How Health Systems Work

How Health Systems Work
Podcast Description
Interviews with the U.S Health Systems Brightest Minds.
Over the years, Jim Burke has had the privilege of engaging in deep, insightful conversations with some of the brightest minds in healthcare. These leaders possess invaluable perspectives that could offer solutions to many of the challenges facing the U.S. health Systems today. Driven by his curiosity and passion for learning, Jim created this podcast to amplify these voices and share their stories.
This series invites healthcare leaders to tune in, learn from these mental models, and be inspired to collaborate and challenge the status
Podcast Insights
Content Themes
The podcast focuses on pivotal topics within the healthcare sector, including value-based care, healthcare contracting, and quality improvement initiatives. Episodes such as those featuring Anthony Long discuss systemic challenges like communication gaps in healthcare, while Amy Mackin explores healthcare contracting complexities, and Brian C. Betner analyzes the intersection of quality care and physician incentives.

Interviews with the U.S Health Systems Brightest Minds.
Over the years, Jim Burke has had the privilege of engaging in deep, insightful conversations with some of the brightest minds in healthcare. These leaders possess invaluable perspectives that could offer solutions to many of the challenges facing the U.S. health Systems today. Driven by his curiosity and passion for learning, Jim created this podcast to amplify these voices and share their stories.
This series invites healthcare leaders to tune in, learn from these mental models, and be inspired to collaborate and challenge the status
In this episode of How Health Systems Work, Jim Burke and Steve Pratt are joined by Andrew Dick, a healthcare real estate attorney with 18 years of experience helping hospitals and health systems navigate complex property decisions.
Andrew breaks down why real estate strategy is no longer just about buildings—it’s about survival. From the explosive growth of ambulatory surgery centers (ASCs) to the shifting role of nonprofit ownership, Andrew explains how health systems can strengthen their financial position, improve patient access, and avoid costly pitfalls.
The conversation explores:
Why ASCs are transforming care delivery and hospital margins
How partnerships, acquisitions, and management companies can help health systems adapt
What health systems should know about property tax risks and pilot agreements
How nonprofit foundations can help structure smarter real estate deals
Why health systems need to critically assess what they own, what they lease, and how they use it
Whether you’re a healthcare executive, board member, or operations leader, this episode offers practical guidance on using real estate strategy as a tool for resilience and growth.

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