Recorded at the Ascend Conference in Salt Lake City, David A. Saltzman talks with Lorenzo Amaya, Vice President of Business Development at Integrated Source One. They explore the nationwide physician shortage, the challenges of quality care and timely access, and how innovative solutions like on-site, near-site, and mobile clinics are changing healthcare delivery for employers and employees alike.

Lorenzo shares his journey from banking to telemedicine, and how Integrated Source One works to remove friction from care — making it more affordable, proactive, and accessible no matter where employees are. The conversation dives into proactive healthcare strategies, the role of virtual primary care, and meeting patients where they are with flexible delivery models.

🤖 Sponsored by BenePower
BenePower is an AI-powered platform helping advisors build high-impact, self-insured health plans quickly and seamlessly. By integrating best-in-class point solutions and eliminating inefficiencies, BenePower reduces costs, improves member outcomes, and positions advisors as industry leaders.
🔗 Learn more at BenePower.com

🔑 Key Takeaways from This Episode

📌 The Physician Shortage Is Real
 Patients are waiting months for appointments, creating a bottleneck in care.

📌 Quality and Access Go Hand in Hand
 Lorenzo explains why true care solutions must address both simultaneously.

📌 Virtual Care Is Here to Stay
 From chronic condition management to urgent needs, telehealth is becoming the norm.

📌 On-Site, Near-Site, and Mobile Clinics Reduce Friction
 Flexible care delivery can keep employees healthier and out of the ER.

📌 Proactive Care Saves Costs
 Continuous access and preventive screenings stop expensive, episodic events before they happen.

⏱️ In This Episode

00:00 Live from Ascend: Introducing Lorenzo Amaya
 02:00 From banking to telemedicine and healthcare innovation
 04:30 The scope and causes of the physician shortage
 07:30 Quality of care and reimbursement challenges
 10:00 The telehealth boom post-COVID
 13:00 Generational comfort with virtual healthcare
 16:00 Streamlining access for better patient experiences
 19:00 On-site, near-site, and mobile clinics explained
 23:00 Cost and feasibility considerations for employers
 26:00 Serving underserved and rural areas
 29:00 Proactive care vs. urgent care
 33:00 Employer adoption and employee education
 37:00 Reducing ER visits and plan costs
 40:00 Frictionless care for better outcomes

Recorded live at the Ascend Conference in Salt Lake City, this episode of ShiftShapers features John Troutman, Vice President of Business Development at Mind Club America. Host David A. Saltzman and John discuss the “mutual mystification” surrounding mental health solutions—and how employers and advisors can start cutting through the noise with real access, real engagement, and real outcomes.

From personal burnout to a professional mission, John shares how his experience as a former pastor helped shape his drive to help a million people get the mental health support they need. The conversation unpacks access issues, poor utilization reporting, stigma, and the vital importance of employer-led engagement.

🤖 Sponsored by BenePower
BenePower is an AI-powered platform helping advisors build high-impact, self-insured health plans quickly and seamlessly. By integrating best-in-class point solutions and eliminating inefficiencies, BenePower reduces costs, improves member outcomes, and positions advisors as industry leaders.
🔗 Learn more at BenePower.com

🔑 Key Takeaways from This Episode

📌 Access Delays Are Still the Norm
 Even with growing awareness, many plans make employees wait 3–5 months for help. Mind Club offers care within 2 business days.

📌 Engagement Starts at the Top
 Mental health solutions are most effective when leadership participates first and normalizes use among employees.

📌 Mental Health Month ≠ Mental Health Action
 Awareness isn’t enough. Employers must embrace solutions that proactively support emotional well-being year-round.

📌 Most Utilization Reports Are Useless
 John explains why vague or absent reporting leaves employers in the dark about what they’re actually paying for.

📌 Proactive Care Beats Reactive Cleanup
 Mind Club encourages regular mental fitness with assessments, gamification, and behavioral nudges before crisis hits.

