Executive Uninterrupted

Brian Urban & Saul Marquez

Powered by Outcomes Rocket Media, Executive Uninterrupted shines a spotlight on the forces transforming the payer ecosystem, from large national health plans and the Blues to provider-owned plans and regional innovators. Join Brian Urban and Saul Marquez for sharp conversations with changemakers driving cost optimization, care delivery alignment, data accuracy, and value-based evolution.

  1. 27 ago

    Employers Are the True Payors of American Healthcare with Rachel Strauss, Founder and CEO of PBM Princess

    Employers can reduce pharmacy spending when they stop treating rising drug costs as inevitable and start using data to challenge how their benefits are structured. In this episode, Rachel Strauss, Founder and CEO of PBM Princess, discusses her unexpected path into pharmacy benefits and the experiences that led her to launch her own consulting firm. She explains why employers, not insurance companies or pharmacy benefit managers, are the true payers of American healthcare and how claims data can help them make more informed decisions. Rachel also explores PBM rebates, spread pricing, biosimilars, direct contracts, and lower-cost options such as Mark Cuban Cost Plus Drug Company. She explains why transparency alone will not create meaningful reform unless employers understand their data, question industry incentives, and take greater control of their pharmacy spending. Tune in and learn how employers can challenge the status quo, uncover hidden costs, and make smarter pharmacy benefit decisions. About Rachel Strauss: Rachel Strauss is the Founder and CEO of PBM Princess, LLC, a healthcare consulting firm focused on making healthcare more affordable, accessible, and understandable for employers and patients. With more than two decades of experience in health insurance and pharmacy benefit management, Rachel helps employers, payers, consultants, and healthcare innovators navigate the complex pharmacy benefits landscape. She spent over 20 years at EHIM, Inc., now ProCare Rx, where she helped grow the company from a regional PBM into one of the top 20 PBMs in the United States. She later led strategic development and partnerships across the self-funded employer ecosystem. Through PBM Princess, Rachel advises organizations on pharmacy strategy, go-to-market positioning, cost reduction, and meaningful industry partnerships. Known for making complicated topics easier to understand, she regularly speaks about prescription drug pricing, PBM structures, healthcare transparency, and patient-first pharmacy benefits. Rachel has participated in nearly 100 speaking engagements and has been featured in national media, podcasts, and television segments. She also hosts Insfluencers, a podcast highlighting under-recognized healthcare changemakers, and is a contributing producer of the documentary Side Effects May Occur, which explores the PBM and pharmaceutical ecosystem. Key Takeaways Employers are the true payers of American healthcare because they ultimately fund premiums and claims, giving them more influence than they may realize. Claims data can help employers identify unnecessary costs, evaluate alternatives, and make better pharmacy benefit decisions. Biosimilars and lower-cost purchasing options, such as the Mark Cuban Cost Plus Drug Company, can sometimes significantly reduce spending. Rebate structures and spread pricing can reward higher drug prices while making it difficult for employers to understand the true net cost. PBM reform requires clear definitions, better education, and stronger employer involvement, not broad promises of transparency alone. Resources Connect with Rachel Strauss on LinkedIn. Follow PBM Princess on LinkedIn and explore its website. Learn more about Rachel’s work on the documentary Side Effects May Include here. Follow PBM Princess on Instagram.

    Employers Are the True Payors of American Healthcare with Rachel Strauss, Founder and CEO of PBM Princess
  2. 2 jul

    Data for the Common Good with Dr. Juan C. “JC” Rojas, Associate Chief Medical Information Officer at Rush University Medical Center

