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 wan ...
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A top podcast for healthcare leaders, with over one million downloads, Radio Advisory is your weekly download on how to untangle the industry's most pressing challenges to help leaders like you make the best business decisions for your organization. From unpacking major trends in care delivery—like site-of-care shifts and the rise of high-cost drugs—to demystifying stakeholder dynamics, to shining a spotlight on priorities that may get overlooked, we're here to help. Our hosts and seasoned r ...
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EP467: Connecting Sky-High ER Spend to Primary Care Access—Following the Dollar Through Carriers and Hospitals, With Stacey Richter
23:09
23:09
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23:09Here’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 enjoy this podcast, be sure to subscribe to the free wee…
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242: How you should rethink your life sciences-health system partnerships
25:22
25:22
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25:22Partnerships between health systems and life sciences play a critical role in giving patients access to the best data, therapies, and technologies available in the market. However, these partnerships can be less fulfilling if both sides don’t align on purpose and expectations. This week, host Rachel (Rae) Woods invites Advisory Board expert Fanta C…
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EP466: What Is Rising Faster, Insurance Premiums or Hospital Prices? With Vivian Ho, PhD
36:12
36:12
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36:12Healthcare costs keep rising, but what’s driving those increases? In this episode, Stacey Richter speaks with Dr. Vivian Ho, a health economist at Rice University and Baylor College of Medicine, to break down the real reasons behind skyrocketing commercial insurance premiums. Are insurance premiums rising faster than wages—and why does it matter? W…
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241: When disaster strikes: Evacuating Unicoi hospital
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33:38
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33:38On September 27, 2024, Ballad Health was forced to evacuate Unicoi Hospital in rural Tennessee due to a freak flash flood caused by Hurricane Helene. After two failed rescue attempts, an aerial operation managed to successfully airlift all 70 people who were trapped on the rooftop of the small community hospital. In an era where extreme climate eve…
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EP465: The Not Super Effective Contracting Industry Norm, Where Jumbo Plans and Others Wind Up Paying $10,000 for $50 Drugs, With Chris Crawford
34:15
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34:15The Hidden Costs of PBMs: How Aggregate Discount Guarantees Inflate Drug Prices. In episode 465 of Relentlessly Seeking Value, host Stacey Richter interviews Chris Crawford, CEO of RxSaveCard, about the inflated costs within the pharmacy benefits industry. The discussion centers around a lawsuit involving J&J, highlighting how large PBMs can signif…
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240: Hospitals are at capacity. What can we actually do about it?
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24:14
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24:14We’ve said it before on Radio Advisory: hospital volumes are back. But leaders know this isn’t necessarily a sigh of relief. With a lot of hospitals at—or even over—capacity, hospital leaders need to find ways to improve patient throughput and reduce length of stay. And trust me, they’ve been trying. The question is, why is it so hard to address ca…
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EP464: ER Visits Now 6% of Total Plan Spend. Is It Upcoding or What? With Al Lewis
31:40
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31:40Emergency room costs now make up 6% of total healthcare plan spending—why? In this episode, host Stacey Richter welcomes Al Lewis to break down the data behind rising ER expenses, separating fact from fiction. They discuss whether increased patient acuity or widespread upcoding is driving costs, the impact of the No Surprises Act, and why plan spon…
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239: UNC Health: The care variation reduction story you need to hear
42:54
42:54
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42:54The cost and quality of care can vary dramatically—even within the same health system. This has real ramifications for patients and clinicians, not to mention system outcomes. But reducing unwarranted variation in clinical care is much easier said than done. In 2019, UNC Health launched a care redesign office to take on the job. They identified 24 …
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EP463: Medicare Advantage Policies—Which Will Stay and Which Will Go Now? With Betsy Seals
35:11
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35:11In this episode of Relentless Health Value, host Stacey Richter engages with Betsy Seals, CEO and co-founder of Rebellis Group, to analyze the future of key Medicare Advantage policies amidst a changing political landscape. They delve into four critical areas: 1. Medicare Advantage Stars Program: Examining potential changes due to recent lawsuits a…
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238: Is your ambulatory strategy stuck in 2015?
