Podcasts about Aco

Sean and Dane are joined by the “easy peasy” ScoreHolio guy, Ben Budhu and ACO National Director, Ryan Labelle join the show! We get updates on the newest ScoreHolio features and discuss handicapped. Find out what's best about ACO majors and who was around when the first “Pro Championship” tournament as Labelle discusses a history of the early days!!Support the show

I samarbete med ACO. Veckans fredagsfråga ger Lina & Björn chansen att gå loss om ett riktigt hjärteämne. Vill du slippa reklamen? Prenumerera på Dumma Människor för 19 kr/månaden (ink moms). https://plus.acast.com/s/dummamanniskor. Hosted on Acast. See acast.com/privacy for more information.

Tonight, we have an opportunity to bring a piece of Le Mans to you, sharing in the Legend of Le Mans with guests from different eras of over 100 years of racing.  In 2007 Adrián Fernández made his debut at Le Mans taking home a second place in a V8 powered LMP2 prototype. This was the first podium for a Mexican driver at the Circuit de la Sarthe since the 1960s.  Three years later in 2010, Adrián found himself back at Le Mans this time behind the wheel of Aston Martin's LMP1 finishing fifth in class (6th overall).  Returning for the 80th running of Le Mans in 2012, Adrián and Aston Martin took home a third place finish in the GTE-Pro class covering 332 laps without failures or serious mechanical problems. With his help, the team achieved the fastest lap in their class at 3:54.928. And Adrián had the distinct honor of driving the Aston to the checkered flag. On September 12, 2012, Adrián announced his retirement from racing, thus concluding his relationship with Aston Martin Racing, but that wasn't the end of this involvement in the world of Motorsports. ===== (Oo---x---oO) ===== 00:00 Adrian Fernandez's Le Mans Journey 01:56 Early Racing Career and Challenges 03:20 Transition to Endurance Racing 07:54 First Le Mans Experience 10:50 Challenges and Triumphs at Le Mans 13:13 The Art of Endurance Racing 21:45 Aston Martin and Later Years 24:49 Transition to GT Racing 25:58 Final Race and Reflections 29:03 Advice for Aspiring Drivers 34:37 Changes in Motorsport: Safety Innovations 38:32 Historic Cars and Modern Racing 40:55 Life After Racing 45:35 Closing Thoughts and Farewell ==================== The Motoring Podcast Network : Years of racing, wrenching and Motorsports experience brings together a top notch collection of knowledge, stories and information. #everyonehasastory #gtmbreakfix - motoringpodcast.net More Information: https://www.motoringpodcast.net/ Become a VIP at: https://www.patreon.com/gtmotorsports Online Magazine: https://www.gtmotorsports.org/ To learn more about or to become a member of the ACO USA, look no further than www.lemans.org, Click on English in the upper right corner and then click on the ACO members tab for Club Offers. Once you become a Member you can follow all the action on the Facebook group ACOUSAMembersClub; and become part of the Legend with future Evening With A Legend meet ups.

En marge des 4 Heures de Barcelone, première manche de l'ELMS 2025, la Michelin Le Mans Cup a repris ses droits le week-end dernier en Catalogne, avec une course une nouvelle marquée par de trop nombreuses accidents en piste, dont celui de Marta Garcia. Malheureusement pour la série support de l'ELMS, ce n'est pas la première fois que les courses sont neutralisées en raison d'un grand nombre d'incidents / accidents en piste. Alors est-ce le coup de trop pour la Le Mans Cup ? Endurance-Info évoque le sujet dans le nouveau numéro de son podcast Track Limit.Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

This episode features audio from one of the ACO case presentation series webinars, “Emotional-Energetic Contact: Essential for Effective Treatment" In this episode, Howard Chavis, M.D. gives an overview of Medical Orgone Therapy and discusses his patients and their treatment. Listen in to get a vivid picture of what emotional-energetic contact is all about and how it impacts the success of therapy. “Emotion is the perception of energy flow and movement in the body.” “What I'm describing by way of your own emotions and sensations is that the human organism expands and contract. It pulsates. And that this pulsation is a biologic phenomenon. It is not a poetic metaphor.” “Reich referred to this way of thinking as functional thinking…this by the way is distinct from today's pervasive mechanistic thinking which in the realm of technology and machines is completely rational, in the realm of the living, not at all.” Segments of Armoring Within the Body Diagram of the Layers of Emotional Structure   Diagram of the Layers of Emotional Structure With Armoring   Question or Comment? The Journal of Orgonomy on Substack ACO - Orgonomy.org

Tonight, we have an opportunity to bring a piece of Le Mans to you, sharing in the Legend of Le Mans with guests from different eras of over 100 years of racing.  Andrea Robertson, a woman who carved her name into Le Mans history. In 2011, Andrea became the last American woman (to date) to race in the 24 Hours of Le Mans—and more impressively, the first to ever stand on the podium in the race's 100-year history. She and her late-husband, David Robertson, along with pro driver David Murry, took on the grueling challenge of Le Mans as privateers, fielding their iconic Ford GT40 against some of the biggest names in endurance racing. With grit, determination, and sheer passion, they defied the odds and made history on one of motorsport's biggest stages. How did they do it? What was it like to go wheel-to-wheel against factory-backed giants? And what does Andrea's success mean for the future of women in endurance racing? That's what we're here to find out.  ===== (Oo---x---oO) ===== 00:00 Meet Andrea Robertson: A Trailblazer in Le Mans History 01:45 The Journey Begins: From Drag Racing to Endurance Racing 03:09 The Big Leap: Preparing for the 24 Hours of Le Mans 04:25 Challenges and Triumphs: Competing as Privateers 05:53 Facing the Ultimate Challenge: The 24 Hours of Le Mans 11:50 The Final Push: Competing at Le Mans 22:38 Pit Lane Repairs and Adjustments; Overcoming Shifter Issues 24:38 Challenges of Racing as a Privateer 26:24 Navigating the Track and Competitors 28:44 Achieving a Podium Finish 36:01 Reflections on the Le Mans Experience 41:48 Closing Remarks and Future Plans ==================== The Motoring Podcast Network : Years of racing, wrenching and Motorsports experience brings together a top notch collection of knowledge, stories and information. #everyonehasastory #gtmbreakfix - motoringpodcast.net More Information: https://www.motoringpodcast.net/ Become a VIP at: https://www.patreon.com/gtmotorsports Online Magazine: https://www.gtmotorsports.org/ To learn more about or to become a member of the ACO USA, look no further than www.lemans.org, Click on English in the upper right corner and then click on the ACO members tab for Club Offers. Once you become a Member you can follow all the action on the Facebook group ACOUSAMembersClub; and become part of the Legend with future Evening With A Legend meet ups.

Si le WEC et les 24 Heures du Mans demeurent le sommet de la pyramide Endurance de l'Automobile Club de l'Ouest, l'European Le Mans Series reste le championnat phare du promoteur sur le plan continental, avec un succès qui ne se dément pas d'année en année.Pourquoi et comment l'ELMS résiste aux vents parfois contraires et se targue d'une grille qui comprendra encore 44 voitures pour la première épreuve de Barcelone (6 avril) ? Elements de réponse dans ce nouveau numéro de Track Limit, le podcast d'Endurance-Info.Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

Analizamos respuesta de Daniel Esteves a las diligencias por delito de odio que la fiscalía Provincial de Valencia le ha abierto por la denuncia de ACO. Amenazas a periodistas, a la fiscal y a los que confunde con integrantes de la comisión de ACO. Tambien veremos ejemplos de cómo se vende el relato de la extrema derecha, siempre contra los más débiles y defendiendo sus privilegios. Mas vídeos de Pandemia Digital: https://www.youtube.com/c/PandemiaDigital1 Si quieres comprar buen aceite de primera prensada, sin intermediarios y ayudar de esa forma a los agricultores con salarios justos tenemos un código de promoción para ti: https://12coop.com/cupon/pandemiadigital/ Este video puede contener temas sensibles, así como discursos de odi*, ac*so, o discr*minación. El objetivo de abordar estos temas es exclusivamente informativo y busca concienciar a la audiencia sobre estos acontecimientos, y denunciar y señalar el origen de los mismos para crear consciencia y evitar su propagación. Si consideras que el contenido puede afectarte, te recomendamos proceder con precaución o evitar su visualización. ----------------------------------------------------------------------------------------------- Únete a nuestra comunidad de YouTube https://www.youtube.com/channel/UCFOwGZY-NTnctghtlHkj8BA/join Se mecenas de Patreon https://www.patreon.com/PandemiaDigital ----------------------------------------------------------------------------------------------- Súmate a la comunidad en Twitch - En vivo de Lunes a Jueves: https://www.twitch.tv/pandemiadigital Sigue nuestro Canal de Telegram: https://t.me/PandemiaDigital Suscríbete en nuestra web: https://PandemiaDigital.net Sigue nuestras redes: Twitter: https://twitter.com/PandemiaDigitaI Facebook: https://www.facebook.com/PandemiaDigitalObservatorio Instagram: https://www.instagram.com/pandemia_digital_twitch TikTok: https://www.tiktok.com/@pandemiadigital #PandemiaDigital

In today's episode we continue our conversation with @American_Heart Senior Advocacy Advisor of Health System Transformation Melanie Phelps, who was integral in the recently published study on the benefit of Accountable Care Organizations. The findings support that managed care provided by ACOs not only improves outcomes for the medically complex patient, but also benefits every patient, family caregiver, provider, and healthcare team member. www.heart.org/bettercareYates Lennon Melanie Phelps, welcome back to the move to Value podcast. So let's try to pick up where we where we finished last time. Melanie and I wanted to go back to really to sort of the heart of your research in the medically complex patient. So we know these folks require hard higher touch and really need coordinated, managed coordinated care. And, wanted to talk about why it's crucial for the American Heart Association to understand and advocate for better models of care for this patient population. And then we'll after that, we'll follow up on sort of how we can work together to do that.Melanie PhelpsYeah. So medically complex patients are of course more complex and more costly.They require a lot more services and the burden of navigating a fragmented fee for service system adds to their already very stressful lives and the chances of things falling through the cracks or delayed care is pretty high in a payer fee for service system, the ACO provides those extra layers of support, communication and enhanced access that really do lead to better outcomes, reduce stress on the patient and their caregivers, which is pretty important. We also believe they are more likely to get the most up to date care under these arrangements because the incentive to do better is there and that is not there in the case of fee for service. So, we all know that there is a pretty significant lag between new innovations and evidence-based solutions and adoption or implementation in reality, and we see ACOs as a vehicle for expediting adoption of those. The other piece on medically complex patients, why we wanted to focus on those is when talking to other patient and consumer advocacy organizations, which is a key target audience of this of this study, there was a lot of apathy and even skepticism about ACOs, OK. They're not involved in the advocacy. They're not steeped in the details and they are very suspicious of ACO's of value based care. They're thinking there's a lot of stinting going on. They think that they're being, you know, medically complex patients are being denied care and being kicked out of ACO's. And that certainly was not my experience when I worked with the ACO's in North Carolina. So, one of the reasons we focused on medically complex patients was to be able to say, OK, you know, are they getting the care that they need? What do they have to say about it? And that's why. I mean these are the people that really need the extra care and support and the results really showed that they were getting much better care and support, which should be important to everybody.Yates LennonYes, absolutely. That's that's interesting. I never would have. I guess I never would have thought about that kind of skepticism from consumer advocacy groups around value based care, and certainly my experience has been the exact opposite is the ACO model is a ideal model to have those patients in because you have the sustainable, a sustainable path to provide these wrap around services to both, both the provider and the patient and their families. I can think of multiple instances where these like in our NextGen days and our ACO REACH nursing facility waiver as an...

En Panoramas, Paula Frederick, habló con Elodie Fulton, directora ejecutiva de Ch.ACO, sobre la inauguración de la decimoquinta edición de la feria de Arte Contemporáneo más relevante del país. Además, en Abordo, Polo Ramírez conversó sobre los cinco años desde el inicio de la pandemia con María Jesús Hald, epidemióloga y académica UNAB y Jaime Sapag, médico y académico Escuela Salud Pública UC.

