PODCAST · health
Moving to Value Unscripted
by Moving to Value Alliance
Honest conversations with disruptors in healthcare.Presented by the Moving to Value Alliance, a 501(c)(3) nonprofit dedicated to cultivating a healthcare ecosystem that prioritizes high-quality outcomes at affordable costs for employers and consumers. Learn more at movingtovalue.org.
Episodes
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Rethinking Specialty Care to Recover Value (feat. Brent Nicholson)
Specialty care—surgeries, cancer care, and complex procedures—drives nearly half of all employer health spend and is rising faster than any other category. Brent Nicholson, Co-Founder and Chief Growth Officer of Carrum Health, joins us to explore how high-value specialty networks are disrupting...
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The Cost of Ignorance in Employer Health Plans (feat. Emma Fox)
Why should we accept impossible healthcare cost increases without questioning the numbers? We sit down with Emma Fox, CEO of Foxwatch Consulting and EVP at Liberty Company Insurance Brokers, to name and shame the hidden fees, opaque broker traps and massive ERISA fiduciary liabilities draining...
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Emancipating Data to Take Control of Health Spend (feat. Jeff Hogan)
With US healthcare spending reaching an unsustainable $5.7 trillion, employers face a turning point as double-digit renewal hikes threaten their bottom line. Jeff Hogan, Co-Founder and Managing Director of The Judi Group and former host of Moving to Value Unscripted, returns to break down how…
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Why Are We Still Paying For Low-Value Care? (feat. Mark Fendrick)
"Never ask a barber if you need a haircut." Misaligned incentives within the fee-for-service structure have normalized more spending on low-value services and less spending on high-value care. You might think that the highest value services — think vaccines, insulin, early screenings — should be...
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Re-Release: The Nuka Blueprint (feat. April Kyle & Dr. Doug Eby)
Re-release of a conversation recorded in July 2025. What would healthcare look like if it were truly built around the people it serves? In this episode, we take a closer look at Alaska’s Southcentral Foundation and its internationally acclaimed Nuka System of Care — a model that has redefined…
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How to Spot PBM Markups Hiding in Plain Sight (feat. James Murray)
What if a generic medication retailing for $15 was billed to your company’s health plan for over $6,000? James Murray, Founder and Managing Director of Murray Strategic Healthcare Ventures, spotlights these massive markups happening every day in corporate healthcare. With 35 years of Wall Street...
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Insurance Giants are Running Out of Time (feat. François de Brantes)
The legacy insurance machine is running out of time, and the pendulum is swinging back toward employers. Healthcare innovation pioneer François de Brantes lays out a ruthless, no-compromise blueprint for self-insured employers to reclaim control of their healthcare spend. Currently the Executive...
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Treating the 'Madness' of Healthcare's Status Quo (feat. William Bestermann)
The American healthcare system is financially engineered to wait for expensive medical disasters rather than preventing them. Perhaps no one has a clearer view of how to dismantle this "rescue medicine" trap than Dr. Bill Bestermann. A preventive cardiologist and former President of the South...
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Scaling Up Self-Funded Employer-Led Healthcare (feat. Ashley Bacot)
Picture a healthcare plan with free primary care visits, physicals and health screenings, $0 copays for most services and prescriptions and negotiated direct contracts for most major procedures, as well as on-site fitness, flu shots, vaccines, family planning, nutritional services and more. This…
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How to Build Community Owned Health Plans (feat. Bryce Heinbaugh)
In Ohio's rural Ashtabula County, employers and patients struggled with rising costs and accessing services until a community coalition built a localized healthcare ecosystem. The results? A transparent financial structure that cuts out middlemen, direct primary care and community contracting,...
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Confronting Soaring Emergency Care Costs (feat. Al Lewis)
ER visits account for roughly six percent of health plan spend, with costs rising faster than almost any other hospital service. Why is ER spending is spiraling out of control? And what should we do about it? Al Lewis, founder of The Validation Institute and the gamified health literacy platform...
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Winning the Benefits Market Attention Economy (feat. Chris Fisher)
Tired of muddled pitches, point solution fatigue and hours of endless meetings? You're not the only one. Chris Fisher is on a mission to fix one of the biggest bottlenecks in the employee benefits industry — the noise. As the founder of BenefitsAlly, Fisher created the 3x3x3 Challenge, which asks...
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How to Curb Profiteering and Reclaim True Value (feat. Wendell Potter)
The American healthcare system is facing market failure driven by consolidation by industry profiteers. Perhaps no one has a clearer view of how this took place — and what to do about it — than Wendell Potter. Called ‘the ideal whistleblower’ by Time magazine, Potter was a senior executive at...
