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The headlines are loud, the mailers are confusing and the clock is ticking. We're making one thing simple: Centra will leave the Humana Medicare Advantage network on January 1, 2026, and you can protect your care by choosing the right plan during open enrollment.With our Chief Revenue Officer, Robert Boos, we walk through exactly who's affected, how this differs from traditional “red, white, and blue” Medicare and why TRICARE members are not impacted. We break down the real-world impact of Medicare Advantage: prior authorization delays that stall MRIs and CT scans, high first-pass denial rates on emergency claims and why those practices can lead to surprise “late” bills months after a visit. You'll learn why many health systems nationwide are rethinking Medicare Advantage contracts and how payment shortfalls and administrative hurdles make it harder to deliver timely care.Most importantly, we focus on action. If you're on Humana Medicare Advantage and want to keep your Centra doctors, you don't need a new clinician you need a new plan. Use open enrollment (Oct 15–Dec 7) to switch to a Centra-participating Medicare Advantage plan like Anthem, Aetna, or UnitedHealthcare, or return to traditional Medicare with a Part D prescription plan. We share tips for confirming drug coverage, avoiding gaps on January 1, and keeping existing appointments on track. Emergencies remain covered by law, but routine care depends on your plan choice, so make the move now.Ready to take the next step? Visit centrahealth.com/humana for FAQs and resources, and call our customer service at 434.200.3777 if you have billing questions or need help understanding your claim. If this conversation helped, subscribe, share with a friend who's choosing a plan, and leave a review to help others find clear guidance.For more content from Centra Health check us out on the following channels.YouTubeFacebookInstagramTwitter
In this episode of Quality Talks with Peggy O'Kane, Peggy welcomes Dr. Troyen Brennan, adjunct professor at the Harvard School of Public Health, former Chief Medical Officer at CVS Health and Aetna, and author of Wonderful and Broken.With decades of experience spanning academic medicine, hospital administration and retail health care, Troy brings candor and clarity to the challenges facing American health care and the promise of primary care reform.Troy's insights are both sobering and hopeful, pointing to a future where coordinated, data-driven primary care can finally fulfill its promise.Highlights:·Diagnosing a System Under Pressure: The limits of fee-for-service payment and why employer-sponsored insurance is reaching a breaking point.Building the Foundation for Better Care: The critical role of primary care in medicine's value-based future.Spotlighting Innovation Across the Map: Real-world examples of successful primary care transformation, including Catalyst Health in Texas and Southcentral Foundation in Alaska.Reimagining Accreditation for Modern Needs: Reflections on NCQA's Patient-Centered Medical Home and future redesigns.Clearing the Policy Bottleneck: Observations on policy inertia and how policymakers can accelerate change.This episode is a timely and thought-provoking update for healthcare executives, policymakers and clinicians committed to building a more sustainable, efficient health care system.Key Quote:The only way you can see a health care system that works in the future is if it's value based—that it's prospective payment and risk on the providers for the elaboration of care provided.If we believe what most people write about these things, we've got 25 to 30% waste as a result of the fee-for-service system.If we move to a value-based approach, that's money that's going to fund the system, that extra third that we can put back into real health care. So you need a value-based approach.-- Troy Brennan, MDTime Stamps:(3:12) Employment-Based Health Care is Unsustainable (7:29) The Value-Based Future and Primary Care(10:00) Payment Disparities and Policy Inertia(22:00) Technology and Data Analytics in Advanced Primary Care(28:18) Peggy's ReflectionLinks:Connect with Troyen Brennan Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Contemplating Mindfulness at Work: An Integrative ReviewIn this episode, Dr. Jud Brewer and his colleagues explore the growing impact of mindfulness in the workplace. As organizations like Google, Aetna, and the U.S. Army integrate mindfulness programs, research is uncovering how mindfulness enhances attention, emotional regulation, decision-making, and resilience. This study presents a comprehensive framework linking mindfulness to key workplace outcomes, including performance, leadership, teamwork, and employee well-being. Whether you're a leader, employee, or researcher, tune in to discover how mindfulness is reshaping the way we work, manage stress, and cultivate healthier workplace cultures.Full Reference:Good, D. J., Lyddy, C. J., Glomb, T. M., Bono, J. E., Brown, K. W., Duffy, M. K., Baer, R. A., Brewer, J. A., & Lazar, S. W. (2015). Contemplating Mindfulness at Work: An Integrative Review. Journal of Management, 20(XX), 1–29. https://doi.org/10.1177/0149206315617003Let's connect on Instagram
Host Samantha Cline, Executive Director Ardis Watkins and Government Relations Director Suzanne Beasley break down recent health care developments: the public Duke–Aetna negotiation and its resolution, the new voluntary Lantern network, and the UNC–Humana dispute. The episode also covers retiree system updates and transparency concerns around investments and contracts, a federal appellate ruling on gender-affirming care coverage, the potential impacts of the federal shutdown and state budget uncertainty, and lighter segments on the State Fair and Gen Z attitudes toward government.
In this episode of Agent Boost, host Mike Hardle discusses taking a much-needed mental health break, the current state of ACA subsidies, and the impact of the government shutdown on the healthcare industry. Joined by EVP Jeff Gaston, they provide insights into the Medicare Annual Enrollment Period (AEP), the performance of major carriers like Humana and Aetna, and the market dynamics affecting smaller regional carriers. They also delve into the implications of healthcare subsidies, potential outcomes if subsidies aren't renewed, and the broader effects on healthcare affordability. Tune in for a deep dive into the industry's present challenges and opportunities, especially in the Medicare and ACA spaces.Articles Mentioned:https://paragoninstitute.org/private-health/ghostbusting-aca-fraud-millions-who-dont-use-their-health-insurance-expose-abuse-in-the-program/ https://www.cms.gov/newsroom/press-releases/cms-finds-28-million-americans-potentially-enrolled-two-or-more-medicaid/aca-exchange-plans
LISTEN and SUBSCRIBE on:Apple Podcasts: https://podcasts.apple.com/us/podcast/watchdog-on-wall-street-with-chris-markowski/id570687608 Spotify: https://open.spotify.com/show/2PtgPvJvqc2gkpGIkNMR5i WATCH and SUBSCRIBE on:https://www.youtube.com/@WatchdogOnWallstreet/featured The government shutdown isn't about helping families—it's about protecting corporate welfare for insurance giants. In this fiery episode:How Obamacare turned into a subsidy scam for UnitedHealthcare, Aetna, and Blue CrossThe truth about skyrocketing premiums: up 140% since 2013Why Republicans refuse to kill it—they're cashing the same lobby checks as DemocratsThe math nobody in Washington will say out loud: Obamacare is corporate socialismWhat real reform looks like—ending the middleman madness and letting doctors earn again If Republicans want to prove they stand for the people, this is their moment. Blow it up. Start over. Make healthcare make sense again.
This week, State Treasurer Brad Briner visited The SEANC View Podcast for an extensive interview covering everything from the status of the State Health Plan to the prospect of cost-of-living adjustments for retirees. In the last few weeks, Briner's office has been on quite a roll. On Tuesday, he announced a significant agreement with CVS Caremark that has ended a long-standing dispute and is expected to bring savings to Plan members. It may also enable the plan to cover GLP-1 drug treatment for weight loss once again. Last week, his office brokered a deal between Duke and Aetna that will allow State Health Plan members to continue to see Duke doctors in-network. We discussed the state retirement system and the need for true COLAs for retirees at length as well. He elaborated on his comments on NC Newsline this week, stating that changes to the system's investing strategy may allow for a raise in 2027. He also discussed fees, in-house management, and the creation of an Investment Authority to oversee the system.
