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PODCAST

The ShiftShapers Podcast

Change either paralyzes or energizes - the choice is yours. Hear from businesses and entrepreneurs who have become energized and who have profited by shaping the shifts in their markets and practices. Become a SHIFTSHAPERS INSIDER and get our latest download, advance notice of all podcasts, podcast summaries, and special INSIDER-ONLY content. INSIDER SIGN UP

business management

All Episodes

28:40

#515 Health Plan Design - Struggles Shape Smarter...

The ShiftShapers Podcast ·

2025/06/03

In Part 2 of our powerful conversation with David Contorno, president and founder of ePowered Benefits, we go beyond the strategies and structures of health plan design—diving into the real-life struggles that are shaping smarter, more compassionate solutions. Host David A. Saltzman and David Contorno discuss the realities of scaling direct primary care, creative ways to bridge care gaps, and the challenges of educating employers and advisors about fiduciary responsibility. But the heart of t...

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32:22

#514 Health Plan Design – Smart Solutions, Shifting...

The ShiftShapers Podcast ·

2025/05/27

What does “smart” health plan design look like in an industry packed with legacy thinking and rising costs? In Part 1 of a special two-part ShiftShapers interview, host David A. Saltzman welcomes back David Contorno, president and founder of ePower Benefits—and one of the industry’s most well-known disruptors. David pulls back the curtain on his journey from traditional insurance to innovative plan design, explaining why “business as usual” can’t fix the healthcare system. He discusses creati...

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30:48

#513 Medication Mandate Madness with Tiffany Ryder

The ShiftShapers Podcast ·

2025/05/20

Understanding Trump's Executive Order on Drug Pricing | ShiftShapers In this episode of ShiftShapers, host David A. Saltzman welcomes Tiffany Ryder, emergency medicine PA, host of Healthcare Liberty Lab, and writer at Red Flag Hero on Substack. Tiffany breaks down President Trump’s executive order on drug pricing and what it could mean for patients, providers, and pharmaceutical companies. She explores key issues like most favored nation pricing, transparency in drug costs, and the role of PB...

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21:36

REPLAY #453: What If Ambulatory Care Was a Direct Pay...

The ShiftShapers Podcast ·

2025/05/13

🎧 Replay Episode: Rethinking Healthcare Costs with Direct Pay Models As healthcare expenses continue to rise and insurance premiums stretch beyond affordability, more Americans are exploring alternatives. In this replay episode, we're revisiting a powerful conversation with Dr. Jawad Arshad, CEO of WoW Health Solutions, on how direct pay models could reshape ambulatory care. Dr. Arshad breaks down the benefits, challenges, and potential of a direct pay approach — offering insights into a

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21:37

REPLAY #445 Is Buying Health Insurance Like Renting...

The ShiftShapers Podcast ·

2025/04/29

In this REPLAY episode of ShiftShapers, host David interviews Paula Muto, a practicing surgeon and founder of Uber Docs. Paula shares her perspective on the inefficiencies in the current healthcare system, comparing buying health insurance to renting an apartment, and advocates for a direct pay model to improve the situation. She explains how Uber Docs facilitates transparent, direct transactions between patients and physicians, ultimately aiming to lower overall healthcare costs by empowerin...

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23:41

#512: Fixing the Pharmacy Desert with David Blair |...

The ShiftShapers Podcast ·

2025/04/22

In this episode of ShiftShapers, host David A. Saltzman sits down with David Blair, founder and CEO of LucyRx, to explore a growing crisis in American healthcare: pharmacy deserts. As rural and underserved communities lose access to local pharmacies, millions are left without a vital link in the healthcare chain. David unpacks the economic and systemic challenges driving pharmacy closures and shares how LucyRx is stepping in to reshape the future of pharmacy care. From the SPARC (Sustaining P...

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30:03

#511: The Compliance Circus Continues – Carol Taylor...

The ShiftShapers Podcast ·

2025/04/15

In this episode of ShiftShapers, host David A. Saltzman welcomes compliance expert Carol Taylor, JM, of BenefitMall, for a deep dive into the rapidly evolving world of employer compliance. From court rulings and legislative penalties to HIPAA security updates and AI-driven benefit denials, Carol offers critical insights for anyone navigating today’s tangled regulatory landscape. She unpacks the latest on ERISA preemption battles, mental health parity lawsuits, and the real-world impact of com...

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28:54

#510 - AI Declares War on Denials with Neal Shah |...

The ShiftShapers Podcast ·

2025/04/08

In this episode of ShiftShapers, host David A. Saltzman sits down with Neal Shah, co-founder of Counterforce Health, to explore how artificial intelligence is transforming the fight against denied health insurance claims. Shah shares his personal journey from finance into healthcare advocacy, shaped by firsthand experiences navigating the broken healthcare system for his family. That path ultimately led to the creation of Counterforce Health—a free AI-powered platform that’s helping patients ...

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28:14

#509 Is Prescription Pricing Transparency and...

The ShiftShapers Podcast ·

2025/04/01

In this episode of ShiftShapers, host David A. Saltzman sits down with Vinay Patel, PharmD, founder of MakoRX, to expose why prescription pricing remains so confusing—and what can be done to fix it. Patel breaks down how pharmacy benefit managers (PBMs), vertical integration, and opaque pricing structures are driving up costs for patients—while limiting access and undermining local pharmacies. From subscription pharmacy programs to cash-pay and compounding models, Patel shares bold, practical...

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21:52

#508 Is DI The Unicorn Product You Need? Part 2 with...

