The Five Mile Difference
The Five Mile Difference
Podcast Description
Does your zip code determine your life expectancy?
Hosted by Vitable Health Founder and CEO Joseph Kitonga, The Five Mile Difference explores what it really takes to fix the healthcare system from the ground up. Inspired by a startling truth that just five miles can mean a 20-year difference in life expectancy, this podcast dives into the real stories behind the healthcare gap.
Through candid conversations with healthcare innovators, forward-thinking employers, and community leaders, each episode will unpack what’s working, what’s broken, and what needs to change.
Podcast Insights
Content Themes
The podcast explores themes such as healthcare accessibility, weight loss management, and systemic healthcare changes, with episodes diving into topics like the role of GLP-1 medications in weight loss and the investigation of the 20-year life expectancy gap within five miles, blending expert opinion with personal narrative.

Does your zip code determine your life expectancy?
Hosted by Vitable Health Founder and CEO Joseph Kitonga, The Five Mile Difference explores what it really takes to fix the healthcare system from the ground up. Inspired by a startling truth that just five miles can mean a 20-year difference in life expectancy, this podcast dives into the real stories behind the healthcare gap.
Through candid conversations with healthcare innovators, forward-thinking employers, and community leaders, each episode will unpack what’s working, what’s broken, and what needs to change.
In this episode of The Five Mile Difference, I sit down with Stephanie Strong, founder and CEO of Boulder Care, to talk about what it takes to reimagine addiction treatment in America.
Stephanie shares her journey from shaping health policy in D.C. to venture investing to founding Boulder, which has now cared for more than 30,000 patients through a fully virtual model. We explore her decision to focus on Medicaid, the unique challenges of payer contracting, and the values that guide Boulder through industry uncertainty.
We discuss:
How early policy work shaped her founder journey
Why focusing on Medicaid patients creates the most impact
The importance of advocacy in shaping telehealth rules
Lessons from building patient-first culture at scale
How Boulder proved virtual addiction care can outperform in-person
Stephanie holds degrees from Duke and has dedicated her career to the intersection of health policy, innovation, and care delivery. Today, she leads Boulder Care from Oregon, expanding access to life-saving treatment nationwide.

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