Hope, Power, and Healthcare

How Personal Finance Apps are Failing Neurodivergent People: A Conversation with Natasha Barber

56 min · 10 de mar de 2026
Portada del episodio How Personal Finance Apps are Failing Neurodivergent People: A Conversation with Natasha Barber

Descripción

After years of navigating trauma, ADHD, and financial instability, Natasha Barber decided to build the financial tool she always wished existed. In this episode of Hope, Power and Healthcare, Chris and Melissa sit down with Natasha Barber, the founder and CEO of Pistachio Pay. Pistachio Pay is a trauma-informed financial wellness platform, designed specifically for neurodivergent individuals, or those whose brains do not respond to the traditional budgeting tools. Natasha shares her powerful journey, and the personal experiences that inspired her to build a completely new category of “fintech”. After years of navigating through financial instability and systemic barriers, Natasha set out to create a new tool that actually meets neurodivergent people where they are. This conversation explores why traditional budgeting apps fail so many neurodivergent users, and the connection between financial stress, mental health and suicide risk. The conversation gets personal covering resilience, entrepreneurship, and the importance of building systems that work for people, not against them. This episode has something for everyone, you won’t want to miss it. Links from this episode:Visit Pistachio Pay, and get on the Waitlist!:https://pistachiopay.com/ Follow Natasha Barber on LinkedIn, to stay up to date on all things Pistachio Pay!:https://www.linkedin.com/in/natasha-barber-pistachio-pay/ Hosts:Chris Hemphill - Chris’s 17 years in healthcare technology have spanned sales, operations, data science IC, and AI leadership. Chris couples this with a focus on health equity and serves as the NYU McSilver Institute for Poverty Policy Research Fellow for Healthcare AI. Chris’s currently leads Modular Feedback, which focuses on helping healthcare innovators find and build thoughtful AI use cases: https://modularfeedback.com Melissa Reilly - Melissa spent the last 20 years leading innovations at major payers: UnitedHealth Group(Optum Ventures), Aetna, and Evernorth/Cigna. She’s helped drive and commercialize multiple startups in AI & consumer testing, and she is now driving product and commercialization for healthcare innovators full-time. She brings industry expertise as well as a background in law, negotiation, & real estate. Her company’s name is STLTH. Production:Edited by Alyssa SchrollMusic by Chris Hemphill

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37 episodios

episode Forward Deployed Engineers Explained: The Technical Talent Shift Founders Shouldn’t Ignore artwork

Forward Deployed Engineers Explained: The Technical Talent Shift Founders Shouldn’t Ignore

Every founder eventually faces the same question: How do you build faster without building the wrong thing? As organizations race to innovate in an increasingly technology-driven world, the challenge isn’t simply writing the code, it’s understanding the people, workflows, and problems that coding is meant to serve. On this episode of Hope, Power & Healthcare, our hosts Melissa and Chris explore the rise of Forward Deployed Engineers (FDE) and why this emerging role is capturing the attention of startups, healthcare organizations, and technology leaders alike. Using their own experience, working directly alongside operational teams, Chris shares what happens when technical talent moves closer to the people using the solutions being built. Together, Chris and Melissa discuss how FDEs help bridge the gap between strategy and execution, accelerate learning, and create products that are more likely to drive meaningful adoption and outcomes. This is a conversation about building with people, not just for them. Because the most successful innovations emerge through collaboration, curiosity, and a deep commitment to solving real problems. Whether you’re a founder navigating your next hire, a healthcare leader driving transformation, or a builder looking to create greater impact, this episode offers practical insights into what it takes to turn ideas into solutions that people actually use. #ForwardDeployedEngineer #HopePowerandHealthcare #HealthcareLeadership Hosts:Chris Hemphill - Chris’s 17 years in healthcare technology have spanned sales, operations, data science IC, and AI leadership. Chris couples this with a focus on health equity and serves as the NYU McSilver Institute for Poverty Policy Research Fellow for Healthcare AI. Chris’s currently leads Modular Feedback, which focuses on helping healthcare innovators find and build thoughtful AI use cases: https://modularfeedback.com Melissa Reilly - Melissa spent the last 20 years leading innovations at major payers: UnitedHealth Group(Optum Ventures), Aetna, and Evernorth/Cigna. She’s helped drive and commercialize multiple startups in AI & consumer testing, and she is now driving product and commercialization for healthcare innovators full-time. She brings industry expertise as well as a background in law, negotiation, & real estate. Her company’s name is STLTH. Production:Edited by Alyssa SchrollMusic by Chris Hemphill

