The Sleeping Giants of Healthcare—Why Self-insured Employers and Clinicians Keep Missing Each Other, With Suhas Gondi, MD, MBA. EP523
Summary
In this episode, host Stacey Higgins interviews Dr. Suhas Gandhi about his NEJM article on self-insured employers as healthcare’s "sleeping giant." They discuss the critical communication gap between employers and clinicians, using GLP-1 coverage and oncology site-of-care decisions as examples of how misalignment burdens patients. The conversation highlights how better collaboration between these two powerful groups can reduce waste and improve care affordability.
Topics discussed
Intro: Sleeping Giants of Healthcare and Sponsor Thanks
The NEJM Article: Employers and Physicians as Sleeping Giants
Guest Intro: Dr. Suhas Gandhi and Podcast Supporters
Clinician Awareness Gap: Who Actually Pays the Bill?
The Power of Collaboration: Purchasers and Providers
Case Study 1: GLP-1 Denial and Communication Breakdown
Employer Perspective: Vendor Requirements and Cost Control
Case Study 2: Oncology Site-of-Care and Cost Disparities
EHR Limitations: Billing Tools vs. Clinical Decision Support
Solutions: Bridging the Gap Between Employers and Clinicians
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