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How One Woman Took On the Healthcare System — And Won | Broken Healthcare Podcast #45

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Manage episode 479582946 series 3568891
Content provided by Ray Kober. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Ray Kober or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.

What happens when a CPA with a passion for following the money is handed a failing $200M state health plan? She rewrites the rules.


In this explosive episode of Broken Healthcare, host Ray Kober sits down with Marilyn Bartlett, the woman who dared to fire the PBM, cut out the middlemen, and bring real transparency to Montana’s state employee health plan. From exposing hidden costs to negotiating directly with hospitals using reference-based pricing, Marilyn’s story is a masterclass in financial guts and healthcare disruption.


💥 Learn how she turned a near-bankrupt health plan into a model of efficiency — without cutting employee benefits.


💼 Perfect for CFOs, HR leaders, benefits brokers, and anyone tired of the bloated U.S. healthcare system.


🧠 Topics Covered:


The truth about middlemen in healthcare


How reference-based pricing actually works


Negotiating with hospitals using Medicare as a baseline


Real numbers, real savings, and real pushback


🔍 This is the episode the healthcare industry doesn't want you to hear.


Hosted on Acast. See acast.com/privacy for more information.

  continue reading

71 episodes

Artwork
iconShare
 
Manage episode 479582946 series 3568891
Content provided by Ray Kober. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Ray Kober or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.

What happens when a CPA with a passion for following the money is handed a failing $200M state health plan? She rewrites the rules.


In this explosive episode of Broken Healthcare, host Ray Kober sits down with Marilyn Bartlett, the woman who dared to fire the PBM, cut out the middlemen, and bring real transparency to Montana’s state employee health plan. From exposing hidden costs to negotiating directly with hospitals using reference-based pricing, Marilyn’s story is a masterclass in financial guts and healthcare disruption.


💥 Learn how she turned a near-bankrupt health plan into a model of efficiency — without cutting employee benefits.


💼 Perfect for CFOs, HR leaders, benefits brokers, and anyone tired of the bloated U.S. healthcare system.


🧠 Topics Covered:


The truth about middlemen in healthcare


How reference-based pricing actually works


Negotiating with hospitals using Medicare as a baseline


Real numbers, real savings, and real pushback


🔍 This is the episode the healthcare industry doesn't want you to hear.


Hosted on Acast. See acast.com/privacy for more information.

  continue reading

71 episodes

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