Health Care Rounds

Smart conversations with the people moving health care forward. Health Care Rounds podcast brings together the leaders changing the future of health care and pharma, from how it's delivered and paid for, to where it's headed. Each episode goes deep on the decisions, innovations, and ideas reshaping the industry from the inside out. Hosted by John Marchica, CEO of Darwin Research Group and a longtime industry insider, every episode has one goal: leave you thinking differently than when you arrived.

The Trust-First Model Transforming Medicaid Care w/ Dr. Toyin Ajayi & Mike Roaldi, Cityblock

More than 70 million Americans are covered by Medicaid, and the people with the most complex needs, those juggling mental illness, housing insecurity, and chronic disease simultaneously, are the ones the traditional health care system is least equipped to reach. Dr. Toyin Ajayi, Co-Founder and CEO, and Mike Roaldi, President of Cityblock Health, join host John Marchica to break down how a trust-first, interdisciplinary care model is producing measurable outcomes for over 100,000 Medicaid and...

10-02
57:08

Why Nobody is Winning The Payer-Provider AI Arms Race w/ Dr. Marc Harrison, TowerBrook Healthcare Institute

American health care is too expensive, too inconsistent, and too difficult to navigate. And the payer-provider AI arms race that has emerged over the last several years is making all three problems worse, not better. Dr. Marc Harrison, Chair of the TowerBrook Health Care Institute, former CEO of Intermountain Health, and co-founder of HATCo, joins host John Marchica to examine why the health care system remains stubbornly stuck in an analog model and how AI-driven abundance could finally clo...

09-18
45:13

Mailbag: Virtual Nurses, Bundled Payments, and Single Payer

On this week's mailbag, John tackles three reader questions: How are health systems using AI to address the nursing shortage, and do these solutions solve the underlying problem? Are bundled payments becoming the norm for value-based payment models, and what does CMS's shift toward mandatory models like TEAM and CJR-X mean for providers and suppliers? And will the U.S. ever become a Canadian-style, single-payer system? Have any questions or comments? Send them our way! 👇 healthcareround...

09-11
21:39

Real Health Care Happens Between Doctor Visits w/ Wei-Li Shao, President, Omada Health

Between 80% and 90% of health outcomes are shaped by what happens between doctor visits. Yet the entire U.S. health care system, from payment models to primary care, is built around the visit itself. Wei-Li Shao, President of Omada Health, joins host John Marchica to break down why persistent, in-between-visit care is the missing layer in chronic disease management, and how pairing GLP-1 therapy with the right behavioral support program could be one of the most powerful levers the healt...

09-04
52:36

When MisInformation Becomes a Health Crisis w/ Dr. Joshua Sharfstein, Johns Hopkins

Health misinformation is no longer a fringe problem on the margins of public health. It has a measurable body count, and the systems that once reliably corrected it, local journalism, trusted institutions, and federal health agencies, are eroding fast. Dr. Joshua Sharfstein, Vice Dean for Public Health Practice and Community Engagement and Distinguished Professor of the Practice at the Johns Hopkins Bloomberg School of Public Health, and co-author of "Information Sick," joins host John Marchi...

09-04
50:22

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