Broken Healthcare Costs, Self-Funding, Anti-BUCA & Real Reform | Broken Healthcare Podcast #91

Emma Fox joins the show in-studio to explain why healthcare costs keep rising and how incentives inside the traditional health insurance system often work against employers and patients.Drawing on her experience inside the industry, Emma breaks down how compensation structures, carrier incentives, and consolidation influence employer-sponsored healthcare decisions. She explains why more organizations are exploring self-funded health plans, independent TPAs, direct primary care, and reference-based pricing as alternatives to traditional insurance models.We also discuss how collaboration between employers, advisors, and physicians can help create more transparent healthcare strategies, and why education initiatives like Symposium are helping drive innovation across the healthcare ecosystem.If you are an employer, advisor, HR leader, or healthcare professional trying to better understand rising healthcare costs, this conversation offers practical insight into how the system works and where change may happen.Subscribe for more conversations focused on improving healthcare outcomes.#HealthcareCosts #SelfFundedHealthPlans #HealthInsurance #EmployerBenefits #HealthcareInnovation #HealthcareTransparency #DirectPrimaryCare #ReferenceBasedPricing #BenefitsStrategy #HealthcareReform #TPA #HealthcareEconomics #HealthcareLeadership #BUCAIncentives 00:00 Intro 01:10 Emma’s journey from the UK to U.S. healthcare03:00 Starting in life insurance and entering the insurance industry08:30 Understanding health insurance incentives12:00 Ethical conflicts inside traditional insurance models15:00 Advisor compensation structures and industry challenges18:00 Capitalism and healthcare economics21:00 Government influence and healthcare policy realities23:00 The employer’s role in fixing healthcare27:00 The origin of Symposium30:00 Bringing employers, advisors, vendors, and physicians together32:00 Why physicians must be part of the healthcare conversation35:00 Private equity and healthcare delivery challenges38:00 Collaboration between doctors and advisors42:00 Purpose-driven advisory models45:00 Vision for improving the healthcare system52:00 Advice for employers evaluating healthcare strategies58:00 Industry collaboration and future outlook1:04:20 How to connect with Emma Fox Hosted on Acast. See acast.com/privacy for more information.