Zapisz się na listę zainteresowanych Psychodietetycznym Kursem Skutecznego Odchudzania: https://akademia.wiem-co-jem.pl/kso/?el=podcastGościem 205. odcinka podcastu jest Gośka – uczestniczka Psychodietetycznego Kursu Skutecznego Odchudzania. Opowiada o tym, jak udział w kursie pomógł jej zmienić sposób myślenia o jedzeniu i zaufać procesowi zmian. Jej historia doskonale pokazuje, że farmakoterapia nie jest drogą na skróty, a trwałe efekty wymagają również zmiany przekonań i nawyków. To rozmowa o realnych wyzwaniach w procesie zmian i skutecznych sposobach ich pokonywania.Posłuchaj odcinka, jeśli chcesz dowiedzieć się:Dlaczego głodówki i restrykcyjne diety zawodząDlaczego w zmianie nawyków tak ważne są zasobyJak wprowadzać zmiany, gdy życie stawia przeszkodyW jaki sposób myślenie „100% albo nic” utrudnia postępyCzy metoda małych kroków naprawdę działaCo jest ważniejsze – systematyczność czy intensywne działaniaJak KSO pomaga zmieniać myślenie o odchudzaniuCzym jest "mięsień niewygody” i dlaczego warto go trenowaćJak rozwijać elastyczność zamiast sztywnych zasadJak nie tracić cierpliwości w procesie zmianCzy farmakoterapia w leczeniu otyłości wystarczy bez zmiany nawykówJak większa swoboda w odżywianiu wpływa na trwałe efekty

In this episode, Chris Wasel, President of Marketing & Strategic Partnerships at Vantage Healthcare, discusses Vantage's 2025 initiatives, including ACO expansion, new CMS programs, and the challenges of collaboration in value-based care. Chris also shares insights on the impact of AI in healthcare and the need for long-term stability in payment models.

Neste episódio, o professor Luís Vale debate com o professor Henrique Mouta sobre os aspectos controversos da ACO.

Today we hear from Melanie Phelps, Senior Advocacy Advisor of Health System Transformation for the American Heart Association, who shares with CHESS President, Dr. Yates Lennon, the motivation and detailed findings of a new study conducted by the AHA which found that ACOs provide better care and outcomes for patients and a better practice experience for members of the health care team than traditional fee for service. www.heart.org/bettercare Yates Lennon Melanie Phelps, welcome to the move to Value podcast.Glad to have you with us today.Melanie Phelps Glad to be here.Thanks for having me.Yates Lennon Sure, of course.So Melanie, recently the American Heart Association, released a study called Understanding Patient Family Caregiver and Health Care team member ACO experiences. Can you talk to us a little bit about what motivated the American Heart Association to conduct this research?Melanie Phelps Happy to. So the idea for the study arose out of a desire to be able to talk about ACOs in a more relatable manner to people who are not steeped in the technical jargon around ACO and value based care generally.We thought the best way to do this was to hear directly from patients, their family, caregivers and healthcare team members who receive or who provide care through ACOs.So from those who are on the ground receiving and providing care, and our hope is to use this information to better explain the benefits of ACOs in a way that's more understandable to more people.Yates Lennon Yes, certainly that, that sounds good.I know. ACO is an acronym that I think everyone of our listeners would be familiar with but when you get outside of the healthcare team member and even within in some settings, it's something people don't understand. Well, the study compares patient experiences in ACOs to the more traditional fee for service models.What were some of the key differences that stood out in terms of patient's experience first?Melanie Phelps Well, the results showed that.The care that's provided through these ACO models is just better in terms of quality and access, because there's a usual source of care through a primary care provider, whether that's a MD or an advanced practice provider.And there's usually a dedicated care manager as well as a team of people to ensure that all their needs, physical, mental, emotional and health related social needs are addressed.So essentially their experience is that they receive better, more timely and coordinated care with added supports that they wouldn't get in a pure fee for service arrangement.And I heard more than a few times that it's better than what we had before.And I also heard that my friends don't get the same level of care, and even some of the healthcare team members who lamented the fact that they can't provide this level of care to all their patients, especially those who are not assigned to an ACO, so.Yates Lennon Yeah. And I can echo that experience.I think some of our care team providers share with us stories of patients they interact with and we certainly hear that same story and even I have family in a different part of the state than the triad. And I can say from personal experience, I wish they were in these models.The American Heart Association conducted interviews like you said, just talked about among patients, caregivers and these healthcare team members.What were the what were their common themes?You just mentioned some common themes among patients, but if you expand that, what were some of the key findings or common themes across all three of those groups, patient, caregiver, and healthcare team...

In this episode of Keep it Humane: The Podcast, Daniel and Ashley sit down with Jessica Solano, the 2024 Animal Control Officer of the Year. Jessica's journey in animal welfare is a testament to hard work, passion, and perseverance. Recognized with multiple nominations, it's clear she's not just doing the job — she's living her mission to help both animals and the communities they belong to. From her early days in the field to rising through the ranks, Jessica shares the moments that shaped her career, the challenges she's faced, and what it means to be an ACO in today's world. Whether you're an animal welfare professional or just curious about the people behind the badge, this episode is a powerful reminder of why the work matters. Tune in and get inspired!

Tonight, we have an opportunity to bring a piece of Le Mans to you, sharing in the Legend of Le Mans with guests from different eras of over 100 years of racing.  Margie Smith-Haas is a trailblazer in motorsports, renowned for her remarkable contributions to endurance racing, particularly at the iconic 24 Hours of Le Mans. As the first American Woman to compete in this grueling event in 1984 (and 1985), she broke barriers while demonstrating exceptional skill, determination, and composure behind the wheel. Margie's Le Mans career showcases her ability to tackle the demanding Circuit de la Sarthe, navigating its high-speed straights and challenging turns with precision. Her racing performances outside of Le Mans have earned her widespread respect within the racing community, highlighting her as a role model for aspiring drivers. Balancing technical expertise with endurance, Margie Smith-Haas's legacy at Le Mans is one of perseverance, professionalism, and passion for the sport. ===== (Oo---x---oO) ===== 00:00 Introduction to Evening With A Legend 00:47 Meet Margie Smith-Haas: A Trailblazer in Motorsports 01:49 Margie's Early Racing Days 02:42 Racing with Wayne Baker and Meeting Paul 04:23 Paul's Influence and Margie's Path to Le Mans 06:41 Challenges and Triumphs at Monza and Brands Hatch 15:19 Preparing for Le Mans: Lessons from Daytona 20:21 First Impressions of Le Mans 1984 23:21 Qualifying Struggles and Overheating Issues 25:29 A Night of Challenges and Tragedy 26:52 Reflecting on the 1984 Le Mans Experience 29:29 The 1985 Le Mans Attempt 32:44 Transition to ACRL and Championship 38:43 Legacy and Impact on Women in Racing 42:45 Final Thoughts and Gratitude ==================== The Motoring Podcast Network : Years of racing, wrenching and Motorsports experience brings together a top notch collection of knowledge, stories and information. #everyonehasastory #gtmbreakfix - motoringpodcast.net More Information: https://www.motoringpodcast.net/ Become a VIP at: https://www.patreon.com/ Online Magazine: https://www.gtmotorsports.org/ To learn more about or to become a member of the ACO USA, look no further than www.lemans.org, Click on English in the upper right corner and then click on the ACO members tab for Club Offers. Once you become a Member you can follow all the action on the Facebook group ACOUSAMembersClub; and become part of the Legend with future Evening With A Legend meet ups.

In this episode, we sit down with Matt Poynter ACO, SOC Assoc, BSC to talk about his journey from a young assistant to becoming the President of the ACO (Association of Camera Operators). Matt shares insights into the ACO's role in the industry, as well as his own career path—moving to London, starting out in a rental house, and the pivotal moment when he met cinematographer Sean Bobbitt BSC. We also dive into his experience assisting on documentaries and drama, his step up to A-camera operator in Malaysia, and the nuances of A vs. B camera operating. Matt breaks down how to work effectively with directors and DPs to shape coverage, the importance of building a strong relationship with your dolly grip, and operating tools like cranes and Steadicam. Finally, we discuss one of the most critical skills for any camera operator—staying calm under pressure. Whether you're an aspiring operator or a seasoned pro, this episode is packed with valuable insights from one of the industry's best.

Today we continue our ACO REACH conversation with Kim Williams, who discusses how this model facilitates enhanced care for the patient. She also shares insights on measuring success, engaging providers, and the broader impact of ACO REACH on healthcare equity and value-based careThomas Royal Kim Williams, welcome back. Thanks for sticking around so we could continue our conversation here today.Kim Williams Thank you, Thomas.I'm happy to be back and ready to continue our conversation.Thomas Royal So last time you know, we discussed a lot of the nuts and bolts of ACO reach.You know what it is, how it helps us, the various entities that are involved.One of the things that I want to talk about a little bit is the is the patient.So we, you know, previously you mentioned a HealthEquity plans sdoh screenings.What beyond that and including that specific advantages, does ACO reach offer to the patient compared to traditional fee for service models?Kim Williams Yes. So, in ACO reach the advantages for patients are actually quite substantial.Especially in care delivery through waivers or what they call benefit enhancements and incentives. So, for example, with the public health emergency coming to an end, a lot of the telehealth flexibilities that existed during the pandemic are no longer an option after March of this year. So if you were if you are an ACO reach, this is still an option through the telehealth waiver, which removes geographic restrictions and allow patients to get care from their provider regardless of where they are. So you know they can be in their living room doing a check in visit. It is so beneficial for rural communities and patients with mobility issues. I've had site visits with providers that really stress the importance of telehealth because they are in a more rural setting where it's not, you know, good for the patient with mobility issues to go back and forth to the offices. So I think that's definitely a huge plus for those types of population. There is also a financial benefit play that patients can take advantage of, and that's through the cost sharing for Part B services. Now this one allows reach ACOs to reduce or eliminate cost sharing for Part B services and remove financial barriers for things like a primary care visit or your chronic care management, even preventative services. So for instance, CHESS has it set up right now to where we can waive chronic care management co-pays. And so the hope is that. If we're able to waive those co-pays, patients will be more willing to seek intervention. And really participate in chronic care management programs when you know they're not too worried about those co-pays. Chronic care management is just super important in this model, alongside of transition of care management because it focus on preventions. And so I think again this is a win win situation for both providers and patients and also ACOs alike.Thomas Royal Well, that's fascinating.I so I I know that when we talk about there's options of care and financial efficiency for the patient, how does the program ensure patient receives more coordinated and personalized care?Kim Williams Yes, so care coordination plays a huge role in ACO reach. And you heard me mention earlier that implementing the HealthEquity plan requires coordination from everyone. But I want to specifically highlight the great work that care coordination teams put into personalizing the care for our traditional Medicare patients in this population, right? So first the the outreach to the patients are beyond the normal amounts and I'm I'm using our HealthEquity plan as an example here because our care management teams spend more time on the phone with patients, really to better understand why. Why are they not getting their cancer screenings, for example? And...

Half year reports are playing their usual havoc on some of our stocks, as results disappoint the market. But is the market over-reacting in some cases? Tony thinks so. We're also talking about the RBA's decision to cut interest rates and how that affects our investing decisions. Stocks covered today include FND, AMP, CVL, PPM, and Tony's deep dive is on FSF. He also answers a listener's question about borrowing to buy shares. After hours includes discussions about Babylon, the ACO, racing updates and fasting.

Editorial: O pragmatismo rende mais que a guerra comercial aberta

Tonight, we have an opportunity to bring a piece of Le Mans to you, sharing in the Legend of Le Mans with guests from different eras of over 100 years of racing.  The Camoradi USA Racing's 1960 Corvette was built for international competition under the auspices of Chevrolet General Manager Ed Cole and Corvette Chief Engineer Zora Duntov and went on to race successfully in Havana, Daytona, Sebring, Nürburgring, Sweden, and Le Mans. The only thing more amazing than this car's creation and race record is its survival. On the way to Britain's famed Goodwood circuit in August 1960 it was crashed hard and left for dead but miraculously, the shattered remains were preserved and discovered some thirty years later by Loren Lundberg, an unbelievably tenacious Corvette enthusiast from Glendale, Arizona.  Our panel of guests tonight include: Richard Prince, author and official photographer for the GM Corvette Race Team; Dominic Testa, owner of the car; Chuck Schroedel, who was a member of the Camoradi team at Le Mans in 1960 ===== (Oo---x---oO) ===== Featuring the voices of Allonte Barakat (The Motor Chain) and Revel Arroway (CARnection Advisors); We appreciate these talented podcasters lending their support to the MPN.  00:00 Introduction to Evening with a Legend 00:53 Introducing the 1960 Camaradi Corvette 02:20 The Story of Lloyd 'Lucky' Kastner 03:30 The Camaradi Corvettes at Sebring 07:35 Technical Details of the Camaradi Corvette 13:48 Chuck Schroedel's Journey to Le Mans 25:06 The Camaradi Maserati Team 30:17 The Mulsanne Crash and Speed Records 30:47 Owning a Piece of Le Mans History 31:37 The Camaradi Team and Notable Figures 32:05 Fred Gamble and Carroll Shelby 32:26 The 1960 Le Mans Race 33:11 American Reception at Le Mans 34:12 Loren Lundberg's Quest for the Camaradi Corvette 34:59 Bob Wallace's Journey 37:27 Finding the Camaradi Corvette 40:11 The Car's Restoration and Legacy 49:46 Modern Corvette Racing and the C8 56:28 Closing Thoughts and Acknowledgements ==================== The Motoring Podcast Network : Years of racing, wrenching and Motorsports experience brings together a top notch collection of knowledge, stories and information. #everyonehasastory #gtmbreakfix - motoringpodcast.net More Information: https://www.motoringpodcast.net/ Become a VIP at: https://www.patreon.com/ Online Magazine: https://www.gtmotorsports.org/ To learn more about or to become a member of the ACO USA, look no further than www.lemans.org, Click on English in the upper right corner and then click on the ACO members tab for Club Offers. Once you become a Member you can follow all the action on the Facebook group ACOUSAMembersClub; and become part of the Legend with future Evening With A Legend meet ups.  

