Scaling Up Self-Funded Employer-Led Healthcare (feat. Ashley Bacot)

Scaling Up Self-Funded Employer-Led Healthcare (feat. Ashley Bacot)

Picture a healthcare plan with free primary care visits, physicals and health screenings, $0 copays for most services and prescriptions and negotiated direct contracts for most major procedures, as well as on-site fitness, flu shots, vaccines, family planning, nutritional services and more. This is the reality for thousands of employees of Rosen Hotels & Resorts in Orlando, Florida, leading to high primary care compliance and huge savings — $500 million to date. As most employers brace for double-digit premium increases, Rosen's costs remain roughly half the national averages. Ashley Bacot, the architect of Rosen's world-renowned healthcare plan, joins us to discuss how this model can serve as a blueprint for scaling up sustainable, value-based healthcare across the country. Find the transcript of this episode at movingtovalue.org/transcript/bacot [https://www.movingtovalue.org/transcript/bacot] ________ Sign up for our email list. [https://www.movingtovalue.org/subscribe] 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 [http://movingtovalue.org/members].

How to Build Community Owned Health Plans (feat. Bryce Heinbaugh)

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/heinbaugh [https://www.movingtovalue.org/transcript/heinbaugh] Mentioned in this episode: our May 2024 episode with Dr. Scott Conard [https://www.movingtovalue.org/podcast/episode/27bf54be/transforming-healthcare-the-impact-of-purpose-driven-approaches-a-conversation-with-dr-scott-conard-md], our June 2025 episode with Darrell Moon [https://www.movingtovalue.org/podcast/episode/20463a89/you-are-the-customer-fixing-healthcare-from-the-ceos-desk-with-darrell-moon], our November 2025 episode with April Kyle and Dr. Doug Eby of Southcentral Foundation's Nuka system [https://www.movingtovalue.org/podcast/episode/1e6e5aac/part-1-the-nuka-blueprint-with-april-kyle-and-dr-doug-eby]. ________ Sign up for our email list. [https://www.movingtovalue.org/subscribe] Thank you to our members [https://www.movingtovalue.org/supporters] 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 [http://movingtovalue.org/membership].

Confronting Soaring Emergency Care Costs (feat. Al Lewis)

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 [https://www.movingtovalue.org/transcript/lewis] ________ Sign up for our email list. [https://www.movingtovalue.org/subscribe] Thank you to our members [https://www.movingtovalue.org/supporters] 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 [http://movingtovalue.org/membership].

Winning the Benefits Market Attention Economy (feat. Chris Fisher)

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. [https://www.movingtovalue.org/subscribe] Thank you to our members [https://www.movingtovalue.org/supporters] 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 [http://movingtovalue.org/membership].

How to Curb Profiteering and Reclaim True Value (feat. Wendell Potter)

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 [https://healthcareuncovered.substack.com/] 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 [https://www.movingtovalue.org/transcript/potter] ________ Sign up for our email list. [https://www.movingtovalue.org/subscribe] Thank you to our members [https://www.movingtovalue.org/supporters] 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 [http://movingtovalue.org/membership].