This is part one of our Health Systems at a Crossroads webinar. Part two will take place on Friday, November 14 at 12 ET. Click here to register.
Join us as we survey the structural, financial and cultural forces shaping hospital behavior. Our expert guests unpack where hospitals truly make money, how consolidation impacts access and what stands in the way of a systemic shift toward value-based care. With featured speakers:
Erin Hurlburt, Chief Medical Officer, Population Health Services, Lumeris
Chris Deacon, Author and Founder, Versan Consulting
Ge Bai, Professor of Accounting, Johns Hopkins Carey Business School and Professor of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health
Moderated by John Rodis, Moving to Value Alliance President and Arista Health LLC Founder and President.
Join us on Friday, November 14 at 12 ET for part two of our Health Systems at a Crossroads webinar, when we'll dig deeper into how health systems can work toward creating high-value care models. Click here to register.
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
We're excited to invite you to our upcoming 'Health Systems at a Crossroads' webinar series exploring the challenges facing America’s health systems and the emerging opportunities for transforming care delivery. The sessions will take place at 12 p.m. ET on Friday, November 7 and Friday, November 14.
Session One — The Health of Health Systems
Friday, November 7, 12-1 p.m. ET
This session will survey the structural, financial and cultural forces shaping hospital behavior. Experts will unpack where hospitals truly make money, how consolidation impacts access and what stands in the way of a systemic shift toward value-based care. With featured speakers:
Erin Hurlburt, Chief Medical Officer, Population Health Services, Lumeris
Chris Deacon, Author and Founder, Versan Consulting
Ge Bai, Professor of Accounting, Johns Hopkins Carey Business School and Professor of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health
John Rodis, Moving to Value Alliance President and Arista Health LLC Founder and President will moderate.
Session Two — Innovating Toward Value
Friday, November 14, 12-1 p.m. ET
This session will turn to solutions. Panelists will share practical steps for health systems seeking to realign incentives, embrace new technologies and drive improvements in value-based care. Discussion will center on how health systems can work toward creating high-value care models. With featured speakers:
Mark Gwynne, Chief Value Officer, UNC Health
Jeffrey Hogan, President, Upside Health Advisors
Blair Childs, President and CEO, Childs Associates LLC & Partner, CEO Advisory Network
Marion Couch, IntoValue Inc. Co-Founder and CEO, Guidehealth Executive Advisory Board Chair and Chief Medical Officer and Duke University School of Medicine Adjunct Professor will moderate.
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
This is part two of a two-part episode. Click here to catch part one, or find it in our podcast feed.
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).
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Don't miss our upcoming 'Health Systems at a Crossroads' webinar series, which will take place Friday, November 7 and Friday, November 14 at 12 p.m. ET. Click here to register.
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
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).
This is part one of a two-part episode. Click here to catch part two, or find it in our podcast feed.
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Don't miss our upcoming 'Health Systems at a Crossroads' webinar series, which will take place Friday, November 7 and Friday, November 14 at 12 p.m. ET. Click here to register.
————————————
All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
Convenience, flexibility, value. Subscription-based models could disrupt the paradigm of accessing (and paying for) healthcare. But can they build buy-in and consumer trust? We discuss with special guest Christina Farr.
As a health tech investor, general partner at Scrub Capital and author of the industry-leading Second Opinion newsletter, Christina offers her perspective on how business model innovation can drive real value in healthcare.
We touch on her recent piece, "Subscription-based healthcare just got a big tailwind," which examines how emerging policy and payment reforms could be a leg up for membership-based and direct care models, and what that might mean for employers and innovators pursuing value-based care.
Join our conversation about how the next generation of healthcare leaders can think differently about impact, incentives, and the real meaning of value.
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
Surgeons getting sticker shock? MTVA discusses transparency in health system spending and optimizing for better long-term patient outcomes with special guest Derek Haas.
Derek is the CEO and founder of Avant-garde Health, which provides surgeons, health systems, and ASCs with comprehensive insight into their surgical care and empowers them to improve their profitability and care quality.
"We help health systems and physicians understand the opportunities to deliver their care with the same or higher quality but in a more financially-optimal fashion."
