Open Source Health is the podcast that doesn't just talk about fixing healthcare—we're actively doing it. I'm Tripp Johnson, CEO of the Advaita Collective, and I'm here to take you behind the scenes as we build a technology-forward, stakeholder-centric healthcare company. Our mission? To bring transparency and innovation to an industry that desperately needs both. Join us as we dive into the intersections of policy, technology, and hands-on healthcare. We offer a rare glimpse into the challenges and triumphs of creating a system that works for everyone—patients, providers, policymakers, payers, and technologists alike. We'll share our journey of building in the open and have candid conversations with our team and other like-minded change-makers who are as passionate as we are about revolutionizing healthcare. This is Open Source Health, where we don't just diagnose the problems; we roll up our sleeves and work on the solutions. Let's get started.
What happens when your strategy, your soul, and your spreadsheet don’t align?
In this episode of Open-Source Health, Tripp and Marcus unpack what it means to make conscious trade-offs—in business, in leadership, and in life. They reflect on a recent offsite, where the Advaita Health team wrestled with hard decisions about hiring, investment, and what to prioritize as the company matures. But this conversation isn’t just about money...
In this episode of Open Source Health, Tripp shares personal reflections from his time in Spain—what it means to find rhythm, presence, and community while practicing Ashtanga yoga abroad, and how these anchors impact how we show up in life and work.
Switching gears into a deep dive on one of the most opaque corners of healthcare: pricing. Tripp and Marcus unpack machine-readable files—massive datasets that disclose what insurance c...
This week on Open-Source Health, we take you behind the curtain of our own brand evolution—where it’s worked, where we’ve failed, and what’s next. Tripp and Marcus open up about the messy, iterative process of defining who we are as an organization, especially as we’ve grown from Green Hill Recovery to AIM to Advaita Health.
We unpack how our identity has shifted alongside our services, values, and long-term vision. From conversatio...
This week on Open Source Health, Tripp checks in from Valencia, Spain, reflecting on what it means to lead with intentionality while managing complexity back home. Marcus and Tripp unpack the personal and organizational shifts that made this kind of work-from-anywhere leadership possible, from data infrastructure to performance management systems. They dive into how deliberate leadership transitions—like Dr. Book stepping into the ...
In this episode of Open Source Health, Tripp and Marcus unpack a different kind of leadership discipline—the kind that doesn’t show up on your calendar. They explore what it means to lead with intention rather than intensity, and how slowing down can actually be the most strategic move for a founder, parent, and partner.
Tripp reflects on his upcoming month-long trip to Spain as a forcing function to step into a more strategic role...
In this urgent solo episode, Tripp Johnson, CEO of Advaita Health and a veteran himself, sounds the alarm on a major policy change from TRICARE that quietly went into effect in January 2025. While it hasn’t made national headlines, the consequences are real and devastating for psychiatric nurse practitioners, physician associates, and—most importantly—the military families they serve.
TRICARE has stopped reimbursing psycho...
In this episode of Open Source Health, Tripp and Marcus reflect on a pivotal leadership meeting that marked a shift in the company's culture, operations, and leadership mindset. What began as a review of utilization data turned into a celebration of people-driven progress—proof that investing in culture isn’t fluff, it’s infrastructure.
They explore what it means to transition from founder-led intensity to trust-based leadershi...
AI’s most popular use case in 2025 isn’t coding or writing—it’s therapy and companionship.
In this episode, Tripp Johnson and Marcus Shumate dive into the implications of that surprising stat. What does it mean for behavioral health providers? How do we prove our value when AI is already winning on access and affordability?
They explore:
In this episode, Tripp and Marcus unpack a core question: can the modern mental health system actually help people flourish? They explore how today’s therapy and medication models often focus on managing symptoms, not building lives worth living. From AI therapy and TikTok diagnoses to loneliness, resilience, and whether healthcare should even try to promote flourishing—this is a deep, candid conversation grounded in real experienc...
