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Illuminate Podcast: Shining Light on the Darkness of Pornography
After betrayal, couples are often told they just need to communicate better. But what if communication isn't actually the problem? In this episode, we challenge one of the most common pieces of relationship advice and explore why communication techniques often fail in the early stages of betrayal recovery. We discuss why a betrayed partner's distress is already communicating something important, why recovering partners must learn to respond to the pain beneath the words, and why genuine safety, not better communication skills, is what creates lasting connection. The truth is, good communication isn't where healing starts. It's what naturally grows when honesty, accountability, and emotional safety are restored. __________________________________ Take the Free Assessment: I created a short self-assessment to help you pinpoint exactly where you are in your healing right now, and what to focus on next. It takes just a few minutes, and you'll walk away with clarity instead of guessing. Find out where you are: https://whereismywork.com/ ______________________________ Download the Free Resource: You, Me, Us - A Way Forward After Betrayal When betrayal has shaken your relationship, it can feel impossible to know where to begin. This free 15-minute video and companion worksheet will help you steady yourself, support your partner, and begin caring for the relationship between you. Get your copy here. ______________________________ Join the Courageous Together™ Program Courageous Together™ isn't just another course, it's a trauma-informed roadmap that holds both of you in the healing process. If you've ever wondered “Where do we even start?” After betrayal, this program gives you the clarity and structure you need. It meets the betrayed partner's need for safety while guiding the recovering partner toward real accountability, creating a path forward that neither of you has to figure out on your own. Healing from betrayal is overwhelming in isolation, which is why Courageous Together™ brings you expert guidance, practical tools, and a supportive community of couples walking the same road. Inside, you'll find a step-by-step framework, live support opportunities, and the reassurance that you're not alone as you rebuild safety, restore trust, and move toward genuine connection. You'll have access to: A structured healing framework with step-by-step guidance Video lessons and worksheets to build safety, accountability, and connection The option to join live group circles and support calls with me A private, secure community of others walking the same path Learn more and join us inside Courageous Together ______________________________ Stay Connected Website YouTube Instagram Facebook If this episode resonated with you, please share it with someone who might need it. And don't forget to leave a review! We'd love to hear how this podcast is supporting your healing journey. __________________________________ Watch on YouTube Prefer video? You can watch full episodes of From Crisis to Connection on our YouTube channel __________________________________ About Geoff Steurer I am a licensed marriage and family therapist and Certified Clinical Partner Specialist (CCPS) with 25+ years of experience helping individuals and couples heal from the devastation of sexual betrayal and broken trust. I am the founder of the Courageous Together program, co-host of the From Crisis to Connection podcast, and co-author of Love You, Hate the Porn. My work integrates trauma-informed care, attachment theory, and practical tools for creating lasting safety and connection. I've been married to my wife, Jody, since 1996 and we are the parents of four children. About Jody Steurer Jody is the co-host of the From Crisis to Connection podcast, where she brings her thoughtful, common-sense perspective to conversations about healing, trust, and connection. She earned her bachelor's degree in psychology from Brigham Young University and is an ACA-certified coach. Jody has years of experience in corporate training, small business leadership, and family life, and raising four children (two of them neurodivergent). She loves watercolor painting, landscape design, spending time outdoors, and snow skiing.
August 20, 2026Republicans are trying to hide the cuts they have made to health care in the US, Republicans are working to undo the progress made with the Affordable Care Act, The work requirement they have imposed on the ACA is really a paperwork requirement, Up to 15 million people are at risk of losing Medicaid coverage, In 1883 sociologist Wiliiam Graham Sumner published an influential book that concluded that citizens owe nothing to each other, Those succeeding in the industrializing economy agreed, The Trump administration appears to embrace the belief that the nation depends upon the survival of the fittest, Robert F Kennedy's beliefs about vaccines seem to align with that idea, The US is experiencing a wave of foodborne illnesses, The administration cut back mandatory tracking of eight pathogens that had been covered by FoodNet before the administration cut six of them, The leadership positions at the CDC and FDA are vacant and need to be filled, Keeping government out of society undermined public health and safety in the past, Middle class Americans demanded regulation of the food and drug industry, ushering in reforms. Watch today's recording here: https://www.youtube.com/live/g9TUa1Rwd6U?si=T8_KKcHQZElhpnZ-Get full, free access to Letters from an American here: https://heathercoxrichardson.substack.com/subscribeYou can also find me:Bluesky: https://bsky.app/profile/hcrichardson.bsky.socialInstagram: https://www.instagram.com/heathercoxrichardson/?hl=enFacebook: https://www.facebook.com/heathercoxrichardson/YouTube: https://www.youtube.com/@heathercoxrichardson Get full access to Letters from an American at heathercoxrichardson.substack.com/subscribe
Health Affairs Publishing's Jeff Byers welcomes Erica Socker of Georgetown University to the pod to discuss her recent Forefront article that explores how the Medicare Advantage quality bonus program is working in the wake of a Clover Health-CMS lawsuit over star ratings. They discuss the court's ruling, CMS's policy response, and why the case could become a catalyst for broader reforms to a program that now distributes billions of dollars annually. Related Links:Medicare Advantage Quality Bonus Program: Court Decisions Spotlight Flaws (Health Affairs Forefront)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.
On "Forbes Newsroom," Congressman Brad Schneider (D-IL) discussed the Trump administration proposing that ACA enrollees who can't afford their medical bills take out a loan from their health insurer, the impact of the DSA on the Democratic party, and the continued Iran war. Learn more about your ad choices. Visit megaphone.fm/adchoices
Direct Primary Care no longer disqualifies patients from HSA eligibility. As of January 1, 2026, DPC membership fees are a qualified HSA expense at or below $150 per month for one person and $300 for a family. Above $150 you are not in violation. You are in the same gray zone DPC lived in for a decade, and the tax position belongs to the patient and their accountant, not to you.Dr. Phil Eskew (DO, JD, MBA) of DPC Frontier joins Dr. Maryal Concepcion to break down what changed and what it means for your practice, then walks through the Medicare opt-out calendar most physicians discover too late.KEY NUMBERS AND DATES $150/month per person, $300 family. Effective January 1, 2026. Opt-outs take effect only on January 1, April 1, July 1, October 1. Affidavit must be filed at least 30 days before the effective date. File by roughly December 1, 2026 to be opted out January 1, 2027. 90-day reversal window, but you must refund every membership dollar collected.QUESTIONS ANSWEREDCan patients use an HSA to pay for direct primary care? Yes, as of January 2026. Both old IRS objections were fixed: whether the fee is a medical expense, and whether membership disqualifies HSA contributions.Should I put "HSA eligible" on my website? No. Write "We accept HSA cards." Promising eligibility in your marketing or agreement takes on a tax position on your patient's behalf.How do I get under $150 without losing revenue? Enrollment fees are not compensation for care. Blood draws, injections, EKGs, and dispensed medications can price separately.What does the rule exclude? Prescription drugs other than vaccines, and lab services not typically done in an ambulatory primary care setting.If I opt out, can I still order labs and referrals? Yes. Opting out is not disenrollment. You stay credentialed and Medicare pays for labs, imaging, referrals, DME, and prescriptions you order.Where can I still work while opted out? VA, Indian Health Service, corrections, and hospice administrative work. Precepting usually requires participation. TRICARE requires Medicare participation. Medicaid uses ORP/OPR status, prohibited in Kentucky and Colorado.Does opt-out apply to Medicare Advantage? Yes. Opt-out applies to all Medicare programs nationwide. You cannot opt out selectively.MENTIONED DPC Frontier · McCarran-Ferguson Act (1945) · ACA primary care carve-out · bronze and catastrophic plans as HSA-compatible · capacity vs. competency · durable power of attorney · prior authorization escalation strategyHAVE A QUESTION? WE ANSWER THEM ON AIR. Leave a voicemail at mydpcstory.com/contact with your name, state, and question.NEXT EPISODE: ILLINOIS, timed to the Illinois DPC Summit, October 2 and 3, NIU Naperville. Subscribe to the My DPC Story newsletter at mydpcstory.com to know when it drops.Educational only. Not legal or tax advice. Dr. Eskew is not your attorney.Stand With Dr. Nyasha Spears and the Future of Patient-Centered Healthcare. Get the MEDICARE & MEDICARE ADVANTAGE OPEN ENROLLMENT SURVIVAL GUIDE at mydpcstory.com/shop! Get your copy of the Physician Owner's Planner today at mydpcstory.com/library Start using the done-for-you patient emails, scripts etc. in our 2027 Edition of the MEDICARE & MEDICARE ADVANTAGE OPEN ENROLLMENT SURVIVAL GUIDE at mydpcstory.com/shop!Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
In this episode of Health Affairs This Week, David Betts, founder and board chair at StoryFlight Labs, shares how his ALS diagnosis inspired him to launch StoryFlight Labs and develop Talk To Me Goose, an AI-powered tool that helps people with speech-limiting conditions retain their voice and communicate with loved ones. He discusses how AI can empower patients, the need for faster healthcare innovation, and policy changes that could improve access to ALS treatments and support.Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.