*) Parece que cada novo dia, e cada nova medida, do presidente dos Estados Unidos, Donald Trump, representa uma nova incerteza para a economia pelo mundo. A mais recente é a questão das tarifas. Como você sabe, o norte-americano cumpriu a promessa feita no último domingo e assinou decreto determinando a taxação de 25% para a importação de aço e alumínio. O fato é que, ao adotar tarifas sobre importações e um discurso protecionista, os Estados Unidos acabam alterando a dinâmica do comércio internacional, o que gera incertezas para vários países, incluindo, claro, o Brasil.Este episódio do podcast 15 Minutos fala sobre os impactos das medidas na área da economia já anunciadas por Donald Trump e as incertezas sobre o que vem pela frente. Para esta conversa, o convidado é o editor de Economia e colunista aqui da Gazeta do Povo, Fernando Jasper. 

Join Melanie Phelps, Senior Advocacy Advisor for Health System Transformation at the American Hearth Association (AHA), to discuss her recent research which explores the impact of ACO-driven value-based care from the patient and caregiver perspectives. Melanie explores the overwhelmingly positive results of the study, which found that patients and their caregivers experienced better care, better support, and better patient outcomes as a result of their clinicians' participation in an ACO. Dr. Julie Prosedda, Family Medicine Physician in Wilmington, DE and a participant in the AHA study, joins us to explore the reasoning behind these benefits of value-based care for patients, which is largely due to better relationships with their primary care physicians, as well as access to timely support and resources from an expanded care team. This more wholistic, patient-centered value-based care leads to enhanced patient engagement and a more trusting clinician-patient relationship. While it's clear that patients should be demanding broader access to value-based care, Melanie and Dr. Prosedda also explore the challenges of expansion, including increasing educational opportunities and more alignment among payment models. Learn more about the American Heart Association's research: Understanding Patient, Family Caregiver and Health Care Team Member ACO Experiences Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

Welcome to the (Not So) New 52, a real-time retrospective of DC Comics' New 52 imprint! Discussed this week: 0:00:00 - Intro 0:04:23 - Detective Comics #39 (Brian Buccellato and Francis Manapul) 0:12:03 - Grayson #7 (Tim Seeley, Tom King and Stephen Mooney) 0:22:36 - Superman #38 (Geoff Johns and John Romita Jr.) 0:32:09 - Action Comics #39 (Greg Pak and Aaron Kuder, Scott Kolins) 0:42:16 - Green Lantern #39 (Robert Venditti and Billy Tan) 0:51:04 - Aquaman and the Others #10 (Dan Jurgens and Lan Medina) 0:59:00 - Earth 2 #31 (Daniel H Wilson, Marguerite Bennett, Mike Johnson and Andy Smith, Cliff Richards) 1:06:45 - Green Arrow #39 (Ben Sokolowski, Andrew Kreisberg and Daniel Sampere) 1:15:50 - Lobo #5 (Cullen Bunn and Reilly Brown, Alisson Borges, Cliff Richards) 1:25:15 - Swamp Thing #39 (Charles Soule and Jesús Saíz) 1:35:25 - Batman Eternal #44 (Snyder, Tynion, Fawkes, Higgins, Seeley and ACO) 1:42:29 - New 52: Futures End #40 (Azzarello, Lemire, Jurgens, Giffen and Patrick Zircher) 1:51:47 - Earth 2: World's End #18 (Bennett, Johnson, Wilson and Various) 2:00:51 - Next Week's Books patreon: https://www.patreon.com/mildfuzztv twitter: @DCComicsPodcast (Use #New52) discord: https://discord.gg/8fbyCehMTy Other Links: https://linktr.ee/mildfuzz Find out more at https://the-not-so-new-52.pinecast.co

In this episode we hear from Kim Williams, Senior Manager of Government Programs at CHESS Health Solutions about the value of ACO REACH. She shares her expertise on what it is, why it was created, and how it benefits the patient and provider by being a care collaboration model that improves quality while incentivizing health equity.Kim Williams, welcome to the Move to Value podcast.Kim Williams Yeah. Thank you so much for having me.It's really a pleasure to be here.Thomas Royal So Kim, today I want to explore some of your knowledge that you have and your expertise.So let's talk about ACO reach first.Can you explain what ACO reach stands for and how it differs from the other ACO models?Kim Williams Sure, I'm happy to.ACO REACH stands for realizing equity access and community health.And really, the differentiator of this model is in the name itself.It's looking at HealthEquity and getting patients access to care in a timely fashion, but it's also looking at social needs and also working with community health providers to have a more coordinated approach in the patient's care journey. And so a lot of the programs requirements that we seeare centered around those core principles.And this is a huge shift away from your traditional fee for service model, where everything is based on quantity of services to now looking at value.Now we are looking at not just at the bigger picture. We're looking at the entire picture.We're looking under the rugs and we're addressing root causes in this ACO reach model, also part of what makes this model unique is in the innovative payment structure and that is what I call a capitation-like model.So this means that CMS will give us a prospective payment upfront and providers have the flexibility to structure that payment however they want to do that in a multitude of different ways.So one option is that a provider can elect to do a fee-for-service pass through where you are paid 100% of what you Bill to Medicare. Or you can elect to get 90% of what Medicare pays you.With an option to earn back bonus payments.Or if you don't want any of those options, you can also say, hey, just pay me a per member per month payment upfront.So that's called pmpm.Pay me that amount monthly or however they want to structure that arrangement with the ACO.So there's a multitude of different ways that you can go about this, and really the idea is that if the provider knows how much they're receiving up front to care for their beneficiaries, then they will be motivated to stay under that threshold and that benchmark.And that's really where the shared savings comes in.So I think the ability to select these payment options based on what you're comfortable with is not something you typically would see in other models outside of ACO reach.Thomas Royal Oh, that does sound pretty unique.Kim Williams Yeah.Thomas Royal So he touched on this a little bit, but I'd like to dig a little bit deeper and and if you could tell me what are the core goals of ACO reach and how does it align with the broader shift towards value based care and how does this model prioritize Health Equity and patient centered care in its design?Kim Williams Yeah. So, earlier you heard me mention that the goals of this model are centered around Health Equity access and community health.And so I want to camp on certain components of those levers.So I want to expand on why that matters and talk about the Health Equity for example. So as we're moving away from again the traditional fee for service and moving towards value based care, you see more and more payers prioritizing patient, HealthEquity and social determinants of...

This episode features audio from one of the ACO case presentation series webinars, “Emotionally Connecting with Your Amazing Baby During Pregnancy and Birth.” In this episode, Theodota Chasapi, M.D. discusses her work with pregnant women and new mothers with Susan Marcel, D.O. Listen in to hear about Dr. Chasapi's experiences and about her patient Anna who sought therapy while having a difficult time with her pregnancy. The results were transformative. “It's my strong belief that pregnancy and birth can be joyful and gratifying.” “…it's crucial to recognize and promote the value of the well-being of the pregnant woman and the importance of the emotional contact between the mother and baby…” Recommended Further Reading Wilhelm Reich. Children of the Future: On the Prevention of Sexual Pathology. 1985 by Farrar, Straus and Giroux. Frederick Leboyer. Birth without Violence. 2011 by Pinter & Martin Ltd. Michel Odent. Birth Reborn: What Childbirth Should Be. 1986 by Pantheon Books. Marshall H. Klaus and Phyllis H. Klaus. Your Amazing Newborn. 2000 by Da Capo Lifelong Books. Marshall H. Klaus, John H. Kennell, Phyllis H. Klaus. Bonding: Building The Foundations Of Secure Attachment And Independence. 1996 by A Merloyd Lawrence book. Question or Comment? The Journal of Orgonomy on Substack ACO - Orgonomy.org

Did you know that breath informs the nervous system's response to stress?In this powerful episode, Juanique sits down with breathwork expert and physiotherapist Campbell Will to uncover how your breath holds the key to healing your nervous system and transforming your health. Here's the thing: your breathing patterns aren't just about oxygen—they're directly tied to your mindset and how you show up for your healing journey. When you understand and optimize your breath, you're literally retraining your nervous system to feel safe, calm, and resilient.They dive into:•How dysfunctional breathing impacts your mental and physical health.•Campbell's ACO Framework (Awareness, Control, Optimization) to help you take back control of your body and mind.•Gentle practices like sighing and intentional breathing to shift you from stress to calm.•Why mindset and breath go hand in hand as the first step in healing.Healing starts in the mind, and breathwork is a powerful tool to help you rewire your thoughts, emotions, and nervous system. By calming your body, you open the door to deeper healing in every area of your life.Listen now to discover how mastering your breath can set the foundation for your self-healing journey.Take a deep breath, hit play, and let me know—how is your mindset impacting your healing? 1:08: intro Campbell Will and the podcast topic and how breath is the course work for the nervous system3:25. Champbell's journey as a physiotherapist and his training on breath5:25 how breath influences the nervous system 5:45 the diagram is the most important part of the physiology of breathing 6:15 what proper breathwork is6:54 slow breathing biomechanics 7:15 the diagrams role in breathing and the nervous system. 8:15 breathing in our modern world. Reduced lung capacity 9:25 ways in which breathing informs the nervous system. 10:40 how do you retrain a wrecked nervous system? 11:31 how our dysregulated states keep us alive and how our nervous systems like predictability. 13:13 why relaxation feels uncomfortable. 15:47 trauma and compensations we developed through breath. 16:14 how to practice breathwork when it feels uncomfortable. 19:15 the different types of breathwork. 23:45 the nervous system and exercise. 25:40 why you put weight on when you exercise. 26:34 the ACO framework30:20 my Peace is my own. Changing our environment within to handle the stress without. 34:56 different types of breathing. General rules. 36:30 ideal respiratory rates42:30 daily practices for self care and regulation.  How to check in with your nervous system. The A.I.R practice to shift your nervous system. 47:00 a way to practice breathing. S.I.R technique. 49:00 sigh neurons and sighing to regulate yourself. 50:55 yawning is wonderful for the brain and can increase alertness. 52:55 how to get courses and more  info. Send us a text

Tonight, we have an opportunity to bring a piece of Le Mans to you, sharing in the Legend of Le Mans with guests from different eras of over 100 years of racing.  David Murry whose career began in Formula Fords, leading to the Sports Renault series. While driving everything he could get his hands on from 1981 to 1991, he won numerous races and the 1985 Sports Renault Championship. 1991 saw the beginning of David's long term relationship with manufacturers like Lotus, Porsche and BMW contracting him to drive the infamous BMW M3-GTR. And in 1998 he began his journey to win at LeMans with 4 attempts from 1998 through 2011.  ===== (Oo---x---oO) ===== 00:00 Introduction to Evening with a Legend 01:31 David Murry's Early Racing Career 02:45 Journey to Le Mans 04:00 First IMSA Race and Sponsorship Struggles 05:11 Breakthrough with Porsche 06:27 Testing and Qualifying for Le Mans 08:09 First Le Mans Experience 09:52 Challenges and Lessons at Le Mans 22:19 Return to Le Mans in 2000 25:55 The Art of Racing: GT vs LMP Drivers 27:31 The Rise of Audi at Le Mans 30:43 Challenges and Triumphs: Racing in the Rain 31:50 Reflections on Racing with Andy Pilgrim 33:48 The Evolution of Racing Technology 36:49 A Decade Later: Returning to Le Mans 45:09 The Future of Racing and Personal Endeavors ==================== The Motoring Podcast Network : Years of racing, wrenching and Motorsports experience brings together a top notch collection of knowledge, stories and information. #everyonehasastory #gtmbreakfix - motoringpodcast.net More Information: https://www.motoringpodcast.net/ Become a VIP at: https://www.patreon.com/ Online Magazine: https://www.gtmotorsports.org/ To learn more about or to become a member of the ACO USA, look no further than www.lemans.org, Click on English in the upper right corner and then click on the ACO members tab for Club Offers. Once you become a Member you can follow all the action on the Facebook group ACOUSAMembersClub; and become part of the Legend with future Evening With A Legend meet ups.

