Analyzing Healthcare

Summary ACA premiums, Obamacare subsidies, U.S. health insurance incentives, and healthcare cost inflation—WSJ economist Anthony LoSasso explains the real structural flaws. Massive subsidy expansion, weak pricing discipline, and a structurally misaligned insurance market are driving rapid cost escalation across the Affordable Care Act marketplace. Wall Street Journal author and economist Dr. Antho...

Summary AI, cloud technology, and open data ecosystems are redefining how healthcare operates. Oracle Health’s Seema Verma shares how innovation and interoperability can finally deliver the transformation policymakers have long promised. In this episode of Analyzing Healthcare, host Roy Bejarano sits down with Seema Verma, Executive Vice President & General Manager of Oracle Health and Life Sc...

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...

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, transparenc...

Summary Value-based care models, CMS Innovation Center strategy, AI in healthcare delivery and primary care reimbursement — health equity meets policy innovation. In this Healthcare Podcast from Scale Community’s Analyzing Healthcare series, Roy Bejarano, Co-Founder & CEO of Scale Healthcare, hosts Dr. Purva Rawal, former Chief Strategy Officer at the CMS Innovation Center (CMMI). Together the...

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...

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, recognizi...

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 under...

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 a...

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 constra...

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 Medi...

We hosted an exceptional roundtable with former CMS and CMMI leaders—Kristy Martin, Doug Jacobs, Liz Fowler, and Purva O’Rourke—who pulled back the curtain on how CMS operates, what drives policy, and how providers can productively engage the agency. Highlights & Takeaways CMS culture = mission-first, non-partisan, expert-driven. Career staff see themselves as stewards of Medicare/Medicaid and...

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...

Lee Shapiro, Seven Wire Ventures Managing Partner & former Livongo CFO, drives healthcare innovation and venture capital investment across Allscripts, Transcarent & Jasper Health. In this conversation, Lee Shapiro, Managing Partner of Seven Wire Ventures, discusses the evolving landscape of the healthcare system and healthcare investment, emphasizing the importance of consumer behavior, pr...

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...

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 acc...

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 curtai...

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 pr...

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 desig...

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 system...

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...

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. healthc...

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...

Board governance, scaling companies, and healthcare strategy with Jan Babiak, former EY leader and Walgreens Boots Alliance board member. In this compelling episode of the Analyzing Healthcare podcast, Jan Babiak—board leader and former Global Managing Partner at EY—joins Roy Bejarano, Co-Founder of SCALE Healthcare, to explore how governance must evolve as companies grow from startups to $250B+ g...

Patient Prism uses AI, healthcare analytics, and call center optimization to drive patient engagement, data-driven decisions, and revenue recovery in healthcare. In this episode of the SCALE Community's Healthcare Podcast, hosted by Roy Bejarano and Jason Schifman, we dive deep into how Patient Prism leverages AI and healthcare analytics to optimize call center operations, drive patient engagement...