In this Bright Spots in Healthcare episode, host Eric Glazer brings together an all-star panel of leaders who are reshaping the future of Medicaid and social care. Our guests include: Vanita Pindolia, Vice President, Medicare Star Ratings, Emergent Holdings (BlueCross BlueShield Michigan) Jason Merola, MD, Chief Medical Officer, MVP Health Care Charlotta Eriksson, Lead Director, National VBC Partnerships (Specialty), Aetna Mary O'Connor, MD, Chief Medical Officer & Co-Founder, Vori Together, they explore: How Medicare Advantage plans are embedding Stars, CAHPS, and adherence metrics directly into provider contracts to drive accountability, improve quality, and sustain year-over-year performance gains. How payers like Aetna are expanding value-based care into specialty domains—from CKD and oncology to musculoskeletal and cardiology—by partnering with specialty-aligned organizations rather than converting individual specialists to risk models. How MVP Health Care is designing hybrid incentive structures that reward specialists for closing quality gaps and improving outcomes, without requiring full downside risk. Why MSK care is becoming pivotal to Stars success, as physical and mental health measures grow in weight through 2027, and how holistic, physician-led models are improving activity, satisfaction, and cost savings simultaneously. How digital-first specialty networks are solving access challenges, reducing “ghost network” exposure, and creating new opportunities for plans to meet CMS adequacy standards while improving the member experience. How collaboration across utilization management, Stars, and member experience teams helps avoid trade-offs, ensuring that cost controls don't come at the expense of satisfaction or CAHPS performance. Panelist Bios: https://www.brightspotsinhealthcare.com/events/stars-savings-and-satisfaction-unlocking-msk-and-specialty-care-strategies-for-medicare-advantage-success/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. https://drive.google.com/file/d/1a_rX23Ev5VRrJKqb8_UwAYBd9tUBIfWA/view?usp=sharing Resources: Maximizing 2026 Medicare Advantage Performance with Physician-Led MSK Care This report outlines how Vori's physician-led, virtual-first musculoskeletal (MSK) model helps Medicare Advantage plans:Improve up to 12 Star measures across preventive care, chronic condition management, and member experience Deliver faster access to care—appointments available within 48 hours Enhance outcomes for pain, fall prevention, and osteoporosis care while achieving an NPS of 87 Align with the new 2026 Star measures for Improving and Maintaining Physical and Mental Health To request your copy, email nroberts@brightspotsventures.com. Clinical Quality Performance of Value-Based and Fee-for-Service Models for Medicare Advantage: https://jamanetwork.com/journals/jama-health-forum/fullarticle/2839238 This JAMA Health Forum article compares clinical quality outcomes for Medicare Advantage patients whose care is delivered under value-based payment (VBP) models versus traditional fee-for-service (FFS). It finds that VBP arrangements, especially those with two-sided financial risk—in general are associated with better performance on standardized clinical quality measures than FFS. Thank you to our Episode Partner, Vori: Vori partners with health plans and providers to improve musculoskeletal (MSK) care through data-driven, physician-led solutions. Their approach helps reduce unnecessary surgeries, improve recovery outcomes, and enhance patient satisfaction—supporting plans in achieving better Stars performance and overall member experience. To learn more, visit vorihealth.com. Schedule a meeting with Mary O'Connor Chief Medical Officer, Vori: To dive deeper into how Vori can help your plan improve outcomes, reduce costs, and strengthen Medicare Advantage Star Ratings,or to schedule a meeting with Mary O'Connor. Reach out to nroberts@brightspsotsventures.com to schedule the meeting. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
Hosts Jonathan Owens and Ardis Watkins unpack the Duke–Aetna contract dispute, explaining how secret hospital reimbursements affect State Health Plan members and push up premiums, and why members should urge State Treasurer Brad Briner and state lawmakers to demand transparency. The episode also previews the General Assembly's return and the criminal justice measures under consideration, from magistrate authority to renewed debate over the death penalty, while raising broader concerns about budget priorities and staffing shortages. In a Gen Z Takeover interview, Latoya Satterwhite, a teacher assistant in Granville County, shares her experience working with exceptional children, the challenges of public‑school pay and career advancement, mental‑health stresses, and how membership in SEANC supports state employees and retirees.
The recently fired head of the Centers for Disease Control and Prevention told senators that health secretary Robert F. Kennedy Jr. ordered her to fire top officials and agree to approve changes to national vaccine recommendations — before the recommendations were made and regardless of what the science says. Meanwhile, Congress heads toward a government shutdown, with expanded subsidies for Affordable Care Act plans in the balance. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join KFF Health News' Julie Rovner to discuss the news. Also, Rovner interviews Troyen Brennan, former chief medical officer at Aetna and CVS, about his new book on primary care.Plus, for “extra credit,” the panelists suggest health policy stories they read (or wrote) this week that they think you should read, too: Julie Rovner: The New York Times Magazine's “Trump Is Shutting Down the War on Cancer,” by Jonathan Mahler. Margot Sanger-Katz: ProPublica's “Programs for Students With Hearing and Vision Loss Harmed by Trump's Anti-Diversity Push,” by Jodi S. Cohen and Jennifer Smith Richards. Alice Miranda Ollstein: The New York Times' “I Have Dental Insurance. Why Do I Pay So Much for Care?” by Erica Sweeney. Joanne Kenen: Politico Magazine's “Why Voters Will Feel the Impact of GOP Health Cuts Before the Midterms,” by Joanne Kenen. Hosted on Acast. See acast.com/privacy for more information.
Duke Health and health insurance company Aetna are in the middle of contract negotiations. There's just about a month left to salvage a deal. Depending on the outcome, more than 750,000 state employees could see their insurance premiums rise for the second time in the past few months. WRAL state government reporter Will Doran talks aobut what is slowing down negotiations, what State Teasurer Brad Briner has to say, and what are the consequences of a deal coming together or falling through.
How can college students step out of their comfort zone? Tim Conniff is a Keynote Speaker. He offers keynote talks that combine stand-up comedy along with a motivational message on the importance of getting out of your comfort zone, overcoming failures and avoiding negative self-talk, with clients such as Aetna, Corning, Dow Jones, Johnson & Johnson, and many more. In episode 599 of the Fraternity Foodie Podcast, we find out why Tim chose the University of Scranton, what inspired him to transition into keynote speaking and comedy, when he realized he needed to step out of his own comfort zone, what are the four zones of comfort, fear, learning, and growth, how you can reframe failure as feedback, how you can silence the inner critic and replace negative self-talk with resilience-building habits, why humor is such an effective tool for teaching personal growth, what is Tim's favorite interactive moments from a keynote, and how his message helps students find courage. Enjoy!
In this episode of Robots and Red Tape, host Nick Schutt interviews Anoop Mehendale, an entrepreneur and AI innovator with extensive experience in healthcare and data analytics, to explore AI's transformative potential in revolutionizing healthcare through unified medical records and data-driven solutions. Anoop shares his journey from building an R&D center for Daimler Chrysler in India to launching an AI-driven healthcare startup that went IPO in 2022. He discusses how AI can address healthcare's data fragmentation, streamline administrative inefficiencies, and enhance patient care, drawing from his work at Highmark, Optum, and Aetna. Reflecting on the White House's CMS-led initiative for unified medical records, Anoop notes, “With AI, you can do a lot more with a massive dataset” (53:24), emphasizing its potential to boost research and personalize medicine while addressing challenges like standardization and privacy concerns. He delves into the need for industry-specific AI benchmarks and a convenor role for CMS to align data standards, advocating for AI as a collaborative tool that complements human oversight. Tune in for insights on how AI can reshape healthcare, from improving patient outcomes to advancing public health research. Subscribe for more insights on AI.
Send us a textAccess to healthcare in the U.S. is broken, with millions forced to choose between essential needs and seeing a doctor. Traditional clinics are too costly to scale, and telemedicine has hit adoption limits. In this episode of CareTalk, John Driscoll sits down with Karthik Ganesh, CEO of OnMed, to discuss how OnMed's “clinic in a box” is expanding access to care. Ganesh shares his journey across healthcare, why access has always been his passion, and how OnMed's innovative care stations blend the trust of in-person visits with the scalability of telemedicine to address one of the nation's most pressing healthcare challenges.
This week's episode of The SEANC View Podcast explores several current events, including the stabbing on a light-rail train in Charlotte that made national headlines. Our team discusses calls from state employees for better mental health services at our prisons, more facilities to deal with the growing need for mental health services, and other facets of the debate. We discuss the anniversary of 9/11, the murder of political activist Charlie Kirk, and look back at last week's SEANC Convention. We also answer questions from social media on pay raises and bonus leave, COLAs for retirees, Aetna's feud with Duke, and more.
Barron Roberts is my expert today on this Blue Cross Blue Shield Kansas City update show. How will it play out for all of you out there in the audience for your coverage in '26? We will cover the individual side and what Blue Cross is doing to lead the way. They're actually going to have premium reductions on the individual side, and we'll talk about what are the answers to the employers out there, the small group employer, the employer under the 100 lives. Get all the details and find the best way to go now, because come January 1st, all the Aetna plans are pulling the pin on ACA. They're going to be gone. And I will cover what's going to happen with the other plans. They're going to be significant increases across the board. BlueKC continues to lead the way as the local hometown carrier. This is Ep2126 of America's Healthcare Advocate. Learn more at https://www.bluekc.com/ or call 833-467-2145. As always, if you need help or have something to share contact me with this form on my website and let me know what's on your mind, issues you are dealing with, or other health, healthcare, and health insurance questions and concerns. Visit: https://www.americashealthcareadvocate.com/contact-us
In this episode, Bill interviews successful Levinson Agent, Kent. After 20+ years in the industry, Kent was able to re-invent himself and grow his business 10X in the past 1-2 years! Listen & learn from this valuable interview so you can capture these same strategies for your practice! Kent's Biography: Kent has 20+ years of experience with individual, group, & business Insurance sales. His strong professional background in banking and insurance offers an advisory approach to his business which results in strong and lifelong client relationships. Kent grew up in Durant, OK and worked for FUB while getting his bachelor's degree. He currently resides in Austin, TX with his wife Rena, where they spend time with three adult children and grandson playing golf, boating, and anything that offers family time. Kent brings relationships with over 60 life insurance carriers, over 12 long-term care/hybrid carriers, 7 disability carriers, and quality healthcare options like Blue Cross, Cigna, Aetna, and United Health Care. Group Benefits include and are not limited to Health Insurance, Accidental Death & Dismemberment, Disability, Long-Term Care, Guaranteed Issue Life, Accidental Death, and Critical Illness. His career focus has been on Succession Planning with business owners, encompassing all the mentioned products. -Check us out online: Agent Back Office Site: LevinsonAndAssociates.com Facebook: @levinsonandassociates X: @levinsonassoc Instagram: @levinsonandassociates Threads: @levinsonandassociates LinkedIn: @bilevinson Podcast: levinson.libsyn.com YouTube Library: @thelevinson1
What if your contact center could do more than answer questions? What if it could predict needs, detect fraud, translate languages in real time, and coach agents as they speak to members? In this episode, explore how AI is transforming call centers into strategic experience hubs. From agent assist tools that streamline workflows to virtual agents that replace outdated IVRs, we dig into the innovations shaping the future of member engagement. Think a contact center is just about answering calls? Think again. Tune in to discover how AI is reshaping member questions into a strategic advantage.About Our Guest: Reinaldo Torro is an expert in modernizing member engagement with AI innovations for payer contact centers. He uses an interdisciplinary approach to enrich health plan operations using his diverse background as a frontline clinician, Master of Business Administration, Certified Lean Six Sigma Sensei, and various executive positions held with multiple payers, including Aetna, Highmark WholeCare, Coventry Health Care, and United Healthcare.
