EP259: What Are Payers Looking to Solve For Right Now? With Rahul Dubey of Percynal Health Innovations
February 06, 2020
259
32:43

EP259: What Are Payers Looking to Solve For Right Now? With Rahul Dubey of Percynal Health Innovations

Rahul Dubey is the founder of Percynal Health Innovations. He’s also the former chief innovation officer at AHIP—that’s America’s Health Insurance Plans. AHIP is a trade group for insurance carriers, health systems, best-in-breed solution providers, and others. Rahul has created what he calls strategic working groups, in which he gets together essential stakeholders within a regional geography to collaborate and figure out innovative best-in-class emerging solutions and approaches.

The first thing they do in these strategic working groups is to identify common problems. Since the best solutions solve the best problems for the most stakeholders, this seems like a pretty decent way to start. What are some of the challenges that Rahul has identified with payers and providers and other stakeholders to solve for? Here’s your listicle:

  1. Really get to population health management and just population health

  2. Operational inefficiencies

  3. Information trafficking without getting anything out of it is not gonna work anymore

  4. Level up health literacy

Here’s a point Rahul makes that I’m continuing to think about. He says that payers should be grade aggregators—aggregators of data, aggregators of solutions that they should be able to distribute to other essential stakeholders. I heard somebody else say the other day that the new payer is more like an entity that provides comprehensive services.

You can learn more by connecting with Rahul via LinkedIn

Rahul Dubey is CEO of Percynal Health Innovations and the Founder of America's Health Insurance Plans (AHIP) Innovation Lab. Rahul is currently responsible for collaborating with C-level executives at his health plan. Prior to joining AHIP and launching Percynal Health Innovations, Rahul held a leadership role as a founding employee of a successful digital health care start-up based in Washington, DC. Along with the company’s cofounders, Rahul was instrumental in developing a multifaceted consumer tool as well as leading the company’s “go-to-market strategy,” resulting in successful market penetration and revenue growth for the industry’s first consumer-led shared decision making and treatment selection platform.

Rahul was recognized with the Smart Health’s 2018 Excellence in Healthcare Transformation award, was named the American Journal of Health Promotion’s 2017 Innovators and Game Changers, and is featured in Accenture Perspectives: Minds Driving the Future of Business. In 2017, Frost & Sullivan presented Rahul with one of their highest honors, their Global Visionary Innovation Leadership Award.

He is a graduate of the University of Michigan–Ross School of Business and lives in Washington, DC, with his son. He invites you to contact him directly—that is, if you’re willing to roll up your sleeves and drive transformation through inflective collaborative.


02:08 The stated needs of payers.
03:24 “Where are the inefficiencies that we can actually cut out of the system?”
05:14 A reverse approach to meeting the needs of payers.
06:35 Information transfer—what this means.
09:42 “Innovation is a team sport.”
13:12 The “optimal solution.”
18:49 “The lines of communication and business model creation … it’s getting very creative right now.”
20:10 Data play and finding key insights.
20:49 “A more definitive risk.”
21:24 Vendors as “solution providers.”
21:33 “The great aggregators”—collaborating optimally.
22:39 Brian Van Winkle and Rishab Shah on NODE.Health’s “Ease of Doing Business.”
25:16 “It’s more relationship innovation and business model innovation than technology.”
27:02 Rahul’s advice to health plan collaborators, like insurance carriers.
29:44 Rahul’s advice on how providers can collaborate better.
30:37 What’s essential to payer success.
30:56 “Who are we trying to serve?”

healthcare,health,marketing,health systems,percynal health innovations,
|
|

Episode Support Provided By

Special Thanks to Our 2026 Sustaining Monthly Donors

Marilyn Bartlett, Kimberly Carleson, Dylan Yahn, Benjamin Light, Matt McQuideAnn Kempski, Spencer Allen, Scott Tromanhauser, 
Steven Elkins, Matthew Bunte, and Lori Smith.

