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In this episode, Nirav Shah, MD, President of US Digestive Health at U.S. Digestive Health and Assistant Professor at Drexel University College of Medicine, shares insights on physician shortages, the future of colonoscopy, AI in endoscopy, and balancing autonomy with scale in a multi state GI platform. He also discusses advancing clinical research, ASC strategy, and building transparent physician led leadership for long term growth.
Health Affairs' Rob Lott interviews Derek T. Lake on his recent paper exploring new research on Optum's acquisitions, finding the company tended to buy physician practices already using ambulatory surgery centers and that its ASC acquisitions were followed by higher prices for competing insurers.Order the February 2026 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast
Four surgeons practicing together, ophthalmologists, for example, plan to build their own ASC. It goes without saying that they would think that distributions from their ASC must be in proportion to ownership interests. But that's not necessarily true.
In this episode, Dr. Christian Péan, CEO and Co Founder of Revel Ai Health and practicing orthopedic trauma surgeon at Duke University School of Medicine, discusses how AI is redefining surgical readiness in ambulatory surgery centers. He explores scalable use cases in patient engagement, quality reporting, interoperability, and how ASC leaders can prepare their data, workflows, and culture for safe AI adoption. This episode is sponsored by Revel Ai.
In this episode, Dr. Christian Péan, CEO and Co Founder of Revel Ai Health and practicing orthopedic trauma surgeon at Duke University School of Medicine, discusses how AI is redefining surgical readiness in ambulatory surgery centers. He explores scalable use cases in patient engagement, quality reporting, interoperability, and how ASC leaders can prepare their data, workflows, and culture for safe AI adoption. This episode is sponsored by Revel Ai.
Join us for an inspiring and deeply informative episode featuring Dr. Christine N. Booth, the 2025–2026 President of the American Society of Cytopathology (ASC). Dr. Booth brings more than two decades of experience in cytopathology, breast pathology, and medical leadership, and currently serves as the Director of Regional Cytology at the Cleveland Clinic. Whether you're a cytologist, pathologist, trainee, or simply fascinated by the science and stories behind cellular diagnostics, this episode offers a rare, engaging look at her leadership, why being active at the ASC is important, and the heart of cytopathology. Christine Booth, MD Cleveland Clinic ASC President Terri Jones, MD University of Pittsburgh Medical Center (UPMC) Member, The ASC Bulletin & CytoPathPod Editorial Board
Hospitals and surgery centers own millions of dollars in equipment — but owning assets and having actionable visibility into them are two different things. Most systems maintain inventories, yet many struggle with outdated records, fragmented tracking, and limited insight into useful life or service contracts. With nearly half of U.S. hospitals reporting negative operating margins in recent years, that gap between ownership and visibility is no longer just an operational nuisance — it's a financial risk.So here's the real question healthcare leaders are asking: How can we measure the true health of our capital assets — and what does that mean for long-term revenue stability?That's the question at the heart of this episode of I Don't Care. Host Dr. Kevin Stevenson sits down with Grant Luke, Strategic Account Manager at CapExpert, to explore how healthcare organizations can diagnose their capital asset health. The conversation dives into the operational blind spots that drive unnecessary spending and how AI-powered inventory technology is helping hospitals and ASCs gain baseline visibility over their medical equipment, service contracts, and lifecycle data.Top insights from the talk…Many organizations unknowingly repurchase equipment they already own due to lack of system-wide visibility. Without a reliable, consolidated inventory across facilities or departments, teams often buy new devices instead of reallocating existing assets — driving redundant capital spend.Surplus and underutilized equipment consumes valuable space and capital that could be redeployed more strategically. Idle devices sitting in storage rooms or clinical areas tie up square footage, inflate depreciation schedules, and represent missed opportunities for resale or redistribution within the system.Vendor fragmentation and non-standardized preventive maintenance contracts create avoidable financial waste. When multiple vendors service similar equipment across locations, organizations lose leverage, complicate oversight, and miss opportunities for consolidation and cost containment.Grant Luke is a healthcare technology and SaaS leader with more than a decade of experience spanning sales, ASC operations, IT project management, and supply chain strategy. He has held leadership roles with organizations including Surgical Care Affiliates (SCA Health), United Surgical Partners International (USPI), and HST Pathways, where he led ASC innovation initiatives, EHR implementations, operational efficiency projects, and enterprise vendor evaluations. Now serving as Strategic Account Manager at CapExpert, Luke helps ambulatory surgery centers leverage AI-driven supply chain and asset visibility solutions that deliver measurable cost savings, operational efficiency, and strong first-year ROI.
