{"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":"EP504: A Back-to-Basics Roadmap Through the Perverse Incentives to Advanced Primary Care, With Ryan Jacobs","slug":"ep504-a-back-to-basics-roadmap-through-the-perverse-incentives-to-advanced-primary-care-with-ryan-jacobs","published_at":"2026-03-26T10:30:00+00:00","page_url":"https://stenobird.com/podcast/relentless-health-value-872220/ep504-a-back-to-basics-roadmap-through-the-perverse-incentives-to-advanced-primary-care-with-ryan-jacobs","show_page_url":"https://stenobird.com/podcast/relentless-health-value-872220","url":"https://cc-lnk.com/EP504","audio_url":"https://traffic.libsyn.com/secure/healthvalue/RHV_EP504_Ryan_Jacobs2.mp3?dest-id=197686","summary":"Why Advanced Primary Care Doesn't Scale: Conflicting Incentives, Complacency, and a 3-Step Roadmap Stacey Richter interviews Ryan Jacobs (SVP Strategy and Partnerships, Marathon Health) on why evidence-backed advanced primary care (APC)—focused on managing risk, improving outcomes, and lowering costs—still isn't widespread. They argue APC struggles to scale due to two root barriers: conflicting fiduciary duties (health systems and payers driven by volume, \"heads in beds,\" and market-power growth, while APC keeps patients out of hospitals) and a \"black box of complacency,\" where innovators often lose to the status quo because dominant organizations can rationally avoid investing without gaining share. Jacobs offers a three-step roadmap: perform a reality-based assessment by following the money and identifying who is financially harmed by prevention; anticipate stakeholders' math by framing value as CFOs, benefits leaders, and plan sponsors do; and proceed from strategic conclusions such as direct contracting to bypass misaligned intermediaries. === LINKS === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP504 ✉️ 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 http…","meta_description":"Why Advanced Primary Care Doesn't Scale: Conflicting Incentives, Complacency, and a 3-Step Roadmap Stacey Richter interviews Ryan Jacobs (SVP Strategy and…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2016,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/relentless-health-value-872220/episodes/ep504-a-back-to-basics-roadmap-through-the-perverse-incentives-to-advanced-primary-care-with-ryan-jacobs/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/ep504-a-back-to-basics-roadmap-through-the-perverse-incentives-to-advanced-primary-care-with-ryan-jacobs.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}