Self-funded with Spencer shares inspiring conversations with the most successful and influential people in healthcare - company founders, CEOs, entrepreneurs, doctors, sales leaders, and more - to help educate and inspire YOU to become the best version of yourself.
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Methods to make sustainable lifestyle changes to optimize health and prevent chronic disease in an anti-diet, weight neutral, and mindful eating approach.
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HR's Role In M&A: Due Diligence, Culture, and Integration | with Diane Dooley
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1:09:15“Each acquisition has its own fingerprints. You kind of think, oh, it's an acquisition. No, it's all different.” - Diane Dooley Diane Dooley, a CHRO and consultant, joined me this week to discuss what HR’s role in mergers & acquisitions is, and why HR is so key to that process. We talked about doing the right due diligence before an acquisition, ho…
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(Really) Small Business Health Insurance Benefits | with Christopher Cordon
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1:13:44"If you're an employer, if someone comes up and knocks on your door, take a second, breathe, and listen to what they have to say." - Christopher Cordon Christopher Cordon joined me this week to talk about something that may initially seem contradictory to what I typically preach: level-funding. Chris shares why worksite benefits sales for employers…
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Send us a text In this episode, we wanted to introduce ourselves and tell you why you should listen to us! After all, there are a multitude of podcasts centered around health and nutrition. Why us? Well, we believe that we have a unique viewpoint of how food should be, well, viewed, and we decided we wanted to share that perspective as best we coul…
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What The PBM Industry Should Focus On In 2025 | with Julie Wasserman
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1:17:49"If you know how a PBM gets paid, that's the best transparency you can ask for.” - Julie Wasserman Julie Wasserman, VP of Sales for VerusRx, joined me this week to discuss the PBM industry in 2025. If you’re a PBM, how do you gain trust with employers and build plans that work for them? We talk about what every PBM should be doing for their employe…
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Episode 9- Ozempic, Mounjaro, Wegovy....A Dietitian's Opinion
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42:12Send us a text In this podcast episode, Kylie and Spencer explore the emerging trend of weight loss injections like Ozempic, Wegovy, and Mounjaro, diving into their science and societal impact. They trace the history of and evolution leading to GLP-1 receptor agonists. These injectable medications, initially approved for Type 2 Diabetes, are now ga…
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Marty Makary's FDA, Operation Stork Speed, Healthcare Cybersecurity | Last Month In Healthcare
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26:00If you'd like your question answered on next month's episode, call/text 469-213-6381 and leave us a voicemail/text. Last Month In Healthcare is officially a video podcast! Each month, producer Nathaniel joins me to discuss the previous month's podcasts, headlines, and listener-submitted questions. This episode covers healthcare news from March 2025…
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Empowering Americans To Shop For Their Healthcare | with Kylie Everhart
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1:03:39"Insurance is about health and wealth. It protects your health, it should protect your wealth." - Kylie Everhart Kylie Everhart, Chief Growth Officer at Oxbridge Health, joined me to discuss episode benefit plans and how they empower consumers to make better healthcare choices. Episode benefit plans bundle pricing for the entirety of an “episode of…
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Episode 8 - Mindset Reset Using Cognitive Behavior Therapy Techniques
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36:18Send us a text In this episode, discover how to avoid the most common mistakes people make when trying to create lasting change—including relying on extreme rules, taking on too much at once, or struggling with self-compassion. Hosts Kylie and Spencer unpack the difference between fixed mindsets and growth mindsets, sharing real-life examples and a…
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The Future of Healthcare Podcast - Live Show With Q&A!
