Relocalizing Health with Dave Chase Thu, 16 Jul 2026 15:30:39 -0400 https://www.buzzsprout.com/2504748 en-us © 2026 Relocalizing Health with Dave Chase yes bc7e1612-6092-582a-a14c-edf1159ca152 TopHealth Media episodic false While Washington argues and Wall Street profits, a quiet transformation is reshaping healthcare: one community at a time.


Relocalizing Health takes you inside this movement with Dave Chase, founder of Health Rosetta, as he talks with the people leading healthcare's ground-up transformation. Their approach? Keep care local, rebuild trust, and redirect healthcare wasted spending into something that actually serves people.


You'll hear real-world stories from employers, clinicians, and civic leaders who are designing health plans and ecosystems that work, and strengthening their local economies in the process.


Featured guests include:

- Public sector leaders who've redesigned employee health benefits to free up millions for essential services.

- Physicians who've left corporate systems to practice relationship-based care.

- Manufacturing executives using healthcare as a competitive advantage - not a cost burden.

- Civic leaders helping communities reclaim control of their healthcare destiny.


If you care about your community's future and want to see what's actually working in healthcare transformation, this show offers a clear-eyed look at proven models and how to implement them.

]]> Buzzsprout (https://www.buzzsprout.com) TopHealth Media https://storage.buzzsprout.com/a5lb5vqswj4yw86v07iz9272uvnj?.jpg Relocalizing Health with Dave Chase https://www.buzzsprout.com/2504748 How Can Community-Driven Healthcare Transform Costs and Outcomes? How Can Community-Driven Healthcare Transform Costs and Outcomes? Welcome to Relocalizing Health! In this episode, Dave Chase sits down with Claire Brockbank, a trailblazer in transforming healthcare costs and outcomes through community-driven strategies. From helping Colorado’s mountain towns slash exorbitant insurance prices with Peak Health Alliance to leading one of the largest union health funds in the nation at 32BJ, Claire Brockbank has proven that local communities, armed with the right data and determination, can take back control from hospital monopolies and insurance giants. 

Together, they explore the power of direct contracting, the critical role of transparency and accountability, and innovative programs like 32BJ’s $40 baby initiative. 

Listen in for practical lessons and inspiration on how you, your organization, or your community can challenge the status quo and drive real, measurable healthcare change.


Timestamps:

00:00 Addressing High Health Care Costs

04:17 Fair pricing for hospital negotiations

09:40 Using data in negotiations

12:47 Direct health care negotiations

16:13 Overcoming Challenges with Claire and 32BJ

18:37 Launching the maternity program

22:01 Addressing healthcare inequalities

23:43 Negotiating healthcare savings and impacts

26:59 Claire's leadership in health cooperatives


Claire BrockBank - https://www.linkedin.com/in/claire-brockbank-17b7901/

32BJ Health Fund - https://health.32bjfunds.org/

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health! In this episode, Dave Chase sits down with Claire Brockbank, a trailblazer in transforming healthcare costs and outcomes through community-driven strategies. From helping Colorado’s mountain towns slash exorbitant insurance prices with Peak Health Alliance to leading one of the largest union health funds in the nation at 32BJ, Claire Brockbank has proven that local communities, armed with the right data and determination, can take back control from hospital monopolies and insurance giants. 

Together, they explore the power of direct contracting, the critical role of transparency and accountability, and innovative programs like 32BJ’s $40 baby initiative. 

Listen in for practical lessons and inspiration on how you, your organization, or your community can challenge the status quo and drive real, measurable healthcare change.


Timestamps:

00:00 Addressing High Health Care Costs

04:17 Fair pricing for hospital negotiations

09:40 Using data in negotiations

12:47 Direct health care negotiations

16:13 Overcoming Challenges with Claire and 32BJ

18:37 Launching the maternity program

22:01 Addressing healthcare inequalities

23:43 Negotiating healthcare savings and impacts

26:59 Claire's leadership in health cooperatives


Claire BrockBank - https://www.linkedin.com/in/claire-brockbank-17b7901/

32BJ Health Fund - https://health.32bjfunds.org/

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19504170 Thu, 16 Jul 2026 15:00:00 -0400 1794 1 26 full false Case Study: The Clinic That Started in an Accounting Office and Saved $570 Million - Rosen Hotels, Orlando Case Study: The Clinic That Started in an Accounting Office and Saved $570 Million - Rosen Hotels, Orlando Rosen Hotels & Resorts is a family hospitality company in Orlando, Florida, built by Harris Rosen, the son of immigrants who grew up on New York's Lower East Side. During the oil crisis in the 1970s, he bought a bankrupt Quality Inn on International Drive with a modest down payment and a lot of nerve. By the early 90s he had built a real company. And like every other employer in America, he was getting hammered by healthcare increases.

His workforce reflected the hospitality industry in Central Florida: a lot of immigrants, many of whom had never had access to a modern healthcare system. The traditional insurance model was punishing them with high deductibles, rising premiums, and surprise bills, in an industry where people live paycheck to paycheck.

So Rosen and his CFO, Frank Santos, now the company's CEO, asked a question almost nobody asks: what if the hundreds of millions going into bureaucracy went to caring for people instead? They converted part of an accounting office into a clinic with one part-time doctor. Their broker told them to stay in the insurance pool. Industry veterans said an employer couldn't deliver care without going broke or going substandard.

Three decades later, that accounting-office clinic is a 12,000-square-foot medical center. Rosen employees see a doctor on the clock, not on their own time. Deductibles and co-pays went down while the rest of the industry raised them. Per-employee healthcare costs run 55 percent below industry norms, sustained for thirty years. Total savings: $570 million and counting.

Rosen never kept the savings. They poured them into Tangelo Park: free preschool, free daycare, fully funded college scholarships for an entire neighborhood. High school graduation rates that used to be unacceptably low now sometimes hit 100 percent. Crime dropped 80 percent.

If a mid-sized hotel company in Orlando can build this, "we're not a healthcare company" stops being an excuse. It is just a story we tell ourselves.

Kenneth Aldrich, Rosen's clinical leader since 1998, and Carolyn Grant from Rosen's care team will be at RosettaFest 2026, July 29 to 31 in Nashville at the Gaylord Opryland. They will be in the room. So will the playbook.

Key Takeaways:

  • Harris Rosen bought a bankrupt Quality Inn on International Drive in Orlando during the 1970s oil crisis and built Rosen Hotels & Resorts from it
  • Facing a steep renewal increase in the 1990s, Rosen and CFO Frank Santos converted part of an accounting office into a clinic with one part-time doctor, against their broker's advice
  • That clinic is now a 12,000-square-foot medical center, built in part on fully functioning used equipment bought at 10 cents on the dollar
  • Employees see their doctor on the clock, get free rides to appointments, and complex health needs (60 to 72 percent of pregnancies now classified high risk) are treated as a design problem, not a liability
  • Rosen's opioid prescription rate runs at one-sixth the typical US employer rate, a pattern Dave Chase investigated for his book The Opioid Crisis Wake-Up Call
  • Healthcare costs have stayed essentially flat at the rate of inflation for three decades; per-employee costs run 55 percent below industry norms
  • Total savings: $570 million and counting, benchmarked against comparable Orlando hospitality employers
  • Employee weekly contribution is about $16.66; turnover runs at one-sixth the industry rate; workers' comp costs were cut in half
  • The Tangelo Park Program funds free preschool, daycare, after-school care, and fully funded college scholarships for an entire neighborhood; economist Lance Lochner measured a 7-to-1 return on the investment
  • The model has since spread into Parramore and the historic Eatonville neighborhood, and other Orlando employers have followed, including Second Harvest Food Bank and the School District of Osceola County, which saved $21 million in its first two years

Resources Mentioned:

  • The Opioid Crisis Wake-Up Call by Dave Chase
  • Relocalizing Health by Dave Chase: pre-order on Amazon now
  • RosettaFest 2026: RosettaFest.org - Rosen's clinical and care leadership will be in Nashville

Subscribe and Follow: Relocalizing Health Podcast, available on all major platforms.


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Rosen Hotels & Resorts is a family hospitality company in Orlando, Florida, built by Harris Rosen, the son of immigrants who grew up on New York's Lower East Side. During the oil crisis in the 1970s, he bought a bankrupt Quality Inn on International Drive with a modest down payment and a lot of nerve. By the early 90s he had built a real company. And like every other employer in America, he was getting hammered by healthcare increases.

His workforce reflected the hospitality industry in Central Florida: a lot of immigrants, many of whom had never had access to a modern healthcare system. The traditional insurance model was punishing them with high deductibles, rising premiums, and surprise bills, in an industry where people live paycheck to paycheck.

So Rosen and his CFO, Frank Santos, now the company's CEO, asked a question almost nobody asks: what if the hundreds of millions going into bureaucracy went to caring for people instead? They converted part of an accounting office into a clinic with one part-time doctor. Their broker told them to stay in the insurance pool. Industry veterans said an employer couldn't deliver care without going broke or going substandard.

Three decades later, that accounting-office clinic is a 12,000-square-foot medical center. Rosen employees see a doctor on the clock, not on their own time. Deductibles and co-pays went down while the rest of the industry raised them. Per-employee healthcare costs run 55 percent below industry norms, sustained for thirty years. Total savings: $570 million and counting.

Rosen never kept the savings. They poured them into Tangelo Park: free preschool, free daycare, fully funded college scholarships for an entire neighborhood. High school graduation rates that used to be unacceptably low now sometimes hit 100 percent. Crime dropped 80 percent.

If a mid-sized hotel company in Orlando can build this, "we're not a healthcare company" stops being an excuse. It is just a story we tell ourselves.

Kenneth Aldrich, Rosen's clinical leader since 1998, and Carolyn Grant from Rosen's care team will be at RosettaFest 2026, July 29 to 31 in Nashville at the Gaylord Opryland. They will be in the room. So will the playbook.

Key Takeaways:

  • Harris Rosen bought a bankrupt Quality Inn on International Drive in Orlando during the 1970s oil crisis and built Rosen Hotels & Resorts from it
  • Facing a steep renewal increase in the 1990s, Rosen and CFO Frank Santos converted part of an accounting office into a clinic with one part-time doctor, against their broker's advice
  • That clinic is now a 12,000-square-foot medical center, built in part on fully functioning used equipment bought at 10 cents on the dollar
  • Employees see their doctor on the clock, get free rides to appointments, and complex health needs (60 to 72 percent of pregnancies now classified high risk) are treated as a design problem, not a liability
  • Rosen's opioid prescription rate runs at one-sixth the typical US employer rate, a pattern Dave Chase investigated for his book The Opioid Crisis Wake-Up Call
  • Healthcare costs have stayed essentially flat at the rate of inflation for three decades; per-employee costs run 55 percent below industry norms
  • Total savings: $570 million and counting, benchmarked against comparable Orlando hospitality employers
  • Employee weekly contribution is about $16.66; turnover runs at one-sixth the industry rate; workers' comp costs were cut in half
  • The Tangelo Park Program funds free preschool, daycare, after-school care, and fully funded college scholarships for an entire neighborhood; economist Lance Lochner measured a 7-to-1 return on the investment
  • The model has since spread into Parramore and the historic Eatonville neighborhood, and other Orlando employers have followed, including Second Harvest Food Bank and the School District of Osceola County, which saved $21 million in its first two years

Resources Mentioned:

  • The Opioid Crisis Wake-Up Call by Dave Chase
  • Relocalizing Health by Dave Chase: pre-order on Amazon now
  • RosettaFest 2026: RosettaFest.org - Rosen's clinical and care leadership will be in Nashville

Subscribe and Follow: Relocalizing Health Podcast, available on all major platforms.


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19494599 Tue, 14 Jul 2026 16:00:00 -0400 1004 1 3 bonus false Case Study: From the Worst Health Outcomes in America to the Best System in the World: The Nuka Story Case Study: From the Worst Health Outcomes in America to the Best System in the World: The Nuka Story In the late 1990s, the Alaska Native Medical Center was a tuberculosis sanatorium turned healthcare facility where elders described themselves not as people, but as numbers. One elder remembered it clearly: "I was number 24601. My newborn daughter was 24602. When my aunt passed, they gave her number to another baby."

That was the system April Kyle grew up in. She avoided that hospital as a child because going was a horrible experience. Six-hour waits were normal. Six-week appointment backlogs were standard. The worst health outcomes in the United States.

April Kyle now runs it.

What happened between those two realities is one of the most documented, most studied, most awarded healthcare transformations in the world. People fly in from Singapore, Sweden, and across the globe to understand how the Southcentral Foundation and the Alaska Native community it serves built the Nuka System of Care, a model so far ahead of conventional medicine that it has won the Malcolm Baldrige National Quality Award twice. The only healthcare organization in America to do so.

This episode tells that story. Not the awards. The ownership. The decision to stop calling people patients and start calling them customer-owners. The moment a new nurse leader said we were going to see anyone who needs care the same day and her colleagues thought leadership had lost their minds. Within six months it was just how things worked.

Emergency room visits down 45 percent. Hospital admissions down 53 percent. Specialist use down 65 percent. Quality scores went from the bottom fifth percentile to the 75th and often the 90th percentile. Childhood immunization at 93 percent. Diabetes complications down 25 percent. Customer-owner and employee satisfaction both hovering around 95 percent. Total cost running 20 to 30 percent below national averages. In Alaska. In one of the most expensive geographies in the country.

And over half the employees are now Alaska Native people. The health system became an engine of community wealth building.

April Kyle is flying from Alaska to RosettaFest 2026 in Nashville, July 29 to 31, to share this story in person. She will be in the room.

Key Takeaways:

  • South central Foundation serves 70,000 Alaska Native people across an area the size of Sweden
  • The transformation began when the community took ownership of a system that had been poorly serving them
  • The single most powerful shift: they stopped using the word patient and started calling everyone a customer-owner
  • Dr. Douglas Eby, Chief Medical Officer: "When you're a patient, things are done to you. When you're a customer, you have a choice. When you're an owner, you have control."
  • April Kyle's leadership philosophy: "I'm not the expert at what services should be delivered. I need to be an expert at how to be driven by the community."
  • Same-day access for anything achieved within six months of committing to it, from a six-week waitlist
  • They spend 10 times the usual amount on training, coaching, and mentoring
  • ER visits down 45 percent, hospital admissions down 53 percent, specialist use down 65 percent
  • Quality scores from the bottom fifth percentile to the 75th to 90th percentile
  • Total cost 20 to 30 percent below national averages despite Alaska's high-cost geography
  • The community decides: mammogram scheduling was moved from fall to February because the women of one island community said so, and they were right
  • Copying the tactics is easy. Copying the ownership model is what most systems cannot do.
  • April Kyle joins the main stage at RosettaFest 2026 in Nashville

Resources Mentioned:

  • Relocalizing Health by Dave Chase: pre-order on Amazon now
  • South central Foundation and the Nuka System of Care: southcentralfoundation.com
  • RosettaFest 2026: RosettaFest.org April Kyle joins the main stage
  • Previous Relocalizing Health podcast interview with April Kyle: search the feed

Subscribe and Follow:
Relocalizing Health Podcast — available on all major platforms.

