Mark Frank, SonderMind CEO, explores mental health MSO scaling, virtual care integration, AI-driven outcomes, value-based care models, and healthcare technology innovation.

This episode examines how SonderMind built a 13,000-provider network delivering measurable patient outcomes through hybrid virtual-physical care delivery across all 50 states. Frank discusses mental health access barriers, cost optimization strategies, EHR integration, provider network management, and strategic health system partnerships. Key topics include telehealth adoption post-COVID, clinical outcome measurement, fee-for-service to value-based care transition, inpatient facility collaborations, and the role of AI in treatment planning. The conversation addresses MSO operational challenges, Medicaid population considerations, emergency department cost reduction, and technology's impact on mental healthcare scalability and quality.

Title- Scaling 13,000 Providers: The AI-Driven Evolution of Mental Health Care with Mark Frank, SonderMind x SCALE Community

Key Timestamps:

• {00:00} Introduction to Sondermind
• {02:10} Sondermind's Service Model and Geographic Reach
• {04:40} Spectrum of Mental Health Care Provided
• {06:36} Sondermind's Position in the Virtual Care Landscape
• {10:44} The Evolution of Virtual Care Post-COVID
• {13:43} Quality Measurement in Mental Health Care
• {17:39} The Role of Virtual Care in Patient Management
• {20:35} Integration of Virtual and In-Person Care
• {23:21} Sondermind's Scale and Technological Advantages
• {28:45} Frictionless Patient-Provider Matching
• {31:55} Collaboration with Health Systems
• {35:17} Inpatient Care and Virtual Health
• {39:22} Value-Based Care Models
• {46:09} Access and Cost in Behavioral Health
• {54:05} Serving Underserved Populations

Key Takeaways:

• SonderMind is a leading mental health provider offering both virtual therapy and in-person counseling.
• The company operates in all 50 states and accepts a wide range of insurance plans for broader accessibility.
• SonderMind focuses on a comprehensive spectrum of mental health issues, from low-acuity conditions to severe psychiatric cases.
• The integration of technology in mental health care is central to improving outcomes and enhancing patient engagement.
• Virtual care expansion post-COVID has significantly increased access to behavioral health services nationwide.
• Quality measurement in mental health remains complex, requiring innovative approaches and outcome-driven metrics.
• SonderMind provides a seamless transition between virtual and in-person care, ensuring better continuity for patients.
• The company leverages its scale and advanced technology to improve care delivery and enable efficient patient-provider matching.
• Collaboration with inpatient facilities is essential for effective patient discharge, follow-up care, and recovery support.
• Value-based care models in behavioral health are being explored to incentivize improved patient outcomes and cost savings.

About the Guest:

Mark Frank leads SonderMind, the nation's largest scaled mental health provider organization delivering hybrid virtual and in-person care across all 50 states. Under his leadership since 2015, SonderMind has built proprietary technology integrating EHR systems, patient applications, and AI-powered clinical tools that demonstrate superior outcomes—achieving subclinical improvement in severe depression and anxiety cases within 6-8 sessions. Frank's strategic vision combines MSO operational efficiency with full-stack technology development, establishing strategic partnerships with health systems while pioneering value-based care models that prioritize patient outcomes over session volume in behavioral health delivery.

linkedin.com/in/markdfrank1

linkedin.com/in/jasonschifman

Keywords

Sondermind, mental health, virtual care, outpatient care, behavioral health, technology in healthcare, access to care, value-based care, mental health outcomes, healthcare innovation, SCALE Community, Analyzing Healthcare, Healthcare Innovation, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman

Lee Shapiro, Seven Wire Ventures Managing Partner & former Livongo CFO, drives healthcare innovation and venture capital investment across Allscripts, Transcarent & Jasper Health.

In this conversation, Lee Shapiro, Managing Partner of Seven Wire Ventures, discusses the evolving landscape of the healthcare system and healthcare investment, emphasizing the importance of consumer behavior, preventative care, and the challenges faced by startups in healthcare technology. He highlights the need for technology-enabled services, stronger patient engagement, and the role of employers in driving healthcare innovation. Shapiro also addresses the complexities of navigating cash vs. payer models and the regulatory challenges that impact the industry.

