Explorez tous les épisodes du podcast Relocalizing Health with Dave Chase

Welcome to Relocalizing Health, where we shine a light on the reality behind America's healthcare crisis and offer practical, local solutions you can start implementing today. In this episode, Dave Chase dives deep into the staggering 342% increase in healthcare costs since 1999, exposing why traditional benefit packages keep getting worse despite annual "kabuki dance" negotiations between employers, brokers, and insurance carriers.

Through real-world stories, like Bryce Heinbaugh, an Ohio benefit advisor who transformed from feeling part of the problem to helping thousands in his community, Dave Chase reveals how deliberate, grassroots actions can change the game. Learn about the transformative power of community-owned health plans, transparent pricing, advanced primary care, and keeping healthcare dollars local.

If you're an employer tired of wasteful spending or a benefit broker fatigued by the status quo, this episode uncovers actionable ways to reclaim what matters most: high-quality, affordable care for your people and real economic value for your organization. It’s not about disruption for disruption’s sake, it’s about restoring common sense and dignity to healthcare, right where you live. So tune in as we bust myths, share inspiring case studies, and invite you to join the movement to relocalize health.

Timestamps:

00:00 "Brokers, Profits, and Transformation"

03:32 Healthcare Costs: A Theft Problem

08:09 Reimagining Healthcare for Success

12:21 Transparent Healthcare & Pharmacy Benefits

14:41 "Advanced Primary Care Benefits"

19:09 "Life-Changing Healthcare Savings Story"

20:09 "Transforming Healthcare to Value Creation"

25:52 "Health Reset Transformation Steps"

26:40 Relocalize Health Now

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to "Relocalizing Health"! In today’s episode, host Dave Chase sits down with Russell DuBose, Vice President of Human Resources at Phifer Incorporated, for a powerful conversation on how one manufacturer reimagined healthcare costs as a supply chain problem, and solved it using Lean Six Sigma methodologies.

Rather than accepting healthcare as an uncontrollable expense, Phifer Inc. applied continuous improvement principles to overhaul their benefits, delivering results that have stunned the industry: five years of flat healthcare costs, scholarships for employees’ dependents, zero pharmacy copays for over 2,500 individuals, and childcare bonuses for hundreds of families. But it goes beyond cost containment, Russell DuBose built the foundation so other local employers could access these benefits and help create healthier, more resilient communities.

This episode dives deep into Phifer’s journey, including how they broke away from legacy broker models, embraced Health Rosetta principles, leveraged data-driven decision-making, and established onsite primary care and pharmacy access that drastically improved outcomes, especially during the COVID pandemic. You’ll also learn how this story is inspiring other manufacturers and local employers to rethink their approach to healthcare, and what’s coming next as advanced, individualized medicine becomes a reality.

Whether you’re a business leader, HR professional, or simply passionate about transforming healthcare, this episode will change how you think about what’s possible for your company and your community.

Timestamps:

00:00 "Reclaiming Healthcare: Community Solutions"

05:51 "Solving Healthcare with Lean Six Sigma"

10:04 "Transition to Transparent PBM Model"

12:07 "Advancing Precision Healthcare Systems"

15:11 "Building a Unified Healthcare Paradigm"

18:20 "Health Rosetta's Impact Initiative"

21:07 "Primary Care: The Key Engine"

24:37 "Eliminating Barriers to Care"

30:57 Healthcare Costs and System Failure

33:59 "Advancing Employer-Focused Healthcare Solutions"

36:51 Primary Care Investment Revolution

42:22 Precision Medicine Pathway Development

45:00 "Advocating Transparency in Healthcare"

47:31 "Modernizing Manufacturing: First Steps"

51:11 Empower Teams for Transformation

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Relocalizing Health with Dave Chase - Episode 1 - Coming Soon!

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome back to Relocalizing Health, the podcast where we delve into how communities across America are taking back control of their healthcare from corporate interests and transforming it into a force for genuine wellbeing and economic vitality. I’m your host, Dave Chase.

In today’s episode, we bring you a truly inspiring story of healthcare transformation, not spearheaded by a hospital exec, a government official, or a tech disruptor, but by an independent benefits advisor from Ohio who decided enough was enough. Bryce Heinbaugh joins us to share his journey, which began with a professional crisis of conscience after realizing how much money was being siphoned out of his community by a broken healthcare system.

Bryce opens up about his pivotal moment at a Health Rosetta conference, the challenges of being a change agent, and how he helped move Ashtabula City Schools from the brink of financial crisis to building a $7 million healthcare reserve. We’ll explore the practical steps he took to rebuild the local healthcare ecosystem, from partnering with direct primary care physicians and community pharmacists, to negotiating direct contracts with high-quality providers, even in a so-called “medical desert.”

Alongside Bryce, we’ll dig into the blueprint that empowered not just schools, but also local governments and private employers, to save millions while improving care for their people. We’ll discuss the national implications of this approach, the predictable pushback from entrenched interests, and why fostering local collaboration among advisors, clinicians, and civic leaders is crucial for lasting change.

If you’ve ever wondered how healthcare could become an economic engine rather than a drain, or what it takes to shift from Wall Street-driven models to community-owned health plans, this is the episode for you. Stick around for actionable insights, hard-earned wisdom, and a hopeful look at what’s possible when communities work together to reclaim their healthcare destiny.

Timestamps:

00:00 "Revolutionizing U.S. Healthcare Costs"

04:52 Epiphany of a Benefits Broker

07:07 Healthcare Innovation Journey

12:24 Community-Focused Healthcare Solution

17:02 "Leveraging Major Employers for Community Initiatives"

18:07 Analyzing Healthcare Spending Data

22:59 Orthopedic and Imaging Expansion Success

25:59 Healthcare Reform Sparks Local Controversy

29:52 "Decentralizing Healthcare from Wall Street"

31:49 Cut Out Middleman, Save on Prescriptions

37:16 "Zero-Cost Healthcare Impact on Communities"

38:44 Economic Impact of Healthcare Savings

43:35 "COHP Scorecard Assessment"

48:33 Space Collaboration Insights

49:44 Revolutionizing Healthcare Access

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to another episode of Relocalizing Health, the show where we explore inspiring stories of communities reclaiming healthcare and reshaping the system to serve people, not profit. In today’s episode, host Dave Chase takes us to Ashtabula County, Ohio, a region that transformed itself from a “medical desert” into a beacon of hope for what healthcare can look like when it’s community-powered and people-centered.

You’ll hear from three courageous local healthcare leaders: Dr. Brad Schneider, a primary care physician who broke out of the hospital “hamster wheel” to offer direct primary care; Maria Fowler, owner of one of the last independent pharmacies in town, standing strong against corporate chains and unfair pharmacy benefit managers; and Casey Billington, a nurse who helped co-found a revolutionary nurse navigation service that ensures every call is met with a real human; no AI, no runaround.

Together, they reveal the staggering ways in which their community-owned health plan is not only saving millions of dollars for local schools and governments, but also restoring compassion and genuine relationships in care. Through their candid stories, you’ll get a front-row seat to the “mafia-like” challenges of the current system, the heartbreak of patients forced to fundraise for life-saving treatments, and the joy of finally making the system work for the people it’s supposed to serve.

If you’re a civic leader, clinician, or anyone hungry for proof that healthcare can be both better and more affordable, this episode is packed with hope, practical strategies, and a vision of a future where community truly comes first. Let’s dive in!

Timestamps:

00:00 Relocalizing Health: Community Care Revolution

05:45 Rising Patient Load Challenges Doctor

08:01 Burnout as a Family Doctor

11:34 Challenges in Primary Care Access

14:04 Pharmacy System Challenges and Closures

20:10 Barriers to Healthcare Access

23:22 Transition to Direct Primary Care

26:39 Rapid Orthopedic Access Service

30:35 Delayed Doctor Appointment Crisis

34:10 Revolutionizing Healthcare Access & Savings

36:31 Advocating Self-Insurance for All Employers

40:48 Healthcare's Role in Retention & Recruitment

43:26 Direct Primary Care Revolution

46:37 Rethink Healthcare Deserts

51:26 Community-Oriented Business Models Discussed

54:08 Flexible Healthcare Model Success

57:12 Gratitude for Healthcare Professionals

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, the podcast where we dive into how local communities can reclaim their healthcare dollars and shape healthier, more vibrant futures. In this episode, host Dave Chase sits down with the ever-insightful Esther Dyson - investor, writer, and founder of the 10-year Wellville project, for a deep conversation about what it really takes to create lasting health at the community level.

Kicking things off, Esther challenges us with a provocative comparison: we do a better job maintaining our cars than our own bodies. She and Dave explore why the true challenge in healthcare isn’t just about lowering costs, but making healthcare itself less necessary through prevention and social connection.

Esther shares the inside story of Wellville, reflecting on lessons learned from working far beyond the “tech fix” mindset and instead focusing on trust, social fabric, and local leadership. They discuss the importance of making “new mistakes,” the pitfalls of short-term thinking in both healthcare and corporate America, and how employers can - and do - become powerful agents for community well-being.

Together, Esther and Dave dig into everything from the power of data and the need for long-term investment, to the complicated dance between local action and national systems. Listen in for practical wisdom, hard-earned insights, and a dose of optimism about ways we can rebuild a healthier society from the ground up.

Timestamps:

00:00 "Reclaiming Healthcare Dollars Locally"

06:10 "Health X Prize Proposal"

09:32 Building Trust: A Decade's Insight

11:47 Collaborative Catalyst Metaphor

14:37 Preventive Healthcare Innovation

17:22 "Short-Term Focus Hurts Healthcare"

21:07 Transforming Community Through Health Initiatives

23:48 "Restoring Humanity in a Gig Economy"

28:55 Employer Healthcare Data Challenges

33:26 Healthcare Economy Dynamics

34:19 "Relocalizing Health Gratitude"

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome back to Relocalizing Health, the podcast uncovering how communities can take back healthcare from profit-driven systems and put people first. In today’s episode, host Dave Chase sits down with Dr. Rushika Fernandopulle, co-founder of Iora Health and current co-founder of Liza Health, to discuss the next frontier in primary care innovation. With heartfelt stories from the frontlines, Dr. Fernandopulle exposes the perils of fragmented, transactional medicine, where patients are overwhelmed with prescriptions and disconnected from real human care. Together, they explore how redesigning primary care - focused on relationships, not transactions - can restore the American dream for everyday people, improve outcomes, and even lower costs.

