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Episodes

Rob Gelb’s Huge Announcement: The Future of Vālenz & Self-Funding
April 28, 2026

Rob Gelb’s Huge Announcement: The Future of Vālenz & Self-Funding

"I'm going to leave the ladder, I'm going to leave the window open, I'm going to leave the lights on." This week on the podcast, I am joined by Rob Gelb , CEO of Vālenz. Rob has led Vālenz through an era of explosive growth, ...

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Medical Cannabis As An Employee Benefit?
April 21, 2026

Medical Cannabis As An Employee Benefit?

"We are not going after the high. What we're going for is symptom relief. Based on our research, employers are going to be saving $5,000 per participant per year." Is it time for employers to start covering medical cannabis? ...

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Shifting the Risk: A New Way to Account for Healthcare
April 14, 2026

Shifting the Risk: A New Way to Account for Healthcare

"Revolutions are never won by the ruling class... if you want to fix healthcare, you have to be willing to accept a negative sum game. Someone is losing." Why are self-funded employers still paying for healthcare on a "fee-fo...

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Why Traditional Networks are Failing (And What’s Replacing Them)
April 7, 2026

Why Traditional Networks are Failing (And What’s Replacing Them)

"I can't fathom a world where employers are expected to budget and create a plan for their future without understanding what the costs of their healthcare are. Everything needs to be grounded in fact and truth." Is the tradit...

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A New Way To Predict (And Price) Healthcare Risk
March 31, 2026

A New Way To Predict (And Price) Healthcare Risk

"There’s no bad risk, there’s just mispriced risk... we helped one carrier achieve a 29.1% improvement in their loss ratio just through better risk selection." How do stop-loss carriers and self-funded employers accurately pr...

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March Healthcare Headlines: GLP-1s, PBMs, and The $233M Scam | with Jeff Bak
March 27, 2026

March Healthcare Headlines: GLP-1s, PBMs, and The $233M Scam | with J…

If you'd like your question answered on next month's episode, call/text 469-213-6381 and leave us a voicemail/text.Each month on Last Month In Healthcare, producer Nathaniel joins me to discuss the previous month's podcasts, ...

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The New Era Of Cash Pay In Healthcare
March 24, 2026

The New Era Of Cash Pay In Healthcare

"We are in a $5 trillion US healthcare consumer market with no consumer in it... I basically decided we had been surgically removed from the US healthcare system." My guest this week is Mark Galvin , a serial entrepreneur who...

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How J&Q Codes Are Sabotaging Your Stop-Loss Renewals
March 17, 2026

How J&Q Codes Are Sabotaging Your Stop-Loss Renewals

"I've got a patient in Washington state. He's traveling 100 miles every other week to receive an infusion. We moved this patient into the home and saved the plan $700,000 on this one patient...on gout treatment." Why are infu...

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Will PBM Reform Actually Happen? | Last Month In Healthcare
March 13, 2026

Will PBM Reform Actually Happen? | Last Month In Healthcare

If you'd like your question answered on next month's episode, call/text 469-213-6381 and leave us a voicemail/text.Each month on Last Month In Healthcare, producer Nathaniel joins me to discuss the previous month's headlines ...

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Building The TPA Of The Future
March 10, 2026

Building The TPA Of The Future

"We don't view ourselves as a TPA, we view ourselves more as a platform... our goal is to simplify and reduce the barriers of entry into the TPA space." The role of the Third-Party Administrator is undergoing a massive evolut...

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Why Venture Capital Is Betting Against Insurance Carriers in 2026
March 3, 2026

Why Venture Capital Is Betting Against Insurance Carriers in 2026

“Show me an incentive structure and I'll show you human behavior... until employers realize they have more power than they give themselves credit for, this can't continue." My guest this week is Norm Volsky , Managing Partner...

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Why Health Plans Pay $10,000+ For Drugs That Don't Even Work
Feb. 24, 2026

Why Health Plans Pay $10,000+ For Drugs That Don't Even Work

"Why are we paying $10,000 for a $30 drug?" My guest this week is Pramod John, a former Silicon Valley tech entrepreneur who entered the healthcare space to tackle the largest economic problem in the country: skyrocketing hea...

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The Physician Burnout Crisis: Why DPC Is The Only Way Forward
Feb. 17, 2026

The Physician Burnout Crisis: Why DPC Is The Only Way Forward

"My wife would come back to check on me late at night, asleep at the keyboard, and she would be like, 'Is he dead?' The burnout, what we call moral injury, is more real than anybody knows." - Will Steelman The American health...