Avant-garde's work has been featured on the front page of The Wall Street Journal. Derek has co-authored twelve Harvard Business Review articles, as well as articles in NEJM and JAMA. He holds a BA and MBA from Harvard.
Our conversation with Derek is particularly timely as hospitals and health systems navigate how changes in federal policy will impact their business models.
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
Are your bags packed for Denver? Gear up for RosettaFest 2025 by listening to this conversation between MTVA and Dave Chase!
If you don’t yet know the pioneering disruptor Dave Chase, he’s on a mission to restore hope, health and economic prosperity to communities through healthcare transformation.
Dave is a Co-Founder and CEO of Health Rosetta, a blueprint for high-performing health benefits using simple, practical fixes. Health Rosetta helps employers and unions provide better care for their members, while reducing benefits spending by 20-40%.
We discuss driving transformation within our multibillion dollar healthcare industry, navigating political headwinds, and scaling healthcare fixes from the local level with Health Rosetta.
“Healthcare was systematically extracting wealth from communities and families, all while delivering mediocre outcomes. And honestly it’s the largest wealth transfer in American history, from the working and middle class – who’ve had 30 years of wage gain stolen – to Wall Street and their water carriers. That was the cold hard truth that I found.”
Watch Dave’s TEDxTalk or read his books: The CEO’s Guide to Restoring the American Dream, Opioid Crisis Wake-up Call, and Relocalizing Health
Further Listening from MTVA Unscripted:
Employer Series - Part 1: The Critical Importance of Getting and Owning Your Claims Data
What Employers Need To Do Now to Comply With CAA by End of Year : MTVA Talks to Chris Deacon
From ERISA to CAA: How Has Employer’s Fiduciary Responsibility Changed Over Time?
“YOU Are the Customer”: Fixing Healthcare from the CEO’s Desk w/ Darrell Moon
Other Sources Referenced:
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
“The only thing that actually reduces mortality and morbidity in primary care is a long-term relationship with a PCP.”
In this conversation, MTVA explores the fast-growing movement of direct primary care (DPC) with special guest Peter Lazzopina, MD - Founder of Frontier Direct Care in Texas.
Based in the Rio Grande Valley, Frontier has grown organically from a single-man operation to a thriving network that’s redefining access, cost, and outcomes.
Dr. Lazzopina describes how relationship-based medicine works better for patients, employers and providers.
The model keeps physician panel sizes small, visits long, and incentives fully aligned—resulting in high provider morale, better health outcomes, and big savings for employers.
By partnering with Frontier, the city of McAllen, TX reduced ER visits by 74% in just one year. In two years, Frontier saved the city $8 million!
Dr. Lazzopina and Frontier are proving that DPC can help solve our primary care crisis!
This is a grassroots movement with real momentum—and one that can’t be ignored!
NOTE: Frontier Direct Care has a business relationship with MTVA Board Member Dr. Steve Schutzer’s company Upswing Health. This episode is NOT sponsored by Upswing nor Frontier.
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
What does “value” in health care actually mean—and how do we get there? MTVA sat down with a top leader in the value movement who’s put the value philosophy into practice!
Kevin Bozic, MD, MBA is Chair of Surgery and Perioperative Care at Dell Medical School at The University of Texas at Austin. He’s internationally recognized in the field of orthopaedic surgery (a Past President of the American Academy of Orthopaedic Surgeons) and a leading force in value-based health care.
For Dr. Bozic, value isn’t just about cutting costs or providing better services. It’s about delivering HEALTH.
“You can provide the lowest cost, most efficient, high quality, safe health care, and unless it improves someone's health, you haven't created any value.”
Since joining Dell Med in 2015, Dr. Bozic has built a department from the ground up around one central philosophy: health is the goal, and care is one contributor to achieving it. By recruiting mission-driven clinicians and fostering a team culture grounded in purpose, his department has seen not only improved outcomes, but also provider satisfaction and staff retention.
In this episode, Dr. Bozic discusses:
Why “health care” should always be 2 words—and what that distinction means
The power of making health our North Star
Why value must be measured by patient-reported health outcomes
What it takes to shift culture in medicine—and how he built a new model from scratch
How turf wars and rigid incentives are holding us back—and what we can do about it
He challenges fellow physicians to take ownership of reform: “No one is more responsible for how we deliver and pay for health care than physicians, and we're the people that the rest of the world trusts. Society trusts us. They don't trust the government or health plans or bureaucrats or anyone else to fix these problems.”