Dr. Fernandopulle shares how Iora Health’s pioneering model brought humanity back to healthcare, using health coaches, technology, and a payment approach that actually rewards better health. You’ll hear compelling examples, from helping a socially isolated patient navigate her city to slashing unnecessary medications for complex patients that highlight just how transformative relationship-based care can be.

Tune in for a compelling conversation on the power of independent primary care, the role of technology (including AI), and how communities can push for the changes needed to make healthcare work for everyone. Whether you’re a clinician, an employer, or invested in your local healthcare system, this episode is packed with actionable insights and hope for a better future in healthcare.

Timestamps:

00:00 Exceptional Family-Centric Healthcare Model

05:23 "Meds Roulette: A Risky Routine"

09:43 Patient Accountability Partnership Model

12:33 Seniors' Isolation Addressed by Community Care

16:20 Building Iora Health: Custom EHR Development

19:00 Specialists Outnumber Primary Doctors in the US

23:07 Rethinking Healthcare Systems

25:39 AI in Healthcare Revenue Management

28:54 "Payment Model Shifts in Healthcare"

32:05 Prioritizing Care Over Profit

35:01 Population Management in Healthcare Practices

38:47 Reducing Healthcare Costs Benefits All

42:21 "Restoring Humanity to Healthcare"

43:43 "Business Diversity at Rosetta Fest"

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome back to another episode of Relocalizing Health! Today, host Dave Chase dives deep into the opportunities and challenges AI brings to healthcare, joined by digital health pioneer Dr. Jay Parkinson. Together, they explore a future where technology and community-driven care intersect, asking the big questions about how AI can support, rather than replace, the vital human relationships at the core of medicine.

Jay shares stories from his unique journey, from being one of the first iPhone-enabled physicians making house calls, to innovating virtual primary care with Sherpa, and now leading Automate Clinic, where he’s working to train AI models to think more like doctors. As they sift through possibilities and pitfalls, Dave and Jay unpack what truly makes care excellent, which elements must remain human, and how AI might transform both the daily experiences of clinicians and the health journeys of patients.

They also tackle AI’s role in addressing the broader determinants of health, beyond pills and procedures, into the realms of social connection and community resources. With insights for both clinicians embracing change and everyday people eager to understand what’s ahead, this episode is a candid, forward-thinking look at the evolution of healthcare.

So, whether you’re a healthcare professional, policymaker, or simply curious about the future of medicine, this conversation is designed to spark curiosity, challenge assumptions, and inspire the kind of creative thinking that just might change the system for the better. Let’s get started.

Timestamps:

00:00 "Transforming Healthcare with Technology"

04:21 Revolutionizing Telehealth: Consistent Doctor Access

07:12 Optimizing Healthcare with AI

11:13 AI in Holistic Healthcare Solutions

13:23 Health vs. Medical: A Future Perspective

18:56 AI Enhancing Health Conversations

20:55 Rising Risk in Healthcare Analytics

24:14 Focus on Basic Primary Care

27:32 Curiosity Transforms Healthcare

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to another episode of Relocalizing Health! In today’s conversation, host Dave Chase sits down with Dr. Eric Bricker, a renowned internal medicine physician, board member for a leading direct primary care organization, and the mastermind behind those wildly popular whiteboard healthcare explainers online.

Together, Dave and Dr. Bricker dive into the heart of America’s healthcare challenges: from deeply misaligned financial incentives to the separation of health and social care funding streams. You’ll hear candid stories and sharp insights from Dr. Bricker’s career working with millions across the country, and learn why fixing payment models could be the key to unlocking better primary care.

The episode also unpacks the crucial role of local leadership, using real-world examples like the transformation in McAllen, Texas, and how direct primary care models are gaining traction among public employers. Dr. Bricker doesn’t just cut through the theoretical; he brings a dash of humor, some tough truths about medical training and system inertia, and inspiration for anyone striving to build healthier communities.

Whether you're a health plan wonk, a city leader, or just itching to see change, this episode will leave you with a fresh perspective and a few memorable quotes. Tune in to hear why, when it comes to transforming health systems, enthusiasm, persistence, and community leadership matter just as much as bright ideas.

Timestamps:

00:00 "Navigating U.S. Healthcare Insights"

07:53 "Fixing U.S. Healthcare Flaws"

12:59 Healthcare Politics and Resource Allocation

18:27 Doctors Face Unexpected Social Work

25:26 Primary Care Requires More Time

31:04 Social Isolation to Social Prescription

33:55 Scaling Direct Primary Care Practices

42:11 "Influential Historians: The Durants"

47:40 "Independent Thinkers Drive Health Innovation"

51:53 Finding Your Purpose and Calling

56:09 Localized Ecosystem Growth Explained

01:01:17 Engaging Conversations at Rosetta Fest

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to another episode of Relocalizing Health, where we dive into the critical and often complicated world of healthcare reform at the local and state level. In this episode, host Dave Chase sits down with two trailblazing leaders in public sector health: Marilyn Bartlett, renowned for her transformative work on Montana’s state health plan and a member of Fortune’s 50 World Greatest Leaders, and Chris Deacon, an experienced former Deputy Attorney General of New Jersey with firsthand knowledge of negotiating healthcare on behalf of state employees.

Together, they unpack the real-life impact of skyrocketing healthcare costs on state budgets, infrastructure, and, most importantly, the everyday lives of public employees. The conversation moves beyond numbers, exploring how unions became unexpected allies in the fight for health plan reform- and why educating and engaging stakeholders is the cornerstone of lasting change. From the power of transparent data to the importance of local advocacy and creative legislative wins, Marilyn and Chris share practical, actionable lessons for mayors, school boards, and anyone interested in bending the cost curve without cutting benefits.

Tune in as we shine a light on how shifting the status quo can restore trust, save millions, and lead to better care for all - plus, get a preview of their hands-on workshops at Rosetta Fest, where they’ll pull back the curtain on hospital finances, contract red flags, and more. If you care about healthier communities and smarter spending, this episode is for you.

Timestamps:

00:00 Genius Thrives in Adversity

03:50 State Employee Health Plan Challenges

08:46 Economic Development 3.0 Podcast Insights

10:55 Unified Approach to Health Benefits

14:21 Effective Data Use in Decision-Making

18:55 Federal Health Policy Movement Signals

22:18 Montana Pharmacists' Legislative Victory

23:25 Surprise Policy Gains for Advocates

29:14 Touching Union Meeting Reflections

30:41 Praising Marilyn and Chris's Impact

33:04 Grateful for Fun Contract Work

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, where we dig into the powerful connection between healthcare and community prosperity. In this episode, host Dave Chase explores a hidden economic struggle affecting towns across America, one where healthcare dollars can either drain local economies or become the engine that revitalizes them. Dave shares compelling stories, like how a reimagined approach to healthcare in Tangelo Park, Florida, helped fund college for every child and reduced crime dramatically, while unchecked hospital expansion elsewhere continues to burden families for generations.

This episode shines a light on why traditional strategies to attract jobs may be less effective than transforming local healthcare ecosystems, highlighting real-life examples from Ohio to Alabama where communities have redirected wasted healthcare spending into scholarships, community programs, and job growth. Through cooperatives, innovative employers, and local leadership, Dave reveals a playbook for reclaiming healthcare dollars and harnessing them to rebuild the social and economic fabric of our communities.

Whether you’re an employer, teacher, community leader, or local advocate, Dave empowers you with ideas and tools to help your community thrive, reminding us all that the future of healthcare and local prosperity is in our hands. Join us as we explore real solutions already working across the country, and find out how you can be part of this growing movement to relocalize health.

Timestamps:

00:00 Healthcare Drains Local Economies

05:11 Rethinking Hospital-Centric Economic Development

09:47 "Community Focus in Transparent Healthcare"

13:03 Community Wealth Through Cooperatives

14:48 Localizing Healthcare for Economic Growth

15:44 Rosetta Fest

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to the 11th episode of Relocalizing Health, where we dive deep into how communities are reclaiming their local healthcare systems from extraction and inefficiency. This week, host Dave Chase is joined by Josh Butler, a benefit advisor based in Amarillo, Texas, who has been at the forefront of transformative change in his region.

Instead of telling a story from a neat conclusion, we’ll journey into the "messy middle", where real progress and real challenges coexist. Josh Butler shares his pivotal moments, including a powerful story about helping a truck driver finally receive surgical care after ten years of suffering due to unaffordable deductibles. Inspired by the Health Rosetta movement, Josh transitioned from selling traditional insurance to building innovative, local solutions through the High Plains Health Plan.

Listen in as we unpack the obstacles, breakthroughs, and the human impact of reimagining health benefits, where employers, clinicians, and advisors work together to create plans focused on accessibility, affordability, and genuine care. Whether you’re an employer, civic leader, or just someone passionate about change, this episode reveals what’s possible when communities take ownership of their healthcare dollars and destinies.

Join us for a compelling conversation about restoring the American dream, one local health system at a time.

Timestamps:

00:00 "Relocalizing Healthcare Transformation"

03:30 Health Insurance Broker Challenges

08:29 "Revolutionizing Healthcare Through Collaboration"

12:27 "Joining Health Rosetta: My Journey"

13:25 "Growth, Learning, and Overcoming Fear"

19:21 Physicians Prioritize Patients Over Profit

21:52 Healthcare Industry Resistance to Change

25:53 Choosing Partners Carefully

28:17 "High Plains Health Plan Benefits"

32:52 Brokerage Expansion and Partnerships

35:15 Establishing a Financial Baseline

39:21 Restoring the American Dream

41:27 "Transforming Healthcare with Passion"

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, where we dig deep into the heart of America's healthcare crisis and the opportunities that can rise from its collapse. In this Solo Episode, host Dave Chase confronts the uncomfortable truth: our healthcare system is not just broken, it's on the brink of collapse, with skyrocketing costs, staggering waste, and millions of Americans falling into medical debt.

