What if employers and hospitals weren’t negotiating againsteach other… but building together?

In this episode of the Dysrupt Healthcare Podcast,Lester sits down with Doug Hetherington, founder of Health to Business, to talk about a different approach to healthcare purchasing one rooted in transparency, partnership, and long-term alignment.

This isn’t about fighting the system.
It’s about strengthening relationships inside the communities we all serve.

Doug shares:

✔ Predictable payments
✔ Stronger patient relationships
✔ Reduced collection strain
✔ Better plan stability
✔ Healthier communities

At its core, this episode is about moving from atransactional model to a community health partnership model.

Hospitals are not the enemy.
Employers are not the enemy.
Misalignment is the problem and alignment is the solution.

If you’re a hospital leader, CFO, employer, broker, oradvisor, this conversation will give you a new lens on what’s possible when we build together.

Imaging is often treated like a “small” service line item.
It’s not.

In this episode of the Dysrupt Healthcare Podcast, Lester sits down with Dr. Cristin Dickerson, practicing radiologist and founder of Green Imaging, to unpack one of the most overlooked—and easiest—wins in healthcare cost containment.

Here’s the headline:
Imaging can represent 11–13% of total healthcare spend, not the 5% most carriers report.
And the price variation can be 8–10x for the exact same exam.

In this conversation, we cover:

• Why imaging costs are rising faster than overall healthcare inflation

• How hospitals and private equity have distorted imaging pricing

• The real math behind $4,700 CT scans vs. $485 alternatives

• Why imaging is the easiest lift for employers (no doctor disruption, no plan overhaul)

• How employers can offer $0 out-of-pocket imaging and still save millions

• The access problem nobody talks about: delayed care due to deductibles

• Why “free imaging” does not increase unnecessary utilization

• How direct contracting creates a win for employers, employees, and providers

We also walk through a real case study:

• 2,500-employee company

• 3,800 imaging transactions

• $2.7M in savings

• Significant reduction in deductible exposure

• Improved access, productivity, and employee trust

This isn’t theory.
It’s arithmetic.

If you’re an employer, advisor, CFO, or HR leader wondering where to start in 2026—this is it.

As Lester puts it:

“This isn’t witchcraft. Nobody loses. And that almost never happens in healthcare.”

Learn more or request an impact assessment at greenimaging.net.

Like, share, comment, and—most importantly—do something different.

If you’re an employer, you’re one of the largest purchasers of healthcare in the U.S.—and somehow you have the least control.

This is a summary episode of our conversation with Nurse Deb (Deb Alt), President of AIMM, and it drops right after the turn of the calendar—Happy 2026—in what many are calling the worst renewal season in years.

Here’s the hard truth:
If you didn’t do anything different during renewal… why did you expect a different result?

In this recap, Lester breaks down the mindset shift employers (and advisors) must make to stop being passive victims of a system designed to be opaque—and start acting like real purchasers.

We cover:

• Why healthcare is confusing on purpose (and how it mirrors getting a grocery bill with zero itemization)

• The dangerous gap: employers scrutinize paperclips, but not their 2nd/3rd largest expense

• Why consumers research cars, flights, and concerts—but not surgeons, facilities, or cost differences

• What changes when you build a plan around advocacy (call the nurse first)

• The uncomfortable “wait, what?” reality of misaligned incentives in healthcare and advisory models

• Why raising deductibles and payroll contributions is not a strategy—and never bends the curve

If you’re an employer, ask yourself:
Do I actually see my claims? Do I get data? Do we do pre-renewal?
Or am I stuck in “thank you sir, may I have another”?

If you’re an advisor:
If your entire book is carrier-centric, this is your challenge to rethink what “advising” really means.

Watch/listen with one goal: What’s one thing I can take from this episode and do differently this year?

Like, share, and comment what topics you want next—and if you haven’t heard the full episode with Nurse Deb, go listen to it right after this.