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Relentless Health Value

Stacey Richterrelentlesshealthvalue.com
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.
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Episodes

Encore! EP392: When Patient Journeys Don’t Fit in the EHR, With Emily Kagan Trenchard

Redefining the Patient Journey Beyond EHR: Insights with Emily Kagan Trenchard To read the full article and show notes with links mentioned as well as a full transcript, click here . In this encore episode of 'Relentless Health Value,' Stacey Richter speaks with Emily Kagan Trenchard about the limitations of Electronic Health Records (EHR) in capturing comprehensive patient journeys. Emily, SVP and Chief of Consumer Digital Solutions at Northwell Health, discusses the importance of integrating o...

Dec 28, 202331 min

Encore! EP372: Step One for Employers and Unions—Get Your Data, With Cora Opsahl

Harnessing Data for Smarter Health Fund Management with Cora Opsahl from 32BJ To read the full article and show notes with links mentioned as well as a full transcript, click here . In this encore episode of Relentlessly Seeking Value, Stacey Richter talks with Cora Opshal, Director of the 32BJ Health Fund, about the imperative for employers and unions to obtain and effectively use their health data. The conversation details the significant benefits of data analytics, such as smart decision-maki...

Dec 21, 202332 min

EP421: Wildly Improving Outcomes When the Patient Is, for Reals, in the Center—For Maternity and Beyond, With Jodilyn Owen

Improving Maternity Outcomes: The Role of Trust and Community-Based Care To read the full article and show notes with links mentioned as well as a full transcript, click here . In Episode 421, 'Wildly Improving Outcomes When The Patient Is, For Reals, In The Center. For Maternity and Beyond,' host Stacey Richter interviews Jodilyn Owen, clinical director of the Rainier Valley Birth and Health Center. They discuss the systemic issues in the U.S. healthcare system where financial incentives do not...

Dec 14, 202336 minEp. 421

EP420: Paying Cash for Generic Drugs—Some Finer Points That Had Totally Gone Over My Head, With Ge Bai, PhD, CPA

Uncovering the Economics of Paying Cash for Generic Drugs with Ge Bai To read the full article and show notes with links mentioned as well as a full transcript, click here . In this episode, Stacey Richter talks with Dr. Ge Bai, a professor at Johns Hopkins, about the rationale and financial implications of paying cash for generic drugs instead of using insurance. The discussion highlights the inherent inefficiencies and high administrative costs associated with PBMs (Pharmacy Benefit Managers) ...

Dec 07, 202337 minEp. 420

EP419: The Financialization of Health Benefits for Boards of Directors and C-Suites of Self-Insured Employers, With Andreas Mang

The Financialization of Health Benefits: A Boardroom Imperative To read the full article and show notes with links mentioned as well as a full transcript, click here . In episode 419 of Relentless Health Value, Stacey Richter interviews Andreas Mang from Blackstone on the financialization of healthcare benefits for corporate boards and C-suite executives. The discussion highlights the transformation of healthcare benefits into a significant business aspect, emphasizing the importance of C-suite ...

Nov 30, 202338 minEp. 419

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

Encore: Achieving Customer-Centric Transformation in Large Organizations with Karen Root To read the full article and show notes with links mentioned as well as a full transcript, click here . In this encore episode of 'Relentless Health Value', host Stacey Richter speaks with Karen Root, Director of Experience Strategy at BI, about achieving customer-centric transformation and innovation in large organizations. The discussion highlights the importance of change management, systems thinking, and...

Nov 23, 202332 min

EP418: Mark Cuban With Some Advice for CEOs and CFOs of Self-insured Employers, With Mark Cuban and Ferrin Williams, PharmD, MBA, From Scripta

Episode 418: Mark Cuban’s Insights on Reducing Healthcare Costs for Self-Insured Employers To read the full article and show notes with links mentioned as well as a full transcript, click here . In Episode 418 of Relentless Health Value, Mark Cuban, CEO and founder of Mark Cuban Cost Plus Drugs, joins host Stacey Richter, and guest Farron Williams, Chief Pharmacy Officer at Scripta, to provide critical advice for CEOs and CFOs of self-insured employers. The podcast delves into the financial intr...

Nov 16, 202355 minEp. 418

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

5 Strategies for Self-Insured Employers to Enhance Employee Health To read the full article and show notes with links mentioned as well as a full transcript, click here . In this encore episode of Relentless Health Value, host Stacey Richter revisits her discussion with Dan Mendelson, CEO of Morgan Health at JPMorgan Chase. They delve into five pivotal actions self-insured employers can take to improve employee health significantly. These actions include expanding accountable care models, invest...

