Moving to Value Unscripted

Why should we accept impossible healthcare cost increases without questioning the numbers?We sit down with Emma Fox, CEO of Foxwatch Consulting and EVP at Liberty Company Insurance Brokers, to name and shame the hidden fees, opaque broker traps and massive ERISA fiduciary liabilities draining employer budgets.From her transition out of legacy insurance carriers to navigating her own medical bankruptcy, Emma pulls back the curtain on an industry structured around misaligned incentives. She breaks down real-world examples of extreme claims mismanagement, explaining why passive plan sponsors face growing legal exposure and how standard broker "benchmarking" spreadsheets offer nothing more than a false sense of security.The solution doesn't require stripping benefits or causing chaos for employees. Emma reveals how strategic adjustments like integrating Direct Primary Care, enforcing pass-through pharmacy contracts and auditing claims data can eliminate waste and slash health plan spend.________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/members.

With US healthcare spending reaching an unsustainable $5.7 trillion, employers face a turning point as double-digit renewal hikes threaten their bottom line. Jeff Hogan, Co-Founder and Managing Director of The Judi Group and former host of Moving to Value Unscripted, returns to break down how plan sponsors can transition from passive buyers into active fiduciaries.Jeff uncovers the hidden contract mechanisms, PBM spread pricing, and TPA fees that siphon off 25% to 33% of employer healthcare spend. He outlines what business leaders must do to comply with expanded Consolidated Appropriations Act (CAA) rules, enforce claims-data rights and protect themselves from personal fiduciary liability. Tune in to discover actionable strategies for taking back control of your health plan over the next 12 to 24 months.________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/members.

"Never ask a barber if you need a haircut."Misaligned incentives within the fee-for-service structure have normalized more spending on low-value services and less spending on high-value care.You might think that the highest value services — think vaccines, insulin, early screenings — should be the easiest for patients to access. And yes, when a service is free and widely available, it is typically popular. Case in point, the more than 250 million Americans who got a free COVID-19 vaccine.But big insurance doesn't provide full coverage out of the goodness of their hearts. There are legal provisions, most notably the Affordable Care Act's preventive services provision, requiring full coverage of certain services.Dr. Mark Fendrick, director of the University of Michigan's Center for Value-Based Insurance Design, helped draft this language in the Affordable Care Act and has dedicated his career to advancing Value-Based Insurance Design (VBID). He joins us to discuss why increased spending on high-value care is still being debated.And yes, our foreheads are bruised from banging our heads against the wall.Find the transcript of this episode at movingtovalue.org/transcript/fendrick________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/members.

Re-release of a conversation recorded in July 2025.What would healthcare look like if it were truly built around the people it serves? In this episode, we take a closer look at Alaska’s Southcentral Foundation and its internationally acclaimed Nuka System of Care — a model that has redefined what value-based care can mean when relationships, trust and community ownership are at the center.Joining us are April Kyle, President and CEO of Southcentral Foundation, and Dr. Doug Eby, the system’s founding medical director and one of Nuka’s chief architects. Together, we explore how an Alaska Native–owned health system transformed itself from a federal bureaucracy into one of the world’s most respected models of integrated, relationship-based care. April and Doug share the principles and practices that have led to dramatically improved outcomes and high patient and employee satisfaction at significantly lower costs.Through the story of Nuka, we consider what’s possible when healthcare shifts from doing things to patients to partnering with people — and how lessons from Alaska might chart a course toward more human, more effective value-based systems around the country (and the world).Find a transcript of this episode at movingtovalue.org/transcript/nuka________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/members.

What if a generic medication retailing for $15 was billed to your company’s health plan for over $6,000?James Murray, Founder and Managing Director of Murray Strategic Healthcare Ventures, spotlights these massive markups happening every day in corporate healthcare.With 35 years of Wall Street capital markets experience, Murray brings an institutional risk manager’s lens to the opaque world of Pharmacy Benefit Managers (PBMs). He identifies the middleman fees draining employer budgets and employee retirement assets, and shares how self-insured plan sponsors can use public Form 5500 filings and new CAA disclosure mandates to demand fee transparency at the renewal table. Tired of accepting healthcare spending as an uncontrollable expense? This episode is a roadmap to reclaiming control.Find a transcript of this episode at movingtovalue.org/transcript/murray________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/members.