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> In the late 1990s, the Alaska Native Medical Center was a tuberculosis sanatorium turned healthcare facility where elders described themselves not as people, but as numbers. One elder remembered it clearly: "I was number 24601. My newborn daughter was 24602. When my aunt passed, they gave her number to another baby."

That was the system April Kyle grew up in. She avoided that hospital as a child because going was a horrible experience. Six-hour waits were normal. Six-week appointment backlogs were standard. The worst health outcomes in the United States.

April Kyle now runs it.

What happened between those two realities is one of the most documented, most studied, most awarded healthcare transformations in the world. People fly in from Singapore, Sweden, and across the globe to understand how the Southcentral Foundation and the Alaska Native community it serves built the Nuka System of Care, a model so far ahead of conventional medicine that it has won the Malcolm Baldrige National Quality Award twice. The only healthcare organization in America to do so.

This episode tells that story. Not the awards. The ownership. The decision to stop calling people patients and start calling them customer-owners. The moment a new nurse leader said we were going to see anyone who needs care the same day and her colleagues thought leadership had lost their minds. Within six months it was just how things worked.

Emergency room visits down 45 percent. Hospital admissions down 53 percent. Specialist use down 65 percent. Quality scores went from the bottom fifth percentile to the 75th and often the 90th percentile. Childhood immunization at 93 percent. Diabetes complications down 25 percent. Customer-owner and employee satisfaction both hovering around 95 percent. Total cost running 20 to 30 percent below national averages. In Alaska. In one of the most expensive geographies in the country.

And over half the employees are now Alaska Native people. The health system became an engine of community wealth building.

April Kyle is flying from Alaska to RosettaFest 2026 in Nashville, July 29 to 31, to share this story in person. She will be in the room.

Key Takeaways:

  • South central Foundation serves 70,000 Alaska Native people across an area the size of Sweden
  • The transformation began when the community took ownership of a system that had been poorly serving them
  • The single most powerful shift: they stopped using the word patient and started calling everyone a customer-owner
  • Dr. Douglas Eby, Chief Medical Officer: "When you're a patient, things are done to you. When you're a customer, you have a choice. When you're an owner, you have control."
  • April Kyle's leadership philosophy: "I'm not the expert at what services should be delivered. I need to be an expert at how to be driven by the community."
  • Same-day access for anything achieved within six months of committing to it, from a six-week waitlist
  • They spend 10 times the usual amount on training, coaching, and mentoring
  • ER visits down 45 percent, hospital admissions down 53 percent, specialist use down 65 percent
  • Quality scores from the bottom fifth percentile to the 75th to 90th percentile
  • Total cost 20 to 30 percent below national averages despite Alaska's high-cost geography
  • The community decides: mammogram scheduling was moved from fall to February because the women of one island community said so, and they were right
  • Copying the tactics is easy. Copying the ownership model is what most systems cannot do.
  • April Kyle joins the main stage at RosettaFest 2026 in Nashville

Resources Mentioned:

  • Relocalizing Health by Dave Chase: pre-order on Amazon now
  • South central Foundation and the Nuka System of Care: southcentralfoundation.com
  • RosettaFest 2026: RosettaFest.org April Kyle joins the main stage
  • Previous Relocalizing Health podcast interview with April Kyle: search the feed

Subscribe and Follow:
Relocalizing Health Podcast — available on all major platforms.

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19461232 Tue, 07 Jul 2026 19:00:00 -0400 943 1 2 bonus false What If Communities Were the Key to Better Birth Outcomes? What If Communities Were the Key to Better Birth Outcomes? Welcome to another episode of Relocalizing Health! This week, Dave Chase sits down with Allison Duncan, founder of Anau Health and architect of transformative maternal health models, to explore why the current U.S. maternity system is failing women by design and how we can radically improve it. From her eye-opening journey mapping world-class maternal care in Brazil to building community-driven solutions in Pickens County, South Carolina, Allison Duncan shares powerful insights about the cost, human toll, and missed opportunities in our current system. Together, they discuss how integrating social care with clinical support, rethinking payment structures, and harnessing local leadership can revolutionize birth outcomes and create brighter futures for mothers, babies, and communities everywhere. If you care about the future of healthcare and want to learn what it takes to reclaim maternal health from the ground up, you won’t want to miss this conversation!


Timestamps:

00:00 Exploring maternal care issues

07:15 Challenges in Indigenous Maternal Healthcare

09:17 Innovative maternity care in Brazil

11:55 Rising Risks in Pregnancy and Birth

16:51 Addressing maternal mortality causes

20:00 Cost of NICU and preterm births

22:01 Reducing preterm birth costs

26:09 Finding a local design partner

27:55 Helping women achieve economic independence

33:37 Redesigning healthcare payment models

35:34 Introducing Strong Mama, Strong Babies

38:01 Issues in Payment Model


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to another episode of Relocalizing Health! This week, Dave Chase sits down with Allison Duncan, founder of Anau Health and architect of transformative maternal health models, to explore why the current U.S. maternity system is failing women by design and how we can radically improve it. From her eye-opening journey mapping world-class maternal care in Brazil to building community-driven solutions in Pickens County, South Carolina, Allison Duncan shares powerful insights about the cost, human toll, and missed opportunities in our current system. Together, they discuss how integrating social care with clinical support, rethinking payment structures, and harnessing local leadership can revolutionize birth outcomes and create brighter futures for mothers, babies, and communities everywhere. If you care about the future of healthcare and want to learn what it takes to reclaim maternal health from the ground up, you won’t want to miss this conversation!


Timestamps:

00:00 Exploring maternal care issues

07:15 Challenges in Indigenous Maternal Healthcare

09:17 Innovative maternity care in Brazil

11:55 Rising Risks in Pregnancy and Birth

16:51 Addressing maternal mortality causes

20:00 Cost of NICU and preterm births

22:01 Reducing preterm birth costs

26:09 Finding a local design partner

27:55 Helping women achieve economic independence

33:37 Redesigning healthcare payment models

35:34 Introducing Strong Mama, Strong Babies

38:01 Issues in Payment Model


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19437599 Thu, 02 Jul 2026 14:00:00 -0400 2410 1 27 full false Case Study: How a Screen Manufacturing in Alabama Cracked Healthcare Before Anyone Was Watching Case Study: How a Screen Manufacturing in Alabama Cracked Healthcare Before Anyone Was Watching Welcome to a special series within Relocalizing Health as we count down to RosettaFest in Nashville, July 29 to 31. Each one of these is a quick look inside the book and the communities that inspired it. Real places, real numbers, real people who decided to stop waiting for someone else to fix healthcare and just built something better themselves.

If you don't have your ticket to Nashville yet, go grab it at RosettaFest.org. This is where the people in these stories will actually be in the room with you.

Here's more about today's special episode

Phifer Incorporated is a family-owned manufacturing company in Tuscaloosa, Alabama. About 1,200 employees. They make aluminum, fiberglass, and polyester screening — the window screens in your home, the sun-shading fabric on your lawn furniture. They are also the last remaining made-in-USA manufacturer in their category.

And they figured out something most Fortune 500 companies still have not figured out about healthcare.

This episode is the story of Russell DuBose, VP of HR at Phifer, who refused to treat healthcare like a force of nature he could not touch. He looked at the glide path the company was on in the mid-2010s and saw a future where benefits became unaffordable to the plan and the people on it. So he did what any manufacturing leader would do. He treated it like a supply chain problem and applied the same lean six sigma rigor he would to any production deficit on the factory floor.

What followed was a seven-year roadmap, a zero-cost-share on-site clinic, direct contracts with the best providers, a transparent pharmacy, nurse navigation, scholarships for employees' kids, summer enrichment programs, childcare support for working families, and five straight years of essentially flat healthcare spending. The Plan Grader score went from 37 to 74. Retirement readiness climbed more than 20 points.

And then a benefits decision at a screen manufacturing plant in Tuscaloosa turned into a national voice. Russell testified before the House Energy and Commerce Committee on ERISA and chairs the Alabama Employer Healthcare Consortium, helping spread the model to other employers across his region and state.

If a 1,200-person manufacturer in Alabama can do this, the excuse that you are not big enough stops being a reason. It is just a story we tell ourselves.

Russell DuBose is a co-leader of the Employer Track at RosettaFest 2026, July 29 to 31 in Nashville at the Gaylord Opryland. He will be in the room. So will the playbook.

Key Takeaways:

  • Phifer Inc. is the last remaining made-in-USA manufacturer in their screening category
  • Russell DuBose reframed healthcare as a supply chain problem and applied lean six sigma rigor to it
  • The 2017 read of The CEO's Guide to Restoring the American Dream gave him the blueprint
  • First Plan Grader score was 37 out of 100. Most employers start between 5 and 17.
  • The Phifer Cares Clinic opened in 2019 with zero cost share for advanced primary care. Within months it was running at 88 percent daily capacity with 58 percent of eligible members actively using it
  • Five straight years of flat healthcare spending through inflation and high-cost cancer claims
  • Savings reinvested: scholarships for employees' kids (100-plus students to college), summer enrichment for hundreds of children, eliminated pharmacy co-pays for 1,700-plus patients, childcare support for 250-plus working families
  • Plan Grader improved from 37 to 74
  • Russell testified before the House Energy and Commerce Committee on ERISA
  • He chairs the Alabama Employer Healthcare Consortium

Resources Mentioned:

  • Health Rosetta Plan Grader: healthrosetta.org
  • Nautilus Health Institute: open-source tools and frameworks
  • Relocalizing Health by Dave Chase: pre-order on Amazon now
  • RosettaFest 2026: RosettaFest.org — Russell DuBose is a co-leader of the Employer Track

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to a special series within Relocalizing Health as we count down to RosettaFest in Nashville, July 29 to 31. Each one of these is a quick look inside the book and the communities that inspired it. Real places, real numbers, real people who decided to stop waiting for someone else to fix healthcare and just built something better themselves.

If you don't have your ticket to Nashville yet, go grab it at RosettaFest.org. This is where the people in these stories will actually be in the room with you.

Here's more about today's special episode

Phifer Incorporated is a family-owned manufacturing company in Tuscaloosa, Alabama. About 1,200 employees. They make aluminum, fiberglass, and polyester screening — the window screens in your home, the sun-shading fabric on your lawn furniture. They are also the last remaining made-in-USA manufacturer in their category.

And they figured out something most Fortune 500 companies still have not figured out about healthcare.

This episode is the story of Russell DuBose, VP of HR at Phifer, who refused to treat healthcare like a force of nature he could not touch. He looked at the glide path the company was on in the mid-2010s and saw a future where benefits became unaffordable to the plan and the people on it. So he did what any manufacturing leader would do. He treated it like a supply chain problem and applied the same lean six sigma rigor he would to any production deficit on the factory floor.

What followed was a seven-year roadmap, a zero-cost-share on-site clinic, direct contracts with the best providers, a transparent pharmacy, nurse navigation, scholarships for employees' kids, summer enrichment programs, childcare support for working families, and five straight years of essentially flat healthcare spending. The Plan Grader score went from 37 to 74. Retirement readiness climbed more than 20 points.

And then a benefits decision at a screen manufacturing plant in Tuscaloosa turned into a national voice. Russell testified before the House Energy and Commerce Committee on ERISA and chairs the Alabama Employer Healthcare Consortium, helping spread the model to other employers across his region and state.

If a 1,200-person manufacturer in Alabama can do this, the excuse that you are not big enough stops being a reason. It is just a story we tell ourselves.

Russell DuBose is a co-leader of the Employer Track at RosettaFest 2026, July 29 to 31 in Nashville at the Gaylord Opryland. He will be in the room. So will the playbook.

Key Takeaways:

  • Phifer Inc. is the last remaining made-in-USA manufacturer in their screening category
  • Russell DuBose reframed healthcare as a supply chain problem and applied lean six sigma rigor to it
  • The 2017 read of The CEO's Guide to Restoring the American Dream gave him the blueprint
  • First Plan Grader score was 37 out of 100. Most employers start between 5 and 17.
  • The Phifer Cares Clinic opened in 2019 with zero cost share for advanced primary care. Within months it was running at 88 percent daily capacity with 58 percent of eligible members actively using it
  • Five straight years of flat healthcare spending through inflation and high-cost cancer claims
  • Savings reinvested: scholarships for employees' kids (100-plus students to college), summer enrichment for hundreds of children, eliminated pharmacy co-pays for 1,700-plus patients, childcare support for 250-plus working families
  • Plan Grader improved from 37 to 74
  • Russell testified before the House Energy and Commerce Committee on ERISA
  • He chairs the Alabama Employer Healthcare Consortium

Resources Mentioned:

  • Health Rosetta Plan Grader: healthrosetta.org
  • Nautilus Health Institute: open-source tools and frameworks
  • Relocalizing Health by Dave Chase: pre-order on Amazon now
  • RosettaFest 2026: RosettaFest.org — Russell DuBose is a co-leader of the Employer Track

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19407935 Fri, 26 Jun 2026 19:00:00 -0400 791 1 1 bonus false Redesigning Health and Wealth in Our Communities Redesigning Health and Wealth in Our Communities Welcome to Relocalizing Health. In today’s episode, host Dave Chase sits down with Kevin Bayuk, a partner at Lift Economy and a pioneer in redefining how communities can thrive by redesigning local systems. With over 20 years of experience questioning why wealth leaves local communities and how to rebuild systems that circulate, compound, and benefit all, Kevin Bayuk shares his journey from Silicon Valley tech entrepreneur to advocate for regenerative enterprise and bioregional self-reliance.

Together, they explore the root causes of ill health in society, including the “loneliness epidemic,” and discuss the vision and practicality of economies and healthcare systems that put well-being, community connection, and ecological thriving at the center. Through stories drawn from permaculture, multi-stakeholder co-ops, and innovative healthcare models like direct primary care, Kevin Bayuk and Dave Chase challenge business-as-usual approaches and invite us to imagine what is possible if we reclaim agency over health, wealth, and the future of our communities. Whether you’re leading a business, a school district, or simply curious about holistic approaches to community health, this episode will inspire you to see that the tools and models for transformation already exist; you just have to look a little closer.


