

Self-Funded With Spencer
Spencer Smith
Self-funded with Spencer shares inspiring conversations with the most successful and influential people in healthcare - company founders, CEOs, entrepreneurs, doctors, sales leaders, and more - to help educate and inspire YOU to become the best version of yourself.
Episodes
Mentioned books

Oct 22, 2024 • 1h 2min
The Average Person Doesn't Understand Healthcare, with Dan Cochran
Dan Cochran, CEO of Cochran Health Ventures, sheds light on the often-overlooked complexities of healthcare. He discusses the importance of in-home healthcare options and personalized services for patients. The conversation delves into the dynamic between payers and providers, emphasizing the need for consumer education. Cochran advocates for transparency, innovative solutions for managing healthcare costs, and empowering individuals to make informed decisions. His insights challenge listeners to rethink their approach to navigating healthcare.

Oct 15, 2024 • 1h 3min
The Opportunity We Have To Fix Healthcare, with Shawn Sanford
"There can be a better path forward. We don't have to remain adherent to the system that is built against us. It's just going to take some rolling up of the sleeves and a commitment to it." - Shawn Sanford
This week, another ParetoHealth colleague joins the show: Shawn Sanford, RVP of Sales and Pod Leader.
Shawn and I discussed his transition from pro baseball to ancillary benefit sales to Pareto, and what he learned from each step along the way.
We also discuss some of the biggest problems in this industry and why they excite Shawn so much, and what he sees as the single biggest case of “highway robbery” in healthcare.
Join us this week on Self-Funded as we discuss the opportunity we have to fix healthcare.
Chapters:
00:00:00 Meet Shawn Sanford
00:14:02 An Unexpected Career Transition Into Insurance
00:22:43 The Importance Of Networking In Sales
00:25:48 Building Trust With Brokers
00:31:39 Transition to ParetoHealth
00:42:25 Having The Right Sales Process
00:51:49 Equity and Transparency in Healthcare
00:55:54 Aligning Incentives Properly
Key Links for Social:
@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded
Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02
Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286
Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/
Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Key Words:
Sales Success, Career Transition, Relationship Building, Healthcare Reforms, Insurance Industry, Education Matters, Sales Process, Healthcare Awareness, Healthcare Challenges, Healthcare Transformation, Sales Networking, Career Advancement, self funded, podcast
#SalesSuccess #CareerTransition #RelationshipBuilding #HealthcareReforms #InsuranceIndustry #EducationMatters #SalesProcess #HealthcareAwareness #HealthcareChallenges #HealthcareTransformation #SalesNetworking #CareerAdvancement #selffunded #podcast

Oct 8, 2024 • 58min
Be A (Healthcare) Advocate, with Kristen Rivers
“There's a reason why every insurance carrier likely owns or is owned by a pharmacy benefit management company, that’s one of the ways that they can drive revenue." - Kristen Rivers
My guest this week, Kristen Rivers from ParetoHealth, is one of the strongest healthcare advocates I know.
This week on Self-Funded, Kristen and I discuss her upbringing, how that affects the work she does today, what caused her to leave a position at the biggest insurance company in the world, and why she believes in the work she’s doing at ParetoHealth today.
Along the way, we talk about some of the biggest problems in healthcare, from the user experience to misaligned incentives that profit from driving up the cost of healthcare.
The main takeaway: we need more advocates like Kristen if we’re going to fix this industry.
Chapters:
00:00:00 Introducing Kristen Rivers
00:08:16 Kristen’s Introduction To Health Insurance
00:16:10 The Importance of Data Transparency and Choice
00:19:50 Advocating For Better Healthcare
00:33:23 Renewal Increases in California Insurance Market
00:35:18 Medicare Cuts
00:41:18 Employer-led Healthcare Plans
00:51:06 Misaligned Incentives
00:53:26 Driving Down Healthcare Costs through Employer Advocacy
Key Links for Social:
@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded
Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02
Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286
Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/
Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Key Words:
Healthcare Industry Transition, Transparency Matters, Navigating Healthcare, California Insurance Market, Medicare Cuts, Self Funded Plans Healthcare Quality Metrics Industry Complexities, Employer Advocacy, CAA Regulations, Healthcare System, Cost Management, self funded, podcast
#HealthcareIndustryTransition #TransparencyMatters #NavigatingHealthcare #CaliforniaInsuranceMarket #MedicareCuts #SelfFundedPlans #HealthcareQualityMetrics #IndustryComplexities #EmployerAdvocacy #CAARegulations #HealthcareSystem #CostManagement #selffunded #podcast

