MTVA Unscripted: Empowering the Move to Value Based Healthcare

Moving to Value Alliance
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The Moving to Value Alliance (MTVA) engages in open and honest conversations with disruptors in healthcare, discussing the transition to value-based care. A 501(c)(3) nonprofit, MTVA is dedicated to cultivating a healthcare ecosystem that prioritizes high-quality outcomes at affordable costs for employers and consumers. We serve as a dependable source of timely and thought-provoking information, education, and resources to advance value-based healthcare at state and national levels. Visit our website (www.movingtovalue.org) to learn more! Join our email list: www.movingtovalue.org/community

  1. PART 2: The Nuka Blueprint w/ April Kyle and Dr. Doug Eby

    2D AGO

    PART 2: The Nuka Blueprint w/ April Kyle and Dr. Doug Eby

    This is part two of a two-part episode. Click here to catch part one, or find it in our podcast feed. What would healthcare look like if it were truly built around the people it serves? In this episode, we take a closer look at Alaska’s Southcentral Foundation and its internationally acclaimed Nuka System of Care — a model that has redefined what value-based care can mean when relationships, trust and community ownership are at the center. Joining us are April Kyle, President and CEO of Southcentral Foundation, and Dr. Doug Eby, the system’s founding medical director and one of Nuka’s chief architects. Together, we explore how an Alaska Native–owned health system transformed itself from a federal bureaucracy into one of the world’s most respected models of integrated, relationship-based care. April and Doug share the principles and practices that have led to dramatically improved outcomes and high patient and employee satisfaction at significantly lower costs. Through the story of Nuka, we consider what’s possible when healthcare shifts from doing things to patients to partnering with people — and how lessons from Alaska might chart a course toward more human, more effective value-based systems around the country (and the world). ———————————— Don't miss our upcoming 'Health Systems at a Crossroads' webinar series, which will take place Friday, November 7 and Friday, November 14 at 12 p.m. ET. Click here to register. ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here. Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.

    24 min
  2. PART 1: The Nuka Blueprint w/ April Kyle and Dr. Doug Eby

    OCT 21

    PART 1: The Nuka Blueprint w/ April Kyle and Dr. Doug Eby

    What would healthcare look like if it were truly built around the people it serves? In this episode, we take a closer look at Alaska’s Southcentral Foundation and its internationally acclaimed Nuka System of Care — a model that has redefined what value-based care can mean when relationships, trust and community ownership are at the center. Joining us are April Kyle, President and CEO of Southcentral Foundation, and Dr. Doug Eby, the system’s founding medical director and one of Nuka’s chief architects. Together, we explore how an Alaska Native–owned health system transformed itself from a federal bureaucracy into one of the world’s most respected models of integrated, relationship-based care. April and Doug share the principles and practices that have led to dramatically improved outcomes and high patient and employee satisfaction at significantly lower costs. Through the story of Nuka, we consider what’s possible when healthcare shifts from doing things to patients to partnering with people — and how lessons from Alaska might chart a course toward more human, more effective value-based systems around the country (and the world). This is part one of a two-part episode. Click here to catch part two, or find it in our podcast feed. ———————————— Don't miss our upcoming 'Health Systems at a Crossroads' webinar series, which will take place Friday, November 7 and Friday, November 14 at 12 p.m. ET. Click here to register. ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here. Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.

    43 min
  3. Innovating Value with Subscription-Based Healthcare w/ Christina Farr

    OCT 7

    Innovating Value with Subscription-Based Healthcare w/ Christina Farr

    Convenience, flexibility, value. Subscription-based models could disrupt the paradigm of accessing (and paying for) healthcare. But can they build buy-in and consumer trust? We discuss with special guest Christina Farr. As a health tech investor, general partner at Scrub Capital and author of the industry-leading Second Opinion newsletter, Christina offers her perspective on how business model innovation can drive real value in healthcare. We touch on her recent piece, "Subscription-based healthcare just got a big tailwind," which examines how emerging policy and payment reforms could be a leg up for membership-based and direct care models, and what that might mean for employers and innovators pursuing value-based care. Join our conversation about how the next generation of healthcare leaders can think differently about impact, incentives, and the real meaning of value. ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here. Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.