Illuminate Podcast: Shining Light on the Darkness of Pornography
After betrayal, one question seems to take center stage: Why? Why did this happen? Why didn't you stop? Why didn't you tell me? In this episode, we explore why this question is so difficult to answer, and why even honest attempts at answering those questions often leave both partners feeling frustrated. We discuss what betrayed partners are really searching for when they ask "why," why recovering partners rarely have a satisfying answer early in recovery, and how truth, curiosity, and a willingness to understand can create far more healing than quick explanations ever could. Ultimately, this conversation is about shifting the focus from finding the perfect answer to building a process that restores reality, deepens understanding, and creates genuine safety over time. __________________________________ Take the Free Assessment: I created a short self-assessment to help you pinpoint exactly where you are in your healing right now, and what to focus on next. It takes just a few minutes, and you'll walk away with clarity instead of guessing. Find out where you are: https://whereismywork.com/ ______________________________ Download the Free Resource: You, Me, Us - A Way Forward After Betrayal When betrayal has shaken your relationship, it can feel impossible to know where to begin. This free 15-minute video and companion worksheet will help you steady yourself, support your partner, and begin caring for the relationship between you. Get your copy here. ______________________________ Join the Courageous Together™ Program Courageous Together™ isn't just another course, it's a trauma-informed roadmap that holds both of you in the healing process. If you've ever wondered “Where do we even start?” After betrayal, this program gives you the clarity and structure you need. It meets the betrayed partner's need for safety while guiding the recovering partner toward real accountability, creating a path forward that neither of you has to figure out on your own. Healing from betrayal is overwhelming in isolation, which is why Courageous Together™ brings you expert guidance, practical tools, and a supportive community of couples walking the same road. Inside, you'll find a step-by-step framework, live support opportunities, and the reassurance that you're not alone as you rebuild safety, restore trust, and move toward genuine connection. You'll have access to: A structured healing framework with step-by-step guidance Video lessons and worksheets to build safety, accountability, and connection The option to join live group circles and support calls with me A private, secure community of others walking the same path Learn more and join us inside Courageous Together ______________________________ Stay Connected Website YouTube Instagram Facebook If this episode resonated with you, please share it with someone who might need it. And don't forget to leave a review! We'd love to hear how this podcast is supporting your healing journey. __________________________________ Watch on YouTube Prefer video? You can watch full episodes of From Crisis to Connection on our YouTube channel __________________________________ About Geoff Steurer I am a licensed marriage and family therapist and Certified Clinical Partner Specialist (CCPS) with 25+ years of experience helping individuals and couples heal from the devastation of sexual betrayal and broken trust. I am the founder of the Courageous Together program, co-host of the From Crisis to Connection podcast, and co-author of Love You, Hate the Porn. My work integrates trauma-informed care, attachment theory, and practical tools for creating lasting safety and connection. I've been married to my wife, Jody, since 1996 and we are the parents of four children. About Jody Steurer Jody is the co-host of the From Crisis to Connection podcast, where she brings her thoughtful, common-sense perspective to conversations about healing, trust, and connection. She earned her bachelor's degree in psychology from Brigham Young University and is an ACA-certified coach. Jody has years of experience in corporate training, small business leadership, and family life, and raising four children (two of them neurodivergent). She loves watercolor painting, landscape design, spending time outdoors, and snow skiing.
When you're moving into retirement, you're most likely to be starting to ask yourself which investment accounts you should start drawing from first. There's really no universal answer—retirement withdrawal strategies are deeply personal and situation-dependent. But understanding the implications of each account type and the factors that influence withdrawal order can have a massive impact on your tax burden and the longevity of your assets. You will want to hear this episode if you are interested in... [00:00] Retirement withdrawal strategy options [06:37] Roth IRA and taxable accounts [07:47] Tax implications for investment gains [14:12] Roth IRA conversion strategy [16:17] Real-life retirement income strategies [19:36] Importance of a withdrawal strategy Understanding the Account Types and Their Tax Impact The foundation of your strategic withdrawal plan begins with understanding how each investment account is taxed: 1. Pre-tax Retirement Accounts These include traditional IRAs and 401(k)s, SEP IRAs, and similar plans. Contributions offer a tax deduction, and growth is tax-deferred, but withdrawals are taxed as ordinary income. These accounts are eventually subject to required minimum distributions (RMDs), currently beginning at age 73 or 75, depending on your birth year. Withdrawals here not only increase your reported income but can also impact Medicare premiums and Social Security taxation. 2. Roth Accounts Roth IRAs and Roth 401(k)s are funded with after-tax contributions. Qualified withdrawals are tax-free and—if the original contributor owns the account, not subject to RMDs in your lifetime. This makes Roth accounts especially valuable for flexible, later-stage withdrawals. 3. Taxable Brokerage Accounts These are standard investment accounts not designated for retirement. Withdrawals of principal do not create taxable events; only realized capital gains, dividends, and interest are reported for taxes. One major benefit: capital gains rates can be lower than ordinary income rates and may even reach 0% for some filers. Withdrawals can be easy to manage for opportunistic or requirement-driven needs. Questions to Consider with Personalized Withdrawal Planning Several personal factors play into the best withdrawal order: Are you retiring before 65 and in need of Affordable Care Act (ACA) health insurance? Do you want to minimize future RMDs or leave assets to heirs? When will you begin Social Security or receive pension income? What is your preferred tax bracket and desired lifestyle flexibility? These questions should be revisited regularly, as changes in tax law, health, or legacy wishes can affect your strategy. Real-World Withdrawal Scenarios Coordinating Withdrawals for ACA Subsidies Jonathan retires at 57, pre-Medicare, and must carefully manage his modified adjusted gross income (MAGI) to retain ACA health insurance subsidies. My suggested plan is to combine modest 401(k) withdrawals, reportable dividends, and money market interest to stay below the MAGI threshold. Additional cash needs are met from accounts, like the money market, which don't affect taxable income. This keeps his subsidy and aligns with income limits, demonstrating the need for multi-account coordination. Reducing Future RMDs and Leaving a Legacy Walter and Amy, 62, want to avoid burdening their heirs with high-tax inheritance on pre-tax accounts. Instead of focusing solely on paying the least tax today, they prioritize Roth conversions while Social Security is delayed, taking advantage of lower brackets now to transfer wealth into tax-free vehicles. Over several years, they could convert hundreds of thousands into Roth IRAs, significantly reducing future RMDs while maximizing wealth transfer. Minimizing Tax on Social Security Christian, 68, blends Social Security with distributions from non-taxable sources like his money market to avoid triggering federal taxes on his Social Security. Careful planning allows him to either keep Social Security tax-free or, with limited IRA withdrawals, incur only minimal tax. The Importance of Ongoing Review and Professional Advice Your withdrawal strategy is not a "set-and-forget" plan. Tax laws, account balances, and individual goals will change over time. I suggest annual reviews and, ideally, working with a specialized financial advisor to continually adjust the plan for optimal tax efficiency and income sustainability. A thoughtful approach, tailored to your personal circumstances and updated regularly, will help you balance tax efficiency, income needs, and legacy goals. Resources Mentioned Retirement Readiness Review Subscribe to the Retire with Ryan YouTube Channel Download my entire book for FREE Connect With Morrissey Wealth Management www.MorrisseyWealthManagement.com/contact Subscribe to Retire With Ryan
