Making Sense of Healthcare Policy & the Big Beautiful Bill

In this episode of Success in Chaos, Angela and Kandice sit down with Blair Childs, CEO of Childs and Associates, longtime strategist and advocate at the center of U.S. healthcare policy, to decode what’s coming next. Blair lays out a clear framework for navigating change:

• Shifting from government-designed programs to market-based, total-cost accountability models;
• Correcting fee-for-service’s perverse incentives and leveling the playing field; and
• Empowering real consumerism through data access and interoperability

They unpack the Rural Transformation Fund—why timelines matter, how states will move, and what health systems should to engage with their Medicaid offices. Blair closes with practical guidance: benchmark current performance, build a game plan across the bill’s rollout, and lean into value-based care to cut through chaos.

Episode Chapter Guide

01:42 Meet Blair Childs: A Healthcare Policy Expert

05:38 Blair’s Journey in Healthcare Policy

10:46 Transitioning to a Market-Based Healthcare System

16:45 Understanding the Big Beautiful Bill

23:19 The Future of Rural Healthcare

28:08 Accelerating Value-Based Care

To access the One Big Beautiful Bill Act, visit congress.gov.