Healthcare is one of the largest line items for employers… but it’s also one of the biggest opportunities for alignment.

In this solo episode of the Dysrupt Healthcare Podcast, Lester dives into the evolving relationship between employers and healthcare systems, and why the future depends on moving beyond a purely transactional mindset.

Too often, employers experience healthcare as a complex and expensive billing system, while health systems are navigating increasing pressure, rising costs, and operational complexity behind the scenes. Both sides are operating within the same trillion-dollar ecosystem, yet rarely with full alignment.

Through conversations with healthcare system leaders, employers, advisors, and investors, a clear pattern begins to emerge: the challenge isn’t a lack of effort, it’s a lack of connection.

This episode explores where that misalignment happens, why it exists, and how both sides can begin to rethink their approach. It’s not about pointing fingers or assigning blame. It’s about understanding the realities on both sides and identifying the opportunity to build stronger, more collaborative relationships.

When employers and healthcare systems move from transactions to true partnerships, the impact goes far beyond cost. It creates better access, more sustainable models, and ultimately, better outcomes for the people at the center of it all.

Because at the end of the day, this isn’t just about healthcare spend… it’s about how we build a system that actually works for everyone involved.

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.

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