Are we approaching the "401(k) moment" of health insurance?

We're joined by Chris Ellis, co-founder and CEO of Thatch, a platform that helps employers offer personalized healthcare experiences to employees using Individual Coverage Health Reimbursement Arrangements (ICHRAs) .

Ellis explains how his team of fintech veterans is leveraging ICHRAs to decouple benefits from the employer-chosen model, allowing employees to use tax-free stipends to purchase plans that fit their lives. By making coverage personal rather than corporate, Thatch is shifting the industry's focus from short-term ROI to long-term prevention and healthcare portability.

When individuals have the power to choose, Ellis notes, local health systems can finally compete on quality and efficiency through curated care pathways, finally creating a substrate for the high-value, cost-effective healthcare outcomes the industry has long promised.

________

Sign up for our email list.

Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/membership.

What does healthcare look like when a community-centered approach takes the lead? New York State Assembly Member Chantel Jackson, a licensed social worker representing New York’s 79th District, joins us to discuss increasing access to and trust in healthcare services.

With a background in New York City public schools, Assembly Member Jackson brings a unique, holistic perspective to the legislature, recognizing that health is inextricably linked to social and emotional well-being. She advocates for an "all of the above" approach to reform, addressing everything from noise pollution to neighborhood safety to food insecurity to financial literacy.

Together, we unpack the stark realities of health disparities in the Bronx and around the country, and discuss how legislators and industry leaders can create meaningful change.

________

Sign up for our email list.

Thank you to our members who make our work possible! As a 501(c)(3) nonprofit, the Moving to Value Alliance relies on generous supporters to advance our mission of creating a value-based healthcare ecosystem with high-quality health outcomes at a reasonable cost for plan sponsors and their members. Get involved at movingtovalue.org/membership.

Healthcare is the second or third largest expense of most employers. As costs continue to rise, hidden incentives, legacy brokerage models and lack of transparency keep employers stuck in the same expensive cycle.

Donovan Pyle, CEO of Health Compass Consulting, offers a sharp diagnosis of the barriers employers face in reforming this system, as well as the strategies employers can put in play to get more value from their healthcare spending.

Drawing on insights from his new book, Fixing Healthcare: How Executives Can Save Their People, Their Business, and the Economy, Donovan maps out what it takes to flip the script: building a value-driven benefits strategy, eliminating waste and improving outcomes.

Join us for a candid, practical conversation on how employers can drive real change in healthcare.
———————————— 

Find all episodes of Moving to Value Unscripted here⁠⁠. | Sign up for our email list here.

Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!  

As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission. Get involved at movingtovalue.org/membership.  

Rural healthcare is in crisis, and few people understand the stakes better than the National Rural Health Association’s Brock Slabach. In this episode, Slabach cuts through the noise to explain why many rural hospitals are struggling and where real solutions are taking shape.

He breaks down the core pressures facing rural providers — thin margins, stretched workforce, volatile policy — and makes a compelling case for why value-based care isn’t optional anymore. Slabach highlights the programs that are moving the needle, the partnerships that matter and the operational shifts leaders can make now to help their organizations thrive.

The conversation also surfaces a bigger truth — rural health isn’t a side issue. It’s a systemwide warning sign. Join us as we pull rural healthcare from the margins into the center of the value based care conversation.

————————————

Find all episodes of Moving to Value Unscripted here⁠⁠. | Sign up for our email list here.

Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!  

As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit movingtovalue.org/membership.  

This is part two of our Health Systems at a Crossroads webinar. Click here to catch part one, or find it earlier in our podcast feed.

Join us as we discuss a vision for value-based care and practical steps to challenge the status quo. With special guests:

• Mark Gwynne, Chief Value Officer, UNC Health
• Jeffrey Hogan, President, Upside Health Advisors
• Blair Childs, President and CEO, Childs Associates LLC

Moderated by Marion Couch, IntoValue Inc. Co-Founder and CEO, Guidehealth Executive Advisory Board Chair and CMO and Duke University School of Medicine Adjunct Professor.

————————————

All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here.

Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!  

As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.  

This is part one of our Health Systems at a Crossroads webinar. Part two will take place on Friday, November 14 at 12 ET. Click here to register.

Join us as we survey the structural, financial and cultural forces shaping hospital behavior. Our expert guests unpack where hospitals truly make money, how consolidation impacts access and what stands in the way of a systemic shift toward value-based care. With featured speakers:

• Erin Hurlburt, Chief Medical Officer, Population Health Services, Lumeris

• Chris Deacon, Author and Founder, Versan Consulting

• Ge Bai, Professor of Accounting, Johns Hopkins Carey Business School and Professor of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

Moderated by John Rodis, Moving to Value Alliance President and Arista Health LLC Founder and President.

Join us on Friday, November 14 at 12 ET for part two of our Health Systems at a Crossroads webinar, when we'll dig deeper into how health systems can work toward creating high-value care models. Click here to register.

————————————

All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here.

Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!  

As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.  

