Broken Healthcare

Today, I sat down with Dr. Rushika Fernandopulle, a visionary who’s leading the charge to redesign our broken healthcare system from the ground up. His journey from a traditional medical career to founding revolutionary care models, and even shaping Amazon’s healthcare initiatives, is nothing short of inspiring. We covered a lot of ground in this episode, from broken systems to bold solutions, and...

In this episode, I’m thrilled to be joined by Steve Wiggins, a pioneer in healthcare innovation. From his early days in caregiving to founding groundbreaking companies like Oxford Health Plans, Steve shares his remarkable journey and the lessons he’s learned along the way. Together, we dive into the realities of the U.S. healthcare system—what’s broken, what’s working, and where we go from here. S...

This week, I’m sitting down with Vince Lewis, an expert in the stop-loss insurance world. Vince dives deep into how stop-loss coverage works, its critical role in self-funded plans, and the common pitfalls to avoid. We’ll also explore the evolution of high-cost claims, the impact of gene therapy on insurance, and how businesses can better navigate their healthcare spending. Vince brings decades of...

In this episode of Broken Healthcare, I sit down with Dr. Sanjay Prasad, a renowned surgeon and innovator in the healthcare industry. Dr. Prasad shares his incredible journey from performing intricate surgeries to founding SurgicQuality, a platform revolutionizing the way patients choose surgeons by emphasizing quality and transparency. We talk about his inspiration, the critical role of data, and...

In this episode of Broken Healthcare, I sit down with Scott Fuqua, a healthcare industry veteran from AMPS. Scott has been in the business for over 20 years, helping employers manage healthcare costs through claims reviews, pharmacy savings, and transparent solutions. He’s got a wealth of knowledge, and I’m thrilled to have him on the show. In this episode, you will learn: 1. Why the current healt...

In this episode of Broken Healthcare, I sit down with Chris Calderone, the Chief Revenue Officer at The Difference Card. Chris is an industry expert with years of experience helping companies tackle the rising costs of healthcare without sacrificing the benefits employees rely on. We talk about how The Difference Card works, the concept of a Medical Expense Reimbursement Plan (MERP), and some inno...

In this episode of the Broken Healthcare Podcast, we’re joined by Daniel McCauley, a veteran of the U.S. Air Force and a former tech-industry professional turned healthcare advisor. Daniel shares his inspiring journey from the military to tech and finally to helping organizations navigate the complexities of healthcare. With a passion for solving problems and making healthcare costs transparent an...

Are you fed up with the high costs and inefficiencies of our healthcare system? In this episode of Broken Healthcare , I’m joined by Nelson Griswold, a pioneer in the anti-status quo movement, to explore the flaws in today’s healthcare model and actionable solutions to create real change. We dive into Nelson’s journey from political consulting to transforming employer-sponsored health plans, revea...

Are you ready to take control of your healthcare? In this episode, I sit down with the brilliant Dr. Keith Smith , co-founder of the Surgery Center of Oklahoma and a trailblazer in healthcare price transparency. We dive deep into his journey from working within the traditional healthcare system to becoming a driving force for change in the industry. Dr. Smith shares his incredible story of breakin...

In this episode of Broken Healthcare, I spoke with Dr. Jack Wolfson, a board-certified cardiologist, and Wendy Stevens, a health advocate and former athlete. The discussion dives into the systemic flaws in U.S. healthcare, the hidden costs of medical care, the benefits of holistic health approaches, and the role of personal advocacy in managing health. Key Points: Broken Healthcare System – Dr. Wo...

In this episode of Broken Healthcare, I chat with Craig Lack, founder of Catilize Health, as he reveals how companies can slash healthcare costs while offering zero out-of-pocket benefits for employees. Craig shares his journey from competitive athlete to healthcare cost strategist, breaking down Catilize Health’s unique approach of reducing claims frequency and severity through “spousal integrate...

Join us for an interview with Renzo Luzzatti, CEO of USRx Care, who defines what it means to be a fiduciary. Ray has an in-depth discussion with Renzo about the waste and abuse of drugs in your health plan and how employers can reduce costs to benefit their organization and their people. Hosted on Acast. See acast.com/privacy for more information.

 Join us as we dive deep with Dave Chase, best-selling author, founder, and CEO of Health Rosetta/RosettaFest. Dave takes us on his journey in healthcare. He challenges employers to take action and advises them to leverage new legislation, The Consolidated Appropriations Act (CAA), to demand transparency from all healthcare vendors and safeguard their organizations from the perils of doing busines...

Join Ray for a candid interview with Bart Camerata, the Executive Producer of It’s Not Personal, It’s Just Healthcare. Go behind the scenes for a look at the documentary debunks Healthcare. Register and Watch the Documentary Film: https://go.benefixa.com/documentary Hosted on Acast. See acast.com/privacy for more information.

Getting through the medical system after unanticipated cardiac problems and operations. Learn about the consequences of medical errors, the prescription-first mentality, and the emphasis on treatment rather than prevention. Listen in to discover why self-advocacy is so crucial to long-term wellness. Hosted on Acast. See acast.com/privacy for more information.

Experiences with near death, emphasizing the value of human connection and humor in getting through life's most trying moments. Enhancing workplace culture and reducing healthcare costs necessitate proactive benefit administration and transparency. Hosted on Acast. See acast.com/privacy for more information.

The value of consent in emergency medical care and provides helpful advice for haggling over ER bills, giving listeners the power to take charge of their medical spending. Hosted on Acast. See acast.com/privacy for more information.

The shortcomings of the US healthcare system stress the importance of collaboration and teamwork. The need for a comprehensive plan to reduce healthcare costs, the value of transparency and customized care, and an understanding of the different healthcare cost categories. Featuring a special guest, Doug Geinzer. Hosted on Acast. See acast.com/privacy for more information.

The first step toward fixing a broken healthcare system is transparency. Advocates providers for the full cash price of procedures and services, as well as insurance information, to understand true medical costs and put market pressure on hospitals to be more upfront in their pricing Hosted on Acast. See acast.com/privacy for more information.

Explore effective strategies for businesses to manage rising healthcare costs. Ray advises against relying solely on insurance brokers, whose interests may not align with cost reduction. Instead, he highlights the importance of understanding per employee healthcare costs, analyzing plan structures, and taking an active role in claims management. Hosted on Acast. See acast.com/privacy for more info...

Learn the complexities of price transparency in healthcare and how hidden costs and loopholes affect your wallet and the future of your healthcare plan.  Hosted on Acast. See acast.com/privacy for more information.

Can you really choose your doctor, surgeon, or hospital with confidence? We'll share how to find the best hospital or clinic, assess a surgeon's track record, and why experience and volume matter. Know the secrets behind selecting the right healthcare provider. Nurse practitioners and registered nurses armed with data and insights will be your guides.. Hosted on Acast. See acast.com/priv...

The high cost and inefficiencies in the US healthcare system, comparing fully insured and self-funded plans. Understanding the strategy that allows you to make more informed healthcare decisions while also highlighting the advantages of self-funded plans, such as lower risk and greater control Hosted on Acast. See acast.com/privacy for more information.

Shedding light on the hidden costs of healthcare, particularly the role of Pharmacy Benefit Managers(PBMs). Significant cost driver, and advocate substituting them with fiduciary PBMs that prioritize clients' best interests. Hosted on Acast. See acast.com/privacy for more information.

Valuable insights into optimizing the healthcare supply chain for cost savings and quality improvements. Opportunities for savings and alternative treatments, such as minimally invasive procedures, that can offer significant benefits over traditional approaches. Hosted on Acast. See acast.com/privacy for more information.