Throughout the discussion, he shares industry insights on evaluating founders, leadership, and the risks associated with early-stage venture capital investments, ultimately advocating for a more consumer-centric approach to healthcare strategies, value-based care, and MSO strategy.

Title- Can B2B2C Work in Healthcare or Is Employer & Payer Buy-In the Only Way to Scale? Lee Saphiro, 7wire Ventures x SCALE Community

Key Timestamps

• {00:00} Introduction to Healthcare Investment
• {02:38} The Shift from Healthcare to Health
• {05:25} Consumer Behavior in Healthcare
• {08:26} Understanding Consumer Needs
• {11:22} The Importance of Preventative Care
• {13:51} Engaging Consumers Effectively
• {16:36} Navigating the Cash vs. Payer Dilemma
• {19:23} The Role of Employers in Healthcare
• {22:14} Challenges in Venture Capital
• {24:49} Evaluating Founders and Business Models
• {27:41} Risks in Early-Stage Investments
• {30:16} Regulatory Challenges in Healthcare
• {32:57} The Future of Healthcare Technology
• {35:52} The Innovator's Dilemma in Healthcare
• {38:36} Conclusion and Final Thoughts

Key Takeaways

• Seven Wire Ventures focuses on supporting companies that help consumers navigate health challenges.
• The distinction between healthcare and health is crucial; consumers prefer to be healthy rather than just receiving healthcare services.
• Engaging consumers effectively is essential for driving patient engagement and long-term behavior change.
• Preventative care is often overlooked but is vital for improving overall health outcomes.
• Understanding consumer behavior and mapping their journey is key to developing effective healthcare strategies.
• The cash versus payer dilemma presents challenges for startups in the healthcare system.
• Employers play a significant role in healthcare governance, leadership, and adoption of new solutions.
• Evaluating founders, market fit, and strong leadership is critical for successful venture capital investments.
• Regulatory challenges can slow down the adoption of new healthcare technology.
• The future of healthcare innovation will increasingly rely on technology, value-based care, and sustainable MSO strategy to improve access and affordability

Guest Bio –Lee Saphiro, Managing Partner at 7wire Ventures

Lee Shapiro, Managing Partner at Seven Wire Ventures, is a leading voice in digital health innovation. As former CFO of Livongo, he helped scale one of the industry’s most successful chronic care platforms, ultimately acquired by Teladoc Health for $18.5 billion. Earlier, as President of Allscripts, he guided the company through significant growth in electronic health records. Shapiro also serves on the boards of companies including Transcarent, MedArrive, and Jasper Health, where he continues to champion technology-driven solutions improving access, affordability, and patient outcomes across healthcare.

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Virtual women’s healthcare redefined: Joe Connolly, CEO of Visana Health, shares how his national clinic addresses menopause, PCOS, fibroids & more with a comprehensive, tech-enabled model. He discusses the mission behind Visana, women’s unique care needs, patient acquisition strategies, regulatory hurdles, quality benchmarks, and partnerships with in-person providers. The episode explores how Visana is closing gaps in access, driving better outcomes, and shaping the future of women’s health delivery.

Title-How Is Visana Health Redefining Access, Equity, and Value in Women’s Care? | Joe Connolly x SCALE Community

Key Timestamps:

• {00:00} Introduction to Visana Health
• {00:49} The Founding Story and Mission of Visana Health
• {02:45} Provider Scope and Comprehensive Care Model
• {05:42} Patient Acquisition Strategies
• {08:42} Overcoming Barriers to Patient Engagement
• {10:21} Navigating Regulations and Provider Licensing
• {12:22} Quality of Care in Virtual Health
• {14:29} Cost Efficiency and Payment Models
• {19:13} Collaboration with In-Person Clinics
• {22:06} Measuring Outcomes and Patient Satisfaction
• {23:01} Challenges and Resistance in the Market
• {25:39} Future of Visana Health and Expansion Plans
• {30:29} Addressing Underserved Populations
• {33:29} Provider Experience and Satisfaction
• {35:07} Conclusion and Future Outlook

Key Takeaways:

• Visana Health was founded to address women's health issues beyond fertility and maternity.
• The clinic operates with a 50-state medical group to provide comprehensive care.
• Many women seeking care have multiple comorbidities, highlighting the need for integrated services.
• Patient acquisition involves partnerships with health plans and employers to raise awareness.
• Trust is essential for patient engagement and overcoming barriers to care.
• Visana Health has a high Net Promoter Score (NPS) of 91, indicating patient satisfaction.
• The clinic measures clinical outcomes, with 93% of patients experiencing symptom improvement.
• Challenges include educating health plans about the importance of women's health conditions.
• Visana aims to expand access to underserved populations, particularly women of color.
• The provider experience at Visana is positive, with a focus on whole-person care.

