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What if the real reason healthcare keeps getting more expensive isn’t doctors or patients, but a benefits system that is designed to reward overspending instead of better health outcomes? In this episode, healthcare entrepreneur Dave Chase, founder of Health Rosetta, joins host Kevin Bayuk to unpack what is wrong with U.S. healthcare and what needs to change to realign the system towards better outcomes.

In their conversation, Kevin and Dave delve into the hidden forces that shape everyday healthcare. They discuss how planning, design, and care delivery are influenced by incentives and intermediaries, and why prevention and primary care are so vital. They also unpack how to fund healthcare for better outcomes, and what it looks like to rebuild healthcare from the ground up with aligned partners, better planning, and advanced primary care.

Finally, they explore what a “next healthcare economy” could make possible for employers, workers, and entire communities, and Dave breaks down how smarter design and better governance can free up resources to support the conditions that help people and communities thrive.

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What You’ll Learn:

Hear about Dave’s background and what motivated him to want to transform healthcare. [0:02:28]
Understand how the healthcare system is structured and how Health Rosetta is helping change it. [0:09:18]
Learn about the ways incentives influence the system and why the system rewards overspending. [0:17:56]
Discover success stories that show what’s possible when healthcare is rebuilt with aligned incentives. [0:33:17]
Explore how better healthcare design and funding can bridge the healthcare divide and strengthen communities. [0:40:33]
Hear Dave’s advice on how to help employees and employers navigate healthcare and his future outlook for the system and communities. [0:49:16]

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Memorable Quotations:

“There’s no saving the current [healthcare] system. It’s going through a collapse. What is going to replace it? What’s in the next healthcare economy?” — Dave Chase [0:07:18]

“The only way you pay less for healthcare is to pay less for healthcare.” — Dave Chase [0:16:18]

“Just work with good, ethical organizations that have aligned incentives, and make sure it’s working, and [then] you’re off to the races.” — Dave Chase [0:32:06]

“If you’re not working with the right benefit advisor, insurance agent, benefit broker, whatever you want to call them, it’s pretty hard to get from here to there.” — Dave Chase [0:52:05]

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Links Mentioned in Today’s Episode:

Dave Chase – Website: https://davechase.org

Dave Chase – LinkedIn: https://linkedin.com/in/chasedave/

Contact Dave – Email: [email protected]

Health Rosetta – Website: https://healthrosetta.org/

Relocalizing Health with Dave Chase – Podcast: https://relocalizinghealth.com/

The CEO’s Guide to Restoring the American Dream – Book Link: https://healthrosetta.org/ceoguide/

Relocalizing Health – Book Link: https://healthrosetta.org/relocalizing/

The Opioid Crisis Wake-up Call – Book Link: https://healthrosetta.org/wakeup-call/

Healthcare Stole the American Dream – TEDx Talk: https://youtube.com/watch?v=wKmbKEOUaQU

Rosen Insurance – Website: https://roseninsurance.com/