Video Shorts

Recent Shorts

Primary Care is an Investment If It's Good Primary Care, Everything Else Is a Cost.
March 14, 202500:00:59

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
February 06, 202500:01:16

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
January 23, 202500:00:51

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
January 16, 202500:01:14

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...

Recent Episodes

EP468: Very Common Assumptions That Aren’t Actually True About Member Engagement and the Healthcare Industry, With Matt McQuide
March 20, 2025
468
34:3931.72 MB

EP468: Very Common Assumptions That Aren’t Actually True About Member Engagement and the Healthcare Industry, With Matt McQuide

This conversation today with Matt McQuide is such a follow-on to the episode from last week where I encapsulated a major theme from the past five or six episodes. I know I’m on a roll. The thing is, if an employer doesn’t take the initiative and steer members or help them navigate through our curre...

EP467: Connecting Sky-High ER Spend to Primary Care Access—Following the Dollar Through Carriers and Hospitals, With Stacey Richter
March 13, 2025
467
23:0921.19 MB

EP467: Connecting Sky-High ER Spend to Primary Care Access—Following the Dollar Through Carriers and Hospitals, With Stacey Richter

Here’s my new idea for an episode. Welcome to it. I want to talk about a major theme running through the last few episodes of Relentless Health Value. And this theme is, heads up, going to continue through a few upcoming shows as well. For a full transcript of this episode, click here . If you enjo...

EP466: What Is Rising Faster, Insurance Premiums or Hospital Prices? With Vivian Ho, PhD
March 06, 2025
466
36:1233.13 MB

EP466: What Is Rising Faster, Insurance Premiums or Hospital Prices? With Vivian Ho, PhD

This episode has three chapters. Each one answers a key question, and, bottom line, it all adds up to action steps directly and indirectly for many, including plan sponsors probably, community leaders, and also hospital boards of directors. Here’s the three chapters in sum. For a full transcript of...

EP465: The Not Super Effective Contracting Industry Norm, Where Jumbo Plans and Others Wind Up Paying $10,000 for $50 Drugs, With Chris Crawford
February 27, 2025
465
34:1531.34 MB

EP465: The Not Super Effective Contracting Industry Norm, Where Jumbo Plans and Others Wind Up Paying $10,000 for $50 Drugs, With Chris Crawford

First of all, everybody listening here has probably heard of the lawsuit in which J&J—and talking about J&J as a large employer here now, not as a drug company—but J&J is (or maybe was, there’s action afoot) being sued by a plan member because, here’s the short version, allegedly, the J...

EP464: ER Visits Now 6% of Total Plan Spend. Is It Upcoding or What? With Al Lewis
February 20, 2025
494
31:4028.99 MB

EP464: ER Visits Now 6% of Total Plan Spend. Is It Upcoding or What? With Al Lewis

Today, I am speaking with the one, the only Al Lewis, and we’re gonna talk about how 6% of a lot of plan sponsors’ total spend is now going to ER/ED (emergency room/emergency department) visits. That’s a lot of spend. For a full transcript of this episode, click here . If you enjoy this podcast, be...

EP463: Medicare Advantage Policies—Which Will Stay and Which Will Go Now? With Betsy Seals
February 13, 2025
463
35:1132.2 MB

EP463: Medicare Advantage Policies—Which Will Stay and Which Will Go Now? With Betsy Seals

Every Gen X’er listening to this is gonna be singing that Clash  song in your head for the rest of the day. So, let’s turn our attention to Medicare Advantage policy. And on the show today, I grill the one and only Betsy Seals to find out which policies she thinks are going to stay and which a...

Encore! EP384: How Shareholders Impact Carrier Behavior, Exactly and Specifically, With Wendell Potter
February 06, 202535:0132.05 MB

Encore! EP384: How Shareholders Impact Carrier Behavior, Exactly and Specifically, With Wendell Potter

I am drowning in all things Q1 right now. So, this week we’re going with an encore. But this is a great show to go back and reflect upon, as it’s about carriers and how shareholders impact the actions of said carriers. For a full transcript of this episode, click here . If you enjoy this podcast, b...

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