Policy veteran Blair Childs, CEO of Childs and Associates, joins hosts Angela Adams, RN, and Kandice Garcia Tomkins, RN to make sense of D.C.’s latest “big beautiful bill” and the forces reshaping U.S. healthcare. Blair distills three defining shifts—market-based total-cost accountability, fixing perverse fee-for-service incentives, and true consumerism via interoperable data—and explains what leaders should do now. The conversation dives into the Rural Transformation Fund timeline, why to engage state Medicaid offices immediately, and how accelerating value-based care can reduce chaos and improve outcomes.Episode chapter guide:01:42 Meet Blair Childs: A Healthcare Policy Expert05:38 Blair's Journey in Healthcare Policy10:46 Transitioning to a Market-Based Healthcare System16:45 Understanding the Big Beautiful Bill23:19 The Future of Rural Healthcare28:08 Accelerating Value-Based CareTo access the One Big Beautiful Bill Act, visit congress.gov.

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