TheBitCast

Relentless Health Value

Autor: Stacey Richter

Welcome to Relentless Health Value, the podcast for those working in the belly of the beast to fix our fundamentally broken healthcare system. If you are a self-insured employer, plan sponsor, benefits consultant, clinician, a C-suite executive or anyone in the business of healthcare tired of the "transformational theater" and marketing fluff, you have found your tribe. The U.S. healthcare system isn't a rational market; it's a game of Pachinko where perverse incentives reign, and as we always say, where there's mystery, there's margin. Hosted by Stacey Richter, we relentlessly hunt down the administrative "inches" of waste and expose...

Odcinki

  1. The One Question to Test if a TPA Is Actually Independent, With Kimberly Carleson – Relentless Health Value
  2. Level Funding Is Self-funding: 5 Avoidable Contract Risks, With Frank Pennachio – Relentless Health Value
  3. Why Avoidable ER Visits Aren't the Real Cost Problem: Revisiting Our Interview With HHS Nominee Chris Klomp – Relentless Health Value
  4. Slaying the Three-Headed Monster of Health Plan Networks, With Evan Anderson – Relentless Health Value
  5. A Wildly Underappreciated Point: Overpaying for Infusions Means Overpaying for Stop-Loss Coverage, With Jake Velie and Keith Hartman, RPh – Relentless Health Value
  6. How Stark Law, Stipends, and Noncompetes Drive Hospital Consolidation, With Eric Bricker, MD – Relentless Health Value
  7. Private Equity in Primary Care: What the Data Actually Shows, With Yashaswini Singh, PhD. Episode 528. – Relentless Health Value
  8. Why Should a Plan Sponsor Care About the 340B Charity Program? With Shawn Gremminger – Relentless Health Value
  9. Mark Cuban and Cora Opsahl: The Truth About Pass-Through PBM Contracts and Generic Compliance Ratios – Relentless Health Value
  10. PMPM vs FFS—The Perverse Incentives Plan Sponsors Sometimes Miss, With Cristin Dickerson, MD – Relentless Health Value
  11. Beating Provider Network Pricing Games by Thinking About Buying Healthcare Like a Manufacturer Supply Chain, With John Quinn – Relentless Health Value
  12. The Sleeping Giants of Healthcare—Why Self-insured Employers and Clinicians Keep Missing Each Other, With Suhas Gondi, MD, MBA. EP523 – Relentless Health Value
  13. How GoodRx Actually Makes Money: PBMs, Cash Prices, and Pharmacy Contracts, With Ge Bai, PhD, CPA (EP522) – Relentless Health Value
  14. How Revenue Cycle Management (RCM) Became an Over $200 Billion Healthcare Hot Potato, With Andrew Tsang. EP521 – Relentless Health Value
  15. Cash-Pay Generic Drugs Are a Functioning Market in Healthcare—Policymakers Beware and Be Careful. EP520 – Relentless Health Value
  16. Cognitive Atrophy and Referral Incentives Breaking Primary Care, With Lisa Rosenbaum, MD (EP519) – Relentless Health Value
  17. How Do You Explain the Difference Between an ASO Vendor and a TPA? With Claire Brockbank. Episode 518 – Relentless Health Value
  18. Prior Authorizations & Pharma Rebate Contracts — How Financial Motives Keep Generics Off Formularies (EP517) – Relentless Health Value
  19. Cash Pay From the Pharma Manufacturer Point of View, With Ophelia Johnson (EP516) – Relentless Health Value
  20. Self-Insured Employers: SNF Fraud or Perverse Incentives? Understaffing, Gamed STAR Ratings, and Medicare Dollars at Skilled Nursing Facilities with Michelle Cera. EP515 – Relentless Health Value
  21. Successfully Suing a Health System for Their Anticompetitive Contracts and Also Collecting Damages for Plan Sponsors and Members, With Matt Cantor. EP514 – Relentless Health Value
  22. Revisiting Cunning Anticompetitive Hospital Contracts, With Brennan Bilberry - EP513 – Relentless Health Value
  23. 3 Kinds of Broker/EBC Rent-Seeking Payment Models—A Lawyer's Perspective, With Doug Aldeen. EP512 – Relentless Health Value
  24. The Perverse Incentive Trap Hidden Inside Value-Based Care — and What to Do About It. EP511 – Relentless Health Value
  25. Why Employers Pay More Because of Vertically Integrated Medicare Advantage Carriers with Betsy Seals. EP510 – Relentless Health Value
  26. The 7.7% Wake-Up Call: A Roadmap to Align Finance Teams With Non-complacent Benefit Design, With Patrick Nelli. EP509 – Relentless Health Value
  27. Why Don't More Self-insured CEOs Take Bold Action in Health Benefits Strategy? With Lee Lewis. (EP508) – Relentless Health Value
  28. 4 Core Concepts to Buy or Deliver the Highest Value Healthcare — A Review With 14 Expert Voices (EP507) – Relentless Health Value
  29. Price Transparency Data: How Employers, Shareholders, and Clinics Use It, With Jerry DiMaso (EP506) – Relentless Health Value
  30. The Death of the "What Is Value" Guessing Game for Clinical and Plan Decision-Makers Ready to Move On, With Ahilan Sivaganesan, MD (EP505) – Relentless Health Value