"Qaydaları Pozma" verilişində "Bakı Sığorta" ASC-nin Ləğvetmə Komissiyasının sədri, Azərbaycan Vəkillər Kollegiyasının üzvü, vəkil Oqtay Şeydabəyov ilə birlikdə sığorta müqaviləsindəki qaranlıq məqamların hüquqi məsuliyyəti, hadisə zamanı atılmalı olan ilk addımlar, ödənişdən imtina halları və avtomobil qəzalarında qarşı tərəfin sığortası ilə bağlı yaranan mübahisələrin məhkəmə yolu ilə effektiv həlli yolları ətrafında danışdıq.
Here is a radical idea: what if you rehearsed the movie before you shot it? Not storyboards. Not an animatic. Live actors, real cameras, and actual creative decisions being made in the room. That is what Chris Nichols and Daniel Thron have been doing on June July, and cinematographer Richard Crudo, ASC joined them to find out if it actually works. Richard brings perspective from the Coen Brothers' dime-store ingenuity on Raising Arizona (yes, an Arri 2C strapped to a two-by-four), decades navigating the film-to-digital transition, and a long-standing argument that the industry has built a priesthood around tech complexity that actively gets in the way of the story. What he found in the VidViz sessions was the opposite: a blue screen, a rough key in OBS, and a team moving fast enough to make creative breakthroughs that quietly rewrote the arc of the entire film. One actor's performance changed the screenplay without changing a single line of dialogue. That kind of discovery does not happen in a pipeline. It happens in a room. Links: Monstrous Moonshine > Richard Crudo's website > Chaos Vantage > Chaos Arena > This episode is sponsored by: Center Grid Virtual Studio Kitbash 3D (Use promocode "cggarage" for 10% off)
The readings for this homily: https://bible.usccb.org/bible/readings/022326.cfmFather Chris Alar, MIC reminds us that works do not earn salvation; only God's grace saves (CCC, 1987). Yet the Church teaches that we must co‑operate with that grace. As Fr. Chris explains, each soul faces a particular judgment at death, meeting Christ in His human nature, and later a general judgment when Christ returns to judge all humanity (see Jn 5:22‑23). The Scriptures picture this final assembly in the “valley of Jehoshaphat,” drawn from Joel 3:2, where angels separate the good from the bad.Father Chris contrasts David's flight from Jerusalem with Jesus' deliberate return to be judged, showing that avoidance leads to condemnation while Christ embraces the sacrifice for our redemption. He cites the familiar parable of the wheat and the weeds (Mt 13:24‑30) and the separation of sheep from goats (Mt 25:31‑46) to illustrate the ultimate sorting of souls.A central point is the necessity of Confession. Unconfessed sins are exposed at judgment, whereas confessed sins are sealed (CCC 1451). Father Chris stresses that God's justice is always tempered by mercy: “The greater the sinner, the greater the right he has to My mercy” (Diary of Saint Faustina Kowalska, 723). This mercy flows through the intercession of the Blessed Virgin Mary, whose prayers unite with ours and draw us toward the divine will (CCC 2675).Father Chris also addresses contemporary objections that “Jesus did it all, so there is no hell.” He refutes this by affirming human free will: God's love respects our freedom, and those who freely reject Him choose separation, which is the reality of hell (CCC 1037). As C.S. Lewis observed, “The gates of hell are locked from the inside,” underscoring that the choice belongs to the soul. ★ Support this podcast ★
Join us for a behind-the-scenes conversation with Academy Award®-nominated cinematographer Autumn Durald Arkapaw about her work on “Sinners” — and the creative choices that shaped the film's look from the very early stages of conception. Autumn breaks down how she and director Ryan Coogler developed the visual language together, from camera and lens selection to lighting strategies designed to support performances, tone, and mood, especially in those challenging night scenes. Along the way, she reflects on collaboration, preparation, and the real on-set problem-solving that is always involved in filmmaking. “How our team collaborates: It's the authority [director Ryan Coogler] gives each department to pour themselves into it… everyone has a say, your opinion matters. Any great filmmaker knows that it's never about one department… When we approach stuff, we want the lighting to be a character, but we also want it to feel of the space — and so that requires us to collaborate very closely with production design… When you give people that respect and you consider them and you give them that authority, they work very hard for you and they care.” —Autumn Durald Arkapaw, ASC, Director of Photography, “Sinners” Be sure to check out “Sinners,” now streaming on HBO Max, in Dolby Vision® and Dolby Atmos®. Watch our previous episode with the Oscar-nominated sound team behind “Sinners.” Also, be sure to catch our previous episode about the music of “Sinners,” with Two-time Academy Award-winning composer Ludwig Göransson and Executive Music Producer Serena Göransson on YouTube. Please subscribe to Dolby Creator Talks wherever you get your podcasts. You can also check out the video for this episode on YouTube.Learn more about the Dolby Creator Lab and check out Dolby.com. Connect with Dolby on Instagram, Twitter, Facebook, or LinkedIn.
