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Recent Podcast Inteviews

Finding Fisher’s Physician

How nurse navigation changed the life of this 30 year benefits broker and his bride. Our Interview today is with Bill Fisher, former executive and employee benefits broker. Bill reached out to me when he learned of my and my wife's experience with a nurse navigator for her surgery and how we're using nurse navigation to help employers and individuals find the right care.  He wanted to know how to find the best surgeons and hospitals using quality outcomes versus the information that's on the internet and through traditional insurance carriers websites. What he learned was shocking and [...]

RxManage | International Prescription Drug Program

Podcast Show Notes Our podcast discussion today between Michael Andrade, Casey Macpherson, COO with Global Rx Manage and Bill Hepscher, Head of Sales  for RxManage. We Cover the following topics during our discussion: What their program is and what it isn't. Financial difference between US pricing and International prescription pricing for certain drugs. What is a Tier 1 Country? (and why is that important?) How the program works to assure patient safety and clinical accuracy Legality of internationally shipping prescription drugs Medicare Modernization Act and how that's making international Rx a reality! If you'd like [...]

By |July 24th, 2021|Categories: Podcast|

Henry Perlowski | HR Pearls from Perlowski

Podcast Show Notes Our podcast discussion today between Michael Andrade and Henry Perlowski.  Henry is a practicing attorney specializing in Employment Law with Arnall, Golden, Gregory LLP (AGG) and is the leader of his Employment Law practice has been a practicing lawyer since 1993. Our conversation today is not about solving healthcare, it's really about what employers need to be doing now to consider as part of their Vaccination strategy, COVID HR Policy considerations, and also gives some good advice regarding your OSHA and other practices that are now going to be scrutinized more [...]

By |April 9th, 2021|Categories: Podcast|Tags: , , , , |

MDee | Destination Health

Podcast Show Notes Our podcast discussion today between Michael Andrade and two practicing surgeons, Dr. Ethel Guinto, Chief Medical Officer and Dr. David Ancona, Co-Founder of MDee.  Dr. Guinto – Medical Director Primary Role as Medical Director is to make sure MDee has the right mix of quality providers and facilities to serve the needs of their patient population.   Dr. David Ancona is an Ophthalmologist, retina surgeon, and spent some time studying in Philadelphia and one of the most renowned ocular facilities in the world.  Both doctors are incredibly gifted as surgeons and it [...]

By |March 24th, 2021|Categories: Podcast|Tags: , , , |

Douglas Aldeen, Esq | The MVP of Cost Containment

Our podcast discussion today between Michael Andrade and Douglas Aldeen, Esq.  If you don't know Doug that doesn't mean he hasn't helped you.  Doug is an ERISA attorney and has been in the healthcare space for more than two decades. If you've not considered value based provider payment and some form of direct contracting, then you need to listen to this podcast.  You see Doug is the MVP of Cost Containment for a reason, as a practicing attorney he's charged with working with many of the constituents within healthcare including: Third Party Administrators, Hospitals, Plan Sponsors, he intimately understands [...]

By |February 8th, 2021|Categories: Podcast|Tags: , , , |

Edison Health | Shawn Rutledge | High Cost Claim Management

Podcast Show Notes Our podcast discussion today between Michael Andrade and Shawn Rutledge, Chief Strategy Officer & Managing Partner of Edison Healthcare. In our discussion we review the focus of Edison and how they're constructed to help Fortune 100 companies all the way down to their smallest client with 27 employees.  Edison will work with any self-funded client to deliver actionable results for the most seriously ill on an employer health plan. During our conversation we cover how EH addresses: Current uncontrolled cost of high cost claimants and what employers can do to [...]

By |October 24th, 2020|Categories: Podcast|

Fair Co$t Healthplan | Carl Schuessler | We are the Healthcare Champions My Friends

Podcast Show Notes Our podcast discussion today between Michael Andrade and Carl Schuessler of Mitigate Partners and the Fair Co$t Health Plan.   We start off the discussion with a bit about Carl and his mission. How going to the doctor as a kid and getting a physical lead to his mission to provide meaningful cost mitigation solutions to his clients. He and his colleagues with Mitigate Partners have curated a solution to healthcare that any of the traditional carriers would love to rival. We talk about a lot of the 6 opportunities in [...]