    Healthcare data becomes more powerful when it helps people see where care, resources, and community support are needed most. In this episode, Dr. Juan C. “JC” Rojas, Associate Chief Medical Information Officer at Rush University Medical Center, discusses his path from medicine and critical care to clinical informatics, public health, and AI-driven healthcare solutions. He shares how early experiences with EHR data showed him how difficult it can be to turn clinical information into useful insights for research, quality improvement, and population health. The conversation also explores the Rush Health Equity Data Analytics Studio, Chicago Health Map, and how privacy-preserving EHR data can help researchers, community organizations, and policymakers better understand chronic disease patterns across neighborhoods. Dr. Rojas also discusses AI adoption in healthcare, the need to train teams for an AI-native environment, and his vision for a future where clinicians spend less time clicking and more time caring for patients. Tune in and learn how data, AI, and health equity can reshape care delivery inside and outside the hospital. About Dr. JC Rojas: Juan C. “JC” Rojas, MD, MS, is the Associate Chief Medical Information Officer at Rush University Medical Center and an academic pulmonary and critical care physician in Chicago. He works at the intersection of healthcare delivery, clinical informatics, AI, data science, and community health. At Rush, Dr. Rojas serves as a clinical informatics leader, helping connect clinical departments, IT teams, and executive leadership as the organization shapes its AI and data science strategy. He also evaluates AI solutions, supports clinical validation efforts, and contributes to AI governance and strategy work. Dr. Rojas is also Director of Clinical Informatics and Data Science at Rush University, where he leads efforts to integrate high-quality clinical data for research and scientific discovery. His work focuses on predictive modeling, quality improvement, data analytics, healthcare delivery science, and using informatics to improve patient outcomes, operational efficiency, health equity, and healthcare worker satisfaction. Key Takeaways Healthcare data can support better decisions beyond individual patient visits, especially when it helps reveal patterns across populations, neighborhoods, and communities. EHR data is powerful, but it is often difficult to access, structure, and use, making data quality and delivery major barriers in research and quality improvement. Health systems can play a larger role in public health by breaking down data silos and sharing privacy-preserving insights that support community action. Chicago Health Map helps researchers, community organizations, and policymakers see chronic disease patterns at the neighborhood level, making it easier to target resources where they are needed most. AI adoption in healthcare is moving quickly, especially in areas like revenue cycle, supply chain, patient engagement, ambient documentation, and future care gap workflows. Healthcare leaders need to prepare teams for an AI-native work environment, where clinicians and staff know how to use AI safely, effectively, and responsibly. Resources Connect with Dr. JC Rojas on LinkedIn. Follow Rush University Medical Center on LinkedIn and discover their website here!

    Data for the Common Good with  Dr. Juan C. “JC” Rojas, Associate Chief Medical Information Officer at Rush University Medical Center
  3. 18 jun

    Fighting Cancer and Avoidable Suffering Through GI Innovation with Dr. Austin Chiang, Chief Medical Officer of Endoscopy at Medtronic, and Dr. Nate Merriman, Medical Director of GI and Digestive Health at Intermountain Health

    Note: The views and opinions shared in this episode are those of the guests and do not necessarily reflect the views of their organizations. GI innovation is not just about new tools. It is about making better care easier to access, safer to deliver, and more patient-centered. In this episode, Dr. Austin Chiang, Chief Medical Officer of Endoscopy at Medtronic, and Dr. Nate Merriman, Medical Director of GI and Digestive Health for the Canyons and Desert Regions at Intermountain Health, talk about the future of digestive health innovation from both the medtech and health system perspectives. They discuss how digital tools like GI Genius and PillCam Genius are reshaping endoscopy, improving clinical quality, and creating new opportunities to expand access to care. Dr. Merriman shares how health systems can evaluate innovation through small pilots, fast learning, and thoughtful scaling, especially for rural and underserved communities. The conversation also explores food as medicine, patient literacy, social media’s role in health education, and why patient and clinician voices must guide the design of new technologies. Tune in to hear how GI leaders are bringing together technology, strategy, and human-centered care to improve digestive health and reduce avoidable suffering. Resources Connect with Dr. Austin Chiang on LinkedIn.Connect with Dr. Nathan Merriman on LinkedIn. Follow Medtronic on LinkedIn and explore their website. Follow Intermountain Health on LinkedIn and discover their website.

    Fighting Cancer and Avoidable Suffering Through GI Innovation with  Dr. Austin Chiang, Chief Medical Officer of Endoscopy at Medtronic, and Dr. Nate Merriman, Medical Director of GI and Digestive Health at Intermountain Health

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Powered by Outcomes Rocket Media, Executive Uninterrupted shines a spotlight on the forces transforming the payer ecosystem, from large national health plans and the Blues to provider-owned plans and regional innovators. Join Brian Urban and Saul Marquez for sharp conversations with changemakers driving cost optimization, care delivery alignment, data accuracy, and value-based evolution.