⏱️ In This Episode
00:00 Live from Ascend: Introducing John Troutman
02:00 Burnout, personal healing, and a mission to help a million people
05:30 What is “mutual mystification” in mental health?
08:00 The real-world problems with EAPs and plan access
10:30 Access in two days—not months
12:00 Predictive vs. reactive mental health models
15:00 How Mind Club’s app keeps users engaged
17:30 Messaging employees: Start with leadership
20:00 Why reporting and data transparency matter
23:00 How to start the mental health conversation with skeptical employers
27:00 What employers want: happier, healthier teams
30:00 Looking ahead: personalization, AI, and robust networks
34:00 Mind Club’s flexibility across funding models
36:00 Final thoughts on solving the mental health crisis

In this episode of ShiftShapers, host David A. Saltzman sits down with Reuven Shelef, CEO of Out of the Box Consulting and creator of the Untangling Complex Challenges methodology. Reuven shares why our brains default to negativity when faced with uncertainty—and how to move from emotional reactivity to clarity and action.

With a blend of logic and emotional insight, Reuven helps leaders and teams understand how to recognize internal blockers, reframe stress, and break through stuck patterns—professionally and personally.

More from Reuven Shelef: https://ReuvenShelef.com/

🤖 Sponsored by BenePower
BenePower is an AI-powered platform helping advisors build high-impact, self-insured health plans quickly and seamlessly. By integrating best-in-class point solutions and eliminating inefficiencies, BenePower reduces costs, improves member outcomes, and positions advisors as industry leaders.
🔗 Learn more at http://BenePower.com

🔑 Key Takeaways from This Episode

📌 Negativity Comes First—By Design
 Our brains are wired for survival, not solutions. Recognizing this helps us shift toward creative thinking.

📌 You’re Not Powerless
 Reuven explains how we can reclaim control—even when external systems and policies feel overwhelming.

📌 The Story Is the Stress
 Often, it’s not the facts that hurt us—it’s the story we tell ourselves about those facts.

📌 Getting Unstuck Starts With Awareness
 A simple process of brain dumping and categorization reveals surprising root causes—and new options.

📌 Leaders Must Create Space
 Inviting authentic conversation and emotional safety at work can unlock powerful transformation.

⏱️ In This Episode
 00:00 Why people get stuck under pressure
 02:00 Childhood conditioning and survival wiring
 04:30 Different brains, different blockers
 07:00 Logical vs. emotional approaches to problem solving
 10:30 What we can control (and what we can't)
 13:00 The danger of unchecked internal stories
 15:30 Reuven’s tools: fact vs. meaning, brain dumps, and mapping
 18:00 Spotting hidden challenges
 20:30 Leading with empathy and creating psychological safety

In this episode of ShiftShapers, host David A. Saltzman talks with Ramesh Kumar, CEO and co-founder of zakipoint health. Ramesh shares how a personal mission to help his father navigate healthcare led to a professional pursuit: transforming overwhelming claims data into actionable insights for employers, advisors, and members.

The conversation explores the evolution of predictive modeling, the growing importance of fiduciary responsibility in plan design, and how AI-powered platforms are helping advisors simplify benefit decisions and improve outcomes. Ramesh offers real-world examples of how data can shape plan strategy, change behavior, and improve care—before costs spiral out of control.

🤖 Sponsored by BenePower

BenePower is an AI-powered platform helping advisors build high-impact, self-insured health plans quickly and seamlessly. By integrating best-in-class point solutions and eliminating inefficiencies, BenePower reduces costs, improves member outcomes, and positions advisors as industry leaders.🔗 Learn more at BenePower.com

🔑 Key Takeaways from This Episode

📌 Claims Data Is the Starting Line—Not the Finish

TPAs can’t block it. Advisors must request it. With the right tools, data can reveal inefficiencies and drive smarter decisions.

📌 Predictive Modeling Meets Personalization

Ramesh explains how modern AI doesn’t just stratify risk—it tailors messages and care nudges to drive better action at the member level.

📌 Fiduciary Awareness Is on the Rise

High-profile lawsuits and rebate opacity are forcing plan sponsors to demand better data—and use it.

