Analyzing Healthcare

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.

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 SomersKeith 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.

🔗⁠ Connect with Keith Somers on LinkedIn⁠

About the Host – Roy Bejarano

Roy Bejarano is Co-Founder & CEO of SCALE Healthcare, the nation’s top healthcare consulting firm. As host of Analyzing Healthcare, Roy interviews leading executives, policymakers, and innovators shaping the future of healthcare strategy, MSO leadership, and system transformation. ⁠Connect with Roy Bejarano on LinkedIn⁠

KeywordsHealthcare System, Healthcare Podcast, Healthcare Trends, Healthcare Strategies, Thought Leaders, Industry Insights, Healthcare Governance, Leadership, MSO Strategy, Value-based Care, Health Corum, Keith Somers, Claims Data, Provider Benchmarking, Network Optimization, Risk Adjustment, Data-driven Healthcare, Clinical Quality, Payer Solutions, Employer Strategy, Digital Health, Patient Outcomes, Health IT, Healthcare AI, Population Health, Executive Interview, Innovation

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

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.

⁠

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.
🔗 Connect with Carsten Schicker on LinkedIn

About the Host – Roy Bejarano

Roy Bejarano is the Co-Founder and CEO of SCALE Healthcare, the nation’s leading healthcare services consulting firm. As host of the Analyzing Healthcare podcast, Roy convenes top healthcare executives, policy innovators, and thought leaders to challenge conventional thinking and shape the future of healthcare strategy, MSO leadership, and system innovation.
Connect with Roy Bejarano on LinkedIn

KeywordsWorld Health Summit, global health, healthcare collaboration, health systems, pandemic preparedness, trust in health, private sector health, health funding, health equity, COVID-19 impact, Healthcare System, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Governance, Healthcare Leadership

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

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.

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.
🔗 Connect with Elizabeth Fowler on LinkedIn

About the Host – Roy Bejarano
Roy Bejarano is the Co-Founder and CEO of SCALE Healthcare, the nation’s leading healthcare services consulting firm. As host of the Analyzing Healthcare podcast, Roy convenes top healthcare executives, policy innovators, and thought leaders to challenge conventional thinking and shape the future of healthcare strategy, MSO leadership, and system innovation.
🔗 Connect with Roy Bejarano on LinkedIn

Keywords
healthcare performance, state comparison, accountable care organizations, Medicaid expansion, healthcare spending, obesity, drug overdose, access to care, public health data, healthcare policy, SCALE Community, Analyzing Healthcare, Roy Bejarano, Elizabeth Fowler, Scale Healthcare, Healthcare System, Healthcare Podcast, Healthcare Trends and Innovations, Healthcare Strategies, Thought Leaders in Healthcare, Healthcare Industry Insights, Healthcare Innovations, Healthcare Governance