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October 16, 2025 26 mins

In Episode 489 Part 2 of 'Relentlessly Seeking Value,' Stacey Richter continues the series on 'Mission Margin' by focusing on the financial sustainability aspect with guest Dan Greenleaf, CEO of Duly, a multi-specialty group. The episode dives into the balance between maintaining mission-driven healthcare, which includes affordability, accessibility, and quality, and achieving financial margins. 

Dan discusses practical strategies like reducing network leakage, negotiating effectively with payers, and leveraging technologies to lower operational costs. The conversation also highlights the significance of clinician involvement in leadership and the value of having aligned incentives across the organization. 

Additionally, the episode addresses the role of capital partners in sustaining such healthcare models and ensuring they are effective and sustainable.

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09:56 How does Dan achieve his mission given the realities of margin?

14:49 How Duly Health's approach and incentives differ from other health systems.

16:04 EP466 with Vivian Ho, PhD.

16:28 EP462 with Scott Conard, MD.

16:31 Summer Shorts episode with Stan Schwartz, MD.

17:27 EP460 with Rushika Fernandopulle, MD.

17:29 EP445 with Tom X. Lee, MD.

17:30 EP407 with Vivek Garg, MD, MBA.

18:50 How having physicians on the hospital board greatly improves margin and mission.

20:04 How Dan explains his approach to his capital partners.

22:23 Fee for service vs. institutional care.

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