Analyzing Healthcare – Details, episodes & analysis

Host Roy Bejarano sits down with Mark Jamilkowski, a seasoned actuary and healthcare executive, to explore the dynamics of the healthcare payer industry, the challenges facing self-insured employers, and barriers to entry for new insurance providers.

In this episode, Mark shares insights into how government regulations, Medicare Advantage, and payer-provider relationships shape the industry. He also discusses his experience launching Every Health, a new insurance model focused on digital health integration and care coordination. This conversation is a must-listen for healthcare leaders, investors, and innovators navigating the ever-evolving payer landscape.

• [00:01]  Introduction to Mark Jamilkowski and his 30-year career in the healthcare industry
• [02:09]  Understanding the payer landscape: Medicare, Medicaid, and employer-based insurance
• [05:55] The economics of Medicare Advantage and why insurers focus on this market
• [12:28] Myths vs. realities of the self-insured employer market
• [22:33] –you Launching Every Health: How to break into the insurance industry
• [40:47]  The role of digital health, value-based care, and provider partnerships in the future of healthcare

• Market Segmentation Defines Success – Large payers like UnitedHealth, Humana, and Centene approach different market segments strategically, favoring high-margin Medicare Advantage plans.
• Government Influence is Unavoidable – Over 65% of U.S. healthcare spending is government-funded, shaping the priorities and strategies of insurers.
• Self-Insured Employers Are Not Taking Over – Contrary to industry narratives, the percentage of self-insured employers has remained stable for decades, despite broker-driven hype.
• Technology & Value-Based Care Will Drive the Future – Innovations in digital health, data analytics, and care coordination are reshaping how payers and providers interact, with companies like Every Health leading the charge.

 Website: Evry Health

LinkedIn: Mark Jamilkowski

Mark Jamilkowski is a healthcare industry veteran with over 30 years of experience as an actuary, investment banker, and entrepreneur. He has held leadership positions at Aetna, Big Four consulting firms, and venture-backed insurance startups. As co-founder of Every Health, he is pioneering digital-first insurance solutions that integrate value-based care and provider partnerships to enhance patient outcomes.

Healthcare, Healthcare Leadership, Healthcare Trends, Roy Bejarano, Healthcare Innovations, Healthcare Industry Insights, Health Insurance Market, Medicare Advantage, Self-Insured Employers, Digital Health Solutions, Value-Based Care, Payer Market Strategy, Healthcare Consolidation, Insurance Industry Disruption, Mark Jamilkowski,

Host Roy Bejarano sits down with Dr. Yates Lennon, President of CHESS Health Solutions, to discuss the operational execution of value-based care (VBC) models, the complexities of ACO REACH, MSSP tracks, and risk-based agreements, and how health systems and provider groups can maximize performance in value-based contracts.

In this episode, Dr. Lennon breaks down how CHESS supports 220,000 lives, builds efficient care coordination teams, and negotiates value-based contracts with major payers. He also explores the challenges of aligning incentives, leveraging predictive analytics, and maintaining provider engagement. This is a must-listen for healthcare leaders, providers, and payers navigating the future of population health and risk-sharing agreements.

• [00:01]  Introduction to Dr. Yates Lennon and CHESS Health Solutions’ role in value-based care
• [02:25]  The scope of CHESS: 220,000 covered lives, ACO models, and payer agreements
• [12:28] The role of care coordination, clinical pharmacists, and social workers in reducing hospital readmissions
• [22:33]  How value-based contracts are negotiated and why aligning clinical and financial performance is crucial
• [40:47]  The rise of super practices vs. hospital systems – Who will win the future of physician market power?
• [50:16]  Specialty care integration & predictive analytics – What’s next for cost containment and clinical efficiency?

• Value-Based Care Requires Significant Infrastructure Investment – Managing 220,000+ lives demands a highly coordinated network of nurses, pharmacists, social workers, and analysts.
• Payer-Provider Collaboration is Critical – CHESS negotiates Medicare Advantage, MSSP, and commercial value-based agreements with major payers, ensuring contracts align with clinical capabilities.
• Super Practices Are Reshaping Physician Market Power – The rise of Privia, Oak Street, and Agilon is shifting influence away from hospital-owned physician groups, creating competition for high-risk patient populations.
• The Future Lies in Data-Driven Healthcare – Predictive and prescriptive analytics will define the next phase of value-based care, helping organizations prioritize patient outreach and interventions for maximum impact.

