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| Episode | Date |
|---|---|
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EP495: Wait … Flip That—A Crazy Revelation I Had About Trying to Fix U.S. Healthcare, With Mick Connors, MD
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Dec 11, 2025 |
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EP494: Six Tensions of Pharmaceutical Drug Pricing, With Sarah Emond
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Dec 04, 2025 |
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Bonus Add-on for EP494: Who Is ICER and What Is the Arms Race of Pharmaceutical Pricing That the Status Quo Has Created? With Sarah Emond
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Dec 04, 2025 |
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INBW43: Five Baskets of Thank Yous to Hand Out, Along With a Plug for Big Demand Curve Energy
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Nov 26, 2025 |
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Take Two: EP240: A Direct Contracted and Actually High-Value Network That Elizabeth Mitchell From PBGH Talked About, With Olivia Ross
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Nov 20, 2025 |
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EP493: Revelations Mainstream CEOs Are Having About the Healthcare Market Right Now—Also, Some Advice, With John Quinn
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Nov 13, 2025 |
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EP492: The Solutions Show: How to Run a High-Quality Hospital at 143% of Medicare, With Sam Flanders, MD, and Shane Cerone
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Nov 06, 2025 |
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EP491: Incumbent TPAs and Consultants Getting Called to Jumbo Employer Client HQ to Answer Awkward Questions, With Elizabeth Mitchell
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Oct 30, 2025 |
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EP490: The Problem Show: 3 Problematic Hospital Myths, Including "There Is a Healthcare Market," With Shane Cerone and Sam Flanders, MD
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Oct 23, 2025 |
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EP489: MARGIN! Margin That Creates a Path to Mission at a Multispecialty Group, With Dan Greenleaf
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Oct 16, 2025 |
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EP489: Achieving Mission That Is a Path to Margin at a Multispecialty Practice, With Dan Greenleaf
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Oct 09, 2025 |
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EP488: Mark Cuban, Cora Opsahl, Trust, Simplicity, and a Chicken—Today We Talk Healthcare
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Oct 02, 2025 |
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EP487 (Part 2): Kevin Lyons Shares What He Learned in Detective Training That He Uses to Follow the Healthcare Dollar
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Sep 25, 2025 |
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EP487 (Part 1): A Former Police Detective Investigates the 3 Big Barriers to the Public Sector Getting Better Affordable Health Benefits, With Kevin Lyons
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Sep 18, 2025 |
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EP486: The Secrets to Operationalizing Direct Contracting From an OG, With Stan Schwartz, MD
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Sep 11, 2025 |
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EP485: Imaging Costs 6% to 11% of Plan Sponsor Spend: How Direct Contracting Can Save Money and Improve Access, With Cristin Dickerson, MD
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Sep 04, 2025 |
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Take Two: EP436: Let's Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia, With Elizabeth Mitchell
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Aug 28, 2025 |
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EP484: What Are the 3 Most Burning Questions That Plan Sponsors Have Right Now? With Dave Chase
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Aug 21, 2025 |
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EP483 (Part 2): Reversing the Healthcare Flywheel to Contain Skyrocketing Healthcare Costs, With Jonathan Baran
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Aug 14, 2025 |
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EP483 (Part 1): To Contain Skyrocketing Healthcare Costs or Renewals, You Gotta Understand How the Flywheel Works, With Jonathan Baran
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Aug 07, 2025 |
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Bonus Add-on to EP483 (Part 1): Honoring Those in Healthcare Who Are Trying Every Day to Do the Right Thing, With Jonathan Baran
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Aug 07, 2025 |
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How Margin Shoves Mission Off of the Bus: A Primary Care Case Study, With Stan Schwartz, MD—Summer Shorts
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Jul 31, 2025 |
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EP482: 3 Surprising Ways Carriers Make Lots of Money—What Do Plan Sponsors and Clinical Organizations Really Need to Know? With Preston Alexander
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Jul 24, 2025 |
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Take Two: EP445: What Does It Take for an Indie Primary Care Practice to Survive Right Now? With Tom X. Lee, MD
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Jul 17, 2025 |
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Bonus Clip: Dr. Tom Lee Talks About Why Retail Clinics Are Not Doing So Well, in His Opinion
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Jul 17, 2025 |
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EP481: Seriously, IRL, What Does "No Margin, No Mission" Even Mean? With Benjamin Schwartz, MD, MBA
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Jul 10, 2025 |
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Take Two: EP438: Is It Mission and/or Margin? With John Lee, MD
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Jul 03, 2025 |
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EP480: Payment Integrity Meets Health System Boasts, Such as Our Rates Are 2x Medicare, With Kimberly Carleson
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Jun 26, 2025 |
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Pharma Rebates: A Few Nuances You May Not Have Thought Of, With Ann Lewandowski—Summer Shorts
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Jun 19, 2025 |
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EP479: Part 2. What Could Go Wrong Covering High-Cost Claimants With Stop-Loss Reinsurance?
