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September 5, 2025 32 mins

In this episode of HWL Talks, host Tommy Binner sits down with healthcare pioneer Joane Goodroe—a nurse, administrator, entrepreneur, and national thought leader who has testified before Congress on healthcare cost models.

Joane shares her remarkable journey from the ICU to shaping Medicare pilot programs, pioneering gainsharing, and challenging the long-held belief that lowering costs means lowering quality. Together, Tommy and Joane explore:

  • Why healthcare costs have skyrocketed from $725 billion in 1990 to $4.9 trillion today—and where they’re headed
  • How bundled payments and gainsharing created new models for cost savings without sacrificing quality
  • The impact of regulations, drug pricing, and chronic disease on the future of healthcare access
  • Why retaining nurses and empowering frontline staff is critical to solving today’s workforce crisis
  • Fresh perspectives on pharmacy disruption, telemedicine, and what really needs to change

Joane also shares a personal story of resilience through her son’s journey with autism, highlighting how perseverance and innovation can reshape possibilities in healthcare and beyond.

Tune in for an inspiring and eye-opening discussion on the urgent need to rethink cost, quality, and workforce sustainability in healthcare.

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