Website: CHESS Health Solutions

LinkedIn: Dr. Yates Lennon

Dr. Yates Lennon is the President of CHESS Health Solutions, a physician-led value-based care organization that partners with health systems, ACOs, and independent providers to implement risk-based care models. With a background in family medicine and health system leadership, he has helped CHESS become a turnkey provider of value-based care solutions, supporting operational transformation, clinical integration, and payer strategy.

Healthcare, Value-Based Care, Healthcare Trends, Roy Bejarano, Healthcare Innovations, ACOs, Risk-Based Contracts, Population Health, Care Coordination, Medicare Advantage, Payer-Provider Collaboration, Healthcare Leadership, Data-Driven Healthcare, Healthcare Economics, CHESS Health Solutions, Yates Lennon,

Host Roy Bejarano speaks with Wyatt Ritchie, Managing Director at Cain Brothers, one of the leading investment banks specializing in healthcare transactions. Wyatt has overseen over 150 healthcare deals in the past five years and shares his expert insights on physician consolidation, private equity investment, and the changing healthcare services landscape.

This discussion takes a holistic approach to the future of healthcare investment, covering what works in MSOs, why physician practices must adapt, how AI will drive efficiencies, and how health systems and private equity are reshaping the landscape. Wyatt also addresses the evolution of capital markets, value-based care adoption, and the role of employer-sponsored healthcare innovation.

• [00:00] Introduction to the podcast and guest, Wyatt Ritchie, Managing Director at Cain Brothers
• [02:00] Wyatt’s journey in healthcare investment banking: From Jeffries to Cain Brothers
• [06:30] The state of physician consolidation: Why private equity remains interested despite headwinds
• [12:00] Key investment trends: Which healthcare specialties are thriving, and which are struggling?
• [18:00] The rise of AI in healthcare and how it will drive operational efficiencies
• [24:30] Why health systems struggle with ambulatory care and what can be done
• [30:00] Multi-specialty vs. single-specialty MSOs: Which model is more sustainable?
• [40:00] Health system & MSO partnerships: A new wave of strategic alliances in healthcare
• [50:00] How private equity is adapting to a shifting capital environment
• [1:00:00] The future of employer-sponsored healthcare: Why companies are taking healthcare into their own hands
• [1:15:00] Wyatt’s final thoughts on where healthcare investment is headed next

• Healthcare is entering a new phase of consolidation and efficiency. Physician groups must scale smarter by aligning with either health systems, private equity, or employer-driven healthcare innovations.
• Private equity investment in MSOs remains strong but is evolving. Investors are becoming more selective, prioritizing scalability, operational efficiency, and value-based care capabilities.
• AI will transform MSOs, health systems, and payer-provider relationships. AI is poised to drive efficiencies, reduce administrative waste, and enhance patient engagement, making it a key differentiator for future healthcare investment.
• Multi-specialty MSOs are gaining traction—but execution remains difficult. While multi-specialty models offer care coordination advantages, scaling them is far more complex than single-specialty roll-ups.
• Health system partnerships with MSOs are the next big wave. As hospitals face financial pressure, they are increasingly looking to partner with MSOs for ambulatory expansion, rather than owning all assets outright.
• Employer-driven healthcare is a growing force. Large corporations are moving away from traditional payer models, creating custom networks and engaging directly with provider groups to control costs and improve outcomes.

Connect with Wyatt Ritchie:

Cain Brothers Website

LinkedIn

Wyatt Ritchie is a healthcare investment banking leader with over 20 years of experience in M&A, private equity transactions, and strategic advisory for healthcare services. As Managing Director at Cain Brothers, Wyatt has played a pivotal role in helping healthcare organizations navigate consolidation, investment, and strategic growth.