About the Guest: Joe Connolly, Founder and CEO of Visana Health, is redefining women’s healthcare through a national virtual-first model. Inspired by his family’s struggles with complex gynecological conditions, Joe built Visana to close critical gaps in care beyond fertility and maternity. Under his leadership, Visana has scaled across all 50 states, caring for more than 30,000 patients, many in rural and underserved communities. By integrating OB-GYNs, primary care providers, endocrinologists, and nurse practitioners, Visana delivers whole-person care with measurable results—93% of patients report symptom improvement within months, alongside average annual cost savings of $2,400 per patient.

About the Host: Jason Schifman is Co-Founder & President of SCALE Healthcare and host of the Analyzing Healthcare podcast’s Healthcare Technology & Innovation series. A leading voice in healthcare transformation, he blends strategic, operational, and financial expertise to help multi-site systems scale efficiently, adopt value-based care, and deliver measurable improvements in patient outcomes and organizational performance.

⁠Connect with Joe Connolly on LinkedIn⁠ ⁠

Connect with Jason Schifman on LinkedIn⁠

Keywords

Visana Health, women's health, telehealth, virtual care, healthcare innovation, patient acquisition, healthcare access, provider collaboration, health outcomes, healthcare regulations, SCALE Community, Analyzing Healthcare, Healthcare Innovation, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Latest Trends in Healthcare, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman

Opioid crisis solutions, AI in drug discovery, precision medicine, healthcare innovation, and policy insights from Dr. Rahul Gupta.

In this episode, Dr. Rahul Gupta, former White House Director of National Drug Control Policy, shares lessons from leading America’s fight against the opioid crisis. He discusses strategies that reversed decades of rising overdose deaths, highlighting the need for accessible treatment and equitable care. Dr. Gupta also introduces his current work with GATC Health, where AI-driven platforms are transforming drug discovery and precision medicine. From predictive analytics to reducing the cost and timeline of clinical trials, his insights reveal how innovation can improve outcomes, lower healthcare costs, and close systemic gaps in care delivery across the U.S.

Title – Can AI Redefine the Economics of Drug Discovery and Healthcare? Rahul Gupta, President, GATC Health x SCALE Community

Key Timestamps:

• {00:00} Introduction to Dr. Raul Gupta and GATC Health
• {01:24} The Opioid Epidemic and National Drug Control Policy
• {08:15} Repositioning Opioids and Alternative Pain Management
• {14:49} Understanding Healthcare Disparities in America
• {21:00} Transition to GATC Health and AI in Drug Discovery
• {34:38} The Future of Precision Medicine and Drug Development

Key Takeaways:

• Dr. Gupta has experience across city, state, and federal healthcare systems.
• The opioid crisis has led to over 112,000 deaths annually in the U.S.
• Predictive analytics can help reduce overdose deaths significantly.
• Access to naloxone is critical in combating the opioid crisis.
• Healthcare disparities exist significantly across different states in the U.S.
• The transition from state to national healthcare perspectives is crucial for addressing addiction.
• AI can streamline drug discovery and reduce costs.
• Precision medicine will lead to more effective and personalized treatments.
• Democratizing drug discovery can increase access to new treatments.
• Collaboration between law enforcement and healthcare providers is essential.

Guest Bio – Rahul Gupta, President at GATC Health

Dr. Rahul Gupta, one of the nation’s most respected physician-leaders, with a career spanning frontline care, state leadership, and the White House. As Director of National Drug Control Policy, he reversed decades of rising overdose deaths and drove groundbreaking addiction and public health strategies that saved tens of thousands of lives. Today, as Chief Medical Officer at GATC Health, Dr. Gupta is pioneering AI-driven drug discovery and precision medicine, reshaping the economics and future of healthcare.

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Inside the $60B voluntary benefits market—Amy Hollis on transparency, utilization, and rethinking how employers & carriers deliver value.