Welcome back to Your World of Creativity, where we explore how creative professionals and business innovators bring ideas to life. Today we'll learn how presence, communication, and neuroscience can fuel your creativity, alignment, and even transformation.We're joined by two powerhouse thought leaders in leadership and communication—Meaghan Benjamin and Phyllis Dealy. They're the co-founders of Studio Reinvent and the creators behind the groundbreaking leadership frameworks and services.Phyllis's Website 1. Presence seems to be a cornerstone of your work...You teach presence not as performance but as a way of being. What does presence look and feel like in a high-stakes leadership setting—or even on a global stage? How can leaders begin cultivating this sense of presence in everyday communication? They've coached teams from PepsiCo, Aetna, and Susan G. Komen.2. You both emphasize the science of communication...Meaghan, with your background in neuroscience and psychology, how do tools like brain-coupling and conscious listening elevate communication? (Phyllis): How do you incorporate systems thinking and storytelling to turn communication into a competitive edge? You've described The Awareness Factor® as a leadership framework that brings alignment, momentum, and measurable results. What inspired its creation—and how does it differ from other leadership models we hear about today? How have executive teams responded when first introduced to this model?3. Many of our listeners are creatives and entrepreneurs...What are some of the most common communication pitfalls you see in founders and creatives—and how can they improve clarity and confidence in pitching, leading, or collaborating?4. Let's talk reinvention...Your work is all about reinvention—whether it's personal leadership or brand transformation. What does it take for a company—or a person—to truly reinvent themselves today?Such rich insights today from Meaghan and Phyllis—thank you both for helping us see communication, leadership, and reinvention through a creative and scientific lens. Listeners, you can learn more about their work at StudioReinvent.com and keep an eye out for their upcoming book, The Awareness Factor®.Sponsor Message:This episode was brought to you by White Cloud Coffee Roasters—where great ideas begin with great coffee. Visit WhiteCloudCoffee.com and use the code CREATIVITY for 10% off your first order.Be sure to subscribe, rate, and review Your World of Creativity on your favorite podcast app—and come back next time as we continue our journey to ignite creative thinking and innovation around the world.
My guest today is Mark Bertolini. Mark is the former CEO of Aetna and the current CEO of Oscar Health. He shares one of the most extraordinary leadership stories I've encountered—surviving a catastrophic skiing accident that left him in chronic pain for 18 years while simultaneously leading one of healthcare's most successful corporate turnarounds. His personal experience navigating his son's life-threatening cancer battle and his own medical challenges fundamentally changed his approach to healthcare, leading to innovations in employee welfare that Wall Street initially questioned but ultimately celebrated. During his tenure at Aetna, Mark generated 652% total shareholder return by implementing revolutionary employee policies and is now applying these lessons at Oscar Health to disrupt the $4 trillion healthcare industry with a technology-first approach. We discuss the power of servant leadership, employer-sponsored insurance vs individual choice-based plans, and the horizons of healthcare. Please enjoy this incredible conversation with Mark Bertolini. For the full show notes, transcript, and links to mentioned content, check out the episode page here. ----- This episode is brought to you by Ramp. Ramp's mission is to help companies manage their spend in a way that reduces expenses and frees up time for teams to work on more valuable projects. Go to Ramp.com/invest to sign up for free and get a $250 welcome bonus. – This episode is brought to you by Ridgeline. Ridgeline has built a complete, real-time, modern operating system for investment managers. It handles trading, portfolio management, compliance, customer reporting, and much more through an all-in-one real-time cloud platform. Head to ridgelineapps.com to learn more about the platform. – This episode is brought to you by AlphaSense. AlphaSense has completely transformed the research process with cutting-edge AI technology and a vast collection of top-tier, reliable business content. Invest Like the Best listeners can get a free trial now at Alpha-Sense.com/Invest and experience firsthand how AlphaSense and Tegus help you make smarter decisions faster. ----- Editing and post-production work for this episode was provided by The Podcast Consultant (https://thepodcastconsultant.com). Show Notes: (00:00:00) Welcome to Invest Like the Best (00:04:52) Mark's Ski Accident and Recovery (00:07:54) Early Life and Career Beginnings (00:12:51) Leadership Philosophy and Career Highlights (00:19:03) Healthcare System Insights and Innovations (00:25:31) Oscar Health: Current State and Future Vision (00:42:06) Personal Stories and Eastern Belief System (00:51:57) Discovering the Healing Power of Yoga (00:57:21) Transforming Employee Benefits and Wages (01:02:41) Personal Journey Through Chronic Pain (01:08:10) Reflections on Business Success and Leadership (01:15:54) Joining Bridgewater and Transitioning Leadership (01:22:47) Leading Oscar Health and Future Goals (01:34:12) Enduring Hardships and Finding Purpose (01:32:34) The Kindest Thing Anyone Has Ever Done For Mark
Join host Megan Cummings Krueger as she sits down with learning and talent development expert Andrya Pearson to discuss essential career development strategies for today's professional landscape. In this episode, Andrya shares over 20 years of insights from leading initiatives at Fortune 500 companies like Allstate, CVS Health, and Aetna. Key topics covered: Strategic goal setting and prioritization techniques Building executive presence in a virtual work environment Practical strategies for overcoming imposter syndrome Networking best practices for the modern workplace The importance of personal branding and authentic self-promotion Whether you're early in your career or looking to make your next strategic move, this conversation offers actionable advice for navigating corporate challenges, building confidence, and accelerating your professional growth. Andrya's mentoring wisdom and real-world examples provide a roadmap for success in today's competitive business environment.
In this episode, John Byrnes, Chief Operating Officer at Banner|Aetna, discusses how the organization is advancing value-based care through integrated technology, strong payer-provider collaboration, and personalized member support. He highlights key strategies driving improved health outcomes and sustainable cost management in Arizona.
When patients walk in with a toothache, most urgent cares are forced to send them away. But what if you could treat the patient, deliver better care, and add a profitable new revenue stream without hiring more staff?In this episode, Michael and Nick sit down with Dr. Maria Kunstadter and Leah Sigler, the powerhouse mother-daughter duo behind The TeleDentists, the first nationwide teledentistry platform. What started as a mission to expand dental access is now transforming urgent care operations across the country.From reducing ER visits to giving urgent cares a simple “plug-and-play” dental service line, The TeleDentists are showing clinics how to diversify their services, support their communities, and grow their bottom line—all without overburdening their teams.Whether you're an urgent care operator, an entrepreneur, or just curious about what's next in healthcare delivery, this conversation is packed with insights you can act on today.
In this episode of The Broker Link, Josh Slattery breaks down key carrier updates that will impact Medicare Advantage and Part D plans in 2026. Highlights include:
In this episode, John Byrnes, Chief Operating Officer at Banner|Aetna, discusses how the organization is advancing value-based care through integrated technology, strong payer-provider collaboration, and personalized member support. He highlights key strategies driving improved health outcomes and sustainable cost management in Arizona.
Navigating Industry Volatility: How Insurance Agents Can Thrive in a Changing Medicare LandscapeThe latest episode of the Insurance Business Babes podcast brings together host Kathe Kline, co-host Joanna Wyckoff, and industry powerhouse Neil Reich for an honest discussion of the current turbulence in the Medicare insurance world. With plan exits, shrinking commissions, regulatory uncertainties, and unprecedented price hikes, agents must now adapt, diversify, and deepen relationships to stay successful.Industry Upheaval: What's Changing in Medicare AdvantageAccording to guest Neil Reich, the past year has brought volatility unlike anything he's seen in his 27-year career. Major Medicare Advantage carriers like Humana and Aetna have pulled out of some markets due to soaring medical loss ratios, leaving consumers scrambling for alternatives and further concentrating business among remaining giants like United. Commission structures are shifting, and the legal landscape is uncertain, with the Department of Justice and new CMS rules causing ongoing anxiety about the future of FMOs (Field Marketing Organizations).Diversification Is EssentialNeil isn't deterred by the disruption—instead, he emphasizes the need for insurance agents to diversify their offerings. His new agency, Care Connect Advisors, has quickly added Medicare Supplement plans, Index Universal Life, final expense, hospital indemnity (with popular guaranteed-issue options for ages 64-70), cancer, dental, and even annuities to the product mix. This mirrors Kathe and Joanna's advice that now, more than ever, agents should be “multi-product” — cross-selling to better serve clients and protect their own earnings in the face of shrinking Medicare Advantage opportunities.Relationship Building and Technology: The Agent's GoldmineStaying connected to clients is a major theme. The podcast highlights how agents are successfully blending manual outreach (calls and texts to educate and cross-sell) with automation (drip campaigns, retention videos, and CRM tools). Touchpoints aren't just for selling—they reinforce trust, increase retention, and open natural conversations about needs like hospital indemnity or annuities.The Path Ahead: AI, FMOs, and the Advisor MindsetWhile regulators mull the impact of overrides and marketing practices, agents are also looking to the future with AI poised to disrupt the sales process. Still, both Neil and the hosts remain optimistic: FMOs like Spark are evolving, offering powerful tech and support. The key message? Agents must evolve from “order takers” to true advisors—guiding clients comprehensively through industry changes and personalized solutions.In summary, claim your power as an agent by diversifying your product line, leveraging smart tech, nurturing relationships, and embracing your advisory role. In a shifting Medicare world, these strategies are more essential—and more rewarding—than ever.This episode is sponsored by CertifiedMedicareAgents.com. Use the coupon code BABES2024 for a free lifetime BRONZE membership.
