Rick Rawson on Healthcare Reframed Production: Healthcare Reframed — Micah Buller | Todd Carpenter | Lindsay Swain Hunt Rick Rawson explains why cutting costs and chasing transactions made hospitals weaker—and how a community-first, mission-driven strategy tripled revenue, rebuilt trust, and grew access across rural towns. What You'll Learn Escape the cut-to-survive trap with "make the hose bigger" growth Why consolidation erodes trust—and how to return power to communities Turning mission into margin (not the other way around) Practical examples: community clinics, CHWs with lived experience, cross-sector coalitions Governance that sustains strategy (purpose → metrics → accountability)   Episode Chapters 00:00 – Trailer and Introduction 02:08 – Early Leadership Challenges and Financial Realities 06:49 – Reframing Healthcare Challenges and Business Models 11:22 – Growing Revenue and Community-Centered Care 13:50 – Metrics, Productivity, and Strategic Growth 17:07 – Consolidation, Community Disconnection, and Systemic Challenges 23:25 – Capital Markets Influence and Nonprofit vs For-Profit Dynamics 28:33 – Leading Large Health Systems with a Community Focus 30:51 – Hospitals as Community Partners Beyond Clinical Care 34:00 – Pressure, Fear, and Leadership Accountability 35:54 – Systemic Power Dynamics and Community Empowerment 41:15 – Community Ownership and Trust in Healthcare Systems 43:30 – Fragility and Optimism in Healthcare Systems 47:08 – California's CalAIM Program and Community-Based Care 51:13 – Leadership Gaps and Strategic Community Partnerships 54:30 – Balancing Government, Community, and Private Sector Roles 57:51 – Innovation at the State and Community Level 61:58 – Profitability Through Value and Integrated Care Models 63:10 – Personal Motivation and Commitment to Healthcare Reform 64:46 – Persistence and Collaboration for System Change 67:36 – Trust, Transparency, and Accountability in Healthcare 69:50 – Innovation, Movements, and Community-Led Change 70:53 – Future Outlook: Innovation and Scaling Change 73:19 – Coaching Leaders to Overcome Burnout Through Purpose 75:39 – Aligning Organizational and Individual Purpose 78:43 – Mission, Margin, and Authentic Leadership 80:36 – Nonprofit Governance and System Mentality Challenges 83:57 – Board Accountability and Courage in Healthcare Governance 86:06 – Case Study: Steward Healthcare Collapse and Lessons Learned 90:31 – Closing Reflections and Future Questions    

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