Healthcare, Healthcare Leadership, Healthcare Trends, Roy Bejarano, Healthcare Innovations, Healthcare Industry Insights, Physician Consolidation, Private Equity in Healthcare, MSO Growth, AI in Healthcare, Health System Partnerships, Wyatt Ritchie, Cain Brothers,

Host Roy Bejarano sits down with Jason Tushman, CEO of Red Spot Interactive, to discuss the challenges of healthcare IT adoption, patient acquisition, and digital marketing. With over 15 years of experience in healthcare marketing, CRM, and practice management solutions, Jason shares insights into why healthcare IT lags behind other industries, how data integration can improve patient retention, and why AI and predictive analytics are the future of healthcare marketing.

This episode explores why most healthcare practices struggle with digital transformation, the biggest inefficiencies in patient communication, and how CRM technology is reshaping practice operations. Jason also reveals the most cost-effective digital marketing strategies for healthcare providers and how AI in healthcare will drive automation and operational efficiencies.

[00:00] Introduction to the podcast and guest, Jason Tushman, CEO of Red Spot Interactive

[02:00] Jason’s background: How his experience in automotive finance led to healthcare IT

[06:00] The early challenges of Red Spot Interactive and the pivot into patient acquisition

[10:00] The biggest reasons healthcare IT adoption lags behind other industries

[14:30] How data fragmentation is slowing down digital transformation in healthcare

[18:00] Why healthcare marketing remains inefficient and how CRM can fix it

[22:00] How AI in healthcare will change patient acquisition & operational workflows

[26:30] The importance of integrating call centers with practice management systems

[30:00] Why standardized data is essential for healthcare system-wide efficiency

[35:00] The future of patient engagement: AI, predictive analytics, and automation

[40:00] Final thoughts and predictions for the next five years in healthcare IT

• Healthcare IT adoption lags due to fragmented data and misaligned decision-makers. Most practices fail to integrate data across phone systems, practice management software, and marketing platforms, creating inefficiencies.
• AI in healthcare will drive automation and improve patient retention. AI-powered patient engagement, automated scheduling, and predictive analytics will increase efficiency and reduce administrative burdens.
• CRM is the missing link between patient acquisition, retention, and revenue tracking. A properly integrated CRM allows practices to connect marketing efforts to real patient outcomes and revenue performance.
• Organic video content is the most cost-effective healthcare marketing strategy. Practices that invest in educational video content on social media, YouTube, and their websites see the highest ROI on marketing efforts.

• Red Spot Interactive Website https://www.redspotinteractive.com/
• LinkedIn: Jason Tushman https://www.linkedin.com/in/jason-tuschman/

Jason Tushman is the CEO and Founder of Red Spot Interactive, a leading healthcare CRM and patient acquisition platform. With over 15 years of experience in healthcare IT and marketing, Jason specializes in helping multi-location practices streamline patient engagement, optimize digital marketing, and improve operational efficiency through AI and data integration.

Healthcare, Healthcare Leadership, Healthcare Trends, Roy Bejarano, Healthcare Innovations, Healthcare Industry Insights, Private Equity in Healthcare, AI in Healthcare, Patient Acquisition, Digital Marketing in Healthcare, CRM for Healthcare, Jason Tushman, Red Spot Interactive,

Host Roy Bejarano sits down with Scott Herman, CEO of New Day Healthcare, to discuss how home healthcare is evolving, the challenges of scaling a home care platform, and how AI is transforming care delivery. New Day Healthcare, founded in 2020, has rapidly grown to 120,000 patients, 7,000 team members, and 29 locations across five states, making it one of the fastest-growing home health providers in the industry.

In this episode, Scott shares insights into the importance of technology-driven home care models, how New Day differentiates itself from traditional home care providers, and why AI-driven analytics are crucial for improving patient outcomes. He also explains how Medicare Advantage is reshaping home care, why avoiding the acquisition "value trap" is essential, and how his company is pioneering a virtual-first home healthcare model.

