The Price of Healthcare Podcast Sun, 11 Oct 2026 16:31:04 -0400 https://www.buzzsprout.com/2646459 en-us © 2026 The Price of Healthcare Podcast yes c3555d9a-fca0-5cf1-a293-8cc1ef09b47a Payerset episodic false The brightest minds in healthcare finance discuss what drives costs, where leverage lives, and how better data can change the system.

]]> Buzzsprout (https://www.buzzsprout.com) price transparency, transparency in coverage, hospital price transparency, machine readable files, negotiated rates, self-funded employers, employee benefits, healthcare costs, healthcare pricing data, healthcare finance, CMS, Payerset Payerset https://storage.buzzsprout.com/x11kgx3cfod5n7vq59vthhkwoau3?.jpg The Price of Healthcare Podcast https://www.buzzsprout.com/2646459 Andrew Gordon How employers are taking control of healthcare costs in the modern benefits market with Jeff Hogan of the Judi Group How employers are taking control of healthcare costs in the modern benefits market with Jeff Hogan of the Judi Group This episode of The Price of Healthcare Podcast features Jeff Hogan, Managing Director and co-founder of the Judi Group, who draws on four decades of industry experience to discuss the challenges and opportunities facing purchasers of employer-sponsored healthcare.

Topics include:

  • The historical lack of a true healthcare marketplace and the resulting “conditioning” of CFOs and HR executives to accept status quo costs.
  • The impact of the Consolidated Appropriations Act (CAA) of 2021 on employer fiduciary duty and the move towards contract transparency.
  • Emancipating and warehousing claims data to drive better purchasing decisions and compliance.
  • The critical role of governance, fiduciary committees, and actionable analytics in transforming benefits decision-making.
  • Practical steps employers of all sizes can take, starting with contract review, disclosure management, and point solution evaluation.

The episode also covers trends in direct contracting, advancements in technology-driven procurement, and the emergence of supply-side health systems eager to compete for employer business. For those committed to reshaping healthcare purchasing, actionable strategies and new standards of fiduciary responsibility are discussed throughout.

Listen for a roadmap to drive change, create accountability, and leverage new market dynamics for more transparent, sustainable employer health benefits.


The Price of Healthcare Podcast is produced by the team at Payerset.


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  • Subscribe to this channel for latest news and knowledge in healthcare finance.



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  • ➡️ https://www.linkedin.com/company/payerset
]]> This episode of The Price of Healthcare Podcast features Jeff Hogan, Managing Director and co-founder of the Judi Group, who draws on four decades of industry experience to discuss the challenges and opportunities facing purchasers of employer-sponsored healthcare.

Topics include:

  • The historical lack of a true healthcare marketplace and the resulting “conditioning” of CFOs and HR executives to accept status quo costs.
  • The impact of the Consolidated Appropriations Act (CAA) of 2021 on employer fiduciary duty and the move towards contract transparency.
  • Emancipating and warehousing claims data to drive better purchasing decisions and compliance.
  • The critical role of governance, fiduciary committees, and actionable analytics in transforming benefits decision-making.
  • Practical steps employers of all sizes can take, starting with contract review, disclosure management, and point solution evaluation.

The episode also covers trends in direct contracting, advancements in technology-driven procurement, and the emergence of supply-side health systems eager to compete for employer business. For those committed to reshaping healthcare purchasing, actionable strategies and new standards of fiduciary responsibility are discussed throughout.

Listen for a roadmap to drive change, create accountability, and leverage new market dynamics for more transparent, sustainable employer health benefits.


The Price of Healthcare Podcast is produced by the team at Payerset.


📖 GET THE 2026 PRICE TRANSPARENCY FIELD GUIDE



📊 USE OUR EMPLOYER RATE INTELLIGENCE TOOL



🔔 KEEP LEARNING WITH THE PRICE OF HEALTHCARE PODCAST

  • Subscribe to this channel for latest news and knowledge in healthcare finance.



🤝 CONNECT WITH PAYERSET ON LINKEDIN

  • ➡️ https://www.linkedin.com/company/payerset
]]> Payerset Buzzsprout-19915798 Mon, 05 Oct 2026 20:00:00 -0400 4439 1 3 full false Unpacking the mechanics and award sizes of the IDR process with Dr. Tia Goss Sawhney Unpacking the mechanics and award sizes of the IDR process with Dr. Tia Goss Sawhney Join Andrew Gordon as he interviews Tia Goss Sawhney, a healthcare data and policy expert, to break down the real-world impact and current issues surrounding the No Surprises Act.

Get a direct look into the independent dispute resolution process and its effects on employers, providers, and patients.