Timestamps:

00:00 Early Silicon Valley entrepreneurship

06:04 Rethinking healthcare and wellbeing

10:01 Imagining a future economy

13:42 Community-focused motivation and cooperative structures

15:52 Workers owning the farm

18:40 Community-owned farming cooperatives

21:48 Direct primary care model explained

24:52 Community-driven profit reinvestment

29:01 Structural flaws in healthcare systems

33:37 Anna O'Malley's community medicine circles

35:28 Story of health intervention success

39:14 Future of Work and AI Automation

42:20 Slowing down for sustainability

46:00 Closing thoughts and action steps


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health. In today’s episode, host Dave Chase sits down with Kevin Bayuk, a partner at Lift Economy and a pioneer in redefining how communities can thrive by redesigning local systems. With over 20 years of experience questioning why wealth leaves local communities and how to rebuild systems that circulate, compound, and benefit all, Kevin Bayuk shares his journey from Silicon Valley tech entrepreneur to advocate for regenerative enterprise and bioregional self-reliance.

Together, they explore the root causes of ill health in society, including the “loneliness epidemic,” and discuss the vision and practicality of economies and healthcare systems that put well-being, community connection, and ecological thriving at the center. Through stories drawn from permaculture, multi-stakeholder co-ops, and innovative healthcare models like direct primary care, Kevin Bayuk and Dave Chase challenge business-as-usual approaches and invite us to imagine what is possible if we reclaim agency over health, wealth, and the future of our communities. Whether you’re leading a business, a school district, or simply curious about holistic approaches to community health, this episode will inspire you to see that the tools and models for transformation already exist; you just have to look a little closer.


Timestamps:

00:00 Early Silicon Valley entrepreneurship

06:04 Rethinking healthcare and wellbeing

10:01 Imagining a future economy

13:42 Community-focused motivation and cooperative structures

15:52 Workers owning the farm

18:40 Community-owned farming cooperatives

21:48 Direct primary care model explained

24:52 Community-driven profit reinvestment

29:01 Structural flaws in healthcare systems

33:37 Anna O'Malley's community medicine circles

35:28 Story of health intervention success

39:14 Future of Work and AI Automation

42:20 Slowing down for sustainability

46:00 Closing thoughts and action steps


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19391271 Tue, 23 Jun 2026 14:00:00 -0400 2893 1 25 full false Trust, Compassion, and Results: The Rosen Way to Better Healthcare Trust, Compassion, and Results: The Rosen Way to Better Healthcare Welcome to Relocalizing Health, the podcast about taking back healthcare and rebuilding communities. In today’s episode, host Dave Chase sits down with Kenneth Aldridge, the long-time clinical leader at Rosen Medical Center in Orlando, Florida. Together, they explore how Rosen Hotels has built the nation’s longest-running and most comprehensive employer-sponsored advanced primary care model, one that delivers exceptional outcomes for a diverse workforce, including a high percentage of high-risk pregnancies, while spending less than half the national average on healthcare.

Kenneth Aldridge shares stories from nearly three decades of transforming care: from breaking down barriers to access for associates from third-world countries, to innovative programs like free transportation, on-the-clock appointments, medication support, and comprehensive case management throughout pregnancies. The conversation goes deep into the practical steps that have built lasting trust, improved health outcomes, and freed up resources for broader community well-being, including scholarships and neighborhood revitalization.

If you’re curious about what a truly high-performing health system looks like, how love and common sense can upend toxic industry norms, and why Rosen’s model is being replicated across the country, this episode is for you. Join us as we reveal the playbook behind America’s healthcare “OGs” and offer hope for clinicians, employers, and communities everywhere.


Timestamps:

00:00 Introduction to Relocalizing Health Podcast

06:17 Supporting employees with healthcare access

07:38 Helping patients manage diabetes

12:43 Creating a pregnancy management program

13:22 Prenatal care and pregnancy support

18:43 Bringing medical services in-house

21:13 Concerns about healthcare quality and costs

23:53 Rosen Medical Center health services

26:59 Commitment to supporting patients

31:51 Healthcare system challenges and solutions

35:09 The rewarding challenge of hard work

36:43 Reducing waste in healthcare spending


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health, the podcast about taking back healthcare and rebuilding communities. In today’s episode, host Dave Chase sits down with Kenneth Aldridge, the long-time clinical leader at Rosen Medical Center in Orlando, Florida. Together, they explore how Rosen Hotels has built the nation’s longest-running and most comprehensive employer-sponsored advanced primary care model, one that delivers exceptional outcomes for a diverse workforce, including a high percentage of high-risk pregnancies, while spending less than half the national average on healthcare.

Kenneth Aldridge shares stories from nearly three decades of transforming care: from breaking down barriers to access for associates from third-world countries, to innovative programs like free transportation, on-the-clock appointments, medication support, and comprehensive case management throughout pregnancies. The conversation goes deep into the practical steps that have built lasting trust, improved health outcomes, and freed up resources for broader community well-being, including scholarships and neighborhood revitalization.

If you’re curious about what a truly high-performing health system looks like, how love and common sense can upend toxic industry norms, and why Rosen’s model is being replicated across the country, this episode is for you. Join us as we reveal the playbook behind America’s healthcare “OGs” and offer hope for clinicians, employers, and communities everywhere.


Timestamps:

00:00 Introduction to Relocalizing Health Podcast

06:17 Supporting employees with healthcare access

07:38 Helping patients manage diabetes

12:43 Creating a pregnancy management program

13:22 Prenatal care and pregnancy support

18:43 Bringing medical services in-house

21:13 Concerns about healthcare quality and costs

23:53 Rosen Medical Center health services

26:59 Commitment to supporting patients

31:51 Healthcare system challenges and solutions

35:09 The rewarding challenge of hard work

36:43 Reducing waste in healthcare spending


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19282449 Tue, 02 Jun 2026 15:00:00 -0400 2404 1 24 full false Cancer Survivorship and the Push for Collective Patient Power Cancer Survivorship and the Push for Collective Patient Power Welcome to another episode of Relocalizing Health, the show about reclaiming healthcare and strengthening our communities. I’m your host, Dave Chase, author of Relocalizing Health: Taking Back Healthcare, Rebuilding Communities. Today, we dive into the realities of being a patient in America, a system where too often, getting sick can mean financial ruin, emotional devastation, and feeling invisible.

Our guest, Matthew Zachary, survived brain cancer as a young concert pianist and went on to do something even rarer, turning his experience into a national movement. As the founder of Stupid Cancer, host of the Out of Patients podcast, and cofounder of We The Patients, Matthew Zachary has spent nearly three decades fighting to give patients a real collective voice in a healthcare maze designed to isolate and overwhelm.

In this conversation, we explore what it means when patients stop being statistics and start becoming a civic force, the power of collective activism, and how something as simple as a patient navigator can be the “seatbelt” we all need on our healthcare journey. We’ll talk about fighting denial engines, rethinking industry incentives, and why the revolution in healthcare might just be led by people who never wanted to be activists in the first place.

Let’s dive in.


Timestamps:

00:00 Empowering patient advocacy

05:32 Financial strain of cancer care

09:29 Discussing healthcare affordability issues

12:08 Concerns over AI in healthcare

14:24 Understanding healthcare appeals process

18:20 Understanding patient needs vs. system assumptions

21:08 Discussing product design flaws

23:14 Using nurse navigators for better care

27:11 Discussing civic power in healthcare

31:56 Audrey Tang and gov0 initiative

35:26 Discussing waste in healthcare spending

37:20 Challenging powerful hospital systems

40:02 Discussing Matthew's impact and achievements


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to another episode of Relocalizing Health, the show about reclaiming healthcare and strengthening our communities. I’m your host, Dave Chase, author of Relocalizing Health: Taking Back Healthcare, Rebuilding Communities. Today, we dive into the realities of being a patient in America, a system where too often, getting sick can mean financial ruin, emotional devastation, and feeling invisible.

Our guest, Matthew Zachary, survived brain cancer as a young concert pianist and went on to do something even rarer, turning his experience into a national movement. As the founder of Stupid Cancer, host of the Out of Patients podcast, and cofounder of We The Patients, Matthew Zachary has spent nearly three decades fighting to give patients a real collective voice in a healthcare maze designed to isolate and overwhelm.

In this conversation, we explore what it means when patients stop being statistics and start becoming a civic force, the power of collective activism, and how something as simple as a patient navigator can be the “seatbelt” we all need on our healthcare journey. We’ll talk about fighting denial engines, rethinking industry incentives, and why the revolution in healthcare might just be led by people who never wanted to be activists in the first place.

Let’s dive in.


Timestamps:

00:00 Empowering patient advocacy

05:32 Financial strain of cancer care

09:29 Discussing healthcare affordability issues

12:08 Concerns over AI in healthcare

14:24 Understanding healthcare appeals process

18:20 Understanding patient needs vs. system assumptions

21:08 Discussing product design flaws

23:14 Using nurse navigators for better care

27:11 Discussing civic power in healthcare

31:56 Audrey Tang and gov0 initiative

35:26 Discussing waste in healthcare spending

37:20 Challenging powerful hospital systems

40:02 Discussing Matthew's impact and achievements


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19173234 Wed, 13 May 2026 16:00:00 -0400 2522 1 23 full false From Farm Lights to Healthcare Heights: How Cooperatives Solve America's Toughest Challenges From Farm Lights to Healthcare Heights: How Cooperatives Solve America's Toughest Challenges Welcome to another episode of Relocalizing Health, where host Dave Chase draws a bold parallel between America’s rural electrification revolution and the grassroots transformation happening in healthcare today. In this episode, Dave Chase unpacks the inspiring story of Iowa farmers who built miles of power lines before they even had a power source, showing how local ingenuity can spark nationwide change. He introduces his “three, two, one” framework, a blueprint where pioneering communities prove what’s possible, their success spreads, and smart policy amplifies the impact.

You’ll hear real-world examples of how forward-thinking communities and cooperatives are reclaiming healthcare, like employer health plans in Wisconsin, a transformative effort in Ashtabula, Ohio, and successful models from Alaska Native tribes. Dave Chase shares actionable steps for employers, cooperatives, and policymakers to join the movement, and unveils his new book, "Relocalizing Health." Whether you’re a healthcare professional, policymaker, or simply passionate about your community’s wellbeing, this episode offers hope, practical guidance, and a reminder that American ingenuity is alive and ready to reinvent healthcare from the ground up.


Timestamps:

00:00 "Farmers' Power Revolution"

04:23 "Cooperatives: Community-Driven Solutions"

09:05 "Localized Care vs. Distant Decisions"

10:10 "From Worst to Best Healthcare"

16:15 "Empowering Community Health Innovation"

17:03 "Transforming Healthcare at Rosetta Fest"

20:18 "Transforming Communities, Reclaiming Healthcare"


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to another episode of Relocalizing Health, where host Dave Chase draws a bold parallel between America’s rural electrification revolution and the grassroots transformation happening in healthcare today. In this episode, Dave Chase unpacks the inspiring story of Iowa farmers who built miles of power lines before they even had a power source, showing how local ingenuity can spark nationwide change. He introduces his “three, two, one” framework, a blueprint where pioneering communities prove what’s possible, their success spreads, and smart policy amplifies the impact.

You’ll hear real-world examples of how forward-thinking communities and cooperatives are reclaiming healthcare, like employer health plans in Wisconsin, a transformative effort in Ashtabula, Ohio, and successful models from Alaska Native tribes. Dave Chase shares actionable steps for employers, cooperatives, and policymakers to join the movement, and unveils his new book, "Relocalizing Health." Whether you’re a healthcare professional, policymaker, or simply passionate about your community’s wellbeing, this episode offers hope, practical guidance, and a reminder that American ingenuity is alive and ready to reinvent healthcare from the ground up.


Timestamps:

00:00 "Farmers' Power Revolution"

04:23 "Cooperatives: Community-Driven Solutions"

09:05 "Localized Care vs. Distant Decisions"

10:10 "From Worst to Best Healthcare"

16:15 "Empowering Community Health Innovation"

17:03 "Transforming Healthcare at Rosetta Fest"

20:18 "Transforming Communities, Reclaiming Healthcare"


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19111061 Fri, 01 May 2026 19:00:00 -0400 1309 1 22 full false How Plainfield Eliminated Deductibles, Cut Payroll Costs & Invested Savings Back Into Its Own People How Plainfield Eliminated Deductibles, Cut Payroll Costs & Invested Savings Back Into Its Own People Welcome to Relocalizing Health. In this episode, we shine a light on Plainfield, Indiana, a town just west of Indianapolis, where public sector employees like police officers, firefighters, and public works staff were once priced out of their own healthcare. Nate Thorne, assistant town manager, joins us to share how Plainfield broke free from years of rising premiums and shrinking paychecks, fundamentally transforming its approach to employee health benefits.

Instead of accepting sky-high insurance costs as an inevitable “healthcare trend,” Plainfield’s leadership took courageous steps: moving to a self-insured health plan, forging a direct contract with their local hospital, and reimagining benefits so workers now pay zero deductibles and co-pays, with real dollars flowing back into their households. These savings built meaningful new programs like mental health support and childcare assistance, and Nate Thorne and his team are on a mission to show other cities and counties that there is a better way.

Whether you manage a city, run HR for a school district, or just want a behind-the-scenes look at how local governments can invest in their people and communities, this episode brings you the story, the lessons, and the playbook, direct from a Rosie Award finalist, on how to take back control of your health plan and rethink what’s possible for your workforce.


Timestamps:

00:00 Challenges of municipal worker benefits

04:21 Facing rising insurance costs

07:24 Challenge of risk in public policy

11:46 Implementing a Self-Insured Program

16:10 Managing healthcare spending changes

18:07 Cost-saving strategies for healthcare plans

22:02 Creative funding for employee benefits

26:18 Leadership and gradual progress advice

28:52 Challenges in the public sector

32:02 Managing retiree health benefits

35:13 Employee survey results on premiums

37:25 Annual employer gathering details

40:11 Plainfield's health plan changes


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health. In this episode, we shine a light on Plainfield, Indiana, a town just west of Indianapolis, where public sector employees like police officers, firefighters, and public works staff were once priced out of their own healthcare. Nate Thorne, assistant town manager, joins us to share how Plainfield broke free from years of rising premiums and shrinking paychecks, fundamentally transforming its approach to employee health benefits.

