Shorts
Primary Care is an Investment If It's Good Primary Care, Everything Else Is a Cost.
Here's a clip from Ep 467 or Relentless Health Value titled "Connecting Sky-High ER Spend to Primary Care Access—Follow the Dollar Through Carriers & Hospitals". === LINKS === 🎤 Listen to the full episode: https://youtu.be/yahgSNTwEiU 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP467...
Medicare Advantage Scandal: Denying and Delaying Needed Care in the #healthcareindustry
In this clip from Encore episode 384, we discuss a 2022 federal investigation which is relevant today which revealed that Medicare Advantage plans frequently deny and delay necessary care. A notable industry statistic highlights that 65% of denied prior authorizations are not appealed, shedding ligh...
Stacey Richter Discusses The Paradox of Being 'Functionally Uninsured'. #healthcareindustry
Navigating Moral Hazard and High-Value Care in Benefit Design This clip from the Relentless Health Value podcast 'Inbetweenisode', Stacey Richter delves into the complexities of moral hazard in the context of health insurance and benefit design. She discusses the significant impact of financial ince...
Chris Crawford from RxSaveCard Discusses GLP-1s and Self-Insured Employers with Stacey Richter
A clip from EP461 of Relentless Health Value titled "Pick Only One, Plan Sponsors: Do You Want to Control GLP-1 Volume or GLP-1 Unit Cost?" In this episode, we delve into the financial impacts of rebates on employers and plan sponsors. As organizations push for higher rebates, pharma costs keep risi...
Revamping Healthcare:$5 Trillion for 'Crappy Outcomes' w/ Dr. Fernandopulle #healthcareaffordability
A clip from the episode titled: "Rushika Fernandopulle, MD’s Theory of Change Starts With Status Quo Healthcare". Listen to the full Relentless Health Value podcast episode on our channel: https://youtu.be/_GCBi1WI7nU === LINKS === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP460 ✉️ ...
Real Prices for Real Savings Fixing Healthcare Costs with Bill Sarraille #healthcareaffordability
Understanding the Real Cost of Co-Insurance and Pharmacy Prices In this clip from the Relentless Health Value podcast, we explore the issue of co-insurance being calculated based on artificially inflated list prices, which do not reflect the actual cost covered by insurance plans or Pharmacy Benefit...
A Clip From Relentless Health Value Episode 449 with Dr. Marty Makary #healthcarepodcast
Empowering Employers: Revolutionizing Healthcare Literacy and Accountability Check out the full episode here: https://youtu.be/_NN02OtbDVE In this episode with Dr. Marty Makary, we explore the significant opportunities now available to plan sponsors to address the longstanding flaws in the healthcar...
The Push for Real Healthcare Payment Reform with Elizabeth Mitchell
Exploring Alternative Payment Models in Healthcare In this clip from our episode ( https://youtu.be/j3wi2I66CaM), Elizabeth Mitchell, President and CEO of the Purchaser Business Group on Health and I delve into the shortcomings of value-based payment arrangements and discuss the need for meaningful ...
Dr. Spencer Dorn and Stacey Richter Discuss EHR's & Kranzberg's Law from Eps 446. #healthcarepodcast
You can listen or see the full show notes with mentioned links on the episode page . The whole point of healthcare, is to help people live healthier, happier lives. While some of it we can do in a detached, aloof, impersonal manner, my strong belief is that deeper healing comes from those deeper co...
Stacey Richter on State CON and COPA Laws & Why Then Need to be Repealed. #healthcarepodcast
A clip from Episode 444 from the Relentless Health Value Podcast with guest Ann Kempski. https://youtu.be/WTYZSX0rtcI In this episode we discuss the unintended consequences of the Certificate of Need (CON) and the Certificate of Public Advantage (COPA) laws and why some states are beginning to repea...
Dr. David Muhlestein on Balancing Patient Care vs. Financial Outcomes in Healthcare.
This clip come from an interview with Dr. Muhlestein from epsiode 440: https://www.youtube.com/watch?v=5qmYt24j_fM In this episode, we explore the delicate balance between providing comprehensive healthcare and managing financial resources effectively. We delve into the broader issues at an organiza...
David Muhlestein on What the Optimal Size For a Medical Practice?
Optimizing Provider Practices: Balancing Size and Efficiency in Medical Groups from Episode 440 on Relentless Health Value podcast. You can read the full article with show notes and links here: https://cc-lnk.com/EP440 Explore how to establish the optimal size for provider practices to ensure effici...
Luke Slindee on the Need to Remove "Usual and Customary Prices" Clause from PBM Contracts. #podcast
A clip from Episode 439 of the Relentless Health Value podcast. The conversation with Luke Slindee explores various solutions to drug pricing , such as the removal of "Usual and Customary Prices" from PBM contracts, the advantages of bypassing insurance, and giving patients direct payment tools lik...
Stacey Richter on Drug Costs and Paying Cash From Episode 439 w/ Luke Slindee #pharmacist #podcast
Clip from Episode 439 of 'Relentlessly Seeking Value,' host Stacey Richter discussing the convoluted issues surrounding generic drug pricing with pharmacy consultant Luke Slindee. They delve into the ways traditional Pharmacy Benefit Managers (PBMs) exploit the system to make immense profits, often ...
Dr. John Lee Shares a Story About Why a Successful Heart Program Was Cut #valuebasedhealthcare
In this weeks @RelentlessHealthValue podcast we spoke to Dr. John Lee in episode 438 "Recognizing Cognitive Dissonance and Thinking About How to Overcome It When in the Belly of the Beast". Here we chat about how someones actions are in direct conflict with their beliefs. In the example, Dr. Lee men...
Brian Klepper, PHD on the Unseen Influence of the RUC on Healthcare and Specifically #primarycare
Primary Care is a critical function and it has been neutralized by the specialty community to get the patients directly there, and by the health plan community to make sure that the total spend is as much as possible because they're making money on it. And by the health systems who are trying to dri...
Optimal Care Management Is Done In Primary Care but Health Plans Try To Take a Larger Role.
Full episode here: Let’s Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia https://youtu.be/f3YF33Mc8S4 Health plans like to take on larger and larger roles in the management of healthcare. So they retain more and more money trying to take on a larger role. Many health plans w...
30% Just Goes Missing From Health Plans #valuebasedhealthcare #podcast #healthcareindustry
Full episode here: Let’s Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia https://youtu.be/f3YF33Mc8S4 Elizabeth Mithcell from PBGH, the Pittsburgh Business Group on Health discussing cost of care and middlemen in the industry. For self-insured employers, your health p...
Rob Andrews Discuses Providers Not Being Paid for Outcomes Which Ties Into e421 with Jodilyn Owen
You can listen to the full episode or read the show notes on the episode page .
A Clip of Stacey Richter's Intro for Episode 422 with Jodilyn Owen on Her Birth Clinics Outcomes.
In the episode 422 intro, Stacey compares Jodilyn's birth clinic's outcomes to the fancy hospital in a wealthy neighboring town... Check out the full episode to find out how they do it: https://youtu.be/NAoVnOoolyU Read the full article here: https://cc-lnk.com/EP421 #healthcarepodcast #birthclinic ...