Relentless Health Value
Stacey Richter
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.
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.
Episodes
Mentioned books
10 snips
Mar 26, 2026 • 34min
EP504: A Back-to-Basics Roadmap Through the Perverse Incentives to Advanced Primary Care, With Ryan Jacobs
Ryan Jacobs, Senior VP of Strategy and Partnerships at Marathon Health, brings expertise in advanced primary care and value-based partnerships. He breaks down why high-value APC is proven yet scarce. Short, clear takes explore perverse financial incentives, who wins and loses when patients stay healthy, and practical steps for creating aligned contracting pathways.
Mar 19, 2026 • 20min
Insights to Outwit the Hot Mess of the Non-Healthcare Market
A breezy catch-up highlighting listener mailbag moments and practical decision-making in employer-sponsored healthcare. Topics include transparency data that reveals what employers actually pay, actuaries and algorithms that can embed patient affordability, and how everyday choices shape organizational direction. Also covered: direct contracting, center-of-excellence networks, and a new interactive map of show content.
24 snips
Mar 12, 2026 • 46min
EP503: Smart Collaboration With Direct-to-Employer Specialty Care, With Ryan Wells; Leo Spector, MD, MBA; and Adam Stavisky
Adam Stavisky, benefits leader who managed Walmart’s health programs; Ryan Wells, CEO building digital bridges for direct-to-employer specialty care; Leo Spector, orthopedic surgeon and OrthoCarolina CEO. They unpack why employers and specialists are disconnected. They explore administrative barriers, scaling curated specialty networks, outcome measurement, and how digital rails can enable direct contracting and better coordination.
9 snips
Mar 5, 2026 • 39min
EP502: How Some Pretty Wild Medicare Fraud Sabotages ACOs and Also Independent Practices and Could Cost Plan Sponsors Such as Self-insured Employers a Lot of Zeros Downstream, With Brian Machut
Brian Machut, value‑based actuary at Alliant Health who tracks DME and skin‑substitute billing trends. He describes how massive catheter and skin‑substitute billing anomalies were detected and quantified. He explains how suspect billing can wipe out shared‑savings, why CMS policy choices matter, and why self‑insured employers could see large downstream costs.
9 snips
Feb 26, 2026 • 40min
EP501: Speaking of Infusions, Do You Want to Pay $135 or Do You Want to Pay $13,560 for the Exact Same Drug? With Ivana Krajcinovic, PhD
Ivana Krajcinovic, outgoing VP of healthcare delivery at UNITE HERE HEALTH who uses claims data and direct contracting to cut infusion costs. She walks through jaw-dropping price gaps for identical infusions. They compare clinic vs hospital pricing, discuss why markets fail, and explain how direct contracts and care coordination can steer patients to far cheaper, high-value sites.
10 snips
Feb 19, 2026 • 35min
Take Two: EP398: Why Are Commercial Carrier Marketplaces Completely Boring? Maybe Because There Isn't a Marketplace, With Jacob Asher, MD
Jacob Asher, MD, former health plan CMO with leadership at Anthem, Cigna, UHC and Blue Cross, brings market-level clinical insight. He breaks down why commercial carrier markets stay static. They discuss segmentation of employers, brokers and RFP dynamics, why integrated models like Kaiser dominate, and how price, networks and volume lock in incumbents.
10 snips
Feb 12, 2026 • 38min
EP500: This Is Episode 500, and It's All About You, Tribe
Justin Leder, president of Benefits DNA, reflects on how the show unites change-makers and sparks collective action. Michelle Burnaby, former nurse and Moral Health writer, recalls an episode that reframed system failures as design problems. They discuss community-driven impact, practical transformations from ideas to implementation, and exposing healthcare opacity and misaligned incentives.
21 snips
Feb 5, 2026 • 28min
EP499: Self-insured Employers and Other Plan Sponsors Are Paying Millions for MSK (Musculoskeletal) Injuries That Would Have Healed Themselves, With Jay Kimmel, MD
Jay Kimmel, MD, orthopedic surgeon and co-founder of Upswing Health, explains how routine MSK injuries often spiral into costly care. He discusses why most sprains and back complaints are low-acuity and how early specialist triage and rapid access can prevent unnecessary ER visits, imaging, and surgeries. The conversation highlights practical pathways to steer patients toward simple, effective care.
Jan 29, 2026 • 35min
EP498: The Payment Integrity Arms Race—RCM (Revenue Cycle Management) and Plan Sponsors, With Mark Noel
Mark Noel, a payment integrity and RCM executive with 25 years in prepayment integrity, explains the ongoing arms race between revenue cycle management and plan sponsors. He highlights small-dollar claim waste, the need for prepayment edits integrated with TPAs, conflicts of interest in auditing, and technical clearinghouse challenges. Short, urgent, and focused on protecting plan dollars.
Jan 22, 2026 • 37min
Take Two: EP341: The "Just Spend Everything You're Given" Trap—Lessons in True Provider Fiscal Discipline, With Gary Campbell
Gary Campbell, CEO of Johnson Health Center and president of Impact2Lead, discusses the unique fiscal discipline required in Federally Qualified Health Centers (FQHCs). He highlights how FQHCs can't cost-shift, forcing operational efficiency and innovative care team transformations. Gary shares strategies for maximizing provider-patient interaction and creating a culture that attracts top talent without high salaries. He emphasizes leadership alignment, core values in decision-making, and the importance of reducing administrative burdens for better patient care.
