Relocalizing Health with Dave Chase

TopHealth Media
  • 4.4 (12)
  • MEDICINE

While Washington argues and Wall Street profits, a quiet transformation is reshaping healthcare: one community at a time. Relocalizing Health takes you inside this movement with Dave Chase, founder of Health Rosetta, as he talks with the people leading healthcare's ground-up transformation. Their approach? Keep care local, rebuild trust, and redirect healthcare wasted spending into something that actually serves people. You'll hear real-world stories from employers, clinicians, and civic leaders who are designing health plans and ecosystems that work, and strengthening their local economies in the process. Featured guests include: - Public sector leaders who've redesigned employee health benefits to free up millions for essential services. - Physicians who've left corporate systems to practice relationship-based care. - Manufacturing executives using healthcare as a competitive advantage - not a cost burden. - Civic leaders helping communities reclaim control of their healthcare destiny. If you care about your community's future and want to see what's actually working in healthcare transformation, this show offers a clear-eyed look at proven models and how to implement them.

  1. 4D AGO

    How Primary Care and Community Agency Can Transform Healthcare from Extraction to Empowerment

    On this episode of Relocalizing Health, host Dave Chase sits down with family physician and author Michael Fine, a leading voice in healthcare reform and the driving force behind Primary Care for All Americans. Together, they unpack the provocative idea of medicine as a form of colonialism, exploring how corporate healthcare systems extract wealth from local communities and diminish their capacity for self-governance. Michael Fine draws on decades of experience, from running a small family practice to leading the Rhode Island Department of Health, to illustrate the devastating impact of for-profit healthcare on both patients and the social fabric of our towns. He shares revealing moments that highlight the true cost of primary care versus the astronomical amounts funneled out of communities, and explains why universal, community-driven primary care could be the linchpin for both improved health outcomes and economic resilience. The conversation doesn’t just examine what’s broken, it spotlights grassroots solutions and social movements rekindling democracy and civic engagement in healthcare. You’ll hear firsthand accounts of community health initiatives, the simple mechanics behind local health plans, and strategies that unite both fiscal conservatives and progressives in the fight to reclaim healthcare dollars. Through stories of hope, frustration, and action, this episode charts a path for how all Americans, clinicians, citizens, and policymakers alike can join together to rebuild a just and sustainable healthcare system from the ground up. Timestamps: 00:00 "Colonialism in Modern Healthcare" 04:58 "Radical Sliding Scale Practice" 09:00 "Essential Services for All" 11:41 "Preventing Second COVID Wave" 16:57 "Impact of Urban Health Inequity" 20:31 "Primary Care Reduces Healthcare Waste" 21:19 "Emergency Room Vortex Issues" 27:04 "Primary Care for All Idea" 29:50 Volunteer-Led Healthcare Voucher Program 33:13 Primary Care Gaps Revealed 37:31 "Social Movement & Governance Insights" 38:16 "Sustainable Democracy Through Participation" 41:19 "Healthcare System & Community Solutions" Learn More: RosettaFest 2025 - https://rosettafest.org/ Health Rosetta - http://healthrosetta.org/ Nautilus - https://www.nautilushealth.org/ Kynexions - https://kynexions.com/  Dave Chase - https://www.linkedin.com/in/chasedave/ Podcast Website - https://relocalizinghealth.com/

