What happens when the former head of the CDC sits down to break down the future of American healthcare for employers?
In this episode of Margin of Care, host Kirk Czonstka speaks with Dr. Mandy Cohen, one of the most respected leaders in public health. Dr. Cohen shares what the pandemic changed for the better across the healthcare system, the risks employers face from major policy shifts like H.R. 1, and why the individual market is entering a dangerous cycle that will spill over into employer plans.
She also explains how mental and physical health integration is finally becoming real, why global health investments matter for US employers, and why the path out of the cost crisis requires employers to build a stronger culture of health and trust inside their organizations.
Dr. Cohen brings a rare combination of medical training, public sector leadership, and crisis-tested experience. This conversation gives employers a clear, unfiltered view of the policy and cost trends that will shape the next decade.
Key Takeaways
Telehealth, data modernization, and cross-system collaboration were lasting improvements from the pandemic
The individual market is entering a severe risk pool spiral that will raise premiums and reduce coverage options
H.R. 1’s Medicaid changes will trigger major cost shifts into the employer market
AI is not lowering costs in the short term and may increase trend due to high investment and payer-provider dynamics
Employers must build a culture of health and trust to change behavior and manage long-term costs
Global health surveillance is essential for pandemic preparedness, and declining investments increase national risk