Episodes

"You're talking about the number one creator of wealth and security for people and one of their most important purchases. And like, how is this not in the employee benefits arena?" - Tommy Shumway For the first time ever, a father and son joined the podcast together. Dave and Tommy Shumway, from CityWorth, joined the show to discuss an innovative, yet somewhat obvious, benefit that they’ve rolled out for employers to offer their employees: down payment assistance. We spend a lot of time on the s...

"Your fitness affects if you, even if you have a desk job. Your fitness is going to affect your performance over the long run, because it's your energy level." - Chris Hamilton Chris Hamilton (Hotchkiss) needs no introduction on the show at this point; this is his fifth appearance! This time, Chris introduced me to the world of Continuous Glucose Monitoring (CGM) by putting a CGM in my arm at the very start of the show (be sure to listen to the whole episode to hear what my glucose level was!). ...

“We need to solve for all of that, so that it's more rewarding, more enjoyable, because that's where the cost savings will come in. That's where the innovation will come." - Ben Callaghan Ben Callaghan, Chief Experience Officer at Empara, joined me this week to discuss how design can actually play a huge role in fixing many of the problems in our industry. Before working at Empara, Ben actually attempted to launch a ski design company, and we discussed how that experience designing physical prod...

"If you do hard things now, your life will be easy in the future. If you do easy things now, your life will be hard in the future." - Nick Bellanca Nick Bellanca joined me this week to get his perspective on something we don’t get a lot of on the show: selling as a consultant. Nick and I talked about his upbringing, how he got onto the football team at the University of San Diego, and starting out working at a carrier (which he says is a great place for people to start in this industry). Nick ac...

"When your brain is programmed that the only way it can be done is through submitting your insurance and when your brain has been for years and years and years that accepting cash is criminal, it's very hard to break that." - Dr. K My good friend Dr. K, founder of the NTTC Surgery Center and Hinkapin Health, joined the show to shed further light on what upfront pricing and value-based healthcare can do for this industry, employers, and patients. Dr. K came to America from India, and we discussed...

“It's the second largest line item that a company has, but they will stroke a check every month for a fully insured program without having data to support what those costs are for.” - Stephanie Koch Stephanie Koch joined the show to share what it was like to work in benefits and HR in a fully funded company before moving to one that self-funds. I invited Stephanie on to hear the employer perspective on the industry, but ended up getting so much more, as she’s truly on the cutting edge of healthc...

“I realized that 95% of the scheduled surgeries, like shoulder/knee repairs, back fusions, even some pelvic floor surgeries, they're no more effective than doing nothing at all, on average.” - Heidi OjhaHeidi Ojha, founder of Aware Health and recently a part of our MSK roundtable, joined me this week in studio to talk about why there are so many unnecessary surgeries performed in this country, why these surgeries happen in the first place, and how she’s trying to change that. Heidi’s worked ...

“In what other industry are you just not covered up with business if you're cheaper and better? This is America, for God's sake." - Keith Smith This is a special episode with a special guest: Dr. Keith Smith from the Surgery Center of Oklahoma. Keith realized in the 1990s that the surgery system in America was exploitative and unfair, and decided to “rebel”, setting up a “parallel market” to sell surgeries direct to consumer at a listed price without any middlemen. The idea of a consumer knowing...

"No one wins alone. And you know what? You can't do it on your own." - John Butler John Butler, from JB Benefits Consulting, joined the show this week to talk the big-picture future of health insurance. From AI sales tools to ICHRA plans to Health Sharing Plans, John Butler is constantly thinking about the future of this industry, and it was fun to hear about how his life experience as a consultant led him to where he currently is. John and I also focused on making Americans actually healthier a...

"I don't believe that random doctors should treat random patients in ongoing continuity of care. I don't think that transactional care is good for patients, and I know it's not good for physicians." - Chris Mathew The great Chris Mathew, Chief Growth Officer at Sniffle, joined me to talk about the future of Telehealth and the amazingly cost-effective ($15 a month!) benefits plan that Sniffle offers. Chris comes from an entrepreneurial family background, which pushed him to work at various startu...

Does bone-on-bone contact always lead to pain? What's the best way to get good, new solutions in the hands of brokers? How many MSK surgeries are really necessary? Chris Hamilton, Heidi Ojha, and Mark Testa joined me in studio to answer those questions and many more in this special bonus episode of Self-Funded with Spencer, The MSK Roundtable. Key Links for Social: @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded Listen on Spotify - htt...

"I always knew there was more. I always knew there was a different dimension to what this personnel or HR thing was." - Monica PanettaMonica Panetta, Chief People Officer at ParetoHealth (a show sponsor and the company I work for), joined me for an evening podcast in studio as we talked all things HR/People, starting with why the industry has moved away from saying HR. Monica’s so well-versed in the field that she actually started the HR program at her college as she was attending it, and th...

