Relentless Health Value™

American Healthcare Entrepreneurs and Execs you might want to know. Talking. Relentless Health Value is a weekly interview podcast hosted by Stacey Richter, a healthcare entrepreneur celebrating fifteen years in the business side of healthcare. This show is for leaders in pharma, devices, payers, providers, patient advocacy and healthcare business. It's for health industry innovators, entrepreneurs or wantrepreneurs or intrapreneurs. Relentless Healthcare Value is the show for you if you want to connect with others trying to manage the triple play: to provide healthcare value while being personally and professionally fulfilled.

Reviews:
EP392: When Patient Journeys Don’t Fit in the EHR System, With Emily Kagan Trenchard From Northwell Health
January 26, 2023
392
31:3843.45 MB

EP392: When Patient Journeys Don’t Fit in the EHR System, With Emily Kagan Trenchard From Northwell Health

So, a few things to remind everybody. First of all, don’t forget EHRs (electronic health records) were purpose built originally for billing. This is no secret. People quite openly have called EHR systems glorified cash registers. If I want to be generous, maybe I would restate this to say that EHRs...

EP391: Lessons for Private Equity and Others Trying to Do Right by PCPs and Their Patients, With Scott Conard, MD
January 19, 2023
391
35:2048.53 MB

EP391: Lessons for Private Equity and Others Trying to Do Right by PCPs and Their Patients, With Scott Conard, MD

On Relentless Health Value, I don’t often get into our guests’ personal histories. There are a bunch of reasons for this, which, if you buy me beer, we can talk podcast philosophy and I will tell you all about my personal, very arguable opinion here. Nevertheless, in this healthcare podcast, we are...

EP390: What Legislators Need to Know About Hospital Prices, With Gloria Sachdev, PharmD, and Chris Skisak, PhD
January 12, 2023
390
34:4447.7 MB

EP390: What Legislators Need to Know About Hospital Prices, With Gloria Sachdev, PharmD, and Chris Skisak, PhD

If you go to the Sage Transparency dashboard Web site , you get a really graphical representation of the prices that any given hospital actually needs to charge so that they break even. You can see precisely which hospitals are operating on thin margins and which ones are not. You might be thinki...

EP389: The Clapback When Hospitals Cannot Constrain Their Own Prices, With Mike Thompson
January 05, 2023
389
34:4147.63 MB

EP389: The Clapback When Hospitals Cannot Constrain Their Own Prices, With Mike Thompson

For the past few shows and in a few coming up, we are circling our wagons around a theme: In healthcare in this country, there are two teams. One team is employers, taxpayers, patients … those trying to keep healthcare prices down. Then on the other team, we have those looking for healthcare prices...

Encore! EP326: The Unfortunate News About HRRP, With Insight Into How to Fix It, With Rishi Wadhera, MD, MPP
December 29, 202234:1847.11 MB

Encore! EP326: The Unfortunate News About HRRP, With Insight Into How to Fix It, With Rishi Wadhera, MD, MPP

HRRP stands for Hospital Readmissions Reduction Program, by the way. I wanted to encore this episode with Dr. Rishi Wadhera because it’s a great representation of a common root cause reason why quality metrics sometimes don’t end well in real life. This root cause is otherwise known a...

Encore! EP356: PBMs React to GoodRx, Mark Cuban, and Amazon Pharmacy, With Ge Bai, PhD, CPA
December 22, 202236:1049.67 MB

Encore! EP356: PBMs React to GoodRx, Mark Cuban, and Amazon Pharmacy, With Ge Bai, PhD, CPA

This show was one of the most popular episodes in the past 12 months. So, here it is again for your listening pleasure. Mostly this whole episode is about the so-called “Big Three” PBMs that provide between the three of them pharmacy benefit services for 95% of insured Americans. PBM stands for pha...

INBW37: Harnessing the Miracle of the Commons to Improve the Patient Journey Nationwide, A Conversation With Dave Dierk, Co-President of Aventria Health Group
December 15, 202224:3433.74 MB

INBW37: Harnessing the Miracle of the Commons to Improve the Patient Journey Nationwide, A Conversation With Dave Dierk, Co-President of Aventria Health Group

We have done three inbetweenisodes so far on healthcare stakeholder collaboration. In sum, there are two major issues that patients have with our healthcare industry, and both can only be solved for if healthcare stakeholder collaboration happens: Patients falling into care gaps and winding up with...

EP388: Merrill Goozner on the Future of Healthcare and Glide Paths to Get There
December 08, 2022
388
34:5547.96 MB

EP388: Merrill Goozner on the Future of Healthcare and Glide Paths to Get There

In this healthcare podcast, I have Merrill Goozner on the show talking about his prognostications for the future of healthcare in this country and how, realistically, it could be engineered so that the healthcare industry rightsizes itself relative to our GDP. Merrill offers three glide paths to th...

EP387: Medicare Advantage Trends and How Medicare Advantage Plans Will or Will Not Succeed, With Betsy Seals, CEO and Cofounder of Rebellis Group
December 01, 2022
387
34:5047.83 MB

EP387: Medicare Advantage Trends and How Medicare Advantage Plans Will or Will Not Succeed, With Betsy Seals, CEO and Cofounder of Rebellis Group

Here’s a big thing that Betsy Seals makes clear in this show: Big companies can be successful in Medicare Advantage (MA)—and I mean success in all of its financial glory—because they have experience and the scale and also the specialized departments who keep track of all kinds of intricacies that a...

INBW36: Will Healthcare Stakeholders Who Don’t Collaborate Wind Up With a Business Problem?
November 24, 202219:0026.08 MB

INBW36: Will Healthcare Stakeholders Who Don’t Collaborate Wind Up With a Business Problem?

