Healthcare Rebuilt

Healthcare Rebuilt is a monthly podcast where Boe Hartman talks with the people making real cost, real care, and real change happen in American healthcare.

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Healthcare spending impacts everyone

$5.3
Trillion

U.S. healthcare spending in 2026

18%
of GDP

One in every five dollars goes to healthcare

30%
of CFOs

lack the information they need to manage costs

39% of employers

with claims data are cutting costs with direct contracts

Latest Episode

Explore Healthcare Rebuilt for real conversations about healthcare costs and solutions.

Chris Deacon on NJ’s $100M Horizon Settlement | Healthcare Rebuilt Podcast

Chris Deacon: Inside New Jersey's $100M Horizon Settlement

In this episode of Healthcare Rebuilt, host Boe Hartman welcomes Chris Deacon, former Director of New Jersey's Public Sector Health Plans and author of The Great American Healthcare Heist. Chris shares her journey from being a lawyer to running one of the largest public health plans in America, overseeing healthcare for 820,000 people and $7 billion in taxpayer money.

February 2026

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Meet Boe Hartman

What happens when someone who's built payment systems for Goldman Sachs, Barclays, and Capital One turns that expertise toward America's $5 trillion healthcare problem?

You get Nomi Health. Boe Hartman is Co-Founder and Chief Technology Officer, where he's applying three decades of financial systems experience to fix healthcare's broken infrastructure. He spent years building payment systems including Goldman Sachs's consumer bank and Apple Card, before joining Nomi Health to tackle the administrative waste driving up healthcare costs. He's now building direct networks, real-time payment systems, and analytics that show employers exactly where their money goes. On Healthcare Rebuilt, Boe talks with the leaders who are actively solving healthcare's biggest cost problems.

Why We Created Healthcare Rebuilt

Healthcare in America costs more than $5 trillion a year, and it's only getting worse for the people who pay for it, deliver it, and depend on it. On Healthcare Rebuilt, host Boe Hartman cuts through the administrative waste to show you what's broken, what's working, and how a new model is already changing lives across the country. Each episode, he talks with the people making real cost, real care, and real change happen.

Our Approach

We focus on practical conversations with real impact. Every episode features leaders who are making measurable change, whether that's self-funded employers controlling costs, providers improving payment cycles, or innovators rebuilding broken systems from the ground up.

Topics We Cover

Payment systems and revenue cycles, prescription drug costs and pharmacy management, self-funded employer strategies, healthcare analytics and data insights, direct contracting and network solutions, and the real economics behind healthcare delivery.

Why listen to Healthcare Rebuilt?

Understand Your Costs

Learn why your healthcare spend keeps rising and where the money actually goes—explained by someone who's built payment systems for the world’s largest banks.

See What Works

Specific cost savings and real examples from organizations cutting their healthcare spend right now.

Act With Confidence

Actionable strategies from CFOs, employers, health systems, and Nomi Health leaders tackling costs with direct networks, modern payments, and analytics.