Oct 3, 2024 • 44min
Who Is Spencer Smith? Q+A with Luke Aslesen
Luke Aslesen, founder of INFRMD, joined me a few weeks ago for the podcast, and we also filmed this extended interview after, in which Luke asks me about my comedy background, upbringing, relationship with my wife, and more.
If you’re a long-time listener of the podcast and want to get to know me a bit better, or you just stumbled onto the podcast and want to know who I am, this is a great place to start!
Chapters:
00:00:00 Luke/Spencer Q+A
00:00:35 When/how did you think of bringing your entertainment background into insurance?
00:01:35 What’s the biggest thing you’ve taken from stand-up in the work you do today?
00:02:37 How did your upbringing affect the work that you do now?
00:03:36 How do you not burn out with all the work you do?
00:05:03 How do you balance doing both creative and logical work?
00:06:33 How do you keep yourself accountable?
00:08:57 Have you already seen the rewards of the work you’re putting in, or is that down the road?
00:10:57 What does “justice” mean in the work that you do?
00:12:31 How do you keep the hope alive?
00:13:54 What do you do to keep yourself motivated?
00:15:20 Where do you find the time to do all of those things?
00:16:41 Where did Tom Broker come from?
00:18:21 Favorite comic of all time?
00:19:57 What has the response been to using comedy?
00:22:03 Does using comedy open doors for you?
00:24:29 Why don’t more people build personal brands?
00:26:30 Where did your love for people come from?
00:27:42 If you could have a 4-hour dinner with anybody, who would it be and why?
00:28:46 How has your relationship with your wife shaped your success?
00:35:53 When you’re retired, how do you want to be remembered?
00:36:44 Tell us about your car.
00:39:08 Favorite comedy movie and series?
00:41:05 Favorite drama movie and series?
00:42:41 If you could have one message on a billboard that everyone could see, what would it be?
Key Links for Social:
@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded
Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02
Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286
Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/
Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Key Words:
#QA #spencersmith #infrmd #insurance #entertainment #standup #creativity #justice #accountability #comedy #celsius #joerogan #mustangs #selffunded #selffunding #podcast
QA, spencer smith, infrmd, insurance, entertainment, standup, creativity, justice, accountability, comedy, celsius joe rogan, mustangs self funded, self funding, podcast

Oct 1, 2024 • 35min
GLP-1s: The PBM Perspective (with Justin Jasniewski)
“PBM is one of the most complicated concepts out there and it's incredibly difficult to understand. But it's not because the system itself is complicated. It's because pbms make it complicated.” - Justin Jasniewski
Justin Jasniewski, CEO of Serve You Rx, joined me this week to discuss the state of the pharmacy benefit management (PBM) market in 2024.
We discussed the competitive landscape in the PBM industry, why that’s (slowly) leading to more actual transparency, and how Serve You Rx fits into that market.
Justin and I also discussed GLP-1s, how they’re going to continue to be a problem for the industry to solve for, and what they say about the effectiveness of wellness initiatives.
Chapters:
00:00:00 Introducing Justin Jasniewski
00:03:01 The PBM Market in 2024
00:06:28 Tailoring PBM Solutions
00:17:59 How Do GLP-1s Affect The PBM Industry?
00:26:37 Real Transparency In PBMs
00:32:39 The Importance Of Customer Service For PBMs
Key Links for Social:
@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded
Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02
Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286
Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/
Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Key Words:
PBM Landscape, PBM Flexibility, Self Insurance Simplified, GLP1s, Future Of PBMs, Service Quality PBM, Client Satisfaction, Regulatory Changes, Transparent Pricing, Rebate Handling, Emerging Solutions, self funded, podcast
#PBMLandscape #PBMFlexibility #SelfInsuranceSimplified #GLP1s #FutureOfPBMs #ServiceQualityPBM #ClientSatisfaction #RegulatoryChanges #TransparentPricing #RebateHandling #EmergingSolutions #selffunded #podcast

