All episodes

EP394: Spoiler Alert: It Is Counterintuitive Which Hospitals Offer the Most Charity Care, With Vikas Saini, MD, and Judith Garber

EP393: How Do You Know if a Practice or a CIN (Clinically Integrated Network) Is Actually Clinically Integrated? With David Muhlestein, PhD, JD

Encore! EP355: The 5 Business Models for Digital Health Companies, With Nikhil Krishnan

EP392: When Patient Journeys Don't Fit in the EHR System, With Emily Kagan Trenchard From Northwell Health

EP391: Lessons for Private Equity and Others Trying to Do Right by PCPs and Their Patients, With Scott Conard, MD

EP390: What Legislators Need to Know About Hospital Prices, With Gloria Sachdev, PharmD, and Chris Skisak, PhD

EP389: The Clapback When Hospitals Cannot Constrain Their Own Prices, With Mike Thompson

Encore! EP326: The Unfortunate News About HRRP, With Insight Into How to Fix It, With Rishi Wadhera, MD, MPP

Encore! EP356: PBMs React to GoodRx, Mark Cuban, and Amazon Pharmacy, With Ge Bai, PhD, CPA

INBW37: Harnessing the Miracle of the Commons to Improve the Patient Journey Nationwide, A Conversation With Dave Dierk, Co-President of Aventria Health Group

EP388: Merrill Goozner on the Future of Healthcare and Glide Paths to Get There

EP387: Medicare Advantage Trends and How Medicare Advantage Plans Will or Will Not Succeed, With Betsy Seals, CEO and Cofounder of Rebellis Group

INBW36: Will Healthcare Stakeholders Who Don't Collaborate Wind Up With a Business Problem?

Encore! EP351: Everybody in the Healthcare Industry Getting Up in Everyone Else's Business, With Eric Bricker, MD

EP386: What You Need to Know About ER Bills Post the No Surprises Act, With Al Lewis

EP385: Morgan Health and the 5 Things Self-insured Employers Should Do Right Now, With Dan Mendelson

EP384: How Shareholders Impact Payer Behavior, Exactly and Specifically, With Wendell Potter

EP383: Direct Contracting as a Health System Business Strategy, With Nick Stefanizzi

Encore! EP335: Why Private Equity Is Willing to Pay $55,000 per Patient to Primary Care Start-ups, With Brian Klepper, PhD

EP382: Pharma Conflicts of Interest and the Anti-Kickback Statute, With Aaron Mitchell, MD, MPH

EP381: For Reals, Becoming Customer-centric, Transforming, or Innovating at a Very Large Organization, With Karen Root

EP380: 7 Big Reasons Medicare Drug Price Negotiation Actually Happened This Time Around—What Changed? With Mark Miller, PhD

EP379: How Much Money, Really, Are Employee Benefit Consultants and/or Brokers Making From Plan Sponsors? With AJ Loiacono

EP378: The Status of Telehealth Reimbursement and Other Telehealth Policy Updates, With Josh LaRosa, MPP

INBW35: Collaboration Between Healthcare Providers, Payers, and Others Is Required to Improve Chronic Care Patient Outcomes

Encore! EP295: The Not Entirely New but Definitely Improved Way to Measure Primary Care, With Rebecca Etz, PhD

Encore! EP337: A Patient-First Specialty Pharmacy, Not a Money-First Specialty Pharmacy, With Olivia Webb

EP377: Specialty Pharmacy, PBM, Hospital, Employer, and Pharma Strategic Maneuvering, With Mike Baldzicki, CRCM

EP376: Interoperability—Who's Who and Doing What? With Lisa Bari, MBA, MPH

EP375: Medicare Advantage Plans in the Hot Seat, With Betsy Seals, CEO and Cofounder of Rebellis Group

EP374: How to Grade a Health Plan and a Few Validated Success Stories, With Dave Chase, Cofounder of Health Rosetta

EP373: How to Kick a Big Hospital Out of Your Network, With Cora Opsahl

EP372: Step One for Employers and Unions—Get Your Data, With Cora Opsahl

Encore! EP308: How Financial Toxicity Wreaks Havoc on Value-Based Payment Success, With Mark Fendrick, MD

