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Health Care Rounds

John Marchica

Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John...

Episodes

20 of 222 episodes

What’s Next for Value-Based Care & Health Tech w/ Dr. Patrick Conway, CEO, Optum

Healthcare affordability is the top concern for Americans, and value-based care has been the promised answer for decades. But scaling it acr...

43:47Oct 30, 2026

The Hype and Reality of Medical Breakthroughs w/ Mary Roach, Author, Replaceable You

There's a wide gap between how medical breakthroughs get announced and what they actually do for patients. Few people have spent as much tim...

66:51Oct 16, 2026

The Trust-First Model Transforming Medicaid Care w/ Dr. Toyin Ajayi & Mike Roaldi, Cityblock

More than 70 million Americans are covered by Medicaid, and the people with the most complex needs, those juggling mental illness, housing i...

57:08Oct 2, 2026

Why Nobody is Winning The Payer-Provider AI Arms Race w/ Dr. Marc Harrison, TowerBrook Healthcare Institute

American health care is too expensive, too inconsistent, and too difficult to navigate. And the payer-provider AI arms race that has emerged...

45:13Sep 18, 2026

Mailbag: Virtual Nurses, Bundled Payments, and Single Payer

On this week's mailbag, John tackles three reader questions: How are health systems using AI to address the nursing shortage, and do these s...

21:39Sep 11, 2026

Real Health Care Happens Between Doctor Visits w/ Wei-Li Shao, President, Omada Health

Between 80% and 90% of health outcomes are shaped by what happens between doctor visits. Yet the entire U.S. health care system, from paymen...

52:36Sep 4, 2026

When MisInformation Becomes a Health Crisis w/ Dr. Joshua Sharfstein, Johns Hopkins

Health misinformation is no longer a fringe problem on the margins of public health. It has a measurable body count, and the systems that on...

00:50:22Sep 4, 2026

Mailbag: Debunking Vaccines Myths

A few weeks ago we conducted a survey of Our Take readers that included both listeners to our podcast and those who don’t (the latter group,...

00:25:27Aug 13, 2026

Health Care's Affordability Crisis Is Getting Worse w/ Larry Levitt, CEO-Elect & EVP, KFF

Health care is 18% of U.S. GDP, the number one affordability concern for consumers, and the single biggest line item employers are trying to...

00:42:03Aug 7, 2026

Are We Measuring Health Care Quality All Wrong? w/ Dr. Rachel Werner, Professor of Medicine, UPenn

Decades of quality measurement programs were designed to make U.S. health care better. The evidence suggests they have, just not nearly as m...

00:38:57Jul 24, 2026

The State of Value-Based Health Care w/ John Marchica, Darwin Research Group

After a year of interviews about value-based care, the same things keep coming up. Fee-for-service is still the problem. Payers want to pay...

00:26:09Jul 17, 2026

Why Health Care Reform Keeps Falling Short w/ Dr. Elliott Fisher, Dartmouth Institute

Decades after the research that proved high-spending regions don't produce better care, and 20 years after the term "accountable care organi...

00:57:14Jul 10, 2026

Inside the Rural Health Transformation Program w/ Dr. Tim Ferris, InterSystems

Rural hospitals in the U.S. have been closing at a steady pace for over 50 years, and the country now has one of the lowest rates of acute h...

00:56:03Jun 26, 2026

The Affordability Crisis Behind Value-Based Care w/ Dr. Michael Chernew, Harvard

U.S. health care spending keeps rising, quality scores keep climbing, and yet the care most Americans receive has barely improved. The measu...

00:43:22Jun 12, 2026

What’s Holding Back Value-Based Care? w/ Don Calcagno, Founder, ValuesEdge

Value-based care has been the defining promise of health care reform for two decades. Yet new evidence still takes an average of 17 years to...

00:56:55May 29, 2026

Why Membership Medicine Could Save Primary Care w/ Larry Kutscher, CEO, MDVIP

mary care physicians are burning out, and patients are paying the price. With the average primary care visit lasting just 15 minutes, the vo...

00:29:44May 15, 2026

Why Health Care Treats Instead of Prevents w/ Dr. Barry R. Davis, Author, The Preventioneers

Health care spends trillions treating disease, but far less preventing it. The gap between what we know works and what actually gets impleme...

00:43:13May 1, 2026

What’s Really Holding Back Value-Based Care? w/ David Snow, Chairman & CEO, Cedar Gate Technologies

Value-based care has been the goal for decades. So why does it still feel like we're moving in slow motion? The answer may come down to data...

00:46:10Apr 17, 2026

Rebuilding Pediatric Care From the Ground Up w/ Danish Qureshi, Founder & CEO, Zarminali Pediatrics

Pediatric care is one of the most fragmented and underfunded corners of the American health system. Parents are left as de facto care coordi...

00:37:30Apr 3, 2026

Lessons From Leading a Safety Net Hospital w/ Tesa Anewishki, President & CEO, Loretto Hospital

On Chicago's West Side, a 100-year-old safety net hospital serves a community where the average life expectancy is 20 years shorter than it...

00:37:11Mar 20, 2026