• [00:00] Introduction to the podcast and guest, Scott Herman, CEO of New Day Healthcare
• [02:00] Scott’s background: From paramedic and nurse to leading major home health platforms
• [06:00] How New Day Healthcare differs from traditional home care providers
• [10:00] Why a virtual-first corporate model reduces overhead and improves patient care
• [14:30] How New Day avoids the acquisition "value trap" when scaling
• [18:00] The role of AI in healthcare: How New Day uses predictive analytics to manage patient care
• [22:00] Why Medicare Advantage is driving major change in home healthcare
• [26:30] The challenges of integrating different EMRs and billing systems
• [30:00] How AI-driven automation is streamlining patient referrals and intake
• [35:00] The future of home healthcare: AI, predictive analytics, and strategic partnerships
• [40:00] Final thoughts and Scott’s predictions for the future of the home care industry

• New Day Healthcare is revolutionizing home care with a virtual-first model. By eliminating corporate overhead and using AI-powered automation, New Day is able to deliver more resources to bedside care.
• AI in healthcare is transforming home health operations. Predictive analytics, AI-driven patient tracking, and automated referral processing are helping New Day reduce hospitalizations and improve patient engagement.
• Avoiding the "value trap" in acquisitions is key to sustainable growth. Unlike other home care providers, New Day focuses on middle-tier acquisitions and leverages AI to optimize operations instead of overpaying for premium assets.
• Medicare Advantage is forcing home health providers to rethink their business models. With 53% of Medicare patients now enrolled in MA plans, New Day is adapting to lower-margin, high-volume care models.
• Strategic partnerships must be carefully structured. Scott explains why many home care providers fall into inefficient strategic alliances and how New Day selectively engages in payer and provider partnerships.

• New Day Healthcare Website https://www.newdayhealthcare.com/
• LinkedIn: Scott Herman https://www.linkedin.com/in/g-scott-herman-10a9a1178/

Scott Herman is a home healthcare industry leader with over 30 years of experience in scaling home health, hospice, and personal care platforms. As the CEO of New Day Healthcare, Scott has built one of the fastest-growing tech-enabled home care companies in the U.S., focused on AI-driven care delivery and operational efficiency.

Healthcare, Healthcare Leadership, Healthcare Trends, Roy Bejarano, Healthcare Innovations, Healthcare Industry Insights, Private Equity in Healthcare, Home Healthcare, AI in Healthcare, Medicare Advantage, Patient Acquisition, Scott Herman, New Day Healthcare,

Host Roy Bejarano sits down with Jason Conger and Dr. Marlow Hernandez, co-founders of Soran Health, to discuss how healthcare innovations are reshaping value-based care. They explore the challenges of public ownership in healthcare, the importance of payer-provider partnerships, and how data-driven insights can improve patient outcomes.

In this episode, Jason and Marlow share their healthcare industry insights from their time at Cano Health to launching Soran Health, explaining how their experiences in healthcare leadership shaped their mission to transform specialty care services at home.

• [00:01] Introduction to the podcast and guests, Jason Conger & Dr. Marlow Hernandez
• [04:15] Public ownership in healthcare: Pros, cons, and lessons from Cano Health
• [09:45] How provider incentives impact healthcare industry performance
• [15:30] The power of payer-provider partnerships in healthcare leadership
• [22:00] Geographic expansion in healthcare: Lessons from scaling Cano Health
• [30:00] The foundation of Soran Health: A new approach to value-based care
• [38:30] How predictive analytics & real-time healthcare insights drive better patient care
• [45:00] The future of healthcare: Innovations, partnerships, and technology-driven solutions

• Public Ownership in Healthcare Requires Strategic Planning: Healthcare leadership teams must have a strong capital base and operational infrastructure before considering an IPO.
• Payer-Provider Partnerships Are Essential for Value-Based Care: Collaborations like those with Humana have proven that healthcare innovations can drive better patient outcomes while managing costs.
• Soran Health is Pioneering a New Model in Specialty Care: By leveraging healthcare data analytics, Soran Health is improving care delivery without relying on traditional claims data.
• Predictive Analytics is the Future of Healthcare Trends: Instead of waiting for claims or medical deterioration, real-time risk stratification can proactively improve patient outcomes.

• Soran Health Website: https://www.soranhealth.org/
• LinkedIn: Dr. Marlow Hernandez: linkedin.com/in/marlowhernandez

Jason Conger

Jason R. R. Conger is an American attorney and Republican politician from the U.S. state of Oregon. He served in the Oregon House of Representatives representing District 54 in Bend, Oregon, from 2011 to 2015.

Marlow Hernandez

Marlow Hernandez, D.O. is a board-certified physician and experienced venous specialist who has been serving the South Florida community for more than a decade.