In this episode of the Analyzing Healthcare podcast’s Healthcare Technology & Innovation series, host Jason Schifman, Co-Founder & President of SCALE Healthcare, sits down with Amy Hollis, Founder & CEO of Employees First, to pull back the curtain on the $60B voluntary benefits market.

They explore how employers, employees, and insurance carriers interact in this space—and why the product structure is sound, but the ecosystem is flawed. Hollis shares insights from 20+ years in healthcare and benefits consulting, covering market size, employee participation rates, utilization challenges, carrier strategies, and the role of transparency in driving better outcomes.

From self-funding models to claims data visibility and integrated supplemental–core benefit strategies, this conversation is packed with actionable intelligence for healthcare leaders, benefits consultants, and employer decision-makers.

Title - Is the Voluntary Benefits Market Built to Serve… or to Profit? | Amy Hollis x SCALE Community

Key Timestamps:

• {00:00} Understanding the Voluntary Benefits Market
• {02:56} Market Size and Employee Participation
• {05:52} Drivers of Employee Adoption
• {08:51} Utilization Challenges in Voluntary Benefits
• {11:46} Evaluating the Product Fit
• {14:53} The Ecosystem of Voluntary Benefits
• {17:58} The Role of Insurance Carriers
• {21:01} Future of Integrated Benefits
• {29:34} Understanding the Challenges in Healthcare Benefits
• {32:24} Innovative Approaches to Self-Funding
• {34:55} Transparency in Claims and Costs
• {40:57} Client Engagement and Market Dynamics
• {46:24} Addressing Employer Concerns and Risks
• {51:14} Comparing Voluntary and Medical Benefits

Key Takeaways:

• Understanding the $60B voluntary benefits market and its misunderstood value
• Why employee participation ranges from 2% to 35%
• The growing role of insurance carriers in supplemental benefits
• Low utilization rates and the awareness gap
• Risks of transparency and employer liability in today’s environment
• How integration with core medical benefits could unlock value
• Innovative self-funding approaches and market dynamics
• Educating employers on options and shifting incentives

About the Guest:

Amy Hollis, Founder & CEO of Employees First, is a 20+ year healthcare and benefits consulting veteran. She specializes in bringing transparency, accountability, and value to the voluntary benefits market. Amy’s innovative model realigns incentives, exposes inefficiencies, and returns dollars to benefit plans—empowering employers with informed choices and employees with better coverage.

About the Host:

Jason Schifman is Co-Founder & President of SCALE Healthcare and host of the Analyzing Healthcare podcast’s Healthcare Technology & Innovation series. A leading voice in healthcare transformation, he blends strategic, operational, and financial expertise to help multi-site systems scale efficiently, adopt value-based care, and deliver measurable improvements in patient outcomes and organizational performance.

Connect with Amy Hollis on LinkedIn

Connect with Jason Schifman on LinkedIn

Keywords

Voluntary benefits, healthcare, employee benefits, insurance, market trends, employee participation, utilization, insurance carriers, healthcare costs, supplemental insurance, healthcare benefits, self-funding, transparency, employer engagement, risk management, voluntary benefits, claims data, insurance models, employee benefits, market dynamics, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman

Healthcare data transparency, provider benchmarking, and value-based analytics are transforming patient outcomes and network optimization in the U.S.

On Analyzing Healthcare, Keith Somers—CEO of Health Corum—explores how risk-adjusted claims and outcomes data from Medicare and commercial payers drive smarter decisions for payers, employers, and patients. Health Corum benchmarks over 1.5 million providers, enabling fair, data-driven comparisons by adjusting for patient complexity and demographics. The discussion reveals why price doesn’t equal quality, showcases regional variations, and highlights how data-driven transparency empowers stakeholders to build higher-performing networks and advance value-based care nationwide.

