ONLY HEALTHCARE

ONLY HEALTHCARE FEATURING MICHAEL NAVIN & DR. RANDY VOGENBERG
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  • UPDATED BIMONTHLY
ONLY HEALTHCARE

The “Only Healthcare” podcast reveals shocking truths about the healthcare industry. Why are US Healthcare costs and risks so high? How will new technologies impact the system? What are the challenges in accessing new therapies and treatments? What is happening with Big Pharma and how do they influence other stakeholders in healthcare? Hosted by industry experts Michael Navin and Dr. Randy Vogenberg, to provide you with actionable and inspirational insights on how we can improve healthcare cost, care and accessibility for all. Hosted by:Michael Navin & Dr. Randy VogenbergMichael's LinkedInhttps://www.linkedin.com/in/michael-navin-7411388/Randy's LinkedInhttps://www.linkedin.com/in/randyvogenberg/Sponsored by:Only Healthcare is sponsored by Peek and the Institute for Integrated Health. Peek: Peek is reimagining access through innovation, technology, connectivity, and partnership. Peek offers a comprehensive and unique suite of solutions to help clients improve access and affordability for prescription drugs. The Peek Meds Marketplace is one of Peek’s differentiated offerings that gives employers a revolutionary new approach to controlling runaway prescription costs for their employees by providing unprecedented transparency, simplicity - and cost savings. The Peek Meds Marketplace aggregates cash discount cards, manufacturer copay offset programs, and an employee’s insurance information to provide a holistic and personalized view of prescription price options. This easy-to-use platform offers a one-stop-shopping experience for prescription drugs.Peek’s team has decades of experience in the pharmaceutical industry and offers various services to biopharma manufacturers, brokers, benefits consultants, third-party administrators and employers. Visit peekmeds.com to learn more. Institute for Integrated Health (IIH):Healthcare benefits, insurance coverage regulations, and business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provide strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning, and advisory on market trends and U.S. healthcare market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. Learn more by visiting https://iih-online.com/. Music by:Hanu Dixit, https://www.youtube.com/hanudixitDisclaimer:© 2025 Only Healthcare Podcast. All rights reserved. This podcast and its content, including but not limited to audio recordings, images, and text, are the property of the Only Healthcare Podcast and are protected by international copyright laws. We appreciate all distribution and content sharing. Contact us at onlyhealthcarepodcast@gmail.com to access our media kits, provide feedback or inquire about guest participation. Thank you for listening. 

  1. Why Are Prescription Drugs So Expensive? | Episode 19 with Michael Navin & Dr. Randy Vogenberg

    6D AGO

    Why Are Prescription Drugs So Expensive? | Episode 19 with Michael Navin & Dr. Randy Vogenberg

    In this episode of Only Healthcare, hosts Michael Navin and Dr. Randy Vogenberg dive deep into one of America's most pressing healthcare questions: Why are prescription drugs so expensive?  Michael, a leading expert in biotech market access and commercialization strategies, unpacks the complex web of pricing decisions, negotiations, and middleman systems that drive up drug costs for patients and employers alike. Key Topics Discussed: Drug Pricing Fundamentals - How pharmaceutical companies set initial prices based on market research, differentiation analysis, and anticipated rebate demands from pharmacy benefit managersPBM Rebate Evolution - The dramatic shift from 10-25% rebates in the early 2000s to today's 50-80% rebate demands, and how this has fundamentally distorted market pricingPatient Cost-Sharing Crisis - Why patients pay full list prices until hitting deductibles while rebates flow to PBMs, leading to $24 billion in pharmaceutical industry copay assistance programs in 2023Technology Solutions & Reform - How AI-driven pricing transparency, machine-readable rebate files, and direct-pay programs from companies like Lilly and Novo are beginning to bypass traditional middlemenThe broken pricing system isn't just complex. it's actively preventing market competition and forcing patients to pay inflated prices while PBMs profit more than drug manufacturers themselves. 🎧 Listen now: onlyhealthcarepodcast.com Chapters: (00:00) Introduction (01:00) Drug company pricing strategy fundamentals (04:00) Evolution of PBM rebates from 10% to 50%+ (07:00) Real-world pricing example: Why $60 drugs can't compete with $700 alternatives (10:00) How PBMs now make more money than drug companies (16:00) The $24 billion patient assistance crisis (20:00) Technology solutions and transparency reform (22:00) Key takeaways for system change Hosted by: Michael Navin & Dr. Randy Vogenberg Michael's LinkedIn Randy's LinkedIn Sponsored by: Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/. Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/. Music by: Hanu Dixit, https://www.youtube.com/hanudixit

    24 min
  2. Why the US Spends the Most on Healthcare But Gets the Worst Outcomes | Episode 18 with Dr. Randy Vogenberg & Michael Navin