But it's not all doom and gloom. Dave Chase shares a personal story of loss and regret that fueled his mission for meaningful change, and he draws on history and proven models to show us how collapse can pave the way for better, more equitable healthcare. From community-owned health plans to bold policy solutions like the proposed Community Self Determination Act, he reveals two real pathways to transformation, grounded in local control, transparency, and an unwavering focus on true wellbeing.

If you're ready to learn how communities are already reclaiming their health (and their financial futures), and how we can move from fear to action as this system unravels, this episode is your essential starting point. Let’s explore how we can turn crisis into an opportunity for lasting, positive change in American healthcare, one community at a time.

Timestamps:

00:00 "America's Systemic Collapse and Hope"

05:15 Healthcare Costs and Human Impact

07:47 "Fragile Healthcare Hierarchies Collapse"

12:29 "Rethinking Healthcare for Wellbeing"

16:12 Native Healthcare Transformation Revolution

18:21 "Optimal Community Health Plan Model"

23:10 "Path to Healing and Reform"

24:13 "Relocalizing Health Solutions"

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome back to Relocalizing Health, the podcast where we shine a light on the communities taking healthcare back from corporate control and making it serve people, rather than profit. In today’s episode, host Dave Chase sits down with Christina King, a benefit advisor from Columbus, Ohio, who’s breaking the mold on how we think about hospitals and employer health plans.

Instead of waiting for Washington to fix a “terminally broken” system, Christina King has been rolling up her sleeves and partnering with regional hospitals to create community-owned health plans, even as much of Ohio’s healthcare landscape is collapsing around her. She unpacks how these grassroots efforts are not only keeping care in the community, but transforming hospital relationships, employer incentives and even employee recruitment by building something better from within.

We’ll dig into the unique financial models, the critical role of direct primary care and independent pharmacies, and why employers are finally able to use health benefits as a genuine tool to attract their workforce. Plus, Christina King shares how these local successes are fueling statewide excitement and connecting an ever-growing network of visionary leaders ready to take healthcare transformation on the road.

Get ready for an inspiring conversation that offers practical insights and real hope for reclaiming the American dream, one community at a time.

Timestamps:

00:00 Reclaiming Healthcare, Serving Communities

04:33 Networking to Reach Hospital Executives

08:41 Healthcare Innovation Around Metro Areas

12:45 Replicating Community Health Plans

15:42 Community-Focused Healthcare Collaboration

18:05 "Health Plans Driving Employee Attraction"

23:20 "Employer Community Health Revolution"

25:00 Community Celebration After Denver Trip

28:25 "Employers Discussing Healthcare Challenges"

31:33 Hospital Competition and Cost Reform

36:12 "Live in Anticipation of Connections"

37:45 Reclaiming Healthcare, Building Community

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

On this episode of Relocalizing Health, host Dave Chase is joined by April Kyle, president and CEO of Southcentral Foundation in Alaska, for a deep dive into one of America’s most remarkable healthcare transformations. Together, they explore how the Alaska Native community took control of their own healthcare system, moving from an underfunded, top-down model to a community-owned system that now boasts some of the best health outcomes and highest satisfaction rates in the world.

April Kyle shares the practical blueprint behind this success: from the generational trauma and distrust that had to be overcome, to the pivotal role of true community engagement and ongoing governance that keeps the transformation alive. The conversation highlights the importance of listening, evolving systems to meet community needs, and the challenges of sustaining change across decades. Listeners will hear inspiring, concrete stories of how community voices are not only heard, but drive real decisions, from scheduling mammograms around moose hunting season to making tough calls about housing for providers.

Whether you’re a community leader, healthcare provider, or simply passionate about building better systems, this episode offers actionable insights and hope for communities everywhere looking to take back control and create a system built for and by them.

Timestamps:

00:00 "Relocalizing Health: Community-Driven Care"

04:18 April Kyle's Introduction & Journey

09:31 "Community-Centered Evolving Healthcare Model"

12:42 "Relocalizing Health, Not Healthcare"

15:20 Listening to Families, Closing Gaps

19:35 "Listening, Dialogue, and Community Partnership"

22:24 "Community-Driven Leadership Challenges"

27:15 Listening to Community First

28:12 "Community-Driven Listening and Customization"

32:49 Community Decision on Housing Safety

36:31 "Clinical Outcomes Data Sharing"

37:26 Community Resource Allocation Dialogue

40:42 "Power of Convening Communities"

46:25 "Embracing Community-Led Healthcare Change"

48:13 Integrating Behavioral Care Insights

50:48 "Rosetta Fest: Health Care Transformation"

Podcasts: IHI https://podcasts.apple.com/us/podcast/when-people-of-the-system-own-the-system-with/id1681829836?i=1000678625961

Moving to Value Part 1 https://podcasts.apple.com/us/podcast/part-1-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535

Part 2 https://podcasts.apple.com/us/podcast/part-2-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, where we explore how communities are reclaiming control over healthcare and rebuilding systems that truly serve people. In this episode, host Dave Chase welcomes Patrick Blackaller, the driving force behind the Employer Healthcare Cooperative of Wisconsin. Together, they dive into the journey of transforming healthcare for schools and employers in Wisconsin, shifting from an extractive industry toward a model that prioritizes care, cost transparency, and community partnerships.

You'll hear honest reflections on the tough choices and personal stories that sparked this movement, including the profound impact of rising costs and restrictive insurance plans on real people. Patrick Blackaller shares how direct contracts, innovative clinics, and new pharmacy approaches are not only saving millions but also bringing dignity and access back into healthcare. This episode is packed with lessons on pioneering change, even in the face of skepticism, and offers a blueprint for other communities ready to take bold steps toward a better future.

Timestamps:

00:00 "Rural School Struggles with Healthcare"

05:04 "Creating Care Through Self-Funding"

09:14 Overcoming Skepticism to Find Support

12:50 Affordable Medication Access Strategies

14:23 "Optimizing Health Plans Affordably"

17:10 Streamlining Healthcare Navigation and Education

20:30 Healthcare Spending and Employer Insights

23:51 "Optimizing Quality and Cost Balance"

27:21 Perseverance Through Challenges

31:23 Purpose-Driven Leadership Strategies

35:21 "Relocalizing Health: American Comeback"

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

On this episode of Relocalizing Health, host Dave Chase sits down with family physician and author Michael Fine, a leading voice in healthcare reform and the driving force behind Primary Care for All Americans. Together, they unpack the provocative idea of medicine as a form of colonialism, exploring how corporate healthcare systems extract wealth from local communities and diminish their capacity for self-governance.

Michael Fine draws on decades of experience, from running a small family practice to leading the Rhode Island Department of Health, to illustrate the devastating impact of for-profit healthcare on both patients and the social fabric of our towns. He shares revealing moments that highlight the true cost of primary care versus the astronomical amounts funneled out of communities, and explains why universal, community-driven primary care could be the linchpin for both improved health outcomes and economic resilience.

The conversation doesn’t just examine what’s broken, it spotlights grassroots solutions and social movements rekindling democracy and civic engagement in healthcare. You’ll hear firsthand accounts of community health initiatives, the simple mechanics behind local health plans, and strategies that unite both fiscal conservatives and progressives in the fight to reclaim healthcare dollars. Through stories of hope, frustration, and action, this episode charts a path for how all Americans, clinicians, citizens, and policymakers alike can join together to rebuild a just and sustainable healthcare system from the ground up.

Timestamps:

00:00 "Colonialism in Modern Healthcare"

04:58 "Radical Sliding Scale Practice"

09:00 "Essential Services for All"

11:41 "Preventing Second COVID Wave"

16:57 "Impact of Urban Health Inequity"

20:31 "Primary Care Reduces Healthcare Waste"

21:19 "Emergency Room Vortex Issues"

27:04 "Primary Care for All Idea"

29:50 Volunteer-Led Healthcare Voucher Program

33:13 Primary Care Gaps Revealed

37:31 "Social Movement & Governance Insights"

38:16 "Sustainable Democracy Through Participation"

41:19 "Healthcare System & Community Solutions"

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, the podcast that dives deep into how communities across America are reclaiming their healthcare from corporate control and building systems focused on people over profit. In this episode, we welcome Michael Norman, Chief Strategy Officer at Genesis Healthcare System in Zanesville, Ohio, and President of HealthyPath, a community-owned health plan product making a big impact.

Mike shares his inspiring journey after being told his rural hospital wasn't "relevant" by a major insurance carrier, despite offering high-quality care at lower costs. This pivotal moment sparked the creation of HealthyPath, a product designed to empower local employers with affordable coverage options and give employees access to care without overwhelming deductibles. In just one year, HealthyPath’s 20 participating employers collectively saved $1.2 million, proving that local solutions can truly transform the healthcare landscape.

Along the way, Mike discusses the importance of remaining independent as a community hospital, the economic role local healthcare systems play, and the pitfalls of consolidation that often leave rural communities behind. He also shares how employer feedback has shaped HealthyPath, where quality coverage is now helping businesses attract and retain talent, and employees can finally afford the care they need.

We explore the innovative partnership between local hospitals and modern benefit advisors like Christina King, the collaborative power of rural Ohio's High Value Network, and what it takes to replicate this change in other communities. If you’re seeking hope and practical ideas for reshaping healthcare around local values and community needs, this episode is sure to inspire.

Tune in as we shine a spotlight on those forging a new path, where community wellbeing comes first, and the American dream of accessible, affordable healthcare starts at home.