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Taking On Healthcare's Trillion Dollar Crisis (feat. AJ Loiacono)
"We could probably think of dozens of brilliant ideas on this very podcast to improve healthcare," says AJ Loiacono, Co-Founder & CEO of Judi Health. "Good luck implementing any of them on our aging infrastructure." Loiacono founded Capital Rx, transforming the pharmacy benefit manager (PBM)...
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Leveraging Association Health Plans for Small Employers (feat. Grace Brangwynne)
"Now is the time to strike when the iron is hot. People need healthcare." Join us in the halls of the Connecticut General Assembly, where lawmakers are considering a bill to authorize Association Health Plans in the state. This would let small employers pool risk and receive health insurance as…
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Shedding Light on Healthcare's Blind Spots (feat. Ann Lewandowski)
Why do savvy business leaders track every penny of office spend but ignore the "black box" of what's often their second-largest expense? With renowned healthcare advisor Ann Lewandowski, we dive into the systemic blind spots that make it difficult for even the most sophisticated plan sponsors to...
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Serially Innovating Health Tech Solutions (feat. Michael LaFauci)
From the ball park to the operating room, Michael LaFauci spots solutions with an innovator's eye. The idea for his current venture, Midas Healthcare Solutions, began with a lint roller. LaFauci discusses the "innovator’s DNA" that led him from pharmacy assistant to serial entrepreneur. He...
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Rewiring Healthcare Incentives with ICHRAs (feat. Chris Ellis)
Are we approaching the "401(k) moment" of health insurance? We're joined by Chris Ellis, co-founder and CEO of Thatch, a platform that helps employers offer personalized healthcare experiences to employees using Individual Coverage Health Reimbursement Arrangements (ICHRAs) . Ellis explains how…
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A Holistic Approach to Health Equity (feat. Chantel Jackson)
What does healthcare look like when a community-centered approach takes the lead? New York State Assembly Member Chantel Jackson, a licensed social worker representing New York’s 79th District, joins us to discuss increasing access to and trust in healthcare services. With a background in New…
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Fixing Healthcare Spending w/ Donovan Pyle
Healthcare is the second or third largest expense of most employers. As costs continue to rise, hidden incentives, legacy brokerage models and lack of transparency keep employers stuck in the same expensive cycle. Donovan Pyle, CEO of Health Compass Consulting, offers a sharp diagnosis of the...
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Building Sustainable Rural Care w/ Brock Slabach
Rural healthcare is in crisis, and few people understand the stakes better than the National Rural Health Association’s Brock Slabach. In this episode, Slabach cuts through the noise to explain why many rural hospitals are struggling and where real solutions are taking shape. He breaks down the...
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Health Systems at a Crossroads Webinar (Part 2)
This is part two of our Health Systems at a Crossroads webinar. Click here to catch part one, or find it earlier in our podcast feed. Join us as we discuss a vision for value-based care and practical steps to challenge the status quo. With special guests: Mark Gwynne, Chief Value Officer, UNC...
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Health Systems at a Crossroads Webinar (Part 1)
This is part one of our Health Systems at a Crossroads webinar. Part two will take place on Friday, November 14 at 12 ET. Click here to register. Join us as we survey the structural, financial and cultural forces shaping hospital behavior. Our expert guests unpack where hospitals truly make…
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PART 2: The Nuka Blueprint w/ April Kyle and Dr. Doug Eby
This is part two of a two-part episode. Click here to catch part one, or find it in our podcast feed. What would healthcare look like if it were truly built around the people it serves? In this episode, we take a closer look at Alaska’s Southcentral Foundation and its internationally acclaimed…
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PART 1: The Nuka Blueprint w/ April Kyle and Dr. Doug Eby
What would healthcare look like if it were truly built around the people it serves? In this episode, we take a closer look at Alaska’s Southcentral Foundation and its internationally acclaimed Nuka System of Care — a model that has redefined what value-based care can mean when relationships…
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Innovating Value with Subscription-Based Healthcare w/ Christina Farr
Convenience, flexibility, value. Subscription-based models could disrupt the paradigm of accessing (and paying for) healthcare. But can they build buy-in and consumer trust? We discuss with special guest Christina Farr. As a health tech investor, general partner at Scrub Capital and author of the...