Title- How Can Data-Driven Insights Transform Healthcare Delivery? Keith Somers, Health Corum x SCALE Community

Key Timestamps

• {00:00} Introduction to Health Corum
• {01:14} The Unique Approach of Health Corum
• {04:21} Understanding the End Users
• {06:47} Provider Engagement and Transparency
• {08:32} Data Coverage and Analytics
• {10:14} Data Sources and Partnerships
• {12:39} Clinician Involvement and Data Integrity
• {13:41} Market Position and Competitors
• {15:16} Use Cases and KPIs for Payers
• {20:50} Value-Based Care Evaluation
• {23:01} Consumerization of Healthcare
• {24:01} Strategic Partnerships and Price Transparency
• {26:59} Insights from Data Analysis in Healthcare
• {34:47} Regional Variations in Healthcare Quality and Costs
• {40:02} Impact of COVID-19 on Healthcare Utilization

Key Takeaways

• Health Corum delivers granular, transparent analytics to support smarter healthcare decisions.
• Founded out of frustration with healthcare’s lack of actionable data.
• Benchmarks 1.5 million providers nationwide using claims data from Medicare and commercial payers.
• Focuses on care effectiveness, quality outcomes, and provider performance within specialties.
• Empowers patients, payers, and employers to make data-driven choices.
• Health plans use insights for network optimization and improved patient care.
• Providers use benchmarking to identify areas for improvement.
• Strategic partnerships advance price transparency, aligning quality scores with costs.
• Data analysis shows that high healthcare prices do not always equal high quality.
• Healthcare quality and costs vary widely by region.
• Texas stands out for strong outcomes despite less medical education recognition.
• COVID-19 delayed care and changed patient utilization habits.
• Healthcare prices don’t reliably reflect demand or quality.
• Innovation often thrives in the Midwest and South, where competition and tight budgets drive adoption.
• Understanding local healthcare dynamics is essential for lasting solutions.

Guest Bio – Keith Somers Keith Somers is CEO & Co-Founder of Health Corum, pioneering healthcare transparency and value-based analytics. By leveraging advanced data science to benchmark provider performance, Keith empowers payers, employers, and health systems to achieve superior clinical and financial outcomes—setting new standards for quality and accountability in healthcare.

Joe Corkery, CEO of Jaide Health, is revolutionizing healthcare communication with AI-driven solutions that enhance translation accuracy, equity, and patient access to care.

In this enlightening episode, Joe Corkery, CEO of Jaide Health, delves into the critical issue of language barriers in healthcare and how they hinder access to care. He shares Jaide Health's innovative AI-driven platform designed to provide real-time medical interpretation and translation. The conversation covers the profound impact of language gaps on patient outcomes, the limitations of current solutions, and the cutting-edge approach Jaide Health is taking to bridge these divides. This episode includes a live demo of Jaide Health's technology, exploring its capabilities, security, and regulatory challenges. Tune in to discover the future of AI in healthcare communication and how it can transform patient care.

Title: Bridging the Healthcare Language Divide: AI for Equitable Patient Care | Joe Corkery x SCALE Community

Key Timestamps:

• {00:00} – Introduction to Jaide Health and Its Mission
• {02:12} – Understanding Language Barriers in Healthcare
• {04:39} – Current Solutions for Language Interpretation
• {09:54} – Jaide Health's Innovative Approach
• {13:30} – Live Demo of Jaide Health's Technology
• {17:12} – Quality and Security in AI Translation
• {24:26} – The Future of AI in Healthcare Communication
• {28:14} – Recommendations for Healthcare Providers
• {32:00} – Regulatory Considerations and Future Outlook

Key Takeaways:

• Jaide Health is pioneering an AI-driven platform for healthcare translation.
• 8% of the U.S. population faces limited English proficiency, exacerbating language barriers in healthcare.
• Traditional solutions like bilingual staff and Language Line have significant limitations.
• AI can enable fast, unscheduled interactions between patients and providers, ensuring better communication.
• Jaide Health supports 35 languages for real-time spoken translation and 80–90 languages for written medical translations.
• AI translation quality varies by language and digital footprint, but it can provide a consistent patient experience.
• Healthcare organizations are encouraged to experiment with AI-driven solutions through pilot programs.
• Regulatory clarity around AI language services is essential to support widespread adoption in healthcare.
• Jaide Health aims to enhance health equity by breaking down language barriers in patient care.

About the Guest:

Joe Corkery, CEO of Jaide Health, is leading groundbreaking work to address language disparities in healthcare. His innovative use of AI technology is transforming how healthcare systems provide inclusive care, improving patient-provider communication and access to care. Joe's mission is to ensure health equity for all patients, regardless of their language proficiency. With his leadership, Jaide Health is at the forefront of AI-powered healthcare innovation, reshaping how healthcare communicates globally.

