Los mejores podcasts de Healthcare Solutions (2024)

Dr. Marcelo Hochman, an accomplished Facial Plastic & Reconstructive surgeon, extends his expertise to a diverse patient base, encompassing both pediatric and adult individuals, irrespective of insurance status—be it insured, self-pay, or pro-bono. Known for his advocacy in legislative initiatives, Dr. Hochman has spearheaded projects such as the r…

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S03E09: The Sleeper Law Explained by Tony Sorrentino 53:43

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8M ago53:43

53:43

Health Plan Fiduciary Compliance, LLC will save you time and money on CAA compliance. Tony Sorrentino is the President of Health Plan Fiduciary Compliance, LLC. He has served within the business community providing professional services in accounting, law, and employee benefits consulting to hundreds of Nebraska based businesses for over 40 years. …

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S03E08: How to Prevent the 2060 Dystopia Featuring Richard Young, MD. 52:04

8M ago52:04

52:04

American HealthScare is now available for purchase. Dr. Richard Young is an author and researcher. He wrote the book: American HealthScare. It discusses the efficiency and capability of American businesses, and the disconnect employees feel within the companies. Within the book, he discusses the grim possibility of a bleak feature if we don’t work …

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S03E07: The Disruptive Light with Christy Vago 28:18

9M ago28:18

28:18

Are hospitals overcharging you? Do you feel stuck with your bad healthcare? Christy Vago serves as Vice President of Business Development at Upland Advocacy. She is a dynamic, accomplished self-insurance leader with a successful track record of driving bottom line growth in new business revenue. Healthcare professional and host, Cristy Gupton, inte…

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S03E06: Blackwell's Solution with Kari Niblack 31:30

9M ago31:30

31:30

Blackwell Captive Solutions offers self-funded solutions with their Diamond Standard. Kari Niblack is the President of Blackwell Captive Solutions. She has served as an ERISA and employee benefits attorney involved in U.S. healthcare for more than 25 years. Niblack holds unique perspectives on healthcare, health administration, and health managemen…

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S03E05: A New Way to View Healthcare with Chip Harvey 44:52

12M ago44:52

44:52

Healthcare has evolved to make a profit at the expense of reliable, accurate healthcare. Chip Harvey serves as the Regional Vice president for Homestead Smart Health Plans. Harvey studied Economics at the University of South Carolina. He uses his financial knowledge to help with healthcare cost containment. Healthcare professional and host, Cristy …

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S3E04 - NC H346s Hidden Motives with Christin Deacon and Mike Causey 43:58

1+ y ago43:58

43:58

Should the law impact healthcare? Healthcare professional and lawyer, Chris Deacon, is known for her work as a public sector leader who oversaw the New Jersey State Health Plan. In this position, Deacon created positive change for the state of New Jersey and saved 2 billion dollars for the plan’s members. North Carolina Commissioner of Insurance Mi…

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S3E03 - Leaving the Bigs with Ryan Rourke 39:12

1+ y ago39:12

39:12

Do you know your doctor? Does your doctor know their own prices? What if you want to improve that situation? Would you be able to? Does your doctor even have the ability to innovate? Ryan Rourke is a Senior Insurance Advisor, Sales Leader, and a Disciple of Disruption. Rourke has been consulting in the healthcare industry for over 20 years. He has …

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S3E01 - Clarifying Fiduciary Duties with Christin Deacon 39:12

2y ago39:12

39:12

Can the law impact healthcare? Healthcare professional and lawyer, Christin Deacon, is known for her work as a public sector leader who oversaw the New Jersey State Health Plan. In this position, Deacon created positive change for the state of New Jersey and saved 2 billion dollars for the plan’s members. Healthcare professional and host, Cristy Gu…

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Colin Quinn | Included Health Communities 38:03

2y ago38:03

38:03

Colin Quinn, President of Included Health Communities, joins Michael in this episode of the Reconstructing Healthcare podcast to discuss how Included Health offers tailored care navigation and advocacy solutions to employers and health plans to support their diverse employees and members. Included Health’s aim is to create equity in healthcare, wit…

