{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/67b8c1cd19249d0c1ab3e4f9/69d7a4773ae78d6f1197a99d?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"Broken Healthcare Costs, Self-Funding, Anti-BUCA & Real Reform | Broken Healthcare Podcast #91","thumbnail_width":200,"thumbnail_height":200,"thumbnail_url":"https://open-images.acast.com/shows/67b8c1cd19249d0c1ab3e4f9/1775739972021-58f03ea5-63d8-4869-a006-4247800fb944.jpeg?height=200","description":"<p>Emma Fox joins the show in-studio to explain why healthcare costs keep rising and how incentives inside the traditional health insurance system often work against employers and patients.</p><p><br></p><p>Drawing on her experience inside the industry, Emma breaks down how compensation structures, carrier incentives, and consolidation influence employer-sponsored healthcare decisions. She explains why more organizations are exploring self-funded health plans, independent TPAs, direct primary care, and reference-based pricing as alternatives to traditional insurance models.</p><p><br></p><p>We also discuss how collaboration between employers, advisors, and physicians can help create more transparent healthcare strategies, and why education initiatives like Symposium are helping drive innovation across the healthcare ecosystem.</p><p><br></p><p>If you are an employer, advisor, HR leader, or healthcare professional trying to better understand rising healthcare costs, this conversation offers practical insight into how the system works and where change may happen.</p><p><br></p><p>Subscribe for more conversations focused on improving healthcare outcomes.</p><p><br></p><p>#HealthcareCosts #SelfFundedHealthPlans #HealthInsurance #EmployerBenefits #HealthcareInnovation #HealthcareTransparency #DirectPrimaryCare #ReferenceBasedPricing #BenefitsStrategy #HealthcareReform #TPA #HealthcareEconomics #HealthcareLeadership #BUCAIncentives </p><p><br></p><p>00:00 Intro </p><p>01:10 Emma’s journey from the UK to U.S. healthcare</p><p>03:00 Starting in life insurance and entering the insurance industry</p><p>08:30 Understanding health insurance incentives</p><p>12:00 Ethical conflicts inside traditional insurance models</p><p>15:00 Advisor compensation structures and industry challenges</p><p>18:00 Capitalism and healthcare economics</p><p>21:00 Government influence and healthcare policy realities</p><p>23:00 The employer’s role in fixing healthcare</p><p>27:00 The origin of Symposium</p><p>30:00 Bringing employers, advisors, vendors, and physicians together</p><p>32:00 Why physicians must be part of the healthcare conversation</p><p>35:00 Private equity and healthcare delivery challenges</p><p>38:00 Collaboration between doctors and advisors</p><p>42:00 Purpose-driven advisory models</p><p>45:00 Vision for improving the healthcare system</p><p>52:00 Advice for employers evaluating healthcare strategies</p><p>58:00 Industry collaboration and future outlook</p><p>1:04:20 How to connect with Emma Fox</p>","author_name":"Ray Kober"}