Claim OwnershipListening In (With Permission): Conversations About Today's Pressing Health Care Topics
Subscribed: 12Played: 158
Subscribe
© All rights reserved
Description
Listen in as Catalyst for Payment Reform dials up health care leaders to discuss some of the biggest questions we face today.
145 Episodes
Reverse
In this episode, Andréa Caballero of Catalyst for Payment Reform talks with Rachel Block—Program Officer at the Milbank Memorial Fund and longtime federal/state health policy leader—about cost growth targets: what they are, why they matter, and how states, employers, and consumers can use transparent data to bend the healthcare cost curve without harming access to care.
In this episode of Listening (With Permission), Andréa Caballero of Catalyst for Payment Reform sits down with Swati Mathai—CEO and co-founder of XO Health—to explore how employers can finally move beyond the limits of legacy health plans. With more than 25 years of experience advising Fortune 500 employers, leading strategy at UnitedHealthcare and Anthem (now Elevance Health), and now building XO Health from the ground up, Swati shares why the only way forward is to start fresh.
In this eye-opening episode of Listening (With Permission), Andréa Caballero of Catalyst for Payment Reform welcomes Dave Chase—visionary founder of Health Rosetta, author, and champion for rebuilding healthcare from the ground up. Together, they explore how employers and benefits leaders can break free from status-quo health plans and reclaim quality care and economic prosperity for their communities.
In this episode of Listening In (With Permission), Andréa Caballero of Catalyst for Payment Reform sits down with Caroline McLeod, a practicing dental clinician and leader at CareQuest Institute for Oral Health, for a deep dive into the overlooked world of oral healthcare—exploring why it's far more than just teeth, and why health leaders need to pay attention.
In this episode of Listening In (With Permission), Andréa connects with Kristof Stremikis, Director, Market Analysis and Insights at the California Healthcare Foundation, for a candid exploration of Medicaid’s evolving landscape and its surprising relevance to the employer-sponsored insurance market.
Episode 142: Beyond Pie Charts: Mike Hanlon on Real-Time Data, Carve Outs, and Employer Power by Catalyst for Payment Reform
In this episode of Listening In (With Permission), Ryan Olmstead sits down with Mike Hanlon, founder and CEO of Abbet, to unpack some of the boldest ideas in health benefits management—and why they might not be so radical after all.
Hanlon, whose company builds automation tools for large employer plan sponsors, offers a candid look at why traditional approaches to benefits data and cost management have failed to move the needle, and what it will take to finally deliver better outcomes at lower costs. From real-time data to market-based carve-outs, Hanlon shares practical insights and hard-won lessons for employers ready to challenge the status quo.
In this episode of Listening In (With Permission), Shawn Gremminger, President and CEO of the National Alliance of Healthcare Purchaser Coalitions, joins Andréa Caballero of Catalyst for Payment Reform to dive into a pressing but often overlooked issue: the impact of the 340B Drug Pricing Program on pharmacy costs for employers and healthcare purchasers.
The 340B program, originally intended to support safety-net hospitals and community health centers, has expanded drastically over the years. Today, it's the second-largest drug purchasing program in the U.S., with an explosive $65 billion price tag. But what does this mean for employers and employees in the commercial market?
In this episode of LIWP's Healthcare Highway, Ryan Olmstead of Catalyst for Payment Reform speaks with Kendra Gipson, Director, Vendor Services & Contracts at State of Tennessee. Kendra oversees health plans for over 300,000 employees, and in this engaging conversation, she delves into the impact of recent pharmacy and PBM (Pharmacy Benefit Manager) bills being considered at the Tennessee State House.
Kendra provides an insightful overview of two pivotal bills making their way through the legislature: one involving the use of 340B drug pricing programs and another focusing on alternative funding plans for prescription drugs. These legislative changes could significantly affect the state’s ability to manage healthcare costs and offer meaningful savings to both the state and its members. She also highlights the financial ramifications of recent laws impacting low-volume pharmacies and member cost-sharing accumulators.
Patricia Kelmar, Senior Healthcare Campaigns Director for USPIRG, sits down with Andrea Caballero from Catalyst for Payment Reform to discuss one of the most pressing issues in healthcare affordability: facility fees. These hidden charges are adding significant costs to medical bills, even for routine visits and telehealth appointments. With her extensive background in patient safety and healthcare advocacy, Patricia shares her insights on how these fees are becoming more widespread and the policy efforts underway to combat them.
Episode 138: Hospital Consolidation Across Geographic Markets with Katie Gudiksen and Brent Fulton by Catalyst for Payment Reform
In this inaugural episode of the Healthcare Highway, CPR's limited podcast series, Ryan Olmstead sits down with Misha Sharp, the Assistant Director of Policy at the 32BJ Health Fund, to explore the Fund's innovative approaches to tackling health care costs. In the episode Misha delves into the Fund’s active role in shaping health care policy, including its involvement in New York’s Fair Pricing Act and efforts to promote price transparency in hospital services.