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1:43:08"I think innovation is supposed to be hard. That's why it's innovation.” - Seth Denson “Better consumption requires a lot more education.” - Trey Marinello "Don't compare GLP-1s to working out, because if they were working out, they wouldn't need the GLP1s." - Danish Nagda “I think what RFK has done with the MAHA movement is he's gotten people inte…
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Episode 7 - Mediterranean Diet: Unraveling the Mysteries
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40:31Send us a text On today’s episode, we take a deep dive into the Mediterranean diet, hailed as the ultimate heart-healthy eating plan. With proven benefits for managing chronic diseases like cardiovascular disease and diabetes, enhancing cognitive function, and promoting anti-inflammatory nutrition, this lifestyle offers a wide variety of health ben…
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Simplifying Access To Healthcare | with Ryan Coplon
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1:12:30"Our business is predicated on two things: consolidating things that would otherwise be disparate, and then using that as a trusted chassis to communicate and engage effectively." - Ryan Coplon Ryan Coplon, co-founder of HealthWallet, joined me to discuss why improving member engagement actually reduces health plan expenses, how we get members to u…
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MAHA, Steak 'n Shake, and AI Prescriptions | Last Month In Healthcare
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32:03If you'd like your question answered on next month's episode, call/text 469-213-6381 and leave us a voicemail/text. Welcome to our new monthly podcast series, Last Month In Healthcare! Each month, producer Nathaniel joins me to discuss the previous month's podcasts, headlines, and listener-submitted questions. This episode covers healthcare news fr…
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Episode 6 - Yo-yo Dieting and How to Stop!
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33:28Send us a text Struggling with the ups and downs of yo-yo dieting? Have you lost and regained the same weight over and over again? In this episode, Kylie and Spencer explore the emotional, psychological, and practical sides of breaking free from the diet-deprivation cycle. We discuss the impact of scarcity versus abundance mindsets, how to make pea…
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Building a Contagious Community | with Scott Smith
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1:33:36"I think that's the difference with a contagious community. Like, I want to bring other people that I like into this community." - Scott Smith Scott Smith, President of True Network Advisors, joins the show for a third time for this podcast filmed at his boathouse in Guntersville, Alabama. Scott and I talked about contagious communities, which Scot…
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Episode 5 - Micronutrients: Vitamins & Minerals
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32:52Send us a text In this episode, we dive into micronutrients, the essential vitamins and minerals your body needs for energy, immunity, and overall well-being. Learn what these nutrients do to support metabolism and what happens without them. We'll explore recommendations for supplements, who needs them, and how to choose the right ones for you. Mic…
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Reversing Diabetes Instead Of Managing Symptoms | with Steve Hastings
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1:00:10"Reversing obesity, reversing diabetes is possible. You don't just have to manage a chronic condition." - Steve Hastings Steve Hastings, Leader of Health Plans at Virta Health, joined me to share Virta’s strategy to help members reverse type 2 diabetes, prediabetes, and obesity. He also shared their findings on just how important food is to our ove…
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Episode 4 - Fats: Do they really make you fat?
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41:17Send us a text Fats are also one of the misunderstood nutrients with a long history of research saying one thing and then saying another (remember eggs..) This episode we explore the our last macronutrient, why it is important, what it even does, and what are the real health recommendations.By Kylie and Spencer
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Leading An All-Female Insurance Agency | with Maggi Quinn
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57:14"If you're not going to be excited when I'm calling you, we're probably not a mutual fit." - Maggie Quinn Maggi Quinn, SVP of Consulting at Intrepid Benefits, joined me to discuss working at an all-female insurance agency, why specialization is so important in today’s market, and some innovative approaches to self-funded healthcare. Maggi shares he…
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Send us a text The word "carbohydrate" gives an automatic cringe right? Maybe it brings up feelings of embarrassment, shame, guilt, hesitation. A love hate relationship perhaps. Maybe you've tried cutting out sugar or doing the keto diet, but failed. Are they really that bad? Should we feel guilty eating them? This episode we explore the science be…
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Selling In A Collaborative Environment | with Sean Wood
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1:12:17"Be kind, be focused on others, be a steward of your craft and take the opportunity to take action.” - Sean Wood Sean Wood, SVP of National Partnerships at ParetoHealth, joined me for a podcast that is far less about captives than it is about being a sales ninja. We talk about getting started in sales, the buyer as a skeptic, collaborative selling,…
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Episode 2 - Protein: Should it be on a Pedestal?