By |July 25th, 2020|Categories: Podcast|Tags: , , , , , , |

Drexi | Bill Miller & David Kwasny | I Want a New Drug (Benefit Manager)

Podcast Show Notes Our podcast discussion today between Michael Andrade, David Kwasny, Chief Revenue Officer, and Bill Miller, CEO of Drexi David’s background is in the PBM space as a pharmacist and former executive of a PBM that was eventually acquired by Optum.  This is important because David knows first hand where many of the pricing and profit levers lie within the PBM space and also he leverages his knowledge to drive value to the consumer and employer experience. David Miller is the President/CEO of Drexi and his background is helpful as well given his [...]

By |July 19th, 2020|Categories: Podcast|Tags: , , , , , |

Pratter | Bill Hennessey | Pratterday in the Park, You’ll Think it is the 4th of July

Podcast Show Notes A man playing guitar and singing for us all. Will you help him change the world? Can you dig it (yes, I can). We've been waiting such a long time for pratterday! Our podcast discussion today between Michael Andrade and Bill Hennessey, CEO of Pratter.  Bill is a licensed MD and Vice President of Musculoskeletal Billing, Inc, and CEO of Pratter.  He has a very unique background and believes his mission is to educate, entertain, and leverage his knowledge to add value to his clients.  During our podcast we discuss the [...]

By |June 23rd, 2020|Categories: Podcast|Tags: , , , , |

AGG LLP | Henry Perlowski | Taking Care of Business

Podcast Show Notes Our podcast discussion today between Michael Andrade and Henry Perlowski of  Arnall Golden Gregory, LLP.  Henry is a partner in the Litigation practice, chair of the Employment Practice, co-chair of the Oil & Gas industry team, and a member of the Background Screening and Hospitals & Health Systems industry teams. He helps employers, employer service providers and boards of directors solve their most complex legal dilemmas. He's been spending much of his time since social distancing started advising his clients on what to do during the pandemic and by helping his clients [...]

By |June 7th, 2020|Categories: Podcast|

Zero Card | James Millaway | Zero too! Hero

Podcast Show Notes Our podcast discussion today between Michael Andrade and James Millaway  of The Zero Card.   The Zero Card is a unique breed of companies that's creating a marketplace for services that have a huge variation in cost and quality.  They focus on specific portion,  25% of your health plan spend and make it 12.5%.  During our podcast we discuss a What problem are they focusing? How big is the problem for employers? How does the problem affect employees? How The Zero Card Program works. Expected Outcomes Ideal Customers Long-term growth plans [...]

By |May 31st, 2020|Categories: Podcast|Tags: , , , , |

Protect Yourself | Doug Aldeen & Al Lewis | Surprise Billing – The COVID Edition – How to protect your employees & plan from extraordinary and unreasonable charges.

Podcast Show Notes Our podcast discussion today between Michael Andrade,  Al Lewis, and Doug Aldeen, esq.  This podcast is meant to educate employers, plan sponsors, and individuals about some of the well-intended elements of the CARES act and the impact it could have on healthcare costs and more importantly the impact it could have on your own benefit plan and costs to employees and their families.  In our discussion we review: How the CARES Acts creates an incentive for billing abuses How employees may not even know that it's happening What you can do [...]

By |May 18th, 2020|Categories: Podcast|

Dunham Law | Andy Dunham | When there’s a will, you do it your way.

Podcast Show Notes Our podcast discussion today between Michael Andrade  and Andy Dunham, Attorney. Andy and I have been friends for a little over 3 years.  He and I work in the same community and have served together.  He and I both were trying to come up with something to serve the community and add value to employers and individuals.  Right now we're all reminded that life is precious and also that death happens when we least expect it.  Research shows that only 40% of Americans have a plan to help their families [...]

By |May 15th, 2020|Categories: Podcast|

What’s your Carrier doing to assure payment integrity process for COVID 19 Claims? | Jim Napoli

Podcast Show Notes Our podcast discussion today between Michael Andrade  and James Napoli, CEO of MedLiminal.   During this time of unprecedented financial uncertainty it's more important than ever that Plan Sponsors have more fiscal control over their payment integrity process.  New legislation is emerging on how to process Covid 19 claims and there are many unanswered questions that could cost your business and your plan more than it should unless you have a process for managing Payment Integrity.  What do we mean by Payment Integrity?  It's quite simply a fiduciary control that allows [...]