30:39
30:39
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30:39As hospitals face mounting financial pressure in 2025, health systems are reckoning with the fragility of their legacy business models. Ambulatory networks have long been considered an opportunity for growth, but legacy thinking still focuses on how ambulatory sites could drive inpatient volumes. That strategy is no longer working (and perhaps, nev…
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Encore! EP384: How Shareholders Impact Carrier Behavior, Exactly and Specifically, With Wendell Potter
35:01
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35:01In this episode, Stacey Richter explores how the demands of shareholders influence the actions of publicly traded health insurance companies with guest Wendell Potter. Drawing from Milton Friedman’s assertion that a business’s primary responsibility is to its shareholders, we examine the implications of this philosophy in the healthcare sector. The…
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237: “Being digital”: How to assess health systems’ digital maturity
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43:06
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43:06Back in December, we discussed why leaders should re-envision their approach to digital change management. But to truly implement digital change, health systems must understand their organization’s success (or failure) to date. However, assessing digital progress is not a simple task. While models exist that measure digital maturity in other indust…
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EP462: Managing Populations of Whole, Actual People Who Are Not the Sum of a Bunch of Different Body Parts, With Scott Conard, MD
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33:35This podcast today is with Dr. Scott Conard, founder of Converging Health. You might remember him from the earlier episode (EP391). First of all, I enjoyed how it came to be. Brian Uhlig, an employee benefit consultant of some acclaim, came to me and offered to sponsor a show for someone else. Not himself. I gotta say, it’s stuff like this that war…
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236: What CEOs need to know in 2025 (Part 2)
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24:53
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24:53Advisory Board experts Natalie Trebes and Max Hakanson rejoin host Abby Burns for part two of our conversation digging into the trends and challenges healthcare leaders need to pay attention to in 2025. Last week, our experts covered evolving power dynamics around network design, drug cost/spend, and cyber threats. This week, the group shifts their…
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INBW42: A Philosophical Rabbit Hole of Considerations for Plan Sponsors and Others
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27:39
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27:39In this inbetweenisode Stacey Richter dives into the complexities of benefit design in American healthcare. Highlighting insights from recent episodes with Bill Sarraille (EP459) and upcoming episode with Scott Conard, MD, Richter explores the impact of cost containment measures and the moral hazard of insurance, emphasizing the importance of creat…
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235: What CEOs need to know in 2025 (Part 1)
27:42
27:42
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27:42While the new year often feels like a time to reset and regroup, 2025 has started off in a sprint. As pressures continue to grow across all sectors of the industry, it’s no secret that leaders need to think and act differently in order to succeed in the new year. With so many swirling changes, it can be hard to sort through the most important topic…
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EP461: Pick Only One, Plan Sponsors: Do You Want to Control GLP-1 Volume or Control GLP-1 Unit Cost? With Chris Crawford
22:42
22:42
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22:42This episode with Chris Crawford, CEO of RxSaveCard, is not about the when, why, or how of GLP-1s for weight loss or best-practice prescribing. This episode very, very specifically is about the how and why of the pickle plan sponsors get themselves into often enough where if they impose formulary restrictions to limit the volume of meds that they a…
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234: A preview of Advisory Board’s 2025 research
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17:40
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17:402024 was filled with upswings and downswings in the healthcare industry. Whether it was unprecedented cyberattacks, the continued rise of GLP-1 therapies, or the return of hospital volumes, healthcare leaders stayed busy. And things aren’t expected to slow down in 2025. To give you a preview of where we may be headed, this week, hosts Rachel (Rae) …
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EP460: Rushika Fernandopulle, MD’s Theory of Change Starts With Status Quo Healthcare
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41:04In this Relentless Health Value episode, Dr. Rushika Fernandopulle discusses with Stacey Richter his four-prong theory of change for transforming the American healthcare system. Key topics include the necessity of new payment models, process innovation, employing a relational technology infrastructure, shifting the cultural mindset towards team-bas…
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A top podcast for healthcare leaders, with over one million downloads, Radio Advisory is your weekly download on how to untangle the industry's most pressing challenges to help leaders like you make the best business decisions for your organization. From unpacking major trends in care delivery—like site-of-care shifts and the rise of high-cost drug…
…
continue reading

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EP459: Cost Containment by Co-Pay Maximizer or Co-Pay Accumulator: Points to Ponder, With Bill Sarraille
39:47
39:47
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39:47In Episode 459, host Stacey Richter speaks with healthcare attorney Bill Sarraille about co-pay maximizers and accumulators, mechanisms designed to extract maximum co-pay support dollars from pharmaceutical companies. They discuss the financial implications for patients, plan sponsors, and pharmacy benefit managers (PBMs), emphasizing the legal and…
