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The Treatment Plan with David Usher, M.D.
ReforMedia
9 episodes
3 days ago
The Treatment Plan is a podcast that discusses how healthcare really works, from patient care and weight loss to the systems and incentives behind it all. Each episode unpacks what's working in our healthcare system, what's not, and how healthcare could be better.
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Medicine
Health & Fitness
RSS
All content for The Treatment Plan with David Usher, M.D. is the property of ReforMedia and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
The Treatment Plan is a podcast that discusses how healthcare really works, from patient care and weight loss to the systems and incentives behind it all. Each episode unpacks what's working in our healthcare system, what's not, and how healthcare could be better.
Show more...
Medicine
Health & Fitness
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How Health Plans Work, Who Makes the Decisions, and Why Primary Care Matters
The Treatment Plan with David Usher, M.D.
45 minutes 3 seconds
4 months ago
How Health Plans Work, Who Makes the Decisions, and Why Primary Care Matters

Nearly half of all Americans get their health insurance through work. But most employers don’t realize they’re running a second business: healthcare.


In this episode, Jack and Dave discuss how employer-sponsored insurance actually works—from fully funded plans to self-funded strategies—and why so many companies are bleeding cash without realizing it.

They talk about the hidden role of PBMs, the rising trend of direct primary care, and how smart employers are taking control of their costs without sacrificing quality.


Topics include:

  • Why your premiums keep rising (even in a “good” year)
  • How PBMs manipulate costs behind the scenes
  • The difference between fully funded and self-funded plans
  • Real-world examples of employers slashing spend without cutting care
  • Why primary care alignment is the key lever to taking back control of your healthcare spending


This episode is for CFOs, HR leaders, or people just trying to understand their own health plan better.


Episode #02.


LINKS


The Treatment Plan on YouTube


The Treatment Plan on Apple Podcasts


Follow Dave on LinkedIn


ReforMedicine Direct Pay Primary Care



The Treatment Plan with David Usher, M.D.
The Treatment Plan is a podcast that discusses how healthcare really works, from patient care and weight loss to the systems and incentives behind it all. Each episode unpacks what's working in our healthcare system, what's not, and how healthcare could be better.