Miriam Paramore on becoming a caregiver and the $500 gap that kept her father off Medicaid

Miriam Paramore, Founder and CEO of RxUtility, joins Christina Farr for a conversation that moves from caregiving for aging parents to the hidden economics of American healthcare. Miriam, who has spent over 40 years in health tech and finance, argues that AI won't fix rural health's transportation and staffing gaps, that hospitals should redeploy billing staff into home care roles instead of cutting them, and that pharmacist gag laws keep patients from ever learning a drug's real cash price (in one case, $2.18 versus a $10 copay for the same generic). Miriam also pushes to get women talking openly about money, deal flow, and investing, the same way men already do.

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SPONSOR: Granola

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Join Christina for upcoming webinars:
9/17 - Top Employers Share What Healthcare Startups Need to Know in 2026 - https://www.secondopinion.media/employers-as-healthcare-purchasers-how-startups-can-break-in/
9/22 - Where are AI Agents Actually Working in Healthcare, and Why? - https://streamyard.com/watch/42HnpJFgxNT4
9/24 - Healthcare AI Has an ROI Problem - https://www.secondopinion.media/ama-with-aaron-miri/
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LINKS:
RxUtility: http://rxutility.com/
WBL, Women Business Leaders of the US Health Care Industry: https://www.wbl.org/

Chrissy Farr on YouTube: https://www.youtube.com/@LiferswithChristinaFarr
Chrissy Farr on Instagram: https://www.instagram.com/cfarr/
Subscribe to the Second Opinion Newsletter: https://secondopinion.media/
Chrissy’s Book: The Storyteller's Advantage: https://www.chrissyfarr.com/books

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FOLLOW:
Miriam:
https://www.linkedin.com/in/miriamparamore/
https://x.com/mparamore

Chrissy:
https://www.linkedin.com/in/christinafarr/
https://x.com/chrissyfarr

Second Opinion Media:
https://www.instagram.com/second.opinion.media/
https://x.com/second_op_media

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TIMESTAMPS:

(00:00) Lead in
(00:34) Intro
(02:25) Sandwich generation caregiving
(03:32) Rural health reality check
(07:21) Human care vs AI hype
(10:38) Redeploying rev cycle labor
(17:37) Value based care skepticism
(21:08) Sponsor: Granola
(21:54) Cutting admin friction
(24:41) Incentives and who loses
(28:02) Rise of cash healthcare
(30:44) Universal basics and deductibles
(32:13) Concierge and telehealth wins
(33:26) Opting out with DPC
(35:01) Health systems missed UX
(35:46) Cash care and HIPAA
(37:32) Drug pricing blind spots
(39:39) Cash prices and savings
(40:41) Who to trust navigating
(43:48) Consumerism and AI future
(46:01) Women talking money
(51:15) Investing in friends
(57:25) Mentorship and rejection
(58:25) Where to find Miriam
(59:03) Wrap