『Relentless Health Value』のカバーアート

Relentless Health Value

Relentless Health Value

著者： Stacey Richter
無料で聴く

今ならプレミアムプランが3カ月 月額99円

2026年5月12日まで。4か月目以降は月額1,500円で自動更新します。

概要

 American Healthcare Entrepreneurs and Execs you might want to know. Talking. Relentless Health Value is a weekly interview podcast hosted by Stacey Richter, a healthcare entrepreneur celebrating fifteen years in the business side of healthcare. This show is for leaders in pharma, devices, payers, providers, patient advocacy and healthcare business. It's for health industry innovators, entrepreneurs or wantrepreneurs or intrapreneurs. Relentless Healthcare Value is the show for you if you want to connect with others trying to manage the triple play: to provide healthcare value while being personally and professionally fulfilled.©BD Bridges LLC, All Rights Reserved. 政治・政府 衛生・健康的な生活 身体的病い・疾患
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  • EP508: Why Don't More Self-insured CEOs Take Bold Action in Health Benefits Strategy? With Lee Lewis

    EP508: Why Don't More Self-insured CEOs Take Bold Action in Health Benefits Strategy? With Lee Lewis
    2026/04/23
    This episode is the very first episode that we have done that is an AMA—an Ask Me Anything—and here is our very first question. 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. 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. Stacey: Thank you, Sarah Monroe, for that question that so many probably wonder about. To help answer said question, I shanghaied the one and only Lee Lewis. And wow, is that a good choice, if I do say so myself. As just one place that Lee takes this conversation—which is also a wild spoiler alert, so earmuffs if you're opposed to such things—but coming up here, Lee tells the following gem of a C-suite anecdote, just so you know where this conversation is headed. Lee says, after an M&A (merger and acquisition), after an acquisition, they looked at the health plans; and the one employer had a $2,300 per year of less expense per employee, and the benefits were actually better. So, when they moved over the employees, they made over a quarter billion dollars of instant equity value for the acquired company that nobody had priced into the calculation. Right? Nobody had thought about this or looked into it or anything, but it was a quarter billion dollars of additional value because this one company just had managed their health benefits so much better. I don't know. That feels like the first verse of some CEO love song, right, if you ask me. But let me get organized. This conversation has three parts. The first part is what Lee calls dogmas. By the way, they are all false. You're gonna know if you're a longtime listener of the show or even a short-time listener. You're gonna know immediately that each one of these dogmas is false. But many CEOs may believe these three dogmas. And if they do, they're not gonna do anything with their health plan besides, as Lee says, stay in the herd. Right? Just like not be an outlier amongst comparable companies. In brief, those three dogmas that are all false that we talk about in the conversation that follows are: Dogma 1: Health benefits are a fixed expense. Dogma 2: Saving money hurts people. Dogma 3: Fixing healthcare is never worth the effort. It's high risk. It's high disruption. We've tried things before. They've never worked. You can definitely see how if there is a C-suite that believes any one of those three dogmas, they're not gonna do anything with their health plan anytime soon. All right … so, after we talk about the internal dogmas, Lee and I, then we talk about the potential external reasons for a lack of action by C-suites. And in brief, there are four of them. They are: 1. Circles a CEO travels in may include hanging out with health system leaders, and as I say in the show that follows, they may be drinking Kool-Aid they never realized got put in their beverage. So many shows on what C-suites at Consolidated health systems are into. Go back and listen to some of them. 2. Balance of trade: threats and promises. Balance of trade, we talk about at some length later on. So, if you don't know what that means, you're in luck. Stay tuned. 3. Personal incentives for a CEO or others offered by some of the big status quo vendors, you know, go on trips, fancy tickets, weekends at a ranch, that kind of thing. 4. CEOs may not be all that concerned about a $5,000 deductible or a higher co-pay. But a $25-an-hour employee? Yeah … a very, very different perspective. So, we go through each one of those four. And then we close out this show with Lee giving one good idea after another. Let me say he is on a roll giving advice for how, even if the CEO C-suite is extremely risk averse for a benefits team to get the show on the road, to get moving, to try new things, to try to (despite or in spite of what the C-suite may want or think) move the health plan forward. And then he gives some advice directly to any CEOs who may be in the building here. The list that Lee riffs out, again, toward the end of the show is pure, hard-fought and -won wisdom. So, if your time is limited, do skip ahead, my friend, would be my advice. You don't wanna miss the end of this episode where the plan comes together. And speaking of the plan coming together, may I also inform you that next week we have a companion show here. We have Patrick Nelli on the podcast with a second view maybe into Sarah Monroe's original question, but we take it a little bit more specifically from the standpoint of a CFO and how to understand and speak the language of a CFO. So, do come back for that. It is a great conversation. This podcast is sponsored by Aventria Health Group with an assist from Payerset. So, thank you very much to both Aventria Health Group and Payerset for offering the ...
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    44 分
  • EP507: 4 Core Concepts to Buy or Deliver the Highest-Value Healthcare—A Review

