Health Care Rounds

Darwin Research Group

Smart conversations with the people moving health care forward. Health Care Rounds podcast brings together the leaders changing the future of health care and pharma, from how it's delivered and paid for, to where it's headed. Each episode goes deep on the decisions, innovations, and ideas reshaping the industry from the inside out. Hosted by John Marchica, CEO of Darwin Research Group and a longtime industry insider, every episode has one goal: leave you thinking differently than when you arrived.

  1. 6d ago

    Why Health Care Reform Keeps Falling Short w/ Dr. Elliott Fisher, Dartmouth Institute

    Decades after the research that proved high-spending regions don't produce better care, and 20 years after the term "accountable care organization" was coined, the U.S. health care system still runs overwhelmingly on fee-for-service. The incentives haven't changed, and the results show it. Dr. Elliott Fisher, Professor of Health Policy at the Dartmouth Institute and the Geisel School of Medicine and the researcher who coined the term ACO, joins host John Marchica for a frank look at why value-based care has fallen short of its promise, and whether a public utility model for health care regulation might be the structural fix the system has been missing. ================================================ 🎙 ABOUT DR. ELLIOTT FISHER Elliott Fisher is former primary care physician and now Professor of Health Policy at the Dartmouth Institute and the Geisel School of Medicine. His early research revealed that US regions with higher Medicare spending did not achieve better quality or outcomes, revealing the magnitude of unnecessary care and providing evidence that universal insurance should be affordable.  He worked with colleagues to develop the concept of Accountable Care Organizations and to achieve their inclusion in the Affordable Care Act. His current research and activism focuses on how to strengthen primary care, improve population health and make health care affordable for all.   He is a member of the Board of Directors of the Fannie E. Rippel Foundation.   🎙 ABOUT HEALTH CARE ROUNDS Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.   ================================================  CONNECT WITH US: 🌐 Visit us on the web  🌐 Follow Health Care Rounds on LinkedIn  🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds on YouTube 🎧 Listen on Apple Podcasts 🎧 Listen on Spotify   ⚙️ Health Care Rounds is produced by Grippi Media

    Why Health Care Reform Keeps Falling Short w/ Dr. Elliott Fisher, Dartmouth Institute
  2. Jun 26

    Inside the Rural Health Transformation Program w/ Dr. Tim Ferris, InterSystems

    Rural hospitals in the U.S. have been closing at a steady pace for over 50 years, and the country now has one of the lowest rates of acute hospital beds per capita among OECD nations. A five-year, $50 billion federal program aims to slow the bleeding, but it may only be a stopgap.  Dr. Tim Ferris, Vice President of the Health Care Practice at InterSystems and former National Director of Transformation for the NHS in England, joins host John Marchica to unpack the Rural Health Transformation Program, why value-based care models built for large health systems don't translate to rural America, and what lessons the U.S. can borrow from his time inside the NHS.   ================================================  🎙 ABOUT DR. TIM FERRIS  Dr. Tim Ferris joined InterSystems in February 2026 as Vice President, Healthcare Practice. He brings decades of experience directing large-scale health care technology transformations and leading major physician organizations to drive better patient outcomes and enterprise efficiency.  Prior to joining InterSystems, Dr. Ferris served as President of Health care at Red Cell Partners, a technology incubator and investment firm. Previously, he was the National Director of Transformation at England’s National Health Service (NHS), as well as CEO and Chair of the Massachusetts General Physicians Organization and Senior Vice President for Population Health at Mass General Brigham.  A recognized leader in health IT, Dr. Ferris’ advisory roles include multiple committees at the National Academy of Medicine and the health policy advisory board at the Stanford University School of Medicine. Dr. Ferris trained in medicine and public health at Harvard University and continues to lecture at Harvard Business School and the Harvard T.H. Chan School of Public Health.  🎙 ABOUT HEALTH CARE ROUNDS  Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.  ================================================  CONNECT WITH US: 🌐 Visit us on the web  🌐 Follow Health Care Rounds on LinkedIn  🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds on YouTube 🎧 Listen on Apple Podcasts 🎧 Listen on Spotify   ⚙️ Health Care Rounds is produced by Grippi Media

    Inside the Rural Health Transformation Program w/ Dr. Tim Ferris, InterSystems
  3. Jun 12