What is a logical fallacy? What is a sound argument? And, why does it matter for Christians today? In this episode of the Bible and Theology Matters podcast, Dr. Paul Weaver is joined by the co-authors of Talking About World Views: A Conversational Introduction to Thinking Philosophically for a powerful discussion on logic, logical fallacies, and sound reasoning in a confused culture.Featuring:-Michael Jones – Professor of Philosophy & Religion, Liberty University-Mark J. Farnham – Professor of Apologetics, Lancaster Bible College-David Saxon – Professor of Church History, Maranatha Baptist UniversityTogether, they explore:✔️ What a worldview is—and why everyone has one✔️ Why logic is foundational for defending the Christian faith ✔️ The difference between factual mistakes and logical fallacies ✔️ Common fallacies like: Ad Hominem Straw Man Appeal to Authority Appeal to Pity Genetic Fallacy Red Herring Self-Referential Incoherence✔️ How to construct sound deductive and inductive arguments✔️ Why truth corresponds to reality ✔️ How Christians can argue graciously, clearly, and persuasivelyIn a world shaped by expressive individualism, emotional reasoning, and intellectual shortcuts, this conversation equips believers to think critically and biblically. As C.S. Lewis famously emphasized, Christianity is not something we would have invented—it confronts us with reality. Whether you're a pastor, Bible teacher, seminary student, homeschool parent, or simply someone who wants to strengthen your reasoning skills, this episode will sharpen your thinking and deepen your confidence in the Christian worldview.
Caring for pediatric surgical patients requires more than simply adapting adult practices. It demands a specialized, family-centered approach. In this First Case: Articles On-The-Go episode, Lindsay Joyce, MSN, RN, CNOR, walks through essential fundamentals every perioperative nurse should know, from maintaining a warm OR and using weight-based medication dosing to protecting delicate skin, preparing for malignant hyperthermia, and partnering closely with child life specialists. The episode also highlights the emotional side of pediatric care, supporting not just the child, but the parents, while emphasizing the importance of communication, trust, and pediatric-specific competencies like PALS and NRP. Whether you work in a large children's hospital, community facility, or ASC, this practical Top 10 is a strong foundation for delivering safe, compassionate care to our smallest patients. #operatingroom #pediatrics #ornurse #scrubtech #surgery
Academy Award®-nominated cinematographer Darius Khondji joins us to discuss his stunning work on “Marty Supreme.” In this episode, Khondji unpacks his bold visual approach with director Josh Safdie, from shooting on film with classic anamorphic lenses and expressive close-ups to building a richly textured 1950s world through production design, lighting, and color. He also shares how collaboration across every department shaped the film's emotional power.“Anamorphic can be very minimal… The important thing is the way it renders closeups; it makes people bigger than life, like black and white does… The real old classic anamorphic of the fifties—I wanted to go back to this feeling… Anamorphic is like a magnifier. And Marty is seen through the film like that.”—Darius Khondji, ASC, AFC, Director of Photography, “Marty Supreme”Be sure to check out “Marty Supreme,” now available for at-home purchase or rental, as well as in select theaters, in Dolby Vision® and Dolby Atmos®. Please subscribe to Dolby Creator Talks wherever you get your podcasts.You can also check out the video for this episode on YouTube.Learn more about the Dolby Creator Lab and check out Dolby.com. Connect with Dolby on Instagram, Twitter, Facebook, or LinkedIn.
