Relocalizing Health with Dave Chase

On this episode of Relocalizing Health, host Dave Chase is joined by April Kyle, president and CEO of Southcentral Foundation in Alaska, for a deep dive into one of America’s most remarkable healthcare transformations. Together, they explore how the Alaska Native community took control of their own healthcare system, moving from an underfunded, top-down model to a community-owned system that now boasts some of the best health outcomes and highest satisfaction rates in the world.
April Kyle shares the practical blueprint behind this success: from the generational trauma and distrust that had to be overcome, to the pivotal role of true community engagement and ongoing governance that keeps the transformation alive. The conversation highlights the importance of listening, evolving systems to meet community needs, and the challenges of sustaining change across decades. Listeners will hear inspiring, concrete stories of how community voices are not only heard, but drive real decisions, from scheduling mammograms around moose hunting season to making tough calls about housing for providers.
Whether you’re a community leader, healthcare provider, or simply passionate about building better systems, this episode offers actionable insights and hope for communities everywhere looking to take back control and create a system built for and by them.

Timestamps:

00:00 "Relocalizing Health: Community-Driven Care"
04:18 April Kyle's Introduction & Journey
09:31 "Community-Centered Evolving Healthcare Model"
12:42 "Relocalizing Health, Not Healthcare"
15:20 Listening to Families, Closing Gaps
19:35 "Listening, Dialogue, and Community Partnership"
22:24 "Community-Driven Leadership Challenges"
27:15 Listening to Community First
28:12 "Community-Driven Listening and Customization"
32:49 Community Decision on Housing Safety
36:31 "Clinical Outcomes Data Sharing"
37:26 Community Resource Allocation Dialogue
40:42 "Power of Convening Communities"
46:25 "Embracing Community-Led Healthcare Change"
48:13 Integrating Behavioral Care Insights
50:48 "Rosetta Fest: Health Care Transformation"

Podcasts: IHI https://podcasts.apple.com/us/podcast/when-people-of-the-system-own-the-system-with/id1681829836?i=1000678625961
Moving to Value Part 1 https://podcasts.apple.com/us/podcast/part-1-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535
Part 2 https://podcasts.apple.com/us/podcast/part-2-the-nuka-blueprint-w-april-kyle-and-dr-doug-eby/id1716935535

Learn More:
RosettaFest 2025 - 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 back to Relocalizing Health, the podcast where we shine a light on the communities taking healthcare back from corporate control and making it serve people, rather than profit. In today’s episode, host Dave Chase sits down with Christina King, a benefit advisor from Columbus, Ohio, who’s breaking the mold on how we think about hospitals and employer health plans.
Instead of waiting for Washington to fix a “terminally broken” system, Christina King has been rolling up her sleeves and partnering with regional hospitals to create community-owned health plans, even as much of Ohio’s healthcare landscape is collapsing around her. She unpacks how these grassroots efforts are not only keeping care in the community, but transforming hospital relationships, employer incentives and even employee recruitment by building something better from within.
We’ll dig into the unique financial models, the critical role of direct primary care and independent pharmacies, and why employers are finally able to use health benefits as a genuine tool to attract their workforce. Plus, Christina King shares how these local successes are fueling statewide excitement and connecting an ever-growing network of visionary leaders ready to take healthcare transformation on the road.
Get ready for an inspiring conversation that offers practical insights and real hope for reclaiming the American dream, one community at a time.

Timestamps:
00:00 Reclaiming Healthcare, Serving Communities
04:33 Networking to Reach Hospital Executives
08:41 Healthcare Innovation Around Metro Areas
12:45 Replicating Community Health Plans
15:42 Community-Focused Healthcare Collaboration
18:05 "Health Plans Driving Employee Attraction"
23:20 "Employer Community Health Revolution"
25:00 Community Celebration After Denver Trip
28:25 "Employers Discussing Healthcare Challenges"
31:33 Hospital Competition and Cost Reform
36:12 "Live in Anticipation of Connections"
37:45 Reclaiming Healthcare, Building Community

Learn More:
RosettaFest 2025 - 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 dig deep into the heart of America's healthcare crisis and the opportunities that can rise from its collapse. In this Solo Episode, host Dave Chase confronts the uncomfortable truth: our healthcare system is not just broken, it's on the brink of collapse, with skyrocketing costs, staggering waste, and millions of Americans falling into medical debt.
But it's not all doom and gloom. Dave Chase shares a personal story of loss and regret that fueled his mission for meaningful change, and he draws on history and proven models to show us how collapse can pave the way for better, more equitable healthcare. From community-owned health plans to bold policy solutions like the proposed Community Self Determination Act, he reveals two real pathways to transformation, grounded in local control, transparency, and an unwavering focus on true wellbeing.
If you're ready to learn how communities are already reclaiming their health (and their financial futures), and how we can move from fear to action as this system unravels, this episode is your essential starting point. Let’s explore how we can turn crisis into an opportunity for lasting, positive change in American healthcare, one community at a time.