Healthcare, Healthcare Leadership, Healthcare Trends, Roy Bejarano, Healthcare Innovations, Healthcare Industry Insights, Payer-Provider Partnerships, Value-Based Care, Public Healthcare Ownership, Healthcare Data Analytics, Public Ownership, Payer-Provider Partnership Models, and the Evolution of Value-Based Care, Jason Conger, Dr. Marlow Hernandez, Soran Health,

Host Roy Bejarano sits down with Drew Franklin and Dr. Gavin Setzen, leaders in ENT and allergy care, to discuss the evolution of specialty healthcare, MSO development, and scaling a multi-site practice. They explore how healthcare leadership, patient access models, and value-based care innovations are reshaping the industry.

In this episode, Drew and Gavin share healthcare industry insights on private equity vs. independent growth, optimizing clinical operations, and integrating ancillary services like allergy, audiology, and imaging. They also unveil an ENT urgent care model designed to improve patient access and cost efficiency.

• [00:01] Introduction to the podcast and guests, Drew Franklin & Dr. Gavin Setzen
• [04:00] The role of healthcare leadership in ENT & allergy care growth
• [12:00] Expanding an ENT practice: From a regional leader to a national brand
• [19:45] Private Equity vs. Independent Growth: Strategic decisions in healthcare business models
• [26:30] ENT Urgent Care & Ancillary Services: How innovations drive better patient outcomes
• [41:00] The Referral Challenge: Balancing specialty collaboration & in-house services
• [50:00] Value-Based Care & Healthcare Trends: Navigating new payer models & cost-efficient care

• ENT & Allergy Care Innovations Are Expanding: Urgent care, allergy services, and audiology offer new revenue streams and better patient care.
• Private Equity vs. Physician-Owned Models: Retaining clinical control and culture is crucial for long-term success.
• Value-Based Care & Payer Models Are Evolving: ENT groups must adapt to healthcare industry shifts for sustainable growth.
• Healthcare Leadership & MSOs Create Scalable Success: A dyad leadership approach (clinical + business expertise) is key to building efficient multi-site practices.

Drew Franklin, MBA, FACMPE – Medical Practice Executive, ENT Administrator at ENT Specialty Partners

I’m a strategic advisor for Albany ENT and Allergy Services. I’ve been with the practice for four years. I’ve been in ENT for 18 years, having previously worked with ENT and Allergy Associates, which is the largest Ear, Nose and Throat practice in the country. I have my MBA from NYU Stern. I’m a fellow of the American College of Medical Practice Executives, and I’m very happy to be here.

Gavin Setzen – CEO & President at Albany ENT & Allergy Services

My journey’s a little circuitous to Albany, having grown up in South Africa. I went to medical school in South Africa, did a short stint at a family practice, 60 miles north of North Dakota, waiting for my green card. I completed a partial general surgery residency in New York City. Before coming up to Albany, I completed my ENT Head and Neck surgery residency here and loved the Adirondacks, the upstate New York area. I had a great opportunity to take over the practice of a solo practitioner and have lived in upstate New York since that time. We developed a great platform in comprehensive otolaryngology here, growing the practice to now our 10th physician and onboarding our 20th physician assistant. We have a very diverse, broadbased, comprehensive type of practice and we can certainly talk more about the offerings and ancillaries and other care services that we provide. It’s been a very rewarding, important journey, and we’re glad to be providing care to upstate New York and contiguous communities in southern Vermont, Western Massachusetts, and the like.

Healthcare, Healthcare Leadership, Healthcare Trends, Roy Bejarano, Healthcare Innovations, Healthcare Industry Insights, ENT Urgent Care, Value-Based Care, Medical Practice Growth, Private Equity in Healthcare, Drew Franklin,  Dr. Gavin Setzen,  specialty healthcare, MSO development, allergy care growth,

Host Roy Bejarano sits down with Suzy Engwall and David Reese to explore the intersection of MedTech, pharma, and healthcare services, focusing on how MSOs (Management Services Organizations) can play a larger role in healthcare innovation, clinical research, and early adoption of new medical technologies.

In this episode, Suzy and David discuss the commercialization of medical devices and pharmaceuticals, how healthcare providers can integrate life sciences into their business models, and whether MSOs should build their own GPOs and venture capital arms. They also address the challenges and opportunities in MedTech and pharma adoption for outpatient settings.

