EP492: The Solutions Show: How to Run a High-Quality Hospital at 143% of Medicare, With Sam Flanders, MD, and Shane Cerone

In this episode, host Stacey Richter speaks with Dr. Sam Flanders and Shane Cerone about creating a high-quality hospital management model focused on surviving at 150% of Medicare costs. They discuss the inefficiencies in health systems and practical solutions to improve them without compromising quality.  The conversation covers the importance of empowering frontline staff, adopting continuous improvement models like Toyota's, and the critical role of employers in reshaping market dynamics through direct negotiation and price transparency. The episode emphasizes actionable steps for hospital executives, plan sponsors, and employers to drive significant improvements in healthcare efficiency and affordability. === LINKS === 🔗  Show Notes with all mentioned links:   https://cc-lnk.com/EP492 ✉️  Enjoy this podcast? Subscribe to the free weekly newsletter: https://relentlesshealthvalue.com/join-the-relentless-tribe 🫙  Support the podcast with a small donation to the Tip Jar: https://relentlesshealthvalue.com/join-the-relentless-tribe 📺  Subscribe to our YouTube channel   https://www.youtube.com/@RelentlessHealthValue 🎤  Listen on Apple Podcasts  https://podcasts.apple.com/us/podcast/feed/id892082003?ls=1 🎤  Listen on Spotify  https://open.spotify.com/show/6UjgzI7bScDrWvZEk2f46b === CONNECT WITH THE RHV TEAM === ✭ LinkedIn   https://www.linkedin.com/company/relentless-health-value/ ✭ Threads  https://www.threads.net/@relentlesshealthvalue/ ✭ Bluesky   https://bsky.app/profile/relentleshealth.bsky.social ✭ X   https://twitter.com/relentleshealth/ 07:08 What are the many problems that health systems deal with? 08:44 EP483 (Part 1 and Part 2) with Jonathan Baran. 09:43 What was the real achievement in building this hospital system? 10:25 EP489 (Part 1 and Part 2) with Dan Greenleaf. 10:42 Why productivity and patient access are the top two things to focus on. 11:36 EP488 with Mark Cuban and Cora Opsahl. 12:32 EP455 with Beau Raymond, MD. 12:58 The lean model versus the Toyota model. 16:06 EP438 with John Lee, MD. 16:40 EP481 with Benjamin Schwartz, MD, MBA. 17:44 Why small changes accumulated create greater change than big changes. 21:01 How an efficiency mindset can increase improvement faster. 27:42 Why administrators should not be negotiators. 28:11 EP491 with Elizabeth Mitchell. 29:06 What are the steps to this multifaceted process? 30:17 EP286 with John Rodis, MD, MBA. 30:48 Study by Suhas Gondi, MD, MBA, on hospital boards. 33:03 Why it's important to focus on the pricing issue first. 33:49 What Kada Health is all about.