{"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":"EP509: The 7.7% Wake-Up Call: A Roadmap to Align Finance Teams With Non-complacent Benefit Design, With Patrick Nelli","slug":"ep509-the-7-7-wake-up-call-a-roadmap-to-align-finance-teams-with-non-complacent-benefit-design-with-patrick-nelli","published_at":"2026-04-30T09:30:00+00:00","page_url":"https://stenobird.com/podcast/relentless-health-value-872220/ep509-the-7-7-wake-up-call-a-roadmap-to-align-finance-teams-with-non-complacent-benefit-design-with-patrick-nelli","show_page_url":"https://stenobird.com/podcast/relentless-health-value-872220","url":"https://cc-lnk.com/EP509","audio_url":"https://traffic.libsyn.com/secure/healthvalue/RHV_EP509_Patrick_Nelli.mp3?dest-id=197686","summary":"In Episode 509 of Relentless Health Value, Stacey Richter interviews former CFO and Aligned Marketplace CEO Patrick Nelli about why executives don't take bolder action on health benefits and offers a seven-step roadmap to align finance teams with non-complacent benefit design. Key steps include ongoing CFO-benefits engagement, forecasting medical trend accurately at 7.7%+ (two to three points above CPI) as the status-quo baseline, and presenting win-win alternatives to bend the cost curve. Nelli explains employer medical inflation drivers including Baumol's Cost Disease and cost shifting from Medicare to commercial, and argues proven strategies like independent advanced primary care can reduce unit prices, downstream utilization, and future high-cost claimants. Additional steps cover aligning incentives with safeguards, optimizing contracting (including direct contracting), and steering/tiering via risk stratification to focus engagement on high and rising-risk members. Nelli describes Aligned Marketplace's national value-based advanced primary care and specialty marketplace. === LINKS === 🔗 Show Notes with all mentioned links: https://cc-lnk.com/EP509 ✉️ 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/@rele…","meta_description":"In Episode 509 of Relentless Health Value, Stacey Richter interviews former CFO and Aligned Marketplace CEO Patrick Nelli about why executives don't take…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2268,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/relentless-health-value-872220/episodes/ep509-the-7-7-wake-up-call-a-roadmap-to-align-finance-teams-with-non-complacent-benefit-design-with-patrick-nelli/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/ep509-the-7-7-wake-up-call-a-roadmap-to-align-finance-teams-with-non-complacent-benefit-design-with-patrick-nelli.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}