📌 AI Is Rewriting the Navigation Experience

Agentic AI will soon act as your members’ personal guide—making healthcare access faster, smarter, and more human (even if it’s not human).

📌 Member Engagement Must Be Proactive

You can’t educate after the ER visit. The future belongs to platforms that reach members before the bill comes.

⏱️ In This Episode

00:00 Introduction to Ramesh and zakipoint health

02:00 From personal mission to industry disruption

04:00 The problem with too much (bad) data

06:00 Turning claims into strategy: risks, costs, gaps

08:30 How fiduciary pressure is reshaping advisor roles

10:00 Making healthcare navigation member-centric

14:00 Predictive modeling and behavioral segmentation

16:30 Agentic AI and rethinking healthcare workflows

19:00 AI in mental health, coaching, and chronic care

20:45 What's next for advisors and tools

22:00 Ramesh’s 5-year vision: frictionless healthcare access

In this episode of ShiftShapers, host David A. Saltzman welcomes Sally Pace, CEO of Connect Healthcare Collaboration and co-founder of The Granite List—a platform built to help benefits advisors compare point solutions with clarity and confidence.

Sally shares how her background in storytelling and communication led to the creation of employee engagement strategies that bridge the gap between tech and human connection. From clinical and benefits advocacy to empowering advisors with transparency tools, Sally emphasizes how trust, education, and personalization are reshaping the future of benefits.

👉 Learn more or create a free profile at: www.thegranitelist.com

🤖 Sponsored by BenePower
BenePower is an AI-powered platform helping advisors build high-impact, self-insured health plans quickly and seamlessly. By integrating best-in-class point solutions and eliminating inefficiencies, BenePower reduces costs, improves member outcomes, and positions advisors as industry leaders.
🔗 Learn more at BenePower.com

🔑 Key Takeaways from This Episode

📌 Don’t Wait for Enrollment to Start Educating
 Sally explains why the most effective strategies involve consistent, year-round communication—not just an annual packet.

📌 Real Advocacy Requires Real People
 Benefits are confusing. Using high-touch, concierge-style advocates helps employees actually use what’s offered.

📌 Data Is Powerful, But Not Enough
 AI can identify needs—but human guidance drives understanding and usage. Together, they make an unstoppable team.

📌 Fiduciary Pressure Is Rising
 With plan sponsors increasingly held accountable for engagement, education is no longer optional—it’s essential.

📌 The Granite List Gives Advisors a Clearer View
 Point solutions are overwhelming. The Granite List brings organization, community insight, and streamlined comparison to the marketplace.

⏱️ In This Episode
00:00 Introduction to Sally and her background
02:11 Lessons from HGTV and marketing communication
04:00 Building human-centered engagement tools
06:00 The staggering underutilization of benefits
08:40 Why AI needs a human touch to work
10:50 Making enrollment an opportunity, not a hurdle
12:30 Advisors and the fiduciary conversation
16:00 Birth of The Granite List platform
18:00 Helping advisors and consultants vet point solutions
20:00 Transparency and personalization in benefit design

 In this episode of ShiftShapers, host David A. Saltzman welcomes Dave Chase, co-founder of Health Rosetta, a movement that has become a national force in transforming employer-sponsored healthcare.

Dave shares the deeply personal story that drove him to create Health Rosetta and the powerful framework that emerged—one focused on transparency, outcomes, and economic sustainability.

The conversation explores how Health Rosetta empowers benefit advisors and employers to break free from the traditional health plan model, the crucial role of data access, and the open-source tools now available through Nautilus Health Institute. Dave also unveils the evolution of RosettaFest from an internal network event into the premier gathering for high-performance health plan innovators across the country.