Nov 09, 202334 min

EP417: 5 Kinds of Payer and Provider Collaborations and 5 Must-Haves for Said Collaborations to Work, With Josh Berlin, JD

Exploring Effective Payer-Provider Collaborations: Insights and Key Strategies To read the full article and show notes with links mentioned as well as a full transcript, click here . In episode 417 of Relentless Health Value, Stacey Richter engages in a detailed discussion with Josh Berlin from Rule of Three consulting firm about the dynamics and strategies behind successful provider and payer collaborations in the healthcare industry. They delve into the historically adversarial relationship be...

Nov 02, 202334 minEp. 417

EP416: Why Should Med Schools Teach the Business of Medicine? With Adam Brown, MD, MBA

Now, I’m being pretty careful here because med schools are super sensitive about their curriculums. And I am sensitive to the fact there’s much to teach in four years. So, throwing no shade here, what do I know from the Krebs cycle? Choices of what to teach are tough. With that disclaimer, in this healthcare podcast I am speaking with Adam Brown MD, MBA, about an article he wrote entitled “Dear Medical Schools, Educate Students on the Business of Medicine—Without it, you are doing your students ...

Oct 26, 202341 minEp. 416

EP415: Some Jumbo Employers Buying Better Healthcare Outcomes While Saving 15% on Total Cost of Care, With Rob Andrews

Improving Healthcare Outcomes and Reducing Costs: Insights from Rob Andrews of HTA To read the full article and show notes with links mentioned as well as a full transcript, click here . In Episode 415, Stacey Richter speaks with Rob Andrews, CEO of the Health Transformation Alliance (HTA), about how jumbo employers are achieving better healthcare outcomes while saving on total care costs. The discussion highlights the significant positive impact of targeted healthcare strategies on reducing rea...

Oct 19, 202343 minEp. 415

EP414: An IRL How-To for Delivering Better Care and Getting Paid for It—A Value-Based Case Study, With Justina Lehman

Delivering Better Care and Getting Paid: A Value-Based Healthcare Guide with Justina Lehman To read the full article and show notes with links mentioned as well as a full transcript, click here . In Episode 414 of 'Relentless Health Value,' host Stacey Richter interviews Justina Lehman to explore practical strategies for healthcare practices to provide coordinated, high-value care while achieving financial growth. The discussion covers the detailed steps for developing and implementing value-bas...

Oct 12, 202340 minEp. 414

EP413: The Intersection of Healthcare Waste, Value-Based Care, and the Potential Rising Power of PCPs, With Will Shrank, MD

Reducing Healthcare Waste: Aligning Incentives and Empowering Primary Care Physicians To read the full article and show notes with links mentioned as well as a full transcript, click here . In Episode 413 of 'Relentless Health Value,' Stacey Richter interviews Dr. Will Schrank on the intersection of healthcare waste, value-based care, and the rising influence of primary care physicians (PCPs). Dr. Schrank's extensive background includes roles at CMMI, CVS Health, UPMC, and Humana, and he is curr...

Oct 05, 202335 minEp. 413

EP411: Getting Paid (or Paying) for New Innovations Used in Hospitals as Part of a Procedure or a DRG—Also Bloodstream Infections and Dialysis, With Secretary David Shulkin, MD, and Erin Mistry

The following episode covers my intro to the episode and thoughts on the topic of new innovations used in hospitals as part of procedure including bloodstream infections and dialysis. Oh, hey, some unexpected news. This interview is unavailable at this time. One of these days we may be able to make it available, and if so, this will be announced in our weekly email. So please subscribe by going over to our website at RelentlessHealthValue.com. The episode emphasizes the remarkable progress made ...

Sep 29, 202310 minEp. 411

Encore! EP361: The Gap in Closing Care Gaps, With Carly Eckert, MD, PhD(c), MPH

The Reality of Closing Care Gaps: A Conversation with Dr. Carly Eckert To read the full article and show notes with links mentioned as well as a full transcript, click here . In this encore episode titled 'The Gap In Closing Care Gaps,' host Stacey Richter interviews Dr. Carly Eckert, exploring the pervasive issue of care gaps in the U.S. healthcare system. Care gaps arise from fragmented medical transitions and tend to recurred if root societal causes are left unaddressed. The conversation reve...

