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Mission Drives Margin: A Former CEO's Playbook to Fix Broken Healthcare
Manage episode 507327730 series 3678050
内容由Judson Howe, Micah Buller, Todd Carpenter, Lindsay Hunt and Judson Howe提供。所有播客内容（包括剧集、图形和播客描述）均由 Judson Howe, Micah Buller, Todd Carpenter, Lindsay Hunt and Judson Howe 或其播客平台合作伙伴直接上传和提供。如果您认为有人在未经您许可的情况下使用您的受版权保护的作品，您可以按照此处概述的流程进行操作https://zh.player.fm/legal。
Rick Rawson on Healthcare Reframed
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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 LearnEscape 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 with lived experience, cross-sector coalitions
Governance that sustains strategy (purpose → metrics → accountability)
Episode Chapters
00:00 – Trailer and Introduction
02:08 – Early Leadership Challenges and Financial Realities
06:49 – Reframing Healthcare Challenges and Business Models
11:22 – Growing Revenue and Community-Centered Care
13:50 – Metrics, Productivity, and Strategic Growth
17:07 – Consolidation, Community Disconnection, and Systemic Challenges
23:25 – Capital Markets Influence and Nonprofit vs For-Profit Dynamics
28:33 – Leading Large Health Systems with a Community Focus
30:51 – Hospitals as Community Partners Beyond Clinical Care
34:00 – Pressure, Fear, and Leadership Accountability
35:54 – Systemic Power Dynamics and Community Empowerment
41:15 – Community Ownership and Trust in Healthcare Systems
43:30 – Fragility and Optimism in Healthcare Systems
47:08 – California's CalAIM Program and Community-Based Care
51:13 – Leadership Gaps and Strategic Community Partnerships
54:30 – Balancing Government, Community, and Private Sector Roles
57:51 – Innovation at the State and Community Level
61:58 – Profitability Through Value and Integrated Care Models
63:10 – Personal Motivation and Commitment to Healthcare Reform
64:46 – Persistence and Collaboration for System Change
67:36 – Trust, Transparency, and Accountability in Healthcare
69:50 – Innovation, Movements, and Community-Led Change
70:53 – Future Outlook: Innovation and Scaling Change
73:19 – Coaching Leaders to Overcome Burnout Through Purpose
75:39 – Aligning Organizational and Individual Purpose
78:43 – Mission, Margin, and Authentic Leadership
80:36 – Nonprofit Governance and System Mentality Challenges
83:57 – Board Accountability and Courage in Healthcare Governance
86:06 – Case Study: Steward Healthcare Collapse and Lessons Learned
90:31 – Closing Reflections and Future Questions
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