Episodes: 40
Frequency: Every two weeks
Rating: 5.0/5.0
Estimated listeners: 100 - 1,000
Listener location: USA
YouTube: 259 subscribers
Instagram: 302 followers
Publicly listed emails
chuck@disruptivedialogue.org
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Chuck Melendi - A retired healthcare industry executive with 35 years of experience in the sector.
Ann Kempski - Hospital Consolidation And Market Power, Healthcare Costs, Employer And Union Efforts, Price Transparency, And Hospital Pricing Policy.
Brian Reid - The 340b Drug Discount Program, Hospital Consolidation, Physician-practice Acquisitions, And Healthcare Spending.
Matt Zachary - Insurance Denials, Patient Protections, Medicare Advantage, And Organizing Patients For Policy Change.
Todd Eury - Pharmacy Benefit Managers, Pharmacy Burnout, Prescription Drug Pricing, And Pharmacy Competition.
Doug Griesenauer - The ALICE Threshold, Working-family Financial Stability, Public Benefits, Wages, And Policy Approaches To Poverty.
Hospital Monopolies, Facility Fees, and the $4,000 MRI | ft. Ann Kempski (pt 1)
October 07, 2026
Hospitals count for about 31% of everything this country spends on healthcare, and that number hasn't moved in forty years. My guest is Ann Kempski, an independent health policy consultant who has led health policy work at SEIU, the Permanente Federation of Kaiser Permanente, and the Delaware Health Care Commission.We start in Pittsburgh, where UPMC controls 71% of hospital beds inside the city, employs 76% of hospital workers, and sells its own insurance. Ann explains how the balance of ...
340B, Hospital Consolidation, and Where the Money Goes | ft. Brian Reid
September 15, 2026
Hospitals drive close to a third of all healthcare spending in this country, and today we turn the focus there. My guest is Brian Reid, author of the daily Cost Curve newsletter and a former Bloomberg and Washington Post health policy reporter.We dig into 340B, a drug discount program written as a two-page law in 1992 that now moves more than $100 billion a year, and Brian lays out who really collects the discount and what employers are losing in the process. Then we get into what happens to ...
Insurers Profit From Denying Care. A Survivor Fights Back
August 31, 2026
Matt Zachary — brain cancer survivor at 21, founder of Stupid Cancer, and author of We the Patients — joins me to make the case that American healthcare isn't broken, it's finished. It was designed to move money, and denying your care is now more profitable than delivering it.We cover how employer-based coverage and the 1973 HMO Act got us here, the billions insurers make by saying no on purpose, why Medicare Advantage is neither, and what AARP gets paid to lend its name to a UnitedHealth pro...
The Benefits Brief · Medium booking difficulty · 1,000 - 10,000 listeners
Working Healthcare · Medium booking difficulty · 1,000 - 10,000 listeners
Disruptive Dialogue with Chuck Melendi is hosted by Chuck Melendi. Its publicly listed email is chuck@disruptivedialogue.org. For guest bookings, the host or producer is usually the best person to reach. Podseeker helps you find direct host and producer contacts and pitch from your own inbox.
The publicly listed email for Disruptive Dialogue with Chuck Melendi: chuck@disruptivedialogue.org.
Podseeker estimates Disruptive Dialogue with Chuck Melendi reaches 100 to 1,000 listeners per episode. Only the publisher has exact numbers.
Disruptive Dialogue with Chuck Melendi typically books working professionals with real expertise. Typical guest background: Demonstrated expertise in healthcare policy, healthcare operations, pharmacy, patient advocacy, or related social policy; guests often bring senior sector experience, reporting or research credentials, organizational leadership, or an authored body of work. Common among recent guests: Senior roles in healthcare organizations or policy bodies; Published reporting, research, or books on relevant issues; Leadership of advocacy organizations or professional networks. Recent guests include Ann Kempski, Brian Reid, and Matt Zachary.
Medium. Guests usually need solid credentials in the topic and an idea that fits the show.
Recent episodes cover Health, Healthcare Policy, Healthcare Costs, Health Insurance, and Patient Advocacy. Pitch an idea tied to one of these topics and mention a recent episode.
Publicly listed emails
chuck@disruptivedialogue.org
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