    44 min

  2. MAR 16

    Building Affordable Local Health Plans with HealthyPath in Rural Ohio

    Welcome to Relocalizing Health, the podcast that dives deep into how communities across America are reclaiming their healthcare from corporate control and building systems focused on people over profit. In this episode, we welcome Michael Norman, Chief Strategy Officer at Genesis Healthcare System in Zanesville, Ohio, and President of HealthyPath, a community-owned health plan product making a big impact. Mike shares his inspiring journey after being told his rural hospital wasn't "relevant" by a major insurance carrier, despite offering high-quality care at lower costs. This pivotal moment sparked the creation of HealthyPath, a product designed to empower local employers with affordable coverage options and give employees access to care without overwhelming deductibles. In just one year, HealthyPath’s 20 participating employers collectively saved $1.2 million, proving that local solutions can truly transform the healthcare landscape. Along the way, Mike discusses the importance of remaining independent as a community hospital, the economic role local healthcare systems play, and the pitfalls of consolidation that often leave rural communities behind. He also shares how employer feedback has shaped HealthyPath, where quality coverage is now helping businesses attract and retain talent, and employees can finally afford the care they need. We explore the innovative partnership between local hospitals and modern benefit advisors like Christina King, the collaborative power of rural Ohio's High Value Network, and what it takes to replicate this change in other communities. If you’re seeking hope and practical ideas for reshaping healthcare around local values and community needs, this episode is sure to inspire. Tune in as we shine a spotlight on those forging a new path, where community wellbeing comes first, and the American dream of accessible, affordable healthcare starts at home. Timestamps: 00:00 Rural Healthcare Challenges and Costs 04:59 Rural Hospital Relevance Challenge 10:17 Local Oversight Strengthens Communities 11:33 HealthyPath: Affordable Healthcare Solution 14:47 "Christina's Impact on HealthyPath" 18:16 $1.2M Employer Premium Savings 22:37 "From Skeptic to Advocate" 26:55 "Cost Management Through Local TPA" 30:42 Scaling Value-Based Healthcare Solutions 32:10 "Hospital Execs as Celebrities" 35:14 Transforming Healthcare and Employer Retention 38:32 "Rosetta Fest: Transforming Healthcare" Christina King - https://healthrosetta.org/advisors/christina-king/ Learn More: RosettaFest 2025 - https://rosettafest.org/ Health Rosetta - http://healthrosetta.org/ Nautilus - https://www.nautilushealth.org/ Kynexions - https://kynexions.com/ Dave Chase - https://www.linkedin.com/in/chasedave/ Podcast Website - https://relocalizinghealth.com/

    41 min

  3. FEB 23

    How Wisconsin Employers Are Transforming Healthcare Through Cooperative Action

    Welcome to Relocalizing Health, where we explore how communities are reclaiming control over healthcare and rebuilding systems that truly serve people. In this episode, host Dave Chase welcomes Patrick Blackaller, the driving force behind the Employer Healthcare Cooperative of Wisconsin. Together, they dive into the journey of transforming healthcare for schools and employers in Wisconsin, shifting from an extractive industry toward a model that prioritizes care, cost transparency, and community partnerships. You'll hear honest reflections on the tough choices and personal stories that sparked this movement, including the profound impact of rising costs and restrictive insurance plans on real people. Patrick Blackaller shares how direct contracts, innovative clinics, and new pharmacy approaches are not only saving millions but also bringing dignity and access back into healthcare. This episode is packed with lessons on pioneering change, even in the face of skepticism, and offers a blueprint for other communities ready to take bold steps toward a better future. Timestamps: 00:00 "Rural School Struggles with Healthcare" 05:04 "Creating Care Through Self-Funding" 09:14 Overcoming Skepticism to Find Support 12:50 Affordable Medication Access Strategies 14:23 "Optimizing Health Plans Affordably" 17:10 Streamlining Healthcare Navigation and Education 20:30 Healthcare Spending and Employer Insights 23:51 "Optimizing Quality and Cost Balance" 27:21 Perseverance Through Challenges 31:23 Purpose-Driven Leadership Strategies 35:21 "Relocalizing Health: American Comeback" Learn More: RosettaFest 2025 - https://rosettafest.org/ Health Rosetta - http://healthrosetta.org/ Nautilus - https://www.nautilushealth.org/ Kynexions - https://kynexions.com/ Dave Chase - https://www.linkedin.com/in/chasedave/ Podcast Website - https://relocalizinghealth.com/

