Inside Big Health Insurers’ Side Hustle

America’s largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country’s biggest employers. What could go wrong?Join us for a wild, wonky journey into the world of third-party administrators.Guests:Christin Deacon, JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of TreasuryBrian Hufford, JD, Partner, Zuckerman Spaeder LLPKen Janda, JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine Sandy Peters, retireeHave a look at more of Leslie's reporting on TPAs.Support this type of journalism today, with a gift: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.

What this episode covers

America’s largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country’s biggest employers. What could go wrong?Join us for a wild, wonky journey into the world of third-party administrators.Guests:Christin Deacon, JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of TreasuryBrian Hufford, JD, Partner, Zuckerman Spaeder LLPKen Janda, JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine Sandy Peters, retireeHave a look at more of Leslie's reporting on TPAs.Support this type of journalism today, with a gift: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.

NOW PLAYING

0:00 30:54

1×

No transcript for this episode yet

We transcribe on demand. Request one and we'll notify you when it's ready — usually under 10 minutes.

Share this episode

Similar Episodes

AI Cyber is expanding a Vulnerability Gap

Jun 17, 2026 ·26m

Inside the FBI's Push to Disrupt Hackers Before They Strike with Brett Leatherman

Jun 16, 2026 ·39m

How AI Agents are Automating Business Growth

Jun 15, 2026 ·43m

How Stablecoins Are Reconfiguring the Financial System | ft. Eddy Lazzarin and Sonal Chokshi

Jun 12, 2026 ·80m

Do CIOs need to create an Enterprise AI Harness?

Jun 12, 2026 ·22m

Replay: AI, Voters, and the 2026 Midterms: What the Data Actually Shows

Jun 11, 2026 ·25m

Similar Podcasts

The Reasoning Show Massive Studios The Reasoning Show AI moves fast. Thinking clearly matters more.The Reasoning Show cuts through the hype to explore how the smartest people in enterprise AI actually make decisions — the strategy, the tradeoffs, and the hard lessons no press release mentions.Every week, hosts Aaron Delp and Brian Gracely sit down with the founders building the tools, investors funding the shift, and operators running AI in the real world. Not hype. Not panic. Just clear-headed conversations with people who have to make actual decisions.Because the AI revolution isn't just happening. It's being reasoned through. New shows every Wednesday and Sunday. Topics: Enterprise AI strategy · LLMs in production · AI leadership · Agentic AI · Digital Sovereignty · Machine Learning · AI startups · Cloud Computing Cookies: Tech Security & Privacy Princeton University School of Engineering and Applied Science Technology has transformed our lives, but there are hidden tradeoffs we make as we take advantage of these new tools. Cookies, as you know, can be a tasty snack -- but they can also be something that takes your data. This podcast is presented by the Princeton University School of Engineering and Applied Science. Thirst Gap: Learning to Live with Less on the Colorado River KUNC Thirst Gap is a six-part podcast series about how the Southwest is adapting to water shortages as climate change causes the region to warm up and dry out. The series zooms in on people and places grappling with limited water supplies in the Colorado River watershed, and examines the tradeoffs that come with learning to live with less water. a16z crypto show a16z crypto, Robert Hackett, Sonal Chokshi The a16z crypto show explores how decentralized networks are reshaping money, ownership, and the architecture of the internet. We go beyond the hype to look at what’s actually working, what isn’t, and what comes next as crypto continues to go mainstream and blockchains become core infrastructure.Each episode features conversations with founders, engineers, economists, policymakers, and researchers building at the frontier of finance, payments, AI, and distributed systems. We cover stablecoins and global payments, the tokenization of "real-world" assets, decentralized physical infrastructure, network design and governance, and the practical tradeoffs behind decentralization — along with lessons from past technology shifts.Produced and hosted by the a16z crypto team, the show combines reporting, analysis, and first-principles thinking to explain how crypto intersects with the economy and society — and why it matters now.Learn more at a16zcrypto.com.***Posts should not be considered

Frequently Asked Questions

How long is this episode of Tradeoffs?

This episode is 30 minutes long.

When was this Tradeoffs episode published?

This episode was published on March 31, 2022.

What is this episode about?

Can I download this Tradeoffs episode?

Yes, you can download this episode by clicking the download button on the episode player, or subscribe to the podcast in your preferred podcast app for automatic downloads.

URL copied to clipboard!