• [00:01] Introduction to the podcast and guests, Suzy Engwall & David Reese
• [04:00] Why MSOs should take an active role in MedTech and Pharma innovation
• [12:00] Commercialization strategies: How medical devices and drugs enter the market
• [19:45] Private Equity vs. MSO-Owned GPOs: The business of healthcare innovation
• [26:30] The role of clinical research in MSO expansion and physician engagement
• [41:00] Venture Capital in Healthcare: Should MSOs fund life sciences innovations?
• [50:00] AI, Regulatory Trends, and the Future of MedTech & Pharma in Healthcare

• MSOs Can Play a Larger Role in Healthcare Innovation: From GPOs to early adoption programs, outpatient providers should engage with MedTech and pharma earlier in the commercialization process.
• Building a Clinical Research Infrastructure is a Competitive Advantage: MSOs that develop in-house research capabilities can improve patient outcomes and attract top clinical talent.
• Healthcare Venture Capital is Growing: Health systems have led the way—now MSOs should explore funding innovation to support new medical technologies and revenue diversification.
• Regulatory & Technological Shifts Are Reshaping Healthcare: AI, cost pressures, and regulatory frameworks are changing how new treatments are developed and adopted.

• Suzy Engwall: LinkedIn Profile linkedin.com/in/sengwall
• David Reese: https://www.scale-healthcare.com/employees/david-reese/
• Clinician Exchange: Website
• https://healthtechstrategies.com/
• https://alirahealth.com/

Suzy Engwall is the CEO and Founder of HealthTech Strategies, LLC, a boutique consulting firm

She is a healthcare innovation leader, speaker, startup advisor and mentor that has been working to make change in healthcare for almost 2 decades.

David Reese is the Executive Partner, Infusion & Pharma Services at SCALE Healthcare

David is a seasoned and proven healthcare management professional whose career spans more than thirty years of experience in physician-office infusion services, new service-line start-ups, operational management, and business strategy and development settings.

David Reese, PhD Dr. Reese has a proven track record of leading and growing molecular diagnostics companies, raising funds, developing products, and building partnerships. He was the founder, CEO, and CSO of Provista Diagnostics, Inc., where he oversaw two CLIA/CAP laboratories and the commercialization of Videssa Breast, a novel blood-based test for breast cancer detection. He also served as the CEO and Lab Manager of Accurex Diagnostic Services, a COVID-19 and flu testing service provider, where he implemented the sales and marketing strategy and developed business development opportunities. Dr. Reese is passionate about advancing healthcare innovation and improving patient outcomes through his scientific and commercial expertise.

Healthcare, Healthcare Leadership, Healthcare Trends, Roy Bejarano, Healthcare Innovations, Healthcare Industry Insights, MedTech, Pharma, MSO Growth, Life Sciences, Clinical Research, Venture Capital in Healthcare, Suzy Engwall, David Reese, MedTech, pharma, healthcare services,  MSOs,

Host Roy Bejarano sits down with Dr. Ira Kornbluth, a leading figure in pain management and musculoskeletal (MSK) care, to discuss the evolution of Clearway Pain Solutions, its growth into the largest pain management practice in the U.S., and how interventional pain treatments are reshaping the industry.

In this episode, Dr. Kornbluth shares his journey from independent practice to private equity-backed national leader, his strategic approach to ASC (ambulatory surgery center) expansion, and how Clearway Pain Solutions maintains clinical compliance while driving innovation in pain treatment. The conversation also tackles opioid prescribing trends, risk management in pain medicine, and the future of MSK practice growth.

• [00:01] Introduction to the podcast and guest, Dr. Ira Kornbluth
• [03:30] The evolution of pain management & interventional pain medicine
• [10:45] Private Equity vs. Independent Practice: What works best for growth?
• [17:30] Compliance in Pain Medicine: How Clearway Pain Solutions mitigates risk
• [24:15] Acquisition Strategy & Due Diligence: What Clearway looks for in partnerships
• [30:00] ASCs & Procedure Expansion: Why surgery centers are the future of pain care
• [37:00] Pain Management & Opioids: How the industry is adapting post-crisis
• [45:00] The Future of MSK Care: Growth opportunities in value-based care, partnerships, and technology

