Summary
Telehealth, AI, and digital therapeutics are redefining American healthcare. The ATA leaders share insights on regulation, innovation, and the road ahead.
In this episode of Analyzing Healthcare, host Roy Bejarano sits down with Ann Mond Johnson, CEO of the American Telemedicine Association (ATA), and Kyle Zebley, ATA’s Senior VP of Public Policy, to discuss how digital health is reshaping care delivery across the U.S. They explore the evolution of telehealth from early remote care to today’s AI-driven, data-enhanced platforms. The conversation dives deep into barriers to adoption—from outdated state regulations and the 1997 Medicare law to CMS reimbursement models—and what it will take to achieve true parity for digital care. From state-by-state advocacy to the global future of telemedicine, this episode offers an unfiltered look at the policies, players, and promise of healthcare’s digital revolution.
Title-Can AI and Telehealth Fix What Healthcare Policy Hasn’t? American Telemedicine Association x SCALE Community
What You’ll Learn
✅ The ATA’s mission and its role as the voice of U.S. digital health
✅ The policy and regulatory challenges limiting telehealth adoption
✅ How COVID-era flexibilities changed the trajectory of virtual care
✅ Why global collaboration may define the next phase of healthcare innovation
Subscribe to Analyzing Healthcare for more in-depth conversations with leaders transforming care delivery. Visit SCALE Community to join SCALE Community and access exclusive leadership insights.
Timestamps
• (00:00) – Intro | Meet Ann Mond Johnson & Kyle Zebley, ATA
• (01:20) – Inside the ATA: Mission, Members & Market Influence
• (03:30) – Evolution of Digital Health: From Telephones to AI
• (06:50) – Advocacy & ATA Action: Policy Work Across 50 States
• (09:20) – The Economics: Membership, Funding & Growth
• (17:00) – Digital Care vs. In-Person Care: Why Adoption Lags
• (21:00) – COVID’s Impact on Telehealth Expansion
• (30:00) – The 1997 Law That Still Restrains Telemedicine
• (34:00) – What Happens if the Waivers Expire?
• (37:00) – State Licensing Barriers & Push for Uniformity
• (42:00) – Global Digital Health: Opportunities & Challenges
• (44:00) – Signs of Optimism for the Future of Care
Key Takeaways
• 💎 The ATA leads U.S. advocacy for telehealth and digital therapeutics.
• 💎 Regulatory barriers—not technology—remain the greatest constraint.
• 💎 COVID accelerated digital adoption but left policy gaps unresolved.
• 💎 The next era of healthcare will merge local practice with global connectivity.
Resource Links
Guest: LinkedIn – Ann Mond Johnson | LinkedIn- Kyle Zebley
Host: LinkedIn – Roy Bejarano
Organization: www.scale-healthcare.com
Podcast Hub: Analyzing Healthcare by Scale Community
American Telemedicine Association – https://www.americantelemed.org | https://www.americantelemed.org/ata-action/
Guest Bio
Ann Mond Johnson is CEO of the American Telemedicine Association, leading efforts to integrate digital health into the core of U.S. healthcare delivery. With decades of experience in innovation, policy, and healthcare transformation, Ann is recognized as one of the most influential advocates for accessible, technology-driven care.
Kyle Zebley is SVP of Public Policy and Executive Director of ATA Action, where he drives the organization’s advocacy across all 50 states and on Capitol Hill. His work has helped modernize telehealth laws, protect digital access, and shape national debates on healthcare modernization.
SEO Keywords
Telehealth policy, digital health innovation, ATA, Ann Mond Johnson, Kyle Zebley, telemedicine regulation, healthcare technology, virtual care adoption, CMS reimbursement, healthcare policy reform, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
Summary
AI in healthcare, data platforms, UC Irvine innovation, Dynatrace, and healthcare technology governance. Former UC Irvine CDO Tom Andriola reveals how data, AI governance, and cultural change are transforming healthcare systems. From building precision-health platforms to creating AI accountability frameworks at scale, Tom explains how technology leaders can integrate AI trust, transparency, and observability into clinical and administrative workflows. He shares lessons from UC Irvine’s COVID-era data success and his current work at Dynatrace to enable AI assurance across healthcare enterprises. A must-listen for CIOs, digital health executives, and leaders building the future of AI in medicine.
What You’ll Learn
✅ How UC Irvine Health built a comprehensive data and precision health platform.
✅ Why AI governance and trust frameworks are essential for responsible AI use.
✅ How AI augments clinical decision-making and reduces provider burden.
✅ Where Dynatrace fits in the next wave of AI observability and accountability.
Timestamps
Key Takeaways
Resource Links
Guest: LinkedIn – Tom Andriola
Host: LinkedIn – Jason Schifman
Organization: www.scale-healthcare.com
Podcast Hub: Analyzing Healthcare by Scale Community
Mentioned: UC Irvine Health, Institute for Precision Health, Dynatrace
Guest Bio
Tom Andriola, a former Chief Information Officer now working at Dynatrace, leads the company’s global IT and digital innovation strategy. With extensive experience in healthcare technology, including leadership roles at UC Irvine and the University of California system, he has been a strong advocate for data-driven care, AI integration, and digital transformation across healthcare enterprises. Tom’s work bridges technology and clinical outcomes, advancing how health systems use data and automation to improve patient care and operational efficiency.
SEO Keywords
AI, healthcare technology, UC Irvine, data platforms, precision health, pandemic response, clinical decision-making, AI governance, healthcare integration, Dynatrace, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
Summary
Value-based care, CMS Innovation strategy, AI in healthcare delivery, and primary care reimbursement — where health equity meets policy innovation.
