Feb 26, 2026
Two members of a plan received infusions at a hospital. If they had gone down the street, the plan would have spent $1 million less — for the same drug. That is the infusion nonmarket in 2026.
In this episode, Stacey Richter speaks with Ivana Krajcinovic, the outgoing Vice President of Healthcare Delivery at UNITE...
Feb 19, 2026
If you rank California's commercial health plans by member count and check back every year for 14 years, the ranking barely moves. Kaiser at the top. The big blues plans close behind. Everyone else exactly where they were. This is not a competitive market. It is a stalemate. And the stalemate has causes.
In this episode...
Feb 12, 2026
Ten years ago, Stacey Richter started Relentless Health Value because the healthcare industry felt like a Pachinko machine — you drop a program or a policy in, it bounces around a black box, and sometimes the result is the opposite of what you intended. Then she met the Relentless Tribe, who turned out to be the...
Feb 5, 2026
Plan Sponsors Are Paying Millions for MSK Injuries That Would Have Healed Themselves — Here's Why
Musculoskeletal spend runs roughly $16 PMPM and accounts for 20–30% of total plan costs depending on member demographics — making it the third most costly category of spend. About 80% of those MSK injuries are low or...