Inbetweenisode 10: Health Insurance is not Healthcare. Healthcare is not Health.
Relentless Health ValueNovember 21, 201620:0418.37 MB

Inbetweenisode 10: Health Insurance is not Healthcare. Healthcare is not Health.

Stacey Richter

Stacey is co-president of Aventria Health Group, a marketing agency specializing in helping pharmaceutical, device and pharmacy clients gain access to patients by creating and leveraging partnerships with other health care organizations. For twenty years, Stacey has innovated better-coordinated health solutions benefiting all stakeholders, and most of all the patient.

If you enjoy this episode, be sure to listen to Inbetweenisode 14.


00:00 David Goldhill “Catastrophic Care: How American Health Care Killed My Father--and How We Can Fix It
01:00 Health Insurance by its very nature in our Healthcare Industry.
02:30 The average American contributes $1.2 million dollars in premiums and contributions.
03:15 Managing Non-Catastrophic claims.
03:30 “Health Insurance isn’t really Health Insurance, if it pays for anticipated expenses.”
04:40 “We’re paying someone 20% to pay someone on our behalf.”
05:20 Connecting the dots between Healthcare Services and Insurance Premiums.
06:15 The notion that there’s no direct line between Healthcare Cost and Insurance Premiums.
06:30 “Who’s paying for this cost?”
07:20 “There is nobody else - right now, we’re paying for our healthcare costs.”
09:15 “Insurance Companies have a rational financial interest in seeing Healthcare Costs go up.”
10:20 “Healthcare is a form of consumption.”
11:00 Medicare and Medicaid Cost Control.
11:40 Driving vs. Documenting Care.
12:15 Diagnostic Related Group (DRG), Prospective Payment System (PPS), and Fee For Service (FFS).
14:00 700% cost increase for a Hospital Stay since DRGs in 1983.
15:10 “Patients are actually the only ones who have a vested interest in actually keeping costs low.”
16:00 Consumers and Patients as being equipped to judge quality of Effective Care.
18:30 “Who is better?”
19:00 Affordable Healthcare Act as a Health Insurance Bill.
19:20 Health Insurance is not a synonym for Healthcare.

digital,health,healthcare,insurance,marketing,pharma,tech,non-catastrophic claims,medicaid cost control,fee for service,

Recent Episodes

EP476: Talking Whistleblowing and the Pharma Rebates Whistleblower Case With an Actual Whistleblower, With Ann Lewandowski
May 15, 2025
476
35:4732.75 MB

EP476: Talking Whistleblowing and the Pharma Rebates Whistleblower Case With an Actual Whistleblower, With Ann Lewandowski

Alright, first off, let me calm down any attorneys right outta the gate here. We will not be talking about—at all—the legal activity that is currently ongoing that my guest today, Ann Lewandowski, is involved with. The suit mostly on our radar today is the one where an EBC (employee benefit consult...

EP475: Is This a Moment or a Movement? With Peter Hayes
May 08, 2025
475
34:2531.51 MB

EP475: Is This a Moment or a Movement? With Peter Hayes

I was talking to Peter Hayes, my guest this week; and I said, “Peter, you post a lot about many, many different topics on LinkedIn and elsewhere. If you had to roll up all of your posts into a few main, I don’t know, change-making vectors or forces of change, roads to Damascus, what would they be? ...

EP474: Private Equity in Healthcare—The Big Data Points You Really Need to Know, All Together in One Episode, With Yashaswini Singh, PhD
May 01, 2025
474
41:2637.93 MB

EP474: Private Equity in Healthcare—The Big Data Points You Really Need to Know, All Together in One Episode, With Yashaswini Singh, PhD

Lots of talk and lots of research these days about private equity in healthcare, so I am so pleased to bring you Yashaswini Singh, PhD, who is one of the authors of a lot of that research. Dr. Yashaswini Singh has been spending the last several years trying to understand the corporate transformatio...

EP473: Keeping Patients out of the ER: How Trusted Relationships in Primary Care Should Work. A Take 2 With Kenny Cole, MD
April 24, 2025
473
34:5331.93 MB

EP473: Keeping Patients out of the ER: How Trusted Relationships in Primary Care Should Work. A Take 2 With Kenny Cole, MD

I’m revisiting, in a take two, this episode with Dr. Kenny Cole because I’m listening to it this time with a new focus. That focus is the theme that keeps coming up over and over and over again on Relentless Health Value these past few months. For a full transcript of this episode, click here . If ...

EP472: The Well-Honed, Three-Prong Hospital Playbook to Maximize Revenue From High-Cost Claimants, With Eric Bricker, MD
April 17, 2025
472
35:1732.3 MB

EP472: The Well-Honed, Three-Prong Hospital Playbook to Maximize Revenue From High-Cost Claimants, With Eric Bricker, MD

For a full transcript of this episode, click here . So, let’s continue themes from prior episodes, most particularly the episode from last week with Christine Hale, MD, MBA ( EP471 ), which was also about high-cost claimants and just the impact that they have on the wallets of self-insured employer...

EP471: High-Cost Claimants in 2025 and Beyond—What Is Really Expensive Not to Know? With Christine Hale, MD, MBA
April 10, 2025
471
34:4131.75 MB

EP471: High-Cost Claimants in 2025 and Beyond—What Is Really Expensive Not to Know? With Christine Hale, MD, MBA

Recently on Relentless Health Value, we’ve been tinkering around with a few recurring themes—recurring through lines—that are just true about American healthcare these days. For a full transcript of this episode, click here . If you enjoy this podcast, be sure to subscribe to the free weekly newsle...

EP470: Continuing the ER and Primary Care Through Line Over to Rural Hospitals and Healthcare, With Nikki King, DHA
April 03, 2025
470
35:1032.2 MB

EP470: Continuing the ER and Primary Care Through Line Over to Rural Hospitals and Healthcare, With Nikki King, DHA

So, the show today, it’s sort of an encore but not really an encore because I recorded this whole new introduction that you are currently listening to. And I also did a few inserts that we popped into the show itself. Inserts from the future, you might say. For a full transcript of this episode, cl...

Listen and Follow

Sponsored by Aventria Health Group
©2025 BD Bridges LLC. All Rights Reserved.