For this week's episode of AFSPA Talks, we revisit an episode from July 2023 about Skin Cancer. Now that it is summertime, we know that many of our listeners will be spending time in the sun. Skin cancer is the most common cancer. To help us understand more about skin cancer, we had Leah B. Jacobson, Sr. Medical Director at Aetna join us.You can stay in touch with AFSPA and all we have coming up by visiting www.afspa.org/events or by following up on our social media channels on Instagram, Facebook, LinkedIn, and YouTube by searching @afspacares. Mark your calendars and join us for AFSPA Live on Thursday, 7/31 @ 11 AM ET! AFSPA's COO, Twanisha Johnson, and Greg Klingler, CFP®, CPFA™, ChFEBC℠ from GEBA, will be ready to answer your questions about Financial Wellness During Times of Transition.Here are three ways to ask a question at the AFSPA Live Q&A Session:1. Send any questions you want to be answered during the show by filling out this form: https://forms.office.com/r/QPzbfGB3aD2. Leave your question(s) in the comment section of our live broadcast video.3. Call a toll-free number 1-888-435-0757 to leave a voicemail message with your question(s). In your message, tell us your name, where you're calling from, and state your question(s).
In this episode, John Byrnes, Chief Operating Officer at Banner|Aetna, discusses how the organization is advancing value-based care through integrated technology, strong payer-provider collaboration, and personalized member support. He highlights key strategies driving improved health outcomes and sustainable cost management in Arizona.
In this episode of Your Message Received, host John Duffin welcomes Al Kushner, a sales and publishing expert turned author of 'The AI LinkedIn Advantage.' Al Kushner brings over 40 years of experience in insurance sales, having worked with industry giants like Humana, UnitedHealth, Aetna, and Blue Cross/Blue Shield. An award-winning author and LinkedIn success strategist, Al is dedicated to helping professionals, teams, and organizations unlock LinkedIn's full potential for extraordinary results. Think “trailblazer” in every sense. Al's latest work, The AI LinkedIn Advantage: Unleash the Power of AI and Dominate the Competition, delivers on its commitment. We discuss how AI transformed Al's career during the COVID-19 pandemic, the significance of maintaining an authentic business voice, and how to maximize productivity on LinkedIn using AI tools. Al shares insights into his methodologies, including the importance of consistent content creation, leveraging AI for efficient content generation, and the value of engaging with key influencers. Tune in for valuable tips on staying ahead in the competitive business landscape by optimizing your LinkedIn presence.To learn more about these successful techniques, and to learn more about Al Kushner- please click the following link. https://alkushnerspeaks.com/https://www.linkedin.com/in/al-kushner/00:00 Introduction and Welcome01:05 Meet Al Kushner: Sales and Publishing Expert01:30 The AI LinkedIn Advantage: Al's Groundbreaking Book04:14 Career Before AI: Al's Journey in Insurance Sales04:41 Adapting to Change: The Evolution of the Insurance Industry07:36 The Importance of Continuous Learning10:12 Leveraging AI for Content Creation11:15 The Future of AI in Content and Voiceover18:05 Optimizing LinkedIn with AI26:08 Building Followers Through Engagement27:33 The Power of Video Content29:38 Optimizing Your LinkedIn Profile30:23 The Importance of Recommendations32:19 Consistency and Branding42:29 Effective Use of LinkedIn Newsletters47:29 Final Thoughts and Contact Information
In this special highlights episode, we bring together the sharpest takes from two of our most insightful guests: David Edelman and Alex Mead. Together, they explore the evolving landscape of customer experience, personalization, and the rise of AI in service delivery — but from two very different angles.David Edelman, former CMO at Aetna and a pioneer in customer-centric digital transformation, shares why "customer experience is the product", how AI can be used to delight and empower customers, and what the future of hyper-personalized services looks like.Meanwhile, Alex Mead, a no-nonsense customer service experience strategist, passionately critiques the over-hyped CX buzzwords and defends the vital role of customer service leadership in delivering real, contextual help — not just brand polish.
In this special highlights episode, we bring together the sharpest takes from two of our most insightful guests: David Edelman and Alex Mead. Together, they explore the evolving landscape of customer experience, personalization, and the rise of AI in service delivery — but from two very different angles.David Edelman, former CMO at Aetna and a pioneer in customer-centric digital transformation, shares why "customer experience is the product", how AI can be used to delight and empower customers, and what the future of hyper-personalized services looks like.Meanwhile, Alex Mead, a no-nonsense customer service experience strategist, passionately critiques the over-hyped CX buzzwords and defends the vital role of customer service leadership in delivering real, contextual help — not just brand polish.
Episode 197: Continuous Glucose MonitoringWritten by William Zeng, MSIII, and Chris Kim, MSIII. University of Southern California.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Will: IntroToday we're exploring Continuous Glucose Monitoring, or CGM. We'll break down what CGM is, who benefits, how to access it, options available for our patients, the pros and cons, and a few final reflections on where this technology is heading. Chris, So what is CGM?Chris:Continuous glucose monitoring refers to the use of a small wearable sensor placed just under the skin to track glucose levels in real time throughout the day and night. These sensors measure glucose in the interstitial fluid and transmit readings to a receiver or smartphone at regular intervals, allowing for 24/7 glucose trend tracking. Will:CGM has been shown to improve glycemic control, increase “time in range,” and reduce hypoglycemia. Let's review some evidence.Chris:A 2023 meta-analysis published in Diabetes Technology & Therapeutics reported a mean Hemoglobin A1c reduction of 0.43% across multiple trials. Will:In people with Type 1 diabetes, the IMPACT and DIAMOND studies showed sustained improvement in Hemoglobin A1c and hypoglycemia reduction over 6–12 months. CGM use in insulin-treated Type 2 diabetes patients also resulted in significant benefits, including reduced variability and fewer severe glucose excursions. Chris:Clinically and economically, CGMs help prevent long-term complications such as cardiovascular disease, nephropathy, and retinopathy. Chris, What patients specifically benefit the most from CGM?Will: CGMs are most commonly indicated for people with Type 1 diabetes and for those with Type 2 diabetes who are using intensive insulin regimens—typically defined as multiple daily injections or insulin pump therapy. Chris:And what are the qualifications in order to be covered by insurance?Will:In the United States, Medicare covers CGM as durable medical equipment for qualifying patients, and coverage requires a prescription, documentation of insulin use, and regular follow-up. Most major private insurers—including Blue Cross, Aetna, UnitedHealthcare, Cigna, and Kaiser—follow similar guidelines. Coverage is generally granted for patients with Type 1 diabetes or insulin-requiring Type 2 diabetes who monitor glucose at least four times daily or use an insulin pump. Chris:Some plans require demonstration of hypoglycemia unawareness or frequent glucose variability. For patients not on insulin, OTC CGMs may be an option, but coverage is typically not provided. That said, new FDA decisions are allowing over-the-counter access to CGMs like Abbott's FreeStyle Libre and Dexcom's Stelo, expanding availability for lifestyle or preventive purposes.Will:[There are a lot of products on the market. Which are the main products and how are they different?]Chris:The three main players in the CGM space are Dexcom, Abbott (FreeStyle Libre), and Senseonics (Eversense), each with unique offerings.Let's start with Dexcom. Dexcom G7 is a real-time CGM system approved for both Type 1 and Type 2 diabetes. It combines a sensor and transmitter into one compact wearable patch worn on the abdomen or upper arm for up to 10 days. It updates glucose readings every 5 minutes and connects directly to a smartphone or Apple Watch via Bluetooth. Dexcom also integrates with insulin pumps like Tandem's t:slim and the Omnipod 5. Data can be shared with providers through Dexcom Clarity, which integrates into electronic medical records (EMRs) like Epic. OTC access is not yet available for DEXCOM G7, but a new non-prescription product called Dexcom Stelo is being rolled out in 2025, targeting non-insulin-using Type 2 patients. Dexcom Stelo will also offer 15-day wear, smartphone integration, and factory calibration. The estimated OTC cost for Dexcom Stelo is expected to be around $99 for a 15-day sensor, or about $198/month.Will:$200! Abbott FreeStyle Libre comes in several versions. The Libre 2 offers 14-day wear and requires users to scan the sensor with their smartphone or reader to retrieve a glucose value. It has optional real-time alarms for high and low readings and transmits data to LibreView, which can integrate with most EMRs. Libre 3 is a real-time CGM with 1-minute interval updates, Bluetooth transmission, and a slimmer profile. Libre sensors are widely used in primary care and available OTC for non-insulin users. Libre 2 sensors cost approximately $70–$85 for a 14-day sensor, while Libre 3 is slightly higher, around $85–$100 per sensor—totaling about $140–$200/month out of pocket without insurance.Chris:Senseonics Eversense E3 is the only implantable CGM on the market. It involves a minor in-office procedure to insert the sensor under the skin of the upper arm, which lasts up to 180 days (and a newer version, Eversense 365, lasts up to one year). A removable transmitter worn on top of the skin sends data every 5 minutes to a mobile app and vibrates for alerts. It requires 1–2 calibrations per day using a traditional fingerstick meter. It integrates with Eversense DMS software for physician monitoring. The total cost for Eversense depends on the insertion procedure and insurance, but cash pay for the full 6-month system is estimated at $2,400–$3,000, or about $400–$500/month including follow-up visits.Will:Additional lower-cost CGMs such as the Medtrum A6 TouchCare are available internationally and in select U.S. pilot programs. These devices offer 14-day wear, smartphone syncing, and daily calibration, but are not yet FDA-approved for wide use and lack full EMR integration.Chris:In terms of performance and value, Dexcom G7 offers the most advanced real-time feedback and integration, making it ideal for those on insulin pumps or needing tight control. Will:FreeStyle Libre offers the best affordability and convenience, especially for non-insulin users or those who prefer not to deal with constant alerts. Eversense offers a niche but compelling option for people who want to avoid frequent sensor changes. Chris, [Are there any downsides or risks that patients should be aware of before trying out CGM?]Chris:CGMs are generally safe and well-tolerated, but they do have limitations. Dexcom G7 has a known failure mode where