Accountable Care Organizations (ACOs) have made great strides in enhancing patient care and reducing costs, saving $3.1 billion in 2023. The recently released report based on ACO performance in 2023 (PY2023) provides valuable insights into where ACOs are excelling. In this episode of Value-Based Care Insights, Dan Marino sits down with Sarah Kachur PharmD, MBA, BCACP, Executive Director of Strategy and Solutions at Johns Hopkins Population Health Analytics, to discuss the key findings of the report and what they reveal about the future of ACOs. Gain insights into the priorities of the most successful ACOs (in PY 2023) and their predictions for changes and challenges in 2025 and beyond. LinkedIn https://www.linkedin.com/in/sarahgracekachur/ Skachur2@jh.edu Hopkins ACGs: https://www.hopkinsacg.org/ Illustra Health from Johns Hopkins: https://illustra.health/

Ep 117 - Sarah Kachur- ACOs Saved Billions in 2023: Can They Sustain This Beyond 2025? Accountable Care Organizations (ACOs) have made great strides in enhancing patient care and reducing costs, saving $3.1 billion in 2023. The recently released report based on ACO performance in 2023 (PY2023) provides valuable insights into where ACOs are excelling. On this episode Dan sits down with Sarah Kachur PharmD, MBA, BCACP, Executive Director of Strategy and Solutions at Johns Hopkins Population Health Analytics, to discuss the key findings of the report and what they reveal about the future of ACOs. Gain insights into the priorities of the most successful ACOs (in PY 2023) and their predictions for changes and challenges in 2025 and beyond. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

Tonight, we have an opportunity to bring a piece of Le Mans to you, sharing in the Legend of Le Mans with guests from different eras of over 100 years of racing.  Andy Pilgrim, whose resume includes wins at the 12 hours of Sebring, Petit Le Mans, the Rolex 24, GT races on 5 continents, the Pikes Peak Hill-climb, NASCAR and 6 finishes (with 5 podiums) at the 24 hours of Le Mans. He is best known for his days racing with Team Cadillac and Corvette Racing and we're honored to have him with us tonight to share his stories about racing at Le Mans. ===== (Oo---x---oO) ===== 00:00 Introduction to the Legend of Le Mans 00:46 Meet Andy Pilgrim: Racing Resume and Early Career 01:40 Starting in Endurance Racing 02:20 The Firestone Firehawk Series 03:59 Building Endurance and Racing Skills 07:18 First Experience at Le Mans 10:19 Challenges and Learning at Le Mans 17:32 Transition to GM and Corvette Racing 24:09 Rivalries and Racing Dynamics 24:57 Racing Rivalries and Challenges 25:25 Corvette's Journey to Success 26:56 Technical Evolution and Engineering Insights 31:52 Le Mans: The Mental and Physical Challenge 35:46 Racing in the Dark and Rain 38:21 Reflections on a Racing Career 40:04 The Future of Sports Cars and Team Corvette 43:10 Closing Remarks and Acknowledgements ==================== The Motoring Podcast Network : Years of racing, wrenching and Motorsports experience brings together a top notch collection of knowledge, stories and information. #everyonehasastory #gtmbreakfix - motoringpodcast.net More Information: https://www.motoringpodcast.net/ Become a VIP at: https://www.patreon.com/ Online Magazine: https://www.gtmotorsports.org/ To learn more about or to become a member of the ACO USA, look no further than www.lemans.org, Click on English in the upper right corner and then click on the ACO members tab for Club Offers. Once you become a Member you can follow all the action on the Facebook group ACOUSAMembersClub; and become part of the Legend with future Evening With A Legend meet ups.

This episode features the audio from one of the ACO case presentation series webinars, “The Salesman Who Needed To Cry.” In this episode, Chris Burritt, D.O. tells Salvatore Iacobello, M.D. about his patient Steve who was having a severe cycle of panic attacks and had no awareness that he was suffering from an emotional problem. Listen in to hear how Steve overcame his panic and anxiety by connecting with his emotions in therapy. The Journal of Orgonomy Substack Question or Comment? ACO - Orgonomy.org

Tonight, we have an opportunity to bring a piece of Le Mans to you, sharing in the Legend of Le Mans with guests from different eras of over 100 years of racing.  Lyn St. James' illustrious career has distinguished her as one of the most successful female racecar drivers in history. She would take home titles in races like the 12 hours of Sebring, 24 hours of Rolex and 24 hours of the Nurburgring. And during that time she would attempt the 24H of LeMans twice and a pivotal time in its history. Later, in 1992, the mold wasn't just broken… It was shattered, and at the age of 45, proving that neither gender nor age matter in Motorsports - she entered the Indianapolis 500, earning the title rookie of the year. And she's here with us tonight, to share her Le Mans journey with you!  ===== (Oo---x---oO) ===== 00:00 Introduction to the Legend of Le Mans 00:43 Meet Lyn St. James: A Racing Pioneer 01:56 Lyn's Journey to Le Mans 02:31 Securing Sponsorship and Support 04:19 First Impressions and Challenges at Le Mans 08:16 Cultural and Personal Experiences 10:10 The Changing Landscape of Le Mans 14:21 Racing Dynamics and Team Interactions 17:04 The 1989 Le Mans Experience 18:56 The Return in 1991: New Challenges 21:57 Driver Dilemma and Team Chaos 22:41 Desiree's Determination and Crashes 24:26 Lessons from 1991 25:42 Mazda's Revolutionary 787B 27:25 Challenges and Opportunities for Female Racers 31:07 Women in Motorsports North America (WIMNA) 35:42 Future of Ford at Le Mans 38:31 Closing Remarks and Acknowledgements ==================== The Motoring Podcast Network : Years of racing, wrenching and Motorsports experience brings together a top notch collection of knowledge, stories and information. #everyonehasastory #gtmbreakfix - motoringpodcast.net More Information: https://www.motoringpodcast.net/ Become a VIP at: https://www.patreon.com/ Online Magazine: https://www.gtmotorsports.org/ To learn more about or to become a member of the ACO USA, look no further than www.lemans.org, Click on English in the upper right corner and then click on the ACO members tab for Club Offers. Once you become a Member you can follow all the action on the Facebook group ACOUSAMembersClub; and become part of the Legend with future Evening With A Legend meet ups.

