The Saving Dose
The podcast for those building the future of healthcare. A clinician, a healthcare attorney, and a behavioral health executive on what's actually working in addiction, adherence, and the capital reshaping both.
75% of patients do not take medications as prescribed. 125,000 Americans die from it every year. $528 billion in preventable costs trace directly to a gap the healthcare system has known about for decades and never closed: what happens after the prescription is written.
The Saving Dose is a podcast about that gap, the space between the clinic visit and the outcome, between the evidence-based treatment and the patient who never receives it, between the innovation that works and the reimbursement system that decides whether anyone can afford to deliver it.
Hosted by Dr. John Hsu, and William Pedranti, the show brings together a behavioral health revenue strategist, an addiction medicine physician, and a biotech entrepreneur to go inside the clinical, operational, and commercial realities of addiction recovery, medication adherence, opioid use disorder (OUD), and behavioral health. Three different vantage points on the same broken system. Honest about what fails, specific about why, and direct about what a real fix requires.
Topics include: addiction, addiction recovery, MOUD and MAT clinic operations, medication-assisted treatment adherence, behavioral health reimbursement, opioid use disorder treatment, payer contracting, DEA compliance, FFS-to-value-based care transitions, and the patient adherence gap in controlled substance prescribing.
The Saving Dose is for investors evaluating the addiction recovery and behavioral health infrastructure market. For clinic operators and executives running opioid treatment programs, MOUD practices, and behavioral health facilities. For clinicians in addiction medicine and pain management. For payers and administrators navigating the cost and risk of behavioral health coverage.
New episodes every two weeks. Available on Spotify, Apple Podcasts, YouTube, and wherever you listen.
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Episodes
15 episodes
Inside Hospital Drug Diversion | The Saving Dose Ep. 15 ft. Terry Vidals
Terri Vidals has spent more than 35 years in pharmacy, with the last 15 focused on a problem most healthcare institutions prefer not to discuss: drug diversion by their own staff. She founded RExpert Solutions to help hospitals assess where the...
What the UK Got Right About Addiction | The Saving Dose Ep. 14 Ft. Mark Gilman
Mark Gilman has worked inside the opioid crisis from every angle for more than 40 years: as a researcher, a policy architect, a commissioner, a clinician, and a patient. He designed the Through the Gate program for NHS England, which put medica...
How Stigma Keeps People from Getting Help | The Saving Dose Ep. 13 Ft. Melissa Shackleford
Melissa Shackleford has been in addiction recovery for 37 years. She got sober as a college freshman, went on to spend a decade as SVP of Marketing at Hazelden Betty Ford, and built a career at the intersection of healthcare marketing and behav...
The Drug That Can Make Pain Worse | The Saving Dose Ep. 12 Ft. Prof. Patrice Forget
In the twelfth episode of The Saving Dose, Dr. John Hsu and William Pedranti are joined by Professor Patrice Forget, a Belgian anesthesiologist and pain researcher now based in the United Kingdom. With more than 250 peer-reviewed publications, ...
Inside the White House Drug Policy Office | The Saving Dose Ep. 11 feat. Rob Kent
In the eleventh episode of The Saving Dose, Dr. John Hsu and William Pedranti are joined by Rob Kent, former General Counsel at the White House Office of National Drug Control Policy under the Biden administration and a 30-year veteran of New Y...
What Actually Happens After Rehab | The Saving Dose Ep. 10 ft Frank Galimidi
In the tenth episode of The Saving Dose, Dr. John Hsu and William Pedranti are joined by Frank Galimidi, CEO of Sunview Wellness in West Palm Beach, Florida, a veteran clinical leader with 23 years in addiction treatment and substance use disor...
Managing Chronic Pain with Fear of Addiction | The Saving Dose Ep. 09 Ft. Sandy Eulitt
In the ninth episode of The Saving Dose, Dr. John Hsu and William Pedranti are joined by Sandy Eulitt, a software engineer, data architect, and technology professional based in Southern California who has lived with chronic pain since 1986 and ...
The Pharmacist Who Became the Patient | The Saving Dose Ep. 08 ft Ernie Dole
In the eighth episode of The Saving Dose, Dr. John Hsu and William Pedranti are joined by Ernie Dole, a pharmacist by training, former clinical professor at the University of New Mexico, and someone who spent decades treating opioid use disorde...
Investigative Reporter on How Opioid Settlement Funds Are Spent | The Saving Dose Ep. 07 ft. Ed Mahon
In the seventh episode of The Saving Dose, Dr. John Hsu and William Pedranti are joined by Ed Mahon, an investigative journalist at Spotlight PA who has spent years covering how opioid settlement funds are being allocated across Pennsylvania an...
Why Chronic Pain Is Under-treated in the USA | The Saving Dose Ep. 06 Ft. Kevin James
In the sixth episode of The Saving Dose, Dr. John Hsu and William Pedranti are joined by Kevin James, a chronic pain patient, advocate, and member of Chronic Pain Australia, speaking from Brisbane, Queensland. Kevin has lived with c...
What Happens to Patients After the Prescription Runs Out | The Saving Dose Ep. 05
In the fifth episode of The Saving Dose, Dr. John Hsu and William Pedranti go inside opioid use disorder from the ground up: what it actually is, what causes it, why the people most affected by it are being failed by a system that was never des...
The Business of Opioid Treatment | The Saving Dose Ep. 04
In the fourth episode of The Saving Dose, William Pedranti and Kendra Allen continue their conversation on the operational reality inside opioid treatment programs and get into the part of addiction recovery that almost nobody in the industry t...
Inside the Black Box of Addiction Treatment | The Saving Dose Ep. 03
In the third episode of The Saving Dose, William Pedranti sits down with Kendra Allen to map the full continuum of addiction treatment in America and go inside the operational reality of the clinics trying to deliver it. This is not a conversat...
Why Doctors Are Afraid to Prescribe Pain Medication | The Saving Dose Ep. 02
In the second episode of The Saving Dose, John Hsu MD and William Pedranti go deep into the most dangerous misconceptions driving the opioid epidemic, why physicians are afraid to prescribe, what the difference between dependency and addiction ...
Why Addiction Treatment Is Failing America | The Saving Dose Ep. 01
In the first episode of The Saving Dose, three addiction medicine and behavioral health executives discuss why opioid use disorder treatment is failing patients, what the medication adherence gap actually looks like from inside the clinic, and ...