Ep #43: The Future of Healthcare with Steve Mund

What does the next 5, 10, 20 years look like for the healthcare industry? That’s a question everyone would love an answer for, but there are many opinions out there. We sat down with Steve Mund, DNP, CRNA, FACHE, CENP, to pick his brain on everything from insurance to costs to payments and more.

On This Episode:

Few topics stir up the country like healthcare and the debate over its future rages on. From small towns to major cities, people everywhere are talking about the industry and changes they think should be made.

Everyone has an opinion and that makes it difficult to get a grasp on where we’re headed as a profession. We can barely decide on where we’ll be next year, let alone in 10 or 20 years from now. That can be a scary thought as we think about our career and how it will impact our lives.

We wanted to go deeper into that topic and try to get a better understanding of where healthcare is headed so we sat down with Steve Mund, DNP, CRNA, FACHE, CENP. With decades of experience in the industry, Steve brings a lot of insight into the operational side of the business.

There’s so much to talk about and we tried to cover as much as we could during the half-hour. Some of the topics we discussed are payment models, patient accountability, operating costs, payers and providers, becoming more efficient, mergers, and how each of us can make an impact in our day-to-day roles.

Steve gives us a great look at where we could be headed and the biggest challenges we’re facing. If you’re curious at all about the industry, you don’t want to miss this episode of the Beyond the Mask Podcast.

Check it out at the top of the page and use the timestamps to help you navigate through the many topics we discussed.

[spp-timestamp time= 1:59 – Introducing our guest on this episode, Steve Mund.

2:29 – Sharon shares some background on Steve.

[spp-timestamp time= 4:24 – It’s an interesting time in healthcare and there’s no way to predict how it will change in the years to come.

6:57 – How to be a problem-solver for your department.

7:58 – The three payment models healthcare needs to engage in for the future.

10:14 – What about the accountability on the patient side?

11:19 – The providers get penalized but what about the payer?

12:57 – Jeremy shares a recent discussion he had with an insurance executive about drug costs.

14:01 – Let’s talk about mergers. Are their benefits to these large mergers?

[spp-timestamp time= 14:59 – One prediction projected operating margin to be -16%.

15:55 – The length of stay can be an area of improvement potentially.

16:47 – Hospitals only operate on a 2.5-4% margin.

17:41 – Where is all the money going?

20:04 – What factors are driving the utilization of healthcare?             

[spp-timestamp time= 22:03 – What does Steve see as the future of healthcare payers?

23:36 – The best way to stay informed is Becker’s Review.

25:29 – How do you determine value in healthcare these days?

[spp-timestamp time= 26:58 – So how can providers show their value to their organizations?

27:42 – How can we help cut down on waste in financial, clinical and personnel areas?

29:16 – The waste isn’t always about money, it’s also about time.

30:40 – Some final thoughts from Steve.

“I hope that as a society we will continue to say we do have some responsibility for our healthcare and that’s to follow what our doctors and nurse practitioners and whatever tell us and do some of those things.”

-Steve Mund





COVID-19 Pandemic

Ep 213: Moral Injury and Nurse Anesthesia

With the increased distress and rationing of care that arose during the COVID-19 pandemic, the topic of Moral Injury (MI) has started to garner much more attention in the world of healthcare. This repeated conflict between an individual’s morality and the management of care causes a deep emotional wound that often drives workers out of the profession altogether. Jerry Hogan, DNSc, CRNA wrote an article about this subject, so we’ve asked him to explain the effects of MI and how CRNAs can resolve this conflict.

Current Events

Ep 212: Thankful for the AANA and Its Ongoing Efforts for CRNAs

It hasn’t been the easiest year for a lot of people, but we know there’s still plenty to be grateful for as we approach another Thanksgiving. Specifically, we wanted to shine the light on the AANA and everything they do for our profession each year. New AANA President Angie Mund, DNP, CRNA is a friend of the show and someone we appreciate quite a bit so we wanted to spend some time with her on this holiday to talk about everything she’s hoping to accomplish over the next year.


Ep 211: Anesthesia Management for a Pheochromocytoma

We’ve had CRNAs and SRNAs ask us to give them the essential information needed to manage a particular case and today we’re going to do that with Pheochromocytoma. This is the second episode in our endocrine surgical procedures series and there will be some valuable info that you might find on exams as well. Here’s the power-packed episode for anesthesia management for a Pheochromocytoma that we hope you get a lot out of.




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J. Cross CRNA
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This podcast is very well put together. I love the hosts Sharon & Jeremy, they do a fantastic job at presenting topics as well as getting great speakers on the show! This is my morning commute podcast everyday! Thank you for all that you do!
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I enjoy listening every morning. Great content and always a pleasure to learn something new.
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I started listening to this podcast religiously early on in my CRNA journey, a year before applying to CRNA school. The content in this podcast was one of my most helpful resources for getting into my first choice school, Wake Forest! It has also been a huge motivator for getting involved with the AANA now and throughout my career. I highly recommend this podcast to every prospective CRNA I meet.
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I appreciate hearing the latest and greatest in the world of Nurse Anesthesiology while also getting Class B credits. Just listen on your commute for a win/win experience. I love the perspectives from Jeremy and Sharon who both ask varied and insightful questions!
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If you’re a CRNA or any medical professional, I highly recommend giving this podcast a listen. Hosts have a great rapport.