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Denise Shiffman | GroupWell 46:46

2+ y ago46:46

46:46

Denise Shiffman, Founder and CEO of GroupWell, joins Michael in this episode of the Reconstructing Healthcare podcast to discuss how their data-driven, online group therapy platform is providing employers with a ground-breaking way to approach mental health. Group Therapy combines the treatment of both mental health and social health to reduce clin…

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Veeneta Lakhani | Vida Health 42:55

2+ y ago42:55

42:55

Veeneta Lakhani, the Chief Growth Officer for Vida Health joins Michael in this episode of the Reconstructing Healthcare podcast to discuss how Vida Health is providing care for over 2 Million people through their digital platform that aims to treat both physical and mental illnesses in a combined effort. Vida Health is a modular platform that aims…

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Wally Gomaa | SimplePay Health 50:49

2+ y ago50:49

50:49

Wally Gomaa, CEO and Co-Founder of SimplePay Health, joins Michael in this episode of the Reconstructing Healthcare podcast to discuss how they’re empowering employees with high-quality care through easy-to-understand benefit design structures. SimplePay Health aims to disrupt the healthcare industry by making the complicated elements of traditiona…

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Harris Rosen + Ashley Bacot | Rosen Hotels & Resorts 47:13

3y ago47:13

47:13

Harris Rosen and Ashley Bacot of Rosen Hotels & Resorts join Michael in this episode of the Reconstructing Healthcare podcast to discuss how they’ve saved over $450 million in healthcare costs by implementing their own self-insured healthcare model. Rosen Hotels and Resorts has over 4,500 employees and turns over $350 million in revenue per year th…

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Episode 8: Doug Aldeen--Connecting Employers to Providers (Part 2) 27:21

3y ago27:21

27:21

In part 2 with Doug Aldeen, we get into more commentary about hospitals and how being honest and fair with people has the makings of a very good payday if you approach it with integrity. But will they do that? We also drop a bombshell called for in Section 501R of the internal revenue code. Find out more on this episode of Healthcare Solutions! Tim…

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Marshall Allen 52:09

3y ago52:09

52:09

Marshall Allen is an investigative journalist that has spent more than fifteen years exposing the ways that the health care industry preys on vulnerable Americans. Marshall currently writes for ProPublica and was part of the team to be a Pulitzer finalist for their work in covering COVID-19. In this episode, Marshall discusses how his time investig…

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Episode 7: Doug Aldeen--Connecting Employers to Providers (Part 1) 29:00

3y ago29:00

29:00

Cristy Gupton and Doug Aldeen have a great discussion about fiduciary duty and how the new transparency law is going to make it easier for those charged with that task to honor their duty. Timestamps: 00:00 Introduction 02:20 Doug Aldeen's background 03:28 So, what is the price? 04:30 If you're uninsured or underinsured you need to be asking for yo…

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Episode 6: Dr. Keith Smith is Doing No Financial Harm--Healing People Without Hurting Their Wallets (Part 2) 46:37

3y ago46:37

46:37

Tune in for the continuation of my conversation with Dr. Keith Smith, medical director of Surgery Center of Oklahoma and co-founder of the Free Market Medical Association. Timestamps: 00:00 Intro 02:20 From last week's episode 04:55 This trend started by Surgery Center of OK is growing 06:09 What is it like to come to SCO? 06:18 Side note: the firs…

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Episode 5: Dr. Keith Smith is Doing No Financial Harm--Healing People Without Hurting Their Wallets (Part 1) 33:47

3y ago33:47

33:47

Dr. Keith Smith literally changed my life. As a "broker" selling employee benefits I stumbled on another podcast (way back when) where Dr. Smith was the guest and transparency was the subject of the day. It shook me out of my comfort zone and led me to the advisor I am today. Timestamps: 00:00 Intro 01:27 How I came to know Dr. Keith Smith 03:05 Th…