    43 min
  4. Optimal Care, Optimized Cost: Reducing Health System Spending w/ Derek Haas

    SEP 9

    Optimal Care, Optimized Cost: Reducing Health System Spending w/ Derek Haas

    Surgeons getting sticker shock? MTVA discusses transparency in health system spending and optimizing for better long-term patient outcomes with special guest Derek Haas. Derek is the CEO and founder of Avant-garde Health, which provides surgeons, health systems, and ASCs with comprehensive insight into their surgical care and empowers them to improve their profitability and care quality. "We help health systems and physicians understand the opportunities to deliver their care with the same or higher quality but in a more financially-optimal fashion." Avant-garde's work has been featured on the front page of The Wall Street Journal. Derek has co-authored twelve Harvard Business Review articles, as well as articles in NEJM and JAMA. He holds a BA and MBA from Harvard. Our conversation with Derek is particularly timely as hospitals and health systems navigate how changes in federal policy will impact their business models. ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here. Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.

    35 min
  5. From Communities to Scale: A Blueprint for Healthcare Revolution w/ Health Rosetta’s Dave Chase

    AUG 22

    From Communities to Scale: A Blueprint for Healthcare Revolution w/ Health Rosetta’s Dave Chase

    Are your bags packed for Denver? Gear up for RosettaFest 2025 by listening to this conversation between MTVA and Dave Chase!  If you don’t yet know the pioneering disruptor Dave Chase, he’s on a mission to restore hope, health and economic prosperity to communities through healthcare transformation. Dave is a Co-Founder and CEO of Health Rosetta, a blueprint for high-performing health benefits using simple, practical fixes. Health Rosetta helps employers and unions provide better care for their members, while reducing benefits spending by 20-40%.  We discuss driving transformation within our multibillion dollar healthcare industry, navigating political headwinds, and scaling healthcare fixes from the local level with Health Rosetta.  “Healthcare was systematically extracting wealth from communities and families, all while delivering mediocre outcomes. And honestly it’s the largest wealth transfer in American history, from the working and middle class – who’ve had 30 years of wage gain stolen – to Wall Street and their water carriers. That was the cold hard truth that I found.”  Watch Dave’s TEDxTalk or read his books: The CEO’s Guide to Restoring the American Dream, Opioid Crisis Wake-up Call, and Relocalizing Health Further Listening from MTVA Unscripted: Employer Series - Part 1: The Critical Importance of Getting and Owning Your Claims Data What Employers Need To Do Now to Comply With CAA by End of Year : MTVA Talks to Chris Deacon From ERISA to CAA: How Has Employer’s Fiduciary Responsibility Changed Over Time? “YOU Are the Customer”: Fixing Healthcare from the CEO’s Desk w/ Darrell Moon Other Sources Referenced: Dr. Michael Fine’s book On Medicine as Colonialism Nautilus Health Institute SoNE Health's Crushing Healthcare “Healthcare is Local” ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here. Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.

    54 min
  6. The Growing Direct Primary Care Movement w/ Frontier Direct Care Founder Dr. Peter Lazzopina

    JUL 16

    The Growing Direct Primary Care Movement w/ Frontier Direct Care Founder Dr. Peter Lazzopina

    “The only thing that actually reduces mortality and morbidity in primary care is a long-term relationship with a PCP.” In this conversation, MTVA explores the fast-growing movement of direct primary care (DPC) with special guest Peter Lazzopina, MD - Founder of Frontier Direct Care in Texas. Based in the Rio Grande Valley, Frontier has grown organically from a single-man operation to a thriving network that’s redefining access, cost, and outcomes. Dr. Lazzopina describes how relationship-based medicine works better for patients, employers and providers. The model keeps physician panel sizes small, visits long, and incentives fully aligned—resulting in high provider morale, better health outcomes, and big savings for employers. By partnering with Frontier, the city of McAllen, TX reduced ER visits by 74% in just one year. In two years, Frontier saved the city $8 million! Dr. Lazzopina and Frontier are proving that DPC can help solve our primary care crisis! This is a grassroots movement with real momentum—and one that can’t be ignored! NOTE: Frontier Direct Care has a business relationship with MTVA Board Member Dr. Steve Schutzer’s company Upswing Health. This episode is NOT sponsored by Upswing nor Frontier. ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here. Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.