    38 min

  4. FEB 16

    How Alaska Native Communities Transformed Healthcare Through Community Ownership and Engagement

    On this episode of Relocalizing Health, host Dave Chase is joined by April Kyle, president and CEO of Southcentral Foundation in Alaska, for a deep dive into one of America’s most remarkable healthcare transformations. Together, they explore how the Alaska Native community took control of their own healthcare system, moving from an underfunded, top-down model to a community-owned system that now boasts some of the best health outcomes and highest satisfaction rates in the world. April Kyle shares the practical blueprint behind this success: from the generational trauma and distrust that had to be overcome, to the pivotal role of true community engagement and ongoing governance that keeps the transformation alive. The conversation highlights the importance of listening, evolving systems to meet community needs, and the challenges of sustaining change across decades. Listeners will hear inspiring, concrete stories of how community voices are not only heard, but drive real decisions, from scheduling mammograms around moose hunting season to making tough calls about housing for providers. Whether you’re a community leader, healthcare provider, or simply passionate about building better systems, this episode offers actionable insights and hope for communities everywhere looking to take back control and create a system built for and by them. Timestamps: 00:00 "Relocalizing Health: Community-Driven Care" 04:18 April Kyle's Introduction & Journey 09:31 "Community-Centered Evolving Healthcare Model" 12:42 "Relocalizing Health, Not Healthcare" 15:20 Listening to Families, Closing Gaps 19:35 "Listening, Dialogue, and Community Partnership" 22:24 "Community-Driven Leadership Challenges" 27:15 Listening to Community First 28:12 "Community-Driven Listening and Customization" 32:49 Community Decision on Housing Safety 36:31 "Clinical Outcomes Data Sharing" 37:26 Community Resource Allocation Dialogue 40:42 "Power of Convening Communities" 46:25 "Embracing Community-Led Healthcare Change" 48:13 Integrating Behavioral Care Insights 50:48 "Rosetta Fest: Health Care Transformation" Podcasts: IHI https://podcasts.apple.com/us/podcast/when-people-of-the-system-own-the-system-with/id1681829836?i=1000678625961 Moving to Value Part 1 https://podcasts.apple.com/us/podcast/part-1-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535 Part 2 https://podcasts.apple.com/us/podcast/part-2-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535 Learn More: RosettaFest 2025 - https://rosettafest.org/ Health Rosetta - http://healthrosetta.org/ Nautilus - https://www.nautilushealth.org/ Kynexions - https://kynexions.com/ Dave Chase - https://www.linkedin.com/in/chasedave/ Podcast Website - https://relocalizinghealth.com/

    53 min

  5. 12/10/2025

    Building Community-Owned Health Plans to Save Independent Hospitals

    Welcome back to Relocalizing Health, the podcast where we shine a light on the communities taking healthcare back from corporate control and making it serve people, rather than profit. In today’s episode, host Dave Chase sits down with Christina King, a benefit advisor from Columbus, Ohio, who’s breaking the mold on how we think about hospitals and employer health plans. Instead of waiting for Washington to fix a “terminally broken” system, Christina King has been rolling up her sleeves and partnering with regional hospitals to create community-owned health plans, even as much of Ohio’s healthcare landscape is collapsing around her. She unpacks how these grassroots efforts are not only keeping care in the community, but transforming hospital relationships, employer incentives and even employee recruitment by building something better from within. We’ll dig into the unique financial models, the critical role of direct primary care and independent pharmacies, and why employers are finally able to use health benefits as a genuine tool to attract their workforce. Plus, Christina King shares how these local successes are fueling statewide excitement and connecting an ever-growing network of visionary leaders ready to take healthcare transformation on the road. Get ready for an inspiring conversation that offers practical insights and real hope for reclaiming the American dream, one community at a time. Timestamps: 00:00 Reclaiming Healthcare, Serving Communities 04:33 Networking to Reach Hospital Executives 08:41 Healthcare Innovation Around Metro Areas 12:45 Replicating Community Health Plans 15:42 Community-Focused Healthcare Collaboration 18:05 "Health Plans Driving Employee Attraction" 23:20 "Employer Community Health Revolution" 25:00 Community Celebration After Denver Trip 28:25 "Employers Discussing Healthcare Challenges" 31:33 Hospital Competition and Cost Reform 36:12 "Live in Anticipation of Connections" 37:45 Reclaiming Healthcare, Building Community Learn More: RosettaFest 2025 - https://rosettafest.org/ Health Rosetta - http://healthrosetta.org/ Nautilus - https://www.nautilushealth.org/ Kynexions - https://kynexions.com/ Dave Chase - https://www.linkedin.com/in/chasedave/ Podcast Website - https://relocalizinghealth.com/

