Price in healthcare is market share, not quality | Nick Reber, Garner Health CEO

Nick Reber, Founder and CEO, Garner Health talks with Chrissy about why the most consequential decision in healthcare, which doctor you actually see, is the one patients have the least information about. After four spine surgeries for a problem that turned out to be in his neck, Nick left Bridgewater, spent time on the leadership team at Oscar Health, and started Garner to put physician performance data and financial incentives in front of employees. They get into the 4x variation in complication rates between the best and worst quartile of doctors inside the same brand-name hospital system, why price in healthcare tracks market share rather than quality, and what happened when he brought that data to large academic medical centers while building provider networks at the health plan. Dive into the Granola notes from this episode: https://notes.granola.ai/t/3487c811-86da-4c10-a79d-27d21625e2c7-009c2hma —SPONSOR: Granola

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—LINKS: Garner Health: https://garnerhealth.com Garner's Series E: https://garnerhealth.com/blog/ai-will-fix-healthcare-but-it-needs-help ProPublica Surgeon Scorecard: https://projects.propublica.org/surgeons/ Nick Reber, Sequoia founder profile: https://sequoiacap.com/founder/nick-reber/ 

Chrissy Farr on YouTube: https://www.youtube.com/@LiferswithChristinaFarr Chrissy Farr on Instagram: https://www.instagram.com/cfarr/ Subscribe to the Second Opinion Newsletter: https://secondopinion.media/ Chrissy’s Book: The Storyteller's Advantage: https://www.chrissyfarr.com/books 

—FOLLOW:Nick: https://www.linkedin.com/in/nickreber/ https://x.com/nickpreber 

Chrissy:https://www.linkedin.com/in/christinafarr/ https://x.com/chrissyfarr 

Second Opinion Media:https://www.instagram.com/second.opinion.media/ https://x.com/second_op_media 

—TIMESTAMPS:(00:00) Lead in(00:33) Intro(00:54) Meet Nick Reber(01:43) Patient origin story(04:32) Bridgewater lessons(07:30) Startup mindset(09:53) Why healthcare wins(15:28) Sponsor: Granola(16:15) What Garner does(20:45) Doctor quality variation(22:21) Cost versus quality(24:40) Why plans cannot share(27:03) Employer system origins(32:24) Fixing incentives(34:46) Should data be public(37:25) Quiet unicorn growth(39:11) Selling through brokers(42:40) Future plan designs(46:41) AI and team structure(51:06) Wrap