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Relocalizing Health with Dave Chase

Relocalizing Health with Dave Chase

Von: TopHealth Media
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While Washington argues and Wall Street profits, a quiet transformation is reshaping healthcare: one community at a time.


Relocalizing Health takes you inside this movement with Dave Chase, founder of Health Rosetta, as he talks with the people leading healthcare's ground-up transformation. Their approach? Keep care local, rebuild trust, and redirect healthcare wasted spending into something that actually serves people.


You'll hear real-world stories from employers, clinicians, and civic leaders who are designing health plans and ecosystems that work, and strengthening their local economies in the process.


Featured guests include:

- Public sector leaders who've redesigned employee health benefits to free up millions for essential services.

- Physicians who've left corporate systems to practice relationship-based care.

- Manufacturing executives using healthcare as a competitive advantage - not a cost burden.

- Civic leaders helping communities reclaim control of their healthcare destiny.


If you care about your community's future and want to see what's actually working in healthcare transformation, this show offers a clear-eyed look at proven models and how to implement them.

© 2026 Relocalizing Health with Dave Chase Hygiene & gesundes Leben Management & Leadership Ökonomie
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  • How Can Community-Driven Healthcare Transform Costs and Outcomes?

    How Can Community-Driven Healthcare Transform Costs and Outcomes?
    Jul 16 2026

    Welcome to Relocalizing Health! In this episode, Dave Chase sits down with Claire Brockbank, a trailblazer in transforming healthcare costs and outcomes through community-driven strategies. From helping Colorado’s mountain towns slash exorbitant insurance prices with Peak Health Alliance to leading one of the largest union health funds in the nation at 32BJ, Claire Brockbank has proven that local communities, armed with the right data and determination, can take back control from hospital monopolies and insurance giants.

    Together, they explore the power of direct contracting, the critical role of transparency and accountability, and innovative programs like 32BJ’s $40 baby initiative.

    Listen in for practical lessons and inspiration on how you, your organization, or your community can challenge the status quo and drive real, measurable healthcare change.


    Timestamps:

    00:00 Addressing High Health Care Costs

    04:17 Fair pricing for hospital negotiations

    09:40 Using data in negotiations

    12:47 Direct health care negotiations

    16:13 Overcoming Challenges with Claire and 32BJ

    18:37 Launching the maternity program

    22:01 Addressing healthcare inequalities

    23:43 Negotiating healthcare savings and impacts

    26:59 Claire's leadership in health cooperatives


    Claire BrockBank - https://www.linkedin.com/in/claire-brockbank-17b7901/

    32BJ Health Fund - https://health.32bjfunds.org/

    Learn More:

    RosettaFest 2026 - https://rosettafest.org/

    Health Rosetta - http://healthrosetta.org/

    Nautilus - https://www.nautilushealth.org/

    Kynexions - https://kynexions.com/

    Dave Chase - https://www.linkedin.com/in/chasedave/

    Podcast Website - https://relocalizinghealth.com/
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    30 Min.
  • Case Study: The Clinic That Started in an Accounting Office and Saved $570 Million - Rosen Hotels, Orlando

    Case Study: The Clinic That Started in an Accounting Office and Saved $570 Million - Rosen Hotels, Orlando
    Jul 14 2026
    Rosen Hotels & Resorts is a family hospitality company in Orlando, Florida, built by Harris Rosen, the son of immigrants who grew up on New York's Lower East Side. During the oil crisis in the 1970s, he bought a bankrupt Quality Inn on International Drive with a modest down payment and a lot of nerve. By the early 90s he had built a real company. And like every other employer in America, he was getting hammered by healthcare increases.His workforce reflected the hospitality industry in Central Florida: a lot of immigrants, many of whom had never had access to a modern healthcare system. The traditional insurance model was punishing them with high deductibles, rising premiums, and surprise bills, in an industry where people live paycheck to paycheck.So Rosen and his CFO, Frank Santos, now the company's CEO, asked a question almost nobody asks: what if the hundreds of millions going into bureaucracy went to caring for people instead? They converted part of an accounting office into a clinic with one part-time doctor. Their broker told them to stay in the insurance pool. Industry veterans said an employer couldn't deliver care without going broke or going substandard.Three decades later, that accounting-office clinic is a 12,000-square-foot medical center. Rosen employees see a doctor on the clock, not on their own time. Deductibles and co-pays went down while the rest of the industry raised them. Per-employee healthcare costs run 55 percent below industry norms, sustained for thirty years. Total savings: $570 million and counting.Rosen never kept the savings. They poured them into Tangelo Park: free preschool, free daycare, fully funded college scholarships for an entire neighborhood. High school graduation rates that used to be unacceptably low now sometimes hit 100 percent. Crime dropped 80 percent.If a mid-sized hotel company in Orlando can build this, "we're not a healthcare company" stops being an excuse. It is just a story we tell ourselves.Kenneth Aldrich, Rosen's clinical leader since 1998, and Carolyn Grant from Rosen's care team will be at RosettaFest 2026, July 29 to 31 in Nashville at the Gaylord Opryland. They will be in the room. So will the playbook.Key Takeaways:Harris Rosen bought a bankrupt Quality Inn on International Drive in Orlando during the 1970s oil crisis and built Rosen Hotels & Resorts from itFacing a steep renewal increase in the 1990s, Rosen and CFO Frank Santos converted part of an accounting office into a clinic with one part-time doctor, against their broker's adviceThat clinic is now a 12,000-square-foot medical center, built in part on fully functioning used equipment bought at 10 cents on the dollarEmployees see their doctor on the clock, get free rides to appointments, and complex health needs (60 to 72 percent of pregnancies now classified high risk) are treated as a design problem, not a liabilityRosen's opioid prescription rate runs at one-sixth the typical US employer rate, a pattern Dave Chase investigated for his book The Opioid Crisis Wake-Up CallHealthcare costs have stayed essentially flat at the rate of inflation for three decades; per-employee costs run 55 percent below industry normsTotal savings: $570 million and counting, benchmarked against comparable Orlando hospitality employersEmployee weekly contribution is about $16.66; turnover runs at one-sixth the industry rate; workers' comp costs were cut in halfThe Tangelo Park Program funds free preschool, daycare, after-school care, and fully funded college scholarships for an entire neighborhood; economist Lance Lochner measured a 7-to-1 return on the investmentThe model has since spread into Parramore and the historic Eatonville neighborhood, and other Orlando employers have followed, including Second Harvest Food Bank and the School District of Osceola County, which saved $21 million in its first two yearsResources Mentioned:The Opioid Crisis Wake-Up Call by Dave ChaseRelocalizing Health by Dave Chase: pre-order on Amazon nowRosettaFest 2026: RosettaFest.org - Rosen's clinical and care leadership will be in NashvilleSubscribe and Follow: Relocalizing Health Podcast, available on all major platforms.Learn More:RosettaFest 2026 - https://rosettafest.org/Health Rosetta - http://healthrosetta.org/Nautilus - https://www.nautilushealth.org/Kynexions - https://kynexions.com/ Dave Chase - https://www.linkedin.com/in/chasedave/Podcast Website - https://relocalizinghealth.com/
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    17 Min.
  • Case Study: From the Worst Health Outcomes in America to the Best System in the World: The Nuka Story