Sep 20, 2024 • 51min
"Blind Spots" with Dr. Marty Makary
“You know, Africa has no peanut allergies.” - Dr. Marty Makary
I was honored to be joined this week by Dr. Marty Makary to promote his new book “Blind Spots”, which published this week and is currently a national bestseller.
To purchase “Blind Spots”, use this link: https://geni.us/blindspots
Dr. Marty Makary is a surgeon, researcher, and author, as well as an advocate for better approaches to public health. He’s known for challenging medical dogma and asking the questions nobody else will. In our conversation, we talked about his new book, why these misguided public health recommendations get broadcast in the first place, and why it’s so important to have better health conversations in this country.
One of the bigger topics that we covered was the peanut allergy epidemic, and why Marty Makary believes that recommendations based on opinion instead of data caused so many more kids to get peanut allergies than they would otherwise.
Chapters:
00:00:00 Introducing Dr. Marty Makary
00:08:13 Misguided Public Medical Recommendations
00:14:49 Challenging Established Health Norms
00:24:46 Why The Low-Fat Diet Was Misinformation
00:36:45 Why Are We Doing So Many C-Sections?
00:41:46 Unnecessary Medical Care
00:47:56 Questioning Medical Dogma
00:50:11 Influential Figures Shaping Health Conversations
Key Links for Social:
@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded
Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02
Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286
Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/
Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Key Words:
Blind Spots, Medical Dogma, Evidence Based Medicine, Public Health, Nutrition Misinformation, C-Section Consequences, Healthcare Challenges, Health Awareness, Public Health Figures, Critical Thinking, Health Discourse, Quality Healthcare, self funded, podcast, peanut allergies, peanut allergy, peanut allergy epidemic, marty makary, dr marty makary, pediatricions, public health recommendations
#BlindSpots #MedicalDogma #EvidenceBasedMedicine #PublicHealth #NutritionMisinformation #CSectionConsequences #HealthcareChallenges #HealthAwareness #PublicHealthFigures #CriticalThinking #HealthDiscourse #QualityHealthcare #selffunded #podcast

Sep 17, 2024 • 1h 21min
How Do You Stay Authentic And Creative In Insurance? (with Luke Aslesen)
“So many times these employers are like, ‘dude, I spend so much money on this, and my employees don't care at all.’ Or what's even worse is they go, ‘our employees love it, we have a great, great plan.’ Did they tell you that?” - Luke Aslesen
This is one of my favorite podcasts of the year: Luke Aslesen, Founder of INFRMD, joined me to talk about entrepreneurship, creativity in insurance, comedy, and how to stay authentic.
INFRMD is an insurance education platform, designed to make it as easy as possible for employees to understand and use their benefits. Luke and I discussed the importance of education, why this type of solution is so needed, and how he value it provides to employers.
This podcast is a bit longer than usual, but only because I think this conversation truly justified that. Join me and Luke this week on Self-Funded to learn how to stay creative and authentic in this industry!
Chapters:
00:00:00 Introducing Luke Aslesen
00:00:35 Timing and Persistence in Entrepreneurship
00:07:42 Embracing Imperfection
00:10:56 A Creative Approach to Insurance Education
00:21:29 How Do You Teach People To Navigate Healthcare?
00:32:09 The Importance Of Creativity
00:46:11 Humor In The Insurance Industry
00:49:12 Revolutionizing Insurance Literacy with INFRMD
01:05:06 Empowering Informed Decision-Making
Key Links for Social:
@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded
Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02
Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286
Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/
Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Key Words:
#Entrepreneurship #StartingBeforePerfect #InsuranceEngagement #GenerationalShift #ConsumerEmpowerment #InformingConsumer #CareerCreativity #InsuranceCommunity #HumorInCommunity #HealthcareLiteracy #selffunded #selffunding #podcast
Entrepreneurship, Starting Before Perfect, Insurance Engagement, Generational Shift, Consumer Empowerment, Informing Consumer, Career Creativity, Insurance Community, Humor In Community, Healthcare Literacy, self funded, self funding, podcast

Sep 10, 2024 • 1h 17min
Psychedelic Therapy As An Employee Benefit? (with Amil Patel)
“If we're facing a [mental health] crisis and we want radical change, we’ve got to think about radical solutions. If those radical solutions can show objectively with safety and efficacy data, that they're really helping people and really changing lives, then I think we ought to at least explore and get curious about offering those solutions to to people.” - Amil PatelWe have a mental health crisis in America, and we need new solutions to help those who are struggling.Amil Patel, from Meeko Health, joined the show this week to talk about offering ketamine therapies through the employee benefits channel.I would suspect that many of you who listen to the podcast would be immediately skeptical about the effectiveness, safety, and utility of psychedelic therapy; honestly, going into the podcast, I was too.But I would urge you to hear Amil’s testimony, look into the research and studies currently going on, and form your own opinion. And as Amil shares, hear the testimony of the many people who feel like they would still be in a mental health crisis without these therapies. Join us this week on Self-Funded as we discuss why employers should consider offering psychedelic therapy as an employee benefit! Check out their website - https://www.meekohealth.com/Chapters:00:00:00 Introducing Amil Patel00:03:30 Struggling With Parental Judgment00:12:58 The Mental Health Impact of Childhood Experiences00:18:16 Psychedelic Therapy Access Through Meeko 00:33:37 How Can We Prove That Psychedelic Therapy Works?00:43:37 Do Employers Want To Offer Ketamine Therapy To Employees?01:01:08 The Transformational Effect Of Ketamine Therapy01:03:58 Getting To The Root Of Mental Health IssuesKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/Key Words: #MentalHealth #PsychedelicTherapy #MentalHealthCare #KetamineTherapy #PsychologicalApproach #CulturalImpact #HealingJourney #PersonalGrowth #PsychedelicSupport #MeekoHealth #selffunded #selffunding #podcastMental Health, Psychedelic Therapy, Mental Health Care, Ketamine Therapy, Psychological Approach, Cultural Impact, Healing Journey, Personal Growth, Psychedelic Support, Meeko Health, self funded, self funding, podcast