In this episode of Analyzing Healthcare by Scale Community, Roy Bejarano, Co-Founder & CEO of Scale Healthcare, speaks with Dr. Purva Rawal, former Chief Strategy Officer at the CMS Innovation Center (CMMI). They discuss how value-based care models, AI, and CMS initiatives are reshaping U.S. healthcare.
Dr. Rawal shares lessons from leading Medicare and Medicaid innovation, highlighting how payment reform and primary care reimbursement drive equity and efficiency. The conversation explores CMS strategy, the role of AI in care coordination, and key takeaways from COVID-19 that continue to shape policy and virtual care.
Title
Is CMS Doing Enough to Make Value-Based Care Sustainable? | Purva Rawal × SCALE Community
What You’ll Learn
✅ How value-based care and primary care reimbursement models advance health equity.
✅ The role of the CMS Innovation Center in modern healthcare reform.
✅ How AI in healthcare delivery enhances outcomes and reduces inefficiency.
✅ Policy insights for leaders navigating the latest trends in healthcare innovation.
If you enjoy forward-thinking Healthcare Podcasts, subscribe to Analyzing Healthcare for weekly Healthcare Industry Insights and Healthcare Strategies from top leaders.
👉 Visit www.scale-healthcare.com to join Scale Community and explore the latest Healthcare Thought Leadership and Innovation initiatives.
Timestamps
• (00:00) – Intro | Meet Dr. Purva Rawal of CMS Innovation Center
• (01:30) – Defining “Value” in Healthcare & Human-Centered Care Design
• (04:20) – Top Gaps in U.S. Healthcare & Primary Care Infrastructure
• (10:44) – Primary Care Reimbursement Models & Political Challenges
• (15:30) – Evaluating Value-Based Care Models and Provider Satisfaction
• (21:15) – CMS Initiatives for Reducing Health Disparities
• (34:00) – Medicare Spending, Inflation, and System Sustainability
• (40:00) – AI in Healthcare Delivery & the Future of CMS Innovation
• (46:00) – COVID-19 Lessons for Healthcare Strategy and Equity
• (53:00) – Closing Insights on Public Trust and Institutional Integrity
Key Takeaways
• Value-based care models are the foundation of sustainable health equity.
• AI in healthcare delivery is reshaping care coordination and data-driven policy.
• Primary care reimbursement models must align financing with outcomes.
• CMS initiatives prove that innovation and policy can work together to improve access.
Resource Links
Guest: LinkedIn – Purva Rawal
Host: LinkedIn – Roy Bejarano
Organization: www.scale-healthcare.com
SCALE Community: https://www.scale-community.com/
Podcast Hub: Analyzing Healthcare by Scale Community
Mentioned: CMS Innovation Center (CMMI)
Guest Bio
Purva Rawal, former Chief Strategy Officer at the CMS Innovation Center, is a clinical psychologist and policy strategist recognized for advancing value-based care models, primary care reimbursement innovation, and health equity initiatives across Medicare and Medicaid. She has led national CMS initiatives connecting AI in healthcare delivery with policy reform to build a system “wrapped around people and their needs.”
Hashtags
#HealthcarePodcast #ValueBasedCare #CMSInnovationCenter #AIinHealthcare #HealthEquity #HealthcareStrategy #HealthcareInnovation #ScaleHealthcare #ScaleCommunity #RoyBejarano
SEO Keywords
value-based care, CMS Innovation Center, AI in healthcare delivery, value-based care models, primary care reimbursement models, health equity, CMS initiatives, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
Discover how Prenuvo and CEO Andrew Lacy are revolutionizing preventive healthcare with full-body MRI, AI-powered imaging, and early disease detection insights. In this SCALE Community: Healthcare Technology & Innovation episode, Andrew Lacy, Founder & CEO of Prenuvo, shares how his company is transforming preventive healthcare through advanced full-body MRI and AI-assisted diagnostics. He discusses balancing technology with human expertise in radiology, enhancing the patient experience, and addressing challenges around insurance coverage and integration into traditional care systems. Andrew also highlights Prenuvo’s global expansion, physician referral growth, and mission to make early detection and proactive health screening the new standard in modern healthcare.
Title - Can Advanced Imaging and AI Redefine Preventive Medicine? | Andrew Lacy, Prenuvo x SCALE Community
Key Timestamps:
Key Takeaways:
About the Guest:
Andrew Lacy is the Founder and CEO of Prenuvo, a pioneering health technology company offering full-body MRI scans to detect disease early and promote proactive healthcare. A seasoned entrepreneur and technologist, Andrew is redefining preventive medicine by combining advanced imaging, AI-assisted diagnostics, and clinical precision. Under his leadership, Prenuvo has grown to 23 clinics across North America and internationally, empowering thousands of patients to take control of their health before symptoms appear.
Keywords:
Prenuvo, proactive screening, radiology, AI in healthcare, patient experience, whole body scans, insurance coverage, early detection, health technology, healthcare innovation, SCALE Community, Analyzing Healthcare, Healthcare Innovation, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
Priya Basu, Executive Head of the Pandemic Fund, discusses lessons from COVID-19 and the urgent need to strengthen pandemic preparedness worldwide. She highlights the Fund’s mission to support over 75 countries with investments in surveillance, laboratories, and workforce training, particularly in low- and middle-income nations. Basu underscores the importance of the One Health approach, recognizing the links between human, animal, and environmental health. She shares success stories from projects in India, Rwanda, and the Caribbean, and emphasizes how technology, digital tools, and international collaboration are reshaping public health. Her call to action: sustained investment to build resilient health systems.