Dr. Bozic also reflects on changes in medical education, and his experiences training the next generation of physicians.
If you’ve ever asked what it would take to fix the U.S. health system from the inside out, this conversation offers both vision and proof of concept!
“If we could get the country focused on the whole end game here in health care is health, that would be a step forward.”
To learn more about the proposed cuts to Medicaid, check out our episode with Stephanie Noriea.
Sources Referenced:
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: www.movingtovalue.org/membership.
“I really do think it's as simple as waking up the buyer, because if the buyer is going to define what they want and hold people accountable, everything else will happen naturally.”
One often overlooked stakeholder in the U.S. healthcare system is business leaders. Our guest this week, Darrell Moon, is on a mission to mobilize these decision makers.
Darrell is the CEO and Founder of Orriant and Aspirational Healthcare.
As a hospital administrator, Darrell saw the profound misalignment between the health system and its customers. For the last 30 years, he’s been advocating for a different approach – based on the Nuka System of Care in Alaska and Deming’s principles – and coaching executives on how they can too!
His recent book “Make Healthcare Work for You” is a pragmatic guide for how CEOs can get better healthcare for HALF the price.
Darrell and MTVA discuss his new book and how CEOs can lead the movement to better healthcare!
More from MTVA Unscripted:
Other Sources Referenced:
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
Thinking about Dermatology may bring to mind Botox injections and commercials for anti-aging skincare products, but behind the scenes, it’s one of the most broken specialties in healthcare. Long wait times for short visits, some of the most expensive drugs on the market, and a system that too often overlooks patients with chronic autoimmune skin conditions.
In this episode, we sit down with Olivia Deitcher – Founder and CEO of Zest Health and one of Slice of Healthcare’s “50 under 50" leaders transforming our health system. A “patient founder” living with psoriasis and a veteran of the biopharma startup world, Olivia launched Zest to build the dermatology experience she wished for: high-touch, data-driven, and value-based.
“I am candidly very optimistic about where dermatology as a field can go if we can put in place value-based care rails.”
Zest is a virtual-first dermatology clinic designed for patients with chronic autoimmune conditions like psoriasis and eczema. Zest patients are seen within days (not months), and get continuous follow-up care with frequent engagement (30-60 minute visits every 4-6 weeks). Through what Olivia calls the “de-prescription paradigm”, Zest helps patients reduce unnecessary medication use and better manage their conditions — saving tens of thousands of dollars per patient.
“We bring a very vast toolkit of therapeutic interventions into the analysis of what is appropriate for the patient. It may be that that patient should change their laundry detergent… see if that helps alleviate things. Just moving to a $6 unscented laundry detergent, before we initiate that patient onto a $90,000 therapeutic where they’re going to have to be at home, injecting a drug into themselves, managing the side effects, and feeling like that’s the only answer.”
Olivia and her team are serious about the movement to value – Zest only enters value-based arrangements that pay for improving their patients’ quality of life.
Listen to hear why 91% of their patients said Zest is a better approach to dermatology care – and how Zest accomplishes this while saving patients and their employers hundreds of thousands of dollars on unneeded prescriptions.
To learn more about the link between environment, lifestyle and health, check out our episode with Dr. Elizabeth Boham. Listen to our episode with Pramod John to learn how his company VIVIO Health helps match patients to the right drug at the right price.
Sources Referenced:
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to the MTVA Trade Members and Ally Members whose support makes this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
“Right now, the value-based care reward is coming into the payers far more than it’s coming into the providers.”
A primary care provider shortage is on the horizon. Between resolving coverage disputes, trying to get reimbursed for services, and limited time with patients, PCPs are burnt out.
But what if we reimagine the primary care payment model to work better for providers and patients?
In this episode, we sit down with Mary Tracy Mock to tackle one of the most urgent and complex issues in healthcare today: the state of primary care and the payment arrangements shaping its future. Mary is a seasoned healthcare executive and veteran of value-based arrangements.