Sep 28, 202331 min

EP412: Leadership of the Art and Science of Medicine, With Robert Pearl, MD

Leadership in Modern Medicine: Balancing Art and Science with Dr. Robert Pearl To read the full article and show notes with links mentioned as well as a full transcript, click here . In Episode 412 of 'Relentless Health Value,' Stacey Richter interviews Dr. Robert Pearl, former CEO of Kaiser Permanente, to discuss the evolution and current state of leadership in medicine. The conversation explores the balance between the art and science of medicine, touching on how advancements in technology and...

Sep 21, 202333 minEp. 412

Are Physicians (and the Rest of Us, Nothing for Nothing) Knights, Knaves, and/or Pawns? With Larry Bauer, MSW, MEd—Summer Shorts 8

Summer Shorts: Knights, Knaves, and Pawns in Healthcare To read the full article and show notes with links mentioned as well as a full transcript, click here . In this episode, Stacey Richter speaks with Larry Bauer about the societal perceptions of physicians as knights, knaves, or pawns, inspired by a 2010 JAMA article by Dr. Sachin Jain and Dr. Christine Kassel. They delve into how these perceptions influence healthcare policies, the moral dilemmas faced by physicians, and the need for greate...

Sep 14, 202321 min

Why Do Actuarial Risk Horizons Really Matter for Anybody Trying to Improve Patient Outcomes? With Keith Passwater and JR Clark—Summer Shorts 7

Understanding Actuarial Risk Horizons in Healthcare with Keith Passwater and J.R. Clark To read the full article and show notes with links mentioned, click here . In this episode, Stacey Richter speaks with Keith Passwater and J.R. Clark, healthcare entrepreneurs and executives, about the importance of actuarial risk horizons in improving patient outcomes. They discuss how different risk horizons impact healthcare costs, benefit designs, and plan strategies. Keith and JR explain the key differen...

Aug 31, 202320 min

Should You Not Give Employees the Benefit Design They Think They Want? With Lauren Vela—Summer Shorts 6

Lauren Vela is back on the pod today with a summer short that originally was a section of episode 406 that, unfortunately, I had to cut. It was a little bit tangential to the “why with the employer inertia” theme that the original episode was about. But tangential does not mean unimportant. This clip has some really critical insights on a different topic that may or may not to a greater or lesser degree contribute to inertia. And I’m gonna call this other topic the benefit design that most emplo...

Aug 24, 20239 min

Payers Trying to Differentiate Themselves by Working With Provider Organizations … or Not, With Jacob Asher, MD—Summer Shorts 5

This summer short is about the dynamic between payers and providers. An opening point that Jacob Asher, MD, my guest in this healthcare podcast, makes in the interview that follows is that, for a payer, it’s super hard to competitively differentiate from both a cost and/or a quality perspective when you and all of your payer competition use the exact same PPO (preferred provider organization) networks. I mean, what? Are these same exact doctors gonna somehow do a better job with your members tha...

Aug 17, 202314 min

Supergroups, Super ACOs, and Ochsner’s Value-Based Care Journey, With Eric Gallagher—Summer Shorts 4

Here’s a quote from Rolling Stone magazine: “A supergroup is a very fragile thing. Rock bands are always about balancing huge egos, but when those egos are oversized from the get-go it can lead to huge problems. That’s why supergroups like Blind Faith often fail to go beyond a single album, and why long-lasting ones like CSNY had drama that never seemed to end.” Hmmm … that’s apropos because, turns out, super ACOs (accountable care organizations) may have some similar issues. A super ACO means m...

Aug 10, 202318 min

EP410: The Imperative and a 201-Level Financial How-To for Payers and Provider Organizations to Collaborate to Help CKD Patients and Others With Chronic Conditions, With Dan Serrano

In this healthcare podcast, I am talking with Dan Serrano; and we’re talking about payer/provider collaboration—blocking and tackling, I’m gonna say—from primarily a financial and revenue point of view. I’d classify this as, say, a 201-level discussion (ie, not entry level, but it’s also not super deep in the weeds). We mainly cover the ins and outs of why a provider organization should probably be looking to get paid to better take care of patients with chronic disease and drive better patient ...