Title – Can the World Ever Be Truly Ready for the Next Pandemic? Priya Basu, Executive at The Pandemic Fund
Key Timestamps:
Key Takeaways:
Guest Bio – Priya Basu, Executive Head of the Pandemic Fund
Priya Basu is a global health and development finance leader with nearly 30 years of experience driving pandemic preparedness, health systems strengthening, and innovative finance. As the founding Executive Head of the Pandemic Fund at the World Bank, she mobilized $3B in seed capital and catalyzed over $6B in co-financing for 75+ countries. Previously, she led global initiatives at the World Bank, IMF, ADB, and UN, shaping landmark health financing mechanisms and advancing inclusive growth across regions.
🔗 Connect with Priya Basu on LinkedIn
About the Host – Roy Bejarano, Co-founder & CEO at SCALE Healthcare
Roy Bejarano is Co-Founder & CEO of SCALE Healthcare, the nation’s top healthcare consulting firm. As host of Analyzing Healthcare, Roy interviews leading executives, policymakers, and innovators shaping the future of healthcare strategy, MSO leadership, and system transformation.
🔗 Connect with Roy Bejarano on LinkedIn
Keywords:
Pandemic Fund, Priya Basu, COVID-19, pandemic preparedness, health security, global health, surveillance, workforce training, international collaboration, One Health, healthcare innovation, Healthcare Podcast, Healthcare Trends, Healthcare Strategies, Thought Leaders, Industry Insights, Healthcare Governance, Leadership, MSO Strategy, Value-based Care, Healthcare Trends and Innovations, Leading Healthcare Stakeholders, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
Richard Zane of UC Health shares healthcare innovation strategies, tech adoption, patient care frameworks, and building a culture of collaboration.
In this episode, Richard Zane, Chief Medical and Chief Innovation Officer at UC Health, discusses the innovative strategies and frameworks that drive the healthcare system's approach to patient care and technology. He emphasizes the importance of understanding problem statements, the duality of his roles, and the collaborative nature of innovation at UC Health. The conversation explores successful initiatives, challenges in technology adoption, and the cultural aspects that foster a spirit of innovation within the organization. Zane also shares insights on measuring success and the future direction of UC Health's innovation efforts.
Title- Inside UCHealth: How Pragmatic Innovation Scales Across a $9B Health System
Key Timestamps:
Key Takeaways:
About the Guest:
Richard Zane, Chief Innovation Officer at UCHealth and Professor of Emergency Medicine, shares how he is transforming healthcare delivery through digital innovation, AI, and data-driven care models. From emergency medicine leadership to pioneering virtual care strategies, Zane highlights UCHealth’s role in advancing patient outcomes, clinical efficiency, and system-wide innovation. This conversation offers critical insights for healthcare executives, providers, and innovators navigating the future of health systems.
linkedin.com/in/richard-zane-md-9b87b5a
Keywords
UC Health, innovation, healthcare technology, patient care, healthcare system, Chief Innovation Officer, healthcare delivery, technology adoption, healthcare partnerships, quality improvement, healthcare technology, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
David Lubarsky on safety net hospitals, trauma care, AI, value-based care, and leading large healthcare systems.
In this episode, David Lubarsky, President and CEO of Westchester Medical Center Health Network, discusses the complexities and challenges of managing a large healthcare system. He highlights the unique aspects of Westchester Medical Center, including its role as a major trauma center and safety net hospital. The conversation delves into operational challenges, financial pressures, and the importance of community care. Lubarsky also emphasizes the need for integration and synergy within healthcare systems, the impact of technology, and the significance of strategic partnerships in enhancing patient care.
Title- AI, Medicaid Cuts & Safety Net Hospitals: How Health Systems Survive and Innovate | Dr. David Lubarsky
Key Timestamps:
Key Takeaways:
Guest Bio – Dr. David Lubarsky, President and Chief Executive Officer Westchester Medical Center Health Network
David Lubarsky, MD, MBA, is the President and CEO of Westchester Medical Center Health Network, a vital safety-net health system serving millions across New York’s Hudson Valley. With prior leadership at UC Davis, Miami, and Duke, Dr. Lubarsky has spent his career expanding access for underserved populations while pioneering system integration and value-based care. In this conversation, he shares candid insights on Medicaid disenrollment, payer disruption, AI as “augmented intelligence,” and the growing role of retail health partnerships. His perspective offers MSO leaders, providers, and payers a real-world look at how healthcare can adapt and transform under pressure.
Connect with Dr. David Lubarsky on LinkedIn
About the Host – Roy Bejarano, Co-founder & CEO at SCALE Healthcare
Roy Bejarano is Co-Founder & CEO of SCALE Healthcare, the nation’s top healthcare consulting firm. As host of Analyzing Healthcare, Roy interviews leading executives, policymakers, and innovators shaping the future of healthcare strategy, MSO leadership, and system transformation.
Connect with Roy Bejarano on LinkedIn
Keywords: Westchester Medical Center, healthcare system, trauma care, operational challenges, safety net hospitals, healthcare technology, strategic partnerships, community health, financial pressures, healthcare access, healthcare innovation, Healthcare Podcast, Healthcare Trends, Healthcare Strategies, Thought Leaders, Industry Insights, Healthcare Governance, Leadership, MSO Strategy, Value-based Care, Healthcare Trends and Innovations, Leading Healthcare Stakeholders, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
Transforming Pakistani healthcare with 7,500+ female doctors & 3M+ teleconsults—Sehat Kahani is closing access gaps through tech & cultural insight. In this episode, Dr. Sara Saeed Khurram, CEO of Sehat Kahani, unpacks how her tech-enabled platform tackles the country’s doctor-patient mismatch, leverages 7,500+ female doctors, and delivers over 3 million teleconsults. From cultural constraints to nationwide growth, hear how Sehat Kahani blends virtual clinics, corporate partnerships, and community care to improve outcomes. Dr. Khurram highlights the resilience of providers and the vital role of cultural values in healthcare delivery.