Instead of accepting sky-high insurance costs as an inevitable “healthcare trend,” Plainfield’s leadership took courageous steps: moving to a self-insured health plan, forging a direct contract with their local hospital, and reimagining benefits so workers now pay zero deductibles and co-pays, with real dollars flowing back into their households. These savings built meaningful new programs like mental health support and childcare assistance, and Nate Thorne and his team are on a mission to show other cities and counties that there is a better way.

Whether you manage a city, run HR for a school district, or just want a behind-the-scenes look at how local governments can invest in their people and communities, this episode brings you the story, the lessons, and the playbook, direct from a Rosie Award finalist, on how to take back control of your health plan and rethink what’s possible for your workforce.


Timestamps:

00:00 Challenges of municipal worker benefits

04:21 Facing rising insurance costs

07:24 Challenge of risk in public policy

11:46 Implementing a Self-Insured Program

16:10 Managing healthcare spending changes

18:07 Cost-saving strategies for healthcare plans

22:02 Creative funding for employee benefits

26:18 Leadership and gradual progress advice

28:52 Challenges in the public sector

32:02 Managing retiree health benefits

35:13 Employee survey results on premiums

37:25 Annual employer gathering details

40:11 Plainfield's health plan changes


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19056059 Tue, 21 Apr 2026 18:00:00 -0400 2542 1 21 full false How a Food Bank Beat Rising Health Costs to Deliver Thriving Coverage for 170 Staff How a Food Bank Beat Rising Health Costs to Deliver Thriving Coverage for 170 Staff Welcome to Relocalizing Health. In this episode, we take you behind the scenes at Second Harvest Food Bank of Central Florida, where an organization fighting hunger is revolutionizing health benefits for its employees. Join Dave Chase as he sits down with Amy Lein, Chief Human Resource Officer at Second Harvest, to uncover how this nonprofit broke away from the broken health insurance model, creating one of the nation's highest-quality, most accessible benefit plans.

Learn how every employee at Second Harvest pays zero in premiums, deductibles, and co-pays, translating into real quality of care and tangible support like paid leave and grocery assistance. Hear firsthand stories of transformation as employees, for the first time, can actually afford and access the care they need. This episode is a must-listen for nonprofit leaders, city managers, and anyone who has ever looked at a health insurance renewal and thought, “We can’t afford anything better.” As Dave and Amy reveal, a better way is not only possible, it’s already here.


Timestamps:

00:00 Making healthcare affordable for employees

05:41 Improving employee healthcare access

09:14 The concierge nurse navigator

10:01 Affordable access to top doctors

14:32 How the gift card program works

19:35 Offering paid parental leave

22:37 Having access to quality healthcare

26:07 Rising healthcare costs and solutions

30:02 Vision for what's next

30:43 Creating a great workplace culture

34:38 Wrapping up with final advice


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health. In this episode, we take you behind the scenes at Second Harvest Food Bank of Central Florida, where an organization fighting hunger is revolutionizing health benefits for its employees. Join Dave Chase as he sits down with Amy Lein, Chief Human Resource Officer at Second Harvest, to uncover how this nonprofit broke away from the broken health insurance model, creating one of the nation's highest-quality, most accessible benefit plans.

Learn how every employee at Second Harvest pays zero in premiums, deductibles, and co-pays, translating into real quality of care and tangible support like paid leave and grocery assistance. Hear firsthand stories of transformation as employees, for the first time, can actually afford and access the care they need. This episode is a must-listen for nonprofit leaders, city managers, and anyone who has ever looked at a health insurance renewal and thought, “We can’t afford anything better.” As Dave and Amy reveal, a better way is not only possible, it’s already here.


Timestamps:

00:00 Making healthcare affordable for employees

05:41 Improving employee healthcare access

09:14 The concierge nurse navigator

10:01 Affordable access to top doctors

14:32 How the gift card program works

19:35 Offering paid parental leave

22:37 Having access to quality healthcare

26:07 Rising healthcare costs and solutions

30:02 Vision for what's next

30:43 Creating a great workplace culture

34:38 Wrapping up with final advice


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-19008757 Wed, 15 Apr 2026 12:00:00 -0400 2296 1 20 full false How Spooner Physical Therapy Relocalized Health Plans and Reduced Costs for Employers and Employees How Spooner Physical Therapy Relocalized Health Plans and Reduced Costs for Employers and Employees Welcome to Relocalizing Health with Dave Chase. In this episode, we explore what happens when a clinical leader takes health care into their own hands for both their patients and their employees. We'll meet Tim Spooner, a physical therapist who, in 1990, opened a single clinic in Scottsdale, Arizona with the conviction that the right care, at the right time, can transform lives. Thirty-five years later, Tim leads Arizona's largest private PT practice, operates clinics across Arizona and Texas, and runs Solve Global, a company that's reshaping how employers nationwide address musculoskeletal health.

But Tim's story doesn't stop with clinical excellence. Frustrated by skyrocketing premiums, opaque data, and decreasing reimbursements, he set out to redesign his company's health plan from the ground up. In the process, he redirected money typically lost to the old system back into his people, offering benefits like tuition reimbursement, direct primary care memberships, and robust musculoskeletal solutions. His efforts not only earned national recognition but also inspired other PT practices to follow suit.

Today, we'll dive into Tim's journey of leadership and innovation, the challenges he faced, and how his blueprint for change is empowering others to reclaim health care, making it more transparent, effective, and people-focused. Stay tuned as we learn what it truly means to "walk the talk" in health care and why the proof is in the room.


Timestamps:

00:00 How Tim Spooner got started

03:28 Discovering rising healthcare costs

08:06 High hospital markup example

13:14 Regenerative medicine success stories

15:36 Proactive healthcare and early intervention

19:57 Challenges for healthcare professionals

22:48 Transitioning to self-insured healthcare

24:12 Leadership and driving results

26:59 Medical costs and MRI findings

30:43 Navigating healthcare payment models

36:11 Closing advice for key audiences

36:49 Partnering with clinical practice leaders


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health with Dave Chase. In this episode, we explore what happens when a clinical leader takes health care into their own hands for both their patients and their employees. We'll meet Tim Spooner, a physical therapist who, in 1990, opened a single clinic in Scottsdale, Arizona with the conviction that the right care, at the right time, can transform lives. Thirty-five years later, Tim leads Arizona's largest private PT practice, operates clinics across Arizona and Texas, and runs Solve Global, a company that's reshaping how employers nationwide address musculoskeletal health.

But Tim's story doesn't stop with clinical excellence. Frustrated by skyrocketing premiums, opaque data, and decreasing reimbursements, he set out to redesign his company's health plan from the ground up. In the process, he redirected money typically lost to the old system back into his people, offering benefits like tuition reimbursement, direct primary care memberships, and robust musculoskeletal solutions. His efforts not only earned national recognition but also inspired other PT practices to follow suit.

Today, we'll dive into Tim's journey of leadership and innovation, the challenges he faced, and how his blueprint for change is empowering others to reclaim health care, making it more transparent, effective, and people-focused. Stay tuned as we learn what it truly means to "walk the talk" in health care and why the proof is in the room.


Timestamps:

00:00 How Tim Spooner got started

03:28 Discovering rising healthcare costs

08:06 High hospital markup example

13:14 Regenerative medicine success stories

15:36 Proactive healthcare and early intervention

19:57 Challenges for healthcare professionals

22:48 Transitioning to self-insured healthcare

24:12 Leadership and driving results

26:59 Medical costs and MRI findings

30:43 Navigating healthcare payment models

36:11 Closing advice for key audiences

36:49 Partnering with clinical practice leaders


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-18951387 Mon, 06 Apr 2026 18:00:00 -0400 2352 1 19 full false How Primary Care and Community Agency Can Transform Healthcare from Extraction to Empowerment How Primary Care and Community Agency Can Transform Healthcare from Extraction to Empowerment On this episode of Relocalizing Health, host Dave Chase sits down with family physician and author Michael Fine, a leading voice in healthcare reform and the driving force behind Primary Care for All Americans. Together, they unpack the provocative idea of medicine as a form of colonialism, exploring how corporate healthcare systems extract wealth from local communities and diminish their capacity for self-governance.

Michael Fine draws on decades of experience, from running a small family practice to leading the Rhode Island Department of Health, to illustrate the devastating impact of for-profit healthcare on both patients and the social fabric of our towns. He shares revealing moments that highlight the true cost of primary care versus the astronomical amounts funneled out of communities, and explains why universal, community-driven primary care could be the linchpin for both improved health outcomes and economic resilience.

The conversation doesn’t just examine what’s broken, it spotlights grassroots solutions and social movements rekindling democracy and civic engagement in healthcare. You’ll hear firsthand accounts of community health initiatives, the simple mechanics behind local health plans, and strategies that unite both fiscal conservatives and progressives in the fight to reclaim healthcare dollars. Through stories of hope, frustration, and action, this episode charts a path for how all Americans, clinicians, citizens, and policymakers alike can join together to rebuild a just and sustainable healthcare system from the ground up.


Timestamps:

00:00 "Colonialism in Modern Healthcare"

04:58 "Radical Sliding Scale Practice"

09:00 "Essential Services for All"

11:41 "Preventing Second COVID Wave"

16:57 "Impact of Urban Health Inequity"

20:31 "Primary Care Reduces Healthcare Waste"

21:19 "Emergency Room Vortex Issues"

27:04 "Primary Care for All Idea"

29:50 Volunteer-Led Healthcare Voucher Program

33:13 Primary Care Gaps Revealed

37:31 "Social Movement & Governance Insights"

38:16 "Sustainable Democracy Through Participation"

41:19 "Healthcare System & Community Solutions"


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> On this episode of Relocalizing Health, host Dave Chase sits down with family physician and author Michael Fine, a leading voice in healthcare reform and the driving force behind Primary Care for All Americans. Together, they unpack the provocative idea of medicine as a form of colonialism, exploring how corporate healthcare systems extract wealth from local communities and diminish their capacity for self-governance.

Michael Fine draws on decades of experience, from running a small family practice to leading the Rhode Island Department of Health, to illustrate the devastating impact of for-profit healthcare on both patients and the social fabric of our towns. He shares revealing moments that highlight the true cost of primary care versus the astronomical amounts funneled out of communities, and explains why universal, community-driven primary care could be the linchpin for both improved health outcomes and economic resilience.

The conversation doesn’t just examine what’s broken, it spotlights grassroots solutions and social movements rekindling democracy and civic engagement in healthcare. You’ll hear firsthand accounts of community health initiatives, the simple mechanics behind local health plans, and strategies that unite both fiscal conservatives and progressives in the fight to reclaim healthcare dollars. Through stories of hope, frustration, and action, this episode charts a path for how all Americans, clinicians, citizens, and policymakers alike can join together to rebuild a just and sustainable healthcare system from the ground up.


Timestamps:

00:00 "Colonialism in Modern Healthcare"

04:58 "Radical Sliding Scale Practice"

09:00 "Essential Services for All"

11:41 "Preventing Second COVID Wave"

16:57 "Impact of Urban Health Inequity"

20:31 "Primary Care Reduces Healthcare Waste"

21:19 "Emergency Room Vortex Issues"

27:04 "Primary Care for All Idea"

29:50 Volunteer-Led Healthcare Voucher Program

33:13 Primary Care Gaps Revealed

37:31 "Social Movement & Governance Insights"

38:16 "Sustainable Democracy Through Participation"

41:19 "Healthcare System & Community Solutions"


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-18895014 Wed, 25 Mar 2026 16:00:00 -0400 2651 1 18 full false Building Affordable Local Health Plans with HealthyPath in Rural Ohio Building Affordable Local Health Plans with HealthyPath in Rural Ohio Welcome to Relocalizing Health, the podcast that dives deep into how communities across America are reclaiming their healthcare from corporate control and building systems focused on people over profit. In this episode, we welcome Michael Norman, Chief Strategy Officer at Genesis Healthcare System in Zanesville, Ohio, and President of HealthyPath, a community-owned health plan product making a big impact.

Mike shares his inspiring journey after being told his rural hospital wasn't "relevant" by a major insurance carrier, despite offering high-quality care at lower costs. This pivotal moment sparked the creation of HealthyPath, a product designed to empower local employers with affordable coverage options and give employees access to care without overwhelming deductibles. In just one year, HealthyPath’s 20 participating employers collectively saved $1.2 million, proving that local solutions can truly transform the healthcare landscape.

Along the way, Mike discusses the importance of remaining independent as a community hospital, the economic role local healthcare systems play, and the pitfalls of consolidation that often leave rural communities behind. He also shares how employer feedback has shaped HealthyPath, where quality coverage is now helping businesses attract and retain talent, and employees can finally afford the care they need.

We explore the innovative partnership between local hospitals and modern benefit advisors like Christina King, the collaborative power of rural Ohio's High Value Network, and what it takes to replicate this change in other communities. If you’re seeking hope and practical ideas for reshaping healthcare around local values and community needs, this episode is sure to inspire.

Tune in as we shine a spotlight on those forging a new path, where community wellbeing comes first, and the American dream of accessible, affordable healthcare starts at home.


Timestamps:

00:00 Rural Healthcare Challenges and Costs

04:59 Rural Hospital Relevance Challenge

10:17 Local Oversight Strengthens Communities

11:33 HealthyPath: Affordable Healthcare Solution

14:47 "Christina's Impact on HealthyPath"

18:16 $1.2M Employer Premium Savings

22:37 "From Skeptic to Advocate"

26:55 "Cost Management Through Local TPA"

30:42 Scaling Value-Based Healthcare Solutions

32:10 "Hospital Execs as Celebrities"

35:14 Transforming Healthcare and Employer Retention

38:32 "Rosetta Fest: Transforming Healthcare"


Christina King - https://healthrosetta.org/advisors/christina-king/


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health, the podcast that dives deep into how communities across America are reclaiming their healthcare from corporate control and building systems focused on people over profit. In this episode, we welcome Michael Norman, Chief Strategy Officer at Genesis Healthcare System in Zanesville, Ohio, and President of HealthyPath, a community-owned health plan product making a big impact.

Mike shares his inspiring journey after being told his rural hospital wasn't "relevant" by a major insurance carrier, despite offering high-quality care at lower costs. This pivotal moment sparked the creation of HealthyPath, a product designed to empower local employers with affordable coverage options and give employees access to care without overwhelming deductibles. In just one year, HealthyPath’s 20 participating employers collectively saved $1.2 million, proving that local solutions can truly transform the healthcare landscape.

