CareTalk: Healthcare. Unfiltered.

CareTalk: Healthcare. Unfiltered.

CareTalk: Healthcare. Unfiltered. is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy. Visit us at www.CareTalkPodcast.com

  1. Can Healthcare Claims Be Adjudicated in Real-Time? w/ Don Peterson, Founder & CEO, PIM Health

    3d ago

    Can Healthcare Claims Be Adjudicated in Real-Time? w/ Don Peterson, Founder & CEO, PIM Health

    Send us Fan Mail American hospitals now spend nearly $2 on administrative overhead for every dollar that touches direct patient care. Insurers earn billions in float by sitting on claims for weeks, providers borrow money just to stay liquid, and patients open bills for visits they barely remember. Don Peterson, Founder and CEO of PIM Health, joins host David E. Williams to discuss why healthcare's payment system is working exactly as it was designed to work, and how real-time claims adjudication at the point of care could eliminate prior authorization as it currently exists, cut administrative overhead from 12 to 15 percent down to 2 to 3 percent, and return hundreds of billions of dollars in waste back to patients, providers, and plan sponsors. 🎙️⚕️ABOUT DON PETERSON Don Peterson is a healthcare entrepreneur and technology executive with over 30 years of experience building and scaling companies across technology and healthcare. He held senior roles at AMD during the semiconductor boom, founded DeskStation Technology in 1990 (acquired by Samsung), and in 2012 founded IVX Health, building the operating model for ambulatory infusion centers from the ground up. Under subsequent leadership, IVX Health scaled to 150+ locations nationally and completed a change-of-control transaction in 2024 at a valuation exceeding one billion dollars. Peterson also launched and operationalized ambulatory infusion clinics in Saudi Arabia from 2020 to 2024. He is currently the founder of PIM Health Corp., a healthcare technology company developing real-time claims adjudication and payment infrastructure designed to replace the batch-processing architecture that has defined healthcare payment settlement for decades. Peterson publishes healthcare policy analysis and industry commentary on Substack and hosts the podcast Divided Attention, covering healthcare, technology, and policy. 🎙️⚕️ABOUT PIM HEALTH PIM Health is a healthcare technology company building real-time claims adjudication and payment infrastructure designed to replace the batch-processing architecture that has defined healthcare payment settlement for decades. Founded by Don Peterson, whose experience scaling IVX Health to a billion-dollar acquisition gave him a firsthand view of how broken healthcare payment actually is, PIM is built around a simple insight: providers who get paid in 24 hours instead of 90 days, members who never receive a surprise bill, and self-insured employers who can see real-time claims activity will drive demand faster than any direct sales effort. The infrastructure investment by payers follows that demand, not the other way around. At PIM Health, we’re building real-time payment infrastructure where providers don’t wait weeks to get paid, patients don’t leave without knowing exactly what they owe, and employers stop flying blind on their own plan spend. AR burden, gone. Surprise bills, gone. Prior auth delays, gone. Denials and appeals, gone. Learn what we’re building at pim.health 🎙️⚕️ABOUT CARETALK CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.  GET IN TOUCH Follow CareTalk on LinkedIn Become a CareTalk sponsor Guest appearance requests Visit us on the web Support the show ⚙️CareTalk:  Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