Learn more about NetSuite Planning and Budgeting: https://tinyurl.com/bdhm7phf   In this special episode of the NetSuite Podcast focusing on the CFO's agenda for 2025, cohost Megan O'Brien sits down with Jess Wijesekera, SVP of Global Accounting at Vytalize Health, a leading value-based care platform. They start the episode by discussing Jess' background and what brought her to her current role [1:55]. Jess then delves into Vytalize Health and its exponential growth over the last several years [6:26]. Megan and Jess discuss technology and talent issues [15:49]. They end the podcast episode by covering Vytalize Health's priorities for 2025 [31:52].   Follow Us Here:   Vytalize Health: https://www.vytalizehealth.com/   Jess Wijesekera LinkedIn: https://www.linkedin.com/in/jessica-wijesekera-7290196/   Oracle NetSuite LinkedIn: https://social.ora.cl/6000wKFhC X (Twitter): https://social.ora.cl/6007wK2zD Instagram: https://social.ora.cl/6003wK2Hv Facebook: https://social.ora.cl/6005wK2Dv   #NetSuite #CFOAgenda, #Accounting   --------------------------------------------------------   Episode Transcript:   00;00;04;21 - 00;00;28;20 Hello, all you Suite listeners. Thank you so much for tuning in to the NetSuite podcast. I'm Megan O'Brien, a co-host of the podcast. Now you all are in luck because today's episode marks the start of a mini series we are doing called The CFO Agenda. As we approach the end of 2024, we wanted to gauge what's on the docket for finance and accounting leaders.   00;00;28;23 - 00;00;50;23 In the first installment of the series, we have Jess Wijesekera, SVP of Global Accounting for Vytalize Health, a leading value based care platform. If you attended SuiteWorld or if you tuned into NetSuite OnAir to watch the main keynote, you would have seen her make an appearance with NetSuite Founder and EVP Evan Goldberg.   00;00;50;25 - 00;01;19;08 Vytalize Health has grown by a casual 90,778% over the last three years, so this episode is a great pulse check on what high-growth companies are prioritizing this coming year. We talk all about Jess' background and her current role of Vytalize Health, the company's exponential growth, and her plans for 2025. With that, let's go ahead and dive in.   00;01;19;11 - 00;01;45;23 You're listening to the NetSuite Podcast, where we discuss what's happening within NetSuite, why we're doing it, and where we're heading in the future. We'll dive into the details about the software and the people at NetSuite who are behind all the moving parts. We'll also feature customer growth stories discussing the ups and downs of running a company and how one integrated system can help your business continue to scale.   00;01;45;25 - 00;02;03;26 Hi, Jess. How are you today? Hey, Megan. Good. Really great to be here. Good. We're so happy to have you. Yeah. Thank you. All right, well, we're going to dive right in because we have so much to cover. We want to hear, first of all, about your background. Did you always know that you wanted to get into accounting?   00;02;03;29 - 00;02;26;29 I did not. But I was always very good at organizing people and organizing projects. And I think that organization has always really been a part of who I am. It's going to sound silly, but in kindergarten I used to and tell them where and how to jump rope, and they always just happily listened to what I had to say.   00;02;26;29 - 00;02;57;23 And I felt really like a natural leader and I knew I wanted to do something that captured my personality. So, for me, accounting is just a really nice because it's taking project management and organization and unpacking a puzzle takes a lot of patience, which I'm learning to have a lot of patience, but it takes a lot of kindness for interacting with other departments and some tenacity with dealing with service providers.   00;02;57;23 - 00;03;31;23 So, I didn't know I always wanted to do it, but it is feeling like a really good fit. I couldn't help but stalk you a little bit on LinkedIn. You majored in accounting at Villanova, which is where I went. Yeah, Wildcats, you know, so I know I just had a great experience there and I chose it really because they had a very solid business school and I had this accounting professor who taught financial accounting, and he told me that accounting was the hardest major in the business school.   00;03;31;26 - 00;03;58;08 And if I could do accounting, that I could do anything, I could do finance, I could do management, I could do marketing. And he was really right. And I followed my accounting degree up with a master's in finance at Boston College. And it's really worked well, I think, to have this understanding of everything that's accounting is past and everything that's finance is future and we meet in the present.   00;03;58;12 - 00;04;28;26 So it's kind of helped shape my career and where it's gone. That is such a cool perspective on it. And, and speaking of your career, could you talk a little bit about your past roles and your path to where you are now? Yeah, so like many accounting majors, I started at the Big Four, so I was at EY and I stayed longer than most. I was there about 15 years and I did a grand tour of about four offices.   00;04;28;29 - 00;04;55;29 So, I started in Palo Alto, and then did Boston, San Francisco, and I also did a three year secondment in the London office. And every time I felt I was going to leave public accounting, I stayed because I got a new opportunity or worked on a new client or with a new team. And it was this feeling that I could really add value, but also learn something completely new, which added to my skill set.   00;04;56;02 - 00;05;20;15 And I can't even tell you the number of times that I've cried in an audit room. I do think about those experiences and really how it shaped me. I got to work on Warner Brothers and Hawaiian Airlines, and towards the end of my career there, I was a national instructor for 606 when that Rev Rec standard was completely new and nobody knew what to do.   00;05;20;15 - 00;05;48;11 So that helped me with my foundation for where I am now. But after 15 years I decided to go into industry, so I started as an assistant controller. I was at a bottling company and my very first day on the job I realized I've never booked a journal entry in my whole life and a few roles since I have taken on kind of new areas of responsibility and kept growing my own skillset.   00;05;48;13 - 00;06;14;09 And I'm actually really lucky now to have brought on a couple of people I've worked with in the past, you know, kind of through EY and other companies because we just really enjoy working together. So that all of that brought me to my life. Well, I mean, I don't think you've really worked for a Big Four unless you've cried somewhere in an office, so you, you sent that experience home. Probably an office without windows.   00;06;14;11 - 00;06;40;07 Yeah, yeah, yeah, I did my crying in a phone booth, so. Yeah, yeah, No windows. We're all here now. We're all here. And better for it. So speaking of Vytalize, you ended up joining Vytalize Health about two years ago? Can you tell our listeners a little bit about what Vytalize Health does? Yeah, so Vytalize is a value-based care company.   00;06;40;09 - 00;07;10;11 Value-based care is a collection of doctors and service providers and payers that work collectively to have better outcomes for patients. And coincidentally, that's usually at a reduced cost. So, what we do is sit between the primary care physician and CMS, which is the Center for Medicare Services. So we help our physicians strengthen the relationship that they have with their patients.   00;07;10;13 - 00;07;41;13 And if we succeed in that and meet certain quality metrics and achieve these better health outcomes, then CMS as the payer, they give us a share of that. So, I'll use a fancy terminology, but it's really aligning incentives, right? So, we're all incentivized for providing better, higher quality care, not necessarily more care. And it's really working because we're giving these doctors more time to spend with their patients.   00;07;41;13 - 00;08;18;00 So, we provide services like care coordination and virtual home care, in-home care. And it's particularly important for the Medicare population. You know, if you think about 65 plus and then people that are, you know, often not able to get to the doctor, in-home care is so critical. And really, we see ourselves as an extension of the physician so that we operate as part of their practice and really preventing hospitalizations and improving the quality of life and, you know, for an accounting major, that's certainly something I can get behind.   00;08;18;00 - 00;08;42;02 And, you know, the mission and kind of what we're doing, it feels really good. What does a typical day in your shoes look like? So like many companies in the pandemic, we went remote. So I have a little office that I use in a coworking space and I bring my puppy with me and we have a lot of meetings.   00;08;42;02 - 00;09;07;10 So back-to back-video meetings, I do a lot of meetings direct with one on ones, with my direct reports. We are constantly meeting with our EY tax team, Connor Group accounting specialists, so treasury and tax report through me. And then I just took on the FP&A function as well. So, this week was a lot of meeting with department heads to try and craft our budget.   00;09;07;12 - 00;09;34;04 But I find my typical day is really helping my team make good decisions and collaborative points of view and just making sure that we're prioritizing the right thing at the right time. Because like so many companies growing as quickly as we are, you know, you're this can be really long and kind of helping decide what comes first and what can come when, as you know, is a really big part of my job when I also have the puppy.   00;09;34;04 - 00;09;57;04 So she's as cute as can be. And we try and get out of some walks in between all of the meetings. Yeah. So for our frequent listeners, the puppies she's referring to is actually the guide dog puppy that attended SuiteWorld that we talked about in our SuiteWorld. recap. We are obsessed with Mayberry. I think she might be the new NetSuite mascot she's so sweet.   00;09;57;04 - 00;10;19;10 So she's training to become a guide dog for the blind. And I'll have her through next June. And she's part of the Walnut Creek Club here in the San Francisco Bay Area. And she's just a little delight. So her having her experience SuiteWorld in Vegas, I think opened her eyes. I mean, she's doing really great.   00;10;19;12 - 00;10;53;13 She did so good. She was all scared of the casino. Yeah, we all are. So Vytalize Health has this crazy growth trajectory. So the company ranked number one on the Inc. 5000 across all industries after achieving $1.5 billion in revenue for 2023 and a three-year revenue growth rate of 90,778%. Can you delve into the Vytalize Health's growth story and how that all came about?   00;10;53;15 - 00;11;22;19 Yeah. So Megan, work with me here on some math backwards. So to get to 1.5 billion, that means we started as a single health care practice. So we had one practice. It was in Rockland, Maryland, and it still exists, but we've grown from about one medical practice to over 200, I'm sorry, 2600 primary care physicians. We found that we were very good at these additional services.   00;11;22;19 - 00;11;49;15 Right. The care coordination and helping the physicians make better decisions. And instead of growing our own practices, the business went through kind of the modeling approach that we would instead partner with physicians and they would join our value based care program, which is it's called Accountable Care Organizations. So those practices joined our ACO and we taught them value-based care.   00;11;49;18 - 00;12;18;21 And through that we shared a part of our savings with them. And in that model, we were really able to grow quickly. So we went from, you know, just a few thousand Medicare beneficiaries to now over 260,000 patients. And that's a staggering number because we're probably taking care of someone that, you know, and it's part of Medicare's goal to have every Medicare patient in an ACO by 2030.   00;12;18;24 - 00;12;41;04 So for people who don't know what value-based care is, all of the sudden they must participate in value-based care by 2030, in six years we'll be there. And Vytalize is really helping with that transition. And it's working. It's working really well. We're seeing a lot improved outcomes for patients and decreased hospital hospitalizations. And yeah, it's going really well.   00;12;41;10 - 00;13;06;23 Yeah, clearly, clearly clear. So were there any challenges that came with this rapid growth? And if so, how did Vytalize help tackle them? Do you remember Facebook? They used to have this tagline and slogan and it said, ‘Move fast and break things,' right? And I was googling it recently and I was like, I think they have abandoned that tagline.   00;13;06;25 - 00;13;35;10 Yeah, maybe with the move to Meta, they're like, Yeah, maybe not and break things. Yes. So that's the hardest part, right? Is because you can move too quickly and break things and sometimes that's an okay thing. But a lot of the times we should really be adding a lot more thought, a lot more time and a lot more considerations to some of the larger decisions that are going on.   00;13;35;10 - 00;14;02;29 So really, to me, the biggest challenge with this rapid growth is taking the time and the thought process to really think through decisions and not move as quickly as you can. So one of the other things that we've done to kind of circumvent that is adding a policy and procedures committee and a policy and procedures role in our organization.   00;14;02;29 - 00;14;37;20 And I'm not going to take any credit for that because it was already in existence and it was already working really well. But we were able to then write some policies pretty early on that helped our controls and helped our vendor contracts who could engage if vendor who could approve a payment. And a lot of those early policies and we're still writing them, but a lot of those early policies helped us, you know, be able to go to the rest of the business and say, ‘Hey, you know, you can't X, Y, Z because of this policy' or ‘You can, but you must do it in this way.'   00;14;37;24 - 00;15;07;28 And kind of making that consistent across the organization was really helpful for me. Well, that kind of leads into a good question for our listeners here. Any best practices for companies that might be looking to grow or any pitfalls to avoid? I think growth in general is having good technology to scale, right? So how do we make something a repeatable process and how do we put it in a system to be able to make it repeatable?   00;15;08;01 - 00;15;39;14 My app director, Lisa Kemper, and I joke all the time that life is full of one-offs, right? Like this is all a one off and if you're tackling something over here and over there, you would need 300 people in your accounting department to be able to support all of the one-offs. So, we very much we do use this Policy and Procedures Committee, but we're also standing up a lot of our tech products and using NetSuite to be able to get, you know, some standardization.   00;15;39;14 - 00;16;07;11 But also I'll call it kill the one offs, right? We can't be doing an exception. Everything has to fit into a process and become part of the rule. And how has Vytalize Health been using NetSuite? Oh my gosh. We're big, you know, signing some new statements of work all the time. So, yes, I love it. I know the one we just signed was the budgeting and planning tool right now.   00;16;07;11 - 00;16;33;05 So we started with the financials and budgeting and planning. But I would say we're really starting to use a lot of the subledgers in the way that they were intended to be used, and that has been really helpful for us. So, our biggest NetSuite, and I spoke about this at SuiteWorld, is our bank reconciliations. We have, you know, 47 bank accounts and transactions galore.   00;16;33;11 - 00;16;58;00 Right? And sort of as we talk about standardization and automation and killing, the one offs, what we're doing is making sure that we can put something in a process and make it repeatable. And the bank reconciliation module has started to learn the way that we're matching off our bank recs and the way that we're matching off transactions. And it will start to do that for us.   00;16;58;00 - 00;17;21;05 So every time we make a bill payment debit this account credit that account it learns it and then it'll just do it in the background and then we approve it. So this used to take three people their whole full-time job. Not to mention there are a lot of errors in this process. And now that we actually turned on the bank rec module, it's kind of all working for us in the background.   00;17;21;05 - 00;17;47;26 And I was even talking with my accounting manager, Kelly Allen, and I said yesterday I was like, Kelly, how's the bank matching going? And she's like, ‘You know, I don't even hear about it.' It's really working for us. And, and it's been helpful to start to automate these things so we don't have to think about it. And it previously it just felt like we were playing catch up, you know, 45 days.   00;17;47;29 - 00;18;06;14 It would take us to close the books. And, you know, 45 days ago was the end of August or August is long gone by now. Right? We're making business decisions all the time. Do we need more? You know, funding from investors? We want to take a loan, whereas, you know, where are these larger payments coming from? We're going to we can't wait 45 days for anything.   00;18;06;14 - 00;18;32;25 So it's helped us, you know, make some real-time decisions. Well, why is having a strong tech stack so important for Vytalize Health specifically and how did it perhaps help facilitate some of the massive growth that you mentioned previously? We had a previous controller at Vytalize and every time we needed financials, he would say, okay, like I need three days.   00;18;32;27 - 00;19;02;08 He would take, you know, we had QuickBooks and, you know, it was the right size and shape for us when we started. So, we're using QuickBooks and he would take three days to prepare a consolidation and then to do the elimination journal entries. And that was a very manual effort. And three days of those financials and, you know, the manual errors that could exist.   00;19;02;08 - 00;19;23;13 And, you know, it was almost like, well, I don't need it anymore that I asked for that three days ago. We've moved on. That wasn't at least, you know, last week. So finally I looked at him and I was like, we have to get this in NetSuite and we have to do like journal entries and post them on the system.   00;19;23;13 - 00;19;43;21 And, you know, we're going to need elimination entries and we're going to need to have this reporting in a moment's notice. And, you know, when we ask for the report, I need it in 20 minutes, not three days. So we moved it all into NetSuite We've also gotten a tool called Workiva and Workiva connects to NetSuite.   00;19;43;21 - 00;20;09;08 And I'll give a shout out to Ryan Mueller, who's our senior manager of tech accounting and NetSuite syncs with Workiva so we can produce financial statements and reports at a moment's notice. And I can say, you know, I want the Q2 report to investors and I want that Q2 report to include these entities and Workiva pulls the information from NetSuite.   00;20;09;08 - 00;20;32;08 And then we can have it ready for an investor immediately. And that has really been a game changer for us. We do a lot of reporting. We have board members and boards of each of our ACOs, so there's about six of those. We need frequent reporting for about six different entities. And then on top of that, we're supporting an audit from Deloitte right now.   00;20;32;08 - 00;20;58;13 For us to pull all of this reporting very quickly and only, you know, I have a team of five here in the US doing accounting, and that is really essential for us to have these tools so that we can, you know, keep our headcount costs low, keep the work interesting for the people that are here, and be also, you know, be providing that to investors.   00;20;58;15 - 00;21;24;18 NetSuite by Oracle, the number one cloud financial system is everything you need to grow all in one place. Financials, inventory, HR, and more. Make better decisions faster so you can do more and spend less. See how at netsuite.com/pod. Well, can you imagine the poor controller just getting an email saying, ‘Hey, we want the numbers' and thinking, ‘Well, there goes three of my days.'   00;21;24;21 - 00;21;47;29 My god, I'd be dreading emails. Yeah. And, you know, sad story about QuickBooks. You have to have separate legal entities. So, we had 16 legal entities that he had. Like, you can't run a report. So we got a bolt on tool. So it's fun. But you know, just to sort of highlight like if you think you can do it, it could probably be done.   00;21;47;29 - 00;22;13;10 So moving to the new technology helped us immensely. Yeah, thank god. Thank god for saving the controller on a click of a button. We've kind of alluded to this, but you participated in a keynote with NetSuite Founder and EVP Evan Goldberg at SuiteWorld this year. What was that experience like? It was so cool. That was really just kind of a highlight for me.   00;22;13;15 - 00;22;35;08 I think the best part was people coming up to me afterwards and saying, you know, they resonate with my message or, you know, they really liked whatever point I had to make. And, you know, yeah, it's cool to be on stage and meet Evan. But really, for me, it kind of came full circle when people, you know, could kind of even tell me back what I said, did I say that?   00;22;35;10 - 00;22;57;26 But yeah, that was that was a really great experience and, you know, fun to kind of share how Vytalize is doing. And, you know, this big award has, has really opened a lot of doors for the company as well. One of the anecdotes really stuck out to me personally in your keynote with Evan was how someone on your team essentially automated himself out of his job doing bank reconcilations.   00;22;57;28 - 00;23;21;26 But he ended up moving to FP&A, which arguably more of a value add for the company. So as more manual task and accounting and finance are automated, what do you think the future of those functions will look like? Yeah, and I have this funny title. My title is global, which you know, often means it's a global company.   00;23;21;28 - 00;23;48;29 But for me, this global title is actually represents to the people on my accounting team and we are all over the world. So the individual who automated himself out of his job, Dether, sits in the Philippines. So it's kind of this added layer, Meggan, that, my goodness, an outsourced role in the Philippines, just automated himself out of a job.   00;23;49;01 - 00;24;21;13 But the people are working to offshore stuff, but like my offshore person is working to automate. And just a quick update on Dether: he has been so helpful with the budgets for us. We are going through our budgeting process right now, as so many companies are, and that budgeting process is really leading to a lot of great conversations with our department heads about what costs we're needing, what vendors we're going to be needing for next year, what strategic initiatives do we have to plan more costs for, where is more revenue to compensate for that?   00;24;21;15 - 00;24;45;29 And he has been so incredibly helpful in that role and I think it's very fulfilling for him so often times, you know, what is the future of the function looks like? It just looks like it's at a higher level and we are starting at the baseline is just moving up, right? So your entry-level position is just doing higher quality work.   00;24;46;01 - 00;25;10;07 Hopefully fewer tears in the audit room now. I think the tears will exist, but I do think people will have a more fulfilling job, start for themselves right out of college or right into the workforce. What skills do you think will become must haves and kind of this new normal? Yeah, I think the go-to skill for me is just a willingness to learn.   00;25;10;10 - 00;25;44;25 You know, I think I even told Evan on stage I don't know everything and I really don't, but at least I know where I can look it up. Or I might know who to ask or, you know, in me and in my team is this willingness to learn and the willingness to change. And I think kind of that positive outlook and that positive environment is something that will forever be a must have, especially as we have all these new these new automation ideas and everything that's new and exciting.   00;25;44;27 - 00;26;09;28 We really just have to embrace it. And getting a little more granular here. What are you looking for when hiring talent? Are there any kind of talent gaps that you are trying to fill? Yeah, and I think especially as a scaling company, I think in any organization you often wear many hats, but as I'm scaling, I'll just use my senior manager of accounting projects as my go to example.   00;26;09;28 - 00;26;36;25 But I'd worked with him before and when I hired him I was like, ‘I just I need help.' And the first thing he says, all the time, Rob Dulgarian, is how can I help? And it's this willingness to learn new skills and the willingness to you know, get in and get your hands dirty, figure something out and, you know, kind of right size, whatever it is that you're working on that.   00;26;36;28 - 00;27;08;13 And that's a skill that the skill that I'm looking for when I hire people, you know, people we have people in Jordan, we have people in the Philippines, and we have people in the US, and kind of across the board. Anytime we're hiring, that's really what we're looking for is, you know, I've never done that before and I don't know how I'm looking for people that say, you know, I've never done that before, but let me explore, you know, how it's just this really positive outlook and where we are.   00;27;08;13 - 00;27;39;27 We especially get that from our global team members. They're just ever so, ever helpful. How do you assuage some of the fears in your team and your leadership, whatever it might be, about being automated out of a job? How do we get people to kind of embrace automation and AI and not really fear it? So I admittedly was unsuccessful at this at my last position, and I have been unsuccessful at this before.   00;27;39;29 - 00;28;24;18 I think it takes the tone from the top and really having, you know, the board, the C-suite, your investors, having those individuals excited and ready to embrace change is where it starts from because not to throw a cliche out there, but it really will all trickle down and having them excited and on board. At my last job, I think the only one that was excited and on board and it was really hard to get change, to get people excited about doing something else because, you know, they often have fear of losing their position and that that fear is very normal and very understandable.   00;28;24;18 - 00;28;51;05 But I think that as long as the, you know, the top of the company is willing to be flexible and encourage that change, I think it'll be a lot more effective. The accounting profession, it's been the news recently due to a shortage of professionals entering the role. So as a leader in accounting, how do you think companies can combat that shortage and attract accounting talent to their teams?   00;28;51;10 - 00;29;17;13 I feel like I'm going to bring this answer back to your previous questions, right? So it feels like automating and, you know, kind of holistically globally, looking at the talent workforce that's there. I mean, I think that's how companies are going to be able to continue to succeed. I kind of saw at the tail end of my career at EY how it was harder to get new accountants in.   00;29;17;13 - 00;29;57;15 And then also combined with COVID, was very difficult to start training people without being without being on site and in the same place together to be able to train. So, you know, from my perspective, I think it'll flex and change over time. Maybe I should teach some more accounting classes and get people excited about being accounting majors. But, you know, I, I do very much think it'll be a combination of roles like global accounting roles throughout the world, combined with this idea of people really embracing and getting change and automation and up and running and tech stack too.   00;29;57;15 - 00;30;31;17 I think one of the other things I wanted to mention is that we've been using Numero and Numero is a tool that we've used through Connor Group. And what Numero does is extract key terms out of documents and summarize technical accounting. So we're using AI to write our technical accounting memos, future state, and we're using a lot of this AI to kind of take and develop things that we would have done manually.   00;30;31;17 - 00;30;56;04 And you don't even think about how manual it is to create a technical accounting memo. But, you know, if I can give this bot a topic and my three lease agreements that can write an ASC 42 memo for me and you know, how cool is that? Because basically what we're doing then is taking the people who used to prepare the work and making them reviewers instead.   00;30;56;06 - 00;31;16;22 And I do think there are some additional challenges of like, how do you review something you've never prepared? But, you know, I think it'll create higher value work earlier in the process for people when they're launching their accounting careers. Yeah, I think taking some of the tedium out of it is going to be huge. So much tedious.   00;31;16;24 - 00;31;38;29 So much teedious staff work. Yeah. And now we have technology. Yeah. I wish I were starting my career now. I think I might consider an accounting career. If we had the. No, I would be terrible at accounting. I'm not organized enough. But then again, I could talk you into it. But maybe someday. But not today. I do come from a family of accountants.   00;31;38;29 - 00;32;06;02 Unknown My family is in medicine. So some helpful lessons for me. Yeah. For a health care company. Yeah. You blended it. Yes. So it was both. Well, we're kind of like coming up on the end of the year, so I wanted to pick your brain kind of around your 2025 agenda. So as SVP of accounting, what are your top priorities going into 2025?   00;32;06;05 - 00;32;32;07 So we are building out all kinds of really great reporting. So we're using the NetSuite Budgeting and Planning tool to also do our financial reporting for us. So what we're doing this year is building our budgets and we're building them at the vendor level. So it'll be able or it'll give us the opportunity to really analyze our budget versus actual at a new level that we've never done before.   00;32;32;07 - 00;32;57;25 So we're pretty excited about that. And then also meeting more regularly with our department heads to be able to have them reflect on how the month went, but then also make any changes in the future, planning for their new hires and any vendor expenses they have. And really, you know, having a well thought out budget and meeting that budget in 2025 is really our biggest priority.   00;32;57;28 - 00;33;22;22 Well, that's huge because, I mean, we keep writing about it, but the role of finance and accounting is becoming so strategy driven, so much about partnering across the rest of the business instead of kind of, you know, reporting after the fact to everyone. It's like working with them and collaborating during the process. Yeah, yeah. And seeing what new contracts are in the pipeline.   00;33;22;22 - 00;34;00;09 How are we going to take those contracts and pull certain levers to be able to maximize them? Yeah, there's a lot to kind of account marrying together, accounting and finance. Are there any challenges that you are worried about or anticipating? Yeah, I think the making sure that as an accounting department we remain inserted into each of the other operating units of the business and that we're working closely with the finance team and kind of ears to the ground with what's going on and when and being able to influence and do that at a much earlier time period.   00;34;00;09 - 00;34;36;21 So I am I am anticipating that to be a new challenge for us. But yeah, we're excited to work on that. And actually, my same bank reconciliation manager who used to do that, this is his new job instead. So we'll hopefully report back on how it goes with his new role. I love it. As advanced technologies such as AI, machine learning, RPA, all that proliferate, do you have any plans to upskill or reskill your existing workforce in the next year and how are you anticipating going about it?   00;34;36;28 - 00;35;07;20 Yeah, so Megan, this answer just makes my heart sing. So we are using our offshore Philippines team to use AI. So our offshore team is going through all of the contracts for us and they're using an AI tool, actually the same AI tool Numero. They're using that tool to go through all of the key contracts that we have and extract the key terms of the contracts.   00;35;07;23 - 00;35;44;07 That is a very typical, you know, staff one accountant role, right? That's what I did as a staff one accountant, and that was my whole job. So now it's been done by a computer. So cool. And it's being reviewed by, by somebody who's offshore and that I mean, it just really makes my heart sing because we're taking this lower-level work and giving more interesting work to the people who are onshore because now they're looking at these contracts and doing things in a way that that they wouldn't have the opportunity to do.   00;35;44;07 - 00;36;05;06 It's often hard to review your own work, right? So now we're getting new skill. We're just going to upskill the people that we have. I think our business right now, we're mainly focused on the current contracts that we have and then expanding our patient population within those contracts. So we're not necessarily taking on new physician practices.   00;36;05;06 - 00;36;28;06 So I think our accounting department will stay steady, but that is the thing we always like to keep on top of our finance folks to see how are we growing the business and how should we grow our accounting department as well. From a broader technology perspective, do you have any goals going into the next year? Yeah, I think just the great financial reporting.   00;36;28;06 - 00;37;01;16 And then we also have Salesforce as a system, and I was super excited to see Evan announce that Salesforce integrations are going to be made a lot easier. So from a tech stack perspective, we are going to start getting the information from Salesforce into NetSuite. And we're yeah, we're pretty excited about that because there's a lot of work that we do with onboarding our customers and that customer onboarding happens in Salesforce, but then it should become part of the customer record that's in NetSuite.   00;37;01;16 - 00;37;30;16 And right now, that's a manual process for us. So having Salesforce integrated would be, would be a really nice to have. Does Vytalize House as a whole company have any overarching objectives going into 2025? Yeah, so very much pure and stable growth. We are really focused on keeping the current physicians that we have and, and as I mentioned, the patients that we're serving or the Medicare patients.   00;37;30;16 - 00;37;56;01 Right. So if you imagine the doctor physician that you go to is your primary, maybe that primary care physician has 2000 patients and 500 of them are Medicare patients. Right. So those 500 lives, that's what's included in our count, right? That 260,000 that I mentioned before. So what we're trying to do next is get access to the other patients.   00;37;56;01 - 00;38;19;19 Right. That would look like contracts with Blue Shield or contracts with Aetna and other payers to be able to influence care over those lives as well. So I'll call that organic growth because we already have those relationships with the PCPs in place. But what we're wanting are contracts and relationships with the other payers, so that that's 2025 for us.   00;38;19;19 - 00;38;39;13 It sounds so exciting. I know. I feel like this business was so hard for me to understand and like the 10th time someone explained it to me, I got it. So I'm sure you guys are getting it in more than more than ten Innovation items. But yeah, it is a really exciting business here. We're thrilled to be a part of it.   00;38;39;17 - 00;39;12;14 Wrapping up here, just you have such a fascinating story coming in, like coming in and working for this high growth company. Is there any final thoughts or takeaways to leave our listeners with? Yeah, and one thing I do on my personal life is that I keep a gratitude journal and it helps me have a really positive mindset and having a positive mindset leaves me open for learning and growth of my personal development.   00;39;12;16 - 00;39;39;26 So I think that's one thing that's just really helped me to stay on top of my game of staying positive and kind of a can-do attitude. You know, I'm certainly not that way all the time. And sometimes my team shakes and says, Just pull back together. But I do really think that, you know, kind of being grateful for where we're at, how well we've done shapes us to have some positivity going into our next chapter for finals.   00;39;40;00 - 00;39;59;02 I love it. What a good note to end on. So being grateful really keeps you open for learning more. Jess, thanks so much for joining us. We really appreciate it. Yeah, thanks for having me. And again, I really am grateful for the opportunity. All right. Back to my journal today. Thank you so much, Megan.   00;39;59;06 - 00;40;26;21 Yeah, thank you. That brings us to the end of another great episode. It's such a great opportunity to get the perspective directly from a high-growth company and from someone like Jess, who has been there and facilitated so much of it. I think it was especially rewarding to hear how she personally was starting to implement AI in the accounting department to increase efficiency as the company expands.   00;40;26;23 - 00;40;47;10 Huge thanks to Jess for taking time out of her busy schedule to chat with us. And as always, a big thanks to our wonderful editing team over at Oracle and to all of you for tuning in. If you want more episodes just like this one, make sure you subscribe to our channel and give us a rating and review until next time.   00;40;47;13 - 00;40;59;08 You just listen to the NetSuite Podcast. Be sure to tune in every week with more NetSuite developments, stories, and insights into the benefits of one integrated system to help you run your business.

