American employers are spending more on healthcare than any other country in the world, and outcomes continue to get worse.

That disconnect is why Healthy Business Matters exists.

In this introductory episode, host Dr. Andrew White, founder and CEO of AlignWell, explains the purpose of the podcast and the problem it’s designed to tackle: a healthcare system that rewards spending instead of results, and benefit strategies that look good on paper but fail in real-world execution.

This is not a podcast about vendor demos or polite conversations. It’s about how employee benefits actually work, and how they fail, in real employer environments.

Who this show is for

• Insurance brokers working with self-funded, captive, or level-funded plans
• HR leaders, CFOs, founders, and executives responsible for benefit decisions
• TPAs, PBMs, and point solutions operating in the employer health ecosystem
• Anyone accountable for benefit design, budget, and outcomes

What you’ll hear on this podcast

• Real-world benefit design and execution conversations
• Why many benefit strategies fail despite good intentions
• The difference between education, behavior change, and outcomes
• Mental models for designing benefits that actually move the needle
• Conversations with operators, brokers, TPAs, PBMs, and industry leaders who are in the trenches

Key ideas from this episode

• The healthcare system rewards spending, not results
• Employers are the largest funders of U.S. healthcare — and the biggest lever for change
• Real reform comes from how employers buy, not from legislation
• Most benefit strategies fail because they start with compliance instead of intent
• Knowledge alone doesn’t change health; systems and accountability do

Listener promise

If you don’t leave each episode with an idea or perspective that improves your decision-making, the episode failed.

New episodes release every Tuesday, with occasional bonus conversations.

Get in touch

Have a topic you want covered?

Know a guest who should be on the show?

Want to share feedback or learn more about AlignWell?

hello@alignco.life