Moving to Value Unscripted

Taking On Healthcare's Trillion Dollar Crisis (feat. AJ Loiacono)

"We could probably think of dozens of brilliant ideas on this very podcast to improve healthcare," says AJ Loiacono, Co-Founder & CEO of Judi Health. "Good luck implementing any of them on our aging infrastructure." Loiacono founded Capital Rx, transforming the pharmacy benefit manager (PBM) industry by introducing a transparent, flat-fee model. Now, that mission has evolved into something even more ambitious. With the launch of Judi Health, Loiacono and his team are tackling the trillion dollar problem of administrative waste in healthcare. They’ve built the industry’s first unified claims processing platform, a system that puts medical, pharmacy, dental and vision claims onto a single ledger. Modernizing healthcare's technology infrastructure, Loiacono believes, will empower solutions that improve value for patients. Find the transcript of this episode at movingtovalue.org/transcript/loiacono ________ 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].

Leveraging Association Health Plans for Small Employers (feat. Grace Brangwynne)

"Now is the time to strike when the iron is hot. People need healthcare." Join us in the halls of the Connecticut General Assembly, where lawmakers are considering a bill to authorize Association Health Plans in the state. This would let small employers pool risk and receive health insurance as one group, boosting their power to negotiate better value for employees. Grace Brangwynne, Policy Director for Healthcare, Insurance and Housing at the Connecticut Business and Industry Association, describes the "breaking point" of double-digit premium hikes facing small employers across the state. She talks us through the guardrails built into the current Association Health Plan proposal, the tension between market innovation and state regulation and why the survival of Connecticut’s mom-and-pop shops depends on a fundamental shift in healthcare purchasing. Find the transcript of this episode at movingtovalue.org/transcript/brangwynne [https://www.movingtovalue.org/transcript/brangwynne] ________ Sign up for our email list. [https://www.movingtovalue.org/community] 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].

Shedding Light on Healthcare's Blind Spots (feat. Ann Lewandowski)

Why do savvy business leaders track every penny of office spend but ignore the "black box" of what's often their second-largest expense? With renowned healthcare advisor Ann Lewandowski, we dive into the systemic blind spots that make it difficult for even the most sophisticated plan sponsors to manage healthcare with the same fiduciary rigor they apply to other parts of their business. Lewandowski breaks down how to navigate the Consolidated Appropriations Act (CAA) as a North Star for transparency, the hidden pitfalls of high-deductible plans and how to build a 21st-century healthcare system with trust, accountability and patient-centered care at the core. Find the transcript of this episode at movingtovalue.org/transcript/lewandowski [https://www.movingtovalue.org/transcript/lewandowski] ________ Sign up for our email list. [https://www.movingtovalue.org/community] 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].

Serially Innovating Health Tech Solutions (feat. Michael LaFauci)

From the ball park to the operating room, Michael LaFauci spots solutions with an innovator's eye. The idea for his current venture, Midas Healthcare Solutions, began with a lint roller. LaFauci discusses the "innovator’s DNA" that led him from pharmacy assistant to serial entrepreneur. He developed technology that allowed sports fans to order refreshments from their seats. He created a device to prevent fetal lacerations during C-sections. Now, his team's MidasVIEW system is increasing transparency and safety in drug diversion within health systems, integrating digital connectivity, 360-degree cameras and artificial intelligence to create a verifiable chain of custody and make medication disposal feel cool. Beyond the technology, LaFauci touches on the grit required for innovation — the blood, sweat and tears of a years-long journey from a lint roller prototype to a commercialized pilot, as well as the courage to "fall forward" and trust his vision. ________ Sign up for our email list. [https://www.movingtovalue.org/community] 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].

Rewiring Healthcare Incentives with ICHRAs (feat. Chris Ellis)

Are we approaching the "401(k) moment" of health insurance? We're joined by Chris Ellis, co-founder and CEO of Thatch, a platform that helps employers offer personalized healthcare experiences to employees using Individual Coverage Health Reimbursement Arrangements (ICHRAs) . Ellis explains how his team of fintech veterans is leveraging ICHRAs to decouple benefits from the employer-chosen model, allowing employees to use tax-free stipends to purchase plans that fit their lives. By making coverage personal rather than corporate, Thatch is shifting the industry's focus from short-term ROI to long-term prevention and healthcare portability. When individuals have the power to choose, Ellis notes, local health systems can finally compete on quality and efficiency through curated care pathways, finally creating a substrate for the high-value, cost-effective healthcare outcomes the industry has long promised. ________ Sign up for our email list. [https://www.movingtovalue.org/community] 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].