Relocalizing Health with Dave Chase

Welcome to another episode of Relocalizing Health. Today, we explore how something as simple as rethinking medical imaging can spark a transformation in employer-sponsored healthcare, creating real wins for employees, employers, and communities alike. Host Dave Chase is joined by Dr. Cristin A. Dickerson, a radiologist and founder of Green Imaging, whose innovative approach has brought bundled transparent pricing to imaging services in thousands of communities across America.
Together, they discuss why imaging is often the first and most powerful step for organizations seeking to take control of their healthcare spending, breaking down the barriers that have long frustrated patients, from lengthy authorizations to surprise bills. You’ll hear real-world stories of school districts, cities, and counties that have saved millions, improved employee access to care, and even turned health plan savings into raises for their staff.
Dr. Cristin A. Dickerson shares how building trust, local partnerships, and simple processes can empower even the most change-averse organizations to take meaningful action. If you’ve ever wondered how health plan innovation really happens or what it takes to move from frustration to affordable, accessible care, this episode is for you.

Timestamps:
00:00 Decision-making in public health plans
05:26 Imaging as a crucial first step
06:56 Partnering with Imaging Centers
13:11 Barriers to accessing healthcare
15:49 Getting Brevard County's Approval
17:11 Improving radiology authorization process
22:45 Changing Health Plans Off-Cycle
25:31 Targeting healthcare decision-making
29:39 Hospital billing and negotiation challenges
31:57 Credit unions and hospital practices
36:22 Discussing the Health Reset Dividend
38:47 Affordable healthcare access benefits
41:18 Closing and sign-off

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/

Welcome to Relocalizing Health. In this episode, Dave Chase explores the powerful connection between neighborhood cohesion and health with guest Seth Kaplan, author of Fragile Neighborhoods. Over recent decades, American communities have suffered from declining local relationships, and with no meaningful incentive to make neighborhoods better, both public and private institutions have unintentionally worked in silos, often leaving health outcomes and the social fabric itself worse off.
But there's a movement underway. Across the globe, from Singapore to the Netherlands, new models of healthcare have emerged, focused on empowering residents and rebuilding care around neighborhoods rather than institutions. Drawing on case studies and lessons from around the world, Seth Kaplan and Dave Chase discuss how shifting our mindset, restructuring incentives, and revitalizing neighborhood governance could radically improve health, reduce costs, and revive a sense of belonging.
Join us as we explore what happens when the neighborhood, not just the individual, becomes the patient, and how each of us can spark change, starting right where we live.

Timestamps:
00:00 Community-driven healthcare models
04:46 Exploring American social cohesion
07:55 Flaws in the American healthcare system
12:50 Yishun Health community engagement strategy
16:55 Creating community healthcare nodes
20:08 Fostering Health in Communities
22:55 Community and Charity Involvement
26:39 Growing small health plans into communities
31:50 Sovereignty and healthcare systems
33:07 Rural electrification and community action
36:31 Neighborhood-centered governance ideas
40:10 Neighborhood improvement incentives
45:01 Public sector's role in healthcare
47:02 Importance of social relationships
53:01 Rethinking and nurturing new ideas
54:39 Community-led healthcare initiatives

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/

Welcome to Relocalizing Health, where we explore the transformative power of community-driven healthcare reforms. In today’s episode, guest Lee Lewis and host Dave Chase challenge long-held beliefs about healthcare being an uncontrollable cost and reveal how employers, by banding together in cooperatives, are not just cutting expenses but improving care quality and outcomes.
Drawing inspiration from the historic rise of rural electric cooperatives, Dave Chase introduces us to the Health Transformation Alliance, a pioneering employer-owned cooperative reshaping health benefits for millions. Lee Lewis, Chief Strategy Officer of the Health Transformation Alliance (HTA), shares behind-the-scenes stories and actionable insights on how organizations can pool resources, break industry dogmas, and unleash innovations that empower individuals and whole communities.
Tune in to hear inspiring case studies, practical strategies for change management, and a powerful call to action for every employer, community leader, and clinician ready to take back control of healthcare and make a real difference for the people they serve.
Timestamps:
00:00 Building a healthcare co-op
03:39 Saving for Employee Nursing Stations
08:35 Misconceptions about saving on healthcare
10:25 Identifying motivated benefits team members
15:23 Highlighting hospital cost and risk issues
19:03 Collaborating with local employers
20:42 Scaling innovation with initial partnerships
26:03 Improving patient care navigation
29:39 Improving employee benefits and savings
31:55 Economic impact of technology in workplaces
34:40 Healthcare crisis and hero benefits leaders

