What Happens When the Patient Finally Comes First
Patients WinSeptember 17, 2026x
17
00:57:4539.69 MB

What Happens When the Patient Finally Comes First



On this episode of Patients Win, Dr. Jonathan Bushman and Troy Reichert set aside business models and policy talk to get personal, digging into the real patient stories that have shaped their mission in healthcare. From moments of heartbreak and frustration to examples of advocacy that truly changed lives, they explore how deeply the patient experience drives their commitment to challenging the healthcare status quo. You’ll hear powerful reminders of how the system’s complexity, lack of price transparency, and broken trust can literally be life or death, and how reimagining healthcare around real people can make all the difference. Tune in for a raw, honest conversation that puts people, not profits, at the center of every decision.

Timestamps:

00:00 Impact of patient experiences

03:15 Discovering clinician roles in decision-making

06:49 Complexity of Medical Billing

11:38 Combining plan design and patient care

14:41 Exceptional patient care experience

17:34 Finding affordable medication options

20:29 The essence of helping others

23:10 Negotiating contract terms

28:31 Surgery postponed, patient stays local

32:04 Rethinking Medical Decision-Making

34:40 Being a physician as an advantage

39:22 Educating colleagues on health benefits

42:12 Educating about healthcare costs

46:35 Impact of provider sellout on care

48:01 Concerns about healthcare costs and delays

54:00 Seeing problems from new angles

55:05 Cost-effective cochlear implants


Lessons in Patient Advocacy: Insights from the "Patients Win" Podcast

"Patients Win" is a podcast dedicated to exploring the triumphs and challenges within the healthcare system, focusing on what truly matters: the patients. In a compelling episode featuring Dr. Jonathan Bushman and Troy Reichert, the duo shares personal stories, professional frustrations, and victories that shed light on how the healthcare industry can better serve individuals. Here’s a breakdown of the most impactful insights from their heartfelt conversation.

The Power of Patient Advocacy

One of the deepest insights from the episode is the paramount importance of patient advocacy. Dr. Bushman recalls a time when he was able to save a patient over $21,000 on life-saving medication simply by seeking a better way and truly advocating for the patient’s needs rather than profit. Similarly, Troy recounts how a patient facing a $120,000 surgery was able to receive higher quality care for a fraction of the price by exploring direct contracting options. These stories demonstrate that real advocacy often means going the extra mile, questioning the status quo, and putting the patient’s financial and personal well-being first.

Hidden Costs and Broken Incentives

Throughout the episode, Dr. Bushman and Troy expose the broken incentives in the fee-for-service medical model. They illustrate how both patients and clinicians are often kept in the dark about the true costs of care. Dr. Jonathan Bushman points out that even in a high-volume medical practice, he would be reimbursed at wildly different rates for the same procedure, depending on the payer. This lack of transparency not only breeds mistrust but can lead to hesitation in seeking timely care, sometimes with tragic consequences, as Dr. Jonathan Bushman describes with a personal family loss.

The Role of Direct Primary Care

A major solution discussed in the podcast is the adoption of direct primary care models. Dr. Bushman shares that since moving to this model, he can offer predictable, transparent pricing for all patients. This approach eliminates hidden fees and ensures that the financial aspect of care delivery does not create unnecessary barriers. More importantly, it fosters trust between clinicians and patients, which is fundamental for successful health outcomes.

Collaboration Between Clinicians and Administrators

Another key takeaway revolves around the synergy between the clinical and administrative sides of healthcare. By combining Dr. Bushman's perspective as a practicing physician with Troy Reichert's experience in healthcare administration, they can deliver innovative solutions to employers and care teams. This collaboration allows for policies and benefit designs that put patient needs, quality outcomes, and cost efficiencies at the forefront.

The Consequences of Delayed Care

The episode emphasizes that delays in care, motivated by fear of costs or distrust in the system, can have dire results. Dr. Bushman shares the moving story of his brother-in-law, who hesitated to seek emergency care and tragically lost his life. This real-world example underscores the necessity of building systems that encourage, rather than discourage, timely access to medical attention.

The Need for Education and Transparency

Both speakers passionately argue that a fundamental shift in healthcare requires education and open disclosure. Patients and clinicians alike need a clearer understanding of benefit design, pricing, and available options. Troy Reichert stresses that confusion and lack of information are barriers that must be dismantled if people are to get the right care at the right price.

Conclusion

This "Patients Win" episode is a call to action for patients, clinicians, administrators, and employers. By fostering transparency, advocating for patients, and encouraging collaboration across disciplines, healthcare can be transformed into a system where patients truly win. The stories shared by Dr. Bushman and Troy highlight what’s possible when advocacy, honesty, and innovation take center stage. If you’re seeking insights that could change your view of healthcare, this episode is a must-listen.


Show Website - https://thepatientswin.com/

Primed Healthcare - https://primedhealthcare.com/

Troy Reichert - Show Host - LinkedIn - https://www.linkedin.com/in/troy-reichert-67606b5/

Dr. Jonathan Bushman - Show Host - LinkedIn - https://www.linkedin.com/in/jonathan-bushman-do-106821191

Media Partner - TopHealth - https://tophealth.care/


“Disclaimer: Informational only. Not medical advice. Consult your doctor for guidance.”