Timestamps:

00:00 Rural Healthcare Challenges and Costs

04:59 Rural Hospital Relevance Challenge

10:17 Local Oversight Strengthens Communities

11:33 HealthyPath: Affordable Healthcare Solution

14:47 "Christina's Impact on HealthyPath"

18:16 $1.2M Employer Premium Savings

22:37 "From Skeptic to Advocate"

26:55 "Cost Management Through Local TPA"

30:42 Scaling Value-Based Healthcare Solutions

32:10 "Hospital Execs as Celebrities"

35:14 Transforming Healthcare and Employer Retention

38:32 "Rosetta Fest: Transforming Healthcare"

Christina King - https://healthrosetta.org/advisors/christina-king/

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health with Dave Chase. In this episode, we explore what happens when a clinical leader takes health care into their own hands for both their patients and their employees. We'll meet Tim Spooner, a physical therapist who, in 1990, opened a single clinic in Scottsdale, Arizona with the conviction that the right care, at the right time, can transform lives. Thirty-five years later, Tim leads Arizona's largest private PT practice, operates clinics across Arizona and Texas, and runs Solve Global, a company that's reshaping how employers nationwide address musculoskeletal health.

But Tim's story doesn't stop with clinical excellence. Frustrated by skyrocketing premiums, opaque data, and decreasing reimbursements, he set out to redesign his company's health plan from the ground up. In the process, he redirected money typically lost to the old system back into his people, offering benefits like tuition reimbursement, direct primary care memberships, and robust musculoskeletal solutions. His efforts not only earned national recognition but also inspired other PT practices to follow suit.

Today, we'll dive into Tim's journey of leadership and innovation, the challenges he faced, and how his blueprint for change is empowering others to reclaim health care, making it more transparent, effective, and people-focused. Stay tuned as we learn what it truly means to "walk the talk" in health care and why the proof is in the room.

Timestamps:

00:00 How Tim Spooner got started

03:28 Discovering rising healthcare costs

08:06 High hospital markup example

13:14 Regenerative medicine success stories

15:36 Proactive healthcare and early intervention

19:57 Challenges for healthcare professionals

22:48 Transitioning to self-insured healthcare

24:12 Leadership and driving results

26:59 Medical costs and MRI findings

30:43 Navigating healthcare payment models

36:11 Closing advice for key audiences

36:49 Partnering with clinical practice leaders

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health. In this episode, we take you behind the scenes at Second Harvest Food Bank of Central Florida, where an organization fighting hunger is revolutionizing health benefits for its employees. Join Dave Chase as he sits down with Amy Lein, Chief Human Resource Officer at Second Harvest, to uncover how this nonprofit broke away from the broken health insurance model, creating one of the nation's highest-quality, most accessible benefit plans.

Learn how every employee at Second Harvest pays zero in premiums, deductibles, and co-pays, translating into real quality of care and tangible support like paid leave and grocery assistance. Hear firsthand stories of transformation as employees, for the first time, can actually afford and access the care they need. This episode is a must-listen for nonprofit leaders, city managers, and anyone who has ever looked at a health insurance renewal and thought, “We can’t afford anything better.” As Dave and Amy reveal, a better way is not only possible, it’s already here.

Timestamps:

00:00 Making healthcare affordable for employees

05:41 Improving employee healthcare access

09:14 The concierge nurse navigator

10:01 Affordable access to top doctors

14:32 How the gift card program works

19:35 Offering paid parental leave

22:37 Having access to quality healthcare

26:07 Rising healthcare costs and solutions

30:02 Vision for what's next

30:43 Creating a great workplace culture

34:38 Wrapping up with final advice

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health. In this episode, we shine a light on Plainfield, Indiana, a town just west of Indianapolis, where public sector employees like police officers, firefighters, and public works staff were once priced out of their own healthcare. Nate Thorne, assistant town manager, joins us to share how Plainfield broke free from years of rising premiums and shrinking paychecks, fundamentally transforming its approach to employee health benefits.

Instead of accepting sky-high insurance costs as an inevitable “healthcare trend,” Plainfield’s leadership took courageous steps: moving to a self-insured health plan, forging a direct contract with their local hospital, and reimagining benefits so workers now pay zero deductibles and co-pays, with real dollars flowing back into their households. These savings built meaningful new programs like mental health support and childcare assistance, and Nate Thorne and his team are on a mission to show other cities and counties that there is a better way.

Whether you manage a city, run HR for a school district, or just want a behind-the-scenes look at how local governments can invest in their people and communities, this episode brings you the story, the lessons, and the playbook, direct from a Rosie Award finalist, on how to take back control of your health plan and rethink what’s possible for your workforce.

Timestamps:

00:00 Challenges of municipal worker benefits

04:21 Facing rising insurance costs

07:24 Challenge of risk in public policy

11:46 Implementing a Self-Insured Program

16:10 Managing healthcare spending changes

18:07 Cost-saving strategies for healthcare plans

22:02 Creative funding for employee benefits

26:18 Leadership and gradual progress advice

28:52 Challenges in the public sector

32:02 Managing retiree health benefits

35:13 Employee survey results on premiums

37:25 Annual employer gathering details

40:11 Plainfield's health plan changes

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to another episode of Relocalizing Health, where host Dave Chase draws a bold parallel between America’s rural electrification revolution and the grassroots transformation happening in healthcare today. In this episode, Dave Chase unpacks the inspiring story of Iowa farmers who built miles of power lines before they even had a power source, showing how local ingenuity can spark nationwide change. He introduces his “three, two, one” framework, a blueprint where pioneering communities prove what’s possible, their success spreads, and smart policy amplifies the impact.

You’ll hear real-world examples of how forward-thinking communities and cooperatives are reclaiming healthcare, like employer health plans in Wisconsin, a transformative effort in Ashtabula, Ohio, and successful models from Alaska Native tribes. Dave Chase shares actionable steps for employers, cooperatives, and policymakers to join the movement, and unveils his new book, "Relocalizing Health." Whether you’re a healthcare professional, policymaker, or simply passionate about your community’s wellbeing, this episode offers hope, practical guidance, and a reminder that American ingenuity is alive and ready to reinvent healthcare from the ground up.

Timestamps:

00:00 "Farmers' Power Revolution"

04:23 "Cooperatives: Community-Driven Solutions"

09:05 "Localized Care vs. Distant Decisions"

10:10 "From Worst to Best Healthcare"

16:15 "Empowering Community Health Innovation"

17:03 "Transforming Healthcare at Rosetta Fest"

20:18 "Transforming Communities, Reclaiming Healthcare"

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to another episode of Relocalizing Health, the show about reclaiming healthcare and strengthening our communities. I’m your host, Dave Chase, author of Relocalizing Health: Taking Back Healthcare, Rebuilding Communities. Today, we dive into the realities of being a patient in America, a system where too often, getting sick can mean financial ruin, emotional devastation, and feeling invisible.

Our guest, Matthew Zachary, survived brain cancer as a young concert pianist and went on to do something even rarer, turning his experience into a national movement. As the founder of Stupid Cancer, host of the Out of Patients podcast, and cofounder of We The Patients, Matthew Zachary has spent nearly three decades fighting to give patients a real collective voice in a healthcare maze designed to isolate and overwhelm.

In this conversation, we explore what it means when patients stop being statistics and start becoming a civic force, the power of collective activism, and how something as simple as a patient navigator can be the “seatbelt” we all need on our healthcare journey. We’ll talk about fighting denial engines, rethinking industry incentives, and why the revolution in healthcare might just be led by people who never wanted to be activists in the first place.

Let’s dive in.

Timestamps:

00:00 Empowering patient advocacy

05:32 Financial strain of cancer care

09:29 Discussing healthcare affordability issues

12:08 Concerns over AI in healthcare

14:24 Understanding healthcare appeals process

18:20 Understanding patient needs vs. system assumptions

21:08 Discussing product design flaws

23:14 Using nurse navigators for better care

27:11 Discussing civic power in healthcare

31:56 Audrey Tang and gov0 initiative

35:26 Discussing waste in healthcare spending

37:20 Challenging powerful hospital systems

40:02 Discussing Matthew's impact and achievements

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to another episode of Relocalizing Health! This week, Dave Chase sits down with Allison Duncan, founder of Anau Health and architect of transformative maternal health models, to explore why the current U.S. maternity system is failing women by design and how we can radically improve it. From her eye-opening journey mapping world-class maternal care in Brazil to building community-driven solutions in Pickens County, South Carolina, Allison Duncan shares powerful insights about the cost, human toll, and missed opportunities in our current system. Together, they discuss how integrating social care with clinical support, rethinking payment structures, and harnessing local leadership can revolutionize birth outcomes and create brighter futures for mothers, babies, and communities everywhere. If you care about the future of healthcare and want to learn what it takes to reclaim maternal health from the ground up, you won’t want to miss this conversation!

Timestamps:

00:00 Exploring maternal care issues

07:15 Challenges in Indigenous Maternal Healthcare

09:17 Innovative maternity care in Brazil

11:55 Rising Risks in Pregnancy and Birth

16:51 Addressing maternal mortality causes

20:00 Cost of NICU and preterm births

22:01 Reducing preterm birth costs

26:09 Finding a local design partner

27:55 Helping women achieve economic independence

33:37 Redesigning healthcare payment models

35:34 Introducing Strong Mama, Strong Babies

38:01 Issues in Payment Model

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to a special series within Relocalizing Health as we count down to RosettaFest in Nashville, July 29 to 31. Each one of these is a quick look inside the book and the communities that inspired it. Real places, real numbers, real people who decided to stop waiting for someone else to fix healthcare and just built something better themselves.

If you don't have your ticket to Nashville yet, go grab it at RosettaFest.org. This is where the people in these stories will actually be in the room with you.

Here's more about today's special episode

Phifer Incorporated is a family-owned manufacturing company in Tuscaloosa, Alabama. About 1,200 employees. They make aluminum, fiberglass, and polyester screening — the window screens in your home, the sun-shading fabric on your lawn furniture. They are also the last remaining made-in-USA manufacturer in their category.