We break down the pressing primary care workforce crisis, and how outdated reimbursement systems are contributing to provider burnout and could soon lead to primary care “deserts.” Mary makes a compelling case for a radical reimagining of how we value and pay for primary care — from capitation to Direct Primary Care (DPC) and beyond.
Whether you’re a policymaker, provider or patient, this conversation will challenge your assumptions — and offer real solutions!
Sources Referenced:
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
From geography to network adequacy and endless waitlists, getting seen by a specialist can be tricky. And the challenges are even more pronounced for underserved communities – who may be hours away from the provider they need to see, or whose insurance might not be accepted by specialists. Then, after waiting months for an appointment, it may turn out to be one of the many specialist referrals that are unnecessary.
There’s a better way: eConsults.
In this episode, MTVA sits down with Dr. Daren Anderson, the President and Founder of ConferMED, a not-for-profit telehealth company that connects primary care practices across the country with specialists through virtual “eConsults”.
“Using an eConsult platform like ConferMED allows you to bring the specialist and the subspecialist into that care team virtually.”
Dr. Anderson shares his journey – from primary care provider at a federally qualified health center, to leading the Weitzman Institute, and eventually founding ConferMED, which now helps improve access to specialists across 32 states.
With eConsults, primary care providers are empowered to provide better care without unnecessary referrals, specialists can support more patients efficiently, and patients get answers more quickly. Dr. Anderson and his team have also published research showing that eConsults can generate cost savings for the healthcare system.
“We’re seeing more and more primary care practices looking for eConsult solutions because it makes sense for everybody, not just the underserved. And I kind of like that story, because we figured out something for the underserved that actually makes great sense for everybody else as well, and the underserved got it first!”
To learn more about the proposed cuts to Medicaid, check out our episode with Stephanie Noriea.
Studies on eConsults referenced by Dr. Anderson:
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All episodes of MTVA Unscripted can be found here. | Sign up for our email list here.
Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.
We’re just a couple months into the second Trump administration, and already we’re seeing a massive push to reduce federal spending. One program that seems to be on the chopping block: Medicaid.
In late February, House Republicans passed a budget resolution that would drastically reduce federal funding for Medicaid. What’s really going on in Washington? How would proposed cuts impact states – and the millions of Americans who are covered by Medicaid? How can we harness this attention on Medicaid to advance solutions that cut costs AND improve outcomes?
In this episode, Stephanie Noriea joins MTVA to help us make sense of the current situation with Medicaid. Stephanie is an attorney and Managing Director at Mercury LLC who has spent the past 9 years working at the intersection of Medicaid and value-based care. She shares her experience working with startups to bring innovative solutions to Medicaid, breaking down how to navigate the complex landscape and enact meaningful change.
“I have never met a single legislator or governor who says ‘I hate medicaid.’ That’s not what I hear. What I hear is how do we effectuate change? How do we do this better? How do we engage better? And they don't know. And it’s up to us, the practitioners on the ground, the thought leaders, etc to bring these solutions.”
MTVA and Stephanie agree: NOW is the time to bring value-based solutions to Medicaid! It is possible to generate cost savings while simultaneously improving access and quality of care.
Tune in to learn what’s on the horizon for Medicaid, and how we can leverage ideas from the value movement to help transform the program!
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Sign up for our email list here.
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. Tax-deductible membership contributions help us enrich the healthcare environment with quality content – including this podcast – and robust platforms to fuel discussion, collaboration, and advocacy that lead to ground-breaking solutions.
For more information and to join us, visit our website https://www.movingtovalue.org/membership.
All episodes of MTVA Unscripted can be found here.
Managing chronic diseases like diabetes and hypertension is one of the most pressing challenges facing our health system. And Dr. Bill Bestermann has a solution: Optimal Medical Therapy.
Optimal Medical Therapy is a comprehensive, evidence-based approach with the power to prevent adverse events, improve patient outcomes, and dramatically reduce healthcare costs.
A board-certified internist and expert in preventive cardiology, Dr. Bestermann has been singing the praises of Optimal Medical Therapy for decades. In this episode, Dr. Bestermann and the MTVA Board discuss what Optimal Medical Therapy is, the data supporting its effectiveness, and how a “high-tech, high-touch” system can ensure more patients receive the care they need.
“Optimal medical therapy is a product. And if you set up your systems to produce that product, you do much better.”