About Vic Simianu and Sphinx Strategies: Coming from a background in Biotechnology and Finance with an MBA from Kelley's School of Business, Vic is an entrepreneur focused on helping specialty pharmacies make key strategic investment decisions to differentiate themselves in the marketplace. Vic has achieved outstanding results throughout his career leading business decisions for a broad range of healthcare and pharmaceutical industry players, and is passionate about developing innovations within the healthcare space. Our mission is to become the nation's most trusted independent specialty pharmacy consulting group, creating value for our clients and staff while catalyzing clinical, operational, and financial performance for our clients. Sphinx Strategies is a consulting group focusing on developing and maintaining highly-integrated and collaborative Specialty Pharmacy operations. While Payors and PBM's continue to force adoption of enhanced competitive requirements, specialty pharmacies face the compounded effect of time constraints, regulatory hurdles, and constant reimbursement challenges. Sphinx Strategies targets the effectiveness and speediness of their approach by combining efforts in accreditations, operational excellence, and data analytics in each phase of their projects for clients to achieve and surpass double and triple-digit ROI's per engagement. The Sphinx portfolio of clients range from independent pharmacies to large IDN's, ACO's, and publicly traded pharmacies and insurers. Accreditations often lay the foundation for specialty pharmacies to compete in the marketplace and develop key partnerships paramount to success in the industry. Being one of the first ACHC-Certified Specialty Pharmacy Consultants as well as achieving one of the first URAC Specialty Pharmacy accreditations, Vic has ridden the exponential growth within the SP industry as accreditations have become primary differentiators for pharmacies. He intimately understands the nature and history of the accrediting bodies, the rapid evolution of the accreditation standards themselves, and the ever-expanding value behind engaging and maintaining accredited processes.