    38 min
  2. 3d ago

    How Digital Interventions Transform Mental Health

    Send us Fan Mail What if the tools patients use between therapy sessions mattered more than the sessions themselves? In this clip from our episode “Fixing the Access Crisis In Mental Health”, host John Driscoll and Mark Frank, Co-Founder and CEO of SonderMind, break down how a fully integrated platform combining 80 digital interventions with an AI coach is producing outcomes up to 275% better than traditional therapy alone. Listen to the full episode here 🎙️⚕️ABOUT MARK FRANK As the CEO and co-founder of SonderMind, I lead a fast-growing and compassionate team whose mission is to redesign behavioral health to increase access, expand utilization and improve clinical outcomes. Our focus is to democratize behavioral healthcare for both patients and practitioners, by making it easy to access therapists with the right expertise, making it convenient by offering online or in person treatment, and making it affordable by matching patients with highly qualified providers that deliver the most effective care. I believe in leading with transparency, empathy, and courage, and my passion is to build an organization that has a positive and transformative effect on the field of behavioral health and ultimately the entire healthcare ecosystem. Prior to founding SonderMind in 2015, I helped found three other successful ventures, including Next Oncology, TermScout and SafeImageMD. Prior to my career as an entrepreneur, I worked in healthcare investment banking at Morgan Stanley, as well as time with Lehman Brothers and CDI Global. Prior to my business career, I served as an officer in the US Army. During and after that time in the military, I saw friends and colleagues return from deployments and struggle to access appropriate mental health care. This experience shaped and strengthened my commitment to enhancing access to therapy to improve and enrich people’s lives. I have a Bachelor's Degree in Computer Science from the United States Military Academy at West Point, a Masters in Computer Information Systems from the University of Phoenix, a Masters of Engineering Management from Northwestern University, and an MBA in Finance and Operations from the Kellogg School of Management at Northwestern University. 🎙️⚕️ABOUT CARETALK CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.  GET IN TOUCH Follow CareTalk on LinkedIn Become a CareTalk sponsor Guest appearance requests Visit us on the web Support the show ⚙️CareTalk:  Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

    4 min
  3. Fixing the Access Crisis In Mental Health w/ Mark Frank, Co-Founder & CEO, SonderMind

    May 29

    Fixing the Access Crisis In Mental Health w/ Mark Frank, Co-Founder & CEO, SonderMind

    Send us Fan Mail More than 160 million Americans live in federally designated mental health provider shortage areas. Even those with insurance often spend months searching for a therapist who takes their plan and has availability. Mark Frank, Co-Founder and CEO of SonderMind, joins host John Driscoll to discuss why fixing the provider infrastructure had to come before solving patient access, and how a fully integrated platform combining measurement-based care with AI-powered tools between sessions is producing outcomes up to 275% better than traditional therapy alone. 🎙️⚕️ABOUT MARK FRANK As the CEO and co-founder of SonderMind, I lead a fast-growing and compassionate team whose mission is to redesign behavioral health to increase access, expand utilization and improve clinical outcomes. Our focus is to democratize behavioral healthcare for both patients and practitioners, by making it easy to access therapists with the right expertise, making it convenient by offering online or in person treatment, and making it affordable by matching patients with highly qualified providers that deliver the most effective care. I believe in leading with transparency, empathy, and courage, and my passion is to build an organization that has a positive and transformative effect on the field of behavioral health and ultimately the entire healthcare ecosystem. Prior to founding SonderMind in 2015, I helped found three other successful ventures, including Next Oncology, TermScout and SafeImageMD. Prior to my career as an entrepreneur, I worked in healthcare investment banking at Morgan Stanley, as well as time with Lehman Brothers and CDI Global. Prior to my business career, I served as an officer in the US Army. During and after that time in the military, I saw friends and colleagues return from deployments and struggle to access appropriate mental health care. This experience shaped and strengthened my commitment to enhancing access to therapy to improve and enrich people’s lives. I have a Bachelor's Degree in Computer Science from the United States Military Academy at West Point, a Masters in Computer Information Systems from the University of Phoenix, a Masters of Engineering Management from Northwestern University, and an MBA in Finance and Operations from the Kellogg School of Management at Northwestern University. 🎙️⚕️ABOUT CARETALK CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.  GET IN TOUCH Follow CareTalk on LinkedIn Become a CareTalk sponsor Guest appearance requests Visit us on the web Support the show ⚙️CareTalk:  Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