    JUN 19

    Why the US Spends the Most on Healthcare But Gets the Worst Outcomes | Episode 18 with Dr. Randy Vogenberg & Michael Navin

    In this episode of Only Healthcare, we tackle the fundamental question: Why does the US spend more on healthcare than any other country yet rank last in outcomes?  Key Topics: The cost-outcome paradox – How $12,000 per capita spending leads to worst-in-class life expectancy and preventable death rates among developed nationsSystem misalignment – Why emergency care dominates over preventative care, driving up costs while reducing effectivenessAdministrative waste – The $600 billion to $2 trillion in wasteful spending caused by middlemen, lack of transparency, and disconnected carePatient empowerment strategies – Practical steps individuals can take to navigate the system, from research and advocacy to choosing integrated care models like Mayo Clinic and KaiserDespite the challenges, this isn't about bad medicine or bad people – it's about broken processes that can be fixed through transparency, accountability, and putting power back in the hands of patients and providers. 🎧 Listen now: onlyhealthcarepodcast.com - Chapters: (00:00) Introduction (01:00) US healthcare spending vs. outcomes data (03:00) Emergency care cost drivers (05:00) Insurance coverage and preventative care gaps (08:00) Administrative waste and pharmaceutical pricing (12:00) Successful healthcare models (Mayo Clinic, Kaiser, Cleveland Clinic) (17:00) Patient advocacy and proactive health strategies (22:00) Human toll and social determinants of health Hosted by: Michael Navin & Dr. Randy Vogenberg Michael's LinkedIn Randy's LinkedIn Sponsored by: Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/. Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/. Music by: Hanu Dixit, https://www.youtube.com/hanudixit

    26 min
  3. Secrets to Solutions: How Real-Time Pricing Data Can Heal Healthcare

    MAY 20

    Secrets to Solutions: How Real-Time Pricing Data Can Heal Healthcare

    “Trillions of dollars are working against transparency.” In this explosive episode of the Only Healthcare Podcast, hosts Michael Navin and Randy Vogenberg, PhD, sit down with Mark Galvin, CEO of Talon Health, to expose the powerful forces fighting to keep healthcare costs opaque—and why that’s costing you more than you realize. Whether you're an employer, patient, policymaker, or provider, this episode is your wake-up call.  Mark, a seasoned tech disruptor, unveils how Talon Health is dismantling the infrastructure that hides healthcare pricing from consumers. From his early work influencing White House legislation to building Transparency 2.0, Mark shows how true price transparency could save consumers billions of dollars.  But here’s the truth: "There’s a $2.5 trillion reason the system doesn’t want you to know the price." We unpack how regulations like the Transparency in Coverage Rule and Consolidated Appropriations Act (CAA) are reshaping fiduciary liability, and how employers are now legally responsible for understanding and disclosing what their healthcare dollars are buying. Key Highlights: How Healthcare Became a Black Box: Why costs are hidden and who profits from the confusion.Regulatory Whiplash: The truth about the No Surprises Act, PBM kickbacks, gag clauses, and why employers are next in line for class-action lawsuits.Disrupting the Monopoly: How big insurers and third-party administrators are quietly doubling as manufacturers and price-setters—and what that means for your wallet.The Consumer Revolution: Why empowering people to shop for care like they shop on Amazon is the future—and the biggest threat to the current healthcare economy.🔗 Connect with Talon Health: Website: Talon Health LinkedIn: Mark Galvin 🎧 Stay Connected with the Only Healthcare Podcast: Website: onlyhealthcarepodcast.com LinkedIn: Only Healthcare Subscribe on Apple, Spotify, YouTube, Amazon Music, and more. Hosted by: Michael Navin & Dr. Randy Vogenberg Michael's LinkedIn Randy's LinkedIn Sponsored by: Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/. Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/. Music by: Hanu Dixit, https://www.youtube.com/hanudixit

    45 min

  4. APR 18

    Biosimilar Breakdown: Can Lower Drug Prices Survive the PBM Squeeze?

    Featured Guest: Stan Mehr — Editor of Biosimilars Review & Report, healthcare journalist, and market strategist with decades of expertise in biosimilars, pharma reform, and drug pricing dynamics. https://biosimilarsrr.com/about/ In this critical episode, we explore the evolving biosimilars landscape, pricing transparency, and the tangled web of pharmacy benefit managers (PBMs) with biosimilars expert Stan Mehr. From inflated rebates to private-label manipulation, Stan sheds light on how PBMs and policy changes under the Inflation Reduction Act are reshaping access to lower-cost drugs. If you're an employer, payer, or pharma manufacturer navigating the biosimilar space, this episode is your roadmap to understanding where opportunity lives—and where it's quietly being suffocated. Key Topics Covered: The $25B+ in biosimilar savings… and why it could vanishWhy employers aren’t seeing those savings—and how PBMs control the gameThe problem with private-label biosimilars How the Inflation Reduction Act could unintentionally collapse biosimilar pipelinesWhat fiduciary responsibility means for employer health plansLong-term predictions: who survives, who exits, and who profits Hosted by: Michael Navin & Dr. Randy Vogenberg Michael's LinkedIn Randy's LinkedIn Sponsored by: Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/. Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/. Music by: Hanu Dixit, https://www.youtube.com/hanudixit