Katy Talento ran healthcare at the White House Domestic Policy Council and helped push through the price transparency executive order. Now she runs health plans for a living, including for the convent where she once lived as a nun.She spends this episode on why a post-network world keeps hitting the same wall: the three-way contracts between carrier, TPA, and provider that make the network Plan A by force. She explains why she thinks those provisions violate the Sherman Act, what DOJ has started doing about it, and why the workarounds employers use today amount to an underground railroad rather than a functioning market.We also cover the 2026 CAA and the DOL rule that together make PBMs fiduciaries and may do the same to TPAs, her four-part "school choice for healthcare" plan to scale cash pay nationally, and the AI upcoding wave she thinks is breaking stop-loss actuarial models right now.If you've ever wondered why the obvious fix isn't available to you, this is the episode. Tune in."Nobody in the entire town understands employer-sponsored care. All the oxygen is on 20 million people on the ACA. But 180 million people over here, we're not doing any policy for." - Katy TalentoThank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro(00:01:05) From Epidemiologist to Capitol Hill(00:05:37) The Nun Years and Her First Client(00:10:50) Inside the Price Transparency Executive Order(00:16:58) Why Washington Ignores 180 Million People(00:20:33) What Transparency Data Can Actually Do Now(00:25:55) The Plantation Contracts(00:29:01) DOJ, the Sherman Act, and Anti-Competitive Provisions(00:33:04) The CAA and the DOL Rule That Reset Fiduciary Duty(00:39:16) Why the Big Three PBM Model Is Now Illegal(00:46:53) RBP's Access Problem: The Nuns at NYU Langone(00:54:54) The Holy Grail: One Cash Price(00:57:46) School Choice for Healthcare(01:13:43) AI Upcoding and Why Stop-Loss Models Broke(01:21:15) Closing Thoughts: Tell Your StoryKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Katy Talento ran healthcare at the White House Domestic Policy Council and helped push through the price transparency executive order. Now she runs health plans for a living, including for the convent where she once lived as a nun.She spends this episode on why a post-network world keeps hitting the same wall: the three-way contracts between carrier, TPA, and provider that make the network Plan A by force. She explains why she thinks those provisions violate the Sherman Act, what DOJ has started doing about it, and why the workarounds employers use today amount to an underground railroad rather than a functioning market.We also cover the 2026 CAA and the DOL rule that together make PBMs fiduciaries and may do the same to TPAs, her four-part "school choice for healthcare" plan to scale cash pay nationally, and the AI upcoding wave she thinks is breaking stop-loss actuarial models right now.If you've ever wondered why the obvious fix isn't available to you, this is the episode. Tune in."Nobody in the entire town understands employer-sponsored care. All the oxygen is on 20 million people on the ACA. But 180 million people over here, we're not doing any policy for." - Katy TalentoThank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro(00:01:05) From Epidemiologist to Capitol Hill(00:05:37) The Nun Years and Her First Client(00:10:50) Inside the Price Transparency Executive Order(00:16:58) Why Washington Ignores 180 Million People(00:20:33) What Transparency Data Can Actually Do Now(00:25:55) The Plantation Contracts(00:29:01) DOJ, the Sherman Act, and Anti-Competitive Provisions(00:33:04) The CAA and the DOL Rule That Reset Fiduciary Duty(00:39:16) Why the Big Three PBM Model Is Now Illegal(00:46:53) RBP's Access Problem: The Nuns at NYU Langone(00:54:54) The Holy Grail: One Cash Price(00:57:46) School Choice for Healthcare(01:13:43) AI Upcoding and Why Stop-Loss Models Broke(01:21:15) Closing Thoughts: Tell Your StoryKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Now that you've completed your FFM certification, what's next? Continue your learning with our list of resources! Launch into ACA sales by increasing your knowledge of the marketplace. In this episode, we'll teach you what you need to know about selling Affordable Care Act plans. Read the text version Get Connected:
Episode 266: This week we return to the bone yard, when we review 28 Years Later: The Bone Templefrom 2026. Howzat?!Make sure to follow up with us next week as we get ready for Autumn, with the 2014 animated Mini Series Over the Garden Wall.Become a supporter of this podcast: https://www.spreaker.com/podcast/a-cut-above-horror-review--6354278/support.
Rich shares his experience, strength, and hope about recovering from growing up in an alcoholic / dysfunctional home using the 12 steps of ACA.
Michelle shares her experience, strength, and hope about recovering from growing up in an alcoholic / dysfunctional home using the 12 steps of ACA.
On this episode, Health Affairs Publishing's Jeff Byers gets meta and invites Kent Anderson and Joy Moore, authors of the new book How The Internet Disrupted Science, onto the podcast to discuss how media trends have affected academic authors' research and get their work noticed and distributed in The Attention Economy.Both Kent and Joy are currently consultants. Kent was the co-founder of The Scholarly Kitchen and current author at The Geyser. Joy has worked at Silverchair and The American Medical Association.Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.
The Friday Five for August 7, 2026: ACA 2027 Certification Updates CY2027 ACA Premium Rate Filings So Far CMS 2027 Medicare Part D Bid Information 2027 Medicare Part B Cost Projections 2027 COLA Estimate Get Connected:
Belonging doesn't happen by chance—it's created through the relationships, experiences, and culture that make camp feel like home. In this episode of CampWire, we're joined by Miriam Blanc-Gonnet, Senior Manager of User Strategy at Sanford Harmony, to explore why belonging is at the heart of every meaningful camp experience. Drawing on Sanford Harmony's work helping youth-serving organizations foster healthy relationships and well-being, Miriam shares practical insights for creating environments where campers and staff feel seen, supported, and connected. As an ACA Educational Partner, Sanford Harmony offers resources that help camps strengthen community, build positive relationships, and cultivate a culture where everyone can thrive. Whether you're preparing for next summer or looking to deepen your camp culture year-round, this conversation will leave you with ideas you can put into practice. Show notes: Sanford Harmony mylearningportal.org Contact Sanford Harmony Blog post: Belonging is the Rhythm of Camp Sanford Harmony Educational Partners Page ACA Educational Partners The views and opinions expressed on CampWire by contributors are their own and do not necessarily reflect the views of the American Camp Association or ACA employees.
In this episode, Alan Condon, Editor-in-Chief at Becker's Healthcare, examines how ACA coverage changes are affecting hospital finances, why elective surgery volumes are softening, and what these trends could mean for nonprofit health systems facing tighter margins.
In this episode, Laura Dyrda, Vice President, Editor-in-Chief, Becker's Healthcare, discusses the latest CMS inpatient payment rule, rising ACA marketplace premiums, and the evolving Medicare Advantage landscape, along with what these changes mean for hospitals, health systems, and patient access to care.
Heard any of these myths about selling ACA plans? We're debunking the rumors and delivering facts on ACA insurance sales. Listen as we set the record straight here on the Agent Survival Guide Podcast! Read the text version Get Connected:
https://www.youtube.com/watch?v=9HwxWHF5px0&list=PLKpkKZ4OxkU7kgB8MVqDoo-t_K17673tF In this episode of Vital Viewpoints on Healthcare, HMA Regional Director Cara Henley discusses how healthcare organizations can plan for constant policy change without losing focus on their mission. Drawing on decades of experience in Medicaid policy, ACA implementation, and state healthcare transformation, Cara shares practical strategies for successfully transitioning policy upheaval into operational success. The conversation explores how organizations can prepare for the impacts of One Big Beautiful Bill Act and other Medicaid changes by balancing flexibility with stability, strengthening communication across leadership and frontline teams, and building the resilience needed to thrive through uncertainty.