👉 Join RosettaFest 2025 in Denver: https://rosettafest.org/
👉 Explore open-source tools from Nautilus Health: https://www.nautilushealth.org/

🤖 Sponsored by BenePower
 BenePower is an AI-powered platform helping advisors build high-impact, self-insured health plans quickly and seamlessly. By integrating best-in-class point solutions and eliminating inefficiencies, BenePower reduces costs, improves member outcomes, and positions advisors as industry leaders.
 🔗 Learn more at BenePower.com

🔑 Key Takeaways from This Episode

📌 A Personal Tragedy Sparked a Movement
 A system failure that devastated a friend’s life inspired Dave Chase to create a new framework for health plans.

📌 It All Starts with the Health Plan Contract
 Perverse incentives and system dysfunction stem from opaque, outdated plan contracts—Health Rosetta sets a new standard.

📌 Training a New Class of Benefit Professionals
 Health Rosetta focuses on empowering benefit advisors with the tools and standards to drive measurable change.

📌 The TPA, PBM, and Hospital Contracts Matter Most
 Dave breaks down the three most critical contracts and how employers can renegotiate smarter, data-driven deals.

📌 Nautilus Health Is Open-Sourcing the Playbook
 With $4M+ of legal, contracting, and tech investment, Health Rosetta is giving away the tools others would keep locked up.

📌 Unfettered Data Access Is a Game Changer
 Claims transparency isn’t optional anymore—especially under the Consolidated Appropriations Act.

📌 RosettaFest Is the Epicenter for Innovation
 Once closed-door, RosettaFest now brings together employers, advisors, clinicians, and tech innovators for radical collaboration.

⏱️ In This Episode

• 00:00 Introduction to Health Rosetta
  
  
  
• 01:02 Founding Story and Inspiration
  
  
  
• 02:11 Building the Framework and Ecosystem
  
  
  
• 08:28 Challenges and Pushbacks
  
  
  
• 16:08 New Developments and Future Plans
  
  
  

26:20 Conclusion and Final Thoughts

In this episode of ShiftShapers, host David A. Saltzman speaks with Joanna Conti, founder and chairman of the nonprofit Conquer Addiction. Joanna’s journey began when her own daughter faced life-threatening alcoholism, prompting a years-long search for effective treatment—and an urgent realization: no one was measuring long-term success.

Joanna shares the results of her groundbreaking research following over 100,000 addiction patients, and exposes the massive gaps in transparency, accountability, and outcomes in today’s treatment centers. She also unveils how employers and families can now access verified recovery data to choose truly effective care—and how a new bundled care model is reshaping the rehab industry.

Conquer Addiction Website: https://conquer-addiction.org

🤖 Sponsored by BenePower

BenePower is an AI-powered platform helping advisors build high-impact, self-insured health plans quickly and seamlessly. By integrating best-in-class point solutions and eliminating inefficiencies, BenePower reduces costs, improves member outcomes, and positions advisors as industry leaders.
 🔗 Learn more at BenePower.com

🔑 Key Takeaways from This Episode

📌 Most Treatment Centers Don’t Track Outcomes
Joanna explains why fewer than 1% of rehabs conduct post-treatment follow-ups—and how Conquer Addiction is changing that.

📌 Verified Success Rates Vary Widely
While the average recovery rate is 36%, Joanna’s research shows some centers achieve 50%+ and others less than 15%.

📌 Aligning Incentives with Accountability
New bundled-rate models require rehabs to offer relapse support—creating better outcomes and real transparency.

📌 Employers Bear the Cost
Substance use disorders can cost employers $25,000 per year per employee—before treatment even begins.

📌 A National Claims-Based Registry Is Coming
Joanna’s team is building a predictive model using de-identified claims data to rank treatment center effectiveness nationwide.

📌 Hope and Progress
Joanna’s personal story ends with hope: her daughter is thriving after 13 years in recovery—and now four kids of her own.