In this episode…

  • Why Tia believes commercial pricing only changes when self-funded employers demand it, and what the Consolidated Appropriations Act opened up
  • Where the No Surprises Act is working for patients, and the one gap left for reference-based pricing plans
  • Why the qualifying payment amount starts too low: 2019 rates, CPI trending, and ghost rates
  • Providers winning more than 85% of determinations, and why no one but the arbitrator sees the justification
  • How elective surgeries at in-network facilities land in IDR, from assistant surgeons to neuromonitoring
  • The August amendments and the Fifth Circuit’s QPA decision, and what neither one changes
  • Where challenges could come from: EmblemHealth’s suit against Dr. Norman Rowe, and False Claims Acts for public employers
  • How to find probable IDR claims in your own claims data, and how the cost reaches employees


The Price of Healthcare Podcast is produced by the team at Payerset.


📖 GET THE 2026 PRICE TRANSPARENCY FIELD GUIDE



📊 USE OUR EMPLOYER RATE INTELLIGENCE TOOL



🔔 KEEP LEARNING WITH THE PRICE OF HEALTHCARE PODCAST

  • Subscribe to this channel for latest news and knowledge in healthcare finance.



🤝 CONNECT WITH PAYERSET ON LINKEDIN

  • ➡️ https://www.linkedin.com/company/payerset
]]> Join Andrew Gordon as he interviews Tia Goss Sawhney, a healthcare data and policy expert, to break down the real-world impact and current issues surrounding the No Surprises Act.

Get a direct look into the independent dispute resolution process and its effects on employers, providers, and patients.

In this episode…

  • Why Tia believes commercial pricing only changes when self-funded employers demand it, and what the Consolidated Appropriations Act opened up
  • Where the No Surprises Act is working for patients, and the one gap left for reference-based pricing plans
  • Why the qualifying payment amount starts too low: 2019 rates, CPI trending, and ghost rates
  • Providers winning more than 85% of determinations, and why no one but the arbitrator sees the justification
  • How elective surgeries at in-network facilities land in IDR, from assistant surgeons to neuromonitoring
  • The August amendments and the Fifth Circuit’s QPA decision, and what neither one changes
  • Where challenges could come from: EmblemHealth’s suit against Dr. Norman Rowe, and False Claims Acts for public employers
  • How to find probable IDR claims in your own claims data, and how the cost reaches employees


The Price of Healthcare Podcast is produced by the team at Payerset.


📖 GET THE 2026 PRICE TRANSPARENCY FIELD GUIDE



📊 USE OUR EMPLOYER RATE INTELLIGENCE TOOL



🔔 KEEP LEARNING WITH THE PRICE OF HEALTHCARE PODCAST

  • Subscribe to this channel for latest news and knowledge in healthcare finance.



🤝 CONNECT WITH PAYERSET ON LINKEDIN

  • ➡️ https://www.linkedin.com/company/payerset
]]> Payerset Buzzsprout-19839984 Tue, 22 Sep 2026 09:00:00 -0400 2497 1 2 full false Inside the Origins of Healthcare Price Transparency with Randy Pate Inside the Origins of Healthcare Price Transparency with Randy Pate In this episode of The Price of Healthcare Podcast, host Andrew Gordon sits down with Randy Pate to explore how healthcare price transparency moved from a policy concept to a federal requirement with the potential to reshape the market.

Randy is the founder of Randolph Pate Advisors and a former Deputy Administrator at CMS and Director of the Center for Consumer Information and Insurance Oversight. Drawing on more than two decades of public- and private-sector healthcare policy experience, he offers a firsthand account of the early thinking behind Transparency in Coverage and the process of turning an executive order into a complex federal rule.

Andrew and Randy discuss why accessible pricing is a necessary foundation for informed consumer choice, how employers helped build momentum for the regulation, and why Randy’s own perspective shifted as CMS gathered input from stakeholders across the healthcare system.

They also examine the regulation’s early technical challenges, the evolution of machine-readable files, the role of GitHub in developing the data schema, and the ongoing gap between a published negotiated rate and the amount ultimately paid on a claim. The conversation closes with a look at enforcement, stakeholder engagement, and Randy’s vision for a future in which patients and purchasers can compare price and quality before receiving care.


The Price of Healthcare Podcast is produced by the team at Payerset.


📖 GET THE 2026 PRICE TRANSPARENCY FIELD GUIDE



📊 USE OUR EMPLOYER RATE INTELLIGENCE TOOL



🔔 KEEP LEARNING WITH THE PRICE OF HEALTHCARE PODCAST

  • Subscribe to this channel for latest news and knowledge in healthcare finance.



🤝 CONNECT WITH PAYERSET ON LINKEDIN

  • ➡️ https://www.linkedin.com/company/payerset
]]> In this episode of The Price of Healthcare Podcast, host Andrew Gordon sits down with Randy Pate to explore how healthcare price transparency moved from a policy concept to a federal requirement with the potential to reshape the market.