Sep 4, 2024 • 52min
What's Stopping Patients From Embracing Virtual Care? (with Jon O'Toole)
“Utilization is key for virtual urgent care. Let us be your first line of defense, rather than like, ‘oh, I do have a telemedicine on the back of my insurance card, I’m not sure what it does.’” - Jon O’Toole
Especially in the last few years (for obvious reasons), telehealth and virtual care have proved that they’re here to stay. But how do we best determine when a patient should use virtual or in-person care, and how do we actually get them to utilize it?
Jon O’Toole, from Recuro Health, joined me this week to share his take.
The benefits of virtual care are pretty clear: quicker access to appointments for patients at a much lower cost. As Jon shares, it’s extremely important to educate patients on their virtual benefits and to make the experience easy and tailored for them. Jon also speaks about virtual urgent care, which can add a ton of value and help alleviate some of the panic that sets in when a health emergency occurs.
Join us this week for a deep dive into virtual care and its future.
Chapters:
00:00:00 Introducing Jon O’Toole
00:14:37 Customizing Telehealth
00:17:09 Why We Need To Monitor Utilization
00:25:50 What Is “Virtual Urgent Care”?
00:31:00 Virtual Talk Therapy and Psychiatry
00:40:59 Using Data To Improve Benefits
00:42:04 AI-Enhanced Virtual Primary Care
Key Links for Social:
@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded
Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02
Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286
Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/
Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Key Words:
#TelehealthUtilization #ValueCreation #RemoteHealthcareMonitoring #VirtualUrgentCare #BehavioralHealth #UtilizationMonitoring #HealthcareEvolution #VirtualCare #InnovationInHealthcare #AIinHealthcare #Wearables #HealthTech #selffunded #podcast
Telehealth Utilization, Value Creation, Remote Healthcare Monitoring, Virtual Urgent Care, Behavioral Health, Utilization Monitoring, Healthcare Evolution, Virtual Care, Innovation In Healthcare, AI in Healthcare, Wearables, Health Tech, self funded, podcast

Aug 27, 2024 • 56min
Elevate Your Customer Service Game (with Heather Bowers)
“Life is short. In the meantime, your health is, at the end of the day, your health is all you have." - Heather Bowers
Differentiating yourself through customer service is a tricky thing: it’s talked about so frequently that it can almost feel outdated focusing so much on the customer experience.
But, as my guest Heather Bowers from Lone Star Benefits shared with me this week, it’s still the best way to truly serve your clients in 2024.
Heather joined me from literally across the street, and we discussed what it’s like to be a business in Frisco, Texas, a rapidly growing city. Heather and I also discussed what it was like to take over the family business, as Lone Star was actually started by her father.
We also discussed how the industry has changed since she took over the business, dealing with compliance, and what future regulation may mean for healthcare.
Chapters:
00:00:00 Introducing Heather Bowers
00:12:09 Preserving The Family Business
00:16:18 Differentiating Through ACTUAL Customer Service
00:29:14 Taking Care Of Your Work, Family, and Personal Health
00:34:48 How Do We Get Members To Care About Health?
00:37:47 $10,000 Wellness Prize
00:40:13 Balancing GLP-1 Drugs with Lifestyle Changes
00:46:19 Navigating Compliance
00:53:39 Balancing Health and Passion in Business
Key Links for Social:
@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded
Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02
Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286
Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/
Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Key Words:
#InsuranceIndustry #ClientRelationships #FriscoTexas #WorkLifeBalance #WellnessPrograms #EmployeeIncentives #WeightLoss #ComplianceRegulations #IndustrySolutions #PassionForWork #LongTermClients #SelfFunded #podcast
Insurance Industry, Client Relationships, Frisco Texas, Work Life Balance, Wellness Programs, Employee Incentives, Weight Loss, Compliance Regulations, Industry Solutions. Passion For Work, Long Term Clients, Self Funded, podcast


