Relentless Health Value

De: Stacey Richter
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  • Resumen

  • American Healthcare Entrepreneurs and Execs you might want to know. Talking. Relentless Health Value is a weekly interview podcast hosted by Stacey Richter, a healthcare entrepreneur celebrating fifteen years in the business side of healthcare. This show is for leaders in pharma, devices, payers, providers, patient advocacy and healthcare business. It's for health industry innovators, entrepreneurs or wantrepreneurs or intrapreneurs. Relentless Healthcare Value is the show for you if you want to connect with others trying to manage the triple play: to provide healthcare value while being personally and professionally fulfilled.
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Enfermedades Físicas Hygiene & Healthy Living Política y Gobierno
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Episodios
  • EP475: Is This a Moment or a Movement? With Peter Hayes

    EP475: Is This a Moment or a Movement? With Peter Hayes
    May 8 2025
    I was talking to Peter Hayes, my guest this week; and I said, “Peter, you post a lot about many, many different topics on LinkedIn and elsewhere. If you had to roll up all of your posts into a few main, I don’t know, change-making vectors or forces of change, roads to Damascus, what would they be? And, you know, do you wanna come on the pod and tell the tribe here what you’re thinking?” And Peter said, “I would love to.” For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. So, this show is going to be a top-down kind of let’s try to get a handle on said major forces of change and how those forces have swirled together to create the place that we are now. So, most of this episode, I’m gonna strongly suggest Relentless Health Value Tribe members who tune in frequently there’s not any “Oh, wow! What a revelation! Probably that’s gonna happen” in the show today. And to be frank, that’s kind of the point. It wouldn’t be a major force if you all weren’t aware of it now, would it? The goal here is to figure out how to organize so many posts about so many different things on LinkedIn. There’s so many of these micro-moments, maybe I’d call them. How do we organize them into a manageable number of strategic fundamental goings-on that we all can wrap our brains around? That was my ask of Peter, and that is not easy, because it’s a valid question a lot of times when talking about healthcare transformation: Is it a moment, or is it a movement? This show is, again, what Peter Hayes thinks the movements are. The thing is, though, it is surprisingly hard to discern what the forces of change actually are. What we often experience as a big dramatic inflection point has almost always been gestating for a while. This creates an opportunity for us all here in the tribe because if we see the changes early or, even better, spark the changes, an inflection point can really be a strategic boon. And let me tell you, I want everyone listening to have a strategic advantage over those who, I don’t know, maybe are a little bit less concerned with putting patients before profits. But yeah, usually inflection points have been a long time coming because forces of change have been battering away for a while until they finally break through. I say this to acknowledge we’ve been talking about tipping points, and the total cost of healthcare simply cannot get any higher. We’ve been talking about this for probably decades, but Peter says right now he firmly believes we have a force majeure of bridges too far, of obvious over-the-line activities that offend normal people’s sense of justice and fair play. Peter believes we’re at a really unprecedented place right now. So, even if there’s some starts and stops, some too bigs to fail, like, for example, some of the lawsuits are getting thrown out because it’s legally unclear who the “aggrieved” party is. Yeah, too much of this country is feeling like an aggrieved party, so it’s only a matter of time. This is the major takeaway from the show today: Peter’s view of how three main forces in the ecosystem all braid together and reinforce each other and have created a kind of inexorableness that something’s gotta give. And part of the equation here is just—and I’m mentioning this because we keep talking about it—is a brutal lack of trust that’s really pervasive across so many parts of the industry: patient to healthcare system, clinician to healthcare system, etc. As you listen to the show, definitely consider the shows from earlier with Kenny Cole, MD (EP473) and Christine Hale, MD, MBA (EP471) about high-cost claimants. These shows are another view into this exact basic topic. They also show what trust can bring us if we earn it. I’m kind of thinking it could be cool to do shows like this periodically where we get different people to answer the question: What are the major forces of change? How are you rolling them up? And what is your assessment of where we are now in the journey of transformation? If I get enough of you who are, like, “Yeah, that’s a great idea,” I probably will be less likely to forget about it. Peter Hayes, my guest today is (technically, at least) retired. He was director of benefits at Hannaford Supermarkets for about 25 years. He’s been on the advisory boards of Express Scripts and Definitive Health, among others. He served on two healthcare reform commissions in Maine, appointed by two different governors. He headed up the Purchaser Alliance in Maine. Also mentioned in this episode are Kenny Cole, MD; Christine Hale, MD, MBA; Chris Crawford; Komal Bajaj, MD; Wayne Jenkins, MD; Yashaswini Singh, PhD; Ann Lewandowski; Al Lewis; John Rodis, MD, MBA, FACHE, CPHQ; Beau Raymond, MD; and Scott Conard, MD. You can learn more by following Peter on LinkedIn. Peter Hayes retired ...
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    34 m
  • EP474: Private Equity in Healthcare—The Big Data Points You Really Need to Know, All Together in One Episode, With Yashaswini Singh, PhD