For years, regional health plans benefited from powerful tailwinds: Medicare Advantage growth, Medicaid expansion, and a prospering ACA marketplace. But many of those growth engines have stalled, just as new pressures emerged: rising utilization, runaway spend, pricing uncertainty and more scrutiny from patients and policy makers. The result is a dramatically different financial reality for health plans. In 2024, only eight of 33 Blues plans reported positive operating margins. In this episode, host Rae Woods sits down with Jared Landis, Vice President of Advisory Board's Health Plan Research practice, to unpack how regional plans got here and the three-year turnaround strategy regional and Blues plans are now pursuing. Together, they explore the market forces that upended the payer playbook, the operational and pricing changes plans are making to stabilize performance, and how AI-enabled transformation could reshape the future of the insurance business. Stay tuned to the end of the episode for an update on the Rural Health Transformation Program, including a key deadline this fall. We're here to help: Episode | Ep. 257: Paul Markovich on new builds, breakups, and bold healthcare bets Episode | 305: “The work isn't easy, but it's clear”: How healthcare leaders are responding to the market Episode | 302: CMS announced the 2027 MA final rate. What do payers and providers need to know? Playlist | Radio Advisory Provider Strategy and Financial Outlook playlist Expert Insight | Can health plans turn their MA business around this year? Research | Health plan strategy Report | Rural health transformation funds: Where they're really going Ready-to-Use Slides | Health Plan Market Explorer Webinar | Understanding health plan decision-makers Sponsor link: Precision in motion: How digital tools support diabetes care providers A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
In today's episode of Truth Wanted, ObjectivelyDan, Richard Gilliver, and Kelley Laughlin examine miracles, dreams, and the psychology behind seemingly supernatural experiences.Jacob in ID calls to express his gratitude for the show, explaining how it serves as his secular community after seven years of listening. Living in a rural area without much access to other atheists, he finds connection through the ACA shows. The hosts thank him for his support and encourage him to keep engaging with the community.Katie in VA shares her experiences with precognitive and visitation dreams, keeping a detailed dream journal of coincidental events. She describes dreams about deceased people and specific details that later seemed to come true. The hosts discuss Littlewood's Law, which explains how seemingly miraculous coincidences are statistically inevitable given enough opportunities. They explore the Texas Sharpshooter Fallacy, where people draw targets around bullet holes after the fact, and how memory can be unreliable. What psychological mechanisms might explain these experiences without invoking the supernatural? The conversation touches on how the Catholic Church evaluates miracles, mass hallucinations like Fatima, and the misinformation effect in eyewitness testimony. How do we distinguish between genuine precognition and pattern-seeking brains finding connections that aren't really there?Thank you for joining us this week! We will see you next time!Become a supporter of this podcast: https://www.spreaker.com/podcast/truth-wanted--3195473/support.
We have more information, more connection, and more resources than any generation before us. So why are we less happy than ever?Declan Edwards has spent over a decade studying exactly that question. In this episode, the founder of BU Happiness College and author of How to Be Happy makes the case that happiness isn't a destination you arrive at after enough success — it's a skill set you build. And most of us have the relationship completely backwards.In this episode:Over 50% of people say busyness and stress are the #1 thing blocking their happinessWe have the success-happiness relationship completely backwards — the research shows happiness is the input, not the rewardSavoring is a learnable skill — and the reason your second accomplishment is usually better than your firstHappier salespeople outsell their peers by 37%Small talk isn't dead — we've just replaced depth of connection with cheap, convenient connectionA happy life doesn't mean always feeling good. It means building the skills to navigate the hard moments without losing yourselfWhy introspection is a skill most people quit on too early — and the simple way to start practicing it this weekSuccess at the expense of happiness is the most common and greatest form of failure About Declan Edwards:Declan Edwards is a happiness expert, researcher with a Masters in Applied Positive Psychology, and founder of BU Happiness College. He has shared his work with the United Nations General Assembly, TEDx, PwC, and the Red Cross. His new book, How to Be Happy, translates happiness research into actionable daily habits.About the HostBrad Bialy is a trusted voice and highly sought-after speaker in the staffing and recruiting industry, known for helping firms grow through integrated marketing, sales, and recruiting strategies. With over 13 years at Haley Marketing and a proven track record guiding hundreds of firms, Brad brings deep expertise and a fresh, actionable perspective to every engagement. He's the host of Take the Stage and InSights, two of the staffing industry's leading podcasts with more than 250,000 downloads.Sponsors and Offers HeardTake the Stage is presented by Haley Marketing. For a limited time, we're offer 50% off of a brand new staffing website. Just message Brad Bialy on LinkedIn and mention the Crazy Website Promo.For 30 years, Benefits in a Card has delivered benefit plans designed specifically for the staffing industry—over 140 unique options with immediate coverage, unique perks like FreeRx, and solutions that reduce turnover while improving ACA compliance. Give your workforce benefits they'll actually use and give your staffing firm a competitive edge. Learn more at: https://www.BenefitsInACard.com.Resources from Declan Edwards:Happiness Scorecard (free, 5 minutes): https://quiz.buhappinesscollege.com/happinessscorecardHow to Be Happy — Declan's book: https://amzn.to/4xeRksCHow to Be Happy Podcast: https://open.spotify.com/show/0zriwga04Rl0pbjFuDF6Hl?si=89ca582f79764d4f
As everyone is well aware, healthcare, particularly acute care (think: hospitals) has become increasingly more unaffordable. For the four-year period ending next year ERISA or employer-sponsored health insurance plans will increase employee premiums by ~25%; this year the average employee family premium is ~$27,000; by the end of this year six million are expected to lose ACA coverage; and, to really on one's surprise a recent survey found less half of Americans, regardless of income, believe they have the ability to pay for needed medical visits. The answer seems to be legislating hospital price transparency. Earlier this month both the House Energy and Commerce and the Senate Health, Education Labor and Pensions (HELP) committees passed price T bills out of committee. Regarding the Senate effort, HELP Committee Chair, Dr. Bill Cassidy, stated, “I'm very optimistic that it will pass . . . and I'm confident that it will."Information on Turquoise Health is at: https://turquoise.health/patients. Testimony presented during the June 10 House E&C hearing noted during this interview is at: https://democrats-energycommerce.house.gov/committee-activity/hearings/hearing-lowering-health-care-costs-all-americans-examining-policies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com
An individual retirement account, or IRA, can be a valuable tool for long-term saving. But like any financial tool, it needs to be understood and used wisely. Proverbs 18:15 says, “An intelligent heart acquires knowledge, and the ear of the wise seeks knowledge.” That's good wisdom for every area of life, including how we manage money. As stewards, we don't want to make financial decisions simply because an account is popular or because someone told us we ought to have one. We want to understand the tools available to us and use them with wisdom, patience, and trust in the Lord. So, how well do you really know your IRA? Let's walk through a few common misconceptions with a simple true-or-false quiz. True or false: You can contribute to an IRA even if you already have a retirement plan through your employer. True. You can contribute to a traditional or Roth IRA even if you also participate in a 401(k), 403(b), or another workplace retirement plan. In 2026, the total amount you can contribute across all your traditional and Roth IRAs combined is $7,500, or $8,600 if you're age 50 or older. You'll need enough taxable compensation to support your contribution, and income limits may affect whether you can deduct a traditional IRA contribution or contribute directly to a Roth IRA. The important point is that having access to a workplace retirement plan does not necessarily prevent you from contributing to an IRA. These accounts can often work together as part of a thoughtful long-term strategy. True or false: An IRA is an account that holds investments, not an investment by itself. True. Think of an IRA as a container. The account itself provides certain tax advantages, but what happens to the money depends largely on the investments you choose to hold inside it. Depending on your IRA custodian, those investments might include mutual funds, exchange-traded funds, stocks, bonds, money market funds, or other investment options. That distinction matters. Sometimes someone will say, “I bought an IRA,” when what they really mean is that they opened an IRA and then invested the money inside it. The IRA is the account. The investments within that account determine how the money is put to work. There are also limits on what an IRA can hold. IRA funds generally cannot be invested in life insurance or collectibles. Certain precious metals may qualify if they meet specific IRS requirements and are held properly. Self-directed IRAs can provide access to more specialized investments, but greater flexibility can also bring greater complexity and risk. As with any financial decision, it's important to understand what you own and why you own it. True or false: Your will determines who receives your IRA, regardless of the beneficiary listed on the account. False. An IRA allows you to name one or more beneficiaries who will receive the account when you die. Those assets generally transfer directly to the beneficiaries outside of probate. In most cases, the beneficiary designation