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INBW41: End-of-Year Wrap-Up and My Personal Charter Encore: Where the Rubber Hits the Road
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25:52In this Inbetweenisode titled 'End of Year Wrap Up and My Personal Charter Encore,' Stacey Richter extends heartfelt thanks to listeners and healthcare workers for their dedication. She reflects on the challenges of maintaining personal integrity in a profit-driven healthcare system and introduces her personal charter. This charter, focused on ensu…
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Encore! EP419: The Financialization of Health Benefits for Boards of Directors and C-Suites of Self-Insured Employers, With Andreas Mang
38:38
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38:38Are you on the board of directors of a company? Or are you a shareholder of a publicly traded company? Or are you a CEO or a CFO or in-house counsel who reports to a board of directors or these shareholders? Well, this show is for you. And it’s about how the healthcare industry has become financialized at the same time that providing health benefit…
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EP458: A Really Unexpected Consideration for Solving Staffing Shortages That Impact Access and Care Quality That Is Based on a Ton of Evidence, With Komal Bajaj, MD
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36:44
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36:44In Episode 458 of Relentless Health Value, host Stacey Richter speaks with Dr. Komal Bajaj about innovative strategies for addressing staffing shortages in the healthcare sector. They explore the importance of cultural alignment within organizations, emphasizing trust and shared values to retain staff. Dr. Bajaj shares surprising findings from surv…
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EP457: It’s a Big Thing: Medical Spread Pricing. So, Let’s Talk About Contract Transparency, With Cynthia Fisher
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34:15In this episode of 'Relentlessly Seeking Value,' host Stacey Richter is joined by healthcare entrepreneur Cynthia Fisher to discuss the crucial issue of medical spread pricing and the need for contract transparency. Fisher explains how hidden fees and spread pricing by middlemen are leading to substantial overcharges for employers and patients in t…
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233: Your digital strategy needs more than “change management”
30:00
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30:00The healthcare industry talks a lot about “change management,” the idea that through careful stewardship, the process of change can be made a little bit easier. The problem is, it’s a lot easier to talk about change than it is to manage it well. This is especially difficult when it comes to digital transformation, a space that is evolving almost to…
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INBW40: Thank Yous and the Intersection of Product Value, Collaboration, and Being a “Giver”
17:41
17:41
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17:41In this special Thanksgiving episode of Relentlessly Seeking Value, Stacey Richter discusses the significance of being 'givers' in healthcare, advocating for collaboration over transactional relationships to deliver real value to patients. She touches on the challenges and necessary shifts in healthcare market dynamics, emphasizing that true value …
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232: The rise of ICHRAs: Why some employers are turning to the individual market
31:03
31:03
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31:03Employers have been saying for years that they can’t absorb any more cost growth for health insurance; health plans feel like they’ve squeezed about as much juice as possible out of traditional cost mitigation levers. Both are looking for creative alternatives to curb rising health costs. Enter ICHRAs. Usually, when we talk about the health insuran…
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Encore! EP418: Mark Cuban With a PSA for CEOs and CFOs of Self-insured Employers, With Mark Cuban and Ferrin Williams, PharmD, MBA, From Scripta
56:16
56:16
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56:16In this encore episode, Mark Cuban discusses his insights and experiences on disrupting the healthcare and pharmacy benefits landscape with Stacey Richter. This show from last year was one of the most popular episodes of the past year. And it’s also extremely relevant right now, given all of the PBM (pharmacy benefit manager) goings-on, as well as …
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231: Big deal, little deal, or no deal? A 2024 health policy retrospective
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40:53Last week on Radio Advisory, we broke down what healthcare leaders need to know for 2025 and beyond following the recent elections. But before we move on from 2024 completely, we have to acknowledge that there’s been a lot moving in the policy space this year, and frankly, there have probably been a few important policy areas on your radar that we …
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Encore! EP415: Some Jumbo Employers Buying Better Healthcare Outcomes While Saving 15% on Total Cost of Care, With Rob Andrews
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39:39In this episode, Stacey Richter speaks with Rob Andrews, CEO of the Health Transformation Alliance (HTA) and former Congressman, about the strategic steps jumbo employers can take to achieve improved health outcomes while reducing cost. They delve into the importance of using data to discern effective practices, negotiate contracts, and hold interm…
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230: Elections results are in: What healthcare leaders need to know
45:11
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45:11(Note: This episode was recorded on November 7, 2024) The results of the 2024 elections are in: Donald Trump will be the 47th President of the United States, and we are all but certain to have a Republican trifecta at the federal level. Admittedly, there’s a lot we don’t know about what healthcare will look like under a second Trump administration—…
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