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by Moving to Value Alliance
Honest conversations with disruptors in healthcare.Presented by the Moving to Value Alliance, a 501(c)(3) nonprofit dedicated to cultivating a healthcare ecosystem that prioritizes high-quality outcomes at affordable costs for employers and consumers. Learn more at movingtovalue.org.
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With US healthcare spending reaching an unsustainable $5.7 trillion, employers face a turning point as double-digit renewal hikes threaten their bottom line. Jeff Hogan, Co-Founder and Managing Director of The Judi Group and former host of Moving to Value Unscripted, returns to break down how plan sponsors can transition from passive buyers into active fiduciaries.Jeff uncovers the hidden contract mechanisms, PBM spread pricing, and TPA fees that siphon off 25% to 33% of employer healthcare spend. He outlines what business leaders must do to comply with expanded Consolidated Appropriations Act (CAA) rules, enforce claims-data rights and protect themselves from personal fiduciary liability. Tune in to discover actionable strategies for taking back control of your health plan over the next 12 to 24 months.________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/members.
Re-release of a conversation recorded in July 2025.What would healthcare look like if it were truly built around the people it serves? In this episode, we take a closer look at Alaska’s Southcentral Foundation and its internationally acclaimed Nuka System of Care — a model that has redefined what value-based care can mean when relationships, trust and community ownership are at the center.Joining us are April Kyle, President and CEO of Southcentral Foundation, and Dr. Doug Eby, the system’s founding medical director and one of Nuka’s chief architects. Together, we explore how an Alaska Native–owned health system transformed itself from a federal bureaucracy into one of the world’s most respected models of integrated, relationship-based care. April and Doug share the principles and practices that have led to dramatically improved outcomes and high patient and employee satisfaction at significantly lower costs.Through the story of Nuka, we consider what’s possible when healthcare shifts from doing things to patients to partnering with people — and how lessons from Alaska might chart a course toward more human, more effective value-based systems around the country (and the world).Find a transcript of this episode at movingtovalue.org/transcript/nuka________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/members.
The American healthcare system is financially engineered to wait for expensive medical disasters rather than preventing them. Perhaps no one has a clearer view of how to dismantle this "rescue medicine" trap than Dr. Bill Bestermann. A preventive cardiologist and former President of the South Carolina affiliate of the American Heart Association, Bestermann has spent decades fighting the "medical-industrial complex" from the inside—as an ICU director, health plan advisor, and chief medical officer. As the author of the Slow Aging and Delayed Chronic Disease Development newsletter, Bestermann exposes how Wall Street insurance companies and obsolete, 50-year-old billing models actively protect highly profitable specialty silos at the expense of patient health. He is a fierce champion of optimal medical therapy, a low-cost, protocol-driven approach that arrests chronic disease at the root cellular level. He joins us to unpack the staggering economic disparity between standard procedure-driven care and molecular prevention, explaining how self-insured employers and communities can bypass bloated hospital networks to buy actual, measurable value. Find a transcript of this episode at movingtovalue.org/transcript/bestermann________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/members.
In Ohio's rural Ashtabula County, employers and patients struggled with rising costs and accessing services until a community coalition built a localized healthcare ecosystem. The results? A transparent financial structure that cuts out middlemen, direct primary care and community contracting, zero-dollar copays for many services and improved trust, satisfaction and population health outcomes.Bryce Heinbaugh, the man behind this coalition, joins us to discuss the transformative power of community owned health plans, and how his work in Ashtabula provides a roadmap for communities around the country to reclaim control from national insurance giants.Find the transcript of this episode at movingtovalue.org/transcript/heinbaughMentioned in this episode: our May 2024 episode with Dr. Scott Conard, our June 2025 episode with Darrell Moon, our November 2025 episode with April Kyle and Dr. Doug Eby of Southcentral Foundation's Nuka system.________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/membership.
ER visits account for roughly six percent of health plan spend, with costs rising faster than almost any other hospital service. Why is ER spending is spiraling out of control? And what should we do about it?Al Lewis, founder of The Validation Institute and the gamified health literacy platform Quizzify, has built a career exposing the financial sleights-of-hand many healthcare programs use to drain employer budgets.Lewis joins us to break down how hospitals have transformed federal mandates like the Emergency Medical Treatment and Labor Act (EMTALA) into high-margin profit centers through aggressive pricing and "up-coding" tactics. Lewis also shares strategies for individuals and employers to challenge the lack of transparency that often characterizes emergency department charges.Find the transcript of this episode at movingtovalue.org/transcript/lewis________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/membership.
Tired of muddled pitches, point solution fatigue and hours of endless meetings? You're not the only one. Chris Fisher is on a mission to fix one of the biggest bottlenecks in the employee benefits industry — the noise. As the founder of BenefitsAlly, Fisher created the 3x3x3 Challenge, which asks vendors to explain what they do, how they’re different and who they’re for in three minutes.This format levels the playing field for vendors while giving brokers, consultants and business leaders a faster, clearer way to evaluate new ideas.Fisher joins us to discuss the virtues of radical brevity.________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/membership.
The American healthcare system is facing market failure driven by consolidation by industry profiteers. Perhaps no one has a clearer view of how this took place — and what to do about it — than Wendell Potter.Called ‘the ideal whistleblower’ by Time magazine, Potter was a senior executive at insurance giants like Humana and Cigna until a crisis of conscience in 2008.As the Editor-In-Chief of the HEALTH CARE un-covered newsletter, President of the Center for Health and Democracy and bestselling author of Deadly Spin and Nation on the Take, Potter has since dedicated his career to exposing the tactics insurers use to prioritize shareholder returns over patient outcomes.He joins us to discuss the strategies employers, clinicians, policymakers and patients can implement to reclaim a system built on actual value.Find the transcript of this episode at movingtovalue.org/transcript/potter________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/membership.
"Now is the time to strike when the iron is hot. People need healthcare."Join us in the halls of the Connecticut General Assembly, where lawmakers are considering a bill to authorize Association Health Plans in the state. This would let small employers pool risk and receive health insurance as one group, boosting their power to negotiate better value for employees.Grace Brangwynne, Policy Director for Healthcare, Insurance and Housing at the Connecticut Business and Industry Association, describes the "breaking point" of double-digit premium hikes facing small employers across the state. She talks us through the guardrails built into the current Association Health Plan proposal, the tension between market innovation and state regulation and why the survival of Connecticut’s mom-and-pop shops depends on a fundamental shift in healthcare purchasing.Find the transcript of this episode at movingtovalue.org/transcript/brangwynne________Sign up for our email list.Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/membership.
Honest conversations with disruptors in healthcare.Presented by the Moving to Value Alliance, a 501(c)(3) nonprofit dedicated to cultivating a healthcare ecosystem that prioritizes high-quality outcomes at affordable costs for employers and consumers. Learn more at movingtovalue.org.
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