on the account takes precedence over what your will says. That's why beneficiary designations shouldn't be treated as something you set once and forget. Review them periodically, especially after major life changes such as marriage, divorce, the death of a spouse, or the birth or adoption of a child. Estate planning is about more than documents. It's about making your intentions clear and preparing well for those who may one day steward what you leave behind. True or false: Traditional IRAs are subject to required minimum distributions. True. Traditional IRAs are generally subject to required minimum distributions, commonly called RMDs. For those subject to the current age-73 rule, the first distribution generally must be taken by April 1 of the year following the year you turn 73. After that, annual RMDs are typically due by December 31. Failing to withdraw the required amount can result in a significant tax penalty, though that penalty may be reduced when the mistake is corrected promptly. Roth IRAs work differently. The original owner generally does not have to take required minimum distributions during his or her lifetime. Because contributions are made with after-tax dollars, qualified withdrawals can also be tax-free. Those differences are important when deciding how various retirement accounts may fit into your broader financial plan. Retirement Accounts Are Tools, Not Our Security So, how did you do on the quiz? The goal isn't to become a retirement expert overnight. It's to keep growing in wisdom. An IRA can be a useful tool for preparing for the future, but no retirement account can provide ultimate security. Our hope is not in an IRA, a pension, a 401(k), or the number on a balance sheet. Our hope is in Christ. That changes the deeper question we ask about retirement planning. Instead of simply asking, “How much can I accumulate?” we can also ask, “Am I using what God has entrusted to me in a way that reflects faithfulness, generosity, and eternal priorities?” Retirement accounts are simply tools in the hands of a steward. Understanding how they work helps us use them wisely—but remembering whom they ultimately belong to helps us use them faithfully. On Today's Program, Rob Answers Listener Questions: I'm 68, and my husband is 71. We're retired with about $500,000 invested, a $100,000 mortgage at 2.75%, and a $30,000 car loan at 4.99%. We wanted to pay them off from our investments, but our advisor says the tax bill would be about $37,000 and recommends using a HELOC instead, then making one annual payment from our investments. Does that strategy make sense? He also recommends a trust, but we already have wills and our final arrangements paid for. Why might we still need one? My grandson is moving to Bali for two years for work. Should he send his earnings back to the U.S., or open a local bank account and keep the money there? I'm 61 and hope to retire at 63. About 80% of our retirement savings is pre-tax, and 20% is Roth. If we withdraw from pre-tax accounts first, our income could exceed the ACA subsidy limits. Should we consider Roth conversions or use Roth withdrawals earlier to better manage our MAGI and healthcare costs? Resources Mentioned: Faithful Steward: FaithFi's Quarterly Magazine (Become a FaithFi Partner) FaithFi Field Guide: How Much Money is Enough? Our Ultimate Treasure: A 21-Day Journey to Faithful Stewardship by Rob West Wisdom Over Wealth: 12 Lessons from Ecclesiastes on Money Look At The Sparrows: A 21-Day Devotional on Financial Fear and Anxiety Rich Toward God: A Study on the Parable of the Rich Fool Find a Certified Kingdom Advisor® (CKA) FaithFi App Remember, you can call in to ask your questions every weekday at (800) 525-7000. Faith & Finance is also available on Moody Radio Network and American Family Radio. You can also visit FaithFi.com to connect with our online community and partner with us as we help more people live as faithful stewards of God's resources. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
A new report from the ACLU of Iowa shows schools with school resource officers arrest Black students at disproportionately higher rates. Community members are rallying to stop a natural gas power plant in Linn County from being developed. And how has the lapse of ACA tax credits affected farmers?
"Generic drugs are not the costly drugs. A 100% increase on a relatively inexpensive generic may not even be noticeable."In this episode of Last Month in Healthcare, Producer Nathaniel and I sat down with Sean McGowan of Centivo to break down the biggest healthcare news stories of July 2026.We started with the proposed tariffs on generic drugs - 100% in 2028, 200% in 2029 - and what that actually means when India supplies roughly half of U.S. generic volume and China supplies most of the active ingredients. We also dug into ACA marketplace insurers proposing a 14% median premium increase for 2027 and whether ICHRA adoption is quietly loading that risk pool, the Patients Deserve Price Act clearing Senate HELP 21-1 and whether posted prices change any real behavior, specialty drugs on track for a 32% jump by 2028 driven by utilization rather than unit price, and a misleading headline about $6.6 trillion in "tax help" for employer plans that's actually been on the books since the 1950s.To cap it off, we ran a point solution trade deadline in honor of the MLB deadline - six solutions on the roster, a $100 cap, and some tough calls on who's overpaid. Plus I answered a listener question on whether covering GLP-1s for weight loss locks an employer in for good. Tune in for a great conversation!Thank you to Walk-On Clinic for sponsoring this episode. Visit walkonclinic.com to learn more.Chapters:(00:00:00) Intro: Sean McGowan and Walk-On Clinic(00:01:39) 200% Tariffs on Generic Drugs by 2029(00:04:41) ACA Insurers Want a 14% Premium Hike for 2027(00:07:28) The Patients Deserve Price Act Clears Committee(00:10:44) Specialty Drug Costs to Jump 32% by 2028(00:13:10) The $6.6 Trillion Tax Break Nobody Noticed(00:14:37) Game: The Point Solution Trade Deadline(00:19:52) Ask Spencer Anything: Can You Un-Cover GLP-1s?
The Friday Five for July 31, 2026: RegEd CE Courses Available on IntegrityCONNECT Fresh Take on Social Platforms: ThingsBook Medicare GLP-1 Bridge Reminder CMS Files Appeal to Clover Decision CMS & HHS File Expedited Appeal to Colombus I Get Connected:
Every child deserves a safe childhood—and camps play an important role in making that possible. In this episode of CampWire, we're joined by Belinda Swan from the National Center for Missing & Exploited Children (NCMEC) to learn more about the organization's mission and the free resources available to camp professionals. Belinda shares how NCMEC works to prevent child victimization, support families and law enforcement, and help organizations create safer environments for children. We also explore practical tools camps can use to strengthen staff training, promote online safety, support children as trusted adults, and address emerging issues like sextortion, generative AI, and child exploitation. Whether you're preparing staff for the summer or looking for year-round educational resources, this conversation offers valuable insights and practical takeaways for anyone committed to keeping children safe. Show notes: National Center for Missing and Exploited Children (NCMEC) NCMEC x ACA Educational Partners Page Autism, Wandering, and Drowning Risk Online Safety Is Child Abuse Prevention NCMEC Courses and On-Demand Webinars ACA Educational Partners The views and opinions expressed on CampWire by contributors are their own and do not necessarily reflect the views of the American Camp Association or ACA employees.
Dr. Oz's proposed 2027 CMS rules dropped, and I've been waiting all week to get into them. The push toward value-based care and Accountable Care Organizations continues, but the headline for anyone in private practice is the multiple procedure cut: if you bill an E&M code and a procedure on the same day, Medicare now pays 100% for the more expensive service and only 50% for the other, regardless of modifiers, regardless of whether they're for two totally separate problems. That is a direct assault on independent practices, and every commercial insurer will follow Medicare's lead. There's one small win. Mandating real-time electronic prior authorization across Medicare Advantage, Medicaid, and ACA marketplace plans One head-scratcher...Medicaid work requirements of 80 hours per month starting January 2027, which I suspect will land squarely on physicians' documentation burden. Also, everyone say it with me: physician compensation is 10% of U.S. healthcare expenditure. After the break, medical malpractice for ophthalmologists. A colleague just came out of a settlement, and it got me looking at the top drivers of ophthalmology lawsuits: cataract surgery complications, missed or delayed retinal detachments, glaucoma management failures, and post-op infections. The uncomfortable truth: the only way to avoid surgical complications is to not operate, and sometimes even perfect communication and documentation don't stop a lawsuit. But they help. Takeaways: The proposed 2027 CMS rules would pay only 50% for a second same-day service when an E&M visit is billed alongside a procedure, regardless of modifier, effectively a major reimbursement cut that will hit independent private practices hardest and be adopted by commercial insurers Physician compensation accounts for just 10% of total U.S. healthcare expenditure, yet Medicare physician reimbursement is cut nearly every year while hospital and insurer reimbursement continues to rise The 2027 rules push physicians further toward Accountable Care Organizations and value-based care, favoring large health systems and insurers over independent physician-owned practices, with one bright spot: mandatory real-time electronic prior authorization across Medicare Advantage, Medicaid, and ACA plans The top ophthalmology malpractice risks are cataract surgery complications (posterior capsule tears, retained lens fragments, unfulfilled patient expectations), missed or delayed retinal detachment diagnosis, glaucoma management failures (insufficient IOP monitoring), and post-op infections Per OMIC, the three biggest drivers of ophthalmology claims are documentation deficiencies, communication gaps, and technical performance, about 60% of claims involve surgical execution errors, and diligent documentation, brutally honest informed consent, and strong physician-patient rapport are the biggest mitigators To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
Illuminate Podcast: Shining Light on the Darkness of Pornography