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42:43Send us a text Protein drinks, protein bars, protein supplements, protein is all the craze. But should it really be up on a pedestal? This episode we explain the science of protein as well as the recommendations. We break down the myths about protein with weight loss, muscle gains, and blood sugars.By Kylie and Spencer
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Private Equity In Healthcare | with Shelby Cowley
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47:57“Whatever your clients find attractive about you and the reason they want to work with you is the exact same reason that a buyer is going to find you attractive and want to acquire your agency.”- Shelby Cowley Shelby Cowley joined me this week to discuss the complicated world of insurance mergers & acquisitions. How do you get the best valuation fo…
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Health Insurance After Organ Transplant | with Guy Finley & Robby Kerr
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1:04:07“Organ transplant is not something that the employer or even the TPAs are necessarily all experts in." - Guy Finley “There are still going to be some situations and some events inside that episode of care that are going to be stop-loss related, so we want the two to work together.” - Robby Kerr Guy Finley and Robby Kerr from HCC joined me in studio…
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Send us a text What does it even mean to be healthy? There is so much information online about what health is, how many calories, how many grams of protein, what foods to avoid, what foods to eat more of....It can get overwhelming. This episode we dive into defining what being healthy looks like from a nutrition stand point. We simplify the very ov…
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SIIA 2024 Live Show: Legislative Efforts, SIIA ROI, Networking, And Q&A
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1:00:23“It's everything. Exposure, knowledge, education, generating new business, solving clients, risk management objectives. It's all here." - John Capasso “And the question comes up year over year, what is the ROI of SIIA? Did we have a legitimate hard dollar return on investment? And the answer is yes, we've always seen a return.” - Amy Gasbarro This …
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The Primary Care Crisis: How We're Failing Patients | with David Kinzler
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1:11:40"If we're not accessible to you, we can't help you." - David Kinzler David Kinzler, CEO of One-to-One Health, joined me this week to talk about the importance of primary care, restoring the doctor-patient relationship, and TextCare, which provides text messaging access to a dedicated care team with response times under 5 minutes. David is a former …
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Producing A Healthcare Documentary | with Chelsea & Donovan Ryckis
1:18:59
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1:18:59"The problem with a lot of healthcare is everybody is coming in, making their own solution. So you have thousands of point solution vendors and all we're doing is confusing the end user and the people that we really want to be educated." - Chelsea Ryckis One of the most influential duos in healthcare, Chelsea and Donovan Ryckis, joined me this week…
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The Essential Guide To Value-Based Care | with Binu Samuel
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1:03:50"I think I'd say our patients deserve better. Our Americans who are encountering the healthcare system deserve better." - Binu SamuelBinu Samuel, Director of Commercial Partnerships at Carrum Health, joined me for the first podcast of 2025 to discuss how we lower healthcare costs for self-funded employers. Binu, and Carrum’s, mission is to make hea…
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How To Build Your LinkedIn Presence In 2025
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18:25"Everybody makes an excuse at the end as to why they didn't post or why they didn't start the thing they really wanted to start." - Me Happy New Year! As a bonus episode this week, I’m sharing a talk I gave at a recent ParetoHealth event about getting started with social media content, and how it can be used effectively for sales. Whether you’re ne…
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How Content Can Solve Healthcare's Biggest Problems (with Matt & Megan Glaros)
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1:19:41"They have to understand the value. That’s how you get people to use it." - Megan Glaros “I had somebody who said once, why take a pill when you can get a shot? That's the way we kind of treat health, is like, just treat us with medication.” - Matt Glaros For the final podcast of 2024, Matt and Megan Glaros joined me (in a different studio than usu…
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Advocating For A Better Healthcare System, with Tiffany Ryder