And they figured out something most Fortune 500 companies still have not figured out about healthcare.

This episode is the story of Russell DuBose, VP of HR at Phifer, who refused to treat healthcare like a force of nature he could not touch. He looked at the glide path the company was on in the mid-2010s and saw a future where benefits became unaffordable to the plan and the people on it. So he did what any manufacturing leader would do. He treated it like a supply chain problem and applied the same lean six sigma rigor he would to any production deficit on the factory floor.

What followed was a seven-year roadmap, a zero-cost-share on-site clinic, direct contracts with the best providers, a transparent pharmacy, nurse navigation, scholarships for employees' kids, summer enrichment programs, childcare support for working families, and five straight years of essentially flat healthcare spending. The Plan Grader score went from 37 to 74. Retirement readiness climbed more than 20 points.

And then a benefits decision at a screen manufacturing plant in Tuscaloosa turned into a national voice. Russell testified before the House Energy and Commerce Committee on ERISA and chairs the Alabama Employer Healthcare Consortium, helping spread the model to other employers across his region and state.

If a 1,200-person manufacturer in Alabama can do this, the excuse that you are not big enough stops being a reason. It is just a story we tell ourselves.

Russell DuBose is a co-leader of the Employer Track at RosettaFest 2026, July 29 to 31 in Nashville at the Gaylord Opryland. He will be in the room. So will the playbook.

Key Takeaways:

• Phifer Inc. is the last remaining made-in-USA manufacturer in their screening category
• Russell DuBose reframed healthcare as a supply chain problem and applied lean six sigma rigor to it
• The 2017 read of The CEO's Guide to Restoring the American Dream gave him the blueprint
• First Plan Grader score was 37 out of 100. Most employers start between 5 and 17.
• The Phifer Cares Clinic opened in 2019 with zero cost share for advanced primary care. Within months it was running at 88 percent daily capacity with 58 percent of eligible members actively using it
• Five straight years of flat healthcare spending through inflation and high-cost cancer claims
• Savings reinvested: scholarships for employees' kids (100-plus students to college), summer enrichment for hundreds of children, eliminated pharmacy co-pays for 1,700-plus patients, childcare support for 250-plus working families
• Plan Grader improved from 37 to 74
• Russell testified before the House Energy and Commerce Committee on ERISA
• He chairs the Alabama Employer Healthcare Consortium

Resources Mentioned:

• Health Rosetta Plan Grader: healthrosetta.org
• Nautilus Health Institute: open-source tools and frameworks
• Relocalizing Health by Dave Chase: pre-order on Amazon now
• RosettaFest 2026: RosettaFest.org — Russell DuBose is a co-leader of the Employer Track

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health. In today’s episode, host Dave Chase sits down with Kevin Bayuk, a partner at Lift Economy and a pioneer in redefining how communities can thrive by redesigning local systems. With over 20 years of experience questioning why wealth leaves local communities and how to rebuild systems that circulate, compound, and benefit all, Kevin Bayuk shares his journey from Silicon Valley tech entrepreneur to advocate for regenerative enterprise and bioregional self-reliance.

Together, they explore the root causes of ill health in society, including the “loneliness epidemic,” and discuss the vision and practicality of economies and healthcare systems that put well-being, community connection, and ecological thriving at the center. Through stories drawn from permaculture, multi-stakeholder co-ops, and innovative healthcare models like direct primary care, Kevin Bayuk and Dave Chase challenge business-as-usual approaches and invite us to imagine what is possible if we reclaim agency over health, wealth, and the future of our communities. Whether you’re leading a business, a school district, or simply curious about holistic approaches to community health, this episode will inspire you to see that the tools and models for transformation already exist; you just have to look a little closer.

Timestamps:

00:00 Early Silicon Valley entrepreneurship

06:04 Rethinking healthcare and wellbeing

10:01 Imagining a future economy

13:42 Community-focused motivation and cooperative structures

15:52 Workers owning the farm

18:40 Community-owned farming cooperatives

21:48 Direct primary care model explained

24:52 Community-driven profit reinvestment

29:01 Structural flaws in healthcare systems

33:37 Anna O'Malley's community medicine circles

35:28 Story of health intervention success

39:14 Future of Work and AI Automation

42:20 Slowing down for sustainability

46:00 Closing thoughts and action steps

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, the podcast about taking back healthcare and rebuilding communities. In today’s episode, host Dave Chase sits down with Kenneth Aldridge, the long-time clinical leader at Rosen Medical Center in Orlando, Florida. Together, they explore how Rosen Hotels has built the nation’s longest-running and most comprehensive employer-sponsored advanced primary care model, one that delivers exceptional outcomes for a diverse workforce, including a high percentage of high-risk pregnancies, while spending less than half the national average on healthcare.

Kenneth Aldridge shares stories from nearly three decades of transforming care: from breaking down barriers to access for associates from third-world countries, to innovative programs like free transportation, on-the-clock appointments, medication support, and comprehensive case management throughout pregnancies. The conversation goes deep into the practical steps that have built lasting trust, improved health outcomes, and freed up resources for broader community well-being, including scholarships and neighborhood revitalization.

If you’re curious about what a truly high-performing health system looks like, how love and common sense can upend toxic industry norms, and why Rosen’s model is being replicated across the country, this episode is for you. Join us as we reveal the playbook behind America’s healthcare “OGs” and offer hope for clinicians, employers, and communities everywhere.

Timestamps:

00:00 Introduction to Relocalizing Health Podcast

06:17 Supporting employees with healthcare access

07:38 Helping patients manage diabetes

12:43 Creating a pregnancy management program

13:22 Prenatal care and pregnancy support

18:43 Bringing medical services in-house

21:13 Concerns about healthcare quality and costs

23:53 Rosen Medical Center health services

26:59 Commitment to supporting patients

31:51 Healthcare system challenges and solutions

35:09 The rewarding challenge of hard work

36:43 Reducing waste in healthcare spending

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

In the late 1990s, the Alaska Native Medical Center was a tuberculosis sanatorium turned healthcare facility where elders described themselves not as people, but as numbers. One elder remembered it clearly: "I was number 24601. My newborn daughter was 24602. When my aunt passed, they gave her number to another baby."

That was the system April Kyle grew up in. She avoided that hospital as a child because going was a horrible experience. Six-hour waits were normal. Six-week appointment backlogs were standard. The worst health outcomes in the United States.

April Kyle now runs it.

What happened between those two realities is one of the most documented, most studied, most awarded healthcare transformations in the world. People fly in from Singapore, Sweden, and across the globe to understand how the Southcentral Foundation and the Alaska Native community it serves built the Nuka System of Care, a model so far ahead of conventional medicine that it has won the Malcolm Baldrige National Quality Award twice. The only healthcare organization in America to do so.

This episode tells that story. Not the awards. The ownership. The decision to stop calling people patients and start calling them customer-owners. The moment a new nurse leader said we were going to see anyone who needs care the same day and her colleagues thought leadership had lost their minds. Within six months it was just how things worked.

Emergency room visits down 45 percent. Hospital admissions down 53 percent. Specialist use down 65 percent. Quality scores went from the bottom fifth percentile to the 75th and often the 90th percentile. Childhood immunization at 93 percent. Diabetes complications down 25 percent. Customer-owner and employee satisfaction both hovering around 95 percent. Total cost running 20 to 30 percent below national averages. In Alaska. In one of the most expensive geographies in the country.

And over half the employees are now Alaska Native people. The health system became an engine of community wealth building.

April Kyle is flying from Alaska to RosettaFest 2026 in Nashville, July 29 to 31, to share this story in person. She will be in the room.

Key Takeaways:

• South central Foundation serves 70,000 Alaska Native people across an area the size of Sweden
• The transformation began when the community took ownership of a system that had been poorly serving them
• The single most powerful shift: they stopped using the word patient and started calling everyone a customer-owner
• Dr. Douglas Eby, Chief Medical Officer: "When you're a patient, things are done to you. When you're a customer, you have a choice. When you're an owner, you have control."
• April Kyle's leadership philosophy: "I'm not the expert at what services should be delivered. I need to be an expert at how to be driven by the community."
• Same-day access for anything achieved within six months of committing to it, from a six-week waitlist
• They spend 10 times the usual amount on training, coaching, and mentoring
• ER visits down 45 percent, hospital admissions down 53 percent, specialist use down 65 percent
• Quality scores from the bottom fifth percentile to the 75th to 90th percentile
• Total cost 20 to 30 percent below national averages despite Alaska's high-cost geography
• The community decides: mammogram scheduling was moved from fall to February because the women of one island community said so, and they were right
• Copying the tactics is easy. Copying the ownership model is what most systems cannot do.
• April Kyle joins the main stage at RosettaFest 2026 in Nashville

Resources Mentioned:

• Relocalizing Health by Dave Chase: pre-order on Amazon now
• South central Foundation and the Nuka System of Care: southcentralfoundation.com
• RosettaFest 2026: RosettaFest.org April Kyle joins the main stage
• Previous Relocalizing Health podcast interview with April Kyle: search the feed

Subscribe and Follow:
Relocalizing Health Podcast — available on all major platforms.

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health! In this episode, Dave Chase sits down with Claire Brockbank, a trailblazer in transforming healthcare costs and outcomes through community-driven strategies. From helping Colorado’s mountain towns slash exorbitant insurance prices with Peak Health Alliance to leading one of the largest union health funds in the nation at 32BJ, Claire Brockbank has proven that local communities, armed with the right data and determination, can take back control from hospital monopolies and insurance giants. 

Together, they explore the power of direct contracting, the critical role of transparency and accountability, and innovative programs like 32BJ’s $40 baby initiative. 

Listen in for practical lessons and inspiration on how you, your organization, or your community can challenge the status quo and drive real, measurable healthcare change.

