Episodes

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. Anthony LoSasso breaks down why premiums are rising, why insurers face almost no pressure to compete on...

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 Sciences and former CMS Administrator, to explore how Oracle is building the next generation of AI-enable...

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 care delivery across the U.S. They explore the evolution of telehealth from early remote care to ...

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, transparency, and observability into clinical and administrative workflows. He shares lessons from UC Irvine’s...

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 they explore how value-based care models, AI in healthcare delivery, and CMS initiatives are redefining t...

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 discusses balancing technology with human expertise in radiology, enhancing the patient experience, and add...

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, recognizing the links between human, animal, and environmental health. She shares success stories from projec...

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 understanding problem statements, the duality of his roles, and the collaborative nature of innovation a...

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 and safety net hospital. The conversation delves into operational challenges, financial pressures, 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 constraints to nationwide growth, hear how Sehat Kahani blends virtual clinics, corporate partnerships, and communi...

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 Medicare drug pricing negotiations, rising healthcare inflation, and the critical role of nonprofit hosp...

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 keep the “trains running” regardless of administration. Playbook to engage CMS (no lobbyist required...

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 optimization strategies, EHR integration, provider network management, and strategic health system...

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, preventative care, and the challenges faced by startups in healthcare technology. He highlights the need for ...

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 Visana is closing gaps in access, driving better outcomes, and shaping the future of women’s health del...

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 accessible treatment and equitable care. Dr. Gupta also introduces his current work with GATC Health, ...

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 curtain on the $60B voluntary benefits market. They explore how employers, employees, and insurance carriers interact in...

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 providers, enabling fair, data-driven comparisons by adjusting for patient complexity and demographic...

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 designed to provide real-time medical interpretation and translation. The conversation covers the profou...

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 systems. From the World Health Summit's role in setting the global health agenda to the urgent need for ...

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 the largest value-based oncology platform in the U.S., TOI operates over 80 care sites and is lead...

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. healthcare. They dive deep into how state-level performance varies dramatically, where Medicaid expansion ...

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 themes shaping the future of cardiology and multi-site specialty care—value-based care models, dig...

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+ giants. Jan breaks down what makes a board high-functioning versus dysfunctional, why diverse skill...