Dan Gorenstein

Executive Producer and Co-Host

Dan launched the Tradeoffs podcast in October 2019. The project's tagline is "Exploring our confusing, costly, and often counterintuitive health care system." Release every Wednesday, it can be found through the Acast Podcast Network, Apple Podcasts, Spotify, Google Podcasts and Stitcher, all accessible directly or through the new Tradeoffs website. Previously, Dan was the senior reporter for Marketplace’s Health Desk, covering the business of healthcare. Before joining Marketplace in 2012, he spent more than 11 years at New Hampshire Public Radio. He got his start in journalism at the Chicago Reporter, an investigative journal that examines race and class disparities in Chicago. He has won numerous national and local awards, including a Sigma Delta Chi investigative reporting award from the Society of Professional Journalists. He earned a bachelor’s degree in human development and social relations from Earlham College.


The idea is simple: Health care providers leave the exam room and spend more time developing relationships with patients in their kitchens and living rooms. But can such an approach actually keep chronically ill patients from landing in the hospital over and over again?

When it comes to "super-utilizers," improving health and saving money is the only measure of success for many in the industry. Some programs have achieved those twin objectives, but some wonder if that bar is too high for a group of patients who've often endured decades of poverty and trauma.

Can the American health care system save money and improve health by spending more on social services for the most expensive patients, the so-called super-utilizers? It sounds like a promising approach, but as Marketplace's Dan Gorenstein reports, the challenges are fierce.

We've entered an interesting moment in health care. The patients hospitals and doctors have historically made money on — the so-called "frequent fliers" — have become millstones around their necks. In this ACA-era, healthcare providers and insurers must find ways to limit their return trips.