    36 min

  5. MAR 20

    Confronting the Affordability Crisis: Unmasking the True Cost of Healthcare

    Join us as we examine the heart of the healthcare affordability crisis.  In this episode, Michael Navin and Randy Vogenberg, PhD discuss the hidden costs exacerbating healthcare access and decision-making.  Listen in as they set the stage for a compelling conversation about healthcare's lack of price transparency and how this obscurity fuels an ongoing affordability crisis. Key Discussion Points: Examining how opaque pricing impacts patient decisions and the healthcare system.Insights into technological advancements that could revolutionize how patients and plan sponsors view and manage healthcare expenses.Discuss the pivotal role of price transparency in improving healthcare outcomes and reducing unnecessary expenditures.Hosted by: Michael Navin & Dr. Randy Vogenberg Michael's LinkedIn Randy's LinkedIn Sponsored by: Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/. Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/. Music by: Hanu Dixit, https://www.youtube.com/hanudixit

    21 min

  6. MAR 3

    Clear Costs, Clearer Choices: Unpacking Trump’s Transparency Drive in Healthcare

    Join Michael Navin in this insightful brief episode of the "Ask The Expert" series on The Only Healthcare Podcast.  In this episode, Michael dives into President Trump's recent executive order to enforce drug price transparency across the United States. Issued on February 25, 2025, this mandate directs federal agencies to ensure that hospitals and insurers disclose actual healthcare costs, building on a 2019 initiative. Episode Highlights:  Understanding the Executive Order: A detailed explanation of the new directive and its expectations from healthcare providers and insurers. Impact on PBMs and Carriers: Explore how Prescription Benefit Managers and health insurers must adjust to new regulations that demand greater transparency and how this could reshape their operations and pricing strategies.Potential Changes for Consumers: Discuss how this shift towards transparency could empower patients, enabling more informed decisions and potentially lower costs. Industry Reactions: Insight into how different stakeholders within the healthcare system might respond to these changes, including potential challenges and benefits. Future of Healthcare Costs: Considerations on how this policy could influence the broader healthcare pricing and access landscape in America.  Tune in to understand how this pivotal policy could affect you, whether you're a healthcare professional, industry stakeholder, or a concerned citizen. This episode is a must-listen for anyone interested in the intersection of policy and patient care.  Hosted by: Michael Navin & Dr. Randy Vogenberg Michael's LinkedIn Randy's LinkedIn Sponsored by: Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/. Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/. Music by: Hanu Dixit, https://www.youtube.com/hanudixit

    12 min

  7. FEB 27

    Policy and Power: Dismantling Middleman Dominance in Healthcare

    Join hosts Michael Navin and Randy Vogenberg, PhD as they discuss more on the pivotal healthcare policy changes under the Trump administration. This episode delves into the fresh legislative adjustments affecting PBMs, the impacts of new Medicare reports, and advancements in gene therapy and R&D. It also discusses the broader implications of these policies on healthcare costs, accessibility, and the expansion of IVF coverage. Tune in for a critical analysis of what these changes mean for public and industry stakeholders and how they align with the "Make America Healthy Again" agenda. Episode Highlights:  Introduction to Current Healthcare Policies: Explore the critical changes brought about by the new administration, including a focused look at the fresh legislative and administrative shifts in healthcare policy.  Detailed Look at Commercial Insurance and Government Programs: Delve into the specifics of recent legislative efforts around Pharmacy Benefit Managers (PBMs) and the implications of the latest reports from CMS and OIG on Medicare and healthcare costs.  The Role of R&D and New Therapies: Discuss the ongoing advancements in gene therapy and other R&D improvements, examining how they are poised to transform healthcare delivery.  Impacts of Policy on Healthcare Costs and Accessibility: Analyze how these policies are intended to shift costs between government and private programs, emphasizing out-of-pocket patient expenses.  IVF Coverage Expansion Discussion: Highlight the recent policy developments related to In Vitro Fertilization (IVF), including expanding coverage and its potential implications on healthcare insurance and patient access.  Future Directions and Continued Debates: Consider the expected developments in healthcare policy, including the potential impacts of the Make America Healthy Again agenda and the expanded use of novel therapies under the new FDA leadership. Hosted by: Michael Navin & Dr. Randy Vogenberg Michael's LinkedIn Randy's LinkedIn Sponsored by: Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/. Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/. Music by: Hanu Dixit, https://www.youtube.com/hanudixit