The ShiftShapers Podcast ·

2025/03/25

Part 2 of our deep dive into Disability Insurance (DI) on the ShiftShapers Podcast goes beyond the basics—diving into strategic implementation, evolving underwriting standards, and revenue-generating opportunities for advisors. In this episode, host David Saltzman continues the conversation with Don Schamay, Regional Director of Executive Benefits at The Principal, to explore how disability insurance can be a transformative tool for both clients and advisors. Don shares his insi...

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22:31

#507 Is DI The Unicorn Product You Need? Part 1 with...

The ShiftShapers Podcast ·

2025/03/18

Welcome to Part One of our deep dive into Disability Insurance (DI) on the ShiftShapers Podcast! In this two-part series. In this episode, host David Saltzman converses with Don Schamay, Regional Director of Executive Benefits at The Principal, about the often-overlooked importance of disability insurance in a comprehensive health insurance strategy. Don shares his journey from military service to a seasoned expert in disability insurance, emphasizing the critical need for both individual and...

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21:59

#506 Scaling Smarter by Diversifying Your Practice...

The ShiftShapers Podcast ·

2025/03/11

In this episode of ShiftShapers, Host David Saltzman interviews Dave Toeben, president of Insight Insurance Services, about how insurance professionals can enhance their business through business continuation planning. Dave shares his journey from focusing on group health insurance to specializing in buy-sell agreements, key person, and deferred compensation plans. They discuss the importance of reviewing buy-sell agreements, including recent legal changes such as the Conley case, and e...

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24:11

#505 PBMs are Sick: Is there a disruptor writing a...

The ShiftShapers Podcast ·

2025/02/26

In this episode of Shift Shapers, Susan Thomas, Chief Commercial Officer at LucyRx, discusses how LucyRx is addressing the issues and conflicts within the traditional Pharmacy Benefit Manager (PBM) landscape. The conversation delves into the structural problems of traditional PBMs, the role of misaligned incentives, and how LucyRx aims to eliminate these conflicts to benefit plan sponsors and patients. Key topics include formulary management, specialty pharmacy networks, and the importance of...

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28:06

#504 Carrots are Better Than Sticks - with Ross...

The ShiftShapers Podcast ·

2025/02/18

In this episode of Shift Shapers, David interviews Ross Bjella, founder and CEO of Alithias, Inc., to discuss the challenges of changing health care behavior and the inaccuracies in measuring those changes. They explore the complexities of helping patients understand their health care options and costs, and advocate for transparent, actionable data to aid in more informed decisions. This Episode is Sponsored by Benepower BenePower is an AI-powered platform that helps advisors build...

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22:06

#502 - DPC is Becoming Direct Patient Care with Dr....

The ShiftShapers Podcast ·

2025/01/28

In this episode of Shift Shapers, we explore strategies to enhance the growth and adoption of Direct Primary Care (DPC) with Dr. Bernard Bubanic, CEO and President at Integrated Source One. Dr. Bubanic shares his journey and insights into creating a multidisciplinary approach to healthcare, ensuring access to comprehensive care without the financial hurdles. We discuss the integration of various services such as telehealth, behavioral health, and musculoskeletal services, as well as the impor...

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20:34

#501 An ACA Author Looks Forward

The ShiftShapers Podcast ·

2025/01/21

Join us on this episode of ShiftShapers as host David Saltzman sits down with former New Jersey Congressman Rob Andrews, one of the key authors of the Affordable Care Act (ACA). Fifteen years after the ACA's passage and ten years since its implementation, Rob shares his journey from aspiring sports writer to influential lawmaker, his role in drafting the ACA, and thoughtful reflections on its successes, shortcomings, and future prospects. We delve into topics such as healthcare coverage expan...

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15:11

Ep # 500 Navigating Gag Clause Attestation with...

The ShiftShapers Podcast ·

2024/10/30

Are you struggling to navigate the complex world of gag clause attestation requirements? In this must-watch episode of Shift Shapers, Jennifer Berman, JD, CEO of MZQ Consulting, provides a comprehensive breakdown of everything plan sponsors and advisors need to know about these critical compliance requirements.From the Consolidated Appropriations Act of 2021 to today's implementation challenges, discover how these regulations are reshaping healthcare plan transparency. Jennifer explains why m...

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20:04

REPLAY 339: Paying the Claim After Paying the Claim...

The ShiftShapers Podcast ·

2024/10/09

Unlocking Post Claim Adjudication: Insights with Jordan HershIn this episode of ShiftShapers, host David explores the complex world of post claim adjudication with Jordan Hersh, Vice President of Enterprise Solutions at Vālenz. They discuss the intricacies of self-funded plans, reference-based pricing, and the potential savings associated with renegotiating out-of-network claims. The conversation delves into high performance networks, the inverse relationship between cost and quality in healt...

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20:43

REPLAY: Ep #291 Tech-Driven Strategies for Equitable...

The ShiftShapers Podcast ·

2024/10/02

What if technology could bridge the gap in healthcare access for underserved communities? Join us on this episode of ShiftShapers as we explore the intersection of healthcare technology and underserved communities with Kornelius Bankston, Managing Partner at TechPlug. Discover how innovative solutions are being tailored to meet the unique challenges faced by marginalized populations. Learn about the role of economic factors, geographical disparities, and the historical context affecting these...

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23:12

#Ep 499 Understanding Medicare Creditable Coverage:...

The ShiftShapers Podcast ·

2024/08/20

In this episode of the ShiftShapers Podcast, host David Saltzman chats with Marissa Rufo, JD, MBA, a subject matter expert from MZQ Consulting, to demystify the complexities surrounding Medicare Creditable Coverage. They discuss why it's significant for employers and employees alike, particularly in light of recent legislative changes and the growing number of older employees in the workforce. The conversation addresses compliance requirements, methods for determining creditable coverage, and...

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535 results

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