{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Health Tech Nerds Radio","title":"The Grand Roundup: Medicare for All's trillion-dollar trade-offs, STAT’s Commure probe, the ICHRA covered-lives boom, new rounds for Aligned Marketplace and Innovaccer, and more","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/37d5f26f\"></iframe>","width":"100%","height":180,"duration":3767,"description":"Kevin and Martin open on employer health: Bloomberg is asking staff to contribute to health insurance premiums after years of covering 100%, and a new survey shows small employers fleeing the big-three PBMs for centers of excellence and advanced primary care. Then they discuss Aligned Marketplace's $20 million raise and an HRA Council survey showing ICHRA lives roughly doubled year over year.\nThey also talk about a Yale preprint claiming Medicare for All would save a trillion dollars a year — but nobody's grappling honestly with what that means for access and quality.\n\nThere are lots of private market updates: Pearl Health's admin cost, a STAT investigation into Commure's Athelas unit over referral deals that raise kickback questions, Main Street Health's 533% growth, and Cityblock's new Humana partnership in North Carolina.\n\nThey close with Hims & Hers earnings, where gross margin slid from 76% to 64% amid a shift to branded GLP-1s, and a managed care quarter where both the shrink-and-focus insurers and the grow-at-all-costs insurers somehow both won.\nBrought to you by\nGarner uses industry-leading analytics to identify the best-performing doctors and reimburse employees when they see them, helping over 2.5 million people find better care at lower cost. Explore careers with Garner. GarnerHealth.com/careers\nLinks referenced\nNational Alliance of Healthcare Purchaser Coalitions survey: https://www.nationalalliancehealth.org/news/employers-with-claims-data-access-take-more-action-on-healthcare-costs-national-alliance-survey-finds/\nHRA Council survey on ICHRA covered lives: https://hracouncil.org/report/\nMilliman/Society of Actuaries report on DPC cost savings: https://www.soa.org/globalassets/assets/files/resources/research-report/2020/direct-primary-care-eval-model.pdf\nYale School of Public Health preprint on Medicare for All: https://www.medrxiv.org/content/10.64898/2026.07.22.26358689v1\nSTAT investigative reporting on Commure/Athelas:...","thumbnail_url":"https://img.transistorcdn.com/y84Rj-3Zru2TSHB3gg7QPKSw1QK5xTylJGdWYgSYt5g/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS85MmYw/N2JiYjk1MjQ4NTAy/YzJiZDg1NzYyY2E2/NmI0ZS5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}