We're excited to invite you to our upcoming 'Health Systems at a Crossroads' webinar series exploring the challenges facing America’s health systems and the emerging opportunities for transforming care delivery. The sessions will take place at 12 p.m. ET on Friday, November 7 and Friday, November 14.

Click here to register.

Session One — The Health of Health Systems

Friday, November 7, 12-1 p.m. ET

This session will survey the structural, financial and cultural forces shaping hospital behavior. Experts will unpack where hospitals truly make money, how consolidation impacts access and what stands in the way of a systemic shift toward value-based care. With featured speakers:

• Erin Hurlburt, Chief Medical Officer, Population Health Services, Lumeris

• Chris Deacon, Author and Founder, Versan Consulting

• Ge Bai, Professor of Accounting, Johns Hopkins Carey Business School and Professor of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

John Rodis, Moving to Value Alliance President and Arista Health LLC Founder and President will moderate.

Session Two — Innovating Toward Value

Friday, November 14, 12-1 p.m. ET

This session will turn to solutions. Panelists will share practical steps for health systems seeking to realign incentives, embrace new technologies and drive improvements in value-based care. Discussion will center on how health systems can work toward creating high-value care models. With featured speakers:

• Mark Gwynne, Chief Value Officer, UNC Health

• Jeffrey Hogan, President, Upside Health Advisors

• Blair Childs, President and CEO, Childs Associates LLC & Partner, CEO Advisory Network

Marion Couch, IntoValue Inc. Co-Founder and CEO, Guidehealth Executive Advisory Board Chair and Chief Medical Officer and Duke University School of Medicine Adjunct Professor will moderate.

Click here to register.

————————————

All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here.

Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!  

As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.  

This is part two of a two-part episode. Click here to catch part one, or find it in our podcast feed.

What would healthcare look like if it were truly built around the people it serves? In this episode, we take a closer look at Alaska’s Southcentral Foundation and its internationally acclaimed Nuka System of Care — a model that has redefined what value-based care can mean when relationships, trust and community ownership are at the center.

Joining us are April Kyle, President and CEO of Southcentral Foundation, and Dr. Doug Eby, the system’s founding medical director and one of Nuka’s chief architects. Together, we explore how an Alaska Native–owned health system transformed itself from a federal bureaucracy into one of the world’s most respected models of integrated, relationship-based care. April and Doug share the principles and practices that have led to dramatically improved outcomes and high patient and employee satisfaction at significantly lower costs.

Through the story of Nuka, we consider what’s possible when healthcare shifts from doing things to patients to partnering with people — and how lessons from Alaska might chart a course toward more human, more effective value-based systems around the country (and the world).

————————————

Don't miss our upcoming 'Health Systems at a Crossroads' webinar series, which will take place Friday, November 7 and Friday, November 14 at 12 p.m. ET. Click here to register.

————————————

All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here.

Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!  

As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership. 

What would healthcare look like if it were truly built around the people it serves? In this episode, we take a closer look at Alaska’s Southcentral Foundation and its internationally acclaimed Nuka System of Care — a model that has redefined what value-based care can mean when relationships, trust and community ownership are at the center.

Joining us are April Kyle, President and CEO of Southcentral Foundation, and Dr. Doug Eby, the system’s founding medical director and one of Nuka’s chief architects. Together, we explore how an Alaska Native–owned health system transformed itself from a federal bureaucracy into one of the world’s most respected models of integrated, relationship-based care. April and Doug share the principles and practices that have led to dramatically improved outcomes and high patient and employee satisfaction at significantly lower costs.

Through the story of Nuka, we consider what’s possible when healthcare shifts from doing things to patients to partnering with people — and how lessons from Alaska might chart a course toward more human, more effective value-based systems around the country (and the world).

This is part one of a two-part episode. Click here to catch part two, or find it in our podcast feed.

————————————

Don't miss our upcoming 'Health Systems at a Crossroads' webinar series, which will take place Friday, November 7 and Friday, November 14 at 12 p.m. ET. Click here to register.

————————————

All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here.

Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!  

As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.  

Convenience, flexibility, value. Subscription-based models could disrupt the paradigm of accessing (and paying for) healthcare. But can they build buy-in and consumer trust? We discuss with special guest Christina Farr.

As a health tech investor, general partner at Scrub Capital and author of the industry-leading Second Opinion newsletter, Christina offers her perspective on how business model innovation can drive real value in healthcare.

We touch on her recent piece, "Subscription-based healthcare just got a big tailwind," which examines how emerging policy and payment reforms could be a leg up for membership-based and direct care models, and what that might mean for employers and innovators pursuing value-based care.

Join our conversation about how the next generation of healthcare leaders can think differently about impact, incentives, and the real meaning of value.

————————————

All episodes of MTVA Unscripted can be found⁠ ⁠here⁠⁠. | Sign up for our email list here.

Thank you to our MTVA Trade Members and Ally Members whose support helps make this podcast possible!  

As a 501(c)(3) nonprofit, we rely on support from our grassroots network to advance our mission of creating a value-based health system with high-quality patient outcomes at a reasonable cost. For more information and to join us, visit our website: https://www.movingtovalue.org/membership.