• Pain Management is Evolving: Interventional treatments, ASCs, and new procedures are shifting the focus from chronic opioid management to minimally invasive pain relief solutions.
• Private Equity Helps Scale Operations: With the right partner, MSK and pain practices can gain financial discipline, accelerate growth, and maintain clinical quality.
• Surgery Centers are the Next Big Growth Area: Clearway Pain Solutions is investing heavily in ASC development as pain procedures move into outpatient settings.
• Opioid Prescribing is Declining: The medical community is shifting to earlier interventional pain management and reducing reliance on opioids.
• Acquisitions Require Strict Due Diligence: Not all pain practices meet Clearway’s compliance and cultural standards—choosing the right partners is key to long-term success.

• Clearway Pain Solutions: Website: https://clearwaypain.com/
• Dr. Ira Kornbluth: LinkedIn Profile linkedin.com/in/ira-kornbluth-1b70a31b

• Dr. Ira Kornbluth is a pain management physician, entrepreneur, and national leader in interventional pain care. He has led Clearway Pain Solutions to become the largest pain practice in the U.S., focusing on scalable growth, compliance, and high-quality patient outcomes.

Healthcare, Healthcare Leadership, Healthcare Trends, Roy Bejarano, Healthcare Innovations, Healthcare Industry Insights, Pain Management, MSK Care, Interventional Pain, Surgery Centers, Value-Based Care, Private Equity in Healthcare, Dr. Ira Kornbluth, pain management , musculoskeletal care, Clearway Pain Solutions,

In this insightful episode of the Scale Leadership Series, host Roy Bejarano sits down with Chris Kane, CEO of Allergy Partners, to discuss healthcare leadership, MSO strategies, and the evolving healthcare industry. Chris shares his extensive experience navigating healthcare trends, investment models, and the impact of healthcare innovations on patient care. From private equity dynamics to healthcare industry insights, this episode is packed with invaluable takeaways for leaders and investors in the field.

• [02:00] – Chris Kane’s journey in healthcare leadership: from West Dermatology to Allergy Partners.
• [05:30] – The impact of ownership models on healthcare industry insights and business outcomes.
• [14:30] – Healthcare consolidation: Does size in healthcare lead to better or worse patient outcomes?
• [26:00] – Comparing healthcare trends in Dermatology and Allergy: Business models & operational challenges.
• [39:00] – The role of AI, healthcare innovations, and data analytics in improving patient care.
• [52:30] – The importance of public discourse and regulatory engagement in healthcare leadership.

• Ownership Structures Shape Outcomes – Whether private equity, family offices, or multinational corporations, the ownership model of a healthcare entity directly affects strategy and patient care.
• Healthcare Consolidation Has Pros and Cons – While some fear monopolization, healthcare trends show that consolidation can drive efficiencies if executed correctly.
• Data and AI are Transforming Healthcare – Emerging healthcare innovations in analytics and artificial intelligence are shaping the future of patient care and operations.
• Payvider Models Pose a Competitive Threat – The integration of payers and providers (e.g., Optum) is one of the biggest disruptors in the healthcare industry today.

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RESOURCES:

https://chrismkane.com/

https://www.linkedin.com/in/chris-m-kane/

About Guest:

 Chris Kane As a CEO and consultant, Chris has led companies through game-changing evolutions including rapid, sustainable and profitable growth, complex operations management, strategic planning, shifting leadership dynamics at all levels of the organization, and highly successful exits. Chris draws on these experiences – the wins, the setbacks, the deep commitment to learning – in service of his coaching and facilitation work with individuals, teams, and companies.



Leaders turn to Chris to broker a better relationship between the C-suite, board members, and private equity companies. They trust him to provide incisive and objective advice on growth strategies, team development and market position. They are persuaded by Chris’ conviction that healthy cultures and strong business outcomes are inextricably linked. That psychological safety and performance-oriented cultures matter now more than ever. That, at the end of the day, your people, and how they learn to work well together, makes all the difference.

Tags: Healthcare, Healthcare Leadership, Healthcare Trends, Roy Bejarano, Healthcare Innovations, Healthcare Industry Insights, MSO Strategies, Allergy Partners, Private Equity in Healthcare, Healthcare Consolidation