⁠linkedin.com/in/joecorkery⁠ ⁠

linkedin.com/in/jasonschifman⁠

Keywords:

Healthcare, language barriers, AI translation, patient care, Jaide Health, health equity, medical interpretation, technology innovation, healthcare access, patient communication, SCALE Community, Analyzing Healthcare, Healthcare Innovation, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman

Explore how the World Health Summit drives global health innovation, pandemic preparedness, and cross-sector healthcare collaboration worldwide.

In this compelling episode, Carsten Schicker, CEO of the World Health Summit, joins Roy Bejarano for a high-level discussion on global health strategy, healthcare governance, and the collaborative dynamics shaping the future of international health systems.

From the World Health Summit's role in setting the global health agenda to the urgent need for pandemic preparedness and resilient health systems, this episode provides actionable insights for healthcare executives, policymakers, and private-sector stakeholders. Carsten unpacks how cross-sector collaboration, innovative public-private models, and lessons from COVID-19 can inform smarter investments and more equitable global health delivery.

Title: Leading Global Health: Insights from the CEO, World Health Summit x SCALE Community

Key Timestamps:

• {00:00} Introduction to the World Health Summit
• {02:24} The Role of the World Health Summit in Global Health
• {04:56} Measuring Success in Global Health Initiatives
• {07:07} Learning from Diverse Health Systems
• {09:46} The Importance of Cross-Sector Collaboration
• {12:23} Innovative Solutions from Resource-Constrained Settings
• {14:45} The Shift in Global Health Investment Perspectives
• {17:25} Challenges in Global Health Delivery
• {19:55} The Need for Holistic Health Approaches
• {25:59} Contradictions in Healthcare Management
• {28:40} The Complexity of Healthcare Funding
• {29:28} Global Perspectives on US Healthcare
• {32:53} Disparities in Access to Care
• {35:04} The Erosion of Trust in Institutions
• {38:20} Lessons from the COVID-19 Pandemic
• {42:09} The Global Pandemic Agreement
• {48:07} Preparing for Future Pandemics

Key Takeaways:

• The World Health Summit aims to set the agenda for a healthier future.
• Collaboration among stakeholders is essential for better health outcomes.
• Learning from diverse health systems can lead to innovative solutions.
• The private sector plays a crucial role in healthcare delivery.
• Funding for global health needs to be viewed as an investment.
• Resilient health systems are necessary to respond to future pandemics.
• Trust in health institutions has been eroded due to the pandemic.
• Effective communication is vital for public health initiatives.
• Health outcomes are influenced by factors beyond healthcare delivery.
• Future pandemic preparedness requires a holistic approach.

Guest Bio – Carsten Schickar Carsten Schickar is the CEO of the World Health Summit, a leading global platform for health policy, innovation, and cross-sector collaboration. With a background from INSEAD and extensive international experience, he has elevated the Summit’s influence on global health diplomacy. Carsten is a strong advocate for pandemic preparedness, resilient health systems, and strategic investment in healthcare. Under his leadership, the Summit drives partnerships between governments, academia, and the private sector to shape a more equitable and sustainable global health future.

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Value-based care, cancer treatment innovation, and integrated oncology platforms take center stage in this episode featuring Daniel Virnich, CEO of The Oncology Institute.

In this powerful conversation on the Analyzing Healthcare Podcast, Dr. Daniel Virnich joins host Jason Schifman to explore how the Oncology Institute is redefining cancer care through a value-based, integrated delivery model. As the largest value-based oncology platform in the U.S., TOI operates over 80 care sites and is leading efforts to transform outcomes, improve adherence, and manage costs in underserved communities.

Title: Redesigning Oncology at Scale: How TOI Is Leading the Value-Based Revolution | Daniel Virnich x SCALE Community

Key Timestamps:

• {00:00} Introduction to the Oncology Institute
• {01:51} Value-Based Care in Oncology
• {06:35} Integrated Care Models in Oncology
• {11:22} Managing Drug Spend and Innovation
• {13:06} Measuring Success in Oncology Care
• {14:38} Differentiation in Oncology Services
• {17:52} The Three-Party Relationship in Oncology Care
• {21:41} Building a Value-Based Network
• {27:26} The Role of Florida Oncology Network
• {33:23} Navigating Growth as a Public Company
• {35:42} Leveraging Technology for Efficiency
• {39:42} Future Growth and Market Expansion

