Recorded live in Chicago before an audience of HC3 members and partners, this fourth installment of Season 3 of the HC3 Podcast brings listeners inside the Q4 Summit, The State of American Healthcare. Hosted in partnership with Third Horizon and 4Sight Health, the event convened local and national leaders to examine the forces reshaping the health care system and what it will take to move it forward.
The episode opens with a Fireside Chat, Reset or Reinvention? The State of the System, moderated by Lynn Hanessian (The Engager Company) and featuring Dave Johnson (CEO, 4Sight Health). Johnson reflects on the accelerating pace of change across health care, outlining five macro forces placing unprecedented strain on the system and arguing that incremental solutions can no longer address exponential challenges. The conversation underscores the urgent need to rebalance spending toward prevention, chronic disease management, and population health.
The discussion continues with a panel, Where the System Is Breaking and Where It Can Be Rebuilt, moderated by Lynn Hanessian and featuring Dr. Bobby Mukkamala (President, AMA), Dr. Shikha Jain (University of Illinois Chicago Cancer Center and Founder, Women in Medicine®), Dr. Thomas Fisher (UChicago Medicine), and Dave Johnson. Panelists ground the conversation in lived clinical experience, highlighting how inefficiency, prior authorization, fragmentation, and misinformation translate directly into patient harm.
Panelists also explore opportunities for near-term change, including interoperability, site-neutral care, and aligning incentives with prevention and outcomes rather than volume. While the challenges are significant, the episode closes with a shared call for moral clarity, collaboration, and courage to stop what no longer serves patients and build something better.
This live edition captures a candid, urgent conversation about where American health care stands today and what it will take to shape what comes next.
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This episode of the HC3 podcast is brought to you by Third Horizon. HC3 is administratively and strategically managed as an initiative of Third Horizon. Third Horizon is a Chicago-based but nationally present boutique advisory firm focused on shaping the future state of health care. www.thirdhorizon.co
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The Coming Healthcare Revolution: 10 Forces that Will Cure America's Health Crisis
Book written by David Johnson and Paul Kusserow | Learn more and purchase a copy here
For more information about events and other updates on the work of HC3, visit www.HC3.Health.
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