    39 min

  6. 12/03/2025

    The Collapse of American Health Care and Pathways to Community Self-Determination

    Welcome to Relocalizing Health, where we dig deep into the heart of America's healthcare crisis and the opportunities that can rise from its collapse. In this Solo Episode, host Dave Chase confronts the uncomfortable truth: our healthcare system is not just broken, it's on the brink of collapse, with skyrocketing costs, staggering waste, and millions of Americans falling into medical debt. But it's not all doom and gloom. Dave Chase shares a personal story of loss and regret that fueled his mission for meaningful change, and he draws on history and proven models to show us how collapse can pave the way for better, more equitable healthcare. From community-owned health plans to bold policy solutions like the proposed Community Self Determination Act, he reveals two real pathways to transformation, grounded in local control, transparency, and an unwavering focus on true wellbeing. If you're ready to learn how communities are already reclaiming their health (and their financial futures), and how we can move from fear to action as this system unravels, this episode is your essential starting point. Let’s explore how we can turn crisis into an opportunity for lasting, positive change in American healthcare, one community at a time. Timestamps: 00:00 "America's Systemic Collapse and Hope" 05:15 Healthcare Costs and Human Impact 07:47 "Fragile Healthcare Hierarchies Collapse" 12:29 "Rethinking Healthcare for Wellbeing" 16:12 Native Healthcare Transformation Revolution 18:21 "Optimal Community Health Plan Model" 23:10 "Path to Healing and Reform" 24:13 "Relocalizing Health Solutions" Learn More: RosettaFest 2025 - https://rosettafest.org/ Health Rosetta - http://healthrosetta.org/ Nautilus - https://www.nautilushealth.org/ Kynexions - https://kynexions.com/ Dave Chase - https://www.linkedin.com/in/chasedave/ Podcast Website - https://relocalizinghealth.com/

    26 min

  7. 11/25/2025

    Problem Solvers, Not Just Brokers: Josh Butler’s Mission to Fix Healthcare

    Welcome to the 11th episode of Relocalizing Health, where we dive deep into how communities are reclaiming their local healthcare systems from extraction and inefficiency. This week, host Dave Chase is joined by Josh Butler, a benefit advisor based in Amarillo, Texas, who has been at the forefront of transformative change in his region. Instead of telling a story from a neat conclusion, we’ll journey into the "messy middle", where real progress and real challenges coexist. Josh Butler shares his pivotal moments, including a powerful story about helping a truck driver finally receive surgical care after ten years of suffering due to unaffordable deductibles. Inspired by the Health Rosetta movement, Josh transitioned from selling traditional insurance to building innovative, local solutions through the High Plains Health Plan. Listen in as we unpack the obstacles, breakthroughs, and the human impact of reimagining health benefits, where employers, clinicians, and advisors work together to create plans focused on accessibility, affordability, and genuine care. Whether you’re an employer, civic leader, or just someone passionate about change, this episode reveals what’s possible when communities take ownership of their healthcare dollars and destinies. Join us for a compelling conversation about restoring the American dream, one local health system at a time. Timestamps: 00:00 "Relocalizing Healthcare Transformation" 03:30 Health Insurance Broker Challenges 08:29 "Revolutionizing Healthcare Through Collaboration" 12:27 "Joining Health Rosetta: My Journey" 13:25 "Growth, Learning, and Overcoming Fear" 19:21 Physicians Prioritize Patients Over Profit 21:52 Healthcare Industry Resistance to Change 25:53 Choosing Partners Carefully 28:17 "High Plains Health Plan Benefits" 32:52 Brokerage Expansion and Partnerships 35:15 Establishing a Financial Baseline 39:21 Restoring the American Dream 41:27 "Transforming Healthcare with Passion" Learn More: RosettaFest 2025 - https://rosettafest.org/ Health Rosetta - http://healthrosetta.org/ Nautilus - https://www.nautilushealth.org/ Kynexions - https://kynexions.com/ Dave Chase - https://www.linkedin.com/in/chasedave/ Podcast Website - https://relocalizinghealth.com/

