[S2E23] A Healthcare Reckoning Is Coming. #healthcare #healthcareinnovation #healthcareprofessionals

Five #healthcare insurance CEOs testified before Congress. Paul Markovich was the one who came with solutions. In this episode, he shares where healthcare is actually headed, and the tipping point the industry keeps avoiding. Vincent Catalano sits down with Paul Markovich, President and CEO of Ascendiun, the nonprofit parent of Blue Shield of California, and change-maker behind the Worthy movement. They get into his Capitol Hill testimony, a smarter way to pay for hospital care, what's really driving drug costs, how Blue Shield's pharmacy overhaul saved over $100 million, and where healthcare could go in the next five years. Candid, practical, and clear-eyed about the stakes. CHAPTERS 00:00 Meet Paul Markovich 00:50 Capitol Hill: showing up with solutions 04:29 Why everyone's stuck in silos 07:29 The ACA as a microcosm 09:58 The role hospital systems play 13:56 A smarter way to pay hospitals 18:10 The genesis of Worthy (and that Mark Cuban launch) 24:34 Educating legislators and the CA Office of Healthcare Affordability 26:03 Hospital costs over 20 years 30:15 Blue Shield's pharmacy overhaul: $100M+ in savings 32:36 The Humira markup and the rebate shell game 34:41 When the coding gets smart: AI on both sides 38:46 Vincent on Medicare for All (and why he loves Medicare) 39:35 Paul on Medicare for All: define it first 44:06 Healthcare in five years: the tipping point, and the way through LINKS 👉 Listen on Substack: www.clearlybeneficialpodcast.substack.com 👉 CLEAR Healthcare Solutions: www.clearhcs.com 👉 The Worthy movement: www.thisisworthy.com 👉 Connect with Paul Markovich on LinkedIn: www.linkedin.com/in/paul-markovich #FutureOfHealthcare #healthcare #employeebenefits #healthinsurance #Worthy #BlueShield DISCLAIMER The views expressed by our guest are their own. Any figures cited are as stated by the guest on the show and have not been independently audited. This episode is for general informational purposes and is not medical, legal, or financial advice. Vincent Catalano and CLEAR Healthcare Solutions are independent, with no carrier ties, no commissions, and no hidden incentives. Guests appear because their perspective is worth hearing, not as an endorsement of either party. Audio attribution Music licensed through Soundstripe. Code: 7LT1SZIFVRLVBW7Z