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Relocalizing Health with Dave Chase

Relocalizing Health with Dave Chase

Written by: TopHealth Media
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While Washington argues and Wall Street profits, a quiet transformation is reshaping healthcare: one community at a time.


Relocalizing Health takes you inside this movement with Dave Chase, founder of Health Rosetta, as he talks with the people leading healthcare's ground-up transformation. Their approach? Keep care local, rebuild trust, and redirect healthcare wasted spending into something that actually serves people.


You'll hear real-world stories from employers, clinicians, and civic leaders who are designing health plans and ecosystems that work, and strengthening their local economies in the process.


Featured guests include:

- Public sector leaders who've redesigned employee health benefits to free up millions for essential services.

- Physicians who've left corporate systems to practice relationship-based care.

- Manufacturing executives using healthcare as a competitive advantage - not a cost burden.

- Civic leaders helping communities reclaim control of their healthcare destiny.


If you care about your community's future and want to see what's actually working in healthcare transformation, this show offers a clear-eyed look at proven models and how to implement them.

© 2026 Relocalizing Health with Dave Chase
Economics Hygiene & Healthy Living Management Management & Leadership Physical Illness & Disease
Episodes
  • From Farm Lights to Healthcare Heights: How Cooperatives Solve America's Toughest Challenges
    May 1 2026

    Welcome to another episode of Relocalizing Health, where host Dave Chase draws a bold parallel between America’s rural electrification revolution and the grassroots transformation happening in healthcare today. In this episode, Dave Chase unpacks the inspiring story of Iowa farmers who built miles of power lines before they even had a power source, showing how local ingenuity can spark nationwide change. He introduces his “three, two, one” framework, a blueprint where pioneering communities prove what’s possible, their success spreads, and smart policy amplifies the impact.

    You’ll hear real-world examples of how forward-thinking communities and cooperatives are reclaiming healthcare, like employer health plans in Wisconsin, a transformative effort in Ashtabula, Ohio, and successful models from Alaska Native tribes. Dave Chase shares actionable steps for employers, cooperatives, and policymakers to join the movement, and unveils his new book, "Relocalizing Health." Whether you’re a healthcare professional, policymaker, or simply passionate about your community’s wellbeing, this episode offers hope, practical guidance, and a reminder that American ingenuity is alive and ready to reinvent healthcare from the ground up.


    Timestamps:

    00:00 "Farmers' Power Revolution"

    04:23 "Cooperatives: Community-Driven Solutions"

    09:05 "Localized Care vs. Distant Decisions"

    10:10 "From Worst to Best Healthcare"

    16:15 "Empowering Community Health Innovation"

    17:03 "Transforming Healthcare at Rosetta Fest"

    20:18 "Transforming Communities, Reclaiming Healthcare"


    Learn More:

    RosettaFest 2025 - https://rosettafest.org/

    Health Rosetta - http://healthrosetta.org/

    Nautilus - https://www.nautilushealth.org/

    Kynexions - https://kynexions.com/

    Dave Chase - https://www.linkedin.com/in/chasedave/

    Podcast Website - https://relocalizinghealth.com/

    Show More Show Less
    22 mins
  • How Plainfield Eliminated Deductibles, Cut Payroll Costs & Invested Savings Back Into Its Own People
    Apr 21 2026

    Welcome to Relocalizing Health. In this episode, we shine a light on Plainfield, Indiana, a town just west of Indianapolis, where public sector employees like police officers, firefighters, and public works staff were once priced out of their own healthcare. Nate Thorne, assistant town manager, joins us to share how Plainfield broke free from years of rising premiums and shrinking paychecks, fundamentally transforming its approach to employee health benefits.

    Instead of accepting sky-high insurance costs as an inevitable “healthcare trend,” Plainfield’s leadership took courageous steps: moving to a self-insured health plan, forging a direct contract with their local hospital, and reimagining benefits so workers now pay zero deductibles and co-pays, with real dollars flowing back into their households. These savings built meaningful new programs like mental health support and childcare assistance, and Nate Thorne and his team are on a mission to show other cities and counties that there is a better way.

    Whether you manage a city, run HR for a school district, or just want a behind-the-scenes look at how local governments can invest in their people and communities, this episode brings you the story, the lessons, and the playbook, direct from a Rosie Award finalist, on how to take back control of your health plan and rethink what’s possible for your workforce.


    Timestamps:

    00:00 Challenges of municipal worker benefits

    04:21 Facing rising insurance costs

    07:24 Challenge of risk in public policy

    11:46 Implementing a Self-Insured Program

    16:10 Managing healthcare spending changes

    18:07 Cost-saving strategies for healthcare plans

    22:02 Creative funding for employee benefits

    26:18 Leadership and gradual progress advice

    28:52 Challenges in the public sector

    32:02 Managing retiree health benefits

    35:13 Employee survey results on premiums

    37:25 Annual employer gathering details

    40:11 Plainfield's health plan changes


    Learn More:

    RosettaFest 2025 - https://rosettafest.org/

    Health Rosetta - http://healthrosetta.org/

    Nautilus - https://www.nautilushealth.org/

    Kynexions - https://kynexions.com/

    Dave Chase - https://www.linkedin.com/in/chasedave/

    Podcast Website - https://relocalizinghealth.com/

    Show More Show Less
    42 mins
  • How a Food Bank Beat Rising Health Costs to Deliver Thriving Coverage for 170 Staff
    Apr 15 2026

    Welcome to Relocalizing Health. In this episode, we take you behind the scenes at Second Harvest Food Bank of Central Florida, where an organization fighting hunger is revolutionizing health benefits for its employees. Join Dave Chase as he sits down with Amy Lein, Chief Human Resource Officer at Second Harvest, to uncover how this nonprofit broke away from the broken health insurance model, creating one of the nation's highest-quality, most accessible benefit plans.

    Learn how every employee at Second Harvest pays zero in premiums, deductibles, and co-pays, translating into real quality of care and tangible support like paid leave and grocery assistance. Hear firsthand stories of transformation as employees, for the first time, can actually afford and access the care they need. This episode is a must-listen for nonprofit leaders, city managers, and anyone who has ever looked at a health insurance renewal and thought, “We can’t afford anything better.” As Dave and Amy reveal, a better way is not only possible, it’s already here.


    Timestamps:

    00:00 Making healthcare affordable for employees

    05:41 Improving employee healthcare access

    09:14 The concierge nurse navigator

    10:01 Affordable access to top doctors

    14:32 How the gift card program works

    19:35 Offering paid parental leave

    22:37 Having access to quality healthcare

    26:07 Rising healthcare costs and solutions

    30:02 Vision for what's next

    30:43 Creating a great workplace culture

    34:38 Wrapping up with final advice


    Learn More:

    RosettaFest 2025 - https://rosettafest.org/

    Health Rosetta - http://healthrosetta.org/

    Nautilus - https://www.nautilushealth.org/

    Kynexions - https://kynexions.com/

    Dave Chase - https://www.linkedin.com/in/chasedave/

    Podcast Website - https://relocalizinghealth.com/

    Show More Show Less
    38 mins
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