Dr. George Tewfik, guest editor of the March ASA Monitor, and Dr. Emily Methangkool, contributor, discuss ambulatory anesthesia with Dr. Zach Deutch. Learn how ambulatory surgery centers (ASCs) are transforming care, how practicing in an ASC differs from the inpatient setting, what is on the horizon, and more. Recorded January 2026.
"Train Dreams" has gone on to become the most celebrated film from the 2025 Sundance Film Festival, with praise going to Bentley's direction, Edgerton's performance, and the cinematography. Among its accolades, the film was named as one of the top ten films of 2025 by both the National Board of Review and the American Film Institute. For his performance, Edgerton was nominated for a Golden Globe Award. It received four nominations at the 98th Academy Awards, including Best Picture, Best Adapted Screenplay, Best Original Song, and Best Cinematography. Brazilian cinematographer Adolpho Veloso has won the Critics' Choice Award for Best Cinematography and has been nominated for the ASC, BAFTA, Spirit Award, and Oscar for Best Cinematography, becoming the first Brazilian to achieve the latter. Veloso was kind enough to spend some time speaking with us about his work on the film, the experience of awards season, his Brazilian roots, and more, which you can listen to below. Please be sure to check out the film, which is now available to stream on Netflix and is up for your consideration for this year's Academy Awards in all eligible categories, including Best Cinematography. Thank you, and enjoy! Check out more on NextBestPicture.com Please subscribe on... Apple Podcasts - https://itunes.apple.com/us/podcast/negs-best-film-podcast/id1087678387?mt=2 Spotify - https://open.spotify.com/show/7IMIzpYehTqeUa1d9EC4jT YouTube - https://www.youtube.com/channel/UCWA7KiotcWmHiYYy6wJqwOw And be sure to help support us on Patreon for as little as $1 a month at https://www.patreon.com/NextBestPicture and listen to this podcast ad-free Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, Robert C. Rhoad, MD, Partner at OrthoCincy Orthopaedics & Sports Medicine, Hand, Wrist & Elbow Orthopaedic Surgery, shares how orthopedic care is shifting to outpatient, ASC, and office based settings. He discusses staying independent, expanding walk in and in office procedures, and the collaborations helping physician led groups innovate while preserving autonomy.
In this episode, Robert C. Rhoad, MD, Partner at OrthoCincy Orthopaedics & Sports Medicine, Hand, Wrist & Elbow Orthopaedic Surgery, shares how orthopedic care is shifting to outpatient, ASC, and office based settings. He discusses staying independent, expanding walk in and in office procedures, and the collaborations helping physician led groups innovate while preserving autonomy.
"Je fais un travail de commissaire de police" Eva Coen a créé les costumes de 59 films et séries, notamment ceux de la série Miss Fallaci. Elle aime les biopics, raconter avec respect de belles histoires vraies.Engagée pour la visibilité de sa profession, elle est vice présidente de l'ASC, d'Art Scenico et membre de l'Académie des Oscars. Elle est également conférencière à travers le monde pour partager sa passion du costume.Au micro de Céleste Touboul Durante, Eva raconte ses études d'histoire de l'art, son début de carrière aux côtés des Frères Taviani, des projets qui l'ont marquée et son engagement pour la profession, notamment à travers sa casquette de conférencière.Retrouvez Profession : costumière sur Instagram Un podcast signé Céleste Touboul Durante Logo : agence Silenzio Montage : RomainHébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.