Randy is the founder of Randolph Pate Advisors and a former Deputy Administrator at CMS and Director of the Center for Consumer Information and Insurance Oversight. Drawing on more than two decades of public- and private-sector healthcare policy experience, he offers a firsthand account of the early thinking behind Transparency in Coverage and the process of turning an executive order into a complex federal rule.

Andrew and Randy discuss why accessible pricing is a necessary foundation for informed consumer choice, how employers helped build momentum for the regulation, and why Randy’s own perspective shifted as CMS gathered input from stakeholders across the healthcare system.

They also examine the regulation’s early technical challenges, the evolution of machine-readable files, the role of GitHub in developing the data schema, and the ongoing gap between a published negotiated rate and the amount ultimately paid on a claim. The conversation closes with a look at enforcement, stakeholder engagement, and Randy’s vision for a future in which patients and purchasers can compare price and quality before receiving care.


The Price of Healthcare Podcast is produced by the team at Payerset.


📖 GET THE 2026 PRICE TRANSPARENCY FIELD GUIDE



📊 USE OUR EMPLOYER RATE INTELLIGENCE TOOL



🔔 KEEP LEARNING WITH THE PRICE OF HEALTHCARE PODCAST

  • Subscribe to this channel for latest news and knowledge in healthcare finance.



🤝 CONNECT WITH PAYERSET ON LINKEDIN

  • ➡️ https://www.linkedin.com/company/payerset
]]> Payerset Buzzsprout-19756897 Sat, 05 Sep 2026 12:00:00 -0400 2625 1 1 full false Welcome to The Price of Healthcare Podcast Welcome to The Price of Healthcare Podcast In this introductory episode of The Price of Healthcare Podcast, Payerset co-founders Jacob Little and Jerry DiMaso explain why they launched the Price Transparency Project and what listeners can expect from the conversations ahead.

They reflect on how healthcare price transparency has evolved since the Transparency in Coverage data first became available in 2022, from early confusion and technical challenges to a rapidly maturing source of insight for the entire healthcare ecosystem. They also explore the continued need for education, advocacy, and open dialogue across groups that too often operate in separate echo chambers.

The conversation covers upcoming policy developments, including the anticipated Transparency in Coverage Schema 3.0, the important differences between hospital and insurer transparency requirements, and the potential for better data to make healthcare pricing more understandable, predictable, and actionable.

Above all, this episode introduces the podcast’s central mission: bringing together care delivery organizations, employers, insurers, policymakers, patients, and other healthcare leaders to share perspectives, challenge assumptions, and build a more functional healthcare market.


The Price of Healthcare Podcast is produced by the team at Payerset.


📖 GET THE 2026 PRICE TRANSPARENCY FIELD GUIDE



📊 USE OUR EMPLOYER RATE INTELLIGENCE TOOL



🔔 KEEP LEARNING WITH THE PRICE OF HEALTHCARE PODCAST

  • Subscribe to this channel for latest news and knowledge in healthcare finance.



🤝 CONNECT WITH PAYERSET ON LINKEDIN

  • ➡️ https://www.linkedin.com/company/payerset
]]> In this introductory episode of The Price of Healthcare Podcast, Payerset co-founders Jacob Little and Jerry DiMaso explain why they launched the Price Transparency Project and what listeners can expect from the conversations ahead.

They reflect on how healthcare price transparency has evolved since the Transparency in Coverage data first became available in 2022, from early confusion and technical challenges to a rapidly maturing source of insight for the entire healthcare ecosystem. They also explore the continued need for education, advocacy, and open dialogue across groups that too often operate in separate echo chambers.

The conversation covers upcoming policy developments, including the anticipated Transparency in Coverage Schema 3.0, the important differences between hospital and insurer transparency requirements, and the potential for better data to make healthcare pricing more understandable, predictable, and actionable.

Above all, this episode introduces the podcast’s central mission: bringing together care delivery organizations, employers, insurers, policymakers, patients, and other healthcare leaders to share perspectives, challenge assumptions, and build a more functional healthcare market.


The Price of Healthcare Podcast is produced by the team at Payerset.


📖 GET THE 2026 PRICE TRANSPARENCY FIELD GUIDE



📊 USE OUR EMPLOYER RATE INTELLIGENCE TOOL



🔔 KEEP LEARNING WITH THE PRICE OF HEALTHCARE PODCAST

  • Subscribe to this channel for latest news and knowledge in healthcare finance.



🤝 CONNECT WITH PAYERSET ON LINKEDIN

  • ➡️ https://www.linkedin.com/company/payerset
]]> Payerset Buzzsprout-19756208 Fri, 04 Sep 2026 16:00:00 -0400 702 1 trailer false