Along the way, Mike discusses the importance of remaining independent as a community hospital, the economic role local healthcare systems play, and the pitfalls of consolidation that often leave rural communities behind. He also shares how employer feedback has shaped HealthyPath, where quality coverage is now helping businesses attract and retain talent, and employees can finally afford the care they need.

We explore the innovative partnership between local hospitals and modern benefit advisors like Christina King, the collaborative power of rural Ohio's High Value Network, and what it takes to replicate this change in other communities. If you’re seeking hope and practical ideas for reshaping healthcare around local values and community needs, this episode is sure to inspire.

Tune in as we shine a spotlight on those forging a new path, where community wellbeing comes first, and the American dream of accessible, affordable healthcare starts at home.


Timestamps:

00:00 Rural Healthcare Challenges and Costs

04:59 Rural Hospital Relevance Challenge

10:17 Local Oversight Strengthens Communities

11:33 HealthyPath: Affordable Healthcare Solution

14:47 "Christina's Impact on HealthyPath"

18:16 $1.2M Employer Premium Savings

22:37 "From Skeptic to Advocate"

26:55 "Cost Management Through Local TPA"

30:42 Scaling Value-Based Healthcare Solutions

32:10 "Hospital Execs as Celebrities"

35:14 Transforming Healthcare and Employer Retention

38:32 "Rosetta Fest: Transforming Healthcare"


Christina King - https://healthrosetta.org/advisors/christina-king/


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-18857393 Mon, 16 Mar 2026 17:00:00 -0400 2438 1 17 full false How Wisconsin Employers Are Transforming Healthcare Through Cooperative Action How Wisconsin Employers Are Transforming Healthcare Through Cooperative Action Welcome to Relocalizing Health, where we explore how communities are reclaiming control over healthcare and rebuilding systems that truly serve people. In this episode, host Dave Chase welcomes Patrick Blackaller, the driving force behind the Employer Healthcare Cooperative of Wisconsin. Together, they dive into the journey of transforming healthcare for schools and employers in Wisconsin, shifting from an extractive industry toward a model that prioritizes care, cost transparency, and community partnerships.

You'll hear honest reflections on the tough choices and personal stories that sparked this movement, including the profound impact of rising costs and restrictive insurance plans on real people. Patrick Blackaller shares how direct contracts, innovative clinics, and new pharmacy approaches are not only saving millions but also bringing dignity and access back into healthcare. This episode is packed with lessons on pioneering change, even in the face of skepticism, and offers a blueprint for other communities ready to take bold steps toward a better future.

Timestamps:

00:00 "Rural School Struggles with Healthcare"

05:04 "Creating Care Through Self-Funding"

09:14 Overcoming Skepticism to Find Support

12:50 Affordable Medication Access Strategies

14:23 "Optimizing Health Plans Affordably"

17:10 Streamlining Healthcare Navigation and Education

20:30 Healthcare Spending and Employer Insights

23:51 "Optimizing Quality and Cost Balance"

27:21 Perseverance Through Challenges

31:23 Purpose-Driven Leadership Strategies

35:21 "Relocalizing Health: American Comeback"

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health, where we explore how communities are reclaiming control over healthcare and rebuilding systems that truly serve people. In this episode, host Dave Chase welcomes Patrick Blackaller, the driving force behind the Employer Healthcare Cooperative of Wisconsin. Together, they dive into the journey of transforming healthcare for schools and employers in Wisconsin, shifting from an extractive industry toward a model that prioritizes care, cost transparency, and community partnerships.

You'll hear honest reflections on the tough choices and personal stories that sparked this movement, including the profound impact of rising costs and restrictive insurance plans on real people. Patrick Blackaller shares how direct contracts, innovative clinics, and new pharmacy approaches are not only saving millions but also bringing dignity and access back into healthcare. This episode is packed with lessons on pioneering change, even in the face of skepticism, and offers a blueprint for other communities ready to take bold steps toward a better future.

Timestamps:

00:00 "Rural School Struggles with Healthcare"

05:04 "Creating Care Through Self-Funding"

09:14 Overcoming Skepticism to Find Support

12:50 Affordable Medication Access Strategies

14:23 "Optimizing Health Plans Affordably"

17:10 Streamlining Healthcare Navigation and Education

20:30 Healthcare Spending and Employer Insights

23:51 "Optimizing Quality and Cost Balance"

27:21 Perseverance Through Challenges

31:23 Purpose-Driven Leadership Strategies

35:21 "Relocalizing Health: American Comeback"

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-18722321 Mon, 23 Feb 2026 18:00:00 -0500 2272 1 16 full false How Alaska Native Communities Transformed Healthcare Through Community Ownership and Engagement How Alaska Native Communities Transformed Healthcare Through Community Ownership and Engagement On this episode of Relocalizing Health, host Dave Chase is joined by April Kyle, president and CEO of Southcentral Foundation in Alaska, for a deep dive into one of America’s most remarkable healthcare transformations. Together, they explore how the Alaska Native community took control of their own healthcare system, moving from an underfunded, top-down model to a community-owned system that now boasts some of the best health outcomes and highest satisfaction rates in the world.

April Kyle shares the practical blueprint behind this success: from the generational trauma and distrust that had to be overcome, to the pivotal role of true community engagement and ongoing governance that keeps the transformation alive. The conversation highlights the importance of listening, evolving systems to meet community needs, and the challenges of sustaining change across decades. Listeners will hear inspiring, concrete stories of how community voices are not only heard, but drive real decisions, from scheduling mammograms around moose hunting season to making tough calls about housing for providers.

Whether you’re a community leader, healthcare provider, or simply passionate about building better systems, this episode offers actionable insights and hope for communities everywhere looking to take back control and create a system built for and by them.


Timestamps:

00:00 "Relocalizing Health: Community-Driven Care"

04:18 April Kyle's Introduction & Journey

09:31 "Community-Centered Evolving Healthcare Model"

12:42 "Relocalizing Health, Not Healthcare"

15:20 Listening to Families, Closing Gaps

19:35 "Listening, Dialogue, and Community Partnership"

22:24 "Community-Driven Leadership Challenges"

27:15 Listening to Community First

28:12 "Community-Driven Listening and Customization"

32:49 Community Decision on Housing Safety

36:31 "Clinical Outcomes Data Sharing"

37:26 Community Resource Allocation Dialogue

40:42 "Power of Convening Communities"

46:25 "Embracing Community-Led Healthcare Change"

48:13 Integrating Behavioral Care Insights

50:48 "Rosetta Fest: Health Care Transformation"


Podcasts: IHI https://podcasts.apple.com/us/podcast/when-people-of-the-system-own-the-system-with/id1681829836?i=1000678625961

Moving to Value Part 1 https://podcasts.apple.com/us/podcast/part-1-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535

Part 2 https://podcasts.apple.com/us/podcast/part-2-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> On this episode of Relocalizing Health, host Dave Chase is joined by April Kyle, president and CEO of Southcentral Foundation in Alaska, for a deep dive into one of America’s most remarkable healthcare transformations. Together, they explore how the Alaska Native community took control of their own healthcare system, moving from an underfunded, top-down model to a community-owned system that now boasts some of the best health outcomes and highest satisfaction rates in the world.

April Kyle shares the practical blueprint behind this success: from the generational trauma and distrust that had to be overcome, to the pivotal role of true community engagement and ongoing governance that keeps the transformation alive. The conversation highlights the importance of listening, evolving systems to meet community needs, and the challenges of sustaining change across decades. Listeners will hear inspiring, concrete stories of how community voices are not only heard, but drive real decisions, from scheduling mammograms around moose hunting season to making tough calls about housing for providers.

Whether you’re a community leader, healthcare provider, or simply passionate about building better systems, this episode offers actionable insights and hope for communities everywhere looking to take back control and create a system built for and by them.


Timestamps:

00:00 "Relocalizing Health: Community-Driven Care"

04:18 April Kyle's Introduction & Journey

09:31 "Community-Centered Evolving Healthcare Model"

12:42 "Relocalizing Health, Not Healthcare"

15:20 Listening to Families, Closing Gaps

19:35 "Listening, Dialogue, and Community Partnership"

22:24 "Community-Driven Leadership Challenges"

27:15 Listening to Community First

28:12 "Community-Driven Listening and Customization"

32:49 Community Decision on Housing Safety

36:31 "Clinical Outcomes Data Sharing"

37:26 Community Resource Allocation Dialogue

40:42 "Power of Convening Communities"

46:25 "Embracing Community-Led Healthcare Change"

48:13 Integrating Behavioral Care Insights

50:48 "Rosetta Fest: Health Care Transformation"


Podcasts: IHI https://podcasts.apple.com/us/podcast/when-people-of-the-system-own-the-system-with/id1681829836?i=1000678625961

Moving to Value Part 1 https://podcasts.apple.com/us/podcast/part-1-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535

Part 2 https://podcasts.apple.com/us/podcast/part-2-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-18693467 Mon, 16 Feb 2026 16:00:00 -0500 3154 full false Building Community-Owned Health Plans to Save Independent Hospitals Building Community-Owned Health Plans to Save Independent Hospitals Welcome back to Relocalizing Health, the podcast where we shine a light on the communities taking healthcare back from corporate control and making it serve people, rather than profit. In today’s episode, host Dave Chase sits down with Christina King, a benefit advisor from Columbus, Ohio, who’s breaking the mold on how we think about hospitals and employer health plans.

Instead of waiting for Washington to fix a “terminally broken” system, Christina King has been rolling up her sleeves and partnering with regional hospitals to create community-owned health plans, even as much of Ohio’s healthcare landscape is collapsing around her. She unpacks how these grassroots efforts are not only keeping care in the community, but transforming hospital relationships, employer incentives and even employee recruitment by building something better from within.

We’ll dig into the unique financial models, the critical role of direct primary care and independent pharmacies, and why employers are finally able to use health benefits as a genuine tool to attract their workforce. Plus, Christina King shares how these local successes are fueling statewide excitement and connecting an ever-growing network of visionary leaders ready to take healthcare transformation on the road.

Get ready for an inspiring conversation that offers practical insights and real hope for reclaiming the American dream, one community at a time.


Timestamps:

00:00 Reclaiming Healthcare, Serving Communities

04:33 Networking to Reach Hospital Executives

08:41 Healthcare Innovation Around Metro Areas

12:45 Replicating Community Health Plans

15:42 Community-Focused Healthcare Collaboration

18:05 "Health Plans Driving Employee Attraction"

23:20 "Employer Community Health Revolution"

25:00 Community Celebration After Denver Trip

28:25 "Employers Discussing Healthcare Challenges"

31:33 Hospital Competition and Cost Reform

36:12 "Live in Anticipation of Connections"

37:45 Reclaiming Healthcare, Building Community



Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome back to Relocalizing Health, the podcast where we shine a light on the communities taking healthcare back from corporate control and making it serve people, rather than profit. In today’s episode, host Dave Chase sits down with Christina King, a benefit advisor from Columbus, Ohio, who’s breaking the mold on how we think about hospitals and employer health plans.

Instead of waiting for Washington to fix a “terminally broken” system, Christina King has been rolling up her sleeves and partnering with regional hospitals to create community-owned health plans, even as much of Ohio’s healthcare landscape is collapsing around her. She unpacks how these grassroots efforts are not only keeping care in the community, but transforming hospital relationships, employer incentives and even employee recruitment by building something better from within.

We’ll dig into the unique financial models, the critical role of direct primary care and independent pharmacies, and why employers are finally able to use health benefits as a genuine tool to attract their workforce. Plus, Christina King shares how these local successes are fueling statewide excitement and connecting an ever-growing network of visionary leaders ready to take healthcare transformation on the road.

Get ready for an inspiring conversation that offers practical insights and real hope for reclaiming the American dream, one community at a time.


Timestamps:

00:00 Reclaiming Healthcare, Serving Communities

04:33 Networking to Reach Hospital Executives

08:41 Healthcare Innovation Around Metro Areas

12:45 Replicating Community Health Plans

15:42 Community-Focused Healthcare Collaboration

18:05 "Health Plans Driving Employee Attraction"

23:20 "Employer Community Health Revolution"

25:00 Community Celebration After Denver Trip

28:25 "Employers Discussing Healthcare Challenges"

31:33 Hospital Competition and Cost Reform

36:12 "Live in Anticipation of Connections"

37:45 Reclaiming Healthcare, Building Community



Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-18333247 Wed, 10 Dec 2025 15:00:00 -0500 2366 1 14 full false The Collapse of American Health Care and Pathways to Community Self-Determination The Collapse of American Health Care and Pathways to Community Self-Determination Welcome to Relocalizing Health, where we dig deep into the heart of America's healthcare crisis and the opportunities that can rise from its collapse. In this Solo Episode, host Dave Chase confronts the uncomfortable truth: our healthcare system is not just broken, it's on the brink of collapse, with skyrocketing costs, staggering waste, and millions of Americans falling into medical debt.

But it's not all doom and gloom. Dave Chase shares a personal story of loss and regret that fueled his mission for meaningful change, and he draws on history and proven models to show us how collapse can pave the way for better, more equitable healthcare. From community-owned health plans to bold policy solutions like the proposed Community Self Determination Act, he reveals two real pathways to transformation, grounded in local control, transparency, and an unwavering focus on true wellbeing.

If you're ready to learn how communities are already reclaiming their health (and their financial futures), and how we can move from fear to action as this system unravels, this episode is your essential starting point. Let’s explore how we can turn crisis into an opportunity for lasting, positive change in American healthcare, one community at a time.


Timestamps:

00:00 "America's Systemic Collapse and Hope"

05:15 Healthcare Costs and Human Impact

07:47 "Fragile Healthcare Hierarchies Collapse"

12:29 "Rethinking Healthcare for Wellbeing"

16:12 Native Healthcare Transformation Revolution

18:21 "Optimal Community Health Plan Model"

23:10 "Path to Healing and Reform"

24:13 "Relocalizing Health Solutions"



Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health, where we dig deep into the heart of America's healthcare crisis and the opportunities that can rise from its collapse. In this Solo Episode, host Dave Chase confronts the uncomfortable truth: our healthcare system is not just broken, it's on the brink of collapse, with skyrocketing costs, staggering waste, and millions of Americans falling into medical debt.

But it's not all doom and gloom. Dave Chase shares a personal story of loss and regret that fueled his mission for meaningful change, and he draws on history and proven models to show us how collapse can pave the way for better, more equitable healthcare. From community-owned health plans to bold policy solutions like the proposed Community Self Determination Act, he reveals two real pathways to transformation, grounded in local control, transparency, and an unwavering focus on true wellbeing.