For our 50th episode we have David Mullen ASC on the podcast. David is the recipient of 3 Emmys and 2 ASC Awards. He will be presented the Career Achievement in Television Award at the ASC awards in March 2026. Here are some of the things we discuss in the show: Reduser thread : https://reduser.net/threads/ask-david-mullen-anything.2860/ David's instagram: https://www.instagram.com/mdmullen1 ASC manual 11th edition: https://store.ascmag.com/products/ac-manual-11th-ed-hardbound?srsltid=AfmBOopbpDvHAnqkjyYtsdva_7eZqkTUedeqeDzz0kWQDEYCJPhJ2mhA CINEMATOGRAPHY 3rd edition: https://www.abebooks.co.uk/9780743264389/Cinematography-Third-Edition-Malkiewicz-Kris-074326438X/plp Grapes of wrath - greg toland: https://film-grab.com/2015/09/11/the-grapes-of-wrath/ Xenon lights: https://cinematography.com/index.php?/forums/topic/27717-xenon-lights-and-when-to-use-them/ Etoile: https://www.imdb.com/title/tt27613329/ Etoile boat scene ep1: https://www.instagram.com/reels/DPcvmEoDLaa/ --- Join our Discord community: https://discord.gg/t4YEZbJzrC Donate to our Patreon: https://www.patreon.com/cotl Check out our website: https://www.cinematographersontheloose.com/ Follow us on IG & Facebook: https://www.instagram.com/cinematographersontheloose https://www.facebook.com/pg/Cinematographers-On-The-Loose-104520677909322/
Jesus tells a sobering parable from Luke 16:19–31 about a rich man and Lazarus. A man who had everything overlooks a man who had nothing. After death, their situations are completely reversed: the unseen are honored, the comfortable are confronted, and eternity reveals what truly mattered all along.This message invites us to wrestle with hard questions about wealth, compassion, pride, and what it means to really see our neighbors. Even in torment, the rich man's heart remains unchanged. Jesus reveals that hell is not simply punishment imposed from the outside, but a condition shaped by a life turned inward. As C. S. Lewis famously wrote, “The gates of Hell are locked from the inside.” This sermon challenges us to examine where we place our trust, how we respond to those in need, and whether our lives reflect the upside-down values of God's Kingdom, where the last become first and the forgotten are remembered. Scripture: Luke 16:19–31 Date: February 8, 2026 Series Message: The Great Reversal If this message encourages or challenges you, consider liking, subscribing, or sharing it with someone who might need it today.
In this episode of 1st Talk Compliance, Kevin Chmura is joined by Robyn Johns, as they discuss recent updates to their November live webinar, Compliance Cliffs: Navigating Telehealth Waivers and Reimbursement Changes. Learn how the policy landscape has shifted in recent months—especially around telehealth flexibilities, controlled substance prescribing, and the 2026 CMS payment rules. Kevin Chmura Welcome to 1st Talk Compliance. I’m Kevin Chmura, CEO of Panacea Healthcare Solutions. Today we’re bringing you a timely update on our November live webinar, Compliance Cliffs: Navigating Telehealth Waivers and Reimbursement Changes. Since that webinar, several policy changes have moved quickly, especially in telehealth flexibilities. Controlled substance prescribing and 2026 CMS payment rules. Before we jump in, just a quick note. 1st Talk Compliance is brought to you by 1st Healthcare Compliance, a part of Panacea Healthcare Solutions. We help healthcare organizations strengthen their compliance programs with practical education tools and compliance management support. So teams can reduce risk, keep pace with regulatory change and operate with confidence. Now I’m pleased to welcome back Robyn Johns from Med USA. Robyn, thanks for coming back. Robyn Johns Thanks, Kevin. I’m happy to be here. Kevin Chmura Great. So, let’s jump in. So, in November on the webinar, we spent a lot of time on what people were calling the telehealth cliff, which was creating a tremendous amount of uncertainty on whether flexibilities would expire. Can you catch us up on what the status is now? Robyn Johns Yeah. The major update is that the spending package released on January 20th includes extensions of the telehealth flexibilities all the way through December 31st of 2027. Kevin Chmura So that’s a pretty meaningful runway. That’s great, but I guess doesn’t eliminate compliance obligations, but it is reducing near-term uncertainty which give everybody some time to standardize workflows. So, it’s in the news, but maybe you could tell. So, what’s in the spending package at a high level and what should healthcare leaders like us be paying attention to? Robyn Johns Right. So, it was the one from the 20th was a $1.2 trillion spending package released by the House Appropriations Committee and it was just passed yesterday on the 22nd in two separate votes by the full House. So, those bills included the remaining six of the twelve appropriations necessary to avert a government shutdown. So that’s good news for everyone. If we can get them across the finish line, they funded many of the federal government agencies such as HHS, Labor, Defense, HUD, and also Homeland Security. That was a contentious one. That’s why they had to do two separate votes. It funds them through fiscal year 2026, which ends on September 30th of this year. Kevin Chmura So, OK, so we have a funding