Dr. Bestermann writes extensively about Optimal Medical Therapy on his substack. He is also Chief Medical Officer of Epigenex Health and Chief Medical Advisor for Congruity Health.
References:
For more on GLP-1s, listen to our episode with Al Lewis and our episode with Sloan Saunders. Check out our episode with Dr. Scott Conard about his WHY?
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Sign up for our email list here.
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. Tax-deductible membership contributions help us enrich the healthcare environment with quality content – including this podcast – and robust platforms to fuel discussion, collaboration, and advocacy that lead to ground-breaking solutions.
For more information and to join us, visit our website https://www.movingtovalue.org/membership.
All episodes of MTVA Unscripted can be found here.
“I’d like to leave an infrastructure behind that is better than the one I encountered when I came in, because we're stifling innovation, we're stifling creativity, we’re stifling advance.”
How can decentralization and transparent pricing reshape American healthcare? In this episode of Moving to Value, the MTVA Board sits down with Steve Wiggins, a healthcare entrepreneur with 40 years of experience at the intersection of healthcare and technology. Steve has founded and led multiple companies driving innovations in payment models and care management—and today, he’s on a mission to transform the system with his latest ventures: Oxbridge Health and OpenNetworks.
Steve’s involvement in healthcare began in college, when his best friend suffered a life-changing injury that left him paralyzed. Since then, he has dedicated his career to creating solutions that improve access, affordability, and outcomes.
Steve shares how innovative plan designs and payment models based on episodes of care can break the cycle of rising costs and realign payment with how patients experience healthcare. He also explores how policies like the Transparency in Coverage Rule and the No Surprises Act are pushing the industry toward greater transparency.
“To me, if you’ve been in my seat, you look at this and you say, ‘This is the beginning of a profound change. It’s all going to be different.’”
With Oxbridge Health, he introduces “Episode Benefit Plans,” which use bundled payments to lower costs while preserving broad provider choice. Open Networks is pioneering America’s first health network cooperative—leveraging pricing transparency and data to offer patients predictability on their out-of-pocket costs.
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As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. Tax-deductible membership contributions help us enrich the healthcare environment with quality content – including this podcast – and robust platforms to fuel discussion, collaboration, and advocacy that lead to ground-breaking solutions.
For more information and to join us, visit our website https://www.movingtovalue.org/membership.
All episodes of MTVA Unscripted can be found here.
Drug spending continues to escalate, accounting for an even bigger portion of total U.S. healthcare spend each year.
Why do we pay so much for medications? Are the drugs we buy truly worth the price we pay? How can we figure out the real value of a medication?
Pramod John joins the MTVA Board to help answer these questions and more. Guided by cold, hard data, Pramod expertly demystifies the drug market and pharmacy benefit ecosystem. His straightforward approach to pharmaceuticals is a stark departure from the overcomplicated acronyms and jargon common in the PBM space – in this episode, Pramod proves that you reallyCAN explain health care value in a straightforward way!
“It’s not the drug that you’re paying for, it’s the outcome.”
Pramod John is the Chairman and CEO ofVIVIO Health, a public benefit corporation using data to disrupt the typical PBM model. VIVIO’s mission is simple: to deliver the right drug for the right patient at the right price.
We discuss what drug data really mean, why Americans are overpaying for prescriptions, and how to move beyond our current broken system.
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To learn more about topics discussed including the J&J lawsuit, PBMs and GLP-1 weight loss drugs, check out these other episodes of MTVA Unscripted:
J&J lawsuit
Wake-up Call: The Johnson & Johnson Prescription Pricing Scandal
From ERISA to CAA: How Has Employer’s Fiduciary Responsibility Changed Over Time?
PBMs
PBM Problems (Part 2): Transparency and Disrupting the Status Quo w/ Mutual Rx CEO Roy Wilkinson
PBM Problems (Part 3): Monopoly Power in Prescription Drug Markets w/ Luke Slindee
GLP-1s
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We’re excited to welcome like-minded organizations and individuals to join the MTVA Membership program!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. Tax-deductible membership contributions help us enrich the healthcare environment with quality content – including this podcast – and robust platforms to fuel discussion, collaboration, and advocacy that lead to ground-breaking solutions.