sensors sometimes fail prematurely, often before the full 10-day duration. Some users have reported “signal loss” errors or random disconnections, especially when switching between phone models or operating systems. There are occasional reports of inaccurate highs or lows due to compression during sleep or dehydration. Though the G7 is factory-calibrated, abrupt changes in hydration or blood flow can affect its readings.Will:FreeStyle Libre systems, particularly Libre 2, require the user to scan the sensor to retrieve data unless alerts are enabled. These devices may be affected by vitamin C (ascorbic acid), which can falsely elevate glucose readings, and they do not currently allow for automated insulin delivery integration. Some Libre 2 users have noted adhesive-related rashes or spontaneous detachment. Libre 3, while more advanced, still may lose Bluetooth connection intermittently, particularly if the phone is out of range or the app is not running in the background.Chris:Senseonics Eversense carries procedural risks due to its implantable nature. Minor scarring or infection at the insertion site has been reported. The transmitter must be worn during waking hours to provide alerts, and users report anxiety over losing the transmitter since data logging is interrupted without it. Calibration is still required, which adds to daily tasks. Additionally, the sensor does not communicate with insulin pumps or closed-loop systems.Will:All CGMs can cause mild skin irritation from adhesive, particularly in users with sensitive skin. Alert fatigue is another consideration, as frequent low- or high-glucose warnings may cause stress or lead users to silence notifications entirely. Finally, relying solely on CGM without periodic fingerstick confirmation in symptomatic scenarios can be a risk, especially during rapid glucose changes.Chris:Conclusion[***] Continuous glucose monitors have reshaped the way we manage diabetes, offering unprecedented insight into glucose trends, diet responses, and insulin timing. While CGMs are not flawless, the technology continues to evolve. Will: If your patient is on insulin or struggling with glucose variability, consider whether CGM is right for your patient. For those not using insulin, consider newer OTC options like FreeStyle Libre or Dexcom Stelo, which offer accessible entry points without the need for prescriptions. As AI integration, longer sensor life, and non-invasive monitoring enter the market, CGM will only become more useful.Dr Arreaza: Personal experience with CGMs. I do not have diabetes, but I have a strong family history of diabetes (including father, 2 grandmas, and about 15 uncles, aunts, and cousins.)I wanted to try it so I could teach my patients about CGM. My first experience was with Freestyle Libre 2: Pros: Painless placement, easy to use, scanning with phone was easier than fingersticks.Cons: Required some assembling to be placed, mild discomfort at night, and nighttime alarms.Dexcom G7:Pros: No need for scanning, feels more stable in your armCons: High readings (had to calibrate for a more accurate reading)Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
We revisited a powerful conversation with David Edelman—a seasoned expert in marketing, executive leadership, and digital innovation, with experience at BCG, Digitas, McKinsey, and Aetna.David broke down how customer experience has evolved into the key differentiator for brands, especially as products and services become more commoditized. He explored the intersection of digital transformation, AI, and data-driven strategy, emphasizing how organizations can deliver real value through meaningful, personalized interactions.The episode highlighted stories from David's work building advanced digital capabilities and developing executive-level strategies centered on customer experience. He walked us through the five promises of personalization and painted a compelling picture of what's ahead, including the rise of agentic AI and collaborative ecosystems.If you're reflecting on how to better use data, personalize at scale, or align your organization around customer-centricity, this recap brings together the most valuable takeaways from an eye-opening episode.
We revisited a powerful conversation with David Edelman—a seasoned expert in marketing, executive leadership, and digital innovation, with experience at BCG, Digitas, McKinsey, and Aetna.David broke down how customer experience has evolved into the key differentiator for brands, especially as products and services become more commoditized. He explored the intersection of digital transformation, AI, and data-driven strategy, emphasizing how organizations can deliver real value through meaningful, personalized interactions.The episode highlighted stories from David's work building advanced digital capabilities and developing executive-level strategies centered on customer experience. He walked us through the five promises of personalization and painted a compelling picture of what's ahead, including the rise of agentic AI and collaborative ecosystems.If you're reflecting on how to better use data, personalize at scale, or align your organization around customer-centricity, this recap brings together the most valuable takeaways from an eye-opening episode.
My guest this week is back for another episode adventure. He was one of my very first guests on The CMO Whisperer—Dave Edelman. A longtime thought leader in marketing and customer experience, Dave has amassed over 1 million followers on LinkedIn. Over the past 30 years, he's led strategy and digital marketing practices at BCG, Digitas, and McKinsey, and also served as the Chief Marketing Officer at Aetna. Today, he's an executive advisor and senior fellow at Harvard Business School, where he works closely with enterprise-scale companies and AI startups. His new book, Personalized Customer Strategy in the Age of AI, debuted at number four on USA Today's Bestsellers list. And just for kicks—he was recently named an AI Trailblazer by Adweek.
This week's “How She Finds Purpose” insight comes from Phyllis Dealy. She says - “If you're always thinking about, oh, I could have made that decision or I should have done that, you're gonna miss the moment. So how can you be present for what's possible in this moment? And by holding on to that, number one, you can really tap into joy. Because in this moment, we can all choose to be joyful, and we can embrace what is right in front of us. And we have found a lot of power and clarity in that practice.” Phyllis Dealy and Meaghan Benjamin are the co-founders of Reinvent the World and Studio Reinvent, where they guide executives and teams to communicate with purpose, clarity, and impact. Phyllis is a serial entrepreneur and creator of The Awareness Factor, having worked with clients like PepsiCo, FridaBaby, Aetna, and Susan G. Komen. Meaghan is an executive communication coach with advanced degrees in speech and hearing science and psychology. She helps leaders strengthen their influence and connection using science-backed tools like storytelling, brain coupling, and conscious listening. Here are 3 reasons why you should listen to this episode: You'll hear how saying yes to small opportunities can open unexpected doors toward your purpose. You'll get real talk on how ambition and the desire for more is perfectly okay, even when others think you've “made it.” You'll pick up practical advice on how to create new connections and stay curious, even when you're not sure what your next move should be. Connect with Phyllis and Meaghan at: https://studioreinvent.com/ LinkedIn: https://www.linkedin.com/company/studio-reinvent/ Would you prefer to watch or listen to the podcast on YouTube?Head on over to https://www.youtube.com/@leadershippurposepodcast Want to connect? Connect with Dr. Robin on LinkedIn: https://www.linkedin.com/in/robinlowensphd/ Facebook: https://www.facebook.com/robinlowensphd Instagram: https://www.instagram.com/robinlowensphd/ Email: Robin@LeadershipPurposePodcast.com Thank you for listening! Rate, review, & follow on Apple Podcasts or your favorite podcast player. Talk to you soon! This episode was produced by Lynda, Podcast Manager for GenX Creative Entrepreneurs at https://www.ljscreativeservices.co.nz
If you'd like your question answered on next month's episode, call/text 469-213-6381 and leave us a voicemail/text.Each month on Last Month In Healthcare, producer Nathaniel joins me to discuss the previous month's podcasts, headlines, and listener-submitted questions. This month, we were joined in studio by Shawn Ferguson from Acrisure!This episode covers healthcare news from May 2025, including:- Trump's 'most favored nation' executive order- AI in the FDA- FDA's plan to review chemicals in our food supply- Prices for new drugs doubling in the last 4 years- Hospitals outsourcing minor surgeries- The DOJ lawsuit against Aetna, Elevance, and HumanaAnd we play a new game called the Macro Matchup, where Spencer and Shawn attempt to guess the calories, sugar, fat, and protein of 4 very unhealthy fast food items.Chapters: 0:00 - Intro1:01 - Healthcare Headlines18:21 - The Self-Funded Review31:29 - Macro Match-up (this month's game)38:06 - Ask Spencer AnythingSources: https://www.healthcaredive.com/news/trump-most-favored-nations-drug-pricing-plan/747761/https://www.reuters.com/business/healthcare-pharmaceuticals/us-fda-centers-deploy-ai-internally-immediately-2025-05-08/https://www.reuters.com/world/us/fda-plans-review-chemicals-us-food-supply-official-says-2025-05-15/https://www.reuters.com/business/healthcare-pharmaceuticals/prices-new-us-drugs-doubled-4-years-focus-rare-disease-grows-2025-05-22/https://www.healthleadersmedia.com/innovation/healthcare-diversified-hospitals-are-outsourcing-minor-surgerieshttps://www.reuters.com/sustainability/us-files-false-claims-complaint-against-three-health-insurers-2025-05-01/
June 13, 2025 In this episode, Ray, Mark, and Scott discuss recent denial issues from Aetna and Humana and offer some possible solutions. They also revisit a question covered in Episode #234: billing for amniotic tissue grafts during prostatectomy procedures, outlining strategies to address denials effectively.PRS Coding and Reimbursement HubAccess the HubJelmyto Coding and Reimbursement PageUpper Track Urothelial Cancer (UTUC) Coding and Reimbursement PageFree Kidney Stone Coding CalculatorDownload NowPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/
