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The ASHHRA Podcast

The ASHHRA Podcast

著者： Robert "Bo" Brabo and Luke Carignan
無料で聴く

Healthcare runs on people. The ASHHRA Podcast is where the leaders responsible for those people come to think out loud.

As the official podcast of ASHHRA (the American Society for Healthcare Human Resources Administration), this show has built a library of 250+ episodes for one audience: the CHROs, CPOs, VPs, and directors leading the healthcare workforce.

Every week, hosts Bo Brabo and Luke Carignan sit down with the executives doing the hard work inside hospitals and health systems. Past guests include leaders from AdventHealth, Universal Health Services, Advocate Health, Johns Hopkins Medicine, and UC Health. These are unscripted, practitioner-to-practitioner conversations about what actually works, what didn't, and what they'd do differently.

WHAT WE COVER
Workforce shortages and retention. Leader and caregiver burnout. Culture and identity. Labor relations. Total rewards and benefits strategy. AI and HR technology. Policy and regulatory shifts. The people decisions that shape patient care.

TWO WAYS TO LISTEN
The Weekly News Drop: the week's most important healthcare HR headlines, what they mean for your organization, and what to do about them on Monday morning.
Guest Conversations: deep dives with the leaders solving real workforce problems right now.

MEET YOUR HOSTS
Bo Brabo is Vice President of People Solutions (Healthcare) at Lockton and a retired U.S. Army Chief Warrant Officer who served as a Soldier for ten years at the White House, including as a Presidential Communications Officer for two Presidents. Luke Carignan is Strategic Director of Healthcare at Phenom and brings the story behind the strategy. Together they're optimistic but honest, and warm but never soft.

If you lead HR for a health system, shape workforce strategy, or influence culture anywhere in healthcare, this is your briefing. No theory. No fluff. Just leaders in the arena, sharing what they've learned.

Subscribe, share it with your team, and join the conversation at ashhra.org.

© 2026 The ASHHRA Podcast マネジメント マネジメント・リーダーシップ 個人的成功 出世 就職活動 経済学 自己啓発
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  • #263 - Healthcare HR News, October 2026: Nurse Pay Compression, the 26% EAP Gap, and Fitch's 1.5% Margin Peak

    #263 - Healthcare HR News, October 2026: Nurse Pay Compression, the 26% EAP Gap, and Fitch's 1.5% Margin Peak
    2026/10/27

    Luke Carignan and ASHHRA CEO Jeremy Sadlier close out October with three costs health systems already pay without naming them. Each one eats margin and morale, and each ends on a decision that sits with HR.

    💵 Pay Compression Is a Fairness Problem First

    Nurse.org's 2026 salary survey of 3,758 nurses: 93% say pay is not keeping up with inflation and workload, and 23% say they are underpaid compared with new hires. Mercer's 2026 planning data puts healthcare merit increases at 2.9%, tied for the lowest of any industry, while starting wages rise. Jeremy's math: a range moving 5% a year against 3% raises builds 2 points of compression every year.

    HR Risk: NSI prices a bedside RN at $60,090 to replace, and 71% of nurses who left last year were past year one. The people leaving are the ones you invested in.

    https://nurse.org/news/nurse-salary-survey/

    🧠 The EAP Is a Phone Number, Not a Strategy

    NAMI and Ipsos found 26% of employees do not know whether their employer offers an EAP at all. The ones who know face the 1-800 number, the provider list, and weeks of calls before a first appointment. Jeremy calls it a culture problem and sets the contracting standard at 24 to 72 hours to a first conversation, with charge nurses as step one, not the only step.

    Action: Put guaranteed access time in the EAP contract, embed counselors on units, and tell people it exists.

    https://www.nami.org/wp-content/uploads/2026/03/NAMI-Workplace-Mental-Health-Poll-February-2026_Final-PPT.pdf

    📉 Budget Season Against a 1.5% Margin

    Fitch puts the nonprofit hospital median operating margin at 1.5% for fiscal 2025, up from 1.1%, and calls it a likely brief operational peak before the Medicaid provisions of the One Big Beautiful Bill Act bite in 2027.

    Key Takeaway: Price turnover in dollars, not points. "Spend $2 million to recover $18 million" wins where "I need $2 million for retention" loses. Jeremy goes further: workforce programs with a five-year payback belong in the capital budget, not the operating line that gets redlined every bad year.

    https://www.fiercehealthcare.com/providers/fitch-2025-likely-brief-operational-peak-nonprofit-hospitals-ahead-obbba-changes

    Our October Sponsors

    AP3

    This episode is brought to you by AP3 — the ASHHRA Preferred Partner Program.

    Healthcare HR leaders are navigating rising costs, workforce shortages, and an overwhelming vendor landscape. AP3 cuts through the noise.

    Managed in collaboration with Lockton and backed by ASHHRA, AP3 is a governed ecosystem of vetted, healthcare-aligned solution providers across talent acquisition, benefits administration, workforce compliance, financial wellness, and employee engagement. Every partner is rigorously vetted. Every relationship is governed. Every solution is built for healthcare.

    No directories. No bidding wars. Just trusted partners proven to perform.

