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Artwork for Unbundled: Nursing, Value and the Cost of Care

Unbundled: Nursing, Value and the Cost of Care

Briana Posanka
Nursing
Nursing Workforce
Healthcare Economics
Prevention
Nursing Value In Healthcare
United States Health Care System
Advocacy
Policy and Reimbursement Models
Healthcare Policy
Healthcare Reimbursement
Nursing Human Capital Value Model
Healthcare Payment Systems
Commission For Nurse Reimbursement
Pediatrics
Nurse Staffing and Education
Hospital Billing
Nursing Education
Prevention In Healthcare
Economic Literacy In Nursing
Patient Safety

Unbundled is a microlearning podcast exploring how healthcare payment models, economics, and incentives shape the way nursing is understood, measured, and resourced. Through conversations with economists, clinicians, and thought leaders, this series breaks down complex ideas—like reimbursement, human capital, and value creation—into practical insights nurses can use to better understand their role... more

PublishesDailyEpisodes5Founded2 months ago
Number of ListenersCategory
Health & Fitness

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Artwork for Unbundled: Nursing, Value and the Cost of Care

Latest Episodes

In this final episode, we reflect on what it means to understand—and influence—the system behind the care.

Bringing together themes of value, human capital, and advocacy, this episode invites a new way of thinking about nursing’s role in shaping the... more

In this episode of Unbundled, we shift the conversation from how nursing value is measured to where it’s created.

Joined by nurse practitioner Marsha Pike, we explore the role nurses play in prevention, wellness, and shaping health long before illne... more

In this episode of Unbundled, we take a closer look at how healthcare payment models shape the way nursing is valued.

Joined by health economist Dr. Olga Yakusheva, we explore why nursing care is often included—but not directly priced—within broader... more

Who decides what gets paid for in healthcare—and why does nursing so often get left out?

In this episode, we discuss how policy, payors, and financial incentives shape the system nurses work in every day.

Featuring Sharon Pearce, this conversation ... more

In this first episode of Unbundled, we introduce a concept most nurses were never taught:

That much of the work nurses do—monitoring, coordination, and early intervention—is not directly priced or reimbursed within the healthcare system.

So what do... more

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Recent Guests

Marsha Pike
Pediatric clinical nurse specialist focused on prevention and chronic disease management
None specified
Episode: Episode 3: Prevention Pays: The Untapped Economic Power of Nurse-Led Care
Olga Yakusheva
Economist at Johns Hopkins who studies nursing impact on patient outcomes and hospital finances
Johns Hopkins University
Episode: Episode 2: Hidden in the Bundle: Why Nursing is Invisible in Reimbursement
Sharon Pearce
Nurse leader focused on policy, advocacy, and helping nurses influence healthcare decision-making
Commission for Nurse Reimbursement (co-chair)
Episode: Episode 4: Policy, Payors and Power: How Nursing Gets Left Out, and How it Gets Back In

Host

Brianna Posanka
Host of Unbundled: Nursing, Value and the Cost of Care; advocate for recognizing nursing value in economic and policy contexts.

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Talking Points

Recent interactions between the hosts and their guests.

Episode 4: Policy, Payors and Power: How Nursing Gets Left Out, and How it Gets Back In
Q: How does understanding the economics of health care strengthen a nurse's voice in policy discussions?
Nurses who understand the economics become educators to policymakers, translating clinical value into economic terms and helping legitimize nursing input in reimbursement and policy decisions.
Episode 4: Policy, Payors and Power: How Nursing Gets Left Out, and How it Gets Back In
Q: Do nurses need formal policy roles to influence policy, or are there smaller entry points to contribute?
While formal roles are valuable, nurses can be influencers by developing relationships with power players (legislators, insurance commissioners), staying knowledgeable about health economics, and consistently engaging with policymakers.
Episode 4: Policy, Payors and Power: How Nursing Gets Left Out, and How it Gets Back In
Q: What practical steps can nurses take to get involved in policy and advocacy conversations?
Be seen and raise your hand—join hospital committees, learn who legislators are, meet them, and maintain direct lines of communication; being at the table protects patients and advances nursing influence.
Episode 4: Policy, Payors and Power: How Nursing Gets Left Out, and How it Gets Back In
Q: When it comes to healthcare payment and reimbursement, who are the key players shaping those decisions? Where is the influence actually coming from?
Payers, regulatory agencies, and the federal government hold top sway, with nurses historically left out of the line-item view; the conversation is concentrated among power brokers rather than bedside clinicians.

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What is This Podcast about and what kind of topics does it cover?

Unbundled offers concise, practical takes on how healthcare payment models, economics, and incentives shape nursing—how it's measured, funded, and valued. Across episodes, the conversation centers on making nursing value visible, advocating for policy and reimbursement changes, and reframing nursing as a core economic asset in care delivery. Noteworthy is the explicit emphasis on translating high-level economic concepts into actionable steps for nurses, leaders, and payers, plus a focus on advocacy, policy education, and workforce perspectives. The format tends to pair a nurse host with economists and clinician guests to translate complex systems into relatable insights for professional development and organizational impact.

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These podcasts share a similar audience with this podcast:

1. The Daily

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this podcast launched 2 months ago and published 5 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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Recent guests on this podcast include:

1. Marsha Pike
2. Olga Yakusheva
3. Sharon Pearce

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