By |April 18th, 2020|Categories: Podcast|Tags: , , , , , |

Paytient | Chris Fisher | Money Changes Everything

Podcast Show Notes Our podcast discussion today between Michael Andrade  and Chris Fisher, Head of Sales and Strategic Partnerships. Healthcare premiums for families have risen consistently over the past 20 years.  As a result deductibles have increased as well.  With the increase in deductibles many individuals and families have had to choose between their health and normal living expenses.  Preventable financial harm is created by having to choose between your health and how you pay for that, Skip rent, not putting groceries on the table, interest rates at 30% on a credit card.  [...]

By |March 30th, 2020|Categories: Podcast|Tags: , , , , |

Allergychoices | Jeff Kessler | Vital Signs from Today’s Allergy Tom Sawyer

Podcast Show Notes "Unstable condition, A symptom of life, In mental and environmental change, Atmospheric disturbance,  The feverish flux, Of human interface, And interchange.” – Rush, Vital Signs Many of you that follow my podcast know that I like to associate the message with a song (typically from the 80's) to resonate the point of the interview.  Our podcast discussion today between Michael Andrade and Jeff Kessler of Allergychoices.  He told me that he's a huge Rush fan so of course I had to find something to validate his claim! This Tom Sawyer is [...]

By |February 17th, 2020|Categories: Podcast|

Health City Cayman Islands | Shomari Scott | Destination Health

Podcast Show Notes Our podcast discussion today between Michael Andrade  and Shomari Scott Director of Business Development, Marketing, Sales and Communications at Health City Cayman Islands.  In our interview we discuss Health City founding, the philosophy of their care delivery, and the amazing outcomes they're able to deliver.  This little hospital in just south of Miami has one of the best outcome ratings for quality in the western hemisphere and costs that are at or near medicare (which means roughly 1/3 the cost if the service were delivered in the US.) Podcast highlights: [...]

By |January 25th, 2020|Categories: Blog, Podcast|

Surprise Emergency Room Bills | Al Lewis |

Podcast Show Notes Our podcast discussion today between Michael Andrade and  Al Lewis, CEO of Quizzify.   Some of you may have listened to the podcast interview of Quizzify and remember that his company seeks to improve health literacy through an interactive and fun quiz that’s delivered directly to employees through a monthly quiz.  Al however is passionate about bringing validity and transparency to the healthcare system.  In our interview today we discuss an issue that affects a staggering amount of individuals, Surprise Medical Billing and offers a solutions for what you can do [...]

By |January 13th, 2020|Categories: Podcast|

HST | Edward Day | RBP: It’s in the way that you use it!

Podcast Show Notes Our podcast discussion today is between Michael Andrade and Edward Day, CEO of HST.  Welcome to Solving Healthcare.  In this episode, we talk with Ed Day, CEO of HST.  His company is focused on dramatically reducing the cost of healthcare by leveraging purchasing strategies that many Fortune 500 companies have adopted, but bringing value based reimbursement to small and mid-market sized organizations.  In our interview we discuss challenges in the current healthcare system and how his company disrupts a traditional network and differentiates from other Reference Based Pricing providers. As [...]

By |December 1st, 2019|Categories: Blog, Podcast|

MediBid | Ralph Weber | Money for nothing and your healthcare services for a much lower fee!

Podcast Show Notes Our podcast discussion today between Michael Andrade  and Ralph Weber, CEO of MediBid.  In this podcast we discuss how employers can offer a service that dramatically improves the cost and quality of medical services from MRI, Lab, to surgeries. What’s the problem?  There’s tremendous variability of cost and quality in the healthcare system.  The problem is the relationship between cost and quality is inverse and most people don't know how to discern (including doctors). What does MediBid do? Medibid creates a marketplace for surgery and other procedures using a higher [...]

By |November 9th, 2019|Categories: Blog, Podcast|Tags: , , , |

Green Imaging | Cristin Dickerson | It’s the end of the imaging world as we know it, I feel fine!

Podcast Show Notes Our podcast discussion today between Michael Andrade and Cristin Dickerson, CEO of Green Imaging.  In our interview today we discuss how Green Imaging is changing the way Imaging services are rendered.  Your total imaging spend is likely around 10% of your medical costs.  By publishing her pricing and using the 50% capacity that most imaging centers and radiologists have within their practices, Christin and her team are aiming to add value to your plan by saving considerable time and hassle within the delivery of value added health services. CEO Roots – [...]

