In episode 4 of my healthcare reform series, I tell you about why we finally have to get to true affordable universal access.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in space, offering analysis, insights, and predictions on the changing state of healthcare in America.

About The Episode:

In episode 4 of his healthcare reform series, Marc tells you about why we finally have to get to true affordable universal access.

Key Takeaways:

One of the biggest misconceptions in American healthcare policy is the assumption that coverage equals access. Do people actually have affordable access to care when they need it?

These are individuals who have insurance on paper but face significant financial barriers when they attempt to use it.

Affordable universal access means: (1) Everyone has a defined pathway to coverage. (2) Financial protection is real, not theoretical. (3) Affordability is preserved across life transitions.

America's system is a patchwork one that does not safeguard tens of millions because the safety net is too fragmented.

The solution does not have the be socialized medicine or single payer.

Employer coverage should be maintained with one single safety net program. Medicare can be maintained for seniors.

Subsidies should follow people and be adequate for affordability based on income.

A solution like this would end the uninsured and underinsured crisis.

Richard Nixon proposed something similar in 1974.

Connect With Marc:

Marc on LinkedIn

Marc on Twitter

THL Podcast

Resources:

THL's Newsfeed

THL's Blog

The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance

In episode 3 of my healthcare reform series, I tell you about the necessity to pivot from utilization management to care management.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in space, offering analysis, insights, and predictions on the changing state of healthcare in America.

About The Episode:

In episode 3 of his healthcare reform series, Marc tells you about the necessity to pivot from utilization management to care management.

Key Takeaways:

America is obsessed with utilization management.

Health plans rely on prior authorization and claims scrutiny to reduce costs.

But member risk actually drives costs and that calls for a shift to care management.

We need to manage both clinical and social risk.

True care management would stratify populations, identify risks early, and manage disease states and conditions.

We have underinvestment in primary care, which is key to prevention and disease management.

Our underinvestment in primary care and disease management means our outcomes trail other developed countries.

We need to rebalance spending toward primary care, care management, and prevention.

Connect With Marc:

Marc on LinkedIn

Marc on Twitter

THL Podcast

Resources:

THL's Newsfeed

THL's Blog

The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance

In episode 2 of my healthcare reform series, I tell you about the necessity of comprehensive price reform.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in space, offering analysis, insights, and predictions on the changing state of healthcare in America.

Key Takeaways:

Healthcare price lacks transparency and is incredibly disparate.

We are victimized by chargemasters not tied to real costs as well as annual price hikes having nothing to do with real inflation.

Consolidation has also eroded competition and driven price.

America should have national or regional price setting from schedules or negotiations. This would reduce price in the commercial world and lead to major administrative savings.

America should adopt site neutrality immediately to begin tackling price.

Value, including value-based payments, must replace volume.

Drugs, too, need price reform and the Trump administration has begun tackling this in a big way.

International reference pricing has been adopted throughout the world and we should do so as well.

Connect With Marc:

Marc on LinkedIn

Marc on Twitter

THL Podcast

Resources:

THL's Newsfeed

THL's Blog

The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance