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Healthcare is Hard: 
A Podcast for Insiders

Through intimate one-on-one discussions with senior executives, policy advisors, and other “insiders,” each episode dives deep into the challenges that come with changing how we care for people in a complex healthcare system.

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Meet our host

Keith J. Figlioli

"I started the podcast to share the real, on-the-ground perspectives of the people driving healthcare forward today, and what it actually takes to navigate and improve such a complex industry.”

Featured Episodes

Featured | Episode 92

J.D. Whitlock, Chief Information Officer at Dayton Children's Hospital

The Pediatric Innovation Playbook: How Dayton Children’s Evaluates AI, ROI and Scale

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Featured | Episode 91

Laura Wilt, EVP, Chief Digital Officer, Sutter Health

Designing Digital Change for Scale: Sutter Health’s Laura Wilt on AI, Leadership and the Human Side of Transformation

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Featured | Episode 90

Tom Priselac, Executive and former CEO of Cedars-Sinai Medical Center

Why Healthcare Leadership Is Harder Than Ever: Cedars-Sinai’s Tom Priselac on Culture, Change and Cost

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All Episodes

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Episode 89

Robert Wachter, MD, Professor and Chair, Department of Medicine, UCSF

A Giant Leap for Healthcare: Dr. Bob Wachter on AI, Clinical Workflows and the Patient-Doctor Relationship

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April 16, 2026

Episode 88

Dr. John Brownstein, VP & Chief Innovation Officer, Boston Children’s Hospital; Professor of Pediatrics & Biomedical Informatics, Harvard Medical School

From Pilots to Production: Boston Children’s John Brownstein on the Next Phase of AI in Healthcare

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March 19, 2026

Episode 87

Amy Gleason, Acting Administrator, U.S. DOGE Service; Strategic Advisor, CMS

DC’s Ambitious Plans for Modernizing Health Tech: U.S. DOGE Service Administrator & CMS Strategic Advisor, Amy Gleason

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February 19, 2026

Episode 86

Ryan Howells, Principal, Leavitt Partners

Glimmers of Nonpartisan Progress: Decoding ACCESS, TEMPO and the Latest Government Healthcare Initiatives

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January 15, 2026

Episode 85

Ted Slafsky, Publisher and CEO of 340B Report and Founder and Principal of Wexford Solutions

340B Unpacked for the Holidays: Policy, Controversy, and Impact

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December 18, 2025

Episode 84

Liz Fowler, Ph.D., J.D., Co-Founder and Managing Partner, Health Transformation Strategies and former Deputy Administrator and Director of the Innovation Center at CMS

The Big Beautiful Maze of Health Policy and Innovation

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November 20, 2025

Episode 83

Dr. Mark McClellan, Director of the Robert J. Margolis Institute for Health Policy and Margolis Professor of Business, Medicine, and Policy at Duke University

Lessons from Public Sector Leadership: Former CMS Administrator and FDA Commissioner, Dr. Mark McClellan

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October 16, 2025

Episode 82

Dr. Josh Mandel, Chief Architect for Health, Microsoft Research

Emerging Technologies (Part 3): Microsoft’s Chief Architect for Health on the Saga of Interoperability and AI

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September 18, 2025

Episode 81

Brendan Keeler, Interoperability Practice Lead at HTD Health

Emerging Technologies (Part 2): Past, Present & Future of Healthcare Interoperability with HTD Health's Brendan Keeler

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August 21, 2025

Episode 80

Seth Hain, SVP R&D, Epic

Emerging Technologies (Part 1): Inside Perspectives from Epic’s Seth Hain

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July 17, 2025