Healthcare Reframed

Healthcare Reframed

Creator of Your Local Epidemiologist, Katelyn Jetelina, shares how she went from academia to reaching millions of people with clear, trusted, and actionable public health information. After working in public health, academia, and alongside organizations like the Centers for Disease Control and Prevention, she saw firsthand how critical information often stays trapped in institutions—and why that creates confusion, mistrust, and misinformation. This conversation breaks down: why public health communication often fails how trust in healthcare is built (and lost) why facts alone don’t change...

Healthcare Reframed

What if the biggest driver of poor health isn’t just housing, food, or income – but mistrust? In this episode, host Judson Howe sits down with Dr. Katherine Gergen Barnett (KGB) – family physician, health policy leader, and community-based researcher at Boston Medical Center – to unpack medical mistrust as a social determinant of health and what it really takes to rebuild trust in the exam room and beyond. Drawing on two decades in primary care, Dr. Gergen Barnett shares how: • Mistrust quietly shapes who shows up, what they share, and whether they follow medical advice – even...

Healthcare Reframed

Why would two elite physicians walk away from millions to fix healthcare’s broken heart? In this compelling episode, Judson Howe sits down with Dr. Asaf Bitton and Dr. Bruce Finke of Ariadne Labs – two visionary leaders who chose purpose over profit – to challenge everything we think we know about American healthcare. Drawing on decades of experience at Harvard, the Indian Health Service, and the frontlines of innovation, Dr. Bitton and Dr. Finke reveal how the true currency of healthcare isn’t money or technology – it’s the relationship between a patient and their doctor....

Healthcare Reframed

Discover the framework reframing U.S. health from “sick care” to well-being. In this feature-length conversation, host Judson Howe sits down with Becky Payne (20 years at CDC; now at The Rippel Foundation) to explore the Vital Conditions for Health & Well-Being, why Belonging & Civic Muscle sits at the center, and how Shared Stewardship helps leaders bridge divides and shift dollars from perpetual emergencies to prosperity. Inside: what went wrong in COVID communications, what communities can do locally, and what happens when 47 federal agencies row in the same direction.  ...

Healthcare Reframed

Is more healthcare always better healthcare? Dr. Elliott Fisher has spent decades uncovering why high-spending regions fail to deliver better care or longer lives — and what this means for patients and policymakers. In this episode of Healthcare Reframed, Fisher shares the inside story of how one 1973 paper shook the medical world, why towns with the same people and same hospitals have 10× differences in surgery rates, and what it really takes to align incentives so care becomes safer, kinder, and more affordable. 🧐 You’ll learn Why spending more often leads to worse outcomes How the...

Healthcare Reframed

Rick Rawson on Healthcare Reframed Production: Healthcare Reframed — Micah Buller | Todd Carpenter | Lindsay Swain Hunt Rick Rawson explains why cutting costs and chasing transactions made hospitals weaker—and how a community-first, mission-driven strategy tripled revenue, rebuilt trust, and grew access across rural towns. What You’ll Learn Escape the cut-to-survive trap with “make the hose bigger” growth Why consolidation erodes trust—and how to return power to communities Turning mission into margin (not the other way around) Practical examples: community clinics, CHWs...

Healthcare Reframed

World leader in shared decision-making Dr. Glyn Elwyn (Dartmouth) joins Judson to unpack co-production in healthcare: what it looks like in real visits, why simple tools like Option Grid change choices, and how SDM can protect clinicians from burnout and moral injury while improving outcomes and patient trust. Glyn traces his path from rural Wales—through a lab explosion, an arts degree, and a “back-door” into medicine—to building the field’s most used measures (Observer OPTION-5, CollaboRATE) and pushing health systems to become true learning health systems. We also explore ambient...

Healthcare Reframed

In this Healthcare Reframed You’ll learn why waiting on DC won’t transform care, how boards and big balance sheets can drive value (not just volume), what “one foot in Blockbuster, one in Netflix” means for strategy, and the inner work required to lead authentically at $2B+ scale. Essentials are short episodes focused on essential takeaways from past full-length Healthcare Reframed episodes. Watch the full-length episode: What you’ll learn • Why policy alone won’t rescue U.S. healthcare—and who actually can • How incentives and payer mix shape everything you build • The...

Healthcare Reframed

The U.S. healthcare system has no shortage of resources, talent, or ambition. Yet for patients and families, it too often delivers fragmentation, frustration, and suffering. Few leaders have both lived that failure personally and reshaped the system globally as Maureen Bisognano. • Former President and CEO of the Institute for Healthcare Improvement (IHI), where she co-led the landmark 100,000 Lives Campaign, saving more than 122,000 patients in 18 months. • Nurse, hospital executive, and global advisor to healthcare leaders in more than 50 countries. • Pioneer of the simple but...

Healthcare Reframed

35% of American physicians have considered leaving medical practice since the start of 2025, with burnout as the top reason (MedCentral, 2025). Patients wait months for primary care. Physicians see thirty patients a day. Insurance premiums climb faster than wages. Hospitals lose money on the very service that should prevent admissions in the first place. A quiet but growing group of physicians, entrepreneurs, and community leaders are asking the obvious: “Why do we keep doubling down on a model that rewards volume instead of value?” Enter Dr. Brandon Alleman Fulbright Scholar. MD, PhD....