Welcome to the new website! Click here to leave a review for the show
Self Funded With Spencer
Latest Episode

How One App Could Save U.S. Healthcare | with Matt Taylor

"Fee-for-service has led to transactional primary care where providers have 10 or 15 minutes to code as much as they can just to keep the doors open. We’ve moved away from the idea of primary care as the quarterback of the entire health ecosystem." My guest this week is Matt Taylor , VP of Sales at Castlight . Having spent his career navigating the complex landscape of health plans, telehealth, and enterprise analytics, Matt has a unique vantage point on why our current approach to "sick care" i

Play Latest Episode

Recent Episodes

View all
How One App Could Save U.S. Healthcare | with Matt Taylor
256
July 7, 2026

How One App Could Save U.S. Healthcare | with Matt Taylor

"Fee-for-service has led to transactional primary care where providers have 10 or 15 minutes to code as much as they can just to keep the doors open. We’ve moved away from the idea of primary care as the quarterback of the entire health ecosystem." My guest this week is Matt Taylor , VP of Sales at Castlight . Having spent his career navigating the complex landscape of health plans, telehealth, and enterprise analytics, Matt has a unique vantage point on why our current approach to "sick care" i
Listen to the Episode
The 2026 Employer Health Plan Playbook | with Mark Cuban
255
June 30, 2026

The 2026 Employer Health Plan Playbook | with Mark Cuban

"The most unused cash in the country right now is the money you're wasting on healthcare... If you save a million dollars a year, that's $20 million in market cap." Is your company treating its healthcare spend like a business strategy, or are you just writing a blank check to the major insurance carriers every year? In this episode, I was (finally) joined by Mark Cuban , Ann Lewandowski , and Matt Miron . After answering how he would approach healthcare for a hypothetical company on Shark Tank,
Listen to the Episode
Managing the Exploding Costs of Specialty Drugs | with Jake Velie
254
June 23, 2026

Managing the Exploding Costs of Specialty Drugs | with Jake Velie

"There's no reason why I should be able to do an infusion for 50% of the cost of what it's currently being allowed at. We've seen allowed amounts between $57,000 and $80,000 for Keytruda. I typically can have that in the home at $29,000." My guest this week is Jake Velie , CEO and co-founder of National Integrative Health (NIH) . After spending the first half of his career in the clinical "meat grinder" of value-based care on the provider side, Jake realized the only way to truly fix the system
Listen to the Episode
You’re Probably Wrong About Reference-Based Pricing | with Jeff Bak
253
June 16, 2026

You’re Probably Wrong About Reference-Based Pricing | with Jeff Bak

"We did this survey with a third-party consulting group who talked to 2,000 brokers. Their perception was that 25% of bills are going to be balance bills; it's actually 3%." Is Reference-Based Pricing (RBP) still something that just creates endless problems for HR? My guest this week is Jeff Bak , CEO of Imagine360 . Jeff brings 30 years of healthcare and private equity experience to the table, and he's leading the charge to rebrand and evolve RBP from a defensive "pay and defend" model into a c
Listen to the Episode
Marty Makary Resigns from FDA + May's Biggest Healthcare News | with Jonathan Lopez
June 12, 2026

Marty Makary Resigns from FDA + May's Biggest Healthcare News | with Jonathan Lopez

"The average marketplace deductible grew by about $1,000 per person in 2026. Premium payments increased by an average of 58%... We might be seeing the death throes of the fully insured market." Welcome back to Last Month in Healthcare ! This month, Spencer, Nathaniel, and special guest Jonathan Lopez break down the most impactful healthcare headlines and regulatory shifts from May 2026. The episode kicks off with a discussion on the sudden resignation of FDA Commissioner Dr. Marty Makary followi
Listen to the Episode
The ERISA Fiduciary Crackdown is Here. (with Jay Gepfert)
252
June 9, 2026

The ERISA Fiduciary Crackdown is Here. (with Jay Gepfert)

"Within five years of calling us charlatans, that hospital system was sued for multiple millions of dollars by their participants... You can go from charlatan to change agent fast." Is history about to repeat itself in the health benefits world? My guest this week is Jay Gepfert , Managing Partner of Culpepper RFP . Jay spent his corporate career on the retirement and 401(k) side of the industry, where he witnessed a massive fiduciary paradigm shift 15 years ago. Driven by regulatory changes and
Listen to the Episode
View all Episodes