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Self Funded With Spencer
Latest Episode

Why Self-Funded Employers Are Abandoning National Networks

"If we can do it for Whole Foods, which is a very large organization, why can't we do this for other employers?" Is the era of relying on national, opaque "BUCA" networks finally coming to an end? My guests this week are Blak...

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Recent Episodes

Why Self-Funded Employers Are Abandoning National Networks
May 19, 2026

Why Self-Funded Employers Are Abandoning National Networks

"If we can do it for Whole Foods, which is a very large organization, why can't we do this for other employers?" Is the era of relying on national, opaque "BUCA" networks finally coming to an end? My guests this week are Blak...

Listen to the Episode
Advanced Primary Care 101 (With Ben Miller)
May 12, 2026

Advanced Primary Care 101 (With Ben Miller)

"Employers are at a point where they want to help create that ideal healthcare system, not the one that they have been dictated to." Is your company's health plan actually keeping your employees healthy, or is it just waiting...

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State Healthcare Regulations, ACA Shifts, Hospital Funding Loopholes | Last Month In Healthcare
May 8, 2026

State Healthcare Regulations, ACA Shifts, Hospital Funding Loopholes …

Welcome back to Last Month in Healthcare! This month, Spencer and Nathaniel sit down without a guest to unpack the biggest healthcare headlines and regulatory shifts from April 2026. From state-level crackdowns on PBMs to a s...

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The Financial Case Against Fully Insured Health Plans | with John Kountz
May 5, 2026

The Financial Case Against Fully Insured Health Plans | with John Kou…

"I would rather take this risk because I will never give another dime to a fully-insured carrier as long as I live." In an era of double-digit medical trend and skyrocketing fully-insured renewals, is the traditional insuranc...

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Rob Gelb’s Huge Announcement: The Future of Vālenz & Self-Funding
April 28, 2026

Rob Gelb’s Huge Announcement: The Future of Vālenz & Self-Funding

"I'm going to leave the ladder, I'm going to leave the window open, I'm going to leave the lights on." This week on the podcast, I am joined by Rob Gelb , CEO of Vālenz. Rob has led Vālenz through an era of explosive growth, ...

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Medical Cannabis As An Employee Benefit?
April 21, 2026

Medical Cannabis As An Employee Benefit?

"We are not going after the high. What we're going for is symptom relief. Based on our research, employers are going to be saving $5,000 per participant per year." Is it time for employers to start covering medical cannabis? ...

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