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57:08"I felt like I was putting $10,000 bandaids on someone's diabetic ketoacidosis instead of actually helping them to never be there in the first place." - Tiffany Ryder Tiffany Ryder, medical physician associate and healthcare advocate, joined me this week to continue the theme of my previous episode: how do we empower patients to make informed decis…
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Negotiating Fair Medical Bills, with Jenni Nolan
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56:46"I think that the general public thinks that health care is just expensive and this is just the way it has to be. It doesn't. And I think if more people knew that they would rise up and fight the system, fight for change.” - Jenni Nolan Jenni Nolan, Board-Certified Patient Advocate at Clear Healthcare Advocacy, joined me this week to discuss the ne…
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Make Your Health Plan More Effective, with David Mallen
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55:47"Any time you can reward employees for doing the right thing, to me, it's benefiting the employer group, it’s benefitting everybody.” - David Mallen You can provide employees with the best healthcare benefits in the world, but if they don’t know how to navigate the healthcare system, those benefits aren’t very effective. David Mallen, EVP of Partne…
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Beating Stage 4 Cancer, Against All Odds (with Dylan Slattery)
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58:25"Looking back now, cancer gave me something to fight for at a time when I felt like maybe life wasn't worth fighting for." - Dylan Slattery Dylan Slattery, VP at ClaimsBridge and motivational speaker at Stage Four 2 On Stage, joined me this week to share his powerful story of beating stage four cancer against all odds, beating it again when it recu…
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The Future Of Primary Care, with Danish Nagda
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1:04:08“I’m going to say something that people claim isn’t true, but it is. I’m an ear nose and throat doctor. I don't remember your eardrum from last year. I don't care what people tell you, doctors don't remember 3,000 eardrums.” - Danish Nagda Danish Nagda, founder of Rezilient, has come up with a pretty unique solution to doctor burnout in primary car…
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Tracking Healthcare Quality Using Nurse Feedback with Kimberly Carleson & Linda Komisak
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1:01:55"In what other industry could a purveyor put out 99% bad bills and stay in business?" - Linda Komisak “They're diagnosing things for things that you don't even have. And that’s scary.” - Kimberly Carleson Kimberly Carleson, CEO of US Beacon, and Linda Komisak, founder of Upturn Consulting LLC, joined me to talk about two critical ways of increasing…
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Why We Need "Conscious Healthcare" (with Dr. Scott Conard)
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1:12:42"Quit tolerating mediocrity. Go get in action. Find the right broker consultant that will take you to a new place. Don't give up hope." - Scott Conard Dr. Scott Conard tragically lost 3 patients one summer to unexpected heart problems, and immediately changed how he thought of healthcare. This week on Self-Funded, we talk about “conscious capitalis…
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The Economics of Cell and Gene Therapy with Oscar Bronsther & Carolina Escobar
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1:07:04"It's progress we couldn't have envisioned decades ago." - Oscar “I felt interested in being part of something bigger than my practice and something that will impact even more people that I was able to in the hospital.” - Carolina Dr. Oscar Bronsther and Dr. Carolina Escobar from Interlink joined me this week to discuss the exciting and scary world…
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Ending Pharmaceutical Price Gouging, with Jake Frenz
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57:22"If my child needs a gene therapy to live, they should get it and anyone's child should. So let's figure out how to pay for it." - Jake Frenz On the final of four podcasts filmed at a recent healthcare thinktank I hosted in Frisco, Texas, Jake Frenz, the founder and CEO of SmithRx, joined me to share his journey from the Marine Corps to Pharmacy Be…
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The Average Person Doesn't Understand Healthcare, with Dan Cochran
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1:02:14"I would say a lot of it is education, helping both the member and the provider realize that it's okay for them to get healthcare in home." - Dan Cochran On the third of four podcasts filmed at a recent healthcare thinktank I hosted in Frisco, Texas, Dan Cochran, CEO of Cochran Health Ventures, joined me to discuss infusions, in-home healthcare, wh…