Key Takeaways:

• What value-based oncology care truly entails—and why it matters
• Managing misaligned incentives in oncology’s drug reimbursement model
• The role of technology, telemedicine, and home-based care
• How TOI achieves over 30% cost savings while improving clinical outcomes
• Strategic growth through partnerships with payers and primary care networks
• Navigating public company growth and expanding regional oncology networks
• Utilizing AI and operational efficiencies to scale integrated oncology models

About the Guest:

Dr. Daniel Virnich is CEO of The Oncology Institute, the largest value-based oncology platform in the U.S., with over 80 care sites across five states. Board-certified and a seasoned leader, Dr. Virnich is pioneering scalable, risk-bearing oncology care models that align financial incentives with clinical outcomes—delivering 30%+ cost savings, improved adherence, and elevated community-based cancer care for underserved populations.

⁠linkedin.com/in/danielvirnich⁠

⁠linkedin.com/in/jasonschifman ⁠

Keywords: Oncology Institute, value-based care, cancer treatment, healthcare innovation, integrated care, cost management, healthcare partnerships, technology in healthcare, oncology network, patient care, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Leading Healthcare Stakeholders, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Strategy, Latest Trends in Healthcare, Healthcare Thought Leadership, Scale Healthcare, Roy Bejarano, Scale Community, Jason Schifman

U.S. healthcare performance is under the microscope. From Medicaid expansion and ACOs to spending trends and racial disparities, Dr. Elizabeth Fowler joins SCALE Community to break it down.

In this episode of Analyzing Healthcare, Dr. Elizabeth Fowler—healthcare policy leader and former Director of the CMS Innovation Center—sits down with host Roy Bejarano to explore the real state of U.S. healthcare. They dive deep into how state-level performance varies dramatically, where Medicaid expansion made a difference, and how accountable care organizations (ACOs) are shifting care delivery.

Expect insightful commentary on technology's role in improving healthcare data, the challenge of public vs. private systems, and the real-world impact of rising obesity and overdose rates. Together, they assess how the U.S. stacks up internationally and the ongoing policy efforts needed to drive better outcomes.

This episode is a must-listen for healthcare leaders, policymakers, and anyone seeking to understand where U.S. healthcare is headed—and what it’ll take to get there.

Title: Healthcare in Crisis or Transition? ACOs, Access, and State Disparities with Elizabeth Fowler | SCALE Community

Key Timestamps

• {00:00} Exploring State-by-State Healthcare Performance
• {02:37} The Role of Technology in Healthcare Data
• {05:14} Accountable Care Organizations: A Deep Dive
• {07:48} Understanding Medicaid Expansion and Coverage
• {10:35} Mandatory Coverage: State Approaches and Impacts
• {13:10} Comparative Analysis of Healthcare Systems
• {15:59} Private Insurance vs. Public Systems
• {18:36} Healthcare Spending Trends Across States
• {21:24} Obesity and Its Impact on Healthcare
• {24:05} Drug Overdose Rates and Healthcare Strain
• {26:41} Access to Care: Disparities and Solutions
• {29:07} Healthcare Infrastructure: Beds and Admissions
• {31:42} The Role of Public Health Data
• {34:29} Disparities in Access to Primary Care
• {37:00} Comparing State Performance to International Standards
• {39:38} The Complexity of Healthcare Policy Solutions
• {42:08} Final Thoughts on Healthcare Data and Analysis

Key Takeaways

• ChatGPT's limitations in providing accurate healthcare data
• The evolving role of ACOs in improving care quality and cost control
• Stark disparities in coverage—from Massachusetts’ leadership to Texas’ uninsured challenge
• California's infrastructure strain amid demand]
• Persistent racial and ethnic disparities in care access
• Obesity and overdose rates’ burden on state healthcare systems
• The need for public health data transparency and cross-state comparisons
• Why healthcare policy requires nuanced, localized approaches

Guest Bio – Elizabeth Fowler Elizabeth Fowler is a leading healthcare policy expert and former director of the CMS Innovation Center. She played a key role in drafting the Affordable Care Act and has championed value-based care models to improve quality and reduce costs. Her work has shaped national healthcare reform, with a focus on equity, innovation, and patient-centered delivery systems.