    The Affordability Crisis Behind Value-Based Care w/ Dr. Michael Chernew, Harvard

    U.S. health care spending keeps rising, quality scores keep climbing, and yet the care most Americans receive has barely improved. The measurement systems designed to drive better outcomes may be making things worse. Dr. Michael Chernew, Professor of Health Care Policy at Harvard Medical School and former Chair of MedPAC, joins host John Marchica to examine why decades of quality measurement have failed to move the needle on actual care quality, and whether value-based payment models can survive the incentive distortions they were built to fix. ================================================ 🎙 ABOUT DR. MICHAEL CHERNEW Michael Chernew, PhD, is the Leonard D. Schaeffer Professor of Health Care Policy and Director of the Health care Markets and Regulation (HMR) Lab at Harvard Medical School. His research focuses on improving the health care system through novel benefit designs, Medicare Advantage, alternative payment models, low-value care, and rising health care spending. Dr. Chernew currently chairs the Medicare Payment Advisory Commission (MedPAC), having previously served as vice chair (2012–2014) and member (2008–2012), and has thrice served on CMS technical advisory panels (2000, 2004, 2010) reviewing Medicare trust fund financial assumptions. Additionally, he is a member of the CBO’s Panel of Health Advisors, Vice Chair of the Massachusetts Health Connector Board, a member of the National Academy of Sciences, a research associate at the National Bureau of Economic Research, a senior Visiting Fellow at MITRE, and co-editor of the American Journal of Managed Care. He earned his undergraduate degree from the University of Pennsylvania and a PhD in economics from Stanford University, and was awarded both the John D. Thompson Prize (1998) and the Alice S. Hersh Young Investigator Award (1999). 🎙 ABOUT HEALTH CARE ROUNDS Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.   ================================================  CONNECT WITH US: 🌐 Visit us on the web  🌐 Follow Health Care Rounds on LinkedIn  🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds on YouTube 🎧 Listen on Apple Podcasts 🎧 Listen on Spotify   ⚙️ Health Care Rounds is produced by Grippi Media

    The Affordability Crisis Behind Value-Based Care w/ Dr. Michael Chernew, Harvard
  4. May 29

    What’s Holding Back Value-Based Care? w/ Don Calcagno, Founder, ValuesEdge

    Value-based care has been the defining promise of health care reform for two decades. Yet new evidence still takes an average of 17 years to reach standard clinical practice, payers and providers remain structurally misaligned, and most VBC models still prioritize payment mechanics over actual patient outcomes.  Don Calcagno, Founder of ValuesEdge and former Chief Population Health Officer at Advocate Health, joins host John Marchica to talk about why value-based care is still in the early innings despite years of promise, and how closing the structural gap between payers and providers is the real unlock that the industry keeps avoiding.  ================================================  🎙 ABOUT DON CALCAGNO  Don has 30 years of experience across population health, managed care, operations, clinical integration, accountable care, laboratory sciences, process improvement, analytics and research. He started his career at Lutheran General Hospital in 1992, with a brief stint at AT&T. He serves on the boards of the Devoted Health joint venture and Medicare Shared Savings ACO. Don also leads the Leadership Institute’s Value-Based Care/Population Health forum. A former lab tech, he is a senior operating fellow of the Health Management Academy and a past fellow of the American College of Healthcare Executives.  Calcagno earned his Bachelor of Science in medical technology from Purdue University in West Lafayette, IN. He also has a Master of Business Administration from the Kellogg Graduate School of Management at Northwestern University.  🎙 ABOUT HEALTH CARE ROUNDS  Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.  ================================================  CONNECT WITH US: 🌐 Visit us on the web  🌐 Follow Health Care Rounds on LinkedIn  🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds on YouTube 🎧 Listen on Apple Podcasts 🎧 Listen on Spotify   ⚙️ Health Care Rounds is produced by Grippi Media

    What’s Holding Back Value-Based Care? w/ Don Calcagno, Founder, ValuesEdge
  5. May 15

    Why Membership Medicine Could Save Primary Care w/ Larry Kutscher, CEO, MDVIP

    Primary care physicians are burning out, and patients are paying the price. With the average primary care visit lasting just 15 minutes, the volume-based treadmill is pushing doctors out of the profession and leaving patients without meaningful, preventive care.  Larry Kutscher, CEO of MDVIP, joins host John Marchica to make the case for a fundamentally different model. They dig into why membership medicine may be the structural fix that value-based care never delivered, and how reducing patient panels from thousands to hundreds could be the key to restoring both physician fulfillment and long-term patient outcomes.  ================================================  🎙 ABOUT LARRY KUTSCHER  Larry has over 30 years of executive leadership experience driving transformation and growth for industry-defining businesses with a passion for building and inspiring high-performing teams, cultivating winning organizational cultures and creating value through operational innovation. He was most recently CEO for A Place for Mom, Inc., North America’s largest senior care referral service, and currently serves as chairman of its Board of Directors. While CEO, he reshaped the company's go-to market strategy and delivered strong revenue growth by building world-class teams to meet the needs of family caregivers and community customers. Prior to that, he was CEO of TravelClick, more than doubling the travel technology provider’s revenue and earnings over eight years. Previous appointments also include CEO of Register.com, General Manager of the Small Business Group at Dun & Bradstreet and various leadership positions at American Express. He holds an MBA from Columbia Business School and a bachelor’s degree in political science from Brown University.  🎙 ABOUT HEALTH CARE ROUNDS  Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.  ================================================  CONNECT WITH US: 🌐 Visit us on the web  🌐 Follow Health Care Rounds on LinkedIn  🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds on YouTube 🎧 Listen on Apple Podcasts 🎧 Listen on Spotify   ⚙️ Health Care Rounds is produced by Grippi Media