Title- Scaling Primary Care: Inside Sehat Kahani’s 60+ Clinics Across Pakistan | Dr. Sara Saeed Khurram x SCALE Community
Key Timestamps:
Key Takeaways:
About the Guest:
Dr. Sara Saeed Khurram, CEO and Co-founder of Sehat Kahani, is transforming Pakistan’s healthcare landscape. Her platform has delivered over 3.1 million telemedicine consultations, reactivated 8,000+ female doctors, and served 10 million+ lives—all while bridging primary care gaps in underserved areas. In this episode, she unpacks what’s broken in women’s health, how her full-spectrum model works, and why it’s yielding a 4:1 ROI for employers. A must-listen on innovation, inclusion, and the power of women-led healthcare reform.
linkedin.com/in/dr-sara-saeed-khurram-9a8873aa
Keywords
Sehat Kahani, telehealth, Pakistani healthcare, Dr. Sara Saeed Khurram, healthcare innovation, doctor-patient mismatch, corporate telemedicine, healthcare access, women in healthcare, healthcare technology, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
Medicaid cuts, drug pricing, rural hospital challenges, AI in healthcare, and why prevention is key to the future of U.S. healthcare. In this episode, Kristi Martin, former Chief of Staff at the Center for Medicare, examines the implications of recent Medicaid cuts, their impact on long-term care, and the ripple effects on private insurance and rural hospitals. She discusses the challenges of Medicare drug pricing negotiations, rising healthcare inflation, and the critical role of nonprofit hospitals in care delivery. The conversation highlights the need to rethink healthcare financing models, especially in rural communities, while exploring the opportunities and risks of AI in healthcare. Kristi also underscores the importance of preventative care, health equity, and value-based care in shaping better outcomes.
Title- Inside the Healthcare Policy Crossroads: Medicaid, Medicare, and Reform with Kristi Martin, Former CMS Leader
Key Timestamps:
Key Takeaways:
Guest Bio –Kristi Martin
Kristi Martin, Director at Canberra Collective and former Chief of Staff at the Center for Medicare, brings decades of experience shaping U.S. health policy. In this conversation, she unpacks the implications of recent Medicaid cuts, the strain on long-term care and rural hospitals, and the ripple effects across the healthcare system. Kristi also explores Medicare drug pricing negotiations, the role of nonprofits, and the need to rethink healthcare financing. She closes by examining AI’s risks in care delivery and emphasizing preventative care as essential to improving outcomes and advancing value-based care.
Connect with Kristi Martin on LinkedIn
About the Host – Roy Bejarano, Co-founder & CEO at SCALE Healthcare
Roy Bejarano is Co-Founder & CEO of SCALE Healthcare, the nation’s top healthcare consulting firm. As host of Analyzing Healthcare, Roy interviews leading executives, policymakers, and innovators shaping the future of healthcare strategy, MSO leadership, and system transformation.
Connect with Roy Bejarano on LinkedIn
Keywords:
healthcare policy, Medicaid, drug pricing, long-term care, ACA, healthcare spending, nonprofit healthcare, AI in healthcare, preventative care, community hospitals, healthcare technology, healthcare innovation, Healthcare System, Healthcare Podcast, Healthcare Trends, Healthcare Strategies, Thought Leaders, Industry Insights, Healthcare Governance, Leadership, MSO Strategy, Value-based Care
Mark Frank, SonderMind CEO, explores mental health MSO scaling, virtual care integration, AI-driven outcomes, value-based care models, and healthcare technology innovation.
This episode examines how SonderMind built a 13,000-provider network delivering measurable patient outcomes through hybrid virtual-physical care delivery across all 50 states. Frank discusses mental health access barriers, cost optimization strategies, EHR integration, provider network management, and strategic health system partnerships. Key topics include telehealth adoption post-COVID, clinical outcome measurement, fee-for-service to value-based care transition, inpatient facility collaborations, and the role of AI in treatment planning. The conversation addresses MSO operational challenges, Medicaid population considerations, emergency department cost reduction, and technology's impact on mental healthcare scalability and quality.
Title- Scaling 13,000 Providers: The AI-Driven Evolution of Mental Health Care with Mark Frank, SonderMind x SCALE Community
Key Timestamps:
Key Takeaways:
About the Guest:
Mark Frank leads SonderMind, the nation's largest scaled mental health provider organization delivering hybrid virtual and in-person care across all 50 states. Under his leadership since 2015, SonderMind has built proprietary technology integrating EHR systems, patient applications, and AI-powered clinical tools that demonstrate superior outcomes—achieving subclinical improvement in severe depression and anxiety cases within 6-8 sessions. Frank's strategic vision combines MSO operational efficiency with full-stack technology development, establishing strategic partnerships with health systems while pioneering value-based care models that prioritize patient outcomes over session volume in behavioral health delivery.
Keywords
Sondermind, mental health, virtual care, outpatient care, behavioral health, technology in healthcare, access to care, value-based care, mental health outcomes, healthcare innovation, SCALE Community
Lee Shapiro, Managing Partner at Seven Wire Ventures and former Livongo CFO, is a leader in healthcare innovation and venture capital, with experience across Allscripts, Transcarent, and Jasper Health.
In this conversation, he explores the evolving healthcare landscape, highlighting consumer behavior, preventative care, technology-enabled services, and the role of employers in driving innovation. He also discusses challenges such as cash vs. payer models, regulatory hurdles, evaluating founders, and risks in early-stage investments—ultimately advocating for a more consumer-centric, value-based approach to healthcare and MSO strategy.