    EP474: Private Equity in Healthcare—The Big Data Points You Really Need to Know, All Together in One Episode, With Yashaswini Singh, PhD
    May 1 2025
    In Episode 474 of 'Relentless Health Value', host Stacey Richter interviews Dr. Yashaswini Singh, an economist and assistant professor at Brown University, about the growing influence of private equity (PE) in healthcare. The conversation delves into the corporate transformation of medicine, highlighting the potential misalignment between business interests and patient care. Dr. Singh discusses the diverse strategies PE firms use to drive profitability, such as increasing negotiated prices, consolidating market share, employing real estate leasebacks, and emphasizing performance metrics that may not align with patient benefits. The episode also examines the significant impacts these strategies have on physicians, including increased turnover and changes in practice patterns, as well as the broader implications for patients and communities. Dr. Singh stresses the importance of informed leadership, education, policy enforcement, and transparency to ensure that private investments ultimately benefit healthcare systems without compromising patient care. === LINKS === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP474 ✉️ Enjoy this podcast? Subscribe to the free weekly newsletter: https://relentlesshealthvalue.com/join-the-relentless-tribe 🫙 Support the podcast with a small donation to the Tip Jar: https://relentlesshealthvalue.com/join-the-relentless-tribe 🎤 Listen on Apple Podcasts https://podcasts.apple.com/us/podcast/feed/id892082003?ls=1 🎤 Listen on Spotify https://open.spotify.com/show/6UjgzI7bScDrWvZEk2f46b 📺 Subscribe to our YouTube channel https://www.youtube.com/@RelentlessHealthValue === CONNECT WITH THE RHV TEAM === ✭ LinkedIn https://www.linkedin.com/company/relentless-health-value/ ✭ Threads https://www.threads.net/@relentlesshealthvalue/ ✭ Bluesky https://bsky.app/profile/relentleshealth.bsky.social ✭ X https://twitter.com/relentleshealth/ 05:53 What is the tension between business and medicine? 07:05 What is the impact of private equity on healthcare? 08:46 How does healthcare change when private equity invests in medical facilities? 10:54 What are the intuitive impacts of private equity in healthcare? 12:28 What are the less intuitive effects of private equity on healthcare? 13:36 EP472 with Eric Bricker, MD. 14:15 What are the misconceptions about private equity investors acquiring healthcare facilities? 16:17 The Steward saga. 16:24 The death of Hahnemann Hospital in Philadelphia. 19:27 Are there any positive outcomes to private equity investment in healthcare? 21:17 EP445 with Tom X. Lee, MD. 22:45 EP420 with Ge Bai, PhD, CPA. 22:47 EP465 with Chris Crawford. 22:49 EP460 with Rushika Fernandopulle, MD. 22:55 Is there ever a need for private investment in healthcare? 25:40 How do the changes private equity firms create affect patients? 27:20 Study in Health Affairs on physician turnover rates following private equity acquisitions. 29:30 How can private equity disrupt physician employment as well? 34:13 What remedies might there be for consolidation in healthcare and private equity investing in medicine?
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    41 m
  • EP473: Keeping Patients out of the ER: How Trusted Relationships in Primary Care Should Work. A Take 2 With Kenny Cole, MD

    EP473: Keeping Patients out of the ER: How Trusted Relationships in Primary Care Should Work. A Take 2 With Kenny Cole, MD
    Apr 24 2025
    This episode of Relentless Health Value features Dr. Kenny Cole from Ochsner Health System. The discussion emphasizes the critical role of trusted relationships and excellent primary care teams in keeping patients out of the emergency room, thus reducing healthcare costs. Stacey Richter revisits this conversation to highlight the importance of care teams building trust with patients and the concept of primary care as an investment in health and wellness. The episode outlines four key points for delivering great primary care, including accountability for outcomes, belief in clinical goals, standardized care flows, and building patient trust. Dr. Cole also discusses the real-world challenges and strategies for achieving clinical and financial success in primary care. The episode serves as a guide for plan sponsors, clinicians, and healthcare executives looking to improve primary care delivery and align it with financial viability. The discussion is further enriched with insights on digitizing care pathways and the importance of measuring and sharing best practices to achieve high standards of care.I Stacey revisits, in a take two, this episode with Dr. Kenny Cole because she's listening to it this time with a new focus. That focus is the theme that keeps coming up over and over and over again on Relentless Health Value these past few months. === LINKS === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP473 ✉️ Enjoy this podcast? Subscribe to the free weekly newsletter: https://relentlesshealthvalue.com/join-the-relentless-tribe 🫙 Support the podcast with a small donation to the Tip Jar: https://relentlesshealthvalue.com/join-the-relentless-tribe 🎤 Listen on Apple Podcasts https://podcasts.apple.com/us/podcast/feed/id892082003?ls=1 🎤 Listen on Spotify https://open.spotify.com/show/6UjgzI7bScDrWvZEk2f46b 📺 Subscribe to our YouTube channel https://www.youtube.com/@RelentlessHealthValue === CONNECT WITH THE RHV TEAM === ✭ LinkedIn https://www.linkedin.com/company/relentless-health-value/ ✭ Threads https://www.threads.net/@relentlesshealthvalue/ ✭ Bluesky https://bsky.app/profile/relentleshealth.bsky.social ✭ X https://twitter.com/relentleshealth/ 07:35 Is there an optimal care pathway where there might be a lot of treatment variability? 10:52 EP412 with Robert Pearl, MD. 12:32 Why is it important to start with the end in mind? 15:44 How do you scale clinical excellence? 18:18 EP315 with Bob Matthews. 19:12 EP242 with Marty Makary, MD. 21:29 Why is it important simply to demonstrate what’s possible for better health outcomes? 22:33 EP427 with Rik Renard. 23:18 How do we reinvent the business model of healthcare? 24:51 EP466 with Vivian Ho, PhD. 25:06 EP415 with Rob Andrews. 26:51 EP391 with Scott Conard, MD. 30:14 EP455 with Beau Raymond, MD. 34:22 Dr. Cole is published in various healthcare journals; check out his most recent article.
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    35 m
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