She also highlights 32BJ’s innovative purchasing strategies, such as contract-aligned vendor procurement and expanding direct contracting for specialized medical services like joint replacement surgeries.
In the latest episode of Listening In (With Permission), we dive deep into the challenges and potential solutions around high healthcare costs that employers face in states like Florida, Michigan, and Nevada.
This conversation brings together Karen van Caulil, Bret Jackson, and Chris Syverson to discuss findings from CPR's recent research, reflecting on state-specific struggles and opportunities for policy intervention. They explore the implications of soaring insurance premiums—like the 16.9% increase facing nonprofits in Michigan—and the burden of surprise facility fees that can cost consumers and employers alike.
This episode offers a thoughtful and urgent look at the healthcare crisis, with a focus on how businesses and policymakers can collaborate to create more sustainable solutions. Tune in to hear what’s working, what’s not, and how we can pave a path forward in the ongoing battle against rising healthcare prices.
On this episode Ryan calls Glen Tullman, CEO of Transcarent, to discuss the untapped power of generative AI in revolutionizing healthcare accessibility and affordability.
Glen describes the concept of "wayfinding", which integrates benefits navigation, clinical guidance, and care delivery into a seamless user experience using generative AI as the conductor. This new take on traditional "navigation" models could be poised to significantly disrupt the norm, consolidating fragmented services into a unified platform accessible via mobile devices.
Listen In (With Permission) Now!
In this episode, Ryan Olmsted from Catalyst for Payment Reform (CPR) sits down with Paul Grady, Principal at Alera Group to discuss the critical role of purchaser activation in mitigating rising costs in healthcare and improving value.
Paul and Ryan also delve into the importance of purchasers' involvement in policy-making and how their participation in committees like the Connecticut Cost Growth Benchmark Advisory Board is essential for addressing healthcare cost increases. Paul shares real-life examples of how being actively involved in policy and marketplace initiatives can positively influence one's career.
Tune into our latest episode of Listening In (With Permission) as Ashok Subramanian, CEO and founder of Centivo, and Ryan Olmstead dive deep into the critical issues of healthcare affordability and access. Discover groundbreaking insights from Centivo's recent guide, "Breaking Down and Breaking Through the Healthcare Affordability and Access Crisis," which highlights the alarming statistic that 43% of working Americans earning under $50,000 regularly skip necessary care due to cost. Ashok and Ryan explore the human side of these challenges, emphasizing the urgency for disruptive strategies in healthcare reform. Learn about innovative solutions and practical steps employers can take to improve healthcare access and affordability for their employees. Don't miss this engaging discussion on how to achieve radical affordability and ensure a healthier future for all. Listen In (With Permission) now to stay informed and inspired!
Ryan calls Chris Chan, Chief Value Officer of finHealth, to discuss the pitfalls many self-insured employers face related to their claims review as they try to meet their fiduciary responsibilities.
"We're seeing increased scrutiny and requests from employers to say, “Hey, we, we know we have this cycle in the past that we worked where we just automatically approve these things, but we need to be better stewards of our plan and really understand on a weekly basis whether the charges are appropriate or not.""
In this episode of Listening In (With Permission) Dr. Matthew Resnick, Chief Medical Officer at Embold Health, discusses with Ryan the evolution of quality measurement and improvement in healthcare, emphasizing the importance of aligning care with evidence-based guidelines.
He highlights the need for integrating quality and cost considerations to drive progress in the healthcare system and addresses the disparities in access to high-quality care, particularly in rural areas, and suggests short-term and long-term solutions to address these challenges.
The episode underscores the significance of purchaser engagement in prioritizing healthcare quality alongside cost considerations to drive meaningful improvements in patient outcomes and reduce unnecessary care.
In this podcast episode Dayne and Tim Huke, Chief Growth Officer for Cedar Gate Technologies, explore firsthand the core of CPR's latest case study, Unlocking Value: Diabetes Care Management Vendors' Impact on Quality and Clinical Outcomes for Self-Funded Employers. What are the challenges faced by employers as they navigate the expansive ocean of point solution vendors, seeking answers to the ever-growing health care cost dilemma? Find out in this podcast episode!
On our latest podcast episode the tagline is, "Value-Based Contracting: It's Not Magic, It's Math." 🏥 Andréa Caballero calls the co-founding team at Syntax Health, Rachael Jones, Chief Executive Officer, and Emily Walker, Chief Analytics Officer, to demystify the complexities of value-based contracting, and encourage employers to stop treating it as a sideshow, and instead to make it the main event.
Rachael and Emily break down the math behind value-based contracting and share anecdotes from the trenches of healthcare negotiations. Tune in for an enlightening discussion on how math, trust, and transparency intersect in the healthcare industry.
Listen In (With Permission) today!
Comments
Download from Google Play
Download from App Store
United States