    27 min
  4. May 27

    How Health Insurance Costs Hurt Small Businesses

    Send us Fan Mail For most small businesses, health insurance is their second or third largest expense. And they usually find out what it's going to cost them two to three weeks before renewal. In this clip from our episode “Why Health Insurance Needs Transparency”, host John Driscoll and Ty Wang, Co-Founder and CEO of Angle Health, break down why unpredictable premium increases make it nearly impossible for small businesses to plan, and why the market has accepted this as normal for far too long. Listen to the full episode here 🎙️⚕️ABOUT TY WANG Ty Wang is the co-founder and CEO of Angle Health, the first AI-native healthcare benefits platform built to give SMBs access to quality health plans. Ty grew up in an immigrant family, where access to healthcare and healthcare literacy were significant challenges. He founded Angle Health to address these issues, focusing on providing transparency and simplicity in the healthcare system. Today, Angle Health partners with thousands of brokers and employers across the U.S., primarily serving small- and medium-sized businesses to offer affordable, high-quality healthcare coverage to tens of thousands of Americans. Prior to founding Angle Health, Ty led major deployments at Palantir Technologies and spent several years in public service with the U.S. government across various foreign and domestic posts. He graduated from Washington University in St. Louis with degrees in electrical engineering and systems engineering. 🎙️⚕️ABOUT CARETALK CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.  GET IN TOUCH Follow CareTalk on LinkedIn Become a CareTalk sponsor Guest appearance requests Visit us on the web Support the show ⚙️CareTalk:  Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

    6 min
  5. Why Health Insurance Needs Transparency w/ Ty Wang, Co-Founder & CEO, Angle Health

    May 22

    Why Health Insurance Needs Transparency w/ Ty Wang, Co-Founder & CEO, Angle Health

    Send us Fan Mail Nearly half of all Americans get their health insurance through a small business. Most of those businesses have no idea why their premiums go up every year and no real power to do anything about it. Ty Wang, Co-Founder and CEO of Angle Health, joins host John Driscoll to discuss why legacy insurers benefit from keeping small businesses in the dark on costs, and how rebuilding the health plan stack from the ground up on modern, AI-native infrastructure is finally making transparency and customization possible for the employers who have always needed it most. 🎙️⚕️ABOUT TY WANG Ty Wang is the co-founder and CEO of Angle Health, the first AI-native healthcare benefits platform built to give SMBs access to quality health plans. Ty grew up in an immigrant family, where access to healthcare and healthcare literacy were significant challenges. He founded Angle Health to address these issues, focusing on providing transparency and simplicity in the healthcare system. Today, Angle Health partners with thousands of brokers and employers across the U.S., primarily serving small- and medium-sized businesses to offer affordable, high-quality healthcare coverage to tens of thousands of Americans. Prior to founding Angle Health, Ty led major deployments at Palantir Technologies and spent several years in public service with the U.S. government across various foreign and domestic posts. He graduated from Washington University in St. Louis with degrees in electrical engineering and systems engineering. 🎙️⚕️ABOUT CARETALK CareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.  GET IN TOUCH Follow CareTalk on LinkedIn Become a CareTalk sponsor Guest appearance requests Visit us on the web Support the show ⚙️CareTalk:  Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