    Case Study: From the Worst Health Outcomes in America to the Best System in the World: The Nuka Story
    Jul 7 2026

    In the late 1990s, the Alaska Native Medical Center was a tuberculosis sanatorium turned healthcare facility where elders described themselves not as people, but as numbers. One elder remembered it clearly: "I was number 24601. My newborn daughter was 24602. When my aunt passed, they gave her number to another baby."

    That was the system April Kyle grew up in. She avoided that hospital as a child because going was a horrible experience. Six-hour waits were normal. Six-week appointment backlogs were standard. The worst health outcomes in the United States.

    April Kyle now runs it.

    What happened between those two realities is one of the most documented, most studied, most awarded healthcare transformations in the world. People fly in from Singapore, Sweden, and across the globe to understand how the Southcentral Foundation and the Alaska Native community it serves built the Nuka System of Care, a model so far ahead of conventional medicine that it has won the Malcolm Baldrige National Quality Award twice. The only healthcare organization in America to do so.

    This episode tells that story. Not the awards. The ownership. The decision to stop calling people patients and start calling them customer-owners. The moment a new nurse leader said we were going to see anyone who needs care the same day and her colleagues thought leadership had lost their minds. Within six months it was just how things worked.

    Emergency room visits down 45 percent. Hospital admissions down 53 percent. Specialist use down 65 percent. Quality scores went from the bottom fifth percentile to the 75th and often the 90th percentile. Childhood immunization at 93 percent. Diabetes complications down 25 percent. Customer-owner and employee satisfaction both hovering around 95 percent. Total cost running 20 to 30 percent below national averages. In Alaska. In one of the most expensive geographies in the country.

    And over half the employees are now Alaska Native people. The health system became an engine of community wealth building.

    April Kyle is flying from Alaska to RosettaFest 2026 in Nashville, July 29 to 31, to share this story in person. She will be in the room.

    Key Takeaways:

    • South central Foundation serves 70,000 Alaska Native people across an area the size of Sweden
    • The transformation began when the community took ownership of a system that had been poorly serving them
    • The single most powerful shift: they stopped using the word patient and started calling everyone a customer-owner
    • Dr. Douglas Eby, Chief Medical Officer: "When you're a patient, things are done to you. When you're a customer, you have a choice. When you're an owner, you have control."
    • April Kyle's leadership philosophy: "I'm not the expert at what services should be delivered. I need to be an expert at how to be driven by the community."
    • Same-day access for anything achieved within six months of committing to it, from a six-week waitlist
    • They spend 10 times the usual amount on training, coaching, and mentoring
    • ER visits down 45 percent, hospital admissions down 53 percent, specialist use down 65 percent
    • Quality scores from the bottom fifth percentile to the 75th to 90th percentile
    • Total cost 20 to 30 percent below national averages despite Alaska's high-cost geography
    • The community decides: mammogram scheduling was moved from fall to February because the women of one island community said so, and they were right
    • Copying the tactics is easy. Copying the ownership model is what most systems cannot do.
    • April Kyle joins the main stage at RosettaFest 2026 in Nashville

    Resources Mentioned:

    • Relocalizing Health by Dave Chase: pre-order on Amazon now
    • South central Foundation and the Nuka System of Care: southcentralfoundation.com
    • RosettaFest 2026: RosettaFest.org April Kyle joins the main stage
    • Previous Relocalizing Health podcast interview with April Kyle: search the feed

    Subscribe and Follow:
    Relocalizing Health Podcast — available on all major platforms.

    Learn More:

    RosettaFest 2026 - https://rosettafest.org/

    Health Rosetta - http://healthrosetta.org/

    Nautilus - https://www.nautilushealth.org/

    Kynexions - https://kynexions.com/

    Dave Chase - https://www.linkedin.com/in/chasedave/

    Podcast Website - https://relocalizinghealth.com/
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    16 Min.
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