By |October 22nd, 2019|Categories: Blog, Podcast|

IMC | Chad Gray | I’m All Right, Nobody Worry About Me and My Musculoskeletal Conditions

Podcast Show Notes Our podcast discussion today between Michael Andrade and Chad Gray, CEO of IMC.  Integrated Musculskeletal Care. As the CEO of Integrated Mechanical Care (IMC), Mr. Gray is best known for his work helping Self-Insured Employers, Accountable Care Organizations (ACOs), and Community Care Organizations (CCOs) improve outcomes associated with a leading health care spend: musculoskeletal disorders (MSDs). The Company builds and manages Centers of Accountable Care (CACs) through PCP and virtual care platforms that deliver world-class musculoskeletal triage, self-care, and health care solutions, and also offers Big Data analytics capabilities essential to [...]

By |October 12th, 2019|Categories: Blog, Podcast|

Shane Wolverton | Mr. Wolverton’s Neighborhood | Would you be? Could you be? Won’t you be my medical neighbor based on your quality outcomes and appropriateness of care??

It's a beautiful day in this medical neighborhood A beautiful day for a medical neighbor Would you be mine if you maintain quality? Could you be mine if you will accept cash payment up front? I have always wanted to have a neighbor just like you, I just didn’t know how to find you. I've always wanted to live in a neighborhood with you, it just didn’t exist until now. This is the 2nd part of a 2 part podcast with Shane Wolverton and Michael Andrade.  In our last episode, we talked about Quantros and what they do to [...]

By |September 8th, 2019|Categories: Blog, Podcast|

Quantros | Shane Wolverton | Shout! Shout! Let them all out! These are the doctors and hospitals I can do without!

Podcast Show Notes Our podcast discussion today between Michael Andrade  and Shane Wolverton of Quantros Health. Next time your doctor refers you to a surgeon ask them: What is their risk adjusted complications rate?  You may be surprised by the look you get from your doctor.  When you get to the surgeon, ask them the same question.  Quantros helps answer that question and also helps give life to transparency and improving outcomes. What Quantros Does for the Medical Community: Assessment of Quality and Efficiency - Compare - cost and quality across various constituents [...]

By |August 24th, 2019|Categories: Blog, Podcast|

Validation Institute | RD Whitney | Certified Health Value Professional – Get Up, Stand Up! Stand up for your cost savings rights!

Podcast Show Notes Our podcast discussion today between Michael Andrade and RD Whitney, CEO of the Validation Institute.  Have you ever gotten a phone call from a vendor or service provider that made an extraordinary claim for savings or engagement and thought to yourself, "Is this for real?"  Well RD's company validates service providers claims using an independent approach and also trains individuals through their Certified Health Value Professional (CHVP) certification program. Validation Institute begins with roots and ties to Intel & GE.  Both were making performance claims and came up with the idea [...]

By |August 5th, 2019|Categories: Blog, Podcast|

Vivio Health | Pramod John | This spoonful of sugar will help the medicine go down!

Podcast Show Notes Our podcast discussion today between Michael Andrade and  Pramod John, CEO of Vivio Health.  We discuss what Vivio Health does to deliver Precision Care in specialty medication compliance versus the traditional prior authorization process.  You may be surprised to learn some things that are contrary to what you may think are true about your doctor’s knowledge of prescriptions and the FDA’s job when it comes to approving medications.  Vivio health adds value in targeting appropriate treatment in the specialty medication solution, bulk purchasing through national contracts, manufacturing assistance programs, and [...]

Payer Compass | Kellie Jackson | Are you down with RBP? (Yeah you know me!)

Podcast Show Notes As an employer you always need to be mindful of solutions that can help you manage your spend and ability to retain your employees.  As frustration grows on the ever more costly area of healthcare, and area you should consider as a payment methodology is Reference Based Pricing (RBP).  You may not know much about it or be an expert in the area.  In our interview today, we discuss payment alternatives to a traditional carrier and how that can be accomplished through a company like Payer Compass.  Kellie Jackson, Vice [...]

By |July 10th, 2019|Categories: Blog, Podcast|

SleepSafe | Steven Garrish | Dream a little dream of cPAP!

Podcast Show Notes During our call today we interview Steven Garrish, SVP of Safety and Regulatory Compliance for SleepSafe.  Today we answer the question for why you should have a fatigue management program within your employee benefit program. Why have a fatigue management program.  Here are a few reasons: You have 15-25% of your workforce that already has sleep apnea with a majority undiagnosed. They’re spending anywhere between $400 - $6,000 for a sleep test and equipment when diagnosed. Putting in a fatigue management program could save you thousands of dollars per test. [...]