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episode Is This the End of Healthcare Opacity? Transparency Reckoning + The AI Jobs Boom Nobody Saw Coming artwork

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Is healthcare finally being forced to become transparent? And is AI quietly rewriting how we work? In this week’s episode of Hope, Power and Healthcare, hosts Chris Hemphill and Melissa Reilly dive into two massive shifts happening in the healthcare ecosystem right now, and why both could change the system faster than most people realize. With OptumRx moving toward a fee-based PBM model, are we witnessing the “beginning of the end” for opaque pharmacy pricing and rebate-driven healthcare economics? Melissa and Chris unpack what this could mean for patients, payers, and the future cost of care. The conversation pivots to one of the fastest-growing roles in tech: the Forward Deployed Engineer (FDE). With reported demand surging, Chris and Melissa explore why businesses are embedding technical talent directly into operations, what this means for healthcare innovation, and why AI literacy may no longer be optional for business leaders. Of course, because it’s Hope, Power and Healthcare, there’s talk of soup, pop culture, and a reminder to spend more time in a real-world community. One question remains. Are we building AI tools, or are AI tools quietly reshaping us? Drop your thoughts below, and help our hosts choose an AI course to take and review together. #HopePowerandHealthcare #HealthcareInnovation #DigitalHealth #ArtificialIntelligence Hosts:Chris Hemphill - Chris’s 17 years in healthcare technology have spanned sales, operations, data science IC, and AI leadership. Chris couples this with a focus on health equity and serves as the NYU McSilver Institute for Poverty Policy Research Fellow for Healthcare AI. Chris’s currently leads Modular Feedback, which focuses on helping healthcare innovators find and build thoughtful AI use cases: https://modularfeedback.com Melissa Reilly - Melissa spent the last 20 years leading innovations at major payers: UnitedHealth Group(Optum Ventures), Aetna, and Evernorth/Cigna. She’s helped drive and commercialize multiple startups in AI & consumer testing, and she is now driving product and commercialization for healthcare innovators full-time. She brings industry expertise as well as a background in law, negotiation, & real estate. Her company’s name is STLTH. Production:Edited by Alyssa SchrollMusic by Chris Hemphill

2 de jun de 202647 min
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What can you unlock when you stop gatekeeping yourself, and start showing up? In this week’s episode of Hope, Power and Healthcare, hosts Melissa and Chris are back (and fired up) after a whirlwind week of conferences, conversations, and community-building moments that sparked new ideas, and a few healthy debates. From the Women Business Leaders Summit, to sustainability summits and AI forums, our hosts unpack what really happens when you get the right people in the room. When events can be more than networking and mentorship, but also the uncomfortable (but necessary) conversations that truly drive progress. Melissa shares a few insights from speaking on her panel on financial empowerment and the power of women supporting women, while challenging the norms around money, mentorship and “queen-making”. Chris takes us inside a high-intensity AI conference, where opposing views collide on stage, raising critical questions about ethics, regulation, and the future of creativity. If you’ve ever wondered how to grow your network, find your people, or just challenge your own thinking, this episode is for you.Don’t gatekeep yourself. Show up. Join the conversation.#HealthcareInnovation #AIinHealthcare #Community #HopePowerandHealthcareHosts:Chris Hemphill - Chris’s 17 years in healthcare technology have spanned sales, operations, data science IC, and AI leadership. Chris couples this with a focus on health equity and serves as the NYU McSilver Institute for Poverty Policy Research Fellow for Healthcare AI. Chris’s currently leads Modular Feedback, which focuses on helping healthcare innovators find and build thoughtful AI use cases: https://modularfeedback.com Melissa Reilly - Melissa spent the last 20 years leading innovations at major payers: UnitedHealth Group(Optum Ventures), Aetna, and Evernorth/Cigna. She’s helped drive and commercialize multiple startups in AI & consumer testing, and she is now driving product and commercialization for healthcare innovators full-time. She brings industry expertise as well as a background in law, negotiation, & real estate. Her company’s name is STLTH. Production:Edited by Alyssa SchrollMusic by Chris Hemphill