    44 min
  7. Delivering Real Value: Insights from Kevin Bozic, MD, MBA and the UT-Austin Dell Med Success Story

    JUN 20

    Delivering Real Value: Insights from Kevin Bozic, MD, MBA and the UT-Austin Dell Med Success Story

    What does “value” in health care actually mean—and how do we get there? MTVA sat down with a top leader in the value movement who’s put the value philosophy into practice!  Kevin Bozic, MD, MBA is Chair of Surgery and Perioperative Care at Dell Medical School at The University of Texas at Austin. He’s internationally recognized in the field of orthopaedic surgery (a Past President of the American Academy of Orthopaedic Surgeons) and a leading force in value-based health care.  For Dr. Bozic, value isn’t just about cutting costs or providing better services. It’s about delivering HEALTH.  “You can provide the lowest cost, most efficient, high quality, safe health care, and unless it improves someone's health, you haven't created any value.”  Since joining Dell Med in 2015, Dr. Bozic has built a department from the ground up around one central philosophy: health is the goal, and care is one contributor to achieving it. By recruiting mission-driven clinicians and fostering a team culture grounded in purpose, his department has seen not only improved outcomes, but also provider satisfaction and staff retention. In this episode, Dr. Bozic discusses: Why “health care” should always be 2 words—and what that distinction means The power of making health our North Star Why value must be measured by patient-reported health outcomes What it takes to shift culture in medicine—and how he built a new model from scratch How turf wars and rigid incentives are holding us back—and what we can do about it He challenges fellow physicians to take ownership of reform: “No one is more responsible for how we deliver and pay for health care than physicians, and we're the people that the rest of the world trusts. Society trusts us. They don't trust the government or health plans or bureaucrats or anyone else to fix these problems.”  Dr. Bozic also reflects on changes in medical education, and his experiences training the next generation of physicians.  If you’ve ever asked what it would take to fix the U.S. health system from the inside out, this conversation offers both vision and proof of concept!  “If we could get the country focused on the whole end game here in health care is health, that would be a step forward.” To learn more about the proposed cuts to Medicaid, check out our episode with Stephanie Noriea.  Sources Referenced: “Who Killed Health Care? America's $2 Trillion Medical Problem—and the Consumer-Driven Cure” (2007) by Regina HerzlingerRedefining Health Care: Creating Value-Based Competition on Results (2006) by Michael Porter and Elizabeth Teisberg“The Innovator's Prescription: A Disruptive Solution for Health Care” (2009) by Clayton Christensen, Jerome Grossman, MD, and Jason Hwang, MDInstitute for Strategy and Competitiveness at Harvard Business School UT Health Austin’s Musculoskeletal Institute———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here. Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible! As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: www.movingtovalue.org/membership.

    48 min
  8. “YOU Are the Customer”: Fixing Healthcare from the CEO’s Desk w/ Darrell Moon

    JUN 5

    “YOU Are the Customer”: Fixing Healthcare from the CEO’s Desk w/ Darrell Moon

    “I really do think it's as simple as waking up the buyer, because if the buyer is going to define what they want and hold people accountable, everything else will happen naturally.” One often overlooked stakeholder in the U.S. healthcare system is business leaders. Our guest this week, Darrell Moon, is on a mission to mobilize these decision makers. Darrell is the CEO and Founder of Orriant and Aspirational Healthcare. As a hospital administrator, Darrell saw the profound misalignment between the health system and its customers. For the last 30 years, he’s been advocating for a different approach – based on the Nuka System of Care in Alaska and Deming’s principles – and coaching executives on how they can too! His recent book “Make Healthcare Work for You” is a pragmatic guide for how CEOs can get better healthcare for HALF the price. Darrell and MTVA discuss his new book and how CEOs can lead the movement to better healthcare! More from MTVA Unscripted: ​Webinar Series for Employers​Wake-up Call: The Johnson & Johnson Prescription Pricing Scandal​From ERISA to CAA: How Has Employer’s Fiduciary Responsibility Changed Over Time?​What Employers Need To Do Now to Comply With CAA by End of Year : MTVA Talks to Chris Deacon​PBM Problems (Part 1): Who do Brokers and Consultants Really Work for? Risks for Plan Sponsors w/ ERISA attorney Paul Holmes​Retail Health Failures: Misaligned Incentives and Misunderstanding Primary Care w/ Brian Klepper Other Sources Referenced: ​Scott Conard, MD blog post re Health Literacy ​Dr. Marty Makary’s book Blind Spots   ———————————— All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here. Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!   As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.

    47 min
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About

The Moving to Value Alliance (MTVA) engages in open and honest conversations with disruptors in healthcare, discussing the transition to value-based care. A 501(c)(3) nonprofit, MTVA is dedicated to cultivating a healthcare ecosystem that prioritizes high-quality outcomes at affordable costs for employers and consumers. We serve as a dependable source of timely and thought-provoking information, education, and resources to advance value-based healthcare at state and national levels. Visit our website (www.movingtovalue.org) to learn more! Join our email list: www.movingtovalue.org/community

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