On this episode of Broken Healthcare, host Ray Kober sits down with Karen Van Caulil, President & CEO of the Florida Alliance for Healthcare Value — one of the nation’s most respected employer coalitions driving real healthcare reform.
Karen shares insider-level insights from 14+ years of working with public and private employers to reduce costs, improve quality, and fight back against the entrenched interests that keep U.S. healthcare expensive, confusing, and opaque.
What We Cover in This Episode:
- Why U.S. healthcare remains broken — and what employers can realistically do about it
- The truth about PBMs, 340B, and the lack of price transparency
- Why employers still struggle to obtain their own claims data (despite the law)
- How the Consolidated Appropriations Act (CAA) changes employer fiduciary responsibility
- How business coalitions (like the Florida Alliance) are reshaping healthcare markets
- Real-world examples: Rosen Hotels, MarineMax, and employers who cracked the code
- The role of brokers — and how misaligned incentives block meaningful change
- What policymakers get wrong — and why employer voices matter more than ever
- Practical steps employers can take right now to protect their plan, members, and dollars
If you’ve ever wondered how employers can fight back against waste, fraud, and abuse in a $5 trillion system — this is the episode you need.
About Karen Van Caulil:
Karen leads the Florida Alliance for Healthcare Value, representing 80+ employers across the state and nationally. With a deep background in health policy, administration, and clinical planning, she is one of the leading voices advocating for employer-led healthcare reform, transparency, and accountability.
Connect with Karen:
https://flhealthvalue.org/
https://www.linkedin.com/in/karenvancaulilphd/
Subscribe for more conversations with the leaders fixing U.S. healthcare from the inside out.
Hosted on Acast. See acast.com/privacy for more information.
Popular Podcasts
Stuff You Should Know
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.
Dateline NBC
Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com
Crime Junkie
Does hearing about a true crime case always leave you scouring the internet for the truth behind the story? Dive into your next mystery with Crime Junkie. Every Monday, join your host Ashley Flowers as she unravels all the details of infamous and underreported true crime cases with her best friend Brit Prawat. From cold cases to missing persons and heroes in our community who seek justice, Crime Junkie is your destination for theories and stories you won’t hear anywhere else. Whether you're a seasoned true crime enthusiast or new to the genre, you'll find yourself on the edge of your seat awaiting a new episode every Monday. If you can never get enough true crime... Congratulations, you’ve found your people. Follow to join a community of Crime Junkies! Crime Junkie is presented by Audiochuck Media Company.