    Visit AP3.info to learn more and get connected with a partner.

    Clasp

    This episode is supported by Clasp — the missing link to lasting talent.

    You found two great candidates. Made two offers. One took the bigger sign-on bonus from the system across town. The other started, and was out the door six months later. That bonus is history, and now you're paying agency premiums to re-fill the role. Sound familiar?

    Top health systems are done with this cycle. They've partnered with Clasp for loan-linked hiring that helps them reach candidates ahead of competitors, secure the hire with a truly differentiated offer, and retain them for multiple years by investing where it matters most: their student debt.

    Clasp — the missing link to lasting talent. Visit clasp.com.

    ShiftKey

    This episode is brought to you by ShiftKey — empowering hospitals to deliver quality care on demand.

    When census swings and acuity spikes, your team needs flexibility — not 12-week contracts, agency minimums, or exclusivity.

    ShiftKey is the most powerful marketplace that gives you direct access to local, credentialed independent clinicians who are ready to work. With a presence in more than 430 markets nationwide, ShiftKey connects you with fast, quality coverage when you need it.

    Post a shift. Review the professionals who request it. Choose who fits your standards. Get coverage in minutes. No long-term commitments. No hidden fees.

    Start posting shifts today at ShiftKey.com.

    Support the show
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    33 分
  • #262 - ASHHRA27 Preview: San Antonio's JW Marriott Hill Country, May 16-18 2027, and the 15-Partner AP3 Program

    #262 - ASHHRA27 Preview: San Antonio's JW Marriott Hill Country, May 16-18 2027, and the 15-Partner AP3 Program
    2026/10/20
    Luke is on the road, so Bo sits down with ASHHRA Executive Director and CEO Jeremy Sadlier for a different kind of Weekly News Drop: the news is ASHHRA's own. Registration for ASHHRA27 is open, and the two of them walk through what the conference will feel like and how the ASHHRA Preferred Partner Program is built to lower what healthcare HR pays for everything it buys.🤠 One Campus, Everybody You Meet Is ASHHRAASHHRA27 runs May 16-18, 2027 at the JW Marriott San Antonio Hill Country, with sessions, rooms, and restaurants in one place instead of a convention center and a scatter of hotels. Jeremy calls it the nicest venue in his tenure, with rooms still under $300. The Riverwalk is a 30 to 40 minute ride if you add a day.Key Takeaway: The elevator, the dinner table, the spa, and the TPC course are all full of people who do your job. Nobody is more than an arm's length from a peer.https://ashhra.org/ashhra27/🎓 Education by Practitioners, for PractitionersThe committee leaned toward abstracts from working healthcare HR leaders over business partners this year. Expect the Savannah summit conversations on stage: a clinical workforce aging out, benefit costs that are becoming untenable, GLP-1 coverage as a hiring differentiator, and where AI replaces work and how to redeploy the people who did it. The AP3 partners get their own row in the hall, and the puppies are at the end of it.💲 How AP3 Bends the Cost CurveJeremy built the program after watching reimbursement fall while costs like stop-loss rose 20 to 50 percent for some systems. Fifteen vetted partners across ten categories, from contingent labor and medical plan risk to GLP-1 management and workforce wellbeing, offer discounts and incentives that you unlock by mentioning AP3. Membership is not required, and no GPO is coming.Action: Treat the contracted incentive as your starting point, not your ceiling. The first organization to use the program negotiated down from there and signed.HR Risk: Bo runs every partner through a six-domain diligence scan, legal, security, corporate and financial, market, healthcare credibility, and workforce culture, before a contract is offered, and again every six months.https://ap3.info🔎 This Week's 3 Mission-Critical MovesRegister for ASHHRA27 while the room block is open. Scroll the ten categories on AP3.info before your next vendor renewal. Send Bo or Jeremy the name of a partner you already trust and would recommend to a peer.Enjoying the show? Subscribe to The ASHHRA Podcast on your favorite podcast platform so you never miss an episode.Our October Sponsors AP3 This episode is brought to you by AP3 — the ASHHRA Preferred Partner Program.Healthcare HR leaders are navigating rising costs, workforce shortages, and an overwhelming vendor landscape. AP3 cuts through the noise.Managed in collaboration with Lockton and backed by ASHHRA, AP3 is a governed ecosystem of vetted, healthcare-aligned solution providers across talent acquisition, benefits administration, workforce compliance, financial wellness, and employee engagement. Every partner is rigorously vetted. Every relationship is governed. Every solution is built for healthcare.No directories. No bidding wars. Just trusted partners proven to perform.Visit AP3.info to learn more and get connected with a partner.ClaspThis episode is supported by Clasp — the missing link to lasting talent.You found two great candidates. Made two offers. One took the bigger sign-on bonus from the system across town. The other started, and was out the door six months later. That bonus is history, and now you're paying agency premiums to re-fill the role. Sound familiar?Top health systems are done with this cycle. They've partnered with Clasp for loan-linked hiring that helps them reach candidates ahead of competitors, secure the hire with a truly differentiated offer, and retain them for multiple years by investing where it matters most: their student debt.Clasp — the missing link to lasting talent. Visit clasp.com.ShiftKeyThis episode is brought to you by ShiftKey — empowering hospitals to deliver quality care on demand.When census swings and acuity spikes, your team needs flexibility — not 12-week contracts, agency minimums, or exclusivity.ShiftKey is the most powerful marketplace that gives you direct access to local, credentialed independent clinicians who are ready to work. With a presence in more than 430 markets nationwide, ShiftKey connects you with fast, quality coverage when you need it.Post a shift. Review the professionals who request it. Choose who fits your standards. Get coverage in minutes. No long-term commitments. No hidden fees.Start posting shifts today at ShiftKey.com. Support the show
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    35 分
  • #261 - Student Loan Repayment Beats the $50,000 Sign-On Bonus: CLASP's Romy Newman on ROTC for Healthcare

