The Breaking Health Podcast features the innovators, investors and entrepreneurs who are building the technology and tools to break down and build up the country’s ailing health care system. With seasoned health care investor Steve Krupa, CEO of the Psilos Group, as host, Breaking Health delivers the earliest insights on the ongoing Digital Health Revolution.
Episode 140: RxBenefits on Helping Mid-Sized Employers Reduce their Pharmacy Spend
Having started working in the healthcare space directly after graduating, Bryan quickly learned the ins and outs of health insurers, broker distribution, and self-insurers. After a decade in the industry, Bryan decided to pivot to a much smaller company and became both the CEO and just the 3rd employee at RxBenefits in 2005. He then realized the opportunity to help smaller, self-insured companies handle their pharmacy benefits by carving those out. RxBenefits developed a platform connected directly to the major Pharmacy Benefit Manager systems, which enabled them to directly and cost-effectively ingest claims and operate as an apparent larger entity. This approach helped them deliver mid-market employers an average direct pharmacy savings of 27% and an indirect clinical savings of 10% per year. Hear host Steve Krupa chat with Bryan on his transition to a much smaller company, how RxBenefits has leveraged their niche in pharmacy benefits for mid-sized companies, and Bryan’s vision for the company’s future
Episode 139: ClarisHealth on Helping Plans Tackle their Entire Payment Integrity Continuum
ClarisHealth CEO Jeff McNeese discusses starting and leading a company that helps plans tackle their entire payment integrity continuum (post-pay to pre-pay) and grow recoveries from 1% to 7% or more.
Episode 138: Upfront Healthcare’s “Caretraffic Control” Approach to Getting Patients to their next Medical Destination
Upfront Healthcare CEO Ben Albert discusses founding and leading the company which specializes in applying analytics to scheduling, billing, and operational data to direct patients through an app-less experience to their next right service.
Episode 137: Aver CEO Bill Nordmark on Changing the Reimbursement Models to Drive Value from Care
Aver CEO Bill Nordmark discusses his quest to increase the quality of healthcare while reducing costs by helping payers expand and bundle payment programs.
Episode 136: Zipari CEO Mark Nathan on Building a Health Insurance Consumer Experience Platform
Steve sits down with Zipari Founder and CEO, Mark Nathan to discuss how his career set him up for entrepreneurship, as well as the motivation and inspiration for starting a health insurance consumer experience platform. Mark shares the challenges associated with taking a homegrown business technology and creating generally available software and gives his best advice for entrepreneurs starting a company.
Episode 135: The Burgess Group CEO, Greg Burgess: From Music Career to Crisis Leadership, and the Journey in Between
Greg discusses his early days as a professional musician and shows how creativity and problem-solving helped transition his career into software development, and led him to working in healthcare, helping providers and patients by innovating payment data. He discusses developing new, data-enabled products and using advancements in tech to expand a company footprint.