{"podcast":{"title":"Relentless Health Value","slug":"relentless-health-value-872220","podcast_index_feed_id":872220,"rss_url":"https://healthvalue.libsyn.com/rss","website_url":"https://relentlesshealthvalue.com","image_url":"https://static.libsyn.com/p/assets/6/6/4/4/66448feffdf62b8940be95ea3302a6a1/22-RHV-0008_1400_pixel_web_art.jpg","author":"Stacey Richter","episode_count":645,"summary":"American Healthcare Entrepreneurs and Execs you might want to know. Talking. Relentless Health Value is a weekly interview podcast hosted by Stacey Richter, a healthcare entrepreneur celebrating fifteen years in the business side of healthcare. This show is for leaders in pharma, devices, payers, providers, patient advocacy and healthcare business. It's for health industry innovators, entrepreneurs or wantrepreneurs or intrapreneurs. Relentless Healthcare Value is the show for you if you want to connect with others trying to manage the triple play: to provide healthcare value while being personally and professionally fulfilled.","last_synced_at":null,"page_url":"https://stenobird.com/podcast/relentless-health-value-872220"},"episode":{"title":"EP503: Smart Collaboration With Direct-to-Employer Specialty Care, With Ryan Wells; Leo Spector, MD, MBA; and Adam Stavisky","slug":"ep503-smart-collaboration-with-direct-to-employer-specialty-care-with-ryan-wells-leo-spector-md-mba-and-adam-stavisky","published_at":"2026-03-12T10:30:00+00:00","page_url":"https://stenobird.com/podcast/relentless-health-value-872220/ep503-smart-collaboration-with-direct-to-employer-specialty-care-with-ryan-wells-leo-spector-md-mba-and-adam-stavisky","show_page_url":"https://stenobird.com/podcast/relentless-health-value-872220","url":"https://cc-lnk.com/EP503","audio_url":"https://traffic.libsyn.com/secure/healthvalue/RHV_EP503_Health_Here.mp3?dest-id=197686","summary":"Episode 503 of Relentless Health Value features Stacey Richter with Adam Stavisky, Dr. Leo Spector (OrthoCarolina), and Ryan Wells (Health Here) discussing how self-insured employers and specialists rarely connect directly due to intermediaries and fee-for-service \"rails.\" They outline three common pitfalls when bridging this gap: defining and measuring quality and appropriateness (limits of claims data and missing patient-reported outcomes), achieving scale across geographies and specialties, and ensuring benefit design and incentives so members actually use direct-contracting programs. The conversation frames the evolution of Centers of Excellence from 1.0 (travel to brand-name hospitals) to 2.0 (more local but administratively manual) to 3.0 (new infrastructure enabling direct, efficient contracting). Health Here is described as a digital bridge to support payment and communication pathways and reduce administrative waste. === LINKS === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP503 ✉️ Enjoy this podcast? Subscribe to the free weekly newsletter: https://relentlesshealthvalue.com/join-the-relentless-tribe 🫙 Support the podcast with a small donation to the Tip Jar: https://relentlesshealthvalue.com/join-the-relentless-tribe 🎤 Listen on Apple Podcasts https://podcasts.apple.com/us/podcast/feed/id892082003?ls=1 🎤 Listen on Spotify https://open.spotify.com/show/6UjgzI7bScDrWvZEk2f46b 📺 Subscribe to our YouTube channel https://www.youtube.com/@RelentlessHealthValue === CONNECT WITH THE RHV TEAM === ✭ LinkedIn https://www.linkedin.com/company/relentless-health-value/ ✭ Threads https://www.threads.net/@relentlesshealthvalue/ ✭ Bluesky https://bsky.app/profile/relentleshealth.bsky.social ✭ X https://twitter.com/relentleshealth/ 00:00 Introduction. 00:32 Coll…","meta_description":"Episode 503 of Relentless Health Value features Stacey Richter with Adam Stavisky, Dr. Leo Spector (OrthoCarolina), and Ryan Wells (Health Here) discussin…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2776,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/relentless-health-value-872220/episodes/ep503-smart-collaboration-with-direct-to-employer-specialty-care-with-ryan-wells-leo-spector-md-mba-and-adam-stavisky/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/relentless-health-value-872220/ep503-smart-collaboration-with-direct-to-employer-specialty-care-with-ryan-wells-leo-spector-md-mba-and-adam-stavisky.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}