EP371: Buy and Bill vs Pharmacy Bagging—Which Is Better for a Plan Sponsor and Patients? With Erik Davis and Autumn Yongchu

EP370: How Do Some Health Systems Manage to Charge 6x the Cost of a Specialty Pharmacy Med to Infuse It? With Erik Davis and Autumn Yongchu

EP369: What's Up With Specialty Pharmacy Bagging? With Keith Hartman, RPh

Encore! EP282: Do You Know How Much Cancer Centers Get Paid to Put Patients on Drugs? With Aaron Mitchell, MD, MPH

INBW34: The Absence of Collaboration Between Healthcare Stakeholders: What It Means

EP368: How to Successfully Roll Out New Benefit Designs to Employees and New Care Delivery Models at a Provider Organization, With Ashleigh Gunter

EP367: Why Would a Hospital Direct Contract With an Employer Looking to Pay Less? With Doug Hetherington

EP366: An In-Depth Dissection of Our Dysfunctional Healthcare Benefits Market, With Kevin Schulman, MD

EP365: The Real Deal With PBM Contracts and Drug Rebates, With Scott Haas

EP364: A Way to Think About Transforming the Healthcare Industry, With David Muhlestein, PhD, JD

EP363: How to Cut the Healthcare Administrative Burden in Half, With David Scheinker, PhD

EP362: A CFO Talks About a Hybrid Business Model, With Ali Ucar

EP361: The Gap in Closing Care Gaps, With Carly Eckert, MD

EP360: How to Deliver Value-Based Care That Meets Value-Based Payment Objectives, With Jeb Dunkelberger

EP359: Value-Based Payments—You Get What You Pay For, With Dan O'Neill

EP358: How Health Insurance Plan Design Can Lead to Patients Sacrificing Needed Care, Their Mental Health, and (Sometimes) Buying Groceries, With Wayne Jenkins, MD

EP357: Standing Up Telehealth That Actually Advances Providers' Core Business, With Liliana Petrova

EP356: PBMs React to GoodRx, Mark Cuban, and Amazon Pharmacy, With Ge Bai, PhD, CPA

EP355: The 5 Business Models of Digital Health Companies, With Nikhil Krishnan

EP354: 7 Vital Success Factors to Stand Up a CIN (Clinically Integrated Network), With Shawn Rhodes

EP353: What You Need to Know About Specialty Pharmacy Formularies and Rebating, With Pramod John, PhD

EP352: Some Big Actionable Surprises About the Efficacy and Effectiveness of Specialty Pharmaceuticals, With Pramod John, PhD

EP351: Everybody in the Healthcare Industry Getting Up in Everyone Else's Business, With Eric Bricker, MD, From AHealthcareZ

EP350: Employers Direct Contracting With Hospitals, in Real Life, With Katy Talento

INBW33: Thank You, and a Few Thoughts

INBW32: The Ultimate Impact of Telehealth: A Thought Experiment

Encore! EP294: Building a Center of Excellence: A Playbook for Physician Entrepreneurs, With Steve Schutzer, MD

EP349: How Integrated Is a Clinically Integrated Network, Actually? With Lisa Trumble

EP348: Your Burning Questions About Payviders Answered! With Jeb Dunkelberger

EP347: Rolling Out Healthcare Initiatives That Actually Get Uptake With the Populations You Aim to Serve, With Ian Tong, MD, About the Black Community Innovation Coalition

Encore! EP288: The "Big Three" PBMs Spinning Up GPOs—What? With Mike Schneider

EP346: How Did Health Systems Get Addicted to the Inflated Prices They Charge Employers and Some Patients? 2021 Update, With Peter Hayes, President and CEO of the Healthcare Purchaser Alliance of Maine

EP345: Can Pharma Imagine How Our Health System Will Look in the Future? With Paul Simms

EP344: The High Cost of Generic Drugs, With Steven Quimby, MD

EP343: What Provider Leadership Teams Need to Know to Operationalize Value-Based Care, With David Carmouche, MD

