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In this episode of The Uprising Show, we sit down with Kimberly Carleson, CEO of US Beacon, to uncover the hidden truths behind healthcare billing and the fight for transparency. Kimberly shares her personal journey, sparked by her husband's stage 4 cancer diagnosis and their firsthand experience with the flaws in the healthcare system. She reveals what drove her to take full ownership of US Beacon and make it her mission to tackle rampant overbilling. Listeners will learn why most employers are in the dark about their own benefit costs, the myths surrounding claims review processes, and the crucial steps every plan sponsor should take to bring genuine oversight into their health plans. Kimberly’s candid insights expose the misaligned incentives in the system, the secret world of hospital overcharges, and her vision for a future where billing transparency is the rule — not the exception.

Timestamps:

00:00 Buying 100% of U.S. Beacon

04:09 Reviewing company payment plans

06:34 HR moved from business side

11:48 Impact of DPC on providers

The Uprising Show Website: https://theuprisingshow.com/

Vivek Nanda's LinkedIn: https://www.linkedin.com/in/viveknanda1/

Vivek Nanda's Twitter: https://x.com/vickks

TopHealth Media Website: https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

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In this episode of The Uprising Show, we sit down with Jonathan Baran, Co-Founder and CEO of Self Fund Health, to explore the evolving landscape of self-funded healthcare plans for employers. Jonathan shares his journey from identifying Wisconsin’s persistent healthcare cost crisis to launching Self Fund Health, a company focused on empowering employers to take control of their health plan expenses. We dive deep into the chaos of the current system, the misaligned incentives at play, and the cultural and mindset shifts employers need to make, moving from simply purchasing insurance to actively buying and managing healthcare. Jonathan candidly discusses the education gaps facing employers, the obstacles posed by industry intermediaries, and why true transformation requires ownership and culture change, not just new point solutions. Whether you’re an HR leader, business owner, or healthcare professional, this conversation will give you an inside look at the challenges and opportunities awaiting those brave enough to challenge the status quo and reclaim control over healthcare costs.

Timestamps:

00:00 Explaining health plan models

05:47 Buying Affordable Healthcare Strategies

07:40 Understanding employer challenges in healthcare costs

13:02 Managing Healthcare Costs Like Steel

14:59 Understanding Self-Funding in Healthcare

19:09 Focus on movement, not sales

The Uprising Show Website: https://theuprisingshow.com/

Vivek Nanda's LinkedIn: https://www.linkedin.com/in/viveknanda1/

Vivek Nanda's Twitter: https://x.com/vickks

TopHealth Media Website: https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”

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Welcome to The Uprising Show! In this episode, we sit down with Madeline Smith, founder and CEO of MADDRS LLC, Making a Difference, Directing Real Strategy, to explore the transformative power of collective action within the healthcare industry. Madeline describes the organized chaos behind industry summits, the importance of creating a collaborative, sales-free space for innovation, and her hopes for the movement’s growth over the next few years. She shares her vision for democratizing information, bringing in voices from the legal and regulatory side, and motivating attendees to enact real change. Madeline also discusses her three-part book series, designed to educate employers, empower patients, and guide industry insiders, all aiming to arm individuals with the knowledge and tools needed to challenge the status quo in healthcare. Stay tuned as we unpack frustration into motivation and discover how small changes by many can reshape an entire industry.

Timestamps:

00:00 Balancing healthcare and event planning

04:55 Writing book to guide industry

Buy Madeline's Book -

Saltytxk - https://www.saltytxk.com/product-page/mofo

Amazon - https://www.amazon.com/Whole-Lotta-this-MoFo-Navigating-ebook/dp/B0BLDMZ3NF

The Uprising Show Website: https://theuprisingshow.com/

Vivek Nanda's LinkedIn: https://www.linkedin.com/in/viveknanda1/

Vivek Nanda's Twitter: https://x.com/vickks

TopHealth Media Website: https://tophealth.care/

“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”