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/

This episode is for the person who has been following this series and wants to know what is actually inside Relocalizing Health before they read it, and what they will walk away able to do differently.
Dave Chase addresses three specific audiences directly.
For advisors: the book is a field manual for building fiduciary-grade plans that hold up under scrutiny. It covers the contractual language that separates a plan built to perform from one built to produce revenue for intermediaries, the data access requirements that give employers genuine visibility into how their money is being spent, and the selection and evaluation frameworks that let advisors build accountability into every vendor relationship.
For employers: the book shows what it looks like when a health plan is treated as a line of business an organization is actually willing to manage. Not a cost center that absorbs annual increases and passes them to employees. A strategic asset that generates a real dividend and reinvests it in the workforce.
For community leaders: the book makes the case that healthcare cost is an economic development problem with a documented solution. The communities that get this right do not just save money. They redirect those savings into schools, workforce development, housing, and the kinds of local investments that build durable economies.
Dave also addresses the AI Catalyst section specifically: as artificial intelligence displaces workers at scale, the communities that have figured out how to generate and redirect healthcare savings will have the resources to invest in workforce transition. The ones that have not will face a compounding crisis.
The book launches July 29. Every attendee at RosettaFest gets a copy.
Key Takeaways:
The book is written for three distinct audiences with three distinct entry points: advisors, employers, and community leaders
For advisors: fiduciary-grade plan building, contractual language, data access requirements, vendor evaluation frameworks
For employers: treating the health plan as a strategic asset that generates and reinvests a real dividend, not a cost center absorbing increases
For community leaders: healthcare cost is an economic development problem with a documented solution and the communities that solve it build durable economies
The AI Catalyst section: communities that redirect healthcare savings into workforce development will have resources for the transition that AI displacement is accelerating
The Nautilus Health Institute has democratized the tools so this is no longer locked behind expensive consultants or proprietary frameworks
The book is a field manual, not a manifesto. The playbook exists. What is left is the will to use it.
Resources Mentioned:
Relocalizing Health by Dave Chase: pre-order on Amazon now
RosettaFest 2026: RosettaFest.org
Health Rosetta: healthrosetta.org
Nautilus Health Institute: open-source tools and frameworks
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/

This episode walks through the Rosie Award winners and the case studies that make up the appendix of Relocalizing Health — the documented proof that the model described in this book is not theoretical.
Dave Chase walks through what the Rosie Awards actually represent: employers and public sector organizations evaluated on real Plan Grader scores and real reinvestment of savings through the Health Rosetta Dividend. The awards are not given for good intentions. They are given for results, for documented outcomes that show up in the numbers.
The episode covers the kinds of results that have earned organizations a place in the appendix and on the Rosie Award stage: school districts that saved millions and kept teachers in classrooms, municipalities that redirected healthcare savings into community infrastructure, employers that eliminated deductibles and copays while reducing total cost, and health systems that demonstrated what direct contracting with employers actually looks like in practice.
Dave is direct about why these stories matter: because the standard objection to everything in this book is that it sounds good in theory but would never work at scale or in a normal organization. The appendix is the answer to that objection. These are normal organizations. They are not wealthy. They are not in major metropolitan areas. Many of them are in the same kinds of communities that have been told this is too hard, too risky, or too far outside the status quo to be worth trying.
The book launches July 29 at RosettaFest in Nashville. Every attendee gets a copy.
Key Takeaways:
The Rosie Awards evaluate real Plan Grader scores and real reinvestment of the Health Rosetta Dividend, not good intentions
The appendix of Relocalizing Health is built from Rosie Award case studies, documented proof that the model works in normal organizations
The organizations in the appendix are not wealthy, not in major metros, and not operating with special advantages. They are the answer to the objection that this would never work at scale.
Results documented across Rosie Award winners include eliminating deductibles and copays, saving millions while keeping public sector budgets intact, and building direct contracting relationships with providers
The people behind these results are at RosettaFest 2026 in Nashville, ready to share everything they built
Resources Mentioned:
Relocalizing Health by Dave Chase: pre-order on Amazon now
RosettaFest 2026: RosettaFest.org
Health Rosetta Plan Grader: healthrosetta.org
Rosie Award winners PDF: available at RosettaFest.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/