In today's episode, I'm joined by Josh Patten, a seasoned leader with a diverse background, including a long tenure at Aetna and a deep experience in crisis leadership. We dive into the tension that many leaders face—the difference between leading authentically and being influenced by external expectations. Josh shares his struggles with leadership, the pressure to perform, and how he's navigating the gap between his core values and the demands of his role.The Tension of LeadershipJosh opens up about the struggles of leadership, particularly in high-pressure situations like layoffs and turnarounds. As someone who's often been in a crisis leadership role, Josh reflects on how he's consistently been able to lead others, but in doing so, he has lost track of leading himself. His candidness about feeling disconnected from his values provides a real, relatable moment for anyone in a leadership role who's ever felt the weight of leading others at the cost of themselves.The Disconnect Between Who We Are and What We DoJosh talks about the disconnect he feels between his core self—someone who thrives in vision, creativity, and inspiration—and the daily demands of his leadership position. Even though Josh is where he wanted to be five years ago, he finds himself exhausted and unfulfilled because of the gap between who he is and what he does every day. This reflects a struggle that many leaders face—being stuck in a position where they're thriving externally but feeling drained and unfulfilled internally.Struggling with the Need for MoreEven though Josh acknowledges the successes he's achieved, he constantly wrestles with the idea of wanting more. More impact. More growth. More engagement. He talks about the tension between feeling content with what he has and recognizing there is more he could do. This conflict of always striving for more while trying to appreciate the present moment is something that many leaders struggle with.Leadership and Personal GrowthJosh shares an important lesson: leadership isn't just about managing systems and teams—it's about knowing who you are and where you want to go. Being clear on your values and communicating those values to your team is essential for authentic leadership. Josh's personal story illustrates how his self-awareness and emotional intelligence have guided his journey, but also how challenging it can be to lead from a place of authenticity when there's external pressure to conform.The Struggle to Stay True to YourselfAs Josh reflects on the personal and professional tensions in his life, he shares that part of his struggle comes from wanting to be both a high-energy visionary and a calm, centred leader. This duality often leaves him feeling inadequate, as he tries to fit himself into roles that he believes others need him to fill. However, Josh ultimately realises that the key to overcoming this tension is not trying to change who he is, but to embrace his true self and lead authentically, even when it feels uncomfortable.The Importance of Healthy ConflictThroughout the conversation, Josh emphasises the importance of healthy conflict and being willing to rock the boat. He shares that his most effective leadership moments come when he leans into his natural ability to challenge the status quo. However, he also realises that, in corporate settings, this kind of leadership is often misunderstood as combative. The key takeaway here is that healthy conflict, when done with clarity and respect, can drive clarity and success within a team.Leading from Your Own ValuesIn the end, Josh and I reflect on how the best leaders are those who know their own values and are unafraid to lead from that place of authenticity. Josh's journey serves as a reminder that leaders need to focus not just on their external accomplishments, but also on how they show up authentically, making decisions aligned with their core values. Leadership isn't about being someone else—it's about owning who you are and leading others to do the same.Challenge for LeadersJosh's story is a powerful reminder for leaders to ask themselves: Am I leading authentically, or am I trying to fit into someone else's mould of what leadership should look like? Leaders must lean into their own strengths and values and trust that doing so will help create the type of leadership that attracts the right people and creates lasting impact.Resources Mentioned:Follow Josh on Instagram: @JoshPattenCoachJoin my free Leadership Training: Join me for a leadership session this month. Learn more at rockygarza.com/confidenceKey timestamps:00:00 Introduction to Leadership Challenges00:22 Meet Josh Patton: A Leader's Journey01:05 The Struggles of Crisis Leadership02:03 Balancing Personal and Professional Life03:42 The Pursuit of Potential and Contentment05:34 Defining Success and Happiness14:22 The Importance of Rest and Rejuvenation16:55 Finding Belonging and Self-Acceptance20:17 Leadership and Open Communication20:48 Balancing Leadership Styles at Work and Home21:21 Navigating Conflict and Accountability23:00 Embracing Your Leadership Strengths24:30 The Importance of Authenticity in Leadership25:41 Reflecting on Personal and Professional Growth26:46 Creating Value and Focusing on Strengths28:27 Overcoming Self-Doubt and Embracing Your Role31:13 Practical Tips for Effective Leadership39:03 Conclusion and Invitation to Leadership SessionTo join Rocky for his next free virtual event, go to https://rockygarza.com/beyondsuccessSupport this podcast at — https://redcircle.com/trgs/donations
Some of the sickest Medicare Advantage patients ran into problems getting end-of-life care. Ultimately many patients switched to traditional Medicare, costing taxpayers billions, according to an investigation by the Wall Street Journal. This is one of many Medicare Advantage practices that is now under government scrutiny. Both Congress and Medicare agency head Dr. Mehmet Oz are pushing for reforms to curb tactics that can boost federal payments to private insurers. The Department of Justice is also investigating major private insurance companies UnitedHealth, Aetna, Elevance Health and Humana. Jessica Mendoza discusses the investigations with WSJ's Anna Wilde Mathews. Further Listening: -Medicare, Inc. Part 1: How Insurers Make Billions From Medicare -A Life-or-Death Insurance Denial Sign up for WSJ's free What's News newsletter. Learn more about your ad choices. Visit megaphone.fm/adchoices
May News You Can Use Debt, DNA, and a Dose of AI Medical Debt Crisis: U.S. medical debt remains a major issue, contrasting sharply with other countries that barely recognize the concept. COVID Confusion: Vaccine policies in the U.S. have been overly broad, with other countries focusing on vulnerable populations; data is slowly shifting perspectives. AI and Privacy Fears: Genetic data breaches (like 23andMe) and a lack of oversight in AI regulation raise major privacy concerns. Healthcare Access Cut: CVS is pulling Aetna from the ACA marketplace despite soaring profits, leaving millions at risk of losing coverage. Diet and Wholesome Warnings: USDA reveals widespread protein deficiency; public urged to eat better—while staying wary of corporate overreach and digital privacy loss. 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
In this must-listen episode of the Millionaire Car Salesman Podcast, host Sean V. Bradley, CSP, and co-host LA Williams sit down with Shep Hyken, the internationally renowned customer service and customer experience expert, best-selling author, and keynote speaker, to explore the critical role exceptional customer experience plays in today's automotive industry. "They're not just comparing you to another dealer. They're going to compare you to the best experience they ever had." — Shep Hyken As the market navigates post-pandemic shifts and economic challenges like high interest rates and limited inventory, Shep shares actionable strategies that dealerships can implement right now to stand out. From customer engagement to loyalty-building techniques, Shep dives deep into what it takes to create an unforgettable experience at every customer touchpoint. "You must model the behavior you want others to do toward others." — Shep Hyken Listen in to hear why focusing on existing customers, embracing innovative tools like Podium, and modernizing your approach to customer service can lead to massive revenue growth. Are you prepared to elevate your dealership's customer experience and boost retention in today's competitive market? Tune in to find out how to turn service into a powerful driver of long-term success. Key Takeaways: ✅ Enhancing customer retention is often more beneficial and cost-effective than solely focusing on acquiring new business. ✅ Leveraging technology and AI, such as Podium, can significantly improve customer interactions and streamline dealership operations. ✅ Maintaining a positive work culture among employees directly influences the quality of customer service delivered. ✅ Leading dealerships prioritize creating a seamless and consistent experience across all customer touchpoints, setting them apart in service delivery. About Shep Hyken Shep Hyken is a globally recognized customer service and experience expert, acclaimed keynote speaker, and New York Times and Wall Street Journal bestselling author. As the Chief Amazement Officer of Shepard Presentations, he has dedicated his career to helping organizations build loyal relationships with their customers and employees. Since founding Shepard Presentations in 1983, Shep has worked with over 1,200 clients, ranging from Fortune 100 companies to small businesses, across various industries including retail, healthcare, technology, and financial services. His client list includes notable organizations such as American Airlines, AAA, Anheuser-Busch, AT&T, Aetna, Abbott Laboratories, and American Express. Shep's dynamic presentations are known for their high energy, humor, and practical insights, often incorporating magic to engage audiences. He has been inducted into the National Speakers Association Hall of Fame for lifetime achievement in the speaking profession and holds the Certified Speaking Professional (CSP) designation. An accomplished author, Shep has written several bestselling books on customer service and experience, including "Moments of Magic," "The Loyal Customer," "The Cult of the Customer," "The Amazement Revolution," "Amaze Every Customer Every Time," "Be Amazing or Go Home," "The Convenience Revolution," and "I'll Be Back." His articles have been featured in hundreds of publications, and he is a regular contributor to Forbes. Shep is also the creator of The Customer Focus™ program, designed to help organizations develop a customer service culture and loyalty mindset. Through his work, he emphasizes that customer service is not just a department but a philosophy that should permeate every aspect of an organization. Navigating the Automotive Customer Experience: Embracing AI and Building Loyalty Key Takeaways Customer Satisfaction and Experience are Distinct: Understanding the difference and focusing on both can elevate a dealership from best in class to world class. Leveraging Existing Customer Relationships: Prioritizing current customer engagement and retention is more cost-effective and profitable than focusing solely on new lead acquisition. Artificial Intelligence as a Game-Changer: AI innovations are transforming the dealership landscape by enhancing customer interactions and streamlining operations. Enhancing the Customer Experience in Automotive Retail In the rapidly evolving automotive industry, dealerships must adapt their strategies to exceed customer expectations. Sean V. Bradley and Shep Hyken dive into the intricacies of customer satisfaction and experience, two interrelated yet distinct components that every dealership should master. According to Hyken, "The way that whole thing is handled, is it easy? Is it hassle-free?" Such questions underscore the need for seamless web interfaces and responsive sales teams to create an unparalleled service atmosphere. Customer experience encompasses every interaction a consumer has with a dealership, from visiting the website to consulting with a salesperson. For car dealerships aiming for world-class status, it's crucial to transcend industry standards and look outside the industry for inspiration. As Hyken wisely notes, "They're going to compare you to the best experience they ever had." This calls for analyzing experiences