What happens when you feel like you're the only one doing the work? Whether you're the betrayed partner desperately searching for answers or the recovering partner trying to rebuild trust while your spouse seems disengaged, this imbalance can feel lonely and discouraging. In this episode, we explore why different levels of engagement are common during recovery, what can be happening beneath a partner's apparent lack of motivation, and why doing your own work still matters, even when your partner isn't fully participating. We also discuss why one person can make meaningful personal progress, but one person cannot rebuild a marriage alone. Lasting healing requires both partners to engage, even if they aren't perfectly synchronized. Relationship recovery does require that both people move forward, even if they're at different paces. __________________________________ Take the Free Assessment: I created a short self-assessment to help you pinpoint exactly where you are in your healing right now, and what to focus on next. It takes just a few minutes, and you'll walk away with clarity instead of guessing. Find out where you are: https://whereismywork.com/ ______________________________ Download the Free Resource: You, Me, Us - A Way Forward After Betrayal When betrayal has shaken your relationship, it can feel impossible to know where to begin. This free 15-minute video and companion worksheet will help you steady yourself, support your partner, and begin caring for the relationship between you. Get your copy here. ______________________________ Join the Courageous Together™ Program Courageous Together™ isn't just another course, it's a trauma-informed roadmap that holds both of you in the healing process. If you've ever wondered “Where do we even start?” After betrayal, this program gives you the clarity and structure you need. It meets the betrayed partner's need for safety while guiding the recovering partner toward real accountability, creating a path forward that neither of you has to figure out on your own. Healing from betrayal is overwhelming in isolation, which is why Courageous Together™ brings you expert guidance, practical tools, and a supportive community of couples walking the same road. Inside, you'll find a step-by-step framework, live support opportunities, and the reassurance that you're not alone as you rebuild safety, restore trust, and move toward genuine connection. You'll have access to: A structured healing framework with step-by-step guidance Video lessons and worksheets to build safety, accountability, and connection The option to join live group circles and support calls with me A private, secure community of others walking the same path Learn more and join us inside Courageous Together ______________________________ Stay Connected Website YouTube Instagram Facebook If this episode resonated with you, please share it with someone who might need it. And don't forget to leave a review! We'd love to hear how this podcast is supporting your healing journey. __________________________________ Watch on YouTube Prefer video? You can watch full episodes of From Crisis to Connection on our YouTube channel __________________________________ About Geoff Steurer I am a licensed marriage and family therapist and Certified Clinical Partner Specialist (CCPS) with 25+ years of experience helping individuals and couples heal from the devastation of sexual betrayal and broken trust. I am the founder of the Courageous Together program, co-host of the From Crisis to Connection podcast, and co-author of Love You, Hate the Porn. My work integrates trauma-informed care, attachment theory, and practical tools for creating lasting safety and connection. I've been married to my wife, Jody, since 1996 and we are the parents of four children. About Jody Steurer Jody is the co-host of the From Crisis to Connection podcast, where she brings her thoughtful, common-sense perspective to conversations about healing, trust, and connection. She earned her bachelor's degree in psychology from Brigham Young University and is an ACA-certified coach. Jody has years of experience in corporate training, small business leadership, and family life, and raising four children (two of them neurodivergent). She loves watercolor painting, landscape design, spending time outdoors, and snow skiing.
Episode 264: This week we pick up a stranger, and give him shelter as we Near Dark from 1987. With returning guest Rob of The Cinemigos podcast.Join us next week as we help celebrate The Month of Action with our frieinds from the Give Me Back My & The B-Action podcasts, when we cover Psycho Goreman from 2021.Become a supporter of this podcast: https://www.spreaker.com/podcast/a-cut-above-horror-review--6354278/support.
Episode 265: This week we help celebrate The Month of Action (insert eagle screech here) with our friends, Charlie & Mickey from the Give Me Back My & The B-Action podcasts. Where we cover the Gigaxian epic that is, Psycho Goreman from 2021.Join us next week for our return to the bone temple in 28 Years Later: The Bone Temple from 2026.Become a supporter of this podcast: https://www.spreaker.com/podcast/a-cut-above-horror-review--6354278/support.
In this episode, Jakob Emerson, Associate News Director, Becker's Healthcare, breaks down the latest hospital and payer earnings, examining how expiring ACA subsidies, Medicare Advantage margin recovery, and shifting reimbursement dynamics are reshaping financial performance and strategy across the healthcare industry.
#736: A bride wants to spend $60,000 on her wedding — money that could grow to $800,000 in 40 years if she invested it instead. This week, three very different listener questions all boil down to the same fight: what the math says versus what actually makes you happy.
Intuitive Surgical posted double-digit growth in revenue, procedures, and installed base but ISRG stock is down over 40% from its highs. We dig into why the market is repricing this healthcare stock despite strong fundamentals.Da Vinci procedure growth came in at 15% year-over-year, the installed base grew 12% to nearly 12,000 systems worldwide, and revenue hit $2.9 billion, up 19% year-over-year. Non-GAAP gross margin expanded to 70%. Yet none of that has stopped the stock's slide.We break down Intuitive Surgical's revenue mix between recurring instruments and accessories, systems revenue, and services, and walk through what's actually driving the selloff. That includes the impact of ACA subsidy expirations on elective procedure volume, hospital capital spending trends, GLP-1 headwinds on bariatric surgery, and semiconductor memory cost pressures mentioned on the earnings call. We also cover the Extended Use Program and a recent FDA filing as potential positive catalysts, along with full year 2026 guidance.Finally, we run a reverse DCF to figure out what growth rate is actually priced into ISRG stock today, and whether this sets up as a legitimate buy-the-dip opportunity for long-term investors or if there's more downside ahead.Semi Insider members get access to CSI's research platform and tools, plus deeper research as it happens. Join at chipstockinvestor.com.Get 15% off your fiscal.ai membership with our link: fiscal.ai/csiThis content is for general information or entertainment only and is not specific or individual investment advice. Forecasts and information presented may not develop as predicted, and there is no guarantee any strategies presented will be successful. All investing involves risk, and you could lose some or all of your principal. CSI owns shares of Intuitive Surgical.
Ben discusses SLB rising 5% after beating on broad-based international drilling activity with its Data Center Solutions business on track to exceed $1 billion annualized run rate this year and $2 billion by end of 2027, Intel's after-hours pop fading as CapEx ballooned to over $20 billion for 2026 with 2027 significantly higher despite strong Client and Data Center results, Tenet Healthcare soaring 16% on a massive EPS guidance raise from Medicaid supplemental payments in TX and CA, HCA falling 3% on payer mix headwinds from ACA coverage losses, and NextEra reiterating all guidance through 2035 as power demand accelerates.Join our live YouTube stream Monday through Friday at 8:30 AM EST:http://www.youtube.com/@TheMorningMarketBriefingPlease see disclosures:https://www.narwhal.com/disclosure
In this special-edition episode of Cattle Connect, ACA intern Abby Burgess interviews Charles and Cooper Holmes of the Holmestead Company in Perry County, one of Alabama's 13 designated Bicentennial Farms. They share their family's 200+ year history, how the farm adapted through generations, and the role of cattle, timber, and conservation in rebuilding and sustaining the land.
What does it take to create a camp where every young person feels they belong? In this episode, Emmy® Award-winning filmmakers Samuel Habib and Dan Habib explore the power of inclusion, representation, and high expectations for campers with disabilities. Samuel reflects on his years at Double H Ranch, where camp became a place of confidence, friendship, independence, and belonging. Together, Samuel and Dan discuss the inspiration behind their award-winning films, The Ride Ahead and My Disability Roadmap, and how storytelling can challenge misconceptions about disability while helping young people envision what's possible for their futures. The conversation also offers practical guidance for camp professionals, including strategies for preparing staff, fostering inclusive camp cultures, and creating environments where every camper is supported to thrive. Finally, they share how nonprofit camps and summer programs can access their films and free discussion guides to spark meaningful conversations with staff, campers, and families. Whether you're a camp director, educator, or youth development professional, this episode offers thoughtful insights and actionable ideas for building communities where every young person is seen, valued, and empowered. Show notes: Ride Ahead Film Page Summer program page to request the film for sharing Like Right Now Film Page The views and opinions expressed on CampWire by contributors are their own and do not necessarily reflect the views of the American Camp Association or ACA employees.
Episode 263: This week John & Hydraberg are frowning in Jacqueline's absence, but Nichole from Light & Shadow: A Horror Podcast is here to help turn our frowns upside down, with 2024's Smile 2.See if it could bring a smile to our faces.Jacqueline will be back next week to cover her pick, Near Dark from 1987.Become a supporter of this podcast: https://www.spreaker.com/podcast/a-cut-above-horror-review--6354278/support.