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Jun 12, 2025 |
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Take Two: EP433: The Mystery of the Weekly Claims Wire, With Justin Leader
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Jun 05, 2025 |
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EP478: Stop-Loss Coverage, Part 1: How It Goes Right, and How It Can Go Horribly Wrong, With Andreas Mang and Jon Camire
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May 29, 2025 |
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EP477: Through Line Show: What the Tribe Thinks You Need to Know About Trust or It's Gonna Be a Problem. Also, Why You Are Smart, With Stacey Richter
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May 22, 2025 |
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Bonus Add-on to EP477: How to Earn Trust, With Charles Green
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May 22, 2025 |
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EP476: Talking Whistleblowing and the Pharma Rebates Whistleblower Case With an Actual Whistleblower, With Ann Lewandowski
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May 15, 2025 |
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EP475: Is This a Moment or a Movement? With Peter Hayes
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May 08, 2025 |
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EP474: Private Equity in Healthcare—The Big Data Points You Really Need to Know, All Together in One Episode, With Yashaswini Singh, PhD
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May 01, 2025 |
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EP473: Keeping Patients out of the ER: How Trusted Relationships in Primary Care Should Work. A Take 2 With Kenny Cole, MD
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Apr 24, 2025 |
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EP472: The Well-Honed, Three-Prong Hospital Playbook to Maximize Revenue From High-Cost Claimants, With Eric Bricker, MD
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Apr 17, 2025 |
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EP471: High-Cost Claimants in 2025 and Beyond—What Is Really Expensive Not to Know? With Christine Hale, MD, MBA
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Apr 10, 2025 |
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EP470: Continuing the ER and Primary Care Through Line Over to Rural Hospitals and Healthcare, With Nikki King, DHA
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Apr 03, 2025 |
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EP469 (Part 2): The Impact on Plan Sponsors of Medicare Site-Neutral Payments and HSA Reforms, With James Gelfand, JD
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Mar 27, 2025 |
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EP469 (Part 1): The Impact on Plan Sponsors of Medicaid Cuts, With James Gelfand, JD
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Mar 27, 2025 |
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EP468: Very Common Assumptions That Aren't Actually True About Member Engagement and the Healthcare Industry, With Matt McQuide
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Mar 20, 2025 |
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EP467: Connecting Sky-High ER Spend to Primary Care Access—Following the Dollar Through Carriers and Hospitals, With Stacey Richter
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Mar 13, 2025 |
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EP466: What Is Rising Faster, Insurance Premiums or Hospital Prices? With Vivian Ho, PhD
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Mar 06, 2025 |
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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
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Feb 27, 2025 |
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EP464: ER Visits Now 6% of Total Plan Spend. Is It Upcoding or What? With Al Lewis
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Feb 20, 2025 |
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EP463: Medicare Advantage Policies—Which Will Stay and Which Will Go Now? With Betsy Seals
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Feb 13, 2025 |
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Encore! EP384: How Shareholders Impact Carrier Behavior, Exactly and Specifically, With Wendell Potter
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Feb 06, 2025 |
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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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Jan 30, 2025 |
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INBW42: A Philosophical Rabbit Hole of Considerations for Plan Sponsors and Others
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Jan 23, 2025 |
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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
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Jan 16, 2025 |
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EP460: Rushika Fernandopulle, MD's Theory of Change Starts With Status Quo Healthcare
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Jan 09, 2025 |
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EP459: Cost Containment by Co-Pay Maximizer or Co-Pay Accumulator: Points to Ponder, With Bill Sarraille
|
Jan 02, 2025 |
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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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Dec 26, 2024 |
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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
|
Dec 19, 2024 |
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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
|
Dec 12, 2024 |
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EP457: It's a Big Thing: Medical Spread Pricing. So, Let's Talk About Contract Transparency, With Cynthia Fisher
|
Dec 05, 2024 |
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INBW40: Thank Yous and the Intersection of Product Value, Collaboration, and Being a "Giver"
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Nov 27, 2024 |
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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
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Nov 21, 2024 |
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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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Nov 14, 2024 |
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EP456: Advice to Pharma at the Intersection of Product Value, Reputation, and Patient Affordability, With Brian Reid
|
Nov 07, 2024 |
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EP455: A Leadership Blueprint for Measurably Better Care, With Beau Raymond, MD
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Oct 31, 2024 |
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EP454: How the Particle v Epic Lawsuit Impacts Plan Sponsors and Public Health Trying to Get Data, With Brendan Keeler
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Oct 24, 2024 |
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EP453: Running a TPA (Third-Party Administrator) RFP Process That Is Less of a Wild West Fiduciary Shootout, With Claire Brockbank