Title- Can B2B2C Work in Healthcare or Is Employer & Payer Buy-In the Only Way to Scale? Lee Saphiro, 7wire Ventures x SCALE Community
Key Timestamps
Key Takeaways
Guest Bio –Lee Saphiro, Managing Partner at 7wire Ventures
Lee Shapiro, Managing Partner at Seven Wire Ventures, is a leading voice in digital health innovation. As former CFO of Livongo, he helped scale one of the industry’s most successful chronic care platforms, ultimately acquired by Teladoc Health for $18.5 billion. Earlier, as President of Allscripts, he guided the company through significant growth in electronic health records. Shapiro also serves on the boards of companies including Transcarent, MedArrive, and Jasper Health, where he continues to champion technology-driven solutions improving access, affordability, and patient outcomes across healthcare.
🔗 Connect with Lee Saphiro on LinkedIn
About the Host – Roy Bejarano, Co-founder & CEO at SCALE Healthcare
Roy Bejarano is Co-Founder & CEO of SCALE Healthcare, the nation’s top healthcare consulting firm. As host of Analyzing Healthcare, Roy interviews leading executives, policymakers, and innovators shaping the future of healthcare strategy, MSO leadership, and system transformation.
🔗 Connect with Roy Bejarano on LinkedIn
Keywords: healthcare, venture capital, consumer behavior, preventative care, technology, investment, healthcare innovation, patient engagement, regulatory challenges, healthcare technology, healthcare innovation, Healthcare System, Healthcare Podcast, Healthcare Trends, Healthcare Strategies, Thought Leaders, Industry Insights, Healthcare Governance, Leadership
Virtual women’s healthcare redefined: Joe Connolly, CEO of Visana Health, shares how his national clinic addresses menopause, PCOS, fibroids & more with a comprehensive, tech-enabled model. He discusses the mission behind Visana, women’s unique care needs, patient acquisition strategies, regulatory hurdles, quality benchmarks, and partnerships with in-person providers. The episode explores how Visana is closing gaps in access, driving better outcomes, and shaping the future of women’s health delivery.
Title-How Is Visana Health Redefining Access, Equity, and Value in Women’s Care? | Joe Connolly x SCALE Community
Key Timestamps:
{00:00} Introduction to Visana Health
{00:49} The Founding Story and Mission of Visana Health
{02:45} Provider Scope and Comprehensive Care Model
{05:42} Patient Acquisition Strategies
{08:42} Overcoming Barriers to Patient Engagement
{10:21} Navigating Regulations and Provider Licensing
{12:22} Quality of Care in Virtual Health
{14:29} Cost Efficiency and Payment Models
{19:13} Collaboration with In-Person Clinics
{22:06} Measuring Outcomes and Patient Satisfaction
{23:01} Challenges and Resistance in the Market
{25:39} Future of Visana Health and Expansion Plans
{30:29} Addressing Underserved Populations
{33:29} Provider Experience and Satisfaction
{35:07} Conclusion and Future Outlook
Key Takeaways:
Visana Health was founded to address women's health issues beyond fertility and maternity.
The clinic operates with a 50-state medical group to provide comprehensive care.
Many women seeking care have multiple comorbidities, highlighting the need for integrated services.
Patient acquisition involves partnerships with health plans and employers to raise awareness.
Trust is essential for patient engagement and overcoming barriers to care.
Visana Health has a high Net Promoter Score (NPS) of 91, indicating patient satisfaction.
The clinic measures clinical outcomes, with 93% of patients experiencing symptom improvement.
Challenges include educating health plans about the importance of women's health conditions.
Visana aims to expand access to underserved populations, particularly women of color.
The provider experience at Visana is positive, with a focus on whole-person care.
About the Guest:
Joe Connolly, Founder and CEO of Visana Health, is redefining women’s healthcare through a national virtual-first model. Inspired by his family’s struggles with complex gynecological conditions, Joe built Visana to close critical gaps in care beyond fertility and maternity. Under his leadership, Visana has scaled across all 50 states, caring for more than 30,000 patients, many in rural and underserved communities. By integrating OB-GYNs, primary care providers, endocrinologists, and nurse practitioners, Visana delivers whole-person care with measurable results—93% of patients report symptom improvement within months, alongside average annual cost savings of $2,400 per patient.
About the Host:
Jason Schifman is Co-Founder & President of SCALE Healthcare and host of the Analyzing Healthcare podcast’s Healthcare Technology & Innovation series. A leading voice in healthcare transformation, he blends strategic, operational, and financial expertise to help multi-site systems scale efficiently, adopt value-based care, and deliver measurable improvements in patient outcomes and organizational performance.
Connect with Joe Connolly on LinkedIn
Connect with Jason Schifman on LinkedIn
Keywords: Visana Health, women's health, telehealth, virtual care, healthcare innovation, patient acquisition, healthcare access, provider collaboration, health outcomes, healthcare regulations, SCALE Community, Analyzing Healthcare, Healthcare Innovation, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Latest Trends in Healthcare, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
Opioid crisis solutions, AI in drug discovery, precision medicine, healthcare innovation, and policy insights from Dr. Rahul Gupta.
In this episode, Dr. Rahul Gupta, former White House Director of National Drug Control Policy, shares lessons from leading America’s fight against the opioid crisis. He discusses strategies that reversed decades of rising overdose deaths, highlighting the need for accessible treatment and equitable care. Dr. Gupta also introduces his current work with GATC Health, where AI-driven platforms are transforming drug discovery and precision medicine. From predictive analytics to reducing the cost and timeline of clinical trials, his insights reveal how innovation can improve outcomes, lower healthcare costs, and close systemic gaps in care delivery across the U.S.