provided by leaders like Amazon and Walmart to ensure dealerships offer frictionless, memorable interactions that build long-term loyalty. Retention vs. Acquisition: The Loyalty Revenue Stream Prioritizing existing customers over acquiring new ones can seem counterintuitive, yet it's a strategic pivot that aligns with both customer retention and profitability. As discussed by Sean V. Bradley, focusing on your current customer base can lead to higher conversion rates and increased revenue. "NADA says that a prior customer is a 65% closing ratio and a much higher gross profit," he remarks, emphasizing a shift towards maintaining strong relationships with your existing clientele. Moreover, service departments play a pivotal role. With a "service customer to your point is seven times as likely to purchase a vehicle if they service a car," embracing service excellence not only ensures immediate customer satisfaction but also strengthens their connection to the brand, making them more likely to return for future purchases. The foundational principle is clear: solidify customer loyalty through consistent, exceptional service, thereby reducing churn and boosting long-term profitability. The Role of Artificial Intelligence in Transforming Dealerships Artificial Intelligence (AI) is poised to reshape traditional dealership models by optimizing customer interactions and operational efficiencies. Shep Hyken highlights AI's potential in generating personalized and high-quality customer interactions. "AI needs to be smart enough to not give the wrong answer," Hyken advocates, outlining the balance between maintaining human oversight and deploying AI for scalable customer service solutions. Podium's AI-powered platforms offer tools that handle after-hours inquiries, schedule test drives, and maintain conversational consistency across multiple platforms, ensuring a seamless transition between digital and in-person interactions. In an age where most touchpoints before a sale are digital, embedding AI in CRM systems elevates customer experiences. As Bradley affirms, "If your AI is integrated with your CRM, if your AI is integrated with your online reputation strategy…it is next level." By streamlining these processes, dealerships can enhance engagement, nurture relationships, and ultimately drive more sales. The automotive industry stands at a pivotal juncture where transformation is not just necessary but imperative. By understanding the nuances between customer service and experience, fostering robust relationships with existing customers, and embracing cutting-edge technologies like AI, dealerships can not only survive the intricacies of the modern market but truly thrive in it. The insights shared by industry experts provide a roadmap to not only meet but exceed customer expectations, ensuring loyalty and profitability in uncertain times. Resources: Podium: Discover how Podium's innovative AI technology can unlock unparalleled efficiency and drive your dealership's sales to new heights. Visit www.podium.com/mcs to learn more! Dealer Synergy & Bradley On Demand: The automotive industry's #1 training, tracking, testing, and certification platform and consulting & accountability firm. The Millionaire Car Salesman Facebook Group: Join the #1 Mastermind Group in the Automotive Industry! With over 29,000 members, gain access to successful automotive mentors & managers, the best industry practices, & collaborate with automotive professionals from around the WORLD! Join The Millionaire Car Salesman Facebook Group today! Win the Game of Googleopoly: Unlocking the secret strategy of search engines. The Millionaire Car Salesman Podcast is Proudly Sponsored By: Podium: Elevating Dealership Excellence with Intelligent Customer Engagement Solutions. Unlock unparalleled efficiency and drive sales with Podium's innovative AI technology, featured proudly on the Millionaire Car Salesman Podcast. Visit www.podium.com/mcs to learn more! Dealer Synergy: The #1 Automotive Sales Training, Consulting, and Accountability Firm in the industry! With over two decades of experience in building Internet Departments and BDCs, we have developed the most effective automotive Internet Sales, BDC, and CRM solutions. Our expertise in creating phone scripts, rebuttals, CRM action plans, strategies, and templates ensures that your dealership's tools and personnel reach their full potential. Bradley On Demand: The automotive sales industry's top Interactive Training, Tracking, Testing, and Certification Platform. Featuring LIVE Classes and over 9,000 training modules, our platform equips your dealership with everything needed to sell more cars, more often, and more profitably!
Join us at the Seven Figure Medicare Agent Summit: https://sevenfiguremedicareagentsummit.com/On this episode of the Seven Figures or Bust podcast, we address the growing trend of non-commissionable Medicare plans and what it means for agents. With major carriers like Aetna, Cigna, and Elevance Health shifting certain Medicare Advantage and Part D plans to non-commissionable status for 2025, agents face new challenges in maintaining their income streams . We delve into strategies for navigating these changes, including diversifying your product offerings and ensuring compliance with CMS guidelines when discussing non-commissionable plansGets Leads from Lead heroes here: https://leadheroes.com/Learn more about getting your own VA with Hire Heroes here: https://app.hireheroes.com/signup?fpr=christian43Join our free private Facebook group for insurance agents: https://www.facebook.com/groups/551409828919739/Welcome to the Christian Brindle channel brought to you by Christian Brindle & Christian Brindle Insurance Services. This channel is here for the sole purpose of bringing training, tips, success stories, and personal development from Christian Brindle. Christian is a published author, hosts the ever popular Everything Medicare Podcast, and made six figures in the Medicare business by the time he was 25 years old.
Welcome to another empowering episode of **We Go Boldly**, the podcast dedicated to celebrating women stepping into their power and living their most authentic lives! We're proud members of the Power Moms Network, where we uplift and empower mothers, fostering a community of support and mentorship for moms everywhere. This season, we're diving deep into what it means to take control of your life, break free from limiting beliefs, and intentionally craft your own narrative. We're featuring inspiring guests who share their wisdom, helping you rewrite your story with purpose and authenticity. --- Today's Guest: Russ Terry We're thrilled to welcome **Russ Terry** to the show! Russ is a renowned Coach, Motivational Speaker, and HR/Diversity Consultant who has coached over 1,000 professionals from leading companies like Microsoft, Google, and PwC. He's also delivered impactful talks at organizations including NASA, United Airlines, the FBI, Aetna, and L'Oréal. Russ specializes in:- Executive Coaching- Career Coaching- Confidence Building- Time Management- Self-Care He presents on 35+ topics, ranging from Coaching, Human Resources, Diversity, Leadership, Management Skills, Communication, Career Development, and the transformative power of Gratitude. Before coaching, Russ's diverse career included roles as a CPA, TV Anchor & Reporter, and Human Resources professional. He's also the author of a 4-part book series on Gratitude. --- In This Episode: - How to break free from limiting beliefs and become the author of your own story- Practical strategies for building confidence and managing your time- The importance of self-care and gratitude in personal and professional growth- Russ's unique journey and insights on leadership, diversity, and career transformation --- Don't Miss Out! If you're ready to step boldly into your power, this episode is packed with actionable advice and inspiration to help you take control of your narrative. Subscribe, rate, and review We Go Boldly on your favorite podcast platform! Connect with us on social media and join the conversation using #WeGoBoldlyPodcast and #PowerMomsNetwork. **Resources Mentioned:**- www.goboldlyinitiative.com/weeklycircle- Keywords: Did you enjoy this episode? We would love to hear your thoughts and more about your personal development journey. Head to Apple Podcasts and then rate, review, and subscribe. This way you will get notified once a new episode goes live. Don't forget to find us and subscribe on YouTube too. CONNECT WITH RIELLY AND TOVAHInstagram: https://www.instagram.com/goboldlytogether/Website: goboldlyinitiative.com or https://we-go-boldly-podcast.simplecast.com/YouTube:https://www.youtube.com/channel/UCsPh8gu_ugJqvvnYiuRSyPQLinkedIn: https://linkedin.com/company/go-boldly-initiativePatreon: https://www.patreon.com/wegoboldlyFacebook: https://www.facebook.com/GoBoldlyTogetherPinterest: https://www.pinterest.com/GoBoldlyTogether/
Navigating the Complexities of ACA & Medicare with Insights from Industry ExpertsDan and Mike Hardle dive into the latest developments impacting the insurance industry, discussing their recent travels and meetings with industry leaders. They offer a deep dive into the evolving landscape of ACA and Medicare, shedding light on Aetna's exit, the impact of expiring subsidies, and the slew of lawsuits affecting major players. Whether you're a seasoned pro or a newcomer, this episode provides critical insights and strategies to navigate the challenges and thrive in the ever-changing insurance market. Tune in to learn how to adapt, grow your business, and better serve your clients.Need to take your AHIP certification to sell Medicare Advantage plans? Use our official Agent Boost link to get started today. It's accepted by all major carriers and includes the $50 discount—bringing your cost down to just $125.
The future of senior care is here—and it's powered by technology, personalized support, and the strength of strategic partnerships. In this special episode, we're joined by three visionary leaders transforming the way seniors receive care: Dr. Ali Khan, Chief Medical Officer for Medicare at Aetna; Dr. Marc Watkins, Chief Medical Officer at Kroger Health; and Brian Urban, Head of Commercial Strategy and Population Health at Best Buy Health. Together, they explore how technology, access to nutrition, human-centered design, and collaboration can solve some of the most pressing challenges in senior care. Dr. Khan emphasizes building ecosystems that blend tech with human touch, from broadband infrastructure to virtual PT with language support. Dr. Watkins highlights the role of pharmacists and retailers in delivering smarter, more accessible care through food scoring systems and telehealth integration. Brian Urban explains how smart home devices, personal tech support, and AI are helping seniors live safely and independently—while reducing social isolation and hospital visits. From personalized nutrition to AI-powered care delivery, tune in to discover how these cross-industry leaders are taking bold action to build a more connected, compassionate future for aging adults! Resources: Connect and follow Dr. Ali Khan on LinkedIn. Learn more about Aetna, a CVS Health Company, on their LinkedIn and website. Connect and follow Dr. Marc Watkins on LinkedIn. Learn more about Kroger on their LinkedIn and website. Connect and follow Brian Urban on LinkedIn. Learn more about Best Buy Health on their LinkedIn and website.