    Why Membership Medicine Could Save Primary Care w/ Larry Kutscher, CEO, MDVIP
  6. May 1

    Why Health Care Treats Instead of Prevents w/ Dr. Barry R. Davis, Author, The Preventioneers

    Health care spends trillions treating disease, but far less preventing it. The gap between what we know works and what actually gets implemented may be the most expensive problem in medicine.  Dr. Barry Davis, physician, professor, and author of Preventioneers, joins host John Marchica to explore why prevention so rarely makes it from research to reality, and what it would take for health system leaders to finally close that gap. ================================================  🎙 ABOUT DR. BARRY R. DAVIS  Barry R. Davis is a physician-scientist, biostatistician, and clinical trialist whose career has centered on prevention — not only as a medical strategy, but as a societal responsibility.  He is Professor Emeritus of Biostatistics and Data Science at UTHealth Houston School of Public Health, where he previously served as Chair of the Department and Director of the Coordinating Center for Clinical Trials. He also held the Guy S. Parcel Chair in Public Health. Based in Houston and the Texas Medical Center, his work has shaped national and international approaches to cardiovascular prevention.  Dr. Davis served as Principal Investigator of ALLHAT, one of the largest hypertension trials ever conducted, and led SHEP, a landmark study demonstrating the benefits of treating systolic hypertension in older adults. He also held leadership roles in the Hypertension Detection and Follow-up Program (HDFP). He contributed to the early development of the SPRINT trial and later served on its Data and Safety Monitoring Committee.  In addition to directing large-scale trials, he has served on more than 150 Data and Safety Monitoring Committees and held leadership roles in national and international professional societies.  Across decades of clinical research and public health leadership, a recurring question emerged: Why does prevention so often struggle to gain traction, even when the evidence is strong?  Scientific insight alone does not guarantee action. Institutional incentives, political pressures, economic resistance, and human psychology shape whether early warnings are heeded. That inquiry ultimately led to The Preventioneers: Diseases, Disasters, and the Discoveries  That Changed Our World (Johns Hopkins University Press, 2026), a narrative history exploring how individuals across disciplines recognized danger early and what allowed some to succeed where others stalled.  Today, Dr. Davis writes and speaks about prevention, leadership, and the persistent gap between knowledge and action, offering perspective on how societies can respond more effectively to emerging risks before harm becomes widespread.  🎙 ABOUT HEALTH CARE ROUNDS  Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.  ================================================  CONNECT WITH US: 🌐 Visit us on the web  🌐 Follow Health Care Rounds on LinkedIn  🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds on YouTube 🎧 Listen on Apple Podcasts 🎧 Listen on Spotify   ⚙️ Health Care Rounds is produced by Grippi Media

    Why Health Care Treats Instead of Prevents w/ Dr. Barry R. Davis, Author, The Preventioneers
  7. Apr 17

    What’s Really Holding Back Value-Based Care? w/ David Snow, Chairman & CEO, Cedar Gate Technologies