In this episode, we delve into the complexities of ADHD diagnoses in today's fast-paced society. We explore the surge in stimulant prescriptions, the nuances of self-identification, and the broader implications of our modern environment on mental health. Join us as we unpack these topics through the lenses of transdiagnostic approaches, contemplative perspectives, and the biopsychosocial model.
Resources
Tw...
In this episode of Open Source Health, Tripp and Marcus dive deep into the under recognized world of behavioral addictions. From gambling and pornography to TikTok and Tinder, they explore how frictionless access to dopamine-driven behaviors is rewiring our brains — and what that means for mental health, public policy, and clinical practice.
Chapters:
Tech troubles and dopamine casinos (00:00)
Is gambling addi...
In this conversation, Tripp Johnson and Marcus Shumate explore various themes including emotional cycles, the art of cooking, the differences between coaching and therapy, the importance of mentorship, and the complexities of intentions and perceptions. They also delve into psychoanalysis and non-dualism, discussing how these perspectives can intersect and inform personal growth. The dialogue emphasizes the value of finding common ...
In this conversation, Lauren Settle shares her journey in healthcare, emphasizing her passion for patient-centered care and the importance of education in shaping her career. She discusses the challenges of managing a healthcare facility, the role of empathy in leadership, and the integration of AI and data-driven decision-making in healthcare operations. Lauren also highlights the significance of mentorship and continuous learning...
In this episode of Open Source Health, Tripp Johnson and Marcus Shumate explore the intersections of community, therapy, and the challenges faced by men in today's society. They discuss the importance of finding community, the skepticism surrounding therapy, and the impact of technology on male loneliness. The conversation emphasizes the need for mutual aid and real-world interactions as essential components of mental health a...
In this first episode of 2025, Tripp Johnson (CEO) and Marcus Shumate (Growth Director) return to the mics with reflections, lessons, and a major announcement: the launch of a Managed Services Organization (MSO) at Advaita Health.
They pull back the curtain on what it’s taken to build a behavioral health company from the ground up—financial crises, payroll scrambles, fraudulent reporting—and how that hard-earned experience is now be...
In this episode, Tripp and Marcus discuss the inflection point Advaita Health is facing as it moves from a scrappy small company to a structured, growth company. They explore:
✔️ The tension between corporate and frontline teams
✔️ The challenges of scaling without private equity
✔️ Why growth doesn’t always make things easier
✔️ How leadership gets harder as an organization evolves
✔️ The trade-offs between short-term profits and long-...
In this episode, Marcus Shumate and Tripp Johnson continue their discussion on the healthcare system, focusing on the challenges of balancing cost containment with providing quality care. They dive deep into the concept of utilization management, exploring how insurance companies like Blue Cross Blue Shield are grappling with financial difficulties while still trying to manage healthcare costs. They discuss the complexities of the ...
In this episode, Tripp Johnson and Marcus Shumate discuss the intricate process of scaling a healthcare company while maintaining a strong, patient-centered culture. Tripp shares insights on the role of upward mobility and generational wealth in retaining top talent, and how equity compensation structures are key to attracting the right people. The discussion contrasts healthcare business models with those of tech and venture capit...
In this episode, Tripp Johnson and Marcus Shumate delve into the implications of Robert F. Kennedy Jr. (RFK) potentially leading the Department of Health and Human Services. They discuss RFK's controversial views, particularly his criticisms of the pharmaceutical industry and his stances on public health issues like diet and vaccination. The hosts explore the complexities of health discourse in the age of social media, emphasi...
In this episode, Tripp Johnson and Marcus Shumate walk you through their take on the ongoing challenges faced by healthcare providers in navigating the insurance landscape, particularly with Blue Cross Blue Shield in North Carolina. They discuss the frustrations stemming from delayed payments and administrative hurdles that not only impact their practice but also compromise patient care. Tripp shares insights on the implications of...
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