
Moving to Value Unscripted · 2026-05-12 · 49 min
In Ohio's rural Ashtabula County, employers and patients struggled with rising costs and accessing services until a community coalition built a localized healthcare ecosystem. The results? A transparent financial structure that cuts out middlemen, direct primary care and community contracting, zero-dollar copays for many services and improved trust, satisfaction and population health outcomes. Bryce Heinbaugh, the man behind this coalition, joins us to discuss the transformative power of community owned health plans, and how his work in Ashtabula provides a roadmap for communities around the country to reclaim control from national insurance giants. Find the transcript of this episode at movingtovalue.org/transcript/heinbaugh Mentioned in this episode: our May 2024 episode with Dr. Scott Conard , our June 2025 episode with Darrell Moon , our November 2025 episode with April Kyle and Dr. Doug Eby of Southcentral Foundation's Nuka system . ________