Budgets have been a HUGE topic. Not only on this show but people are starting to notice the overspending and waste on a lot of movies. We just got a report that the Aco;yte actually cost 230M instead of the 180 that was initially reported. Now The Marvels which was rumored at 280M is not actually reported at 378M? What is happening with the decision making with these films? How is this allowed? Speaking of big budgets, The Joker 2 had a MUCH bigger budget than the first and now the second one although first predicted to have a massive opening is now dwindling because of poor reviews. Can it be saved? This and more on today's show with Kristian, Mike and Steph! #dc #dcu #joker2 #themarvels #disney #mcu #marvel #budgets  OUR SPONSORS BILT: http://www.joinbilt.com/BIGTHING LIQUIDIV: GET 20 PERCENT OFF http://www.LiquidIV.com CODE: BIGTHING

Tonight, we have an opportunity to bring a piece of Le Mans to you, sharing in the Legend of Le Mans with guests from different eras of over 100 years of racing. And as your host, I'm delighted to introduce  Rob Dyson, who started his racing career in 1974 at Watkins Glen International,  In 1981 he won the Sports Car Club of America's GT2 national championship, and began racing professionally in IMSA GTO and the SCCA Trans-Am in 1982. The following year, to support his professional racing efforts, he founded the Dyson Racing Team, which over the next few years grew to be one of America's premier sports car racing teams. From their base in Poughkeepsie, New York over the course of nearly four decades the team won 19 championships, 72 race victories, started 72 times from the pole and achieved 224 podium finishes. Among the team's notable accomplishments is a pair of overall victories in America's premier endurance race, the Rolex 24, at Daytona International Speedway. And In 1986 Rob found himself behind the wheel of a Porsche 956 at the famed Circuit de la Sarthe: Le Mans. To learn more about or to become a member of the ACO USA, look no further than www.lemans.org, Click on English in the upper right corner and then click on the ACO members tab for Club Offers. Once you become a Member you can follow all the action on the Facebook group ACOUSAMembersClub; and become part of the Legend with future Evening With A Legend meet ups. ===== (Oo---x---oO) ===== The Motoring Podcast Network : Years of racing, wrenching and Motorsports experience brings together a top notch collection of knowledge, stories and information. #everyonehasastory #gtmbreakfix - motoringpodcast.net More Information: https://www.motoringpodcast.net/ Become a VIP at: https://www.patreon.com/ Online Magazine: https://www.gtmotorsports.org/

Join us on the latest episode, hosted by Jared S. Taylor! Our Guest: Pranam Ben, Founder & CEO at The Garage and Nicole Bradberry, CEO at FLAACOs.What you'll get out of this episode:Defining High-Performance ACOs: Successful ACOs focus on outcomes, patient care, and data-driven strategies to consistently generate savings and high-quality scores.Key Strategies for Success: Emphasizing the importance of support systems for physicians, effective governance, and the role of analytics in identifying opportunities.Leadership and Organizational Culture: Leadership's role in shifting hospital culture towards value-based care and empowering physicians to lead within ACOs.Future Trends in ACOs: Expect an increase in specialty care integration, the evolution of payment models, and intensified ACO activity driven by CMS's 2030 goals.Challenges Ahead: Interoperability, data sharing, and the complexities of transitioning from fee-for-service models are significant hurdles that need addressing.To Learn More About Each Guest Company:The Garage Website https://thegaragein.com/New/  FLAACOs Website https://flaacos.com/ Guest's Socials:Pranam's LinkedIn https://www.linkedin.com/in/pranamben/Nicole's LinkedIn https://www.linkedin.com/in/bradberry/ Our sponsors for this episode are:Sage Growth Partners https://www.sage-growth.com/Quantum Health https://www.quantum-health.com/Show and Host's Socials:Slice of HealthcareLinkedIn: https://www.linkedin.com/company/sliceofhealthcare/Jared S TaylorLinkedIn: https://www.linkedin.com/in/jaredstaylor/WHAT IS SLICE OF HEALTHCARE?The go-to site for digital health executive/provider interviews, technology updates, and industry news. Listed to in 65+ countries.

Tonight, we have an opportunity to bring a piece of Le Mans to you, sharing in the Legend of Le Mans with guests from different eras of over 100 years of racing. And as your host, I'm delighted to introduce a racing icon, considered by many to be the greatest race car driver in the history of the sport. Born in Italy, emigrating to the United States and beginning his career racing stock cars in Pennsylvania at 19. He won races in sports cars, sprint cars, stock cars and formula cars – on ovals, road courses, drag strips, on dirt and on pavement.  His achievements are legendary: The world watched as he won the Daytona 500, the Indy 500 and ultimately the Formula One World Championship, an unprecedented trifecta. Mario Andretti took the checkered flag 111 times during his career – a career that stretched five decades and across six continents, and includes 9 entries in the famed 24 Hours of LeMans! To learn more about or to become a member of the ACO USA, look no further than www.lemans.org, Click on English in the upper right corner and then click on the ACO members tab for Club Offers. Once you become a Member you can follow all the action on the Facebook group ACOUSAMembersClub; and become part of the Legend with future Evening With A Legend meet ups. ===== (Oo---x---oO) ===== The Motoring Podcast Network : Years of racing, wrenching and Motorsports experience brings together a top notch collection of knowledge, stories and information. #everyonehasastory #gtmbreakfix - motoringpodcast.net More Information: https://www.motoringpodcast.net/ Become a VIP at: https://www.patreon.com/ Online Magazine: https://www.gtmotorsports.org/

In this episode of the Pharmacy Innovators series hosted by Dr. Corrie Sanders, we meet Dr. Aaron Emmel, a pharmacist with a diverse career path.  This episode is brought to you by YFP+. Summary In this latest episode of the Pharmacy Innovators series hosted by Dr. Corrie Sanders, we meet Dr. Aaron Emmel, a pharmacist with a diverse career path.  Dr. Emmel shares how open doors and opportunities led him on a journey from a community pharmacist to executive health system leadership and the pharmaceutical industry to entrepreneurship. With many lessons learned along the way, Dr. Emmel reflects on trusting his intuition, leaning on mentors, working hard and staying curious. Throughout his journey, he explored other income streams, including real estate investing, consulting and eventually launching Pharmacy Tech Scholar, an online education program for pharmacy technicians.  Dr. Emmel's career journey exemplifies the extraordinary versatility and potential of a PharmD. About Today's Guest Aaron Emmel graduated with his Doctor of Pharmacy Degree from the University of Florida in 2007. After a short stint as a staff pharmacist at Walgreens, he was afforded an opportunity to work as a clinical pharmacist at his local community hospital. He developed a passion for critical care medicine and spent years as the dedicated ICU pharmacist. In 2015, he earned his Masters in Healthcare Administration from the University of North Florida. With a goal of moving into executive health system leadership, he transitioned into a role as the Director of the Clinically Integrated Network and ACO owned by the hospital and local physicians. He served in this role until 2018, when he made the decision to transition into the pharmaceutical industry where we worked in Medical Affairs roles until his decision to end employment in 2024.  Aaron launched his first business, SmarterMeds, in 2010. Focusing on MTM services, he learned many lessons on entrepreneurship and business before abandoning the effort in 2012. He first began consulting in 2014, and significantly increased this work following his departure from the hospital in 2018. In 2020, he launched Pharmacy Tech Scholar, an online education program for individuals interested in becoming certified pharmacy technicians. He also invests in real estate. Aaron has been married to his high school sweetheart, Allison, since 2010. They have two amazing daughters, aged 8 and 11. In his spare time, Aaron loves traveling with the family, fishing, exercising, and fueling his coffee obsession. Mentioned on the Show YFP+ https://pharmacytechscholar.com https://themedicineguy.com  Aaron Emmel, PharmD on LinkedIn Dr. Emmel on X Corrie Sanders, Huna Health on Instagram Subscribe to the YFP Newsletter YFP Planning Tim Ulbrich on LinkedIn YFP on Instagram YFP Facebook Group Your Financial Pharmacist YFP Disclaimer YFP Newsletter

AAco. La primera A por Alejandro. “Aco” es el apócope de su apellido, Acobino. Y apodo con el que lo identificaron sus amigos del colegio y colegas de teatro. Así firmaba sus cartas Alejandro Acobino, un actor, director y un dramaturgo extraordinario que dio el teatro de Buenos Aires. Cuando se fue, de forma temprana, dejó cinco obras: Enobarbo, Continente Viril, Rodando, Hernanito y Absentha. Y otras tantas inconclusas. Dejó también una poética potente, de una escritura magistral y llena de personajes que se pierden en una obsesión. Creo -lo digo humildemente después de haber visto sus obras varias veces- que aún no logramos ver del todo la dimensión de su legado. Una dimensión increíblemente lúcida de un teatro atroz, trágico y grotesco. Acobino fue, además, un gran escritor de cartas. Le encantaba escribirlas y hablar por téléfono. Esta carta fue extraída del libro “AAco. Alejandro Acobino: cartas, ensayos y homenajes”, editado por el Centro Cultural de la Cooperación Floreal Gorini. Es una cuidada y amorosa edición de su hermana Gabriela, que encontró muchísimos escritos en su computadora. Acá le escribe a una tal Sandy. No sabemos quién fue (Gabriela, su hermana, tampoco), pero importa poco. Alejandro le responde a esta mujer, quizá una periodista, que le había preguntado qué es para él el arte y por qué hace arte. Acá va entonces un pequeño homenaje de Epistolar a Alejandro Acobino por tantas horas disfrutando de su maravillosa obra. Lee el actor y amigo de Acobino, Germán Rodríguez. *** Estimada Sandy: Lamento la tardanza pero me olvidé completamente. Encontré tu mail de casualidad y te respondo. Espero que no sea tarde. No me resulta fácil contestarte lo que me pedís. La razón principal por la que hago arte es porque amo el arte. Tengo mis valores éticos y procuro ser consecuente con ellos como cualquiera que busca ser consecuente con sus valores. Tengo también mis valores ideológicos y por qué no confesarlo filosóficos… Pero a la hora de escribir y dirigir lo estético lo supedita todo... Creo en la autonomía de la estética respecto a los demás valores humanos... Acá me acerco más a Harold Bloom que a John Berger, aunque ideológicamente estoy más cerca de Berger (un progresista), filosóficamente me parezco más a Bloom (acusado de conservador). Del público: Yo vengo del público. Yo crecí en la época de la “primavera democrática” cuando salimos de la dictadura. La ciudad era un hervidero de teatritos, varietés, conciertos gratis, óperas… Yo me fui formando en ese mundo. Tras un intento frustrado de ser químico volví al teatro… Mi motor es la fascinación por el arte primero. ¿Por qué el teatro no es algo tan simple de explicar? Es decir mi mayor relación con el público es que del público vengo. Y hago teatro para que exista el teatro que querría ver... Y si no tengo mayor reflexión es porque gasto la mayor parte de mi tiempo reflexionando sobre los problemas estéticos que me planteo. AAco