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Episode 4: Never Stress Over Medical Bills Again: Class is In Session with Marshall Allen (Part 2) 32:16

3y ago32:16

32:16

Tune in for part 2 of the conversation with investigative healthcare journalist Marshall Allen and Cristy Gupton in the world of medical bills and Marshall’s path through the industry Timestamps: 00:00 Intro 02:25 On last week's episode 03:00 Marshall's new book "Never Pay the First Bill: and other ways to fight the healthcare system and win" will …

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Episode 3: Never Stress Over Medical Bills Again: Class is In Session with Marshall Allen (Part 1) 27:55

3y ago27:55

27:55

Tune in to investigative journalist Marshall Allen & Cristy Gupton as they delve into the world of Medical bills in the greater healthcare system. Timestamps: 00:00 Intro 02:20 Side note: release date for Marshall's book "Never Pay the First Bill: and other ways to fight the healthcare system and win" got pushed up to June 22, 2021 03:10 I skipped …

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Dave Jacobs and David Greenberg | Homethrive 50:11

3y ago50:11

50:11

Dave Jacobs and David Greenberg join the podcast to discuss how Homethrive is providing their customers access to their own master’s level social worker and a digital platform to help provide care for their aging loved ones at home. Prior to Homethrive, Dave and David both served at Medline. Dave Jacobs as President of the Durable Medical Equipment…

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Episode 2: 6 Degrees (Part 2) 32:00

3+ y ago32:00

32:00

Continue the conversation with Cristy, Scott Ray, and Heath Potter in understanding current healthcare transparency, hospital negotiations, and reference-based pricing. Timestamps: 00:00 Intro 05:32 Many employees don't realize their employer is the health plan 06:18 Lots of employee education is needed 06:38 The irony of change can be comical 07:1…

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Episode 1: 6 Degrees (Part 1) 30:19

3+ y ago30:19

30:19

Join Cristy with Scott Ray and Heath Potter in understanding current healthcare transparency, hospital negotiations, and reference-based pricing. Timestamps: 00:00 Intro 00:39 2020? See ya, wouldn't wanna be ya! 01:25 Intro to 6 Degrees, Scott Ray and Health Potter 02:37 Better for Less $$? Sign me up! 02:57 Medicare Rate Sausage? How is it made? 0…

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Nate Murray | Crossover Health 55:57

3+ y ago55:57

55:57

In this episode, Michael interviews Nate Murray, the Chief Business Development Officer at Crossover Health. Crossover Health is a national primary care medical group that connects employees with remarkable care options while helping employers take control of their healthcare spend. In this episode, you’ll hear about some of the deficiencies in pri…

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Christin Deacon | Amino 49:24

3+ y ago49:24

49:24

In this episode, Michael moderates a webinar that highlights an employer who took action to help their employees find higher quality, more cost-effective care. The episode highlights two panelists, one with Christin Deacon, the Assistant Director of the New Jersey State Health Plans, and the second with David Vivero, the Co-Founder and CEO of Amino…

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Omar Dawood | Calm 45:20

3+ y ago45:20

45:20

In this episode, Michael interviews Omar Dawood, the Chief Medical Officer and Head of Sales at Calm, the #1 app for sleep, meditation and relaxation. The app has over 100 million downloads and over 1.5M 5-star reviews. Omar is a clinician and stage IV cancer survivor with over 25 years of senior management, medical research and clinical experience…

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Justin Leader | Highlight Health 42:29

3+ y ago42:29

42:29

In this episode, Michael introduces Justin Leader, the CMO of Highlight Health and a self-funded benefits and risk advisor. Early in his career, Justin learned about the major shortcomings of the healthcare and health insurance industry and how it is built for profitability, not value. When he met Josh Spivak, the CEO of Highlight Health, they saw …

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Doug Aldeen | ERISA Attorney 46:59

3+ y ago46:59

46:59

In this episode, Michael introduces Doug Aldeen, a healthcare and ERISA attorney. He has represented reference-based pricing organizations, PPO networks, medium to small self-funded plans, TPA’s and provider sponsored HMO’s in various capacities. Doug started his career at an insurance defense firm, then worked at a local HMO for years. It was ther…