EP342: How the Consolidated Appropriations Act (CAA) and ERISA Fiduciary Requirements Are an Anchor for Self-insured Employers to Navigate the Complexity of Healthcare, With Christin Deacon

EP341: How to Cut Administrative Waste AND Attract and Retain Doctors and Nurses, With Gary Campbell

EP340: How Digital Front Doors Can Enable Value-Based Care, With Kristin Begley

AEE17: Employers and Reference-Based Pricing—David Contorno's Latest Thinking

EP339: Helping Employers Navigate the Perilous Medical-Industrial Complex, With David Contorno

EP338: Ideas to Meet Rural Healthcare's Tough Challenges, With Nikki King, DHA

EP337: A Patient-First Specialty Pharmacy, Not a Money-First Specialty Pharmacy, With Olivia Webb

EP336: The Barbarians at the Gate—Who Are They and How Do They Cause Trouble for the Healthcare Industry Status Quo? With Brandon Weber

INBW30: A Hot Take on Healthcare Stakeholders Not Collaborating

AEE16: The Destruction of Primary Care—A Short History, With Brian Klepper, PhD

EP335: Why Is Private Equity Willing to Pay $55,000 per Patient to Primary Care Start-ups? With Brian Klepper, PhD

EP334: Do Consumers Ditch High-Cost Providers After Shopping With Price Transparency Tools? With Sunita Desai, PhD

EP333: Actually Using Care Plans in the Real World, With (in Order of Appearance) Jeff Hogan, Darrell Moon, Dr. Grace Terrell, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy

EP332: A New OS for Provider Organizations—The Patient-Centered Value System (PCVS), With Tony DiGioia, MD

EP331: Employers Buyer Beware! Six Tricks Wellness and Point-solution Vendors Use to Overstate Their Results, With Al Lewis, Cofounder and CEO of Quizzify

EP330: What Is Going On Over at Health Systems? With John Marchica, CEO at Darwin Research Group

EP329: Virtual-First Health Care Solutions—Their Promise and a Few Outstanding Questions, With Joe Connolly From Visana Health

EP328: An Interview Specifically for Health Care Executives, With Marshall Allen, Author of the Best Seller Never Pay the First Bill: And Other Ways to Fight the Health Care System and Win

ENCORE! EP263: The Start-up Who Won Medicare's AI Contest, Beating Out IBM, Deloitte, and Mayo—A Conversation With Andrew Eye

EP327: Pharma Hooking Up With Start-ups, With Naomi Fried, PhD, About PharmStars™

EP326: The Unfortunate News About HRRP, With Insights on How to Fix It, With Rishi Wadhera, MD, MPP

EP325: The Show in Which Dr. Mai Pham Disagrees With Three of My Value-Based Care Premises

EP324: ACOs (Accountable Care Organizations): Do They, in Fact, Improve the Quality of Care and Reduce Costs? With Nicole Bradberry and Kelly Conroy

Encore! EP244: A Playbook for Jumbo Employers—or Providers, Consultants, Carriers, or Pharma Who Get Paid by Jumbo Employers, With Lee Lewis, Chief Strategy Officer at the Health Transformation Alliance

EP323: A Short Take on Digital Tools Purporting to Maximize Throughput, With Arshad Rahim, MD, MBA, FACP, of Mount Sinai Health System

EP322: Cherry Picking, Lemon Dropping, and Other Learnings for Value-Based Care Models, With Monica Lypson, MD, MHPE

EP321: How to Point Out Low-Value Care Without Starting a Fistfight, With Rich Klasco, MD

AEE15: A Sidebar Conversation About the Importance and Challenges for Health Systems to Collaborate With Pharma Manufacturers, With David Carmouche, MD, From Ochsner, a Large Health System

EP320: Is Telehealth vs In-Person Care Like Some Kind of Winner-Takes-All Cage Fight? With Christian Milaster From Ingenium

EP319: How Do We Improve Outcomes in Skilled Nursing and Also Assisted Living Facilities? With Grace Terrell, MD

EP318: A Primer for Pharma Looking to Collaborate With Health Systems, From the Point of View of Troy Larsgard, a Pharmaceutical Category Manager at Johns Hopkins