If you're ready to learn how communities are already reclaiming their health (and their financial futures), and how we can move from fear to action as this system unravels, this episode is your essential starting point. Let’s explore how we can turn crisis into an opportunity for lasting, positive change in American healthcare, one community at a time.


Timestamps:

00:00 "America's Systemic Collapse and Hope"

05:15 Healthcare Costs and Human Impact

07:47 "Fragile Healthcare Hierarchies Collapse"

12:29 "Rethinking Healthcare for Wellbeing"

16:12 Native Healthcare Transformation Revolution

18:21 "Optimal Community Health Plan Model"

23:10 "Path to Healing and Reform"

24:13 "Relocalizing Health Solutions"



Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-18294407 Wed, 03 Dec 2025 14:00:00 -0500 1552 1 13 full false Problem Solvers, Not Just Brokers: Josh Butler’s Mission to Fix Healthcare Problem Solvers, Not Just Brokers: Josh Butler’s Mission to Fix Healthcare Welcome to the 11th episode of Relocalizing Health, where we dive deep into how communities are reclaiming their local healthcare systems from extraction and inefficiency. This week, host Dave Chase is joined by Josh Butler, a benefit advisor based in Amarillo, Texas, who has been at the forefront of transformative change in his region.

Instead of telling a story from a neat conclusion, we’ll journey into the "messy middle", where real progress and real challenges coexist. Josh Butler shares his pivotal moments, including a powerful story about helping a truck driver finally receive surgical care after ten years of suffering due to unaffordable deductibles. Inspired by the Health Rosetta movement, Josh transitioned from selling traditional insurance to building innovative, local solutions through the High Plains Health Plan.

Listen in as we unpack the obstacles, breakthroughs, and the human impact of reimagining health benefits, where employers, clinicians, and advisors work together to create plans focused on accessibility, affordability, and genuine care. Whether you’re an employer, civic leader, or just someone passionate about change, this episode reveals what’s possible when communities take ownership of their healthcare dollars and destinies.

Join us for a compelling conversation about restoring the American dream, one local health system at a time.


Timestamps:

00:00 "Relocalizing Healthcare Transformation"

03:30 Health Insurance Broker Challenges

08:29 "Revolutionizing Healthcare Through Collaboration"

12:27 "Joining Health Rosetta: My Journey"

13:25 "Growth, Learning, and Overcoming Fear"

19:21 Physicians Prioritize Patients Over Profit

21:52 Healthcare Industry Resistance to Change

25:53 Choosing Partners Carefully

28:17 "High Plains Health Plan Benefits"

32:52 Brokerage Expansion and Partnerships

35:15 Establishing a Financial Baseline

39:21 Restoring the American Dream

41:27 "Transforming Healthcare with Passion"


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to the 11th episode of Relocalizing Health, where we dive deep into how communities are reclaiming their local healthcare systems from extraction and inefficiency. This week, host Dave Chase is joined by Josh Butler, a benefit advisor based in Amarillo, Texas, who has been at the forefront of transformative change in his region.

Instead of telling a story from a neat conclusion, we’ll journey into the "messy middle", where real progress and real challenges coexist. Josh Butler shares his pivotal moments, including a powerful story about helping a truck driver finally receive surgical care after ten years of suffering due to unaffordable deductibles. Inspired by the Health Rosetta movement, Josh transitioned from selling traditional insurance to building innovative, local solutions through the High Plains Health Plan.

Listen in as we unpack the obstacles, breakthroughs, and the human impact of reimagining health benefits, where employers, clinicians, and advisors work together to create plans focused on accessibility, affordability, and genuine care. Whether you’re an employer, civic leader, or just someone passionate about change, this episode reveals what’s possible when communities take ownership of their healthcare dollars and destinies.

Join us for a compelling conversation about restoring the American dream, one local health system at a time.


Timestamps:

00:00 "Relocalizing Healthcare Transformation"

03:30 Health Insurance Broker Challenges

08:29 "Revolutionizing Healthcare Through Collaboration"

12:27 "Joining Health Rosetta: My Journey"

13:25 "Growth, Learning, and Overcoming Fear"

19:21 Physicians Prioritize Patients Over Profit

21:52 Healthcare Industry Resistance to Change

25:53 Choosing Partners Carefully

28:17 "High Plains Health Plan Benefits"

32:52 Brokerage Expansion and Partnerships

35:15 Establishing a Financial Baseline

39:21 Restoring the American Dream

41:27 "Transforming Healthcare with Passion"


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-18254555 Tue, 25 Nov 2025 18:00:00 -0500 2606 1 12 full false From Kabuki Dance to Restoration: Rebuilding Healthcare With Local Blueprints From Kabuki Dance to Restoration: Rebuilding Healthcare With Local Blueprints Welcome to Relocalizing Health, where we shine a light on the reality behind America's healthcare crisis and offer practical, local solutions you can start implementing today. In this episode, Dave Chase dives deep into the staggering 342% increase in healthcare costs since 1999, exposing why traditional benefit packages keep getting worse despite annual "kabuki dance" negotiations between employers, brokers, and insurance carriers.

Through real-world stories, like Bryce Heinbaugh, an Ohio benefit advisor who transformed from feeling part of the problem to helping thousands in his community, Dave Chase reveals how deliberate, grassroots actions can change the game. Learn about the transformative power of community-owned health plans, transparent pricing, advanced primary care, and keeping healthcare dollars local.

If you're an employer tired of wasteful spending or a benefit broker fatigued by the status quo, this episode uncovers actionable ways to reclaim what matters most: high-quality, affordable care for your people and real economic value for your organization. It’s not about disruption for disruption’s sake, it’s about restoring common sense and dignity to healthcare, right where you live. So tune in as we bust myths, share inspiring case studies, and invite you to join the movement to relocalize health.


Timestamps:

00:00 "Brokers, Profits, and Transformation"

03:32 Healthcare Costs: A Theft Problem

08:09 Reimagining Healthcare for Success

12:21 Transparent Healthcare & Pharmacy Benefits

14:41 "Advanced Primary Care Benefits"

19:09 "Life-Changing Healthcare Savings Story"

20:09 "Transforming Healthcare to Value Creation"

25:52 "Health Reset Transformation Steps"

26:40 Relocalize Health Now


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health, where we shine a light on the reality behind America's healthcare crisis and offer practical, local solutions you can start implementing today. In this episode, Dave Chase dives deep into the staggering 342% increase in healthcare costs since 1999, exposing why traditional benefit packages keep getting worse despite annual "kabuki dance" negotiations between employers, brokers, and insurance carriers.

Through real-world stories, like Bryce Heinbaugh, an Ohio benefit advisor who transformed from feeling part of the problem to helping thousands in his community, Dave Chase reveals how deliberate, grassroots actions can change the game. Learn about the transformative power of community-owned health plans, transparent pricing, advanced primary care, and keeping healthcare dollars local.

If you're an employer tired of wasteful spending or a benefit broker fatigued by the status quo, this episode uncovers actionable ways to reclaim what matters most: high-quality, affordable care for your people and real economic value for your organization. It’s not about disruption for disruption’s sake, it’s about restoring common sense and dignity to healthcare, right where you live. So tune in as we bust myths, share inspiring case studies, and invite you to join the movement to relocalize health.


Timestamps:

00:00 "Brokers, Profits, and Transformation"

03:32 Healthcare Costs: A Theft Problem

08:09 Reimagining Healthcare for Success

12:21 Transparent Healthcare & Pharmacy Benefits

14:41 "Advanced Primary Care Benefits"

19:09 "Life-Changing Healthcare Savings Story"

20:09 "Transforming Healthcare to Value Creation"

25:52 "Health Reset Transformation Steps"

26:40 Relocalize Health Now


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-18214975 Tue, 18 Nov 2025 19:00:00 -0500 1693 1 11 full false How Lean Six Sigma and Community Collaboration Are Revolutionizing Health Benefits for Manufacturers How Lean Six Sigma and Community Collaboration Are Revolutionizing Health Benefits for Manufacturers Welcome to "Relocalizing Health"! In today’s episode, host Dave Chase sits down with Russell DuBose, Vice President of Human Resources at Phifer Incorporated, for a powerful conversation on how one manufacturer reimagined healthcare costs as a supply chain problem, and solved it using Lean Six Sigma methodologies.

Rather than accepting healthcare as an uncontrollable expense, Phifer Inc. applied continuous improvement principles to overhaul their benefits, delivering results that have stunned the industry: five years of flat healthcare costs, scholarships for employees’ dependents, zero pharmacy copays for over 2,500 individuals, and childcare bonuses for hundreds of families. But it goes beyond cost containment, Russell DuBose built the foundation so other local employers could access these benefits and help create healthier, more resilient communities.

This episode dives deep into Phifer’s journey, including how they broke away from legacy broker models, embraced Health Rosetta principles, leveraged data-driven decision-making, and established onsite primary care and pharmacy access that drastically improved outcomes, especially during the COVID pandemic. You’ll also learn how this story is inspiring other manufacturers and local employers to rethink their approach to healthcare, and what’s coming next as advanced, individualized medicine becomes a reality.

Whether you’re a business leader, HR professional, or simply passionate about transforming healthcare, this episode will change how you think about what’s possible for your company and your community.


Timestamps:

00:00 "Reclaiming Healthcare: Community Solutions"

05:51 "Solving Healthcare with Lean Six Sigma"

10:04 "Transition to Transparent PBM Model"

12:07 "Advancing Precision Healthcare Systems"

15:11 "Building a Unified Healthcare Paradigm"

18:20 "Health Rosetta's Impact Initiative"

21:07 "Primary Care: The Key Engine"

24:37 "Eliminating Barriers to Care"

30:57 Healthcare Costs and System Failure

33:59 "Advancing Employer-Focused Healthcare Solutions"

36:51 Primary Care Investment Revolution

42:22 Precision Medicine Pathway Development

45:00 "Advocating Transparency in Healthcare"

47:31 "Modernizing Manufacturing: First Steps"

51:11 Empower Teams for Transformation


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to "Relocalizing Health"! In today’s episode, host Dave Chase sits down with Russell DuBose, Vice President of Human Resources at Phifer Incorporated, for a powerful conversation on how one manufacturer reimagined healthcare costs as a supply chain problem, and solved it using Lean Six Sigma methodologies.

Rather than accepting healthcare as an uncontrollable expense, Phifer Inc. applied continuous improvement principles to overhaul their benefits, delivering results that have stunned the industry: five years of flat healthcare costs, scholarships for employees’ dependents, zero pharmacy copays for over 2,500 individuals, and childcare bonuses for hundreds of families. But it goes beyond cost containment, Russell DuBose built the foundation so other local employers could access these benefits and help create healthier, more resilient communities.

This episode dives deep into Phifer’s journey, including how they broke away from legacy broker models, embraced Health Rosetta principles, leveraged data-driven decision-making, and established onsite primary care and pharmacy access that drastically improved outcomes, especially during the COVID pandemic. You’ll also learn how this story is inspiring other manufacturers and local employers to rethink their approach to healthcare, and what’s coming next as advanced, individualized medicine becomes a reality.

Whether you’re a business leader, HR professional, or simply passionate about transforming healthcare, this episode will change how you think about what’s possible for your company and your community.


Timestamps:

00:00 "Reclaiming Healthcare: Community Solutions"

05:51 "Solving Healthcare with Lean Six Sigma"

10:04 "Transition to Transparent PBM Model"

12:07 "Advancing Precision Healthcare Systems"

15:11 "Building a Unified Healthcare Paradigm"

18:20 "Health Rosetta's Impact Initiative"

21:07 "Primary Care: The Key Engine"

24:37 "Eliminating Barriers to Care"

30:57 Healthcare Costs and System Failure

33:59 "Advancing Employer-Focused Healthcare Solutions"

36:51 Primary Care Investment Revolution

42:22 Precision Medicine Pathway Development

45:00 "Advocating Transparency in Healthcare"

47:31 "Modernizing Manufacturing: First Steps"

51:11 Empower Teams for Transformation


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-18167526 Mon, 10 Nov 2025 18:00:00 -0500 3342 1 10 full false How Community-Owned Health Plans Are Transforming Healthcare and Boosting Local Economies How Community-Owned Health Plans Are Transforming Healthcare and Boosting Local Economies Welcome back to Relocalizing Health, the podcast where we delve into how communities across America are taking back control of their healthcare from corporate interests and transforming it into a force for genuine wellbeing and economic vitality. I’m your host, Dave Chase.

In today’s episode, we bring you a truly inspiring story of healthcare transformation, not spearheaded by a hospital exec, a government official, or a tech disruptor, but by an independent benefits advisor from Ohio who decided enough was enough. Bryce Heinbaugh joins us to share his journey, which began with a professional crisis of conscience after realizing how much money was being siphoned out of his community by a broken healthcare system.

Bryce opens up about his pivotal moment at a Health Rosetta conference, the challenges of being a change agent, and how he helped move Ashtabula City Schools from the brink of financial crisis to building a $7 million healthcare reserve. We’ll explore the practical steps he took to rebuild the local healthcare ecosystem, from partnering with direct primary care physicians and community pharmacists, to negotiating direct contracts with high-quality providers, even in a so-called “medical desert.”

Alongside Bryce, we’ll dig into the blueprint that empowered not just schools, but also local governments and private employers, to save millions while improving care for their people. We’ll discuss the national implications of this approach, the predictable pushback from entrenched interests, and why fostering local collaboration among advisors, clinicians, and civic leaders is crucial for lasting change.

If you’ve ever wondered how healthcare could become an economic engine rather than a drain, or what it takes to shift from Wall Street-driven models to community-owned health plans, this is the episode for you. Stick around for actionable insights, hard-earned wisdom, and a hopeful look at what’s possible when communities work together to reclaim their healthcare destiny.


Timestamps:

00:00 "Revolutionizing U.S. Healthcare Costs"

04:52 Epiphany of a Benefits Broker

07:07 Healthcare Innovation Journey

12:24 Community-Focused Healthcare Solution

17:02 "Leveraging Major Employers for Community Initiatives"

18:07 Analyzing Healthcare Spending Data

22:59 Orthopedic and Imaging Expansion Success

25:59 Healthcare Reform Sparks Local Controversy

29:52 "Decentralizing Healthcare from Wall Street"

31:49 Cut Out Middleman, Save on Prescriptions

37:16 "Zero-Cost Healthcare Impact on Communities"

38:44 Economic Impact of Healthcare Savings

43:35 "COHP Scorecard Assessment"

48:33 Space Collaboration Insights

49:44 Revolutionizing Healthcare Access


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome back to Relocalizing Health, the podcast where we delve into how communities across America are taking back control of their healthcare from corporate interests and transforming it into a force for genuine wellbeing and economic vitality. I’m your host, Dave Chase.