We got two new reviews this week on the podcast, which I was thrilled to see. The first was from, it turns out, Dave Chase from Health Rosetta, who wrote that “with so many people in healthcare practicing ‘innovation theater’ and bloviating versus driving real change, it’s a...

Encore! EP351: Everybody in the Healthcare Industry Getting Up in Everyone Else’s Business, With Eric Bricker, MD
November 16, 202234:4947.82 MB

Encore! EP351: Everybody in the Healthcare Industry Getting Up in Everyone Else’s Business, With Eric Bricker, MD

This episode was one of the most popular episodes in the past 12 months. Since it aired, there was a show with Kevin Schulman, MD ( EP366 ), that added some context, which I would recommend, and also one with David Muhlestein, PhD, JD ( EP364 ). Those two shows and this one are a good three-pack. A...

EP386: What You Need to Know About ER Bills Post the No Surprises Act, With Al Lewis
November 10, 2022
386
32:2144.42 MB

EP386: What You Need to Know About ER Bills Post the No Surprises Act, With Al Lewis

First of all, let me thank those of you who have left a podcast review in 2022. There was one from Best Healthcare Podcast Around on Apple Podcasts the other day that thanked Relentless Health Value for being singularly responsible for providing a 400-level education in so many complex areas of hea...

EP385: Morgan Health and the 5 Things Self-insured Employers Should Do Right Now, With Dan Mendelson
November 03, 2022
385
34:5948.03 MB

EP385: Morgan Health and the 5 Things Self-insured Employers Should Do Right Now, With Dan Mendelson

If you listened to the show with Dan O’Neill ( EP359 ), you would know this already. But let me tell you: If you’re a provider, even a provider very confident in your office’s ability to confer better patient health, you will still have a super hard time getting off the fee-for-service (FFS) hamste...

EP384: How Shareholders Impact Payer Behavior, Exactly and Specifically, With Wendell Potter
October 27, 2022
384
36:0749.58 MB

EP384: How Shareholders Impact Payer Behavior, Exactly and Specifically, With Wendell Potter

Here’s a Milton Friedman quote: “There is one and only one social responsibility of business—to use its resources and engage in activities designed to increase its profits so long as it [that entity] stays within the rules of the game, which is to say, engages in open and free competition without d...

EP383: Direct Contracting as a Health System Business Strategy, With Nick Stefanizzi
October 20, 2022
383
32:5545.2 MB

EP383: Direct Contracting as a Health System Business Strategy, With Nick Stefanizzi

The show on direct contracting with Doug Hetherington ( EP367 ) and also the one with Katy Talento ( EP350 ), both of these experts have said that if an employer direct contracts with a provider organization, in general, the employer gets about 20% savings over the status quo. This makes sense&mdas...

Encore! EP335: Why Private Equity Is Willing to Pay $55,000 per Patient to Primary Care Start-ups, With Brian Klepper, PhD
October 13, 202233:1345.62 MB

Encore! EP335: Why Private Equity Is Willing to Pay $55,000 per Patient to Primary Care Start-ups, With Brian Klepper, PhD

This show was one of the most popular episodes in the past 12 months, so enjoy this encore while I am in Chicago moderating a panel on pharmacy benefit management at the WTW Conference Board. But while I have you, I just wanted to thank everyone for listening. You really are a part of our Relentles...

EP382: Pharma Conflicts of Interest and the Anti-Kickback Statute, With Aaron Mitchell, MD, MPH
October 06, 2022
382
32:4745.02 MB

EP382: Pharma Conflicts of Interest and the Anti-Kickback Statute, With Aaron Mitchell, MD, MPH

I saw a Tweet from Farzad Mostashari, MD , the other day; and I’m gonna rewrite it in the context of today’s show: This is why we can’t have nice things! As soon as someone comes up with something that might accomplish some good things when done in moderation and with good intent, it gets exploited...

EP381: For Reals, Becoming Customer-centric, Transforming, or Innovating at a Very Large Organization, With Karen Root
September 29, 2022
381
32:3444.74 MB

EP381: For Reals, Becoming Customer-centric, Transforming, or Innovating at a Very Large Organization, With Karen Root

I was at the PanAgora Pharma Customer Experience (CX) Summit earlier this summer. Let me tell you one of my big takeaways. Many at pharma companies who are trying to convince their organizations of the need to be provider- and/or patient-centric are having a tough go of it. Heard that coming from e...

EP380: 7 Big Reasons Medicare Drug Price Negotiation Actually Happened This Time Around—What Changed? With Mark Miller, PhD
September 22, 2022
380
33:1845.72 MB

EP380: 7 Big Reasons Medicare Drug Price Negotiation Actually Happened This Time Around—What Changed? With Mark Miller, PhD

It’s been said that healthcare in this country will not be transformed because of some incremental government policy, nor will this industry transform because of some tech company who techs the crap out of healthcare. It’s been said that the only way the healthcare industry in this co...

EP379: How Much Money, Really, Are Employee Benefit Consultants and/or Brokers Making From Plan Sponsors? With AJ Loiacono
September 15, 2022
379
35:1948.51 MB

EP379: How Much Money, Really, Are Employee Benefit Consultants and/or Brokers Making From Plan Sponsors? With AJ Loiacono

This show with AJ Loiacono is different than others you may have heard with him because in this healthcare podcast, we are not talking about PBMs (pharmacy benefit managers). We’re talking about brokers and EBCs (employee benefit consultants). So, say I’m a self-insured employer. Here...

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