Jan 28, 2021
In Episode 307, Stacey Richter talks with Loren Adler, associate director of the USC-Brookings Schaeffer Initiative for Health Policy, about the surprise billing legislation taking effect 1/1/22 — and what it means for providers, hospitals, self-insured employers, and patients.
WHAT YOU’LL LEARN
✅ How the new...
Jan 21, 2021
In Episode 306, Stacey Richter talks with Ge Bai, PhD, CPA, associate professor at Johns Hopkins, about Amazon’s pharmacy business — and a mind-blowing PBM contracting term that keeps cash-pay prices tethered to third-party payer rates.
WHAT YOU’LL LEARN
✅ Why Amazon’s pharmacy model is best understood as...
Jan 14, 2021
In Episode 305, Stacey Richter talks with Darrell Moon, CEO of Orriant, about the 1% most expensive claimants who rack up massive fee-for-service bills year after year without ever actually getting better — and what behavioral science reveals about why.
WHAT YOU’LL LEARN
✅ Why the same high-cost claimants keep...
Jan 12, 2021
In this “An Expert Explains” minisode, Stacey Richter talks with Steve Blumberg, MBA, VP of practice transformation at GuideWell Health, about Humana’s 2020 Value-based Care Report — and why a headline-grabbing 0.4% savings number doesn’t tell the whole story.
WHAT YOU’LL LEARN
✅ What Humana’s 2020...
Jan 7, 2021
In Episode 304, Stacey Richter talks with Steve Blumberg, VP of practice transformation for GuideWell Health, about his move from provider-side population health work to the payer side — and what it takes for a “payvider” organizational structure to actually drive Triple Aim results.
WHAT YOU’LL LEARN
✅ How...