Business News Episodes
The Rural Health Transformation Fund: What States Are Funding in 2026
CMS is sending tens of billions of dollars to every state in 2026 to stabilize rural healthcare through targeted investments in workforce, technology, care coordination, and alternative payment models (not broad rate increases). In this VBCA episode, Alex explains what the Rural Health Transformation Fund (RHTF) is, how states are using it, and why it matters for payer strategy, provider contracting, network adequacy, and rural access risk going forward.
Digital Health at a Crossroads: The Fallout from a $100M Adderall Fraud Scheme
A federal jury has convicted the founders of Done, one of the fastest-growing telehealth companies in the stimulant-prescribing space, for orchestrating one of the largest Adderall distribution and fraud schemes in U.S. histo...
2025 Opportunities in Healthcare: Navigating the Perfect Storm
The health insurance industry is confronting a convergence of rising healthcare costs, increased patient demand, and heightened legislative scrutiny as we approach 2025. Medicare Advantage plans, once highly profitable, are now under significant pressure due to these factors. Major insurers like Humana and UnitedHealth are experiencing challenges that may redefine managed care. However, this period of disruption presents opportunities for healthcare providers and entrepreneurs to innovate an…
EXPOSED: The MultiPlan Healthcare Cartel Costing Providers and Patients Billions
In this episode of the VBCA Podcast, host Alex Yarijanian delves into the complex issue of hidden healthcare fees, surprise billing, and the alleged antitrust activities surrounding out-of-network reimbursements. The discussion centers on MultiPlan, a third-party repricing company accused of collaborating with major insurers—such as UnitedHealthcare, Cigna, and Aetna—to suppress out-of-network payments, adversely affecting patients, providers, and employers.