The Advancing Healthcare Innovation Show
Most people think the biggest barriers in healthcare are access, staffing, or technology. Brian Marsella thinks it's something else. Money. Millions of Americans delay or avoid care every year because they're worried about what it might cost, what bill might show up later, or whether they can afford to walk through the door in the first place. In this episode of the Advancing Healthcare Innovation Show, Michael Stamatinos sits down with Brian Marsella, President of PayMedix and Board Chair of Erie Family Health Center, for a candid conversation about one of healthcare's most overlooked barriers to access: the patient financial experience. With more than 30 years of leadership experience spanning Cigna, Aetna, and now PayMedix, Brian has had a front-row seat to how financial friction shapes patient behavior, health outcomes, and the future of healthcare. The conversation explores: • Why 67% of Americans earning less than $90,000 delay or avoid care • The unintended consequences of high deductible health plans • Why patients ignore medical bills until the final notice arrives • How financial friction changes health outcomes • What employers, providers, and health plans can do differently • Why fixing the payment experience could unlock better access to care This isn't really a conversation about healthcare payments. It's a conversation about trust. And what happens when people are forced to choose between their health and their finances. If you've ever wondered why healthcare still feels so hard to navigate, this episode is for you. ⏱ Chapters 03:58 Brian's unexpected start in healthcare 10:00 The hidden cost of delayed care 15:27 Lessons from Erie Family Health Center 18:59 Did healthcare create this problem itself? 27:11 How PayMedix works 37:37 Why change is so difficult 40:42 What leaders misunderstand about the patient financial experience 43:39 A vision for the future of healthcare 46:11 Final thoughts Follow Brian: https://www.linkedin.com/in/brian-marsella/ [https://www.linkedin.com/in/brian-marsella/] Paymedix: https://paymedix.com/ [https://paymedix.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/]
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