Title – Can AI Redefine the Economics of Drug Discovery and Healthcare? Rahul Gupta, President, GATC Health x SCALE Community
Key Timestamps:
{00:00} Introduction to Dr. Raul Gupta and GATC Health
{01:24} The Opioid Epidemic and National Drug Control Policy
{08:15} Repositioning Opioids and Alternative Pain Management
{14:49} Understanding Healthcare Disparities in America
{21:00} Transition to GATC Health and AI in Drug Discovery
{34:38} The Future of Precision Medicine and Drug Development
Key Takeaways:
Dr. Gupta has experience across city, state, and federal healthcare systems.
The opioid crisis has led to over 112,000 deaths annually in the U.S.
Predictive analytics can help reduce overdose deaths significantly.
Access to naloxone is critical in combating the opioid crisis.
Healthcare disparities exist significantly across different states in the U.S.
The transition from state to national healthcare perspectives is crucial for addressing addiction.
AI can streamline drug discovery and reduce costs.
Precision medicine will lead to more effective and personalized treatments.
Democratizing drug discovery can increase access to new treatments.
Collaboration between law enforcement and healthcare providers is essential.
Guest Bio – Rahul Gupta, President at GATC Health
Dr. Rahul Gupta, one of the nation’s most respected physician-leaders, with a career spanning frontline care, state leadership, and the White House. As Director of National Drug Control Policy, he reversed decades of rising overdose deaths and drove groundbreaking addiction and public health strategies that saved tens of thousands of lives. Today, as Chief Medical Officer at GATC Health, Dr. Gupta is pioneering AI-driven drug discovery and precision medicine, reshaping the economics and future of healthcare.
🔗 Connect with Rahul Gupta on LinkedIn
About the Host – Roy Bejarano, Co-founder & CEO at SCALE Healthcare
Roy Bejarano is Co-Founder & CEO of SCALE Healthcare, the nation’s top healthcare consulting firm. As host of Analyzing Healthcare, Roy interviews leading executives, policymakers, and innovators shaping the future of healthcare strategy, MSO leadership, and system transformation.
🔗 Connect with Roy Bejarano on LinkedIn
Keywords:
GATC Health, AI in healthcare, opioid crisis, drug discovery, healthcare disparities, precision medicine, clinical research, national drug policy, addiction treatment, healthcare innovation, Healthcare System, Healthcare Podcast, Healthcare Trends, Healthcare Strategies, Thought Leaders, Industry Insights, Healthcare Governance, Leadership, MSO Strategy, Value-based Care
Inside the $60B voluntary benefits market—Amy Hollis on transparency, utilization, and rethinking how employers & carriers deliver value.
In this episode of the Analyzing Healthcare podcast’s Healthcare Technology & Innovation series, host Jason Schifman, Co-Founder & President of SCALE Healthcare, sits down with Amy Hollis, Founder & CEO of Employees First, to pull back the curtain on the $60B voluntary benefits market.
They explore how employers, employees, and insurance carriers interact in this space—and why the product structure is sound, but the ecosystem is flawed. Hollis shares insights from 20+ years in healthcare and benefits consulting, covering market size, employee participation rates, utilization challenges, carrier strategies, and the role of transparency in driving better outcomes.
From self-funding models to claims data visibility and integrated supplemental–core benefit strategies, this conversation is packed with actionable intelligence for healthcare leaders, benefits consultants, and employer decision-makers.
Title - Is the Voluntary Benefits Market Built to Serve… or to Profit? | Amy Hollis x SCALE Community
Key Timestamps:
{00:00} Understanding the Voluntary Benefits Market
{02:56} Market Size and Employee Participation
{05:52} Drivers of Employee Adoption
{08:51} Utilization Challenges in Voluntary Benefits
{11:46} Evaluating the Product Fit
{14:53} The Ecosystem of Voluntary Benefits
{17:58} The Role of Insurance Carriers
{21:01} Future of Integrated Benefits
{29:34} Understanding the Challenges in Healthcare Benefits
{32:24} Innovative Approaches to Self-Funding
{34:55} Transparency in Claims and Costs
{40:57} Client Engagement and Market Dynamics
{46:24} Addressing Employer Concerns and Risks
{51:14} Comparing Voluntary and Medical Benefits
Key Takeaways:
Understanding the $60B voluntary benefits market and its misunderstood value
Why employee participation ranges from 2% to 35%
The growing role of insurance carriers in supplemental benefits
Low utilization rates and the awareness gap
Risks of transparency and employer liability in today’s environment
How integration with core medical benefits could unlock value
Innovative self-funding approaches and market dynamics
Educating employers on options and shifting incentives
About the Guest:
Amy Hollis, Founder & CEO of Employees First, is a 20+ year healthcare and benefits consulting veteran. She specializes in bringing transparency, accountability, and value to the voluntary benefits market. Amy’s innovative model realigns incentives, exposes inefficiencies, and returns dollars to benefit plans—empowering employers with informed choices and employees with better coverage.
About the Host:
Jason Schifman is Co-Founder & President of SCALE Healthcare and host of the Analyzing Healthcare podcast’s Healthcare Technology & Innovation series. A leading voice in healthcare transformation, he blends strategic, operational, and financial expertise to help multi-site systems scale efficiently, adopt value-based care, and deliver measurable improvements in patient outcomes and organizational performance.