    43 min

  8. 11/19/2025

    From Kabuki Dance to Restoration: Rebuilding Healthcare With Local Blueprints

    Welcome to Relocalizing Health, where we shine a light on the reality behind America's healthcare crisis and offer practical, local solutions you can start implementing today. In this episode, Dave Chase dives deep into the staggering 342% increase in healthcare costs since 1999, exposing why traditional benefit packages keep getting worse despite annual "kabuki dance" negotiations between employers, brokers, and insurance carriers. Through real-world stories, like Bryce Heinbaugh, an Ohio benefit advisor who transformed from feeling part of the problem to helping thousands in his community, Dave Chase reveals how deliberate, grassroots actions can change the game. Learn about the transformative power of community-owned health plans, transparent pricing, advanced primary care, and keeping healthcare dollars local. If you're an employer tired of wasteful spending or a benefit broker fatigued by the status quo, this episode uncovers actionable ways to reclaim what matters most: high-quality, affordable care for your people and real economic value for your organization. It’s not about disruption for disruption’s sake, it’s about restoring common sense and dignity to healthcare, right where you live. So tune in as we bust myths, share inspiring case studies, and invite you to join the movement to relocalize health. Timestamps: 00:00 "Brokers, Profits, and Transformation" 03:32 Healthcare Costs: A Theft Problem 08:09 Reimagining Healthcare for Success 12:21 Transparent Healthcare & Pharmacy Benefits 14:41 "Advanced Primary Care Benefits" 19:09 "Life-Changing Healthcare Savings Story" 20:09 "Transforming Healthcare to Value Creation" 25:52 "Health Reset Transformation Steps" 26:40 Relocalize Health Now Learn More: RosettaFest 2025 - https://rosettafest.org/ Health Rosetta - http://healthrosetta.org/ Nautilus - https://www.nautilushealth.org/ Kynexions - https://kynexions.com/ Dave Chase - https://www.linkedin.com/in/chasedave/ Podcast Website - https://relocalizinghealth.com/

    28 min
See All (18)

4.4
out of 5
12 Ratings

About

While Washington argues and Wall Street profits, a quiet transformation is reshaping healthcare: one community at a time. Relocalizing Health takes you inside this movement with Dave Chase, founder of Health Rosetta, as he talks with the people leading healthcare's ground-up transformation. Their approach? Keep care local, rebuild trust, and redirect healthcare wasted spending into something that actually serves people. You'll hear real-world stories from employers, clinicians, and civic leaders who are designing health plans and ecosystems that work, and strengthening their local economies in the process. Featured guests include: - Public sector leaders who've redesigned employee health benefits to free up millions for essential services. - Physicians who've left corporate systems to practice relationship-based care. - Manufacturing executives using healthcare as a competitive advantage - not a cost burden. - Civic leaders helping communities reclaim control of their healthcare destiny. If you care about your community's future and want to see what's actually working in healthcare transformation, this show offers a clear-eyed look at proven models and how to implement them.

Information

You Might Also Like