Recent Episodes

EP518: How Do You Explain the Difference Between an ASO Vendor and a TPA? With Claire Brockbank
Relentless Health ValueJuly 01, 2026
518
14:2513.2 MB

EP518: How Do You Explain the Difference Between an ASO Vendor and a TPA? With Claire Brockbank

Listen on Your Favorite App Dr. Alex Sommers: Hi. I'm Alex Sommers. I'm president of Astia Health, an advanced direct primary care organization, an emergency medicine and lifestyle medicine physician, as well as a licensed employer health plan advisor from Wisconsin. I'm curious how you explain the ...

EP517: The Business of Prior Auths: The 401-Level Financial Motive Behind Prior Auths
Relentless Health ValueJune 24, 2026
517
27:2325.07 MB

EP517: The Business of Prior Auths: The 401-Level Financial Motive Behind Prior Auths

Listen on Your Favorite App Hello, Relentless Health Value Tribe. Welcome to it. So, yeah … last week, I had a great conversation with Ophelia Johnson ( EP516 ) that is a companion show, I would say, to this one. So, listen to that one first. Listen to this one first. You do you. For a full transcri...

EP516: GLP-1s and Cash Pay From the Pharma Manufacturer Point of View, With Ophelia Johnson
Relentless Health ValueJune 17, 202644:0540.35 MB

EP516: GLP-1s and Cash Pay From the Pharma Manufacturer Point of View, With Ophelia Johnson

Listen on Your Favorite App Hello, all you Relentless Tribe members. Welcome to it. Today we have a show that will bend your mind in new directions. And yes, I have a head cold at a very weird time of year. I have trouble apparently doing things like normal people. Anyway, we talk a lot on this podc...

EP515: SNF (Skilled Nursing Facility) Fraud—Or Is It Fraud? With Michelle Cera, PhD
Relentless Health ValueJune 10, 202643:0739.47 MB

EP515: SNF (Skilled Nursing Facility) Fraud—Or Is It Fraud? With Michelle Cera, PhD

Listen on Your Favorite App Hello, all you Relentless Tribe members. Lately, I have been just obsessed with what's hiding in plain sight: the root cause glitches in how American healthcare is built. Not the symptoms now. Not the noise. The actual ground zero. I mean, what we call healthcare in this ...

EP514: Successfully Suing a Health System for Their Anticompetitive Contracts and Also Collecting Damages for Plan Sponsors and Members, With Matt Cantor
Relentless Health ValueJune 03, 2026
514
43:4340.02 MB

EP514: Successfully Suing a Health System for Their Anticompetitive Contracts and Also Collecting Damages for Plan Sponsors and Members, With Matt Cantor

Listen on Your Favorite App Hello, all you Relentless Tribe members. This is the third episode in our legal goings-on trifecta, starting with Doug Aldeen in episode 512 covering what amounts to the main reasons plan sponsors wind up suing their brokers or employee benefit consultants. For a full tra...

EP513: Revisiting Cunning Anticompetitive Hospital Contracts, With Brennan Bilberry

EP513: Revisiting Cunning Anticompetitive Hospital Contracts, With Brennan Bilberry

Listen on Your Favorite App If you are a large employer, union funds broker, fiduciary, or anyone responsible for a health plan that spends half of its dollars on hospital care (which most do), or if you have anything to do with policy or enforcement of policy, yeah … listen this week and next week....

EP512: 3 Kinds of Broker/EBC Rent-Seeking Payment Models—A Lawyer’s Perspective, With Doug Aldeen

EP512: 3 Kinds of Broker/EBC Rent-Seeking Payment Models—A Lawyer’s Perspective, With Doug Aldeen

Listen on Your Favorite App I wanted to talk to a lawyer ’cause, yeah, lawyers are the ones that see stuff that falls the whole way down to the level of legal action. But I wanted to find out what are the main categories of things that wind up in legal land when it comes to broker or EBC (employee b...

Listen and Follow

Sponsored by Aventria Health Group
©2026 BD Bridges LLC. All Rights Reserved.