Timestamps:

00:00 Addressing High Health Care Costs

04:17 Fair pricing for hospital negotiations

09:40 Using data in negotiations

12:47 Direct health care negotiations

16:13 Overcoming Challenges with Claire and 32BJ

18:37 Launching the maternity program

22:01 Addressing healthcare inequalities

23:43 Negotiating healthcare savings and impacts

26:59 Claire's leadership in health cooperatives

Claire BrockBank - https://www.linkedin.com/in/claire-brockbank-17b7901/

32BJ Health Fund - https://health.32bjfunds.org/

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Rosen Hotels & Resorts is a family hospitality company in Orlando, Florida, built by Harris Rosen, the son of immigrants who grew up on New York's Lower East Side. During the oil crisis in the 1970s, he bought a bankrupt Quality Inn on International Drive with a modest down payment and a lot of nerve. By the early 90s he had built a real company. And like every other employer in America, he was getting hammered by healthcare increases.

His workforce reflected the hospitality industry in Central Florida: a lot of immigrants, many of whom had never had access to a modern healthcare system. The traditional insurance model was punishing them with high deductibles, rising premiums, and surprise bills, in an industry where people live paycheck to paycheck.

So Rosen and his CFO, Frank Santos, now the company's CEO, asked a question almost nobody asks: what if the hundreds of millions going into bureaucracy went to caring for people instead? They converted part of an accounting office into a clinic with one part-time doctor. Their broker told them to stay in the insurance pool. Industry veterans said an employer couldn't deliver care without going broke or going substandard.

Three decades later, that accounting-office clinic is a 12,000-square-foot medical center. Rosen employees see a doctor on the clock, not on their own time. Deductibles and co-pays went down while the rest of the industry raised them. Per-employee healthcare costs run 55 percent below industry norms, sustained for thirty years. Total savings: $570 million and counting.

Rosen never kept the savings. They poured them into Tangelo Park: free preschool, free daycare, fully funded college scholarships for an entire neighborhood. High school graduation rates that used to be unacceptably low now sometimes hit 100 percent. Crime dropped 80 percent.

If a mid-sized hotel company in Orlando can build this, "we're not a healthcare company" stops being an excuse. It is just a story we tell ourselves.

Kenneth Aldrich, Rosen's clinical leader since 1998, and Carolyn Grant from Rosen's care team will be at RosettaFest 2026, July 29 to 31 in Nashville at the Gaylord Opryland. They will be in the room. So will the playbook.

Key Takeaways:

• Harris Rosen bought a bankrupt Quality Inn on International Drive in Orlando during the 1970s oil crisis and built Rosen Hotels & Resorts from it
• Facing a steep renewal increase in the 1990s, Rosen and CFO Frank Santos converted part of an accounting office into a clinic with one part-time doctor, against their broker's advice
• That clinic is now a 12,000-square-foot medical center, built in part on fully functioning used equipment bought at 10 cents on the dollar
• Employees see their doctor on the clock, get free rides to appointments, and complex health needs (60 to 72 percent of pregnancies now classified high risk) are treated as a design problem, not a liability
• Rosen's opioid prescription rate runs at one-sixth the typical US employer rate, a pattern Dave Chase investigated for his book The Opioid Crisis Wake-Up Call
• Healthcare costs have stayed essentially flat at the rate of inflation for three decades; per-employee costs run 55 percent below industry norms
• Total savings: $570 million and counting, benchmarked against comparable Orlando hospitality employers
• Employee weekly contribution is about $16.66; turnover runs at one-sixth the industry rate; workers' comp costs were cut in half
• The Tangelo Park Program funds free preschool, daycare, after-school care, and fully funded college scholarships for an entire neighborhood; economist Lance Lochner measured a 7-to-1 return on the investment
• The model has since spread into Parramore and the historic Eatonville neighborhood, and other Orlando employers have followed, including Second Harvest Food Bank and the School District of Osceola County, which saved $21 million in its first two years

Resources Mentioned:

• The Opioid Crisis Wake-Up Call by Dave Chase
• Relocalizing Health by Dave Chase: pre-order on Amazon now
• RosettaFest 2026: RosettaFest.org - Rosen's clinical and care leadership will be in Nashville

Subscribe and Follow: Relocalizing Health Podcast, available on all major platforms.

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Ashtabula County, Ohio. One of the poorest counties in the state. A medical desert. One primary care doctor for every 3,500 residents against a national average of one per 1,300. At least 30,000 people living in medical debt. And $1.4 billion flowing through that county every year, with at least $450 million of it being extracted out to distant corporations.

This is the story of what happened when a benefits advisor named Bryce Heimbach, a concierge nurse navigator named Casey Billington, a direct primary care physician named Dr. Brad Schneider, and a pharmacist named Maria Fowler decided to stop accepting that as inevitable.

It started with a school district. Ashtabula Area Schools, the 8th poorest district in Ohio, was spending more than 20 percent of its general fund on healthcare. In July 2020, they put in a new plan. By May 2021, less than a year later, a school levy failed that would have meant teacher layoffs, cut programs, and gutted transportation. Except it did not matter because in less than a year, the plan had already saved $2.4 million, more than the entire levy would have raised.

The story did not stay in the school district. A teacher married the city manager. The city of Ashtabula tried it. Saved $360,000 in year one. The county followed. Private employers followed. Crystal Clinic, the number one surgical facility in Ohio, started getting so much volume from Ashtabula members driving an hour or two for zero cost share that they opened a clinic right in the county.

A medical desert started getting its doctors back.

A police detective's daughter broke her ankle out of town. He called the concierge nurse. By the time he was on the interstate, everything was handled. A teacher named Maureen Cerbella stopped paying for her life-saving medications. She said it felt like a $3,000 raise.

And a funeral home director named Mike Chupp, who had spent his career noticing that every fourth body he prepared had not even reached his own age, started seeing something different in his community.

Bryce Heimbach is at RosettaFest 2026 in Nashville, July 29 to 31. He will be in the room.

Key Takeaways:

• Ashtabula County is one of the poorest counties in Ohio with one primary care doctor for every 3,500 residents and at least $450 million extracted annually to distant corporations
• Bryce Heimbach joined Health Rosetta in 2018 at the very first gathering in Chicago after nearly leaving the industry
• The football team metaphor: nurse navigators are the fullbacks, primary care is the running back, and what wins is constant communication and alignment across the team
• Casey Billington co-founded Concierge Nurse Navigators bringing oncology-style navigation to the broader population for the first time
• Dr. Brad Schneider left a hospital where he was seeing 30 patients a day in 15-minute visits and drove 45 minutes each way to practice medicine the way he was trained
• Maria Fowler at Hoffman's Pharmacy, one of the last independent pharmacies standing, became the preferred pharmacy with generic medications free for members
• Ashtabula Area Schools, the 8th poorest district in Ohio, saved $2.4 million in less than a year, more than an entire school levy
• The city of Ashtabula saved $360,000 in year one
• The dominant regional hospital system pushed back hard on price transparency, which Bryce said was proof they were over the target
• Unions became the strongest advocates after asking: you're telling me this can be free and you'll validate the physicians are highest quality? Yes
• Crystal Clinic, the number one surgical facility in Ohio, opened a clinic in Ashtabula County after receiving so much volume from cooperative members
• Bryce and partner Frank Stichter took the model west and helped launch a community-owned health plan on the Western Slope in Colorado
• The model works in the 8th poorest county in Ohio with a single hospital town. The excuse that anyone else cannot do it is wearing thin.

Resources Mentioned:

• Relocalizing Health by Dave Chase: pre-order on Amazon now
• RosettaFest 2026: RosettaFest.org — Bryce Heimbach is part of the Employer Track
• Health Rosetta: healthrosetta.org
• Nautilus Health Institute: open-source tools and frameworks

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

In 2011, Patrick Blackholder was the CFO and COO at Rice Lake Area School District in northwest Wisconsin. Facing a mandated budget cut, he built a $1,500 deductible into the health plan. It seemed reasonable. It seemed responsible.

A secretary came to his office. Her husband was out of work. Bills had stacked up. She said plainly: I cannot afford $1,500. I will not use it. Two years later, she died of cancer. She had avoided care until it was too late.

Patrick said it as directly as a person can: that had a massive impact on me and how I thought about healthcare. I did not want this to happen again.

That moment grew into the Employers Healthcare Cooperative of Wisconsin, which now covers 23,000 lives across the state.

This episode is the story of how it got there. How Patrick rebuilt the plan around one insight: the answer was never to make expensive care more expensive for people who cannot afford it. The answer was to make the right care available for free.

How one broker named Sarah Paints said yes when almost no broker in Wisconsin would touch it. How in year one Patrick called it a dumpster fire, working 40 extra hours a week on top of his actual job, fighting a hospital CEO who summoned him to an office to deliver ultimatums. How he looked that CEO in the eye and said: go ahead, balance bill every member. How the VP of contracting stepped in immediately and they got a direct deal.

How a surgeon who lost a $59,000 procedure to a direct contract called Patrick to find out why. How they talked. How the surgeon discovered how little of that $59,000 he was actually seeing. How he went out and built his own surgery center and now collaborates with the cooperative.

How some groups cut their costs 45 percent in year one. How others held their costs flat for eight years while comparable groups rose more than 80 percent. How an independent actuary found cooperative groups running 22 percent better than comparable groups overall.

And how Rice Lake, which built all of this a decade ago without a playbook and without ever finding the Health Rosetta community until 2023, is now an active part of that community, and is coming to RosettaFest 2026 with at least 15 of their members.

Patrick Blackholder will be in the room in Nashville.

