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

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

Play Latest Episode

Recent Episodes

View all
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
A Health Benefit That Actually Makes Employees Healthier | with Superpower
251
June 2, 2026

A Health Benefit That Actually Makes Employees Healthier | with Superpower

"Insurance is there for when you're sick or when something goes incredibly wrong. It's not there for prevention." The traditional healthcare system is designed to treat you when you are sick. You go to a doctor for 15 minutes, get a basic blood panel, and if you are within the "reference range," you are told you are fine. The goal of this system is to get you from -1 back to 0. My guest this week is Prabhat Dhar, the Head of Growth for Superpower , a new platform that wants to take you from 0 to
Listen to the Episode
The 2026 Benefits Consulting State Of The Union | with Seth Denson, Chris Hamilton & Taylor Rogers
250
May 26, 2026

The 2026 Benefits Consulting State Of The Union | with Seth Denson, Chris Hamilton & Taylor Rogers

"To quote my business partner, a broker makes you broker." To celebrate the 5-year and 250th-episode anniversary of the podcast, we recorded a special live panel in front of an audience featuring three of the most forward-thinking minds in the benefits space: Chris Hamilton (Hotchkiss Insurance), Taylor Rogers (CCIG), and Seth Denson (Acrisure). In this "State of the Union" episode, we tackle the existential crisis facing mid-market employers and the healthcare industry at large. The panel holds
Listen to the Episode
View all Episodes