ryan. After getting back on a bike, riding and racing, Ryan found himself working at a shop helping others fix up their own bikes or prepping them for races. After so many individuals requesting his help personally to prepare for their races, Ryan decided to give training sessions a try. That was when he fell in love with serving others and creating a business around training others to succeed.  

The Boys Are Back in Town! Your favourite sports talk radio hosts have a new home in Mississauga, Ontario. RAW Mike Richards and David Bastl on Newstalk Sauga 960AM. What to expect? OHL Steelheads with digital media coordinator Darius Domingues AKA Hardcore Steelheader and playoffs with defenseman, Ryan Wells, and Mitch Johnson and Curtis Savage return to the studio for the Mississauga Marathon.Sports, laughter, the occasional dirty look and the GTA's best and most detailed West End traffic. Your mornings have become more RAW! Monday – Friday 6am – 9am, on Newstalk Sauga 960AM. Stream us LIVE at sauga960am.ca or find us on iTunes, Google Play, and Spotify.

The Boys Are Back in Town! Your favourite sports talk radio hosts have a new home in Mississauga, Ontario. RAW Mike Richards and David Bastl on Newstalk Sauga 960AM. What to expect? OHL Steelheads with digital media coordinator Darius Domingues AKA Hardcore Steelheader and playoffs with defenseman, Ryan Wells, and Mitch Johnson and Curtis Savage return to the studio for the Mississauga Marathon. Sports, laughter, the occasional dirty look and the GTA’s best and most detailed West End traffic. Your mornings have become more RAW! Monday – Friday 6am – 9am, on Newstalk Sauga 960AM. Stream us LIVE at sauga960am.ca or find us on iTunes, Google Play, and Spotify.

Today, Hal Anderson talks to Sandy Shindleman from Shindico to talk about retail development in Polo Park. Hal also speaks with Ryan Wells about what a polyamourous relationship is. Marc Bekoff joins Hal to talk about his book Canine Confidential and about the man who risked his life to save his dog.

Caught up with Ryan Wells earlier this week during his drive home. We talked about the sequence of events that led him to Richie Morris Racing, his rookie season racing twins, his new home in Michigan, and his new love for ice racing. 00:24 - Scottie update 01:59 - Ryan Wells intro 02:49 - ice riding talk 05:39 - “I get my groove on” 07:42 - “ice riding is such a killer workout” 08:27 - how’d you get into flat track? 09:21 - talks about his bigger little brother 10:33 - “I love doing non-nationals...” 11:25 - talks about the timeline for his move to singles 13:26 - do you feel your 2017 was a success? 14:15 - what were your expectations heading into last season 15:10 - what’s the biggest difference between the singles/twins bikes? 16:22 - what was it like working with Jonny Gott? 19:12 - Wells’ Johnny Gott impression 19:40 - talks about decision to make the move from NY to Michigan 22:30 - “I ride with Jared, train with Bryan” 23:24 - what’s it going to take to win the 2017 Champion? 25:07 - any added pressure to win given Shayna’s success on the bike in 2017? 26:37 - “if I can bear Shayna Texter on a mile, that'd be the highlight of my year” 27:26 - who is your toughest competition in 2018? 27:56 - will changes to the singles class impact your chances to win a championship? 28:50 - Daytona talk 29:30 - rapid-fire questions

Two Men and a Truck International President, Randy Shacka, talks with Drew Bullard and Ryan Wells about their journey through life and business. Listen as these men describe their path to success as they changed roles and positions within Two Men and a Truck. These men give vital insights in what it took to advance from mover to general manager and everything in between.

This episode is Ryan Wells! He's a PHENOMENAL costumer and prop builder. I've been a big fan of his for a while now and I was super excited to have him on my show. In this episode, we talk about how he got his start, OWNING A DELOREAN, choosing his builds, different celebrity encounters and the story behind his signature look. Enjoy!

Albion, New York's Ryan Wells has had an incredible and consistent season. He has clinched the 2016 AMA Pro Flat Track GNC2 Championship with two rounds remaining. This is a very competitive class and we look forward to introducing you to this up and coming rider.  Bert Sumner joins us for an open discussion about the Grand National issues of the day with only two rounds remaining. The recent protest by the Jared Mees team will be front and center as we go inside the details in an effort to break it all down as factually as possible. We also look at the top 5 riders in the sport as we look backwards at the season behind us and look ahead to what may happen in the final two rounds at Springfield Mile II and the Ramspur Winery Santa Rosa Mile presented by Triumph. Thank you to listening to this episode of Talking Motorcycles with Barry Boone powered by Crosley Brands! Please "LIKE" our FB/Talking Motorcycles with Barry Boone page and send us a friend request at FB/Barry Boone. Special thanks to Crosley Radio/Crosley Sports Group/Crosley Furniture and Crosley Brands, Dunlop Motorcycle Tire, The Harley-Davidson Motor Company and Clearwater Lights for their support and keeping our shows on the road!

Stephanie and I finish our interview with local cosplay legend Ryan Wells! This week we review the movie Halloween. Happy Halloween everyone! Thanks for listening! Cosplay of Ryan Wells on Facebook CosplayCruises.com Magicwheelchair.org Come Play with Me - Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/ Day of Chaos - Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/ Quasi Motion Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/

Stephanie and I chat with local cosplay legend Ryan Wells! This week we review the movie Troll Hunter also. magicwheelchair.org Come Play with Me - Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/ Day of Chaos - Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/ Quasi Motion Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/

This month Philip chats with Ryan Wells, a cosplayer who has cosplayed as the Chamberlain from The Dark Crystal as well as many other characters from other films from Labyrinth, Spaceballs, Mad Max and much more. Shownotes The Cosplay Resume of Ryan Wellshttps://www.facebook.com/CosplayofRyanWells The Great Conjunction: The Legacy of The Dark Crystal - Concept Trailerhttps://www.youtube.com/watch?v=aNkNG0b4_Ko Contact  Email - darkcrystalpodcast@gmail.comFacebook - www.facebook.com/darkcrystalpodcastTwitter - www.twitter.com/darkcrystalpod

Ryan Wells, professional photographer and all-around awesome guy, shares with us the massive change that happened in his life when he chose to embrace his strengths! THEME-ADDICTS is a video series created by UnleashStrengths to highlight the massive impact the StrengthsFinder assessment and the book StrengthsFinder 2.0 has had on now over 10M users! It’s […]

While the GMen are off NOT doing the 3 Geeky Ladies podcast, Timothy Gregoire from the ChurchTech Geeks podcast was brave enough to fill the gap. He and special guest Ryan Wells talk about special security set-ups for the Church Tim attends. They then have a discussion of all the Apple gear just released.