Key Takeaways:

• Patrick Blackholder built a $1,500 deductible into the plan in 2011 during a mandated budget cut. A secretary who said she could not afford it died of cancer two years later after avoiding care. That moment became the reason everything else happened.
• Wisconsin is one of the most expensive states for healthcare with some of the most egregious price gouging hospitals in the country
• Patrick's core insight: the answer is never to make expensive care more expensive for people who cannot afford it. The answer is to make the right care available for free.
• Sarah Paints was the one broker in Wisconsin who said yes. She later left her firm when it would not support the model and still serves cooperative groups today
• Year one was a dumpster fire — Patrick's own words. Reference-based pricing with almost no contracts, less than two months to launch, a workforce that mostly disappeared for the summer
• A hospital CEO summoned Patrick and the superintendent to his office, spent ten minutes making threats, and told them to pay the billed charges or he would start balance billing employees. Patrick told him to go ahead. The VP of contracting stepped in immediately. They got a direct deal.
• Three of nine school board members lobbied to fire Patrick. The superintendent held the line.
• Patrick drove across northwest Wisconsin negotiating contracts procedure by procedure. Every place an employer could not get good access became the next stop.
• Walker Forge president Brian Adesso proposed the cooperative in 2021 with beautifully simple logic: schools already cooperate on things they cannot afford alone. Why not this?
• The cooperative now covers 23,000 lives. Member pitch: we have more than 20,000 belly buttons.
• Two cancer cases caught early because members came in for routine physicals that were free. A provider said flat out: without the free clinic, these would not have been caught.
• A $59,000 procedure moved to a direct contract alternative. The surgeon called to ask why he lost the case, discovered how little of $59,000 he was actually seeing, and went out and built his own surgery center. He now collaborates with the cooperative.
• Some groups cut costs 45 percent in year one. Others held flat for eight years while comparable groups rose more than 80 percent. Independent actuary found cooperative groups running 22 percent better overall.
• Rice Lake built all of this from scratch without a playbook nearly a decade ago and did not find the Health Rosetta community until 2023. They are now active members and coming to RF26 with at least 15 member employers.

Resources Mentioned:

• Relocalizing Health by Dave Chase: pre-order on Amazon now
• RosettaFest 2026: RosettaFest.org — Patrick Blackholder and at least 15 cooperative members are attending
• Health Rosetta: healthrosetta.org
• Nautilus Health Institute: open-source tools and frameworks

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

In 2011, Patrick Blackholder was the CFO and COO at Rice Lake Area School District in northwest Wisconsin. Facing a mandated budget cut, he built a $1,500 deductible into the health plan. It seemed reasonable. It seemed responsible.

A secretary came to his office. Her husband was out of work. Bills had stacked up. She said plainly: I cannot afford $1,500. I will not use it. Two years later, she died of cancer. She had avoided care until it was too late.

Patrick said it as directly as a person can: that had a massive impact on me and how I thought about healthcare. I did not want this to happen again.

That moment grew into the Employers Healthcare Cooperative of Wisconsin, which now covers 23,000 lives across the state.

This episode is the story of how it got there. How Patrick rebuilt the plan around one insight: the answer was never to make expensive care more expensive for people who cannot afford it. The answer was to make the right care available for free.

How one broker named Sarah Paints said yes when almost no broker in Wisconsin would touch it. How in year one Patrick called it a dumpster fire, working 40 extra hours a week on top of his actual job, fighting a hospital CEO who summoned him to an office to deliver ultimatums. How he looked that CEO in the eye and said: go ahead, balance bill every member. How the VP of contracting stepped in immediately and they got a direct deal.

How a surgeon who lost a $59,000 procedure to a direct contract called Patrick to find out why. How they talked. How the surgeon discovered how little of that $59,000 he was actually seeing. How he went out and built his own surgery center and now collaborates with the cooperative.

How some groups cut their costs 45 percent in year one. How others held their costs flat for eight years while comparable groups rose more than 80 percent. How an independent actuary found cooperative groups running 22 percent better than comparable groups overall.

And how Rice Lake, which built all of this a decade ago without a playbook and without ever finding the Health Rosetta community until 2023, is now an active part of that community, and is coming to RosettaFest 2026 with at least 15 of their members.

Patrick Blackholder will be in the room in Nashville.

Key Takeaways:

• Patrick Blackholder built a $1,500 deductible into the plan in 2011 during a mandated budget cut. A secretary who said she could not afford it died of cancer two years later after avoiding care. That moment became the reason everything else happened.
• Wisconsin is one of the most expensive states for healthcare with some of the most egregious price gouging hospitals in the country
• Patrick's core insight: the answer is never to make expensive care more expensive for people who cannot afford it. The answer is to make the right care available for free.
• Sarah Paints was the one broker in Wisconsin who said yes. She later left her firm when it would not support the model and still serves cooperative groups today
• Year one was a dumpster fire — Patrick's own words. Reference-based pricing with almost no contracts, less than two months to launch, a workforce that mostly disappeared for the summer
• A hospital CEO summoned Patrick and the superintendent to his office, spent ten minutes making threats, and told them to pay the billed charges or he would start balance billing employees. Patrick told him to go ahead. The VP of contracting stepped in immediately. They got a direct deal.
• Three of nine school board members lobbied to fire Patrick. The superintendent held the line.
• Patrick drove across northwest Wisconsin negotiating contracts procedure by procedure. Every place an employer could not get good access became the next stop.
• Walker Forge president Brian Adesso proposed the cooperative in 2021 with beautifully simple logic: schools already cooperate on things they cannot afford alone. Why not this?
• The cooperative now covers 23,000 lives. Member pitch: we have more than 20,000 belly buttons.
• Two cancer cases caught early because members came in for routine physicals that were free. A provider said flat out: without the free clinic, these would not have been caught.
• A $59,000 procedure moved to a direct contract alternative. The surgeon called to ask why he lost the case, discovered how little of $59,000 he was actually seeing, and went out and built his own surgery center. He now collaborates with the cooperative.
• Some groups cut costs 45 percent in year one. Others held flat for eight years while comparable groups rose more than 80 percent. Independent actuary found cooperative groups running 22 percent better overall.
• Rice Lake built all of this from scratch without a playbook nearly a decade ago and did not find the Health Rosetta community until 2023. They are now active members and coming to RF26 with at least 15 member employers.

Resources Mentioned:

• Relocalizing Health by Dave Chase: pre-order on Amazon now
• RosettaFest 2026: RosettaFest.org — Patrick Blackholder and at least 15 cooperative members are attending
• Health Rosetta: healthrosetta.org
• Nautilus Health Institute: open-source tools and frameworks

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

The short version is that a close friend died from a preventable medical error and left behind a ten-year-old daughter. That is where this started.

But the longer version, the one Dave tells in this episode, is about what that loss made him unable to stop noticing. How the system he had spent his career inside, building technology for health systems and working at the intersection of healthcare and innovation, was not broken by accident. It was built this way. And the people inside it, the physicians, the administrators, the insurers, were not villains. They were operating exactly as the incentives demanded.

What changed for Dave was not discovering a new problem. It was deciding to stop optimizing inside a broken model and start documenting the communities, employers, advisors, and clinicians who had already figured out how to build something better. This book is that documentation.

He also talks about what the title actually means. Relocalizing health is not a policy idea. It is not a theory. It is something that is already happening in Alabama, Alaska, Ohio, Wisconsin, and Florida, the communities that anchor this book. It is what happens when healthcare dollars stop leaving a community and start building it instead.

The book launches July 29 at RosettaFest in Nashville. Every attendee gets a copy. You can pre-order on Amazon now.

Key Takeaways:

• A close friend's death from a preventable medical error left behind a ten-year-old daughter. That loss is where the decade of work started.
• The system is not broken by accident. It was built this way. But the people inside it are largely operating exactly as the incentives demand, not as villains.
• Dave spent years inside healthcare technology, building software for health systems, working at the intersection of innovation and care delivery. That proximity made the dysfunction visible in a way it might not have been from the outside.
• The turning point was deciding to stop optimizing inside the broken model and start documenting the places where people had already built something better.
• Relocalizing health is not a policy idea. It is not a theory. It is something that is already happening in the communities in this book.
• The Health Rosetta Dividend is the financial expression of this: when employers build the right kind of plan, they generate real savings that can be reinvested into people and communities. The communities in the book prove this over five, ten, twenty, and thirty-year timelines.
• The book is a field manual, not a manifesto. It is written for employers who are done overpaying, advisors who want to build plans they can stand behind, and community leaders who understand healthcare cost as an economic development problem.
• With AI displacing workers at scale, the communities that capture the AI Catalyst by redirecting healthcare savings into workforce development will be the ones that build durable economies. The communities that do not will pay what Dave calls the AI Tax.
• The tools are now democratized through the Nautilus Health Institute. The playbook exists. What is needed is the courage to act, community by community.

Resources Mentioned:

• Relocalizing Health by Dave Chase: pre-order on Amazon now
• RosettaFest 2026: RosettaFest.org
• Health Rosetta: healthrosetta.org
• Nautilus Health Institute: nautilushealthinstitute.org

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, where we explore the transformative power of community-driven healthcare reforms. In today’s episode, guest Lee Lewis and host Dave Chase challenge long-held beliefs about healthcare being an uncontrollable cost and reveal how employers, by banding together in cooperatives, are not just cutting expenses but improving care quality and outcomes.

Drawing inspiration from the historic rise of rural electric cooperatives, Dave Chase introduces us to the Health Transformation Alliance, a pioneering employer-owned cooperative reshaping health benefits for millions. Lee Lewis, Chief Strategy Officer of the Health Transformation Alliance (HTA), shares behind-the-scenes stories and actionable insights on how organizations can pool resources, break industry dogmas, and unleash innovations that empower individuals and whole communities.

Tune in to hear inspiring case studies, practical strategies for change management, and a powerful call to action for every employer, community leader, and clinician ready to take back control of healthcare and make a real difference for the people they serve.

Timestamps:

00:00 Building a healthcare co-op

03:39 Saving for Employee Nursing Stations

08:35 Misconceptions about saving on healthcare

10:25 Identifying motivated benefits team members

15:23 Highlighting hospital cost and risk issues

19:03 Collaborating with local employers

20:42 Scaling innovation with initial partnerships

26:03 Improving patient care navigation

29:39 Improving employee benefits and savings

31:55 Economic impact of technology in workplaces

34:40 Healthcare crisis and hero benefits leaders

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

This episode is for the person who has been following this series and wants to know what is actually inside Relocalizing Health before they read it, and what they will walk away able to do differently.