    Value-based care has been the goal for decades. So why does it still feel like we're moving in slow motion? The answer may come down to data, incentives, and the willingness to cross what one industry veteran calls "the rickety bridge over a chasm of death."  David Snow, Chairman and CEO, Cedar Gate Technologies, an IQVIA Business joins host John Marchica to discuss why technology has finally caught up to the promise of value-based care, how prospective bundles are changing the game for providers and payers, and what it will take to move American health care past the tipping point.  ================================================  🎙 ABOUT DAVID SNOW  Mr. Snow is a nationally recognized health care executive with 40 years of experience leading Fortune 50 companies, health plans, hospitals and several innovative health care start-ups. He has been featured in numerous articles and is a frequently sought after public speaker. Mr. Snow was acknowledged as one of America’s Best CEO’s by Institutional Investor in 2008, and in 2010, he was named #27 on the Harvard Business Review list of “Best Performing CEO’s in the World”. Additionally, Mr. Snow was recognized as the regional E&Y Entrepreneur of the Year in 2006 along with being a national finalist, and was also named a regional finalist as the Cedar Gate CEO in 2021.  Mr. Snow is currently the Founder, Chairman and CEO of Cedar Gate Technologies, an IQVIA Business, a provider of technology-powered end-to-end solutions designed to enable customer success in value-based care, encompassing enterprise data management, analytics, population health, bundles and capitation payment technologies, along with other managed services.  Prior to Cedar Gate Technologies, an IQVIA Business, Mr. Snow was the Chairman & CEO of Medco Health Solutions, a Fortune 34 company. Mr. Snow took Medco public in 2003 and grew it from $30 billion to $72 billion in revenue over a 9 year period. Before Medco, Mr. Snow held positions including President and COO of Empire Blue Cross Blue Shield, EVP of Oxford Health Plans and President of HMO New Jersey for US Health care. Earlier in his career, Mr. Snow founded his first company, Managed Health care Systems (later renamed AmeriChoice), which was later sold to United Health care.  He is on the Board for Teladoc, Inc., which is publicly traded on the NYSE. Mr. Snow is also on the Boards of Premise Health and the Fuqua School of Business at Duke University.  Mr. Snow holds a Bachelors Degree from Bates College, and a Masters Degree in Health care Administration from the Fuqua School of Business, Duke University. He and his family reside in Darien, Connecticut.  🎙 ABOUT HEALTH CARE ROUNDS  Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.   CONNECT WITH US: 🌐 Visit us on the web  🌐 Follow Health Care Rounds on LinkedIn  🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds on YouTube 🎧 Listen on Apple Podcasts 🎧 Listen on Spotify   ⚙️ Health Care Rounds is produced by Grippi Media

    What’s Really Holding Back Value-Based Care? w/ David Snow, Chairman & CEO, Cedar Gate Technologies
  8. Apr 3

    Rebuilding Pediatric Care From the Ground Up w/ Danish Qureshi, Founder & CEO, Zarminali Pediatrics

    Pediatric care is one of the most fragmented and underfunded corners of the American health system. Parents are left as de facto care coordinators, specialists work in silos, and children with complex needs fall through the cracks. What would it look like to actually fix that? Danish Qureshi, Founder and CEO, Zarminali Pediatrics joins host John Marchica to discuss the personal experience that sparked a new model for pediatric care, why fragmentation in pediatrics is a problem the system has ignored for too long, and what it takes to build an integrated multi-specialty practice designed around children and families. ================================================  🎙 ABOUT DANISH QURESHI Having personally dealt with the struggles of finding comprehensive pediatric care for a child with an autoimmune disorder, and the overwhelming stress that can place on a family left having to coordinate their own care, Danish is committed to the mission of changing the way that pediatric care is delivered across the country. Prior to Zarminali, Danish was the Co-Founder, President and Chief Operating Officer of LifeStance Health (NASDAQ: LFST). Founded with the mission of increasing access to trusted, affordable, and personalized mental health care, LifeStance has grown into the nation’s largest provider of virtual and in-person outpatient mental health care, with approximately 7,000 clinicians and more than 550 centers across 33 states. Danish oversaw all operations nationwide of LifeStance-supported practices as well as the shared services teams including marketing, customer care, real estate, credentialing, integrations, and payor contracting. Prior to the role of President and COO, Danish served as the Chief Growth Officer of LifeStance, overseeing all growth initiatives, including de novo site openings and the expansion of LifeStance’s existing footprint into new markets, clinician recruiting, and patient marketing nationwide. Prior to LifeStance, Danish was the former SVP of Strategic Initiatives at Accelecare Wound Centers, Inc., and COO of the post-acute division, Accelecare Wound Professionals, LLC. During his tenure, the post-acute division launched and grew into a nationwide network of 400 skilled nursing facilities under contract, with physicians employed across 22 states. Prior to Accelecare, Danish worked at Nautic Partners, a Providence, RI-based mid-market private equity firm, with a focus on health care services. He began his career as a management consultant with Bain & Company. Danish holds a BA from Northwestern University. 🎙 ABOUT HEALTH CARE ROUNDS  Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.   CONNECT WITH US: 🌐 Visit us on the web  🌐 Follow Health Care Rounds on LinkedIn  🌐 Follow Darwin Research Group on LinkedIn📺 Watch Health Care Rounds on YouTube 🎧 Listen on Apple Podcasts 🎧 Listen on Spotify   ⚙️ Health Care Rounds is produced by Grippi Media

    Rebuilding Pediatric Care From the Ground Up w/ Danish Qureshi, Founder & CEO, Zarminali Pediatrics

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Smart conversations with the people moving health care forward. Health Care Rounds podcast brings together the leaders changing the future of health care and pharma, from how it's delivered and paid for, to where it's headed. Each episode goes deep on the decisions, innovations, and ideas reshaping the industry from the inside out. Hosted by John Marchica, CEO of Darwin Research Group and a longtime industry insider, every episode has one goal: leave you thinking differently than when you arrived.

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