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The Opportunity We Have To Fix Healthcare, with Shawn Sanford
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1:03:01"There can be a better path forward. We don't have to remain adherent to the system that is built against us. It's just going to take some rolling up of the sleeves and a commitment to it." - Shawn Sanford This week, another ParetoHealth colleague joins the show: Shawn Sanford, RVP of Sales and Pod Leader. Shawn and I discussed his transition from …
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Be A (Healthcare) Advocate, with Kristen Rivers
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57:41“There's a reason why every insurance carrier likely owns or is owned by a pharmacy benefit management company, that’s one of the ways that they can drive revenue." - Kristen Rivers My guest this week, Kristen Rivers from ParetoHealth, is one of the strongest healthcare advocates I know. This week on Self-Funded, Kristen and I discuss her upbringin…
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Who Is Spencer Smith? Q+A with Luke Aslesen
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43:38Luke Aslesen, founder of INFRMD, joined me a few weeks ago for the podcast, and we also filmed this extended interview after, in which Luke asks me about my comedy background, upbringing, relationship with my wife, and more. If you’re a long-time listener of the podcast and want to get to know me a bit better, or you just stumbled onto the podcast …
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GLP-1s: The PBM Perspective (with Justin Jasniewski)
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35:28“PBM is one of the most complicated concepts out there and it's incredibly difficult to understand. But it's not because the system itself is complicated. It's because pbms make it complicated.” - Justin Jasniewski Justin Jasniewski, CEO of Serve You Rx, joined me this week to discuss the state of the pharmacy benefit management (PBM) market in 202…
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“You know, Africa has no peanut allergies.” - Dr. Marty Makary I was honored to be joined this week by Dr. Marty Makary to promote his new book “Blind Spots”, which published this week and is currently a national bestseller. To purchase “Blind Spots”, use this link: https://geni.us/blindspots Dr. Marty Makary is a surgeon, researcher, and author, a…
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How Do You Stay Authentic And Creative In Insurance? (with Luke Aslesen)
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1:20:40“So many times these employers are like, ‘dude, I spend so much money on this, and my employees don't care at all.’ Or what's even worse is they go, ‘our employees love it, we have a great, great plan.’ Did they tell you that?” - Luke Aslesen This is one of my favorite podcasts of the year: Luke Aslesen, Founder of INFRMD, joined me to talk about e…
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Psychedelic Therapy As An Employee Benefit? (with Amil Patel)
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1:16:31“If we're facing a [mental health] crisis and we want radical change, we’ve got to think about radical solutions. If those radical solutions can show objectively with safety and efficacy data, that they're really helping people and really changing lives, then I think we ought to at least explore and get curious about offering those solutions to to …
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What's Stopping Patients From Embracing Virtual Care? (with Jon O'Toole)
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52:24“Utilization is key for virtual urgent care. Let us be your first line of defense, rather than like, ‘oh, I do have a telemedicine on the back of my insurance card, I’m not sure what it does.’” - Jon O’Toole Especially in the last few years (for obvious reasons), telehealth and virtual care have proved that they’re here to stay. But how do we best …
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Elevate Your Customer Service Game (with Heather Bowers)
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56:08“Life is short. In the meantime, your health is, at the end of the day, your health is all you have." - Heather Bowers Differentiating yourself through customer service is a tricky thing: it’s talked about so frequently that it can almost feel outdated focusing so much on the customer experience. But, as my guest Heather Bowers from Lone Star Benef…
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How Do We Engage Members? (with Rob Gelb)
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1:20:02“We're simplifying the complexities of healthcare. We gotta declutter it, we've gotta demystify it, we've gotta make it more transparent and understandable in bite sized ways where members know and understand what's happening for and to them." - Rob Gelb It sounds like a simple question, but as an industry, we’re still working towards figuring it o…
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