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Relentless Health Value

Relentless Health Value

Health & Fitness:Medicine

EP467: Connecting Sky-High ER Spend to Primary Care Access—Following the Dollar Through Carriers and Hospitals, With Stacey Richter

EP467: Connecting Sky-High ER Spend to Primary Care Access—Following the Dollar Through Carriers and Hospitals, With Stacey Richter

2025-03-13
Download Right click and do "save link as"

In this solo episode of 'Relentless Health Value,' host Stacey Richter dives into the intricate relationship between increased emergency room (ER) visits and the lack of access to effective primary care. Discussing insights from recent episodes featuring experts like Matt McQuide, Dr. Christine Hale, and others, Stacey explores how inadequate primary care leads to skyrocketing ER costs, which now account for 6% of total healthcare spending. 

Key points include the systemic issues driving this trend, the incentives misalignments within hospitals and insurance carriers, and the importance of establishing trust and relationships in primary care. The episode also discusses perspectives from healthcare professionals and thought leaders on potential solutions to realign healthcare incentives and improve patient outcomes.

=== LINKS ===

🔗  Show Notes with all mentioned links:  
https://cc-lnk.com/EP467

✉️  Enjoy this podcast? Subscribe to the free weekly newsletter:
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🫙  Support the podcast with a small donation to the Tip Jar:
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🎤  Listen on Apple Podcasts 
https://podcasts.apple.com/us/podcast/feed/id892082003?ls=1

🎤  Listen on Spotify 
https://open.spotify.com/show/6UjgzI7bScDrWvZEk2f46b

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https://www.youtube.com/@RelentlessHealthValue

=== CONNECT WITH THE RHV TEAM ===

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02:16 Connecting the dots between the last six shows.

05:34 EP466 with Vivian Ho, PhD.

05:53 EP463 with Betsy Seals.

05:56 EP384 with Wendell Potter.

14:38 Where does the primary care through line connect to carriers?

17:13 Health Affairs study showing ER cost increases.

19:19 Kevin O’Leary’s Health Tech Nerds newsletter.

19:40 EP407 with Vivek Garg, MD, MBA.

20:47 How are hospital board directors affecting hospital price increases and why?

21:49 Upcoming episode with Matt McQuide.

Also mentioned in this episode are Matt McQuide; Christine Hale, MD, MBA; Kenny Cole, MD; Al Lewis; John Lee, MD; Rushika Fernandopulle, MD; Scott Conard, MD; Vivian Ho, PhD; Betsy Seals; Wendell Potter; Tim Denman; François de Brantes, MBA; Jeff Charles Goldsmith, PhD; Mick Connors, MD; Primary Care for All Americans; Rob Andrews; Alex Sommers, MD, ABEM, DipABLM; Ann Lewandowski; Steve Schutzer, MD; Sergei Polevikov, ABD, MBA, MS, MA 🇮🇱🇺🇦; Kevin O’Leary; Health Tech Nerds; Vivek Garg, MD, MBA; Suhas Gondi, MD, MBA; 

view more

More Episodes

EP475: Is This a Moment or a Movement? With Peter Hayes
2025-05-08
EP474: Private Equity in Healthcare—The Big Data Points You Really Need to Know, All Together in One Episode, With Yashaswini Singh, PhD
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EP473: Keeping Patients out of the ER: How Trusted Relationships in Primary Care Should Work. A Take 2 With Kenny Cole, MD
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EP472: The Well-Honed, Three-Prong Hospital Playbook to Maximize Revenue From High-Cost Claimants, With Eric Bricker, MD
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EP471: High-Cost Claimants in 2025 and Beyond—What Is Really Expensive Not to Know? With Christine Hale, MD, MBA
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EP470: Continuing the ER and Primary Care Through Line Over to Rural Hospitals and Healthcare, With Nikki King, DHA
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EP469 (Part 2): The Impact on Plan Sponsors of Medicare Site-Neutral Payments and HSA Reforms, With James Gelfand, JD
2025-03-27
EP469 (Part 1): The Impact on Plan Sponsors of Medicaid Cuts, With James Gelfand, JD
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EP468: Very Common Assumptions That Aren’t Actually True About Member Engagement and the Healthcare Industry, With Matt McQuide
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EP466: What Is Rising Faster, Insurance Premiums or Hospital Prices? With Vivian Ho, PhD
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EP465: The Not Super Effective Contracting Industry Norm, Where Jumbo Plans and Others Wind Up Paying $10,000 for $50 Drugs, With Chris Crawford
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EP464: ER Visits Now 6% of Total Plan Spend. Is It Upcoding or What? With Al Lewis
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EP463: Medicare Advantage Policies—Which Will Stay and Which Will Go Now? With Betsy Seals
2025-02-13
Encore! EP384: How Shareholders Impact Carrier Behavior, Exactly and Specifically, With Wendell Potter
2025-02-06
EP462: Managing Populations of Whole, Actual People Who Are Not the Sum of a Bunch of Different Body Parts, With Scott Conard, MD
2025-01-30
INBW42: A Philosophical Rabbit Hole of Considerations for Plan Sponsors and Others
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EP461: Pick Only One, Plan Sponsors: Do You Want to Control GLP-1 Volume or Control GLP-1 Unit Cost? With Chris Crawford
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EP460: Rushika Fernandopulle, MD’s Theory of Change Starts With Status Quo Healthcare
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EP459: Cost Containment by Co-Pay Maximizer or Co-Pay Accumulator: Points to Ponder, With Bill Sarraille
2025-01-02
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