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Are we ready for AI-powered care plans? This week, the Hope, Power and Healthcare team introduced our new event format: STLTH Feedback. This was a live, unscripted deep dive where founders shared their innovation and received real-time input from industry insiders. Our first “patient zero” is Dr. Asha Zimmerman, a former transplant surgeon, turned founder of Primary Intelligence. This AI-powered platform is designed to help patients navigate new symptoms, access health information, and walk into doctor visits more informed. Our hosts, Chris Hemphill and Melissa Reilly, were joined by a special third guest - Dr. Tarun Kapoor, a physician and former digital transformation executive. Together, our “nurse sharks”, created an event where founders bring in real problems, and the goal isn’t to tear them down, but to help them build something better. If you’re building in health tech, working in care delivery, or are just curious about where AI is taking healthcare, this special event episode is for you. Connect with us: Follow Hope, Power & Healthcare on LinkedIn Download the Primary Intelligence App: https://play.google.com/store/apps/details?id=com.voxcura.voxcura&pcampaignid=web_share Hosts:Chris Hemphill - Chris’s 17 years in healthcare technology have spanned sales, operations, data science IC, and AI leadership. Chris couples this with a focus on health equity and serves as the NYU McSilver Institute for Poverty Policy Research Fellow for Healthcare AI. Chris’s currently leads Modular Feedback, which focuses on helping healthcare innovators find and build thoughtful AI use cases: https://modularfeedback.com Melissa Reilly - Melissa spent the last 20 years leading innovations at major payers: UnitedHealth Group(Optum Ventures), Aetna, and Evernorth/Cigna. She’s helped drive and commercialize multiple startups in AI & consumer testing, and she is now driving product and commercialization for healthcare innovators full-time. She brings industry expertise as well as a background in law, negotiation, & real estate. Her company’s name is STLTH. Production:Edited by Alyssa SchrollMusic by Chris Hemphill

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episode The Dangerous Illusion of Trust in Startups & AI artwork

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What does it actually mean to trust someone, especially when the stakes are high? In this episode of Hope, Power & Healthcare, our hosts Chris Hemphill and Melissa Reilly unpack a concept that sits at the center of every decision we make. Trust. From choosing who to build with, to navigating co-founder dynamics, to evaluating whether AI outputs deserve your confidence, this conversation moves beyond surface-level advice, and into the real, often uncomfortable, work of figuring out who, and what, you can rely on. Melissa reflects on the frameworks she uses to evaluate potential opportunities, leaders, teams, and meaningful work, and why trust has become the deciding factor in where she invests her time and energy. Chris shares how trust is built “in the trenches”, and why small, real-world tests often reveal more than any interview or recommendation ever could. Our hosts bring the conversation to a technology perspective, challenging the idea that AI model outputs should always be taken at face value. From bias in healthcare algorithms, to practical ways to validate LLM responses, this episode makes a compelling case for starting from skepticism, and earning trust through validation. Whether you’re building a company, joining one, or deploying AI into real-world systems, always ask yourself. Can I trust it when it matters the most? Connect with us!Follow our LinkedIn: https://www.linkedin.com/company/hope-power-healthcare/?viewAsMember=true Hosts:Chris Hemphill - Chris’s 17 years in healthcare technology have spanned sales, operations, data science IC, and AI leadership. Chris couples this with a focus on health equity and serves as the NYU McSilver Institute for Poverty Policy Research Fellow for Healthcare AI. Chris’s currently leads Modular Feedback, which focuses on helping healthcare innovators find and build thoughtful AI use cases: https://modularfeedback.com Melissa Reilly - Melissa spent the last 20 years leading innovations at major payers: UnitedHealth Group(Optum Ventures), Aetna, and Evernorth/Cigna. She’s helped drive and commercialize multiple startups in AI & consumer testing, and she is now driving product and commercialization for healthcare innovators full-time. She brings industry expertise as well as a background in law, negotiation, & real estate. Her company’s name is STLTH. Production:Edited by Alyssa SchrollMusic by Chris Hemphill

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