The Hidden Networks Driving Healthcare Costs

In this episode of Healthcare Happy Hour, host David Saltzman sits down with Jim Jusko, chief strategy officer at Excel Health Plans, to explore how hospital systems, provider networks, and pharmacy benefit managers (PBMs) shape healthcare costs, competition, and consumer choice behind the scenes. Jim discusses the impact of consolidation, limited transparency, and anti-competitive practices on employers and consumers, while highlighting policy and market-based solutions that could improve affordability, increase competition, and create a more transparent healthcare system. He also shares his vision for a healthcare marketplace that better aligns incentives for employers, providers, and patients.