By |June 30th, 2019|Categories: Blog, Podcast|

Phia Group | Adam Russo | You gotta fight! For your right! To save money!

Podcast Show Notes What if you had a cost containment firm on your side that could not only help you make sure you have a compliant and defensible Plan Document but also help you create a benefit that could lower cost while improving benefits?  Sound too good to be true?  Well, it’s not but you do need to have realistic expectations.  Understand that self-funding to be effective is not easy and will require effort, communication, and choice of the right partners. In this episode we talk with Adam Russo, the CEO of the [...]

By |June 22nd, 2019|Categories: Blog, Podcast|

Health Rosetta | Dave Chase | Whisper words of healthcare wisdom.

Download copies of these books for free by clicking the links or images below. Download Download In this interview with Dave Chase, we discuss the foundation of his organization Health Rosetta, and how they are helping to shape and solve healthcare.   We discuss the opportunity employers have to implement principles that could materially change healthcare for their employees and also alleviate many of the financial challenges that are bankrupting individuals.  (Approx 70% of all bankruptcies are for healthcare related issues and from that [...]

By |June 15th, 2019|Categories: Blog, Podcast|Tags: , , |

Medliminal | Jim Napoli | My Hero! This guy is a real Foo Fighter!

Welcome to the Solving Healthcare Podcast.  Our guest today is James Napoli, CEO of MedLiminal.  Did you know there's an estimated $67 Billion Dollars in claim overpayment and that 90% of hospital claims have billing errors?  How much money is your healthplan overpaying for medical claims?  Medliminal has historically been able to recover $100,000 to $200,000 for every $1,000,000 in medical claims reviewed.  Sound too good to be true? Then you need to listen to this podcast to understand why and how your current plan adminstrator may be allowing this and how healthcare providers [...]

By |June 8th, 2019|Categories: Blog, Podcast|

Quizzify | Al Lewis | How “I didn’t know that” could cost you $14,548 per person.

Welcome to the Solving Healthcare Podcast. In this episode we interview Al Lewis, CEO of Quizzify.  Al is a Harvard Educated, former economics professor, former Bain Capital consultant, Author, Wellness Antagonist, consumate quizmaster, turned CEO.   Quizzify aims to improve health literacy for individuals and employers.  You might be wondering why health literacy is important as an employer.  We discuss the correlation between cost, quality of life, and health literacy and as an employer what you can do to educate your employees in a fun an interactive way that creates immediate lasting change. Show notes: [...]

By |June 5th, 2019|Categories: Blog, Podcast|

Apostrophe Health | Cheryl Kellond | What’s Love got to do with saving 15%-25% on your health insurance?

iHeart (coming soon) iTunes Google Spotify Welcome to the Solving Healthcare Podcast.  In this inteview we discuss Apostrophe Health with the CEO, Cheryl Kellond.  Cheryl is an incredibly gifted and passionate leader who is on a personal mission to fix healthcare in America.  Her company is unique in that they are building a health plan that can be used by any sized employer and use many of the same purchasing strategies that larger, global companies used to procure health services on behalf of their employees. We discuss contracting [...]

By |May 30th, 2019|Categories: Blog, Podcast|

Recent News Articles

Paytient | Full Webinar

By |March 31st, 2020|Categories: News|

Podcast Show Notes Our podcast discussion today between Michael Andrade  and Chris Fisher, Head of Sales and Strategic Partnerships. Healthcare premiums for families have risen consistently over the past 20 years.  As a result deductibles have increased as well.  With the increase in deductibles many individuals and families have had to choose between their health and normal living expenses.  Preventable financial harm is created by having to choose between your health and how you pay for that, Skip rent, not putting groceries on the table, interest rates at 30% on a credit card.  [...]

What if healthcare costs were transparent?

By |May 26th, 2019|Categories: News|

https://www.ted.com/talks/jeanne_pinder_what_if_all_us_health_care_costs_were_transparent Taken from Clear Health Costs website, the information below is a link to their site.  Clear Health Costs is a site started by Jeanne Pinder, a journalist who was curious as to why there was so much variability in healthcare costs for the same procedures.  Turns out this curiousity started a movement for transparency and health awareness. FINDING OUT WHAT HEALTH CARE COSTS CAN SEEM IMPOSSIBLE. WE’RE HERE TO HELP. Rising health care costs are one of the biggest problems we face as a nation. We’re journalists working to bring transparency to the system [...]

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