In today’s episode, we bring you a truly inspiring story of healthcare transformation, not spearheaded by a hospital exec, a government official, or a tech disruptor, but by an independent benefits advisor from Ohio who decided enough was enough. Bryce Heinbaugh joins us to share his journey, which began with a professional crisis of conscience after realizing how much money was being siphoned out of his community by a broken healthcare system.

Bryce opens up about his pivotal moment at a Health Rosetta conference, the challenges of being a change agent, and how he helped move Ashtabula City Schools from the brink of financial crisis to building a $7 million healthcare reserve. We’ll explore the practical steps he took to rebuild the local healthcare ecosystem, from partnering with direct primary care physicians and community pharmacists, to negotiating direct contracts with high-quality providers, even in a so-called “medical desert.”

Alongside Bryce, we’ll dig into the blueprint that empowered not just schools, but also local governments and private employers, to save millions while improving care for their people. We’ll discuss the national implications of this approach, the predictable pushback from entrenched interests, and why fostering local collaboration among advisors, clinicians, and civic leaders is crucial for lasting change.

If you’ve ever wondered how healthcare could become an economic engine rather than a drain, or what it takes to shift from Wall Street-driven models to community-owned health plans, this is the episode for you. Stick around for actionable insights, hard-earned wisdom, and a hopeful look at what’s possible when communities work together to reclaim their healthcare destiny.


Timestamps:

00:00 "Revolutionizing U.S. Healthcare Costs"

04:52 Epiphany of a Benefits Broker

07:07 Healthcare Innovation Journey

12:24 Community-Focused Healthcare Solution

17:02 "Leveraging Major Employers for Community Initiatives"

18:07 Analyzing Healthcare Spending Data

22:59 Orthopedic and Imaging Expansion Success

25:59 Healthcare Reform Sparks Local Controversy

29:52 "Decentralizing Healthcare from Wall Street"

31:49 Cut Out Middleman, Save on Prescriptions

37:16 "Zero-Cost Healthcare Impact on Communities"

38:44 Economic Impact of Healthcare Savings

43:35 "COHP Scorecard Assessment"

48:33 Space Collaboration Insights

49:44 Revolutionizing Healthcare Access


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-17776567 Tue, 02 Sep 2025 18:00:00 -0400 3128 1 9 full false How Ashtabula County Reclaimed Healthcare: Direct Care and Community Plans Beat Corporate Systems How Ashtabula County Reclaimed Healthcare: Direct Care and Community Plans Beat Corporate Systems Welcome to another episode of Relocalizing Health, the show where we explore inspiring stories of communities reclaiming healthcare and reshaping the system to serve people, not profit. In today’s episode, host Dave Chase takes us to Ashtabula County, Ohio, a region that transformed itself from a “medical desert” into a beacon of hope for what healthcare can look like when it’s community-powered and people-centered.

You’ll hear from three courageous local healthcare leaders: Dr. Brad Schneider, a primary care physician who broke out of the hospital “hamster wheel” to offer direct primary care; Maria Fowler, owner of one of the last independent pharmacies in town, standing strong against corporate chains and unfair pharmacy benefit managers; and Casey Billington, a nurse who helped co-found a revolutionary nurse navigation service that ensures every call is met with a real human; no AI, no runaround.

Together, they reveal the staggering ways in which their community-owned health plan is not only saving millions of dollars for local schools and governments, but also restoring compassion and genuine relationships in care. Through their candid stories, you’ll get a front-row seat to the “mafia-like” challenges of the current system, the heartbreak of patients forced to fundraise for life-saving treatments, and the joy of finally making the system work for the people it’s supposed to serve.

If you’re a civic leader, clinician, or anyone hungry for proof that healthcare can be both better and more affordable, this episode is packed with hope, practical strategies, and a vision of a future where community truly comes first. Let’s dive in!

Timestamps:

00:00 Relocalizing Health: Community Care Revolution

05:45 Rising Patient Load Challenges Doctor

08:01 Burnout as a Family Doctor

11:34 Challenges in Primary Care Access

14:04 Pharmacy System Challenges and Closures

20:10 Barriers to Healthcare Access

23:22 Transition to Direct Primary Care

26:39 Rapid Orthopedic Access Service

30:35 Delayed Doctor Appointment Crisis

34:10 Revolutionizing Healthcare Access & Savings

36:31 Advocating Self-Insurance for All Employers

40:48 Healthcare's Role in Retention & Recruitment

43:26 Direct Primary Care Revolution

46:37 Rethink Healthcare Deserts

51:26 Community-Oriented Business Models Discussed

54:08 Flexible Healthcare Model Success

57:12 Gratitude for Healthcare Professionals


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to another episode of Relocalizing Health, the show where we explore inspiring stories of communities reclaiming healthcare and reshaping the system to serve people, not profit. In today’s episode, host Dave Chase takes us to Ashtabula County, Ohio, a region that transformed itself from a “medical desert” into a beacon of hope for what healthcare can look like when it’s community-powered and people-centered.

You’ll hear from three courageous local healthcare leaders: Dr. Brad Schneider, a primary care physician who broke out of the hospital “hamster wheel” to offer direct primary care; Maria Fowler, owner of one of the last independent pharmacies in town, standing strong against corporate chains and unfair pharmacy benefit managers; and Casey Billington, a nurse who helped co-found a revolutionary nurse navigation service that ensures every call is met with a real human; no AI, no runaround.

Together, they reveal the staggering ways in which their community-owned health plan is not only saving millions of dollars for local schools and governments, but also restoring compassion and genuine relationships in care. Through their candid stories, you’ll get a front-row seat to the “mafia-like” challenges of the current system, the heartbreak of patients forced to fundraise for life-saving treatments, and the joy of finally making the system work for the people it’s supposed to serve.

If you’re a civic leader, clinician, or anyone hungry for proof that healthcare can be both better and more affordable, this episode is packed with hope, practical strategies, and a vision of a future where community truly comes first. Let’s dive in!

Timestamps:

00:00 Relocalizing Health: Community Care Revolution

05:45 Rising Patient Load Challenges Doctor

08:01 Burnout as a Family Doctor

11:34 Challenges in Primary Care Access

14:04 Pharmacy System Challenges and Closures

20:10 Barriers to Healthcare Access

23:22 Transition to Direct Primary Care

26:39 Rapid Orthopedic Access Service

30:35 Delayed Doctor Appointment Crisis

34:10 Revolutionizing Healthcare Access & Savings

36:31 Advocating Self-Insurance for All Employers

40:48 Healthcare's Role in Retention & Recruitment

43:26 Direct Primary Care Revolution

46:37 Rethink Healthcare Deserts

51:26 Community-Oriented Business Models Discussed

54:08 Flexible Healthcare Model Success

57:12 Gratitude for Healthcare Professionals


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-17706960 Wed, 20 Aug 2025 18:00:00 -0400 3568 1 8 full false Beyond Healthcare Costs: Shifting from Repair to Maintenance in Our Communities Beyond Healthcare Costs: Shifting from Repair to Maintenance in Our Communities Welcome to Relocalizing Health, the podcast where we dive into how local communities can reclaim their healthcare dollars and shape healthier, more vibrant futures. In this episode, host Dave Chase sits down with the ever-insightful Esther Dyson - investor, writer, and founder of the 10-year Wellville project, for a deep conversation about what it really takes to create lasting health at the community level.

Kicking things off, Esther challenges us with a provocative comparison: we do a better job maintaining our cars than our own bodies. She and Dave explore why the true challenge in healthcare isn’t just about lowering costs, but making healthcare itself less necessary through prevention and social connection.

Esther shares the inside story of Wellville, reflecting on lessons learned from working far beyond the “tech fix” mindset and instead focusing on trust, social fabric, and local leadership. They discuss the importance of making “new mistakes,” the pitfalls of short-term thinking in both healthcare and corporate America, and how employers can - and do - become powerful agents for community well-being.

Together, Esther and Dave dig into everything from the power of data and the need for long-term investment, to the complicated dance between local action and national systems. Listen in for practical wisdom, hard-earned insights, and a dose of optimism about ways we can rebuild a healthier society from the ground up.

Timestamps:

00:00 "Reclaiming Healthcare Dollars Locally"

06:10 "Health X Prize Proposal"

09:32 Building Trust: A Decade's Insight

11:47 Collaborative Catalyst Metaphor

14:37 Preventive Healthcare Innovation

17:22 "Short-Term Focus Hurts Healthcare"

21:07 Transforming Community Through Health Initiatives

23:48 "Restoring Humanity in a Gig Economy"

28:55 Employer Healthcare Data Challenges

33:26 Healthcare Economy Dynamics

34:19 "Relocalizing Health Gratitude"


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health, the podcast where we dive into how local communities can reclaim their healthcare dollars and shape healthier, more vibrant futures. In this episode, host Dave Chase sits down with the ever-insightful Esther Dyson - investor, writer, and founder of the 10-year Wellville project, for a deep conversation about what it really takes to create lasting health at the community level.

Kicking things off, Esther challenges us with a provocative comparison: we do a better job maintaining our cars than our own bodies. She and Dave explore why the true challenge in healthcare isn’t just about lowering costs, but making healthcare itself less necessary through prevention and social connection.

Esther shares the inside story of Wellville, reflecting on lessons learned from working far beyond the “tech fix” mindset and instead focusing on trust, social fabric, and local leadership. They discuss the importance of making “new mistakes,” the pitfalls of short-term thinking in both healthcare and corporate America, and how employers can - and do - become powerful agents for community well-being.

Together, Esther and Dave dig into everything from the power of data and the need for long-term investment, to the complicated dance between local action and national systems. Listen in for practical wisdom, hard-earned insights, and a dose of optimism about ways we can rebuild a healthier society from the ground up.

Timestamps:

00:00 "Reclaiming Healthcare Dollars Locally"

06:10 "Health X Prize Proposal"

09:32 Building Trust: A Decade's Insight

11:47 Collaborative Catalyst Metaphor

14:37 Preventive Healthcare Innovation

17:22 "Short-Term Focus Hurts Healthcare"

21:07 Transforming Community Through Health Initiatives

23:48 "Restoring Humanity in a Gig Economy"

28:55 Employer Healthcare Data Challenges

33:26 Healthcare Economy Dynamics

34:19 "Relocalizing Health Gratitude"


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-17626372 Wed, 06 Aug 2025 21:00:00 -0400 2150 1 7 full false Restoring Humanity to Healthcare with Dr. Rushika Fernandopulle: Rebuilding Primary Care from the Ground Up Restoring Humanity to Healthcare with Dr. Rushika Fernandopulle: Rebuilding Primary Care from the Ground Up Welcome back to Relocalizing Health, the podcast uncovering how communities can take back healthcare from profit-driven systems and put people first. In today’s episode, host Dave Chase sits down with Dr. Rushika Fernandopulle, co-founder of Iora Health and current co-founder of Liza Health, to discuss the next frontier in primary care innovation. With heartfelt stories from the frontlines, Dr. Fernandopulle exposes the perils of fragmented, transactional medicine, where patients are overwhelmed with prescriptions and disconnected from real human care. Together, they explore how redesigning primary care - focused on relationships, not transactions - can restore the American dream for everyday people, improve outcomes, and even lower costs.

Dr. Fernandopulle shares how Iora Health’s pioneering model brought humanity back to healthcare, using health coaches, technology, and a payment approach that actually rewards better health. You’ll hear compelling examples, from helping a socially isolated patient navigate her city to slashing unnecessary medications for complex patients that highlight just how transformative relationship-based care can be.

Tune in for a compelling conversation on the power of independent primary care, the role of technology (including AI), and how communities can push for the changes needed to make healthcare work for everyone. Whether you’re a clinician, an employer, or invested in your local healthcare system, this episode is packed with actionable insights and hope for a better future in healthcare.


Timestamps:

00:00 Exceptional Family-Centric Healthcare Model

05:23 "Meds Roulette: A Risky Routine"

09:43 Patient Accountability Partnership Model

12:33 Seniors' Isolation Addressed by Community Care

16:20 Building Iora Health: Custom EHR Development

19:00 Specialists Outnumber Primary Doctors in the US

23:07 Rethinking Healthcare Systems

25:39 AI in Healthcare Revenue Management

28:54 "Payment Model Shifts in Healthcare"

32:05 Prioritizing Care Over Profit

35:01 Population Management in Healthcare Practices

38:47 Reducing Healthcare Costs Benefits All

42:21 "Restoring Humanity to Healthcare"

43:43 "Business Diversity at Rosetta Fest"


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome back to Relocalizing Health, the podcast uncovering how communities can take back healthcare from profit-driven systems and put people first. In today’s episode, host Dave Chase sits down with Dr. Rushika Fernandopulle, co-founder of Iora Health and current co-founder of Liza Health, to discuss the next frontier in primary care innovation. With heartfelt stories from the frontlines, Dr. Fernandopulle exposes the perils of fragmented, transactional medicine, where patients are overwhelmed with prescriptions and disconnected from real human care. Together, they explore how redesigning primary care - focused on relationships, not transactions - can restore the American dream for everyday people, improve outcomes, and even lower costs.

Dr. Fernandopulle shares how Iora Health’s pioneering model brought humanity back to healthcare, using health coaches, technology, and a payment approach that actually rewards better health. You’ll hear compelling examples, from helping a socially isolated patient navigate her city to slashing unnecessary medications for complex patients that highlight just how transformative relationship-based care can be.

Tune in for a compelling conversation on the power of independent primary care, the role of technology (including AI), and how communities can push for the changes needed to make healthcare work for everyone. Whether you’re a clinician, an employer, or invested in your local healthcare system, this episode is packed with actionable insights and hope for a better future in healthcare.


Timestamps:

00:00 Exceptional Family-Centric Healthcare Model

05:23 "Meds Roulette: A Risky Routine"

09:43 Patient Accountability Partnership Model

12:33 Seniors' Isolation Addressed by Community Care

16:20 Building Iora Health: Custom EHR Development

19:00 Specialists Outnumber Primary Doctors in the US

23:07 Rethinking Healthcare Systems

25:39 AI in Healthcare Revenue Management

28:54 "Payment Model Shifts in Healthcare"

32:05 Prioritizing Care Over Profit

35:01 Population Management in Healthcare Practices

38:47 Reducing Healthcare Costs Benefits All

42:21 "Restoring Humanity to Healthcare"

43:43 "Business Diversity at Rosetta Fest"


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-17584319 Tue, 29 Jul 2025 17:00:00 -0400 2821 1 6 full false AI and the Future of Healthcare: Balancing Technology with Human Connection AI and the Future of Healthcare: Balancing Technology with Human Connection Welcome back to another episode of Relocalizing Health! Today, host Dave Chase dives deep into the opportunities and challenges AI brings to healthcare, joined by digital health pioneer Dr. Jay Parkinson. Together, they explore a future where technology and community-driven care intersect, asking the big questions about how AI can support, rather than replace, the vital human relationships at the core of medicine.