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Oct 17, 2024 |
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EP452: Fiduciary Duty vs the Healthcare Status Quo, With Cora Opsahl
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Oct 10, 2024 |
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Spotlight Episode: Oncology Side Effect Management in the Real World, With Dan Nardi From Reimagine Care
|
Oct 03, 2024 |
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EP451: Hey, Let's Not Talk About Artificial Intelligence, With Spencer Dorn, MD, MPH, MHA
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Sep 26, 2024 |
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EP450: When Your Health Plan Is $9 Million in the Hole, Who Are You Going to Call? A CPA. And Tell Them to Bring Their Spreadsheets, With Marilyn Bartlett, CPA, CGMA, CMA, CFM
|
Sep 19, 2024 |
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EP449: For Clinical Leaders, Payers, and Plan Sponsors, Let's Talk About Blind Spots for Getting Patients or Members Appropriate Care, With Marty Makary, MD, MPH
|
Sep 12, 2024 |
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EP448 (Part 2): 340B: Why Employers Should Probably Care About What's Happening Here, With Shawn Gremminger
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Sep 05, 2024 |
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EP448 (Part 1): 340B: Where It Started, Where It Is Now, and Who Is Really Benefiting From This Massive Program, With Shawn Gremminger
|
Sep 05, 2024 |
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The Euphemism That Has Become Value-Based Care, With Elizabeth Mitchell—Summer Shorts 9
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Aug 29, 2024 |
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Encore! EP413: The Intersection of Healthcare Waste, Value-Based Care, and the Potential Rising Power of PCPs, With Will Shrank, MD
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Aug 22, 2024 |
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Encore! EP402: What Physicians Trying to Clinically Integrate Care in the Real World Need to Know, With Amy Scanlan, MD
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Aug 15, 2024 |
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EP447: Why an "EHR Strategy" Isn't Enough, With Ashleigh Gunter
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Aug 08, 2024 |
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EP446: Hey, Let's Not Talk About EHRs, With Spencer Dorn, MD, MPH, MHA
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Aug 01, 2024 |
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EP445: Can a Primary-Care-Only Practice Survive in 2024? With Tom X. Lee, MD
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Jul 25, 2024 |
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Encore! EP397: The Minefield That Is a PBM Contract and Also Some Advice for EBCs Who Are Taking Money Under the Table, With Paul Holmes
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Jul 18, 2024 |
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EP444: Two State Healthcare Laws Often Don't Go as Planned: CON and COPA, With Ann Kempski
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Jul 11, 2024 |
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EP443: Let Us Never Pay the First Bill in Honor of Marshall Allen
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Jul 04, 2024 |
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EP442: A Short Rumination on Saving Money, Except Not Saving Money. Oncology Side Effect Management as a Case Study, With Andreas Mang
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Jun 27, 2024 |
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EP441: Tables Get Turned. This Is Me Interviewed by Abby Burns From Radio Advisory About What Is Value
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Jun 20, 2024 |
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EP440: What Is the Optimal Size for a Medical Practice? With David Muhlestein, PhD, JD
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Jun 13, 2024 |
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EP439: Fixing the Generic Drug Pricing Problem, Where Patients Pay More When They Use Their Insurance, With Luke Slindee, PharmD
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Jun 06, 2024 |
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EP438: Recognizing Cognitive Dissonance and Thinking About How to Overcome It When in the Belly of the Beast, With John Lee, MD
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May 30, 2024 |
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EP437: The Most Powerful Committee No One Ever Heard of and Their Role in Primary Care and Mental Health Struggles, With Brian Klepper, PhD
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May 23, 2024 |
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EP436: Let's Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia, With Elizabeth Mitchell
|
May 16, 2024 |
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Encore! EP363: How to Cut Healthcare Admin Burden in Half, With David Scheinker, PhD
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May 09, 2024 |
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EP435: Optimized Pharmacy Benefits Are Required if You Want to Do or Buy Value-Based Care, With Dan Mendelson
|
May 02, 2024 |
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EP434: 5 Surprises About Bundled Payments, With Benjamin Schwartz, MD, MBA
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Apr 25, 2024 |
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EP433: The Mystery of the Weekly Claims Wire: What Are Plan Sponsors Actually Paying For Each Week? With Justin Leader
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Apr 18, 2024 |
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Encore! EP391: A Case Study for Anyone Trying to Level Up Primary Care That I'm Gonna Call "How Margin Shoves Mission Off the Bus," With Scott Conard, MD
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Apr 11, 2024 |
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Encore! EP297: A Driver of Patient Engagement and Clinician Team Success That Is Almost Always Overlooked, With Jerry Durham
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Apr 04, 2024 |
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EP432: The Knifepoint Intersection of Margin and Mission and the Peril of Cutting Clinical "Waste," With Kate Wolin, ScD
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Mar 28, 2024 |
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EP431: How Accountability for Outcomes Works in the Real World With Kenny Cole, MD
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Mar 21, 2024 |
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EP430: Advice for Digital Health Vendors Selling to Employers, With Barbara Wachsman
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Mar 14, 2024 |
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EP429: Following the Dollar Through Pharmacy Acronyms Like WAC, AWP, and NADAC, With Luke Slindee, PharmD
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Mar 07, 2024 |
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EP428: Do-It-Now Advice From the J&J and the DOL v BCBS Lawsuits, With Julie Selesnick
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Feb 29, 2024 |