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Recapping January's Biggest Healthcare Stories | with John Kountz
Feb. 13, 2026

Recapping January's Biggest Healthcare Stories | with John Kountz

If you'd like your question answered on next month's episode, call/text 469-213-6381 and leave us a voicemail/text.Each month on Last Month In Healthcare, producer Nathaniel joins me to discuss the previous month's podcasts, ...

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Let Doctors Be Doctors: Why Providers Shouldn't Be Debt Collectors
Feb. 10, 2026

Let Doctors Be Doctors: Why Providers Shouldn't Be Debt Collectors

"If you ask the surgeon how much time they have to spend thinking about the business side of their practice, it's too high... Let's let doctors be doctors." - Ryan Wells My guest this week is Ryan Wells , Founder and CEO of H...

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The "Next Generation" Insurance Agency: What AI-Native Means
Feb. 3, 2026

The "Next Generation" Insurance Agency: What AI-Native Means

"If financial services and healthcare are 10 years behind everybody else from a technology adoption standpoint, insurance distribution is usually 10 years behind that." - Will Johnson My guest this week is Will Johnson , Foun...

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Alcoholism in the Insurance Industry | with Chris Leverett
Jan. 27, 2026

Alcoholism in the Insurance Industry | with Chris Leverett

"I stopped doing what I didn't want to do anymore. It’s not hard to stop doing something you don't want to do... I didn't want to drink anymore." - Chris Leverett In this incredibly vulnerable and powerful episode, we step aw...

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Is This iPhone App The Future Of Primary Care? | with VivaScore
Jan. 20, 2026

Is This iPhone App The Future Of Primary Care? | with VivaScore

"Imagine getting a real-time snapshot of your health just by looking into your phone’s camera for 30 seconds." - Simon My guests this week are Simon Spurr , Founder of VivaScore , and Chris Burns , a veteran benefits advisor ...

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Universities Failed HR. Kyle Minick Is Fixing It
Jan. 13, 2026

Universities Failed HR. Kyle Minick Is Fixing It

"I asked him, 'What is it that you're teaching undergraduate students about benefits?’’…Just two slides. That blew me away." - Kyle Minick My guest this week is Kyle Minick , Vice President of Employee Benefits at Summit Fina...

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Why Employees Actually Use Onsite Clinics (Convenience Is King!)
Jan. 6, 2026

Why Employees Actually Use Onsite Clinics (Convenience Is King!)

"Whoever makes patient care more convenient is likely to win." - Chris Yarn My guest this week is Chris Yarn, Founder of Walk On Clinic, who joins me to explain why convenience is the ultimate currency in healthcare. Chris sh...

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Tier-Ranking the Biggest Healthcare Stories of 2025 | Last Month In Healthcare
Dec. 31, 2025

Tier-Ranking the Biggest Healthcare Stories of 2025 | Last Month In H…

If you'd like your question answered on next month's episode, call/text 469-213-6381 and leave us a voicemail/text. Each month on Last Month In Healthcare, producer Nathaniel joins me to discuss the previous month's podcasts,...

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Why "Co-opetition" Is The Future Of Healthcare | with Dutch Rojas
Dec. 23, 2025

Why "Co-opetition" Is The Future Of Healthcare | with Dutch Rojas

“I think the next stage of American capitalism includes co-opetition." - Dutch Rojas On the last episode of Self-Funded with Spencer in 2025, Dutch Rojas joins the show to expose the financial "arbitrage" that he believes is ...

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21% Of Medical Care Is Unnecessary. Here’s How We Prevent It.
Dec. 16, 2025

21% Of Medical Care Is Unnecessary. Here’s How We Prevent It.

"Healthcare has had no star score, there's been no reliable pricing. It's all been just a black box." - Will Bruhn An estimated 21% of all medical care in the U.S. is completely unnecessary. My guest this week is Will Bruhn, ...

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The "Virtual Wallet" Strategy for Lowering Medical Claims
Dec. 9, 2025

The "Virtual Wallet" Strategy for Lowering Medical Claims

"Why in every other industry can we just check out and know exactly what it's going to cost? Why can't it be the same in healthcare? Why are we still mailing physical checks in 2025?" - Cory Morin My guest this week is Cory M...

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