    27 min
  6. May 20

    Why Hospitals Keep Defaulting to Medicare Logic

    Send us Fan Mail For years, hospitals managing value-based contracts have been doing so with one hand tied behind their back, defaulting to Medicare logic because that was the only playbook precise enough to follow. In this clip from our episode “Why Value-Based Care Is Finally Hitting Its Tipping Point”, host David E. Williams and David Snow, Chairman & CEO of Cedar Gate Technologies, an IQVIA business, break down why that era of generalization is over and what precision contract analytics actually makes possible now. Listen to the full episode here 🎙️⚕️ABOUT DAVID SNOW David Snow is a nationally recognized healthcare executive with 40 years of experience leading Fortune 50 companies, health plans, hospitals, and innovative healthcare startups. He has been named one of America's Best CEOs by Institutional Investor and ranked #27 on the Harvard Business Review's list of Best Performing CEOs in the World. He is currently the Founder, Chairman, and CEO of Cedar Gate Technologies, a provider of technology-powered end-to-end solutions designed to enable success in value-based care. Prior to Cedar Gate, Snow served as Chairman and CEO of Medco Health Solutions, a Fortune 34 company, which he took public in 2003 and grew from $30 billion to $72 billion in revenue over nine years. 🎙️⚕️ABOUT HEALTH BIZ PODCAST HealthBiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams — president of the healthcare strategy consulting boutique Health Business Group — is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS. Need a Strategy Partner? For over 20 years, Health Business Group has helped healthcare software companies, tech-enabled services businesses, life sciences companies, and payers make smarter strategic decisions. Led by podcast host David Williams, the firm advises clients on sharpening AI positioning, entering new segments, and building commercial strategies for value-based care. See examples of our work here. GET IN TOUCH Follow CareTalk on LinkedIn Become a CareTalk sponsor Guest appearance requests Visit us on the web Subscribe to the CareTalk Newsletter Support the show ⚙️CareTalk:  Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

    4 min
  7. Why Value-Based Care Is Finally Hitting Its Tipping Point w/ David Snow, CEO, Cedar Gate Technologies, an IQVIA business

    May 15

    Why Value-Based Care Is Finally Hitting Its Tipping Point w/ David Snow, CEO, Cedar Gate Technologies, an IQVIA business

    Send us Fan Mail For decades, value-based care has been healthcare's promised future. Most health systems have stayed in upside-only arrangements, and the data infrastructure needed to manage real risk has never quite caught up to the ambition. That may finally be changing. David Snow, Chairman & CEO of Cedar Gate Technologies, an IQVIA business, joins host David E. Williams to discuss why CMS's first mandatory bundled payment model signals the end of voluntary experimentation, and why the fragmented data problem that has undermined value-based care for a generation is only now finding a real solution. 🎙️⚕️ABOUT DAVID SNOW David Snow is a nationally recognized healthcare executive with 40 years of experience leading Fortune 50 companies, health plans, hospitals, and innovative healthcare startups. He has been named one of America's Best CEOs by Institutional Investor and ranked #27 on the Harvard Business Review's list of Best Performing CEOs in the World. He is currently the Founder, Chairman, and CEO of Cedar Gate Technologies, a provider of technology-powered end-to-end solutions designed to enable success in value-based care. Prior to Cedar Gate, Snow served as Chairman and CEO of Medco Health Solutions, a Fortune 34 company, which he took public in 2003 and grew from $30 billion to $72 billion in revenue over nine years. 🎙️⚕️ABOUT HEALTH BIZ PODCAST HealthBiz is a CareTalk podcast that delivers in-depth interviews on healthcare business, technology, and policy with entrepreneurs and CEOs. Host David E. Williams — president of the healthcare strategy consulting boutique Health Business Group — is also a board member, investor in private healthcare companies, and author of the Health Business Blog. Known for his strategic insights and sharp humor, David offers a refreshing break from the usual healthcare industry BS. Need a Strategy Partner? For over 20 years, Health Business Group has helped healthcare software companies, tech-enabled services businesses, life sciences companies, and payers make smarter strategic decisions. Led by podcast host David Williams, the firm advises clients on sharpening AI positioning, entering new segments, and building commercial strategies for value-based care. See examples of our work here. GET IN TOUCH Follow CareTalk on LinkedIn Become a CareTalk sponsor Guest appearance requests Visit us on the web Subscribe to the CareTalk Newsletter Support the show ⚙️CareTalk:  Healthcare. Unfiltered. is produced by Grippi Media Digital Marketing Consulting.

    30 min
4.9
out of 5
69 Ratings

About

CareTalk: Healthcare. Unfiltered. is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy. Visit us at www.CareTalkPodcast.com

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