Dave Chase addresses three specific audiences directly.

For advisors: the book is a field manual for building fiduciary-grade plans that hold up under scrutiny. It covers the contractual language that separates a plan built to perform from one built to produce revenue for intermediaries, the data access requirements that give employers genuine visibility into how their money is being spent, and the selection and evaluation frameworks that let advisors build accountability into every vendor relationship.

For employers: the book shows what it looks like when a health plan is treated as a line of business an organization is actually willing to manage. Not a cost center that absorbs annual increases and passes them to employees. A strategic asset that generates a real dividend and reinvests it in the workforce.

For community leaders: the book makes the case that healthcare cost is an economic development problem with a documented solution. The communities that get this right do not just save money. They redirect those savings into schools, workforce development, housing, and the kinds of local investments that build durable economies.

Dave also addresses the AI Catalyst section specifically: as artificial intelligence displaces workers at scale, the communities that have figured out how to generate and redirect healthcare savings will have the resources to invest in workforce transition. The ones that have not will face a compounding crisis.

The book launches July 29. Every attendee at RosettaFest gets a copy.

Key Takeaways:

• The book is written for three distinct audiences with three distinct entry points: advisors, employers, and community leaders
• For advisors: fiduciary-grade plan building, contractual language, data access requirements, vendor evaluation frameworks
• For employers: treating the health plan as a strategic asset that generates and reinvests a real dividend, not a cost center absorbing increases
• For community leaders: healthcare cost is an economic development problem with a documented solution and the communities that solve it build durable economies
• The AI Catalyst section: communities that redirect healthcare savings into workforce development will have resources for the transition that AI displacement is accelerating
• The Nautilus Health Institute has democratized the tools so this is no longer locked behind expensive consultants or proprietary frameworks
• The book is a field manual, not a manifesto. The playbook exists. What is left is the will to use it.

Resources Mentioned:

• Relocalizing Health by Dave Chase: pre-order on Amazon now
• RosettaFest 2026: RosettaFest.org
• Health Rosetta: healthrosetta.org
• Nautilus Health Institute: open-source tools and frameworks

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

This episode walks through the Rosie Award winners and the case studies that make up the appendix of Relocalizing Health — the documented proof that the model described in this book is not theoretical.

Dave Chase walks through what the Rosie Awards actually represent: employers and public sector organizations evaluated on real Plan Grader scores and real reinvestment of savings through the Health Rosetta Dividend. The awards are not given for good intentions. They are given for results, for documented outcomes that show up in the numbers.

The episode covers the kinds of results that have earned organizations a place in the appendix and on the Rosie Award stage: school districts that saved millions and kept teachers in classrooms, municipalities that redirected healthcare savings into community infrastructure, employers that eliminated deductibles and copays while reducing total cost, and health systems that demonstrated what direct contracting with employers actually looks like in practice.

Dave is direct about why these stories matter: because the standard objection to everything in this book is that it sounds good in theory but would never work at scale or in a normal organization. The appendix is the answer to that objection. These are normal organizations. They are not wealthy. They are not in major metropolitan areas. Many of them are in the same kinds of communities that have been told this is too hard, too risky, or too far outside the status quo to be worth trying.

The book launches July 29 at RosettaFest in Nashville. Every attendee gets a copy.

Key Takeaways:

• The Rosie Awards evaluate real Plan Grader scores and real reinvestment of the Health Rosetta Dividend, not good intentions
• The appendix of Relocalizing Health is built from Rosie Award case studies, documented proof that the model works in normal organizations
• The organizations in the appendix are not wealthy, not in major metros, and not operating with special advantages. They are the answer to the objection that this would never work at scale.
• Results documented across Rosie Award winners include eliminating deductibles and copays, saving millions while keeping public sector budgets intact, and building direct contracting relationships with providers
• The people behind these results are at RosettaFest 2026 in Nashville, ready to share everything they built

Resources Mentioned:

• Relocalizing Health by Dave Chase: pre-order on Amazon now
• RosettaFest 2026: RosettaFest.org
• Health Rosetta Plan Grader: healthrosetta.org
• Rosie Award winners PDF: available at RosettaFest.org

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

When people hear the phrase relocalizing health, a lot of them assume it is a slogan, a policy proposal, or someone's political talking point. This episode explains what it actually means.

Dave Chase defines it plainly: treating your community's healthcare dollars as a community resource instead of an extractive expense that leaves town the moment it is spent.

Most communities, healthcare is the biggest industry. Most companies, it is the second biggest cost item. And most of the money flows straight out to distant corporations and shareholders. Dr. Michael Fine calls it medicine as colonialism. Dave calls it extraction dressed up as care.

In Ashtabula County, Ohio, roughly $450 million leaves the county every year. That is not a healthcare problem. That is an economic development catastrophe.

Relocalizing means keeping that money home.

But this episode goes deeper than a definition. Dave explains why every major reform effort has failed, regardless of ideology, and why they will keep failing until two structural flaws are addressed. The first: healthcare and social care are funded and governed in entirely separate silos, even though 80 to 90 percent of health outcomes are determined by things outside of the healthcare setting, like food, education, housing, and transportation. The second: healthcare decisions are made at the wrong scale, either way too large at the federal or state level, or way too small at the individual provider level, missing the Goldilocks zone of roughly 25,000 to 700,000 people where community-scale governance actually works.

He then shows what right-sized governance looks like in practice. Jonkoping County in Sweden. The Nuka System of Care in Alaska. Rosen Hotels in Orlando. Ashtabula County in Ohio. Different politics, different governance structures, different geographies. Identical in two things: integrated funding and right-sized governance.

And he closes with the most American story he knows. Rural electrification. A century ago, less than 10 percent of rural America had electricity. Private utilities said serving rural America was impossible. Communities formed electric cooperatives and did it themselves. By the 1950s, 90 percent of rural America had power. Today almost 900 cooperatives serve 42 million Americans across 56 percent of the US landmass.

That is the playbook. The pioneers in this book are the farmers laying line before anyone in Washington figured it out.

Key Takeaways:

• Relocalizing health means treating your community's healthcare dollars as a community resource instead of an extractive expense
• Dr. Michael Fine frames the status quo as medicine as colonialism: colonial powers extracting both money and wellbeing from communities through the healthcare system
• Ashtabula County: $450 million extracted annually from a county of 100,000 people. That is not a healthcare problem. That is an economic development catastrophe.
• Two structural flaws explain why all reform fails regardless of ideology: (1) healthcare and social care are funded and governed in separate silos even though 80 to 90 percent of health outcomes are determined by social factors, and (2) governance operates at the wrong scale
• The Goldilocks zone for right-sized governance is roughly 25,000 to 700,000 people. County scale. District scale. The size of Iceland.
• The master key: when one entity invests in prevention but a different one reaps the savings, no one has a reason to invest upstream
• Jonkoping County, Sweden: unnecessary hospital days for complex patients fell over 90 percent. One hospital cut staff beds by 30 percent. Cost of care in the last two years of life cut nearly in half. Population: 120,000.
• Nuka System of Care, Alaska: ER visits down 43 percent, hospital admissions down 53 percent. Went from worst health outcomes in America to some of the best.
• Rosen Hotels, Orlando: cut healthcare cost inflation to match regular inflation. Savings poured back into employees and the surrounding community.
• Sweden used a county council. Alaska used a tribal council. Ohio used public and private employers. Florida used a hotel company. Different every way except two things: integrated funding and right-sized governance.
• Multi-stakeholder cooperatives serve 12 percent of the population in Italy and provide 85 percent of care services for elders, children, and the disabled in Bologna
• Rural electrification: by the 1950s, 90 percent of rural America had power through cooperative ownership. Today 900 cooperatives serve 42 million Americans across 56 percent of US landmass.
• Father José María Arizmendiarrieta built Mondragón from a technical school in a war-scarred Basque town under Franco's dictatorship into the largest cooperative complex in the world. If it could be done there, American communities reclaiming their healthcare is not idealistic. It is almost modest by comparison.
• Ronald Reagan praised cooperatives as people's capitalism. Bernie Sanders praises them as democratic institutions. Cooperatives are genuinely post-political.

Resources Mentioned:

• Relocalizing Health by Dave Chase: pre-order on Amazon now
• On Medicine as Colonialism by Dr. Michael Fine
• RosettaFest 2026: RosettaFest.org
• Health Rosetta: healthrosetta.org
• Nautilus Health Institute

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health. In this episode, Dave Chase explores the powerful connection between neighborhood cohesion and health with guest Seth Kaplan, author of Fragile Neighborhoods. Over recent decades, American communities have suffered from declining local relationships, and with no meaningful incentive to make neighborhoods better, both public and private institutions have unintentionally worked in silos, often leaving health outcomes and the social fabric itself worse off.

But there's a movement underway. Across the globe, from Singapore to the Netherlands, new models of healthcare have emerged, focused on empowering residents and rebuilding care around neighborhoods rather than institutions. Drawing on case studies and lessons from around the world, Seth Kaplan and Dave Chase discuss how shifting our mindset, restructuring incentives, and revitalizing neighborhood governance could radically improve health, reduce costs, and revive a sense of belonging.

Join us as we explore what happens when the neighborhood, not just the individual, becomes the patient, and how each of us can spark change, starting right where we live.

Timestamps:

00:00 Community-driven healthcare models

04:46 Exploring American social cohesion

07:55 Flaws in the American healthcare system

12:50 Yishun Health community engagement strategy

16:55 Creating community healthcare nodes

20:08 Fostering Health in Communities

22:55 Community and Charity Involvement

26:39 Growing small health plans into communities

31:50 Sovereignty and healthcare systems

33:07 Rural electrification and community action

36:31 Neighborhood-centered governance ideas

40:10 Neighborhood improvement incentives

45:01 Public sector's role in healthcare

47:02 Importance of social relationships

53:01 Rethinking and nurturing new ideas

54:39 Community-led healthcare initiatives

Learn More:

RosettaFest 2026 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/ 

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/