By Cristy Gupton

By Cristy Gupton

Dr. Marcelo Hochman, an accomplished Facial Plastic & Reconstructive surgeon, extends his expertise to a diverse patient base, encompassing both pediatric and adult individuals, irrespective of insurance status—be it insured, self-pay, or pro-bono. Known for his advocacy in legislative initiatives, Dr. Hochman has spearheaded projects such as the r…

Health Plan Fiduciary Compliance, LLC will save you time and money on CAA compliance. Tony Sorrentino is the President of Health Plan Fiduciary Compliance, LLC. He has served within the business community providing professional services in accounting, law, and employee benefits consulting to hundreds of Nebraska based businesses for over 40 years. …

American HealthScare is now available for purchase. Dr. Richard Young is an author and researcher. He wrote the book: American HealthScare. It discusses the efficiency and capability of American businesses, and the disconnect employees feel within the companies. Within the book, he discusses the grim possibility of a bleak feature if we don’t work …

Are hospitals overcharging you? Do you feel stuck with your bad healthcare? Christy Vago serves as Vice President of Business Development at Upland Advocacy. She is a dynamic, accomplished self-insurance leader with a successful track record of driving bottom line growth in new business revenue. Healthcare professional and host, Cristy Gupton, inte…

Blackwell Captive Solutions offers self-funded solutions with their Diamond Standard. Kari Niblack is the President of Blackwell Captive Solutions. She has served as an ERISA and employee benefits attorney involved in U.S. healthcare for more than 25 years. Niblack holds unique perspectives on healthcare, health administration, and health managemen…

Healthcare has evolved to make a profit at the expense of reliable, accurate healthcare. Chip Harvey serves as the Regional Vice president for Homestead Smart Health Plans. Harvey studied Economics at the University of South Carolina. He uses his financial knowledge to help with healthcare cost containment. Healthcare professional and host, Cristy …

Should the law impact healthcare? Healthcare professional and lawyer, Chris Deacon, is known for her work as a public sector leader who oversaw the New Jersey State Health Plan. In this position, Deacon created positive change for the state of New Jersey and saved 2 billion dollars for the plan’s members. North Carolina Commissioner of Insurance Mi…

Do you know your doctor? Does your doctor know their own prices? What if you want to improve that situation? Would you be able to? Does your doctor even have the ability to innovate? Ryan Rourke is a Senior Insurance Advisor, Sales Leader, and a Disciple of Disruption. Rourke has been consulting in the healthcare industry for over 20 years. He has …

Can the law impact healthcare? Healthcare professional and lawyer, Christin Deacon, is known for her work as a public sector leader who oversaw the New Jersey State Health Plan. In this position, Deacon created positive change for the state of New Jersey and saved 2 billion dollars for the plan’s members. Healthcare professional and host, Cristy Gu…

In part 2 with Doug Aldeen, we get into more commentary about hospitals and how being honest and fair with people has the makings of a very good payday if you approach it with integrity. But will they do that? We also drop a bombshell called for in Section 501R of the internal revenue code. Find out more on this episode of Healthcare Solutions! Tim…

Cristy Gupton and Doug Aldeen have a great discussion about fiduciary duty and how the new transparency law is going to make it easier for those charged with that task to honor their duty. Timestamps: 00:00 Introduction 02:20 Doug Aldeen's background 03:28 So, what is the price? 04:30 If you're uninsured or underinsured you need to be asking for yo…

Tune in for the continuation of my conversation with Dr. Keith Smith, medical director of Surgery Center of Oklahoma and co-founder of the Free Market Medical Association. Timestamps: 00:00 Intro 02:20 From last week's episode 04:55 This trend started by Surgery Center of OK is growing 06:09 What is it like to come to SCO? 06:18 Side note: the firs…

Dr. Keith Smith literally changed my life. As a "broker" selling employee benefits I stumbled on another podcast (way back when) where Dr. Smith was the guest and transparency was the subject of the day. It shook me out of my comfort zone and led me to the advisor I am today. Timestamps: 00:00 Intro 01:27 How I came to know Dr. Keith Smith 03:05 Th…

Tune in for part 2 of the conversation with investigative healthcare journalist Marshall Allen and Cristy Gupton in the world of medical bills and Marshall’s path through the industry Timestamps: 00:00 Intro 02:25 On last week's episode 03:00 Marshall's new book "Never Pay the First Bill: and other ways to fight the healthcare system and win" will …

Tune in to investigative journalist Marshall Allen & Cristy Gupton as they delve into the world of Medical bills in the greater healthcare system. Timestamps: 00:00 Intro 02:20 Side note: release date for Marshall's book "Never Pay the First Bill: and other ways to fight the healthcare system and win" got pushed up to June 22, 2021 03:10 I skipped …

Continue the conversation with Cristy, Scott Ray, and Heath Potter in understanding current healthcare transparency, hospital negotiations, and reference-based pricing. Timestamps: 00:00 Intro 05:32 Many employees don't realize their employer is the health plan 06:18 Lots of employee education is needed 06:38 The irony of change can be comical 07:1…