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Mike Poelman | Apta Health 51:44

3+ y ago51:44

51:44

In this episode, Michael introduces Mike Poelman, the founder and president of Apta Health. Although Mike started his career as an accountant and controller, he quickly realized that he was a salesman at heart so he shifted into the TPA world working on self-funded health plans. This is where he realized that things needed to be done differently. M…

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Dr. Simon Mathews | Vivante Health 47:12

4y ago47:12

47:12

In this episode, Michael introduces Dr. Simon Mathews, a distinguished researcher, clinician, author, and Chief Medical Officer at Vivante Health. He is also a practicing gastroenterologist at the John Hopkins School of Medicine and the Head of Clinical Innovation at John Hopkin’s Armstrong Institute of Patient Safety and Quality. Simon’s research …

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Dawn Cornelis | ClaimInformatics 48:43

4y ago48:43

48:43

In this episode, Michael introduces Dawn Cornelis, the co-founder and Chief Transparency Officer of ClaimInformatics. ClaimInformatics is a payment integrity solution that helps its clients identify improper healthcare claim payments and recoup the money for the employer. When Dawn entered the world of claim processing 30 years ago, it didn’t take …

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Jim Wachtel | Renalogic 43:47

4y ago43:47

43:47

In this episode, Michael introduces Jim Wachtel, the Executive Vice President of Sales and Marketing for Renalogic. Renalogic is dedicated to helping employers manage kidney disease in their employee population and reducing dialysis costs with preventive programs and pricing solutions. Jim was inspired to enter the healthcare industry because he re…

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Dr. Cristin Dickerson | Green Imaging 38:18

4y ago38:18

38:18

In this episode, Michael introduces Dr. Cristin Dickerson, a founding partner at Green Imaging, a full-service virtual medical imaging network owned and operated by board-certified radiologists. Dr. Dickerson founded Green Imaging to provide affordable, high-quality medical imaging for uninsured and high-deductible patients across the U.S. While sh…

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A.J. Loiacono | Capital Rx 1:07:03

4y ago1:07:03

1:07:03

In this episode, Michael introduces A.J. Loiacono, the CEO at Capital Rx, a pharmacy benefit manager seeking to create the first efficient and transparent marketplace for prescription prices and ultimately reduce prescription costs for employer groups. A.J. has over 20 years of experience in pharmacy benefits, finance, and software development. Alt…

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Jason Hellickson | Regenexx 37:35

4+ y ago37:35

37:35

In this episode, Michael introduces Jason Hellickson, the CEO of Regenexx, a global provider specializing in interventional orthopedics. Regenexx partners with self-funded employers to significantly reduce their orthopedic spending while providing employees a choice in care. Regenexx orthopedic procedures leverage the body's natural healing ability…

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Sachin Jain | Carrum Health (Rebroadcast of Episode 3) 39:58

4+ y ago39:58

39:58

Topics Revenue Cycle Management Rising healthcare costs Bundled Pricing Cost Savings Centers of Excellence Improving Employee Experience In this episode, Michael introduces you to Sachin ‘Sach’ Jain, CEO of Carrum Health. Join us as we discuss how Carrum Health has created an alternative marketplace for lower-cost surgical procedures with a focus o…

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Marek Ciolko | Gravie 48:45

4+ y ago48:45

48:45

In this episode, Michael introduces Marek Ciolko, the CEO of Gravie, a unique health plan that offers employers a shared savings model and employees the opportunity to personalize their insurance to meet their needs. Gravie does this by helping employers control costs while still providing employee-selected coverage and a better experience througho…

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Steve Watson | Trendbreakers 32:22

4+ y ago32:22

32:22

In this episode, Michael introduces Steve Watson, a CFO/CHRO and founder of Trendbreakers, a community of finance, human resources, and benefit advisor professionals that are on a mission to break the trend of rising employee healthcare costs. Trendbreakers helps CFOs, CHRO’s and business owners make the best employee benefit decisions by offering …