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Optimal Care, Optimized Cost: Reducing Health System Spending w/ Derek Haas
Surgeons getting sticker shock? MTVA discusses transparency in health system spending and optimizing for better long-term patient outcomes with special guest Derek Haas. Derek is the CEO and founder of Avant-garde Health, which provides surgeons, health systems, and ASCs with comprehensive…
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From Communities to Scale: A Blueprint for Healthcare Revolution w/ Health Rosetta’s Dave Chase
Are your bags packed for Denver? Gear up for RosettaFest 2025 by listening to this conversation between MTVA and Dave Chase! If you don’t yet know the pioneering disruptor Dave Chase, he’s on a mission to restore hope, health and economic prosperity to communities through healthcare…
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The Growing Direct Primary Care Movement w/ Frontier Direct Care Founder Dr. Peter Lazzopina
“The only thing that actually reduces mortality and morbidity in primary care is a long-term relationship with a PCP.” In this conversation, MTVA explores the fast-growing movement of direct primary care (DPC) with special guest Peter Lazzopina, MD - Founder of Frontier Direct Care in Texas.…
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Delivering Real Value: Insights from Kevin Bozic, MD, MBA and the UT-Austin Dell Med Success Story
What does “value” in health care actually mean—and how do we get there? MTVA sat down with a top leader in the value movement who’s put the value philosophy into practice! Kevin Bozic, MD, MBA is Chair of Surgery and Perioperative Care at Dell Medical School at The University of Texas at Austin....
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“YOU Are the Customer”: Fixing Healthcare from the CEO’s Desk w/ Darrell Moon
“I really do think it's as simple as waking up the buyer, because if the buyer is going to define what they want and hold people accountable, everything else will happen naturally.” One often overlooked stakeholder in the U.S. healthcare system is business leaders. Our guest this week, Darrell...
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Transforming Dermatology Through Value-Based Virtual Care w/ Zest Founder Olivia Deitcher
Thinking about Dermatology may bring to mind Botox injections and commercials for anti-aging skincare products, but behind the scenes, it’s one of the most broken specialties in healthcare. Long wait times for short visits, some of the most expensive drugs on the market, and a system that too…
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Value-based Primary Care: Payment Models that Reward Providers w/ Mary Tracy Mock
“Right now, the value-based care reward is coming into the payers far more than it’s coming into the providers.” A primary care provider shortage is on the horizon. Between resolving coverage disputes, trying to get reimbursed for services, and limited time with patients, PCPs are burnt out. But...
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How eConsults Empower Primary Care, Expand Access for the Underserved & Unlock Savings w/ ConferMED’s Dr. Daren Anderson
From geography to network adequacy and endless waitlists, getting seen by a specialist can be tricky. And the challenges are even more pronounced for underserved communities – who may be hours away from the provider they need to see, or whose insurance might not be accepted by specialists. Then,...
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What’s up with Medicaid? Proposed Cuts, Impact on States, and Opportunities for Value w/ Stephanie Noriea
We’re just a couple months into the second Trump administration, and already we’re seeing a massive push to reduce federal spending. One program that seems to be on the chopping block: Medicaid. In late February, House Republicans passed a budget resolution that would drastically reduce federal...
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Achieving the Best Clinical and Financial Outcomes with Optimal Medical Therapy w/ Dr. Bill Bestermann
Managing chronic diseases like diabetes and hypertension is one of the most pressing challenges facing our health system. And Dr. Bill Bestermann has a solution: Optimal Medical Therapy. Optimal Medical Therapy is a comprehensive, evidence-based approach with the power to prevent adverse events,...
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Innovative Payment Models & Plan Designs: Decentralization, Transparent Pricing, and Episodes of Care w/ Steve Wiggins
“I’d like to leave an infrastructure behind that is better than the one I encountered when I came in, because we're stifling innovation, we're stifling creativity, we’re stifling advance.” How can decentralization and transparent pricing reshape American healthcare? In this episode of Moving to...
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“Right Drug, Right Patient, Right Price” - Using Data to Deliver Value w/ Pramod John
Drug spending continues to escalate, accounting for an even bigger portion of total U.S. healthcare spend each year. Why do we pay so much for medications? Are the drugs we buy truly worth the price we pay? How can we figure out the real value of a medication? Pramod John joins the MTVA Board to...
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Pioneering Population Health: Aligning Payment to Outcomes w/ Dr. David Nash
“There are medical schools whose mission is to build the researchers of the future, we all know who those are. There are other medical schools to build the community clinician of the future, great. And I’m about: let’s build the scholars and leaders in quality and in population health for the...
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The Promise of Functional Medicine w/ Dr. Elizabeth Boham
“We are incentivized to practice medicine based on reimbursement, so that has resulted in more procedures, more pharmaceuticals, and less time with our patients. That has to change.” MTVA is joined by Elizabeth Boham, MD to discuss functional medicine. Dr. Boham uses her background in nutrition…
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GLP-1s Aren't Right for Everyone: Wiser Healthcare Consumption w/ Al Lewis
“Just because it’s healthcare, doesn’t mean it’s good for you.” Al Lewis joins MTVA for a lively discussion on patient education, nutrition, and overconsumption of healthcare. After a doctor’s visit for hoarseness where he was recommended unnecessary testing, Al decided to use his background in...
