EP489: MARGIN! Margin That Creates a Path to Mission at a Multispecialty Group, With Dan Greenleaf

An episode of the Relentless Health Value podcast, hosted by Stacey Richter, titled "EP489: MARGIN! Margin That Creates a Path to Mission at a Multispecialty Group, With Dan Greenleaf" was published on October 16, 2025 and runs 26 minutes.

October 16, 2025 ·26m · Relentless Health Value

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Episode Description

In Episode 489 Part 2 of 'Relentlessly Seeking Value,' Stacey Richter continues the series on 'Mission Margin' by focusing on the financial sustainability aspect with guest Dan Greenleaf, CEO of Duly, a multi-specialty group. The episode dives into the balance between maintaining mission-driven healthcare, which includes affordability, accessibility, and quality, and achieving financial margins.

Dan discusses practical strategies like reducing network leakage, negotiating effectively with payers, and leveraging technologies to lower operational costs. The conversation also highlights the significance of clinician involvement in leadership and the value of having aligned incentives across the organization.

Additionally, the episode addresses the role of capital partners in sustaining such healthcare models and ensuring they are effective and sustainable.

=== LINKS ===
🔗 Show Notes with all mentioned links:
https://cc-lnk.com/EP489-Part2

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09:56 How does Dan achieve his mission given the realities of margin?

14:49 How Duly Health's approach and incentives differ from other health systems.

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18:50 How having physicians on the hospital board greatly improves margin and mission.

20:04 How Dan explains his approach to his capital partners.

22:23 Fee for service vs. institutional care.