"I think the more questions the employer asks, and just the deeper that they're willing to think about this and have already thought about it, the more they're able to buy into this mission." - Russell Pekala Russell Pekala, co-founder of Yuzu Health, joined me in studio for this week’s episode focused on controlling pharmacy costs and emergency claims. Yuzu Health is a startup in the TPA space aiming to change how the claims process work. Rather than having the member get care and then deal wit...

“To me, a private equity firm should never look at a healthcare vertical and say, God, there's opportunity there. That means that there's profit exploitation to be had in those areas.” - Taylor Rogers Taylor Rogers, former professional baseball pitcher turned insurance consultant, joined me this week for a podcast focused on profit exploitation in the current healthcare system, and what we need to do as an industry to bring back competition and lower prices. There are a huge number of people in ...

“You can have the same provider, same treatment, two different locations, different outcomes.” - Gentry Lynn Gentry Lynn, VP at Healthcare Bluebook, joined me this week to discuss what it means to actually make an impact in this industry, why there’s so much cost variance between locations, and how we can more effectively engage members to use new solutions. One of the key points of our discussion was that there are actual health outcome and cost ramifications to which location patients get thei...

“It's like the Wizard of Oz, I think, or The Matrix. You have this veil that as the participant in it for so long, you just don't think about your benefits. But I think when you kind of peel back the curtain and you're looking at the greed of it and how everyone is getting paid on people being sick, it's gross. And I don't vibe with it.” - Durrell Finch Anyone who listens to the show should know by now that I’m a huge proponent of personal wellness, healthy eating, and exercise, which is why I w...

"Compliance does not have to be a burden. It doesn't have to be hard. It can be a value differentiator and an opportunity to really help people." - Jen Berman Jen Berman joined me this week to close out our trilogy of compliance episodes. We focused on why regulations exist, the purpose of recent legislation like the CAA, and why it’s important for consultants to learn the compliance process. Jen is the CEO of MZQ Consulting (not an acronym, as we discuss in the episode), a leading provider of c...

"When consumers understand that they can get the same level of care at half the price, they feel good about making that decision." - Josh Schreiner “We're actually going to collapse that concept entirely. Everyone's in network from your perspective, from the consumer, from the patient perspective." - Michael Mather Continuing from last week’s theme of compliance and regulation, Josh Schreiner, Chief Product Officer, and Michael Mather, General Counsel, of HealthEZ joined me for a discussion on t...

“The CAA was the most significant piece of healthcare legislation that we've had since the ACA.” - Sarah Borders Healthcare compliance, especially post-CAA, can be a complex thing for employers to navigate. There’s an increased level of scrutiny on employers, with heavy fees for those who don’t comply. This week on Self-Funded with Spencer I’m joined by Sarah Borders , co-founder of Benefits Compliance Solutions. Here are a few key takeaways for consultants: Understanding compliance : Navigating...

"I think our industry is craving some disruption - and it needs it." - Jack Crotty What does it actually mean to disrupt the health insurance industry? Jack Crotty, the Director of Business Development of Adyptation, joined me in studio this week for a discussion on the innovative solutions he’s bringing to the consulting world, including pharmaceutical sourcing and specialized disease care that brings incredible care to employees and day one savings to the employers who pay for it. As Jack says...

"There's no reason you can't make content.There's no excuses. Just get started. Because it could open opportunities you don't even know." - Jake Rushton Jake and I can both honestly say that we would not be where we are in our careers today without social media, but for many of those who tune into the show, getting started with producing content can be super intimidating. How do you film reels or podcasts? Do you need a bunch of super expensive equipment right away? And, if you put the time/mone...

“I think we're now at a point where we as a society are recognizing we can't wait until it gets bad enough. And how do we get people into care sooner?" - Megan Rozanski I wanted to close out January with a focus on mental health and how to continue breaking down the stigma surrounding it, and Megan Rozanski was gracious enough to join me in the studio to do just that. Expanding access to and improving the delivery of healthcare have been two key values of the podcast since the beginning, and tho...

"Whereas the current structure pits [employers, doctors, and patients] against each other, with Direct Primary Care, we all want the same thing." - Dr. David Cameron For Dr. David Cameron, DPC (direct primary care) isn't just another health insurance acronym; it’s a revolutionary approach to delivering healthcare that has transformed his role as a physician. Beyond incorporating DPC into his practice, David, in his capacity as the Chief Medical Officer at Hint Connect, is actively working to exp...

"The only thing that will fix healthcare is restoring the doctor patient relationship without anybody in between it." - Emma Fox Emma Fox joins me on this special pre-YouPowered Symposium episode to talk about her healthcare journey, from moving to America and discovering just how broken our system was for the first time to recently meeting with the President to discuss what needs to be done. Emma’s early experience with medical debt and medical bankruptcy inspired her huge passion for transpare...