This encore episode is with Amy Scanlan, MD. It was, in fact, one of our most popular episodes of the past year. It is still just as relevant today in a slightly different way. It's interesting how things which were said maybe a year ago have shades of meaning which become evident as time goes on. So, I liked this show a lot in the second listen with the advantage of time passing. To read the show notes with mentioned links and a transcript, head over to our site. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Complicating fact of current life, it's becoming increasingly obvious that in order to stand up a practice that can take advantage of value-based care payments—payments where primary care docs mainly at this time can get paid more and likely more fairly to care for patients well—you need a lot of infrastructure. You need data, you need tech, you need a team. Translation: You need money, maybe a lot of money, to invest in all of this. These are the external realities that hit anyone trying to do right by patients from every direction. But on the other hand (or maybe different fingers on the same hand), as Dr. Amy Scanlan says in this healthcare podcast, physicians are the backbone of this system. Dr. Scanlan talks in the interview today about the opportunity, and maybe the responsibility, that physicians have here for patients; but also the Eric Reinhart article comes up again about rampant physician moral injury (unpaywalled link with my compliments). Right now might be a great time to read something from Denver Sallee, MD. He wrote to me, and he wrote, “Like many physicians, I did not have much understanding of the business side of medicine, as I mistakenly thought as long as I helped take great care of patients that I was doing my job. More recently, it became apparent to me that by ceding the management of medicine to nonclinical administrators and to companies interested primarily in value extraction for the benefit of shareholders that I needed more education in order to truly help patients.” Today as aforementioned, I'm talking with Amy Scanlan, MD, who is chief medical officer of the clinically integrated network (CIN) that is the joint venture between Intermountain Health and UCHealth in Colorado. We talk about what it's like to be in the kind of messy middle of transformation to integrate care in a clinically integrated network, trying to figure out how to help physician practices and the CIN itself navigate the external environment in a way that empowers different kinds of practices at different points in their transformation journey that empowers physicians to be in charge, and considering clinical and financial outcomes (ie, the business of healthcare). Dr. Scanlan brings up four main factors to consider when plotting strategy from here to there. Listen to the episode or read the show notes to learn about the four factors. 06:35 How is Dr. Scanlan thinking about the transformation process and the shift to value? 09:16 “It is really trying to think about, how do we help practices get there?” 11:48 “The hard part is the in-between spaces.” 13:21 EP407 with Vivek Garg, MD, MBA. 14:12 “Team-based care done badly is really just a series of handoffs.” 15:52 “We have to get to that point where the culture of collaboration is more pervasive.” 19:58 “How do we as healthcare providers step in and solve this problem?” 20:06 Why do providers have a responsibility to step in and try to fix the healthcare system? 20:22 Article (unpaywalled) by Eric Reinhart, MD, PhD. 21:51 Why do physicians need to be accountable for the cost of care as well as outcomes? 23:38 Why does physician burnout give Dr. Scanlan hope? 24:26 What is the solution to changing fee-for-service incentives? 25:43 What are some of the challenges facing changing incentives? 27:16 Why is data so important? 28:54 EP393 with David Muhlestein, PhD, JD. 30:13 “It's important to understand that we are in the middle of this change.” 31:18 Dr. Scanlan's advice for those trying to stand up a CIN.  

Evening With A Legend is a series of presentations exclusive to Legends of the famous 24 Hours of Le Mans giving us an opportunity to bring a piece of Le Mans to you. By sharing stories and highlights of the big event, you get a chance to become part of the Legend of Le Mans with guests from different eras of over 100 years of racing. Doc Bundy, is a renowned figure in motorsports, and has left an indelible mark on the iconic 24 Hours of Le Mans throughout his career. His journey at Le Mans also spans multiple years and teams, each marked by displays of exceptional skill, determination, and sportsmanship. Doc's driving record reflects a remarkable consistency and competitiveness on the legendary circuit, where he has navigated the grueling endurance race with precision and flair. Whether piloting prototypes or GT cars, Doc's performances have often been characterized by a blend of speed, strategy, and resilience, earning him admiration from fans and fellow competitors alike.  This Evening With A Legend was hosted by David Spitzer from the ACO USA. To learn more about or to become a member of the ACO USA, look no further than www.lemans.org, Click on English in the upper right corner and then click on the ACO members tab for Club Offers. Once you become a Member you can follow all the action on the Facebook group ACOUSAMembersClub; and become part of the Legend with future Evening With A Legend meet ups. ===== (Oo---x---oO) ===== The Motoring Podcast Network : Years of racing, wrenching and Motorsports experience brings together a top notch collection of knowledge, stories and information. #everyonehasastory #gtmbreakfix - motoringpodcast.net More Information: https://www.motoringpodcast.net/ Become a VIP at: https://www.patreon.com/ Online Magazine: https://www.gtmotorsports.org/

In this episode of The Animal Control Report, hosts Daniel Ettinger and Ashley Bishop dive into the essential resources available for animal control officers. As frontline defenders of animal welfare, ACOs often face challenging situations that require not only skill but also the right tools and support. Daniel and Ashley share their insights on the latest resources, from training programs to mental health support, and discuss how these can enhance the effectiveness and well-being of officers in the field. Whether you're an ACO, a shelter worker, or simply passionate about animal welfare, this episode offers valuable information to help you stay informed and prepared. Tune in to learn how to access these vital resources and make a bigger impact in your community. --- Support this podcast: https://podcasters.spotify.com/pod/show/animalcontrolreport/support

We had lots to cover in this month's Digital Health Download, from a $99 AI companion to if we think PBMs will ever be dismantled.We discuss:- A WSJ report on Medicare Advantage insurers pocketing billions for diseases that were never treated or falsely coded- The FTC's interim report on pharmacy benefit managers (PBMs) and their impact on drug accessibility and affordability- Vermont's successful accountable care organization (ACO) program, which led to significant savings and improved care- The launch of "Friend," an AI-powered wearable device designed to combat loneliness and isolation- Post-Theranos progress made by companies working on less painful blood tests- A hospital's new venture into the entertainment industrySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Akil McClay, Chief Operating Officer of Population Health at Bon Secours Mercy Health, delves into the realm of value-based care, expressing concerns about the financial impacts of healthcare changes and their implications for patients and workers alike. He sheds light on the evolving landscape of the ACO space and its development, emphasizing the importance of diversifying revenue streams to ensure sustainability in healthcare delivery.

To read the full article with show notes, mentioned links and a full transcript, visit relentlesshealthvalue.com In this episode, Abby Burns from Radio Advisory interviews Stacey Richter, host of the Relentless Health Value podcast, during the Raising the Bar Value Summit. They discuss the complexities of defining and creating value in healthcare, focusing on the roles of various stakeholders including patients, providers, and payers. Stacey shares insights on the challenges and tensions in the healthcare system, such as the fragmentation of care, financial toxicity, and the cultural norms that inhibit progress. The conversation also highlights practical examples and potential strategies to drive value and sustain positive changes within the industry. 03:33 Stacey's journey and mission. 04:16 The story of Scott Conard, MD (EP391). 09:28 Why it's important not just to drive change but to sustain it. 12:23 Heart Failure: A Case Study in Value. 14:13 EP438 with John Lee, MD. 15:07 Why patient positive value often fails instead of succeeds. 18:07 How financial toxicity has become clinical toxicity in healthcare. 19:44 How cultural norms have evolved into healthcare challenges. 23:38 The story of Mike Tuggy, MD, in Washington. 25:13 Looking at the four tensions in measuring value as continuums. 25:37 Why timeline is important in creative value in healthcare. 27:52 Finding Allies by Michael Leavitt. 28:34 What are the four ways to measure value in healthcare? 29:27 How do payers and providers collaborate to align on value metrics? 31:26 Why will proven versus experimental treatments become more important in the next few years? 34:54 Stacey's manifesto (EP400) and values for personal integrity in healthcare. 38:55 Stacey's parting advice. For more information, go to Radio Advisory or Aventria Health Group.

Sean and Dane are back! The boys recap their weekends and preview the finals for the upcoming Bag Brawl. Black Sheep Baggers "Gotti" is reviewed. It's a mean girls style dramatic reading this week as ACL pro calls out claims made by ACO player. Then the guys are joined by ACL pros Miranda Coy and Lori Dool ahead of their finals match this weekend! They talk about partner chemistry, handing pressure, managing perceptions and more!!BIG ASP OPEN REGISTRATION IS OPEN!!!Come join the boys for a day of fun!! The first ever Top Golf and Team Competition is coming to Cleveland, Ohio on September 21st!!! Assemble your squad, test your skills and let's party!!**Limited Spots availableTo Register, click the link below!!!https://www.harddragpush.com/big-asp-openBIG ASP Cornhole Patreon page:4 Tiers to choose from!! Come join our growing community and get insider info, become an active participant in show content, be eligible for bag giveaway's, find our VIDEO of the interviews and more!!https://www.patreon.com/bigaspcornholeDraggin Bags!!-The “Power Draggin” might be the best bag we've ever thrown!! And we suck…imagine how good they could be in your hands….https://dragginbagz.com/Code: BIGASP12BigD Bags-If you love Big Asp, put some BigD bags in your handshttps://bigdbags.com/Code: bigasp10 for $10 off your orderBlack Sheep Baggers-Be a Black Sheep and embrace ithttps://www.blacksheepbaggers.com/Code: BIGASPGnarly BoardsFor THE best boards in the game!!!https://gnarlybags.com/Code: BIGASP for 10% offBig Asp Merch!!!! Polos, Tees, Jerseys, shorts and more!!https://jamapparel.net/collections/new-the-big-asp-cornhole-podcast-collection-by-jam-apparelSupport the Show.

Akil McClay, Chief Operating Officer of Population Health at Bon Secours Mercy Health, delves into the realm of value-based care, expressing concerns about the financial impacts of healthcare changes and their implications for patients and workers alike. He sheds light on the evolving landscape of the ACO space and its development, emphasizing the importance of diversifying revenue streams to ensure sustainability in healthcare delivery.

In Episode 440 of 'Relentless Health Value,' host Stacey Richter engages with David Muhlestein to explore the optimal size for a medical practice, concluding that 10 to 20 physicians supported by a capable team provide the best balance of economies of scale and community integration. The conversation transitions into the challenges large healthcare systems face, particularly the Diversification Discount. This diversification often impedes patient care and operational efficiency by misaligning values with business practices. The episode delves into the paradox of optimizing primary care while still supporting specialty care, reflecting on how organizational values impact healthcare outcomes. Muhlestein suggests implementing business units or decentralized models to realign with patient care values and efficiencies. To read the full article and show notes with links mentioned as well as a full transcript, click here. 08:12 From a business and patient/better outcomes standpoint, what does an optimal provider practice look like? 11:48 EP412 with Robert Pearl, MD. 13:06 Why isn't the current landscape what David considers optimal? 14:53 What leads to the “crisis of autonomy”? 15:13 How do medical practices get to the phase of delegation? 17:39 EP438 with John Lee, MD. 18:55 EP437 with Brian Klepper, PhD. 20:53 EP432 with Kate Wolin, ScD. 20:55 EP421 with Jodilyn Owen. 23:48 Medicare Meet-Up podcast with Mai Pham, MD. 24:45 What metrics should boards of directors also be held accountable for? 28:48 Why is an efficiency-focused business not necessarily the best at managing population care? 31:13 What is the “diversification discount”? 32:49 Pivot podcast with Kara Swisher and Scott Galloway, MBA. 35:53 What can primary care doctors do to optimize their practices? 36:48 Why do we need to shift the mindset from “bigger” and “more”?