{"podcast":{"title":"Value Based Care Advisory (VBCA) Podcast","slug":"value-based-care-advisory-vbca-podcast-3987193","podcast_index_feed_id":3987193,"rss_url":"https://feeds.captivate.fm/vbca/","website_url":"https://www.vbcapodcast.com","image_url":"https://artwork.captivate.fm/bcf22388-437e-4105-a6a3-f925ec9e1e24/13451713-1622880631414-c3fc485e7ec91.jpg","author":"Carenodes","episode_count":25,"summary":"The VBCA Podcast is a solution-focused platform dedicated to advancing the transformation of healthcare through value-based care (VBC) models. Our mission is to break down complex healthcare topics into accessible, actionable insights for leaders, entrepreneurs, engaged consumers, and anyone passionate about meaningful change in healthcare. By challenging the healthcare industrial complex, we provide tools, strategies, and expert perspectives that empower our listeners to navigate and accelerate the shift toward better outcomes, lower costs, and improved patient experiences. Each episode delivers thought-provoking discussions and practical advice from industry experts, spotlighting innovative approaches to healthcare reform and highlighting voices that are often overlooked in traditional dialogues. Whether you're a healthcare executive, provider, payer, policy influencer, entrepreneur, or informed patient, we aim to inspire new ideas and support you in driving transformation in the healthcare space. Powered by Carenodes.","last_synced_at":"2026-08-02T00:17:09.210155+00:00","page_url":"https://stenobird.com/podcast/value-based-care-advisory-vbca-podcast-3987193"},"episode":{"title":"EXPOSED: The MultiPlan Healthcare Cartel Costing Providers and Patients Billions","slug":"exposed-the-multiplan-healthcare-cartel-costing-providers-and-patients-billions","published_at":"2024-12-03T17:35:00+00:00","page_url":"https://stenobird.com/podcast/value-based-care-advisory-vbca-podcast-3987193/exposed-the-multiplan-healthcare-cartel-costing-providers-and-patients-billions","show_page_url":"https://stenobird.com/podcast/value-based-care-advisory-vbca-podcast-3987193","url":"https://vbcapod.com/episode/the-multiplan-healthcare-cartel","audio_url":"https://podcasts.captivate.fm/media/762bb141-1fd9-4667-b4ae-964a51ef5b9d/riverside-copy-of-hidden-fees-and-unexp-nov-25-2024-alex-yarija.mp3","summary":"Welcome to this eye-opening episode of the VBCA Podcast, where we tackle one of the most pressing yet underreported issues in healthcare: hidden fees, surprise bills, and the alleged cartel controlling out-of-network reimbursements . In this episode, host Alex Yarijanian breaks down the allegations against MultiPlan , a third-party repricing company accused of working with major insurers like UnitedHealthcare, Cigna, and Aetna to suppress out-of-network payments. We explore: How MultiPlan's practices impact patients, providers, and employers. The AMA’s antitrust lawsuit accusing MultiPlan of operating a cartel. Real stories, like that of Kelsey Toney, a behavioral therapist forced to turn away patients due to unsustainable payment rates. The staggering $19 billion providers lose annually to these practices. If you’ve ever wondered why your healthcare bills are so high or why your provider suddenly stopped taking your insurance, this is the episode for you. Key Topics Discussed: What are in-network vs. out-of-network providers? How does MultiPlan determine reimbursement rates? The human cost of suppressed reimbursements for providers and patients. Legal implications of the AMA and ISMS lawsuit against MultiPlan. The broader impact on value-based care and healthcare transparency. Takeaways: Hidden fees in healthcare create a sense of unpredictability and financial anxiety for patients. MultiPlan's involvement in processing out-of-network claims often leads to underpayment for healthcare providers. Out-of-network providers typically charge fees that reflect their true cost of delivering services. Patients frequently find themselves responsible for covering the difference in reimbursement rates from insurers. Real-life patient stories underscore the profound human impact o…","meta_description":"Welcome to this eye-opening episode of the VBCA Podcast, where we tackle one of the most pressing yet underreported issues in healthcare: hidden fees, sur…","key_points":[],"chapters":[],"topics":[],"duration_seconds":615,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/value-based-care-advisory-vbca-podcast-3987193/episodes/exposed-the-multiplan-healthcare-cartel-costing-providers-and-patients-billions/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/value-based-care-advisory-vbca-podcast-3987193/exposed-the-multiplan-healthcare-cartel-costing-providers-and-patients-billions.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}