Aug 03, 202334 minEp. 410

EP409: 3 Really Cool Innovative Primary Care Bright Spots and a Few Notes for Policymakers and Payers, With Larry Bauer, MSW, MEd

In this healthcare podcast, we are talking about innovative primary care teams and, by way of Larry Bauer, my guest today, bringing you three inspiring case studies. Much can be inferred from these case studies, as much from how they are alike as how they are different. It is wildly important at the same time that it is wildly underappreciated how different local markets are. I love how Cody Coonradt put it on LinkedIn the other day. He wrote: “Healthcare is not a $4T market—it’s 500 some-odd in...

Jul 27, 202338 minEp. 409

Does Advanced Primary Care Reduce Access for Patients? With Vivek Garg, MD, MBA—Summer Shorts 3

I cut this clip out of episode 407 with Vivek Garg, MD, MBA, from Humana; and it’s actually a really nice follow-on from the show last week with Scott Conard, MD, where we talked about the blowback that happened with clinicians at a clinic. This clinic had put into effect a bunch of the comprehensive primary care kinds of things that Dr. Garg talks about in this summer short. But what happened in Dr. Conard’s case is a new practice manager tried to go back to the olden days, and, spoiler alert, ...

Jul 20, 20236 min

What Happens When Someone Tries to Un-transform a Transformed PCP Practice? With Scott Conard, MD—Summer Shorts 2

Back at the beginning of this year, I was so sad when I had to edit out the clip that follows from the original and extremely popular episode 391 with Scott Conard, MD. In the literally probably three minutes that follows in this clip with Dr. Conard after I finish my ramblings here, Dr. Conard introduces the impact that changing the practice model in a PCP practice in Queens, New York, had on the staff and patients alike. Spoiler alert: No way no how were they going back to the old way of doing...

Jul 13, 20236 min

How Come There Aren’t More Hospital Antitrust Cases? With Brennan Bilberry—Summer Shorts 1

May I just take a moment and thank the Healthy economist for leaving a super nice review on iTunes? The title of the review is “Best podcast on the healthcare industry,” and the Healthy economist writes, “There’s no one simple fix [for the healthcare industry], but [Relentless Health Value] contains valuable insights on what actions can be taken to make things better for consumers and patients.” Thank you, Healthy economist. In this summer short, I am talking with Brennan Bilberry; and we’re tal...

Jul 06, 20238 min

INBW38: What I’m Up to Right Now, Big RHV Plans for the Summer—Also Doug Pohl, Justina Lehman, and Dr. Amy Scanlan

Thanks for joining me as we kick off the summer season. Here’s what we’re gonna talk about today in our 10-ish-minute conversation. Keeping it short and sweet. First up, we got three super interesting voice messages left by your fellow members of the Relentless Tribe that I wanted to share with you. Next up, I will cover plans for the summer, because this summer, we have plans. And then after that, just wanted to chat a little bit about what I am up to right now. Agenda item #1: Episodes 399 and...

Jun 29, 202310 min

Encore! EP365: The Real Deal With PBM Contracts and Drug Rebates, With Scott Haas

I hope you enjoy this encore episode of one of the most popular shows in the last 12 months. One of my mentors often said price is irrelevant. He said he would sell anything for any price as long as he could define the terms of the deal. During this conversation today with Scott Haas about PBMs (pharmacy benefit managers), that quote was playing in my head like an earworm. I’m henceforth gonna struggle with the term rebate to define dollars that the PBM gets back from Pharma, because, according ...

Jun 22, 202333 min

EP408: Who’s Suing Who? An Overview of Healthcare Legal Goings-on, With Chris Deacon

I couldn’t resist the “who’s suing who” because, yeah, you can’t go wrong with Aretha Franklin references. Back on the pod we have Chris Deacon, who is going to give us a rundown of the legal goings-on going on right now that impact self-insured employers, carriers, hospitals, and taxing authorities like cities. Chris breaks down the legal activity into three main categories, and then we discuss some examples of lawsuits in each category. So, here’s the outline of our upcoming conversation: 1. B...

Jun 15, 202340 minEp. 408

EP407: Considering Comprehensive Primary Care at Humana, With Vivek Garg, MD, MBA

Okay … let me get real here for a sec. For a few reasons, I wanted to chat with Vivek Garg, MD, MBA. Dr. Garg is CMO (chief medical officer) of primary care at Humana. Dr. Garg is an inspiring and incredibly articulate individual, and I like to both learn from and also be kept on my toes by the likes of such folks. But also, yeah, I’m suspicious of vertically consolidated payers. I mean, you listen to this podcast. I don’t need to recap what the financialization of the healthcare industry has do...

Jun 08, 202335 minEp. 407
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