Join Cristy with Scott Ray and Heath Potter in understanding current healthcare transparency, hospital negotiations, and reference-based pricing. Timestamps: 00:00 Intro 00:39 2020? See ya, wouldn't wanna be ya! 01:25 Intro to 6 Degrees, Scott Ray and Health Potter 02:37 Better for Less $$? Sign me up! 02:57 Medicare Rate Sausage? How is it made? 0…

00:00 Intro 00:40 Vinay Patel of Self-Insured Pharmacy Networks 01:25 In last week's episode 02:38 A day in the life of a community pharmacist 03:32 Pharmacists in a big box format want to cater to patients just like community pharmacists do 03:53 We're replicating the same model on the pharmacy side as DPC has done on the medical side 04:41 Care c…

00:00 Intro 00:40 In today's episode 00:58 Vinay Patel of Self Insured Pharmacy Networks 02:16 What is a PBM? 02:32 PBM = claim processor just like a TPA on the medical side 03:15 but also rebate management, clinical management, etc. 04:17 what about the cost? 04:42 episode 8, "transparency" 05:08 Tim Thomas, quote on transparency 05:50 There's mon…

00:00 Intro 01:00 Doctors entertain concepts of cash payments with patients 01:06 Dr. Jordan Johnson, DC—Morganton Chiropractic 01:30 In last week episode… 04:00 Let’s talk about diet 05:00 Food Guide Pyramid 05:30 What we define as “food” is key 05:37 Michael Pollan 06:25 What is “real food” anyway 06:46 Food, Inc., documentary-directed by Robert …

00:00 Intro 01:07 Dr. Jordan Johnson 01:28 Cash-based practice 02:14 My first interaction with Dr. Johnson at Morganton Chiropractic 04:14 One way doctors keep their own overhead down and spend more time with patients 06:38 Reverse-engineered pricing based on what was needed to have a healthy work-life balance 07:30 First appointment is one hour lo…

00:00 Intro 00:45 Mark Watson and Kent Thomas 01:47 In last week’s episode 04:48 Now for more with our guests 05:00 Plan design is SO important! Learn how to design your plan from the bottom up 06:16 In what other part of our economy would we conduct our affairs this way…NOWHERE! 08:06 You’re not in control until you know where the dollars are goin…

00:00 Intro 00:40 In today’s episode 00:53 Mark Watson 01:14 Kent Thomas 01:34 What is a fiduciary? 02:55 Our story started in 2002 03:33 County Commissioners knew status quo didn’t work any longer 04:23 Consumer-driven healthcare was new at the time 04:54 Transparency was a new question? How do you know you are getting the real answers? 05:23 When…

00:00 intro 00:42 welcome Carl Schuessler 01:18 in last week's episode 02:16 absolving employee's of out-of-pocket cost burden 02:54 low income + maximum OOP = recipe for bankruptcy 03:30 employee's who go to their hospital employer have no OOP 03:49 "friends of family" network 04:22 removed all barriers to care 04:35 what was the magic sauce? 05:3…

00:00 intro 00:42 who is Carl Schuessler 00:50 rural health is in jeopardy 01:08 community healthcare gets a boost with Carl's new client 01:33 hospital systems are employers too...and they need help 02:24 started in 2017 02:36 Lee Gross, DPC guru and visionary 03:05 rural hospitals all over the country are struggling 03:28 demographics and local e…

00:00 introduction 00:42 welcome Mark Pew 01:27 recap 02:13 employer wake-up call 03:34 whole person well-being programs 03:52 absenteeism vs. presenteeism 04:21 progress we've seen just in the last 5 years, like standing desks 05:04 workplace culture change even affects what is in vending machines 06:23 resilient thinking is a positive byproduct t…

00:00 Intro 00:42 Mark Pew introduced 01:26 Welcome 02:00 How it started in 2003 02:40 "Poly pharmacy" problem 03:40 Trends in data presented illogical conclusions 04:21 First presentation to audience in 2013 05:12 Mark Pew on LinkedIn 05:50 Most connections are not related to Worker's Comp 07:18 Worker's Comp beat the healthcare insurers to the pu…

Cristy talks with David Contorno, Founder of E-Powered Benefits, about how he is helping an upstate SC County with about 1,000 employees break free from status quo healthcare and try something new. They discuss the many moving parts of affecting change in a positive way even if everyone is not on board at first. Learn from their experience and get …

00:10 intro 00:44 welcome and what's up? 01:10 primary care revolution 02:16 what does direct primary care cost? 02:40 Free Market Medical Association--Carolinas Chapter 03:17 it's just like paying for a gym member 03:50 what if employers knew what they were missing? 05:00 PCPs are overworked and underpaid by insurance companies 06:40 direct pimary…

00:10 intro 00:44 welcome and what's up? 01:14 cost containment? Is that a thing? 02:10 do healthcare costs just "go up"? 02:45 there is a new normal out there waiting for you 03:07 pay healthcare just like any other bill 03:59 "fair trade healthcare" 05:52 no need to be dependent on insurance companies 06:21 disassemble then reassemble 07:21 consu…