Connect with Amy Hollis on LinkedIn
Connect with Jason Schifman on LinkedIn
Keywords
Voluntary benefits, healthcare, employee benefits, insurance, market trends, employee participation, utilization, insurance carriers, healthcare costs, supplemental insurance, healthcare benefits, self-funding, transparency, employer engagement, risk management, voluntary benefits, claims data, insurance models, employee benefits, market dynamics, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
Healthcare data transparency, provider benchmarking, and value-based analytics are transforming patient outcomes and network optimization in the U.S.
On Analyzing Healthcare, Keith Somers—CEO of Health Corum—explores how risk-adjusted claims and outcomes data from Medicare and commercial payers drive smarter decisions for payers, employers, and patients. Health Corum benchmarks over 1.5 million providers, enabling fair, data-driven comparisons by adjusting for patient complexity and demographics. The discussion reveals why price doesn’t equal quality, showcases regional variations, and highlights how data-driven transparency empowers stakeholders to build higher-performing networks and advance value-based care nationwide.
Title- How Can Data-Driven Insights Transform Healthcare Delivery? Keith Somers, Health Corum x SCALE Community
Key Timestamps
Key Takeaways
Guest Bio – Keith SomersKeith Somers is CEO & Co-Founder of Health Corum, pioneering healthcare transparency and value-based analytics. By leveraging advanced data science to benchmark provider performance, Keith empowers payers, employers, and health systems to achieve superior clinical and financial outcomes—setting new standards for quality and accountability in healthcare.
🔗 Connect with Keith Somers on LinkedIn
About the Host – Roy Bejarano
Roy Bejarano is Co-Founder & CEO of SCALE Healthcare, the nation’s top healthcare consulting firm. As host of Analyzing Healthcare, Roy interviews leading executives, policymakers, and innovators shaping the future of healthcare strategy, MSO leadership, and system transformation. Connect with Roy Bejarano on LinkedIn
KeywordsHealthcare System, Healthcare Podcast, Healthcare Trends, Healthcare Strategies, Thought Leaders, Industry Insights, Healthcare Governance, Leadership, MSO Strategy, Value-based Care, Health Corum, Keith Somers, Claims Data, Provider Benchmarking, Network Optimization, Risk Adjustment, Data-driven Healthcare, Clinical Quality, Payer Solutions, Employer Strategy, Digital Health, Patient Outcomes, Health IT, Healthcare AI, Population Health, Executive Interview, Innovation
Joe Corkery, CEO of Jaide Health, is revolutionizing healthcare communication with AI-driven solutions that enhance translation accuracy, equity, and patient access to care.
In this enlightening episode, Joe Corkery, CEO of Jaide Health, delves into the critical issue of language barriers in healthcare and how they hinder access to care. He shares Jaide Health's innovative AI-driven platform designed to provide real-time medical interpretation and translation. The conversation covers the profound impact of language gaps on patient outcomes, the limitations of current solutions, and the cutting-edge approach Jaide Health is taking to bridge these divides. This episode includes a live demo of Jaide Health's technology, exploring its capabilities, security, and regulatory challenges. Tune in to discover the future of AI in healthcare communication and how it can transform patient care.
Title: Bridging the Healthcare Language Divide: AI for Equitable Patient Care | Joe Corkery x SCALE Community
Key Timestamps:
Key Takeaways:
About the Guest:
Joe Corkery, CEO of Jaide Health, is leading groundbreaking work to address language disparities in healthcare. His innovative use of AI technology is transforming how healthcare systems provide inclusive care, improving patient-provider communication and access to care. Joe's mission is to ensure health equity for all patients, regardless of their language proficiency. With his leadership, Jaide Health is at the forefront of AI-powered healthcare innovation, reshaping how healthcare communicates globally.
linkedin.com/in/joecorkery
linkedin.com/in/jasonschifman
Keywords:
Healthcare, language barriers, AI translation, patient care, Jaide Health, health equity, medical interpretation, technology innovation, healthcare access, patient communication, SCALE Community, Analyzing Healthcare, Healthcare Innovation, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
Explore how the World Health Summit drives global health innovation, pandemic preparedness, and cross-sector healthcare collaboration worldwide.
In this compelling episode, Carsten Schicker, CEO of the World Health Summit, joins Roy Bejarano for a high-level discussion on global health strategy, healthcare governance, and the collaborative dynamics shaping the future of international health systems.
From the World Health Summit's role in setting the global health agenda to the urgent need for pandemic preparedness and resilient health systems, this episode provides actionable insights for healthcare executives, policymakers, and private-sector stakeholders. Carsten unpacks how cross-sector collaboration, innovative public-private models, and lessons from COVID-19 can inform smarter investments and more equitable global health delivery.
Title: Leading Global Health: Insights from the CEO, World Health Summit x SCALE Community
Key Timestamps:
Key Takeaways:
Guest Bio – Carsten Schickar
Carsten Schickar is the CEO of the World Health Summit, a leading global platform for health policy, innovation, and cross-sector collaboration. With a background from INSEAD and extensive international experience, he has elevated the Summit’s influence on global health diplomacy. Carsten is a strong advocate for pandemic preparedness, resilient health systems, and strategic investment in healthcare. Under his leadership, the Summit drives partnerships between governments, academia, and the private sector to shape a more equitable and sustainable global health future.
🔗 Connect with Carsten Schicker on LinkedIn
About the Host – Roy Bejarano
Roy Bejarano is the Co-Founder and CEO of SCALE Healthcare, the nation’s leading healthcare services consulting firm. As host of the Analyzing Healthcare podcast, Roy convenes top healthcare executives, policy innovators, and thought leaders to challenge conventional thinking and shape the future of healthcare strategy, MSO leadership, and system innovation.