We interrupt the summer break for this special "emergency pod" episode. Health Affairs Publishing's Jeff Byers welcomes Dr. Aaron Carroll, President and CEO of AcademyHealth, back to the pod to examine the sudden discontinuation of over $100 million in ongoing Agency for Healthcare Research and Quality (AHRQ) grant funding, raising questions about transparency, federal priorities, and the future of health services research.Related Links:AcademyHealth's Situation Report (Substack)HHS research agency ends funding for dozens of health studies (Roll Call)AHRQ Is Being Dismantled and the Consequences Will Reach Every Part of American Health Care (Academy Health Situation Report)U.S. judge rejects Trump's justification for terminating thousands of grants (Science)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.
Revenue cycle management (RCM) sounds like the least sexy phrase in healthcare — a back-office spreadsheet problem. It isn't. Andrew Tsang, an independent healthcare analyst and writer of the Substack Health Is Other People, with 15+ years across providers, payers, consulting, and policy, joins Stacey Richter to unpack how RCM has grown into a $200-plus-billion industry that eats roughly a third of every healthcare dollar spent — not on care, but on the fight over who pays for it. Together they trace RCM's front end, middle, and back end, and the "hot potato" that lands on whoever has the least leverage to fight back. WHAT YOU'LL LEARN ✅ How revenue cycle management (RCM) grew into a $200-plus-billion industry — Andrew Tsang puts RCM-related market cap at roughly $217 billion, and estimates roughly a third of every healthcare dollar goes to the fight over payment, not to care ✅ The three phases of RCM (front-end eligibility and prior authorization, middle clinical coding, and back-end claims adjudication and appeals) and why the "hot potato" of financial responsibility lands on whoever has the least administrative leverage — patients, independent practices, or self-funded employers ✅ Why a routine screening colonoscopy can flip to a diagnostic procedure — and an unexpected bill — the moment a polyp is found, even though the ACA mandates the screening itself be free ✅ How the prior authorization burden (physicians average roughly 39 prior auths a week) forces independent practices to compete on administrative capacity rather than clinical outcomes, accelerating consolidation into larger health systems ✅ Why self-funded employers face their own version of the hot potato through stop-loss "lasering," where a stop-loss carrier can exclude a specific high-cost employee from coverage after a catastrophic claim ✅ Why direct contracting — agreeing on price upfront — is Andrew Tsang's proposed way to opt out of the RCM hot potato game entirely WHY THIS MATTERS Revenue cycle management isn't a niche back-office function — it's a $200-plus-billion economy built on claim-by-claim fights over who pays. As Stacey Richter puts it, this isn't a story about villains; it's a story about an industry built around claim-by-claim fistfights. Whoever has the least administrative leverage in any given moment — patient, independent practice, or self-funded employer — is the one who winds up eating the cost. MENTIONED IN THIS EPISODE Andrew Tsang's Revenue Cycle Market Landscape interactive chart and his Substack. EP497 with Zack Kanter: Apple Podcasts | Spotify | Other Apps EP363 with David Scheinker, PhD: Apple Podcasts | Spotify | Other Apps LinkedIn Post by Sheri Mancini, MD, FACS EP494 with Sarah Emond: Apple Podcasts | Spotify | Other Apps === LINKS ===
Fulton v. Mullin, et al., No. 25-194 (2d Cir. July 14, 2026)habeas; release pending appeal; Mapp; end stage renal disease Matter of N-E-R-S-, 29 I&N Dec. 753 (BIA 2026)ACA with Ecuador; implementing agreement; interlocutory appeal Matter of E-A-R-M-, 29 I&N Dec. 746 (BIA 2026)IJs cannot consider anything when DHS makes an asylum pretermission motion based on ACA with Ecuador; DHS failure to comply with IJ scheduling order Matter of L-R-M-C- & V-A-M-M-, 29 I&N Dec. 757 (BIA 2026)Lozada compliance; ineffective assistance of counsel; requirement to provide contents of bar complaint and proof of filing Matter of Lopez-Davila, 29 I&N Dec. 763 (BIA 2026)exceptional and extremely unusual hardship; Ige presumption that child will join parent abroad; foster care not bad enough; nonparent can care for child Burey v. Blanche, No. 25-1869 (4th Cir. July 14, 2026)VAWA motion to reopen deadline; ECAS and filing window rejection; failure to file I-360 before moving to reopen not fatal; attorney affidavit; deadline to file motion to reopen possible begins after appeal period ends Flores-Turcios v. Blanche, No. 24-1338 (4th Cir. July 16, 2026)nexus; gang recruitment; extortion; CAT review – fact and law; Guatemala Montesinos Cisneros v. Blanche, No. 23-1090 (4th Cir. July 17, 2026)admitted in any status; LPR cancellation of removal; DED; admission; statutory interpretation; lawful and unlawful statusKurzban Kurzban Tetzeli and Pratt P.A.Immigration, serious injury, and business lawyers serving clients in Florida, California, and all over the world for over 40 years.eimmigration"Immigration law software you'll love to use."get.eimmigration.com/IRP Gonzales & Gonzales Immigration BondsP: (833) 409-9200immigrationbond.com Stafi"Remote staffing solutions for businesses of all sizes"Click me!Want to become a patron?Click here to check out our Patreon Page!CONTACT INFORMATION:Email: kgregg@kktplaw.comFacebook: @immigrationreviewInstagram: @immigrationreviewTwitter: @immreviewAbout your hostCase notesRecent criminal-immigration article (p.18)Featured in San Diego VoyagerSupport the show
In this episode of The Broker Link, host Mike Papuc, National Health Sales Director at The Brokerage Inc., welcomes Darcy Soltys, Regional Vice President, and Jason Yoo, Vice President of Individual Sales at Manhattan Life, for a conversation about the evolving health insurance landscape and why ancillary products are becoming more important than ever. As ACA and Medicare continue to evolve, the guests explain why agents should look beyond major medical plans and consider offering supplemental solutions that help fill coverage gaps. They highlight Manhattan Life's Affordable Choice plan, which provides valuable first-dollar benefits with no deductible and no copay, giving clients additional financial protection while creating new opportunities for agents. Throughout the episode, Mike, Darcy, and Jason emphasize the importance of product diversification. By bundling ancillary products with ACA or Medicare plans, agents can provide more comprehensive solutions that better meet their clients' needs while strengthening retention and growing their business. The conversation also explores how Manhattan Life's streamlined e-app simplifies the enrollment process, making it easier for agents to quote, enroll, and serve clients efficiently. Whether you're looking to expand your product portfolio, increase client value, or stay ahead in today's evolving healthcare market, this episode offers practical strategies to build stronger client relationships through ancillary coverage. Learn more about partnering with The Brokerage Inc. by visiting our website, www.thebrokerageinc.com. Remember to like, share, and subscribe to our show! New episodes are available every Tuesday. Join our Community! LinkedIn: https://www.linkedin.com/company/the-brokerage-inc-/ Facebook: https://www.facebook.com/thebrokerageinc/ Instagram: https://www.instagram.com/thebrokerageinc/ YouTube: https://www.youtube.com/@TheBrokerageIncTexas Website: https://thebrokerageinc.com/
Illuminate Podcast: Shining Light on the Darkness of Pornography
After betrayal, the betrayed partner has been genuinely victimized, and that reality deserves compassion, accountability, and space to heal. But lasting healing also requires something more: reclaiming your life without allowing the betrayal to become your identity. In this episode, we explore the difference between being victimized and living from a victim identity. We discuss why recovering partners must avoid using this idea to pressure or shame their partner, and why true healing happens when both people move toward accountability, courage, and genuine partnership. __________________________________ Take the Free Assessment: I created a short self-assessment to help you pinpoint exactly where you are in your healing right now, and what to focus on next. It takes just a few minutes, and you'll walk away with clarity instead of guessing. Find out where you are: https://whereismywork.com/ ______________________________ Download the Free Resource: You, Me, Us - A Way Forward After Betrayal When betrayal has shaken your relationship, it can feel impossible to know where to begin. This free 15-minute video and companion worksheet will help you steady yourself, support your partner, and begin caring for the relationship between you. Get your copy here. ______________________________ Join the Courageous Together™ Program Courageous Together™ isn't just another course, it's a trauma-informed roadmap that holds both of you in the healing process. If you've ever wondered “Where do we even start?” After betrayal, this program gives you the clarity and structure you need. It meets the betrayed partner's need for safety while guiding the recovering partner toward real accountability, creating a path forward that neither of you has to figure out on your own. Healing from betrayal is overwhelming in isolation, which is why Courageous Together™ brings you expert guidance, practical tools, and a supportive community of couples walking the same road. Inside, you'll find a step-by-step framework, live support opportunities, and the reassurance that you're not alone as you rebuild safety, restore trust, and move toward genuine connection. You'll have access to: A structured healing framework with step-by-step guidance Video lessons and worksheets to build safety, accountability, and connection The option to join live group circles and support calls with me A private, secure community of others walking the same path Learn more and join us inside Courageous Together ______________________________ Stay Connected Website YouTube Instagram Facebook If this episode resonated with you, please share it with someone who might need it. And don't forget to leave a review! We'd love to hear how this podcast is supporting your healing journey. __________________________________ Watch on YouTube Prefer video? You can watch full episodes of From Crisis to Connection on our YouTube channel __________________________________ About Geoff Steurer I am a licensed marriage and family therapist and Certified Clinical Partner Specialist (CCPS) with 25+ years of experience helping individuals and couples heal from the devastation of sexual betrayal and broken trust. I am the founder of the Courageous Together program, co-host of the From Crisis to Connection podcast, and co-author of Love You, Hate the Porn. My work integrates trauma-informed care, attachment theory, and practical tools for creating lasting safety and connection. I've been married to my wife, Jody, since 1996 and we are the parents of four children. About Jody Steurer Jody is the co-host of the From Crisis to Connection podcast, where she brings her thoughtful, common-sense perspective to conversations about healing, trust, and connection. She earned her bachelor's degree in psychology from Brigham Young University and is an ACA-certified coach. Jody has years of experience in corporate training, small business leadership, and family life, and raising four children (two of them neurodivergent). She loves watercolor painting, landscape design, spending time outdoors, and snow skiing.