    EP507: 4 Core Concepts to Buy or Deliver the Highest-Value Healthcare—A Review
    2026/04/16
    In this episode of Relentless Health Value, Stacey Richter summarizes 4 core concepts for getting highest-value healthcare and we hear from 15 experts who weigh in on the following concepts: (1) "Buy healthcare," not insurance, by focusing on unit prices and avoiding administrative extraction like spread pricing and layered fees, illustrated by examples from Jonathan Baran, Cynthia Fisher, Mark Newman, and Justin Leader; (2) avoid the "myth of less expensive care," emphasizing that price often doesn't correlate with quality and that better, safer care can cost less, with support from Elizabeth Mitchell, Dr. Sam Flanders, Shane Cerone, Jerry DiMaso, and Ivana Krajcinovic, plus transparency-file rate disparities; (3) consider direct contracting and collaboration between plan sponsors and clinicians (and pharmacies), including centers of excellence, to reduce middlemen and align incentives, with clips from Krajcinovic, Ryan Jacobs, Adam Stavisky, and Ryan Wells; and 4) buy true value—outcomes over cost—measured across the care journey and grounded in patient goals, with Dr. Mick Connors, Dr. Siva, and Dr. Kenny Cole. === LINKS === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP507 ✉️ Enjoy this podcast? Subscribe to the free weekly newsletter: https://relentlesshealthvalue.com/join-the-relentless-tribe 🫙 Support the podcast with a small donation to the Tip Jar: https://relentlesshealthvalue.com/join-the-relentless-tribe 🎤 Listen on Apple Podcasts https://podcasts.apple.com/us/podcast/feed/id892082003?ls=1 🎤 Listen on Spotify https://open.spotify.com/show/6UjgzI7bScDrWvZEk2f46b 📺 Subscribe to our YouTube channel https://www.youtube.com/@RelentlessHealthValue === CONNECT WITH THE RHV TEAM === ✭ LinkedIn https://www.linkedin.com/company/relentless-health-value/ ✭ Threads https://www.threads.net/@relentlesshealthvalue/ ✭ Bluesky https://bsky.app/profile/relentleshealth.bsky.social ✭ X https://twitter.com/relentleshealth/ 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.
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    34 分
  • EP506: How Other Employers, Shareholders, and Clinics Are Using Price Transparency Data—And It's an Arms Race, With Jerry DiMaso

    EP506: How Other Employers, Shareholders, and Clinics Are Using Price Transparency Data—And It's an Arms Race, With Jerry DiMaso
    2026/04/09
    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 === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP506 ✉️ Enjoy this podcast? Subscribe to the free weekly newsletter: https://relentlesshealthvalue.com/join-the-relentless-tribe 🫙 Support the podcast with a small donation to the Tip Jar: https://relentlesshealthvalue.com/join-the-relentless-tribe 🎤 Listen on Apple Podcasts https://podcasts.apple.com/us/podcast/feed/id892082003?ls=1 🎤 Listen on Spotify https://open.spotify.com/show/6UjgzI7bScDrWvZEk2f46b 📺 Subscribe to our YouTube channel https://www.youtube.com/@RelentlessHealthValue === CONNECT WITH THE RHV TEAM === ✭ LinkedIn https://www.linkedin.com/company/relentless-health-value/ ✭ Threads https://www.threads.net/@relentlesshealthvalue/ ✭ Bluesky https://bsky.app/profile/relentleshealth.bsky.social ✭ X https://twitter.com/relentleshealth/ 00:00 Introduction to this episode. 00:50 How does transparent pricing data fit into the "inches all around us"? 03:13 A quick overview of what plan sponsors do with these price transparency insights. 05:52 The specific ways that clinical organizations can leverage price transparency data. 08:13 How price transparency infrastructure started and how it's grown to where we are now. 09:21 What are the insights that can be gleaned from the price transparency data available? 10:01 How price transparency data is a treasure trove for self-insured employers. 11:21 How employers can utilize this transparency data. 12:31 EP472 with Eric Bricker, MD. 14:48 How employers can help TPAs negotiate. 15:18 Why employers should be thinking about carving out services. 16:11 EP503 with Ryan Wells; Leo Spector, MD, MBA; and Adam Stavisky. 16:21 Why employers need to direct contract. 17:16 LinkedIn post by Chris Deacon. 17:38 A quick summary of advice for plan sponsors. 18:04 LinkedIn post by Andrew Tsang. 18:41 LinkedIn post by Pearly Chen. 19:32 How rates get set and how small providers can see this and benefit from it. 20:55 How small providers can use rate transparency to negotiate better rates. 22:18 EP489 with Dan Greenleaf. 25:46 Have prices increased due to price transparency? 29:25 Why price transparency makes it more important to eliminate lazy networks. 29:41 EP501 with Ivana Krajcinovic, PhD. 31:10 What is the transparency arms race, and what is happening because of it? 34:39 What Payerset does.
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    36 分
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