package with multiple healthcare policy riders. Not, I guess not too surprising in today’s day and age. So, besides the telehealth through 2027, what else is included in there that compliance and operational leaders should know about? Robyn Johns So the writers also include PBM reform and it extends hospital at home actually through 2030, which is another one that hit a lot of facilities hard with the government shutdown. It extends Medicare dependent hospital and low volume hospital programs, which is really beneficial for our rural providers and it delays the Medicaid disproportionate share cut again until fiscal year 2028. Notably, for a lot of people, it does not include an extension of the ACA subsidies, which were such a sticking point in the government shutdown last fall. Kevin Chmura Yeah, that that that last point is operationally really important and coverage instability often turns into eligibility churn and puts real pair mix pressures on the you know same patients, different coverage, right.? And that’s just you know probably increases downstream compliance and documentation stress. Yeah that’s a that’s a tough one. So what’s the timing of congressional action now? Robyn Johns So with the House passing all of the bills, they now send the full appropriations package to the Senate. The Senate will take all of that up when they return from recess on Monday the 26th, and will hopefully pass them all ahead of the January 30th deadline. And hopefully without any significant changes which might require them to go back to the house because the house will be on recess next week. Kevin Chmura Wow. So split schedule, it’s why we should keep ourselves in a monitoring posture. I guess we should always be monitoring, but things are moving pretty quickly right now and you sort of get into that world of what is expected is not what’s in effect. Which is always, always a tough place to operate, but hey, that’s healthcare, isn’t it? So, given the extension to 2027, in your opinion, what should compliance teams be doing now? Like what’s some practical next steps? Robyn Johns First, you’ll want to make sure that your internal policies and educational materials reflect what’s currently in effect. No major changes since most of those telehealth things were extended, but it’s always good to double check because lots of things change around the beginning of the year. Also validate your payer specific rules. Medicare policy direction is influential, but commercial payers and state laws differ. So, you got to make sure that you are matching up with those differences. And then third, we should we talk about strengthening your auditing of documentation, the modifiers, your place of service, medical necessity, all of those things that can vary depending on the payer and the specific situation of the patient. Kevin Chmura Yeah, that that payer variation point is where a lot of organizations end up being exposed, I guess, right? Telehealth’s not really governed by one rule. You’ve got federal policy, state overlays, and then you have commercial policy updates really coming at you a number of different ways. So, I guess a good controls to maintain maybe a payer policy matrix and try to align it into your documentation and coding guidance. Probably a solid piece of advice. Robyn Johns Absolutely. Kevin Chmura Yeah. So, let’s move on to probably one of the highest risk areas that we covered in the webinar, and that’s controlled substance prescribing via telehealth. What’s the latest there? Robyn Johns Good news there as well. At the end of the year, DEA and HHS extended the telehealth flexibilities for prescribing controlled substances through this year, December 31st of 2026. There are a few rules that can apply, but because they extended the flexibilities, it’s pretty much status quo until they change it again at the end of the year. Kevin Chmura Cool, so that’s a critical compliance area because of the high risk profile and it that really includes some regulatory scrutiny and enforcement, not really just a reimbursement issue. Robyn Johns Yes, it’s highly watched. Kevin Chmura Yeah. And I guess as well, it should be. So given that, what control should organizations prioritize right now to reduce risk in that area? Robyn Johns Definitely you’ll want to have clear prescribing policies, good documentation standards, and role-based training. Also, usually they want to include identity verification and required checks when they’re applicable, and consistent auditing to ensure that your process is followed, not just written down. This is another area where state regulations can vary, so you would want to make sure that you are compliant in every state where you see patients. Kevin Chmura Yes and you’re the expert, not me. But I guess I’d add if you expand health to if you expand the telehealth quickly, take time now to ensure your governance is mature. And I’m thinking credentialing, supervision, documentation and audit trails always the basics that can help you pulled up under scrutiny. Robyn Johns Definitely. When you expand quickly, sometimes you sacrifice certain things for speed. So, you have a minute now to go back now that you’re sure that those policies aren’t changing anytime soon to just go back and make sure that everything’s in place, all of those