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Choosing to be Optimistic: Challenges and Inspiration for the Value Movement w/ Stacey Richter
The Moving to Value Alliance (MTVA) has been promoting value in health care for over 7 years. Though we’ve seen some progress, spending is steadily rising, many health outcomes remain unchanged, and burnout is a real problem for healthcare professionals. It can be easy to feel discouraged, but...
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PBM Problems (Part 4): Challenges & Solutions for Independent Pharmacies w/ National Community Pharmacists Association
Pharmacists are one of the most trusted professions, yet more and more pharmacies are closing. A recent survey found 2275 pharmacies have closed so far this year, and every day independent pharmacies are shuttering their doors – often leaving “pharmacy deserts” in their wake....
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Retail Health Failures: Misaligned Incentives and Misunderstanding Primary Care w/ Brian Klepper
Many successful companies have ventured into the healthcare space and failed. Why can’t businesses that are household names make it work in our industry? Where do retail investments in health care go wrong? What is missing from their approach to primary care? Health care reform legend Brian…
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PBM Problems (Part 3): Monopoly Power in Prescription Drug Markets w/ Luke Slindee
We all know the cost of prescription drugs in the U.S. is a problem. How did we get here and what can we do about it? This week, MTVA Board Members Dr. John Rodis and Dr. Steven Schutzer are joined by MTVA Executive Director Laura Wadsten for an engaging discussion with Senior Pharmacy Consultant...
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PBM Problems (Part 2): Transparency and Disrupting the Status Quo w/ Mutual Rx CEO Roy Wilkinson
“There’s a reason that over the last 45 years, the PBM model has been the darling of Wall Street: because it makes a heck of a lot of money for its investors.” – Roy Wilkinson PBMs are in the hot seat: Last week, the House Committee on Oversight and Accountability pressed the CEOs of United’s…
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Fighting for Independence: Private Equity Ownership of Physicians w/ Association for Independent Medicine
Rollups, takeovers and buyouts. Oh my! With increasing fear about private equity in health care, the MTVA Board is joined by Dr. Marco Fernandez and Jack Dillon of the Association for Independent Medicine to discuss their perspectives on private equity and best practices for maintaining or...
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From ERISA to CAA: How Has Employer’s Fiduciary Responsibility Changed Over Time?
Though ERISA is often thought of as an issue for retirement plans, the law has always applied to employer-sponsored health benefit plans. The Consolidated Appropriations Act of 2021 (CAA) sought to put a spotlight on the issue by clarifying responsibilities of health benefit plan fiduciaries and...
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Market Forces Created Our Dysfunctional Health System. Now We Must Harness Them to Drive Change with Ge Bai, PhD, CPA
“We have to cherish the opportunity in front of us. We’re at a point that public awareness of the current system failure is unprecedented.” American health care is in crisis, but this expert says there’s reason for hope. MTVA spoke with renowned scholar Ge Bai, PhD, CPA about the dynamics...
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PBM Problems (Part 1): Who do Brokers and Consultants Really Work for? Risks for Plan Sponsors w/ ERISA attorney Paul Holmes
This episode is a must-listen for all plan sponsors and employers! “In American business you don’t expect your major vendors to be profit-gouging you, and you don’t expect these major consulting firms to be taking their side instead of yours.” – Paul Holmes As Pharmacy Benefit Managers (PBMs)…
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ABOUT THIS SHOW
Honest conversations with disruptors in healthcare.Presented by the Moving to Value Alliance, a 501(c)(3) nonprofit dedicated to cultivating a healthcare ecosystem that prioritizes high-quality outcomes at affordable costs for employers and consumers. Learn more at movingtovalue.org.
HOSTED BY
Moving to Value Alliance
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Frequently Asked Questions
How many episodes does Moving to Value Unscripted have?
Moving to Value Unscripted currently has 57 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is Moving to Value Unscripted about?
Honest conversations with disruptors in healthcare.Presented by the Moving to Value Alliance, a 501(c)(3) nonprofit dedicated to cultivating a healthcare ecosystem that prioritizes high-quality outcomes at affordable costs for employers and consumers. Learn more at movingtovalue.org.
How often does Moving to Value Unscripted release new episodes?
Moving to Value Unscripted has 57 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to Moving to Value Unscripted?
You can listen to Moving to Value Unscripted on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts Moving to Value Unscripted?
Moving to Value Unscripted is created and hosted by Moving to Value Alliance.
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