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Robert LeCureaux & Amy Bandy | ScoutRx 45:01

4+ y ago45:01

45:01

In this episode, Michael introduces two partners of ScoutRx, Robert LeCureaux, the VP of Client Development and Amy Bandy, the VP of Operations. ScoutRx helps employer groups and members maintain affordable prescription drug costs through the use of their three core cost containment strategies. When previously working in the pharmacy and PBM indust…

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Matt McCambridge | Eden Health 47:12

4+ y ago47:12

47:12

In this episode, Michael introduces Matt McCambridge, the co-founder, and CEO of Eden Health, a virtual primary care and navigation platform centered around care teams. Eden Health helps employees navigate today’s complicated healthcare landscape across insurance, primary care, and mental healthcare so they can make smart, well-informed and cost-co…

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Gabriel Mecklenburg | Hinge Health 38:06

4+ y ago38:06

38:06

In this episode, Michael introduces Gabriel Mecklenburg, the co-founder and COO of Hinge Health, a musculoskeletal solution for employers and health plans. Hinge Health is pioneering the world's most patient-centered digital hospital, starting with musculoskeletal health. Gabriel brings a unique perspective to the company because of his background …

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Episode 13: A Refreshing Look at Pharmacy Benefits (Part 2) 35:34

4+ y ago35:34

35:34

00:00 Intro 00:40 Vinay Patel of Self-Insured Pharmacy Networks 01:25 In last week's episode 02:38 A day in the life of a community pharmacist 03:32 Pharmacists in a big box format want to cater to patients just like community pharmacists do 03:53 We're replicating the same model on the pharmacy side as DPC has done on the medical side 04:41 Care c…

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Episode 12: A Refreshing Look at Pharmacy Benefits (Part 1) 29:39

4+ y ago29:39

29:39

00:00 Intro 00:40 In today's episode 00:58 Vinay Patel of Self Insured Pharmacy Networks 02:16 What is a PBM? 02:32 PBM = claim processor just like a TPA on the medical side 03:15 but also rebate management, clinical management, etc. 04:17 what about the cost? 04:42 episode 8, "transparency" 05:08 Tim Thomas, quote on transparency 05:50 There's mon…

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John Powers | Advanced Medical Pricing Solutions 49:59

4+ y ago49:59

49:59

In this episode, Michael introduces John Powers, the Executive Vice President of Sales and Marketing for Advanced Medical Pricing Solutions (AMPS). AMPS provides market-leading healthcare cost containment services for self-funded employers, public entities, municipalities, labor unions, brokers, consultants, TPAs, payers, reinsurers, and HMOs. John…

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Shane Foss | Hooray Health 34:50

4+ y ago34:50

34:50

In this episode, Michael introduces Shane Foss, the founder and CEO of Hooray Health. Hooray Health leverages an Urgent Care and Retail Clinic National Provider Network built for Individual and Group limited medical insurance plans. Shane has over twenty years of tenure as an executive in the medical industry and it was through this work that he be…

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Dr. Neil Leibowitz | Talkspace 43:33

5y ago43:33

43:33

In this episode, Michael introduces Dr. Neil Leibowitz, a psychiatrist, attorney, and the chief medical officer at Talkspace Online Therapy. Talkspace is a technology company whose aim is to expand access to mental healthcare. Dr. Leibowitz has an impressive educational and professional background and spent a good deal of time working with larger h…

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Andy Reeves | OptiMed Health Partners 41:42

5y ago41:42

41:42

Topics: Specialty Drugs Specialty Pharmacy vs. Retail Pharmacy Pharmacy Benefits Misaligned Incentives Price Transparency Medication adherence versus compliance Quality of care Cost Savings In this episode, Michael introduces you to Andy Reeves, the Co-owner and CEO of OptiMed Specialty Pharmacy. Join us as we discuss how OptiMed Specialty Pharmacy…

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