The Friday Five for May 9, 2025: Rite Aid Files for Chapter 11 Bankruptcy Again Apple WWDC 2025 Dates & Rumors Discount Medicare Insurance Scam Alert Rueppel Recommends Books & Streaming Picks May 2025 Aetna Health Plans to Exit ACA Marketplace for CY 2026 Rite Aid Files for 2nd Chapter 11 Bankruptcy: Download the “Rite Aid Letter to Customers - May 5, 2025.” Restructuring.Ra.Kroll.Com, Kroll Restructuring Administration, restructuring.ra.kroll.com/RiteAid/Home-DownloadPDF?id1=MzM0MTA2Mg%3D%3D&id2=0. Accessed 6 May 2025. Grothaus, Michael. “Rite Aid Bankruptcy: What to Know about Store Closings, Prescription Transfers, Layoffs, Gift Cards, and More.” Fastcompany.Com, Fast Company, 6 May 2025, www.fastcompany.com/91329223/rite-aid-bankruptcy-2025-stores-closing-prescription-transfers-gift-cards. Arias, Pilar. “Rite Aid Files for Bankruptcy for Second Time in Less than 2 Years.” Foxbusiness.Com, Fox Business, 6 May 2025, www.foxbusiness.com/economy/rite-aid-files-bankruptcy-second-time-less-than-2-years. Powel, James. “Rite Aid Files for Chapter 11 Bankruptcy, Promises ‘smooth Transfer' of Prescriptions.” Usatoday.Com, Gannett Satellite Information Network, 6 May 2025, www.usatoday.com/story/money/retail/2025/05/05/rite-aid-chapter-11-bankruptcy/83467189007/. “Rite Aid Store Locater.” Riteaid.Com, Rite Aid, www.riteaid.com/locations/. Accessed 6 May 2025. Urie, Daniel. “Rite Aid Tells Vendors It ‘Has Generally Stopped Purchasing Goods and Services.'” Pennlive.Com, PennLive, 5 May 2025, www.pennlive.com/business/2025/05/rite-aid-tells-vendors-it-has-generally-stopped-purchasing-goods-and-services.html. Mills, Sean I. “What to Do with Your Prescriptions Now That Rite Aid Is Closing All Stores.” Romesentinel.Com, Daily Sentinel, 6 May 2025, www.romesentinel.com/news/rome-new-hartford-rite-aid-store-closings/article_98f2300b-600c-4937-b8d0-686ece8d36e9.html. Apple WWDC 2025 Dates & Rumors: Lovejoy, Ben. “90% of People Shouldn't Buy the iPhone 17 Air, per Apple.” 9to5mac.Com, 9to5Mac, 6 May 2025, 9to5mac.com/2025/05/06/90-of-people-shouldnt-buy-the-iphone-17-air-per-apple/. Schroeder, Stan. “Apple Is Planning a New iPhone Launch Schedule, Report Claims.” Mashable, Mashable, 5 May 2025, mashable.com/article/apple-iphone-launch-schedule. “iOS 7 vs iOS 6 Side-by-Side Visual Comparisons.” Osxdaily.Com, OS X Daily, osxdaily.com/2013/06/11/ios-7-vs-ios-6-visual-comparison/. Accessed 6 May 2025. Christoffel, Ryan. “iOS 19: Three New Features Are Being Announced next Month.” 9to5mac.Com, 9to5Mac, 5 May 2025, 9to5mac.com/2025/05/05/ios-19-three-new-features-are-being-announced-next-month/. Clover, Juli. “iOS 19: Everything We Know.” Macrumors.Com, MacRumors, 5 May 2025, www.macrumors.com/roundup/ios-19/. Discount Medicare Insurance Scam Alert: “Emerging Discount Medical Insurance Scams.” Ic3.Gov, Internet Crime Complaint Center (IC3), 30 Apr. 2025, www.ic3.gov/PSA/2025/PSA250430. Dimuro, Claudia. “FBI Alerts Public in Pa., beyond to Emerging Scam: Here's What to Know.” Pennlive.Com, PennLive, 5 May 2025, www.pennlive.com/life/2025/05/fbi-alerts-public-in-pa-beyond-to-emerging-scam-heres-what-to-know.html. Burman, Theo. “FBI Issues New Warning Over Health Insurance Scams.” Newsweek.Com, Newsweek, 6 May 2025, www.newsweek.com/fbi-issues-new-warning-over-health-insurance-scams-2068626. Rueppel Recommends: Wynn-Williams, Sarah. “Careless People: A Cautionary Tale of Power, Greed, and Lost Idealism.” Spotify, Flatiron Books, open.spotify.com/show/279JRLPYDjvmsS81C7SOzg?si=215e5504c3ea4510. Accessed 6 May 2025. Ridgely, Charlie. “Everything Coming to Netflix, Max, Disney+ & Other Streaming Services in May 2025.” ComicBook.Com, ComicBook, 30 Apr. 2025, comicbook.com/tv-shows/news/new-streaming-movies-tv-shows-may-2025-netflix-disney-max/. Bet-David, Patrick. “Your Next Five Moves: Master the Art of Business Strategy.” Spotify, Gallery Books, https://open.spotify.com/show/1mCTkhoZxUOH6iA9b8Dx2y?si=b11263c88e3a43ff. Accessed 6 May 2025. Bet-David, Patrick. Your Next Five Moves, Gallery Books, www.yournextfivemoves.com/. Accessed 6 May 2025. Aetna Health Plans to Exit ACA Marketplace for CY 2026: Minemyer, Paige. “Aetna to Exit the ACA Exchanges in 2026.” Fiercehealthcare.Com, Fierce Healthcare, 1 May 2025, www.fiercehealthcare.com/payers/aetna-exit-aca-exchanges-2026. Pifer, Rebecca. “CVS Plans to Exit ACA Individual Exchanges, Strikes Wegovy Deal with Novo Nordisk.” Healthcaredive.Com, Healthcare Dive, 1 May 2025, www.healthcaredive.com/news/cvs-aetna-exit-aca-novo-nordisk-wegovy-deal/746833/. Japsen, Bruce. “CVS Plans To Exit Obamacare In 2026, Affecting 1 Million Aetna Members.” Forbes.Com, Forbes Magazine, 1 May 2025, www.forbes.com/sites/brucejapsen/2025/05/01/cvs-plans-to-exit-obamacare-in-2026-impacting-1-million-aetna-members/. How Plan Crosswalks Work in the ACA Marketplace: https://lnk.to/ASG664 Resources: 5 Myths About Selling ACA Health Insurance Plans: https://lnk.to/asg660 5 Things from the CMS 2026 MA and Part D Final Rule: https://lnk.to/asgf20250502 Agent Requirements for ACA Sales: https://lnk.to/ASG662 Learn How to Sell ACA Products During the Off-Season ft. Danica Stover: https://lnk.to/asg661 Leveling Up: From Chill Mode to Growth Mode ft. Christian Brindle: https://lnk.to/brindle2025 Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/ Not affiliated with or endorsed by Medicare or any government agency. Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.
In this episode, Jakob Emerson, Associate News Director at Becker's Healthcare, joins Scott Becker to discuss surprising Q1 trends in the insurance market, including the rise of niche health plans and challenges facing major players like UnitedHealth and Aetna. They also dive into a DOJ lawsuit against major insurers over alleged Medicare Advantage kickback schemes.
The United States Supreme Court rules against hospitals in an ongoing case about disproportionate share hospital payments. Aetna announces it will leave the healthcare exchanges. And, Novo Nordisk is partnering with telehealth companies to expand access to its GLP-1 drugs. Those stories and more coming up on today's episode of the Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.
It's hard to overstate how consequential President Trump's “Liberation Day” tariffs have been for American economic policy. While the administration has paused the steep reciprocal tariffs it announced on trading partners other than China, a flat across-the-board 10% tariff remains. And China has raised tariffs on all U.S. goods to over 100% in retaliation. Some economists fear this trade war could have a seismic impact across the American economy, including on clean energy. The exceptionally high tariffs on China in particular could have a significant bearing on clean tech products — things like batteries, solar panels, and wind turbines. So what are the possible outcomes? Do our trade deficits or national security imperatives necessitate this trade war? What would a turn away from globalization mean for efforts to confront climate change? And what does all of this mean for the future of industrial policy in the U.S.? This week, Jason Bordoff talks with Jason Furman about the flurry of Trump administration tariffs and how they could play out for the energy industry. Jason Furman is Aetna professor of the practice of economic policy at Harvard University. Prior to his appointment at Harvard, he served as a key economic advisor to President Obama, including as the chair of the Council of Economic Advisors. Jason played a key role in implementing the major economic policy initiatives of the Obama administration, including the American Recovery and Reinvestment Act and the Affordable Care Act. Credits: Hosted by Jason Bordoff and Bill Loveless. Produced by Mary Catherine O'Connor, Caroline Pitman, and Kyu Lee. Additional support from Trevor Sutton. Engineering by Sean Marquand. Stephen Lacey is executive producer.
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