For more information and to join us, visit our websitehttps://www.movingtovalue.org/membership.
All episodes of MTVA Unscripted can be foundhere.
“There are medical schools whose mission is to build the researchers of the future, we all know who those are. There are other medical schools to build the community clinician of the future, great. And I’m about: let’s build the scholars and leaders in quality and in population health for the future.”
Professor David Nash, MD, MBA joins MTVA for a conversation about his trailblazing career and the past, present, and future of population health. Dr. Nash shares how he found himself as the Founding Dean of the first college of population health in the country, and the trials and tribulations of starting this school from scratch.
We discuss the roles of mentorship and medical school curriculum in building the physician leaders of the future, the importance of aligning economics with outcomes, and Dr. Nash shares hopes for fixing our broken health system in the coming years.
“I’ll work with anybody who’s aligned with the no outcome, no income theory.”
Check out Dr. Nash’s recent bestseller “How Covid Crashed the System: A Guide to Fixing American Health Care”.
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We’re excited to welcome like-minded organizations and individuals to join the MTVA Membership program!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. We’re proud to offer two membership models, Ally Member and Trade Member. Tax-deductible membership contributions help us enrich the healthcare environment with quality content – including this podcast – and robust platforms to fuel discussion, collaboration, and advocacy that lead to ground-breaking solutions.
For more information and to join us, visit our website https://www.movingtovalue.org/membership.
All episodes of MTVA Unscripted can be found here.
“We are incentivized to practice medicine based on reimbursement, so that has resulted in more procedures, more pharmaceuticals, and less time with our patients. That has to change.”
MTVA is joined by Elizabeth Boham, MD to discuss functional medicine.
Dr. Boham uses her background in nutrition to help patients improve their health, and manage diseases including insulin resistance, Metabolic Syndrome, Diabetes, autoimmune conditions, and obesity.
We discuss steps providers can take to integrate functional medicine principles into their practice, how lifestyle can impact gene expression, and the the critical role diet plays in health.
Dr. Boham is Medical Director of the UltraWellness Center in Lenox, Massachusetts, Board Certified in Family Medicine, and also a registered dietitian. She is on the faculty of The Institute for Functional Medicine, and developed a Functional Nutrition course being used to educate physicians and other health professionals worldwide.
You can read two studies on the benefits of functional medicine Dr. Boham referenced here:
For more on nutrition, check out our episode with Al Lewis.
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We’re excited to welcome like-minded organizations and individuals to join the MTVA Membership program!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. We’re proud to offer two membership models, Ally Member and Trade Member. Tax-deductible membership contributions help us enrich the healthcare environment with quality content – including this podcast – and robust platforms to fuel discussion, collaboration, and advocacy that lead to ground-breaking solutions.
For more information and to join us, visit our website https://www.movingtovalue.org/membership.
All episodes of MTVA Unscripted can be found here.
“Just because it’s healthcare, doesn’t mean it’s good for you.”
Al Lewis joins MTVA for a lively discussion on patient education, nutrition, and overconsumption of healthcare. After a doctor’s visit for hoarseness where he was recommended unnecessary testing, Al decided to use his background in Trivia and create a new tool for patient health literacy. Quizzify was born!
Quizzify is designed to promote health literacy in an engaging, user-friendly format – helping make patients better consumers of healthcare.
The conversation centers on Quizzify’s program for GLP-1 weight loss drugs, which aims to “dissuade the curious, and educate the serious.” This dual goal can help reduce unnecessary spend on expensive medications, and equip those who start GLP-1s to have a higher chance of success in transitioning off.
Al and MTVA also discuss the importance of lifestyle change, which is made more challenging by deceiving nutrition labels and the relatively higher cost of more nutritious foods.
“Bad calories have become vastly less expensive, and good calories have become vastly more expensive.”
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We’re excited to welcome like-minded organizations and individuals to join the MTVA Membership program!
As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. We’re proud to offer two membership models, Ally Member and Trade Member. Tax-deductible membership contributions help us enrich the healthcare environment with quality content – including this podcast – and robust platforms to fuel discussion, collaboration, and advocacy that lead to ground-breaking solutions.
For more information and to join us, visit our website https://www.movingtovalue.org/membership.
All episodes of MTVA Unscripted can be found here.