Connect with Roy Bejarano on LinkedIn
KeywordsWorld Health Summit, global health, healthcare collaboration, health systems, pandemic preparedness, trust in health, private sector health, health funding, health equity, COVID-19 impact, Healthcare System, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Governance, Healthcare Leadership
Value-based care, cancer treatment innovation, and integrated oncology platforms take center stage in this episode featuring Daniel Virnich, CEO of The Oncology Institute.
In this powerful conversation on the Analyzing Healthcare Podcast, Dr. Daniel Virnich joins host Jason Schifman to explore how the Oncology Institute is redefining cancer care through a value-based, integrated delivery model. As the largest value-based oncology platform in the U.S., TOI operates over 80 care sites and is leading efforts to transform outcomes, improve adherence, and manage costs in underserved communities.
Title: Redesigning Oncology at Scale: How TOI Is Leading the Value-Based Revolution | Daniel Virnich x SCALE Community
Key Timestamps:
Key Takeaways:
About the Guest:
Dr. Daniel Virnich is CEO of The Oncology Institute, the largest value-based oncology platform in the U.S., with over 80 care sites across five states. Board-certified and a seasoned leader, Dr. Virnich is pioneering scalable, risk-bearing oncology care models that align financial incentives with clinical outcomes—delivering 30%+ cost savings, improved adherence, and elevated community-based cancer care for underserved populations.
Keywords: Oncology Institute, value-based care, cancer treatment, healthcare innovation, integrated care, cost management, healthcare partnerships, technology in healthcare, oncology network, patient care, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
U.S. healthcare performance is under the microscope. From Medicaid expansion and ACOs to spending trends and racial disparities, Dr. Elizabeth Fowler joins SCALE Community to break it down.
In this episode of Analyzing Healthcare, Dr. Elizabeth Fowler—healthcare policy leader and former Director of the CMS Innovation Center—sits down with host Roy Bejarano to explore the real state of U.S. healthcare. They dive deep into how state-level performance varies dramatically, where Medicaid expansion made a difference, and how accountable care organizations (ACOs) are shifting care delivery.
Expect insightful commentary on technology's role in improving healthcare data, the challenge of public vs. private systems, and the real-world impact of rising obesity and overdose rates. Together, they assess how the U.S. stacks up internationally and the ongoing policy efforts needed to drive better outcomes.
This episode is a must-listen for healthcare leaders, policymakers, and anyone seeking to understand where U.S. healthcare is headed—and what it’ll take to get there.
Title: Healthcare in Crisis or Transition? ACOs, Access, and State Disparities with Elizabeth Fowler | SCALE Community
Key Timestamps
Key Takeaways
Guest Bio – Elizabeth Fowler
Elizabeth Fowler is a leading healthcare policy expert and former director of the CMS Innovation Center. She played a key role in drafting the Affordable Care Act and has championed value-based care models to improve quality and reduce costs. Her work has shaped national healthcare reform, with a focus on equity, innovation, and patient-centered delivery systems.
🔗 Connect with Elizabeth Fowler on LinkedIn
About the Host – Roy Bejarano
Roy Bejarano is the Co-Founder and CEO of SCALE Healthcare, the nation’s leading healthcare services consulting firm. As host of the Analyzing Healthcare podcast, Roy convenes top healthcare executives, policy innovators, and thought leaders to challenge conventional thinking and shape the future of healthcare strategy, MSO leadership, and system innovation.
🔗 Connect with Roy Bejarano on LinkedIn
Keywords
healthcare performance, state comparison, accountable care organizations, Medicaid expansion, healthcare spending, obesity, drug overdose, access to care, public health data, healthcare policy, SCALE Community, Analyzing Healthcare, Roy Bejarano, Elizabeth Fowler, Scale Healthcare, Healthcare System, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Governance
In this high-impact episode of the Analyzing Healthcare podcast, we sit down with Robbie Allen, CEO of US Heart and Vascular (USHV), to explore how he scaled the cardiology platform from 40 to 400+ providers across six states in just 3.5 years. Robbie shares a behind-the-scenes look at building one of the fastest-growing cardiovascular care organizations in the country.
This episode dives into key themes shaping the future of cardiology and multi-site specialty care—value-based care models, digital health, health equity, access expansion, provider network growth, and legislative challenges. We also examine how technology, AI, and strategic MSO models are reshaping patient experience and healthcare delivery at scale.
Whether you're a healthcare executive, MSO operator, cardiologist, policy expert, or investor, this conversation offers essential insights on how to scale care delivery models, navigate regulatory hurdles, and position for national and global healthcare transformation.
Title:
How Robbie Allen Scaled US Heart & Vascular 10x — Inside the Future of Cardiology | SCALE Community
Key Timestamps:
Key Takeaways:
US Heart and Vascular grew from 40 to 400+ providers in 3.5 years.
Focused on expanding care access in underserved markets.
Uses technology and AI to improve patient experience and operations.
Developing value-based care and risk-sharing models.
Health equity is a core organizational priority.
Promotes collaboration among cardiology providers.
Shift underway as providers move out of traditional health systems.
Legislative changes impact MSO operations and strategy.
Exploring global models to inform U.S. care delivery.
Emphasizes scalable, sustainable healthcare practices.
About the Guest:
Robbie Allen, CEO of US Heart and Vascular, has scaled the platform from 40 to 400+ providers across six states in just 3.5 years. A seasoned healthcare leader, he champions access, value-based care, and tech-driven innovation. Robbie’s impact spans cardiology, AI health startups, and executive leadership—reshaping the future of specialty care through strategic growth and patient-centric solutions.
🔗 linkedin.com/in/robbieallen7
🔗 linkedin.com/in/jasonschifman
Keywords:
US Heart and Vascular, cardiology, healthcare innovation, value-based care, health equity, technology in healthcare, patient experience, legislative impact, global healthcare, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman
