Welcome to Relocalizing Health, where we explore how communities are reclaiming control over healthcare and rebuilding systems that truly serve people. In this episode, host Dave Chase welcomes Patrick Blackaller, the driving force behind the Employer Healthcare Cooperative of Wisconsin. Together, they dive into the journey of transforming healthcare for schools and employers in Wisconsin, shifting from an extractive industry toward a model that prioritizes care, cost transparency, and community partnerships.

You'll hear honest reflections on the tough choices and personal stories that sparked this movement, including the profound impact of rising costs and restrictive insurance plans on real people. Patrick Blackaller shares how direct contracts, innovative clinics, and new pharmacy approaches are not only saving millions but also bringing dignity and access back into healthcare. This episode is packed with lessons on pioneering change, even in the face of skepticism, and offers a blueprint for other communities ready to take bold steps toward a better future.

Timestamps:

00:00 "Rural School Struggles with Healthcare"

05:04 "Creating Care Through Self-Funding"

09:14 Overcoming Skepticism to Find Support

12:50 Affordable Medication Access Strategies

14:23 "Optimizing Health Plans Affordably"

17:10 Streamlining Healthcare Navigation and Education

20:30 Healthcare Spending and Employer Insights

23:51 "Optimizing Quality and Cost Balance"

27:21 Perseverance Through Challenges

31:23 Purpose-Driven Leadership Strategies

35:21 "Relocalizing Health: American Comeback"

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

On this episode of Relocalizing Health, host Dave Chase is joined by April Kyle, president and CEO of Southcentral Foundation in Alaska, for a deep dive into one of America’s most remarkable healthcare transformations. Together, they explore how the Alaska Native community took control of their own healthcare system, moving from an underfunded, top-down model to a community-owned system that now boasts some of the best health outcomes and highest satisfaction rates in the world.

April Kyle shares the practical blueprint behind this success: from the generational trauma and distrust that had to be overcome, to the pivotal role of true community engagement and ongoing governance that keeps the transformation alive. The conversation highlights the importance of listening, evolving systems to meet community needs, and the challenges of sustaining change across decades. Listeners will hear inspiring, concrete stories of how community voices are not only heard, but drive real decisions, from scheduling mammograms around moose hunting season to making tough calls about housing for providers.

Whether you’re a community leader, healthcare provider, or simply passionate about building better systems, this episode offers actionable insights and hope for communities everywhere looking to take back control and create a system built for and by them.

Timestamps:

00:00 "Relocalizing Health: Community-Driven Care"

04:18 April Kyle's Introduction & Journey

09:31 "Community-Centered Evolving Healthcare Model"

12:42 "Relocalizing Health, Not Healthcare"

15:20 Listening to Families, Closing Gaps

19:35 "Listening, Dialogue, and Community Partnership"

22:24 "Community-Driven Leadership Challenges"

27:15 Listening to Community First

28:12 "Community-Driven Listening and Customization"

32:49 Community Decision on Housing Safety

36:31 "Clinical Outcomes Data Sharing"

37:26 Community Resource Allocation Dialogue

40:42 "Power of Convening Communities"

46:25 "Embracing Community-Led Healthcare Change"

48:13 Integrating Behavioral Care Insights

50:48 "Rosetta Fest: Health Care Transformation"

Podcasts: IHI https://podcasts.apple.com/us/podcast/when-people-of-the-system-own-the-system-with/id1681829836?i=1000678625961

Moving to Value Part 1 https://podcasts.apple.com/us/podcast/part-1-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535

Part 2 https://podcasts.apple.com/us/podcast/part-2-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome back to Relocalizing Health, the podcast where we shine a light on the communities taking healthcare back from corporate control and making it serve people, rather than profit. In today’s episode, host Dave Chase sits down with Christina King, a benefit advisor from Columbus, Ohio, who’s breaking the mold on how we think about hospitals and employer health plans.

Instead of waiting for Washington to fix a “terminally broken” system, Christina King has been rolling up her sleeves and partnering with regional hospitals to create community-owned health plans, even as much of Ohio’s healthcare landscape is collapsing around her. She unpacks how these grassroots efforts are not only keeping care in the community, but transforming hospital relationships, employer incentives and even employee recruitment by building something better from within.

We’ll dig into the unique financial models, the critical role of direct primary care and independent pharmacies, and why employers are finally able to use health benefits as a genuine tool to attract their workforce. Plus, Christina King shares how these local successes are fueling statewide excitement and connecting an ever-growing network of visionary leaders ready to take healthcare transformation on the road.

Get ready for an inspiring conversation that offers practical insights and real hope for reclaiming the American dream, one community at a time.

Timestamps:

00:00 Reclaiming Healthcare, Serving Communities

04:33 Networking to Reach Hospital Executives

08:41 Healthcare Innovation Around Metro Areas

12:45 Replicating Community Health Plans

15:42 Community-Focused Healthcare Collaboration

18:05 "Health Plans Driving Employee Attraction"

23:20 "Employer Community Health Revolution"

25:00 Community Celebration After Denver Trip

28:25 "Employers Discussing Healthcare Challenges"

31:33 Hospital Competition and Cost Reform

36:12 "Live in Anticipation of Connections"

37:45 Reclaiming Healthcare, Building Community

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, where we dig deep into the heart of America's healthcare crisis and the opportunities that can rise from its collapse. In this Solo Episode, host Dave Chase confronts the uncomfortable truth: our healthcare system is not just broken, it's on the brink of collapse, with skyrocketing costs, staggering waste, and millions of Americans falling into medical debt.

But it's not all doom and gloom. Dave Chase shares a personal story of loss and regret that fueled his mission for meaningful change, and he draws on history and proven models to show us how collapse can pave the way for better, more equitable healthcare. From community-owned health plans to bold policy solutions like the proposed Community Self Determination Act, he reveals two real pathways to transformation, grounded in local control, transparency, and an unwavering focus on true wellbeing.

If you're ready to learn how communities are already reclaiming their health (and their financial futures), and how we can move from fear to action as this system unravels, this episode is your essential starting point. Let’s explore how we can turn crisis into an opportunity for lasting, positive change in American healthcare, one community at a time.

Timestamps:

00:00 "America's Systemic Collapse and Hope"

05:15 Healthcare Costs and Human Impact

07:47 "Fragile Healthcare Hierarchies Collapse"

12:29 "Rethinking Healthcare for Wellbeing"

16:12 Native Healthcare Transformation Revolution

18:21 "Optimal Community Health Plan Model"

23:10 "Path to Healing and Reform"

24:13 "Relocalizing Health Solutions"

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to the 11th episode of Relocalizing Health, where we dive deep into how communities are reclaiming their local healthcare systems from extraction and inefficiency. This week, host Dave Chase is joined by Josh Butler, a benefit advisor based in Amarillo, Texas, who has been at the forefront of transformative change in his region.

Instead of telling a story from a neat conclusion, we’ll journey into the "messy middle", where real progress and real challenges coexist. Josh Butler shares his pivotal moments, including a powerful story about helping a truck driver finally receive surgical care after ten years of suffering due to unaffordable deductibles. Inspired by the Health Rosetta movement, Josh transitioned from selling traditional insurance to building innovative, local solutions through the High Plains Health Plan.

Listen in as we unpack the obstacles, breakthroughs, and the human impact of reimagining health benefits, where employers, clinicians, and advisors work together to create plans focused on accessibility, affordability, and genuine care. Whether you’re an employer, civic leader, or just someone passionate about change, this episode reveals what’s possible when communities take ownership of their healthcare dollars and destinies.

Join us for a compelling conversation about restoring the American dream, one local health system at a time.

Timestamps:

00:00 "Relocalizing Healthcare Transformation"

03:30 Health Insurance Broker Challenges

08:29 "Revolutionizing Healthcare Through Collaboration"

12:27 "Joining Health Rosetta: My Journey"

13:25 "Growth, Learning, and Overcoming Fear"

19:21 Physicians Prioritize Patients Over Profit

21:52 Healthcare Industry Resistance to Change

25:53 Choosing Partners Carefully

28:17 "High Plains Health Plan Benefits"

32:52 Brokerage Expansion and Partnerships

35:15 Establishing a Financial Baseline

39:21 Restoring the American Dream

41:27 "Transforming Healthcare with Passion"

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to Relocalizing Health, where we shine a light on the reality behind America's healthcare crisis and offer practical, local solutions you can start implementing today. In this episode, Dave Chase dives deep into the staggering 342% increase in healthcare costs since 1999, exposing why traditional benefit packages keep getting worse despite annual "kabuki dance" negotiations between employers, brokers, and insurance carriers.

Through real-world stories, like Bryce Heinbaugh, an Ohio benefit advisor who transformed from feeling part of the problem to helping thousands in his community, Dave Chase reveals how deliberate, grassroots actions can change the game. Learn about the transformative power of community-owned health plans, transparent pricing, advanced primary care, and keeping healthcare dollars local.

If you're an employer tired of wasteful spending or a benefit broker fatigued by the status quo, this episode uncovers actionable ways to reclaim what matters most: high-quality, affordable care for your people and real economic value for your organization. It’s not about disruption for disruption’s sake, it’s about restoring common sense and dignity to healthcare, right where you live. So tune in as we bust myths, share inspiring case studies, and invite you to join the movement to relocalize health.

Timestamps:

00:00 "Brokers, Profits, and Transformation"

03:32 Healthcare Costs: A Theft Problem

08:09 Reimagining Healthcare for Success

12:21 Transparent Healthcare & Pharmacy Benefits

14:41 "Advanced Primary Care Benefits"

19:09 "Life-Changing Healthcare Savings Story"

20:09 "Transforming Healthcare to Value Creation"

25:52 "Health Reset Transformation Steps"

26:40 Relocalize Health Now

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome to "Relocalizing Health"! In today’s episode, host Dave Chase sits down with Russell DuBose, Vice President of Human Resources at Phifer Incorporated, for a powerful conversation on how one manufacturer reimagined healthcare costs as a supply chain problem, and solved it using Lean Six Sigma methodologies.

Rather than accepting healthcare as an uncontrollable expense, Phifer Inc. applied continuous improvement principles to overhaul their benefits, delivering results that have stunned the industry: five years of flat healthcare costs, scholarships for employees’ dependents, zero pharmacy copays for over 2,500 individuals, and childcare bonuses for hundreds of families. But it goes beyond cost containment, Russell DuBose built the foundation so other local employers could access these benefits and help create healthier, more resilient communities.

This episode dives deep into Phifer’s journey, including how they broke away from legacy broker models, embraced Health Rosetta principles, leveraged data-driven decision-making, and established onsite primary care and pharmacy access that drastically improved outcomes, especially during the COVID pandemic. You’ll also learn how this story is inspiring other manufacturers and local employers to rethink their approach to healthcare, and what’s coming next as advanced, individualized medicine becomes a reality.

Whether you’re a business leader, HR professional, or simply passionate about transforming healthcare, this episode will change how you think about what’s possible for your company and your community.

Timestamps:

00:00 "Reclaiming Healthcare: Community Solutions"

05:51 "Solving Healthcare with Lean Six Sigma"

10:04 "Transition to Transparent PBM Model"

12:07 "Advancing Precision Healthcare Systems"

15:11 "Building a Unified Healthcare Paradigm"

18:20 "Health Rosetta's Impact Initiative"

21:07 "Primary Care: The Key Engine"

24:37 "Eliminating Barriers to Care"

30:57 Healthcare Costs and System Failure

33:59 "Advancing Employer-Focused Healthcare Solutions"

36:51 Primary Care Investment Revolution

42:22 Precision Medicine Pathway Development

45:00 "Advocating Transparency in Healthcare"

47:31 "Modernizing Manufacturing: First Steps"

51:11 Empower Teams for Transformation

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/

Welcome back to Relocalizing Health, the podcast where we delve into how communities across America are taking back control of their healthcare from corporate interests and transforming it into a force for genuine wellbeing and economic vitality. I’m your host, Dave Chase.

In today’s episode, we bring you a truly inspiring story of healthcare transformation, not spearheaded by a hospital exec, a government official, or a tech disruptor, but by an independent benefits advisor from Ohio who decided enough was enough. Bryce Heinbaugh joins us to share his journey, which began with a professional crisis of conscience after realizing how much money was being siphoned out of his community by a broken healthcare system.

Bryce opens up about his pivotal moment at a Health Rosetta conference, the challenges of being a change agent, and how he helped move Ashtabula City Schools from the brink of financial crisis to building a $7 million healthcare reserve. We’ll explore the practical steps he took to rebuild the local healthcare ecosystem, from partnering with direct primary care physicians and community pharmacists, to negotiating direct contracts with high-quality providers, even in a so-called “medical desert.”

Alongside Bryce, we’ll dig into the blueprint that empowered not just schools, but also local governments and private employers, to save millions while improving care for their people. We’ll discuss the national implications of this approach, the predictable pushback from entrenched interests, and why fostering local collaboration among advisors, clinicians, and civic leaders is crucial for lasting change.

If you’ve ever wondered how healthcare could become an economic engine rather than a drain, or what it takes to shift from Wall Street-driven models to community-owned health plans, this is the episode for you. Stick around for actionable insights, hard-earned wisdom, and a hopeful look at what’s possible when communities work together to reclaim their healthcare destiny.

Timestamps:

00:00 "Revolutionizing U.S. Healthcare Costs"

04:52 Epiphany of a Benefits Broker

07:07 Healthcare Innovation Journey

12:24 Community-Focused Healthcare Solution

17:02 "Leveraging Major Employers for Community Initiatives"

18:07 Analyzing Healthcare Spending Data

22:59 Orthopedic and Imaging Expansion Success

25:59 Healthcare Reform Sparks Local Controversy

29:52 "Decentralizing Healthcare from Wall Street"

31:49 Cut Out Middleman, Save on Prescriptions

37:16 "Zero-Cost Healthcare Impact on Communities"

38:44 Economic Impact of Healthcare Savings

43:35 "COHP Scorecard Assessment"

48:33 Space Collaboration Insights

49:44 Revolutionizing Healthcare Access

Learn More:

RosettaFest 2025 - https://rosettafest.org/

Health Rosetta - http://healthrosetta.org/

Nautilus - https://www.nautilushealth.org/

Kynexions - https://kynexions.com/

Dave Chase - https://www.linkedin.com/in/chasedave/

Podcast Website - https://relocalizinghealth.com/