E182 | Michael Kopko: Grit, Incentives, and the Future of Senior Care
What does it actually take to move independent physicians from fee-for-service to value-based care, and why is it still this hard?
In this episode of the Advancing Healthcare Innovation Show, host Michael Stamatinos sits down with Michael Kopko, CEO of Pearl Health, a company built to help providers succeed in value-based care, particularly in Medicare programs where the operational complexity is very real.
Michael spent years at Oscar Health helping build the company during its early growth stage, leading one of the largest P&Ls in the organization. Before that, he worked at Bridgewater Associates under Ray Dalio, where he developed the mental models and systems thinking that now shape how he leads Pearl. He did not come to healthcare through a traditional path, and that perspective shows up everywhere in this conversation.
This conversation explores what it takes to lead a mission-driven company in one of the slowest-moving, highest-stakes industries in the world, and why Michael is more optimistic about the future of healthcare today than he has ever been.
Michael and Michael dig into:
* Why value-based care sounds easy on paper and why actually living it inside a practice is a completely different story
* How Pearl Health helps independent physicians succeed in MSSP and other Medicare programs
* The role incentives play in changing physician behavior and where the system still gets it wrong
* Why most things in senior care are predictable, and why predictable means preventable
* How Michael thinks about leadership under pressure and why equanimity is a skill, not a personality trait
* What Bridgewater and Oscar Health taught him about building in high-stakes environments
* How Pearl thinks about technology investment and what he would do differently if he started over
If you lead a healthcare organization, work in value-based care, build health tech, or advise the healthcare ecosystem, this conversation is for you.
0:00 Introduction and what Pearl Health does
2:40 What physicians say about value-based care when the cameras are off
4:59 Michael Kopko's origin story and early career curiosity
6:50 Why incentives are the real engine of behavior change in healthcare
9:30 What the transition from fee-for-service actually looks like in practice
11:46 Why this work is personal, not just professional
12:15 The mental model Michael returns to when things get hard
14:33 How Bridgewater and Oscar Health shaped his leadership style
15:07 Why progress is happening even when it does not feel like it
18:23 Does a healthcare innovator have the luxury of thinking long-term
19:33 If Pearl Health were a sports team
21:22 Where Pearl is strongest right now
22:20 How to follow Pearl Health and connect with Michael
23:20 What he would do differently if he started Pearl over today
24:30 Closing reflections on progress, patience, and purpose
https://www.pearlhealth.com/ [https://www.pearlhealth.com/]
📣 LIKE, COMMENT & SUBSCRIBE
If this conversation moved you, challenged your thinking, or sparked an idea, share it with someone who needs to hear it. Subscribe for more episodes with healthcare leaders who are not just thinking differently, they’re building differently.
About the Show
The Advancing Healthcare Innovation Show is hosted by Michael Stamatinos, a nationally recognized connector, strategist, and advocate for innovation with purpose. Each week, Michael interviews healthcare leaders who are driving meaningful change—highlighting stories of access, resilience, equity, and transformation.
The AHI Show started with the idea of wanting to highlight stories of what healthcare innovation truly looks like in action. Our mission, highlight real people who are really innovating within healthcare. Guests include healthcare entrepreneurs, providers, payers, and professionals from the investment community. We showcase little wins as well as valuable lessons learned from setbacks through these interviews. The real innovators in healthcare are often the ones in the trenches doing the work with razor-sharp focus. We find these innovators and bring their stories to light.
🔗 Michael’s LinkedIn: https://www.linkedin.com/in/michaelstamo [https://www.linkedin.com/in/michaelstamo]
🎧 Subscribe for more episodes that move beyond theory and into the heart of what’s really possible in healthcare.
Join our group, Advancing Healthcare Innovation Forum on LinkedIn:
https://www.linkedin.com/groups/7056196/ [https://www.linkedin.com/groups/7056196/]