Let's Fix Healthcare Together!
Shorts
95% Reversed on Appeal — The Prior Auth Shock.
Clip from episode 510 with Betsy Seals about Medicare Advantage providers and profiteering. === LINKS === 🔗 Full Episode: https://youtu.be/pfhKPVn0Uks ✉️ Enjoy this podcast? Subscribe to the free weekly newsletter: https://relentlesshealthvalue.com/join-the-relentless-tribe 🫙 Support the podcast w...
Medicare Advantage - Fair Profit vs Profiteering in One Sentence
Clip from episode 510 with Betsy Seals about Medicare Advantage providers and profiteering. === LINKS === 🔗 Full Episode: https://youtu.be/pfhKPVn0Uks ✉️ Enjoy this podcast? Subscribe to the free weekly newsletter: https://relentlesshealthvalue.com/join-the-relentless-tribe 🫙 Support the podcast w...
Direct Contracting with Independent Doctors: A Medicare Rate Reality Check | Episode 500
150% vs. 800% of Medicare? See how direct contracting with independent doctors is slashing healthcare costs while improving care. In this clip from Episode 500 of Relentless Health Value, Stacey Richter and Ivana Krajcinovic discuss a win-win deal that bypassed hospital bureaucracy in Monterey. By d...
Zack Kanter of Stedi and Stacey Richter discuss the high cost to process a healthcare transactions.
A clip from Episode 497 of Relentless Health Value where Stacey Richter engages in a detailed conversation with Zack Kanter from Stedi about the complexities and inefficiencies inherent in healthcare transactions and clearinghouses costing billions of dollars and costing much more to process an elec...
Mark Newman on Nomi Health's Experiment with No Copay, No Deductible Model with Stacey Richter.
A clip from Episode 496 on the Relentless Health Value podcast where Mark Newman talks about Nomi Health's experiment with a No Copay, No Deductible model. === LINKS === 📺 Listen to the full episode: https://youtu.be/E_IkcQ5s9uY 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP496 ✉️ En...
Shane Cerone on how we don't have a functioning marketplace in healthcare. #healthcarepodcast
A clip from episode 490 of Relentless Health Value with Shane Cerone, CEO of Kada Health. In this clip he says that one myth in healthcare is that we have a functioning marketplace. We have a almost non-existent marketplace. === LINKS === 🔗 Link to Episode: https://youtu.be/ysdw8pFVbSQ 🔗 Show Note...
Dan Greenleaf, CEO of Duly Health and Care on the Staggering Rise in Healthcare Costs Since 2000.
In this clip from Episode 489, Dan Greenleaf, CEO of Duly Health and Care, breaks down the staggering rise in healthcare costs since 2000 and its impact on American families. Discover why middle and lower class families are bearing the brunt of these increases, and hear Dan’s candid thoughts on the ...
Mark Cuban, Cora Opsahl and Stacey Richter on How High Deductibles Insurance Leaves You Unprotected
Do high deductibles give you healthcare protection or just leave you high and dry? Discover what being 'functionally uninsured' truly means. This week we had Mark Cuban and Cora Opsahl on the podcast to discuss high deductible health insurance as well as direct contracting for self insured employers...
The Hidden Tax You Didn't Know Existed - Health Insurance #healthcareindustry #healthcarepodcast
A clip from Relentless Health Value episode 488 with Mark Cuban where we delve into the often-overlooked reality that healthcare insurance premiums constitute the largest 'tax' burden on American families. We discuss how a family of five earning $125,000 annually can end up paying $1,500 a month, am...
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 con...
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...