Margin of Care

When 15 million people lose healthcare coverage and more than a trillion dollars in federal funding disappears, every employer feels the impact.

Host Kirk Czonstka talks with Patricia Boozang, Senior Managing Director at Manatt Health, about the sweeping effects of H.R. 1—from coverage losses and premium increases to new Medicaid work requirements.

They discuss what these changes mean for employer-sponsored coverage, workforce wellbeing, and how businesses can prepare for the shifts ahead.

Key Takeaways:

• 15M people could lose coverage under H.R. 1, pulling $1T+ from the healthcare system.
• Employers can expect higher premiums and cost-shifting from public to private coverage.
• Medicaid work requirements (2027) will hit lower-income and hourly employees hardest.
• Employers should help workers navigate eligibility, maintain predictable schedules, and engage with state Medicaid agencies.
• Digital health, AI, and innovation can help offset rising costs and preserve access to care.

Margin of Care is presented by Garner Health. Learn more at getgarner.com

Liana Douillet Guzmán, CEO of FOLX Health, joins to discuss how traditional benefits models fail LGBTQIA+ employees and what leading employers are doing to fix it. She breaks down why inclusive care in name only isn’t enough, how FOLX is redefining access through affirming digital care, and why closing this care gap is good for people and business.

Margin of Care is presented by Garner Health. Learn more at getgarner.com

Digital health is entering a new era — one where informed consumers, smarter technology, and outcomes-based models reshape how care is delivered and funded. In this episode, Lee Shapiro of 7wire Ventures shares what he’s seeing across the industry, how employers are adapting, and why the next generation of startups will look different from those of the past.

Margin of Care is presented by Garner Health. Learn more at getgarner.com

With telemedicine waivers for Medicare enrollees expiring and the federal government investing in rural health, a strong telehealth strategy has never been more important. Danish Nagda, CEO and co-founder of Rezilient Health, talks with Margin of Care about the hybrid care model of the future -- and why physician quality is a core metric for improving primary care.

Margin of Care is presented by Garner Health. Learn more at getgarner.com

Large employers aren’t the only ones who can do direct contracting. In this episode of Margin of Care, Lee Lewis of the Health Transformation Alliance breaks down the ways small and mid-sized employers can be more nimble and drive better health outcomes for their covered lives, all the while managing costs. New approaches aren’t out of reach.

Margin of Care is presented by Garner Health. Learn more at getgarner.com

It’s no secret that health care costs are skyrocketing, but new research from the Business Group on Health indicates a 54% compounded increase over the last decade. On this episode of Margin of Care, the group’s president and CEO, Ellen Kelsay, reveals why health care costs are getting out of control — and how cell and gene therapy is a part of the puzzle.

Margin of Care is presented by Garner Health. Learn more at getgarner.com

Employers are now seen as the most trusted source of information. Dr. Vin Gupta argues in this episode of Margin of Care that employers should lean into their power and solve the pain points of health care utilization. With a different communication strategy, employers can make significant changes.

Margin of Care is presented by Garner Health. Learn more at getgarner.com

Healthcare consumerism is broken. On this episode of Margin of Care, Chris Hogan of Benefit Commerce Group argues that consumers are, at best, accidentally stumbling into quality health care — and that the industry has to better direct people to the right doctors.

Margin of Care is presented by Garner Health. Learn more at getgarner.com

A podcast for healthcare advisors and benefits leaders exploring the economics, policy, and innovation shaping the future of employee health plans. Hosted by Kirk Czonstka and guests.

Margin of Care is presented by Garner Health. Learn more at getgarner.com