    #261 - Student Loan Repayment Beats the $50,000 Sign-On Bonus: CLASP's Romy Newman on ROTC for Healthcare
    2026/10/19
    Featuring Romy Newman, VP of Talent Ecosystem, CLASPDisclosure: CLASP is a sponsor of The ASHHRA Podcast.Bo opens with a question from his Army years. What if every recruit paid for basic training up front and the Army just hoped they stayed? That is close to how the United States trains clinicians. Romy Newman co-founded Fairy Godboss, ran digital ad sales at the Wall Street Journal, and now leads talent ecosystem at CLASP, which connects health systems to clinical students before graduation and ties loan repayment to tenure.🎓 The Debt Math Nobody Shows the StudentNewman's numbers: a CRNA graduates owing about 1.25 times first-year salary. A physical therapist can owe twice it, roughly $200,000 of debt against an $80,000 first job, with five to ten years to pay it down. Nurses and CRNAs fund an unpaid residency on top. The weight shows up as anxiety at boards time.Key Takeaway: Surgeries drive hospital revenue, and that is why CRNA demand exploded. The system needs these people and still makes them pay to enter.💸 Why the Sign-On Bonus LosesA $50,000 bonus nets about $25,000 after tax, gets spent on a car, and walks out inside a year, leaving the system to claw it back. Loan repayment pays out monthly only while the employee stays, and under Section 127 the first $5,250 a year is tax free. CLASP syncs to the servicer, so the employee never sees a bill, just an email saying the employer paid this month.HR Risk: Refinancing an employee's public loans into private ones kills their PSLF eligibility. Missed payments do too.🪖 How the ROTC Model WorksSixty-plus employers commit to hire a student a year before graduation and repay loans over three to five years, mostly with money redirected from bonuses and travel-nurse spend. Repayment runs higher for night shift, med-surg, or rural moves. Rochester Regional Health goes further and shapes the curriculum with its partner school.Action: Ask CLASP for the ROI analysis. Luke's read: the CFO already lives the $60,000-per-nurse replacement number.https://www.clasp.com/healthcareNewman's parting stat, from Covista's September 2026 report: solving the nursing shortage by 2040 saves nearly 100,000 lives.https://www.businesswire.com/news/home/20260928447812/en/The-Healthcare-Workforce-Gap-Is-Set-to-Nearly-Double-by-2040ASHHRA27, May 16-18, 2027, San Antonio: https://ashhra.org/ashhra27/Enjoying the show? Subscribe to The ASHHRA Podcast on your favorite podcast platform so you never miss an episode.Our October Sponsors AP3 This episode is brought to you by AP3 — the ASHHRA Preferred Partner Program.Healthcare HR leaders are navigating rising costs, workforce shortages, and an overwhelming vendor landscape. AP3 cuts through the noise.Managed in collaboration with Lockton and backed by ASHHRA, AP3 is a governed ecosystem of vetted, healthcare-aligned solution providers across talent acquisition, benefits administration, workforce compliance, financial wellness, and employee engagement. Every partner is rigorously vetted. Every relationship is governed. Every solution is built for healthcare.No directories. No bidding wars. Just trusted partners proven to perform.Visit AP3.info to learn more and get connected with a partner.ClaspThis episode is supported by Clasp — the missing link to lasting talent.You found two great candidates. Made two offers. One took the bigger sign-on bonus from the system across town. The other started, and was out the door six months later. That bonus is history, and now you're paying agency premiums to re-fill the role. Sound familiar?Top health systems are done with this cycle. They've partnered with Clasp for loan-linked hiring that helps them reach candidates ahead of competitors, secure the hire with a truly differentiated offer, and retain them for multiple years by investing where it matters most: their student debt.Clasp — the missing link to lasting talent. Visit clasp.com.ShiftKeyThis episode is brought to you by ShiftKey — empowering hospitals to deliver quality care on demand.When census swings and acuity spikes, your team needs flexibility — not 12-week contracts, agency minimums, or exclusivity.ShiftKey is the most powerful marketplace that gives you direct access to local, credentialed independent clinicians who are ready to work. With a presence in more than 430 markets nationwide, ShiftKey connects you with fast, quality coverage when you need it.Post a shift. Review the professionals who request it. Choose who fits your standards. Get coverage in minutes. No long-term commitments. No hidden fees.Start posting shifts today at ShiftKey.com. Support the show
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    42 分
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