Andrew, Ben, and Tom discuss June CPI falling to 3.5% and core CPI to 2.6% both below expectations with the biggest month-over-month drop since May 2020, Trump proposing a 20% fee on Strait of Hormuz cargo and reinstating the blockade sending WTI to $80 and Brent to $87, Chris Waller's hawkish pivot as Warsh builds Fed credibility, IBM's 19% drop after warning on the quarter as clients reprioritized CapEx toward memory and cybersecurity, HCA's 6% drop on ACA payer mix, Samsung exploring a US ADR listing after SK Hynix's blockbuster $26.5B raise, SLB and Liberty Energy pushing into data center power, improving NFIB and Fastenal readings, and a very strong bank earnings kickoff with BAC investment banking fees up 50%.Join our live YouTube stream Monday through Friday at 8:30 AM EST:http://www.youtube.com/@TheMorningMarketBriefingPlease see disclosures:https://www.narwhal.com/disclosure
In this episode we answer emails from I Have No Name, Shellie, Midwest Nice, and Mr. Ed (a motley crew indeed!). We discuss some massively funny generosity to our Top of the T-Shirt Campaign for the Father McKenna Center, an odd small cap value fund in a 401(k) and the issues surrounding holding too much cash, how stocks and long-term treasury bonds can both rise while still showing negative correlation and how that relates to the Four Quadrant Model, and redeploying proceeds from the sale of real estate. And lutefisk.And THEN we our go through our weekly portfolio reviews of the eight sample portfolios you can find at Portfolios | Risk Parity Radio.Links:Father McKenna Center Donation Page (please mention Risk Parity Radio in the comment section with your donation): Donate - Father McKenna CenterPMJAX at Morningstar: PMJAX – Portfolio – PIMCO RAE US Small A | MorningstarPMJAX Comparison: Asset Analyzer for ETFs, Stocks, and Funds | testfolioPortfolios With More and Less Cash Comparison: Portfolio Backtester for ETFs and Asset Allocation | testfolioS&P500 and LT Treasury Bond Comparison: Asset Analyzer for ETFs, Stocks, and Funds | testfolioThe Four Quadrant Model Exquisitely Explained With Illustrations Inspired By Vermeer: The Four Quadrant Wealth Atlas.pdf - Google DriveFour Quadrant Model Video: Understanding Correlations and Diversification Using the Four Quadrant ModelBreathless Unedited AI-Bot Summary:A listener spots a new “small cap value” option in a 401(k) and asks the question most DIY investors eventually face: how do you tell what a fund really is when the plan uses a custom name and no ticker? We walk through a practical, repeatable research process using an AI chatbot (Gemini or ChatGPT) to find the closest public equivalent, then confirming style exposure and performance on Morningstar and Testfol.io. Along the way we discuss what “micro” exposure can mean, why “perfect” isn't required inside a restrictive plan, and how you can still build a solid risk parity-style asset allocation with the tools you have.Then we tackle the comfort blanket that can quietly cost you money: cash. We explain cash drag, why holding 25% in cash can act like you're not investing a quarter of your portfolio, and why bucket strategies don't magically solve sequence of returns risk just by relabeling accounts. We also dig into tax-efficient investing and asset location, including why taxable cash interest can be brutal in retirement and when it may make sense to reposition assets between taxable and retirement accounts.A father writes in with his son's surprisingly sharp question about bond stock correlation: if stocks go up over time and long-term Treasury bonds are negatively correlated, do bonds usually go down? We answer with long-run data, show why both can rise while still diversifying each other, and point to specific regimes like 2000 to 2010 versus 2022. We also field a real-world planning scenario on investing property sale proceeds while keeping ACA premium tax credits in mind by managing MAGI, before wrapping with our weekly portfolio review across the eight sample portfolios (VOO, QQQ, VIOV, GLDM, VGLT, PDBC, PFFB/PFFV, DBMF and more).Subscribe for more practical risk parity investing guidance, share this with a friend who's stuck in a confusing 401(k), and leave a rating and review so more DIY investors can find us.Support the show
-- On the Show: -- Maggie Haberman and Jonathan Swan, New York Times journalists, join us to discuss their new book Regime Change: Inside the Imperial Presidency of Donald Trump -- Republicans condemn Graham Platner over his sexual abuse allegations but ignore the sexual assault liability of Donald Trump -- President Donald Trump prematurely celebrates a peace deal with Iran right before maritime attacks trigger a resumption of U.S. airstrikes -- Donald Trump makes several severe verbal blunders including calling Ukrainian President Volodymyr Zelenskyy by the name of Vladimir Putin -- Donald Trump navigates aircraft steps with extreme caution and relies on Turkish President Recep Tayyip Erdogan for guidance on the tarmac -- Donald Trump appears to doze off with closed eyes during an official international meeting with Turkish President Recep Tayyip Erdogan -- Donald Trump holds a chaotic press conference featuring aggressive rants about assassination, roadside bombs, and his social media metrics -- On the Bonus Show: Maine Democrats claim Platner is meddling with the replacement process, ACA premiums are poised for another big hike, an ICE agent fatally shoots a man in Houston, and much more...
-- On the Show: -- Aaron Parnas, political commentator, attorney, and host of The Parnas Perspective, joins us to discuss threats to independent media, the recent Supreme Court decisions, the midterms, and much more… -- Tucker Carlson announces plans to launch a new political party and criticizes Donald Trump by claiming he is not in control of his own life -- Donald Trump promotes Micron on social media for investing $250 million in children's accounts while failing to disclose his stock in it -- Roughly 8 million Americans lose their health insurance coverage after enhanced ACA subsidies expire and eligibility rules change -- Donald Trump delivers an incoherent speech in North Dakota where he performs a double-jerk dance to honor Teddy Roosevelt -- Maria Bartiromo and other Fox News anchors attempt to spin a disappointing June jobs report that missed economic forecasts -- White House Press Secretary Karoline Leavitt's former congressional campaign committee still owes over $326,000 -- JD Vance speaks to military troops and his joke about Joe Biden fails to elicit any laughter or applause from the silent audience -- Chris Wright claims that the Democrats cause widespread blackouts while multiple states experience major power outages -- On the Bonus Show: Mitch McConnell was found unconscious last month, climbers get arrested after scaling the Empire State Building for a marriage proposal, the chilling reality of Trump's July 4 fireworks display, and much more...