⏱️ In This Episode

00:00 Introduction to Treatment Duration and Outcomes

13:59 Accessing Treatment Center Data

14:31 Challenges in the Treatment Industry

14:51 Aligning Incentives for Better Outcomes

16:32 Financial Struggles of Treatment Centers

16:58 Using Data to Identify Effective Treatment Centers

17:56 The Role of Compliance and Legislation

18:35 Developing a National Claims Registry

19:28 Predictive Modeling for Treatment Effectiveness

20:40 Sharing Data with Rehabs and Payers

21:42 Future Goals and Conclusion

Why Reducing Variation = Better Outcomes 

In this episode of ShiftShapers, host David A. Saltzman welcomes Kate Grohall, co-founder and Vice President of Value-Based Solutions at Holista. Kate shares her powerful journey from working with patients in a teaching hospital to building a transformative platform focused on reducing variation in care, cost, and outcomes.

She unpacks how Holista restores trust in the provider-patient relationship, leverages real-time communication tools to improve outcomes, and helps employers drive change by demanding value—not volume.

🤖 Sponsored by BenePower
BenePower is an AI-powered platform helping advisors build high-impact, self-insured health plans quickly and seamlessly. By integrating best-in-class point solutions and eliminating inefficiencies, BenePower reduces costs, improves member outcomes, and positions advisors as industry leaders.
🔗 Learn more at BenePower.com

🔑 Key Takeaways from This Episode

📌 Quality = Reducing Variation
Kate defines healthcare quality as reducing unpredictability across cost, outcomes, and patient experience.

📌 C Still Equals MD
Most consumers can't distinguish between top- and bottom-tier physicians. Holista’s proprietary vetting process closes that gap.

📌 Restoring the Provider-Patient Relationship
Holista rebuilds what’s been lost by re-emphasizing relationships and collaboration across care teams.

📌 Real-Time Care Prevents Crisis
Through a patient app and nurse engagement, Holista helps patients avoid unnecessary ER visits and complications.

📌 Incentives That Actually Change Behavior
Forgiving copays and reducing premiums for high-value care choices gives patients immediate financial benefits.

📌 Employers Take the Wheel
Employers are stepping out of the back seat and demanding better results—and Holista helps them drive smart, sustainable change.

⏱️ In This Episode

00:00 Introduction to Better Health Outcomes

00:47 Kate Grohall’s Journey into Healthcare

03:12 Understanding Quality in Healthcare

05:19 Challenges in Reducing Variation

06:50 Provider and Patient Experience

08:57 Quality Metrics Beyond Standards

13:13 Real-Time Communication in Healthcare

14:41 Changing Behavior and Incentives

21:31 Future of Healthcare and Technology

22:56 Employers Taking the Driver's Seat

24:53 Conclusion and Final Thoughts

Why Are We Paying More for Worse Health? | ShiftShapers

In this episode of ShiftShapers, host David A. Saltzman welcomes Helene M. Epstein—writer, speaker, and patient advocate behind the Substack series Patient No More. Helene dives deep into America’s epidemic of medical errors, misdiagnoses, and system failures. She breaks down why even the most advanced technology and training haven’t improved patient safety, how profit-driven healthcare puts patients at risk, and—most importantly—what individuals can do to protect themselves and their families.
From shocking statistics about misdiagnosis to the hidden realities of rural hospital closures, Helene provides practical advice and hope for patients who are ready to become their own advocates.

🤖 Sponsored by BenePower
BenePower is an AI-powered platform helping advisors build high-impact, self-insured health plans quickly and seamlessly. By integrating best-in-class point solutions and eliminating inefficiencies, BenePower reduces costs, improves member outcomes, and positions advisors as industry leaders.
🔗 Learn more at BenePower.com

🔑 Key Takeaways from This Episode

📌 Medical Harm Is Underreported and Overlooked
 One in four hospital patients is harmed—and most of those incidents aren’t even recorded. Medical error remains a massive, hidden problem.

📌 Diagnostic Error Is Common—and Dangerous
 5–25% of U.S. adults are misdiagnosed each year. The most common errors? Testing failures, insurance barriers, and lack of communication between patients and providers.

📌 The System Is Built for Billing, Not Healing
 EMRs, insurance company rules, and corporate healthcare ownership have prioritized profits and paperwork over patients—leaving safety and transparency behind.