Jay shares stories from his unique journey, from being one of the first iPhone-enabled physicians making house calls, to innovating virtual primary care with Sherpa, and now leading Automate Clinic, where he’s working to train AI models to think more like doctors. As they sift through possibilities and pitfalls, Dave and Jay unpack what truly makes care excellent, which elements must remain human, and how AI might transform both the daily experiences of clinicians and the health journeys of patients.

They also tackle AI’s role in addressing the broader determinants of health, beyond pills and procedures, into the realms of social connection and community resources. With insights for both clinicians embracing change and everyday people eager to understand what’s ahead, this episode is a candid, forward-thinking look at the evolution of healthcare.

So, whether you’re a healthcare professional, policymaker, or simply curious about the future of medicine, this conversation is designed to spark curiosity, challenge assumptions, and inspire the kind of creative thinking that just might change the system for the better. Let’s get started.


Timestamps:

00:00 "Transforming Healthcare with Technology"

04:21 Revolutionizing Telehealth: Consistent Doctor Access

07:12 Optimizing Healthcare with AI

11:13 AI in Holistic Healthcare Solutions

13:23 Health vs. Medical: A Future Perspective

18:56 AI Enhancing Health Conversations

20:55 Rising Risk in Healthcare Analytics

24:14 Focus on Basic Primary Care

27:32 Curiosity Transforms Healthcare


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome back to another episode of Relocalizing Health! Today, host Dave Chase dives deep into the opportunities and challenges AI brings to healthcare, joined by digital health pioneer Dr. Jay Parkinson. Together, they explore a future where technology and community-driven care intersect, asking the big questions about how AI can support, rather than replace, the vital human relationships at the core of medicine.

Jay shares stories from his unique journey, from being one of the first iPhone-enabled physicians making house calls, to innovating virtual primary care with Sherpa, and now leading Automate Clinic, where he’s working to train AI models to think more like doctors. As they sift through possibilities and pitfalls, Dave and Jay unpack what truly makes care excellent, which elements must remain human, and how AI might transform both the daily experiences of clinicians and the health journeys of patients.

They also tackle AI’s role in addressing the broader determinants of health, beyond pills and procedures, into the realms of social connection and community resources. With insights for both clinicians embracing change and everyday people eager to understand what’s ahead, this episode is a candid, forward-thinking look at the evolution of healthcare.

So, whether you’re a healthcare professional, policymaker, or simply curious about the future of medicine, this conversation is designed to spark curiosity, challenge assumptions, and inspire the kind of creative thinking that just might change the system for the better. Let’s get started.


Timestamps:

00:00 "Transforming Healthcare with Technology"

04:21 Revolutionizing Telehealth: Consistent Doctor Access

07:12 Optimizing Healthcare with AI

11:13 AI in Holistic Healthcare Solutions

13:23 Health vs. Medical: A Future Perspective

18:56 AI Enhancing Health Conversations

20:55 Rising Risk in Healthcare Analytics

24:14 Focus on Basic Primary Care

27:32 Curiosity Transforms Healthcare


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-17517975 Wed, 16 Jul 2025 18:00:00 -0400 1885 1 5 full false Breaking Down Healthcare’s Structural Flaws and Realigning Incentives for Better Outcomes Breaking Down Healthcare’s Structural Flaws and Realigning Incentives for Better Outcomes Welcome to another episode of Relocalizing Health! In today’s conversation, host Dave Chase sits down with Dr. Eric Bricker, a renowned internal medicine physician, board member for a leading direct primary care organization, and the mastermind behind those wildly popular whiteboard healthcare explainers online.

Together, Dave and Dr. Bricker dive into the heart of America’s healthcare challenges: from deeply misaligned financial incentives to the separation of health and social care funding streams. You’ll hear candid stories and sharp insights from Dr. Bricker’s career working with millions across the country, and learn why fixing payment models could be the key to unlocking better primary care.

The episode also unpacks the crucial role of local leadership, using real-world examples like the transformation in McAllen, Texas, and how direct primary care models are gaining traction among public employers. Dr. Bricker doesn’t just cut through the theoretical; he brings a dash of humor, some tough truths about medical training and system inertia, and inspiration for anyone striving to build healthier communities.

Whether you're a health plan wonk, a city leader, or just itching to see change, this episode will leave you with a fresh perspective and a few memorable quotes. Tune in to hear why, when it comes to transforming health systems, enthusiasm, persistence, and community leadership matter just as much as bright ideas.


Timestamps:

00:00 "Navigating U.S. Healthcare Insights"

07:53 "Fixing U.S. Healthcare Flaws"

12:59 Healthcare Politics and Resource Allocation

18:27 Doctors Face Unexpected Social Work

25:26 Primary Care Requires More Time

31:04 Social Isolation to Social Prescription

33:55 Scaling Direct Primary Care Practices

42:11 "Influential Historians: The Durants"

47:40 "Independent Thinkers Drive Health Innovation"

51:53 Finding Your Purpose and Calling

56:09 Localized Ecosystem Growth Explained

01:01:17 Engaging Conversations at Rosetta Fest


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to another episode of Relocalizing Health! In today’s conversation, host Dave Chase sits down with Dr. Eric Bricker, a renowned internal medicine physician, board member for a leading direct primary care organization, and the mastermind behind those wildly popular whiteboard healthcare explainers online.

Together, Dave and Dr. Bricker dive into the heart of America’s healthcare challenges: from deeply misaligned financial incentives to the separation of health and social care funding streams. You’ll hear candid stories and sharp insights from Dr. Bricker’s career working with millions across the country, and learn why fixing payment models could be the key to unlocking better primary care.

The episode also unpacks the crucial role of local leadership, using real-world examples like the transformation in McAllen, Texas, and how direct primary care models are gaining traction among public employers. Dr. Bricker doesn’t just cut through the theoretical; he brings a dash of humor, some tough truths about medical training and system inertia, and inspiration for anyone striving to build healthier communities.

Whether you're a health plan wonk, a city leader, or just itching to see change, this episode will leave you with a fresh perspective and a few memorable quotes. Tune in to hear why, when it comes to transforming health systems, enthusiasm, persistence, and community leadership matter just as much as bright ideas.


Timestamps:

00:00 "Navigating U.S. Healthcare Insights"

07:53 "Fixing U.S. Healthcare Flaws"

12:59 Healthcare Politics and Resource Allocation

18:27 Doctors Face Unexpected Social Work

25:26 Primary Care Requires More Time

31:04 Social Isolation to Social Prescription

33:55 Scaling Direct Primary Care Practices

42:11 "Influential Historians: The Durants"

47:40 "Independent Thinkers Drive Health Innovation"

51:53 Finding Your Purpose and Calling

56:09 Localized Ecosystem Growth Explained

01:01:17 Engaging Conversations at Rosetta Fest


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-17432996 Tue, 01 Jul 2025 18:00:00 -0400 3799 1 4 full false From Crisis to Reform: Marilyn Bartlett and Chris Deacon’s Proven Playbook for Lowering Healthcare Costs From Crisis to Reform: Marilyn Bartlett and Chris Deacon’s Proven Playbook for Lowering Healthcare Costs Welcome to another episode of Relocalizing Health, where we dive into the critical and often complicated world of healthcare reform at the local and state level. In this episode, host Dave Chase sits down with two trailblazing leaders in public sector health: Marilyn Bartlett, renowned for her transformative work on Montana’s state health plan and a member of Fortune’s 50 World Greatest Leaders, and Chris Deacon, an experienced former Deputy Attorney General of New Jersey with firsthand knowledge of negotiating healthcare on behalf of state employees.

Together, they unpack the real-life impact of skyrocketing healthcare costs on state budgets, infrastructure, and, most importantly, the everyday lives of public employees. The conversation moves beyond numbers, exploring how unions became unexpected allies in the fight for health plan reform- and why educating and engaging stakeholders is the cornerstone of lasting change. From the power of transparent data to the importance of local advocacy and creative legislative wins, Marilyn and Chris share practical, actionable lessons for mayors, school boards, and anyone interested in bending the cost curve without cutting benefits.

Tune in as we shine a light on how shifting the status quo can restore trust, save millions, and lead to better care for all - plus, get a preview of their hands-on workshops at Rosetta Fest, where they’ll pull back the curtain on hospital finances, contract red flags, and more. If you care about healthier communities and smarter spending, this episode is for you.


Timestamps:

00:00 Genius Thrives in Adversity

03:50 State Employee Health Plan Challenges

08:46 Economic Development 3.0 Podcast Insights

10:55 Unified Approach to Health Benefits

14:21 Effective Data Use in Decision-Making

18:55 Federal Health Policy Movement Signals

22:18 Montana Pharmacists' Legislative Victory

23:25 Surprise Policy Gains for Advocates

29:14 Touching Union Meeting Reflections

30:41 Praising Marilyn and Chris's Impact

33:04 Grateful for Fun Contract Work


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to another episode of Relocalizing Health, where we dive into the critical and often complicated world of healthcare reform at the local and state level. In this episode, host Dave Chase sits down with two trailblazing leaders in public sector health: Marilyn Bartlett, renowned for her transformative work on Montana’s state health plan and a member of Fortune’s 50 World Greatest Leaders, and Chris Deacon, an experienced former Deputy Attorney General of New Jersey with firsthand knowledge of negotiating healthcare on behalf of state employees.

Together, they unpack the real-life impact of skyrocketing healthcare costs on state budgets, infrastructure, and, most importantly, the everyday lives of public employees. The conversation moves beyond numbers, exploring how unions became unexpected allies in the fight for health plan reform- and why educating and engaging stakeholders is the cornerstone of lasting change. From the power of transparent data to the importance of local advocacy and creative legislative wins, Marilyn and Chris share practical, actionable lessons for mayors, school boards, and anyone interested in bending the cost curve without cutting benefits.

Tune in as we shine a light on how shifting the status quo can restore trust, save millions, and lead to better care for all - plus, get a preview of their hands-on workshops at Rosetta Fest, where they’ll pull back the curtain on hospital finances, contract red flags, and more. If you care about healthier communities and smarter spending, this episode is for you.


Timestamps:

00:00 Genius Thrives in Adversity

03:50 State Employee Health Plan Challenges

08:46 Economic Development 3.0 Podcast Insights

10:55 Unified Approach to Health Benefits

14:21 Effective Data Use in Decision-Making

18:55 Federal Health Policy Movement Signals

22:18 Montana Pharmacists' Legislative Victory

23:25 Surprise Policy Gains for Advocates

29:14 Touching Union Meeting Reflections

30:41 Praising Marilyn and Chris's Impact

33:04 Grateful for Fun Contract Work


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-17392155 Tue, 24 Jun 2025 15:00:00 -0400 2090 1 3 full false From Economic Drain to Economic Engine From Economic Drain to Economic Engine Welcome to Relocalizing Health, where we dig into the powerful connection between healthcare and community prosperity. In this episode, host Dave Chase explores a hidden economic struggle affecting towns across America, one where healthcare dollars can either drain local economies or become the engine that revitalizes them. Dave shares compelling stories, like how a reimagined approach to healthcare in Tangelo Park, Florida, helped fund college for every child and reduced crime dramatically, while unchecked hospital expansion elsewhere continues to burden families for generations.

This episode shines a light on why traditional strategies to attract jobs may be less effective than transforming local healthcare ecosystems, highlighting real-life examples from Ohio to Alabama where communities have redirected wasted healthcare spending into scholarships, community programs, and job growth. Through cooperatives, innovative employers, and local leadership, Dave reveals a playbook for reclaiming healthcare dollars and harnessing them to rebuild the social and economic fabric of our communities.

Whether you’re an employer, teacher, community leader, or local advocate, Dave empowers you with ideas and tools to help your community thrive, reminding us all that the future of healthcare and local prosperity is in our hands. Join us as we explore real solutions already working across the country, and find out how you can be part of this growing movement to relocalize health.


Timestamps:

00:00 Healthcare Drains Local Economies

05:11 Rethinking Hospital-Centric Economic Development

09:47 "Community Focus in Transparent Healthcare"

13:03 Community Wealth Through Cooperatives

14:48 Localizing Healthcare for Economic Growth

15:44 Rosetta Fest



Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Welcome to Relocalizing Health, where we dig into the powerful connection between healthcare and community prosperity. In this episode, host Dave Chase explores a hidden economic struggle affecting towns across America, one where healthcare dollars can either drain local economies or become the engine that revitalizes them. Dave shares compelling stories, like how a reimagined approach to healthcare in Tangelo Park, Florida, helped fund college for every child and reduced crime dramatically, while unchecked hospital expansion elsewhere continues to burden families for generations.

This episode shines a light on why traditional strategies to attract jobs may be less effective than transforming local healthcare ecosystems, highlighting real-life examples from Ohio to Alabama where communities have redirected wasted healthcare spending into scholarships, community programs, and job growth. Through cooperatives, innovative employers, and local leadership, Dave reveals a playbook for reclaiming healthcare dollars and harnessing them to rebuild the social and economic fabric of our communities.

Whether you’re an employer, teacher, community leader, or local advocate, Dave empowers you with ideas and tools to help your community thrive, reminding us all that the future of healthcare and local prosperity is in our hands. Join us as we explore real solutions already working across the country, and find out how you can be part of this growing movement to relocalize health.


Timestamps:

00:00 Healthcare Drains Local Economies

05:11 Rethinking Hospital-Centric Economic Development

09:47 "Community Focus in Transparent Healthcare"

13:03 Community Wealth Through Cooperatives

14:48 Localizing Healthcare for Economic Growth

15:44 Rosetta Fest



Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-17308155 Mon, 09 Jun 2025 18:00:00 -0400 1066 1 2 full false Relocalizing Health with Dave Chase - Episode 1 - Coming Soon! Relocalizing Health with Dave Chase - Episode 1 - Coming Soon! Relocalizing Health with Dave Chase - Episode 1 - Coming Soon!


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> Relocalizing Health with Dave Chase - Episode 1 - Coming Soon!


Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

]]> TopHealth Media Buzzsprout-17283981 Wed, 04 Jun 2025 20:00:00 -0400 74 1 1 full false