    19 min

  8. FEB 14

    Rethinking Risk: Innovating Benefit Design for Whole-Person Care

    Welcome to another insightful episode of "The Only Healthcare Podcast," where we unpack the demand for change in risk management for employers within commercial insurance and benefit design. In this episode, our host, Dr. Randy Vogenberg, is joined by Rajiv Sood, the founder of Sood Health Advisors. With over 30 years of experience spanning healthcare, clinical settings, insurance, and InsureTech, Rajiv brings a wealth of knowledge and a unique perspective on managing financial risks in healthcare.  In this episode, you will learn:  Innovative Risk Management: Explore how innovative financial strategies can mitigate risks for employers, touching on the significance of tier five initiatives. Demand for Benefit Design Innovation: Explore the transformative impact of innovative benefit designs on equitable access and whole-person care, addressing the evolving needs of patients with rare diseases. Essentials of Reinsurance: Delve into the function and importance of reinsurance in the healthcare sector, highlighting its role in mitigating financial risks associated with benefit designs for rare diseases. Challenges of Asynchronous Timing: Unpack the issues stemming from asynchronous timing in stakeholder collaborations and discuss strategic approaches to enhance synchronization and efficiency among all parties involved in healthcare management. Future of Healthcare Financing: Discussion on the future landscape of commercial insurance and how upcoming changes will affect stakeholders across the board. Join us as we unpack these complex topics, providing valuable insights for employers, HR professionals, C-suite executives, and insurance experts. Connect with Rajiv on LinkedIn for assistance in reinsurance and with Randy on LinkedIn for aid in benefit design and stakeholder collaboration.  Hosted by: Michael Navin & Dr. Randy Vogenberg Michael's LinkedIn Randy's LinkedIn Sponsored by: Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/. Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/. Music by: Hanu Dixit, https://www.youtube.com/hanudixit

    33 min
See All (19)

Ratings & Reviews

5
out of 5
7 Ratings

About

The “Only Healthcare” podcast reveals shocking truths about the healthcare industry. Why are US Healthcare costs and risks so high? How will new technologies impact the system? What are the challenges in accessing new therapies and treatments? What is happening with Big Pharma and how do they influence other stakeholders in healthcare? Hosted by industry experts Michael Navin and Dr. Randy Vogenberg, to provide you with actionable and inspirational insights on how we can improve healthcare cost, care and accessibility for all. Hosted by:Michael Navin & Dr. Randy VogenbergMichael's LinkedInhttps://www.linkedin.com/in/michael-navin-7411388/Randy's LinkedInhttps://www.linkedin.com/in/randyvogenberg/Sponsored by:Only Healthcare is sponsored by Peek and the Institute for Integrated Health. Peek: Peek is reimagining access through innovation, technology, connectivity, and partnership. Peek offers a comprehensive and unique suite of solutions to help clients improve access and affordability for prescription drugs. The Peek Meds Marketplace is one of Peek’s differentiated offerings that gives employers a revolutionary new approach to controlling runaway prescription costs for their employees by providing unprecedented transparency, simplicity - and cost savings. The Peek Meds Marketplace aggregates cash discount cards, manufacturer copay offset programs, and an employee’s insurance information to provide a holistic and personalized view of prescription price options. This easy-to-use platform offers a one-stop-shopping experience for prescription drugs.Peek’s team has decades of experience in the pharmaceutical industry and offers various services to biopharma manufacturers, brokers, benefits consultants, third-party administrators and employers. Visit peekmeds.com to learn more. Institute for Integrated Health (IIH):Healthcare benefits, insurance coverage regulations, and business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provide strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning, and advisory on market trends and U.S. healthcare market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. Learn more by visiting https://iih-online.com/. Music by:Hanu Dixit, https://www.youtube.com/hanudixitDisclaimer:© 2025 Only Healthcare Podcast. All rights reserved. This podcast and its content, including but not limited to audio recordings, images, and text, are the property of the Only Healthcare Podcast and are protected by international copyright laws. We appreciate all distribution and content sharing. Contact us at onlyhealthcarepodcast@gmail.com to access our media kits, provide feedback or inquire about guest participation. Thank you for listening. 

Information

  • Creator
    ONLY HEALTHCARE FEATURING MICHAEL NAVIN & DR. RANDY VOGENBERG
  • Years Active
    2024 - 2025
  • Episodes
    19
  • Rating
    Explicit
  • Copyright
    © 2025 ONLY HEALTHCARE
  • Show Website
    ONLY HEALTHCARE

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