📌 Rural and Marginalized Patients Are at Greater Risk
 Access to care is shrinking as hospitals close pediatric and maternal units, especially in rural and underserved communities.

📌 Patient Advocacy Is Rising
 Helene shares why empowered patients—armed with information, organized records, and second opinions—are the best defense against medical error.

📌 Practical Steps: Protect Yourself
 Keep copies of your records, use health portals, seek second opinions, and research providers before major procedures. Being “patient no more” means taking an active role in your own care.

More from Helene M. Epstein

Patient No More is a free Substack by patient advocate Helene M. Epstein, offering practical advice to help you avoid misdiagnosis and medical error. Read her ongoing guide to surviving American healthcare at https://helenemepstein.substack.com/

⏱️ In This Episode

• 00:00 – Why Does U.S. Healthcare Cost So Much and Deliver So Little?\
• 01:00 – What Counts as Medical Error and Harm?
• 03:00 – The Impact on America’s Workforce
• 04:30 – Corporatization and the Decline of Access
• 07:45 – The Prevalence of Diagnostic Errors
• 10:00 – The Role of Insurance in Delaying Proper Treatment
• 12:00 – Medication Errors, Pharmacy Mistakes, and Communication Gaps
• 15:00 – Why Electronic Medical Records Don’t Fix the Problem
• 18:30 – Patient Advocacy, “Patient No More,” and Surviving American Healthcare
• 21:00 – Misdiagnosis in Women, Children, and Marginalized Groups
• 24:30 – The Future of Patient Safety and System Reform
  
  

Rethinking PPOs: How High-Performance Networks Deliver Value | ShiftShapers

In this episode of ShiftShapers, host David A. Saltzman sits down with Scott Smith, founder and CEO of Logro Network, to discuss a revolution in health plan design: the nationally curated high-performance network. Scott unpacks the origins of PPOs, why the old “discount everything” approach is broken, and how a focus on total value—cost, quality, and outcomes—can transform employer health plans.
 You’ll learn how Logro Network uses massive data sets and provider scoring to give members more choice and better information, all while helping plans rein in costs and fulfill their fiduciary duty.

🤖 Sponsored by BenePower
BenePower is an AI-powered platform helping advisors build high-impact, self-insured health plans quickly and seamlessly. By integrating best-in-class point solutions and eliminating inefficiencies, BenePower reduces costs, improves member outcomes, and positions advisors as industry leaders.
🔗 Learn more at BenePower.com

🔑 Key Takeaways from This Episode
📌 Why PPOs Are Stuck in the Past
Traditional networks focused only on unit cost, not total value—leaving members and plans exposed to higher downstream costs and mediocre quality.

📌 Volume and Discounts Aren’t Enough
 Providers are leaving old PPOs as deep discounts become unsustainable. The cheapest care isn’t always the best, and a “race to the bottom” can cost more in the long run.

📌 High-Performance Networks = Data-Driven Choice
 Logro Network’s national footprint scores providers on cost, quality, and appropriateness using over 50 billion claims—empowering members to pick the best care for their needs.

📌 Quality ≠ High Cost
 Surprisingly, the best providers are often not the most expensive. High-quality care can lower total cost of care through fewer complications and better outcomes.

📌 Member Experience Is Central
 With transparent, easy-to-read provider profiles (using AI to simplify 300+ metrics!) and broad network access, members get more control, less disruption, and the right information to make informed decisions.

📌 A Win for Employers and Brokers
 Plans using high-performance networks can see immediate cost reductions, better renewal rates, and lower medical loss ratios—while meeting growing fiduciary expectations.

⏱️ In This Episode

• 00:00 Introduction to High Performance Networks
• 00:47 Guest Introduction: Scott Smith
• 01:30 The Evolution of Networks
• 04:22 Challenges of Traditional Networks
• 07:09 Introduction to High Performance Networks
• 09:55 Building a High Performance Network
• 14:04 Member and Plan Benefits
• 21:02 National Coverage and Future Plans