Timestamps:
00:00 "America's Systemic Collapse and Hope"
05:15 Healthcare Costs and Human Impact
07:47 "Fragile Healthcare Hierarchies Collapse"
12:29 "Rethinking Healthcare for Wellbeing"
16:12 Native Healthcare Transformation Revolution
18:21 "Optimal Community Health Plan Model"
23:10 "Path to Healing and Reform"
24:13 "Relocalizing Health Solutions"

Learn More:
RosettaFest 2025 - 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 the 11th episode of Relocalizing Health, where we dive deep into how communities are reclaiming their local healthcare systems from extraction and inefficiency. This week, host Dave Chase is joined by Josh Butler, a benefit advisor based in Amarillo, Texas, who has been at the forefront of transformative change in his region.
Instead of telling a story from a neat conclusion, we’ll journey into the "messy middle", where real progress and real challenges coexist. Josh Butler shares his pivotal moments, including a powerful story about helping a truck driver finally receive surgical care after ten years of suffering due to unaffordable deductibles. Inspired by the Health Rosetta movement, Josh transitioned from selling traditional insurance to building innovative, local solutions through the High Plains Health Plan.
Listen in as we unpack the obstacles, breakthroughs, and the human impact of reimagining health benefits, where employers, clinicians, and advisors work together to create plans focused on accessibility, affordability, and genuine care. Whether you’re an employer, civic leader, or just someone passionate about change, this episode reveals what’s possible when communities take ownership of their healthcare dollars and destinies.
Join us for a compelling conversation about restoring the American dream, one local health system at a time.

Timestamps:
00:00 "Relocalizing Healthcare Transformation"
03:30 Health Insurance Broker Challenges
08:29 "Revolutionizing Healthcare Through Collaboration"
12:27 "Joining Health Rosetta: My Journey"
13:25 "Growth, Learning, and Overcoming Fear"
19:21 Physicians Prioritize Patients Over Profit
21:52 Healthcare Industry Resistance to Change
25:53 Choosing Partners Carefully
28:17 "High Plains Health Plan Benefits"
32:52 Brokerage Expansion and Partnerships
35:15 Establishing a Financial Baseline
39:21 Restoring the American Dream
41:27 "Transforming Healthcare with Passion"

Learn More:
RosettaFest 2025 - 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 shine a light on the reality behind America's healthcare crisis and offer practical, local solutions you can start implementing today. In this episode, Dave Chase dives deep into the staggering 342% increase in healthcare costs since 1999, exposing why traditional benefit packages keep getting worse despite annual "kabuki dance" negotiations between employers, brokers, and insurance carriers.
Through real-world stories, like Bryce Heinbaugh, an Ohio benefit advisor who transformed from feeling part of the problem to helping thousands in his community, Dave Chase reveals how deliberate, grassroots actions can change the game. Learn about the transformative power of community-owned health plans, transparent pricing, advanced primary care, and keeping healthcare dollars local.
If you're an employer tired of wasteful spending or a benefit broker fatigued by the status quo, this episode uncovers actionable ways to reclaim what matters most: high-quality, affordable care for your people and real economic value for your organization. It’s not about disruption for disruption’s sake, it’s about restoring common sense and dignity to healthcare, right where you live. So tune in as we bust myths, share inspiring case studies, and invite you to join the movement to relocalize health.

Timestamps:
00:00 "Brokers, Profits, and Transformation"
03:32 Healthcare Costs: A Theft Problem
08:09 Reimagining Healthcare for Success
12:21 Transparent Healthcare & Pharmacy Benefits
14:41 "Advanced Primary Care Benefits"
19:09 "Life-Changing Healthcare Savings Story"
20:09 "Transforming Healthcare to Value Creation"
25:52 "Health Reset Transformation Steps"
26:40 Relocalize Health Now

Learn More:
RosettaFest 2025 - 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/