areas. Kevin Chmura Yeah, I mean like any business runs better and with certainty, but at healthcare we rarely have that. So, great. So, moving on to the 2026 CMS updates that that we talked about a little bit. So, there’s been some changes in payment policy that are driving operational changes and it’s where those operational changes come in, where we introduce compliance risks if teams can’t keep pace and often they can’t. So, what are the 2026 physician fee schedule highlights? Robyn Johns Yeah. So, we talked about these back in November and of course they went into place at the beginning of this year. So, a little bit of good news there with the conversion factor. It included the 2.5% increase that had been mandated by Congress. It also included a .75% increase for clinicians in advanced APMs or a .25% increase for clinicians who participate in MIPS or who are exempt. And then there was also a .49 budget neutrality increase. Kevin Chmura So, so the real impact varies by payer mix, site of service and quality of participation. What about RVU related changes? Robyn Johns So that’s kind of the devil in the details there. It also implemented a -2.5% efficiency adjustment on certain non-time based services to the physician work RVU and there is also a + or -50% practice expense RVU adjustment for facility based services. So, it’s -50% if it’s facility based services or a +50% for non-facility based services. Kevin Chmura Wow. So site of service is increasingly strategic and it’s where we see compliance issues often arise, right? You get inconsistent documentation, coding and policy adoptions across different departments and locations. Certainly not easy. Robyn Johns No. Something you definitely need to watch closely because it is different depending on where you are and what services you’re providing. Kevin Chmura Yeah. So, one other hotspot or another hotspot that that we often see is incident to. What's going on there? Robyn Johns So the physician fee schedule in that they updated the definition of direct supervision for incident to billing to permanently allow supervision through real-time audio video communication except for services that have a 10 or a 90-day global surgery period. So, the supervising physician no longer has to be physically present in the office suite, they just have to be immediately available through real time audio video communication. Kevin Chmura OK, so that’s operationally pretty significant, right? But I guess the compliance take away is relatively simple. If you’re using remote supervision, your incident to workflows must be precise. I guess who supervises, how it’s documented, and where the exceptions apply as precise as you can make all of those, huh? Robyn Johns Yes, absolutely. Because you are relying on remote supervision, you’ll want to make sure that that is documented very effectively. Kevin Chmura Yeah, cool. So, what about the OPPS and ASC final rule highlights for 2026? Robyn Johns Yeah. For those that these apply to, there was a 2.6% increase as well in the payment rates. They also expanded hospital price transparency requirements and we’re seeing a lot more attention and probably enforcement in that as well. There was a three-year phase out of the inpatient only list. Site neutral payments were expanded to include Drug Administration Services and the ASC covered procedures list is expanded much in relation to the inpatient only list Phase out. Kevin Chmura Yeah, that that that that’s an interesting one. So the phase out of the inpatient only list is a real operational shift and it’s one of those opportunities for providers to move volume to better cost locations, but really your compliance needs to follow those patients, right and where you’re having them. And so, when your volume moves, audits and education have to move with it, which is probably a challenge and what we know and we at our parent company, at Panacea, price transparency just remains a compliance and reputational priority because failures lead to penalties, but bad data also leads to a lot of scrutiny. So, good that there’s some, you know some guidance there, but it’s clear that those are going to be things that really need to be paid attention to from a compliance perspective. Robyn Johns Yes, for sure. Kevin Chmura So it was hard to watch the news over the last, I don’t know, six to twelve months without talking about the One Big Beautiful Bill Act. So, we’ve been tracking it. I know you’ve been tracking it. So, what’s the timing on practice impacts that you expect? Robyn Johns So most of those One Big Beautiful Bill Act Medicaid requirements that are likely to impact practices, they don’t actually begin until January of 2027. So, practices still have some time to continue their assessment and preparation for those. The immigrant eligibility changes do take effect on October 1st of this year, 2026. So that’s a little bit shorter period of time, but you do have a little bit of time to continue to figure out how that may affect your practice if you have a high number of Medicaid patients, and prepare for the ways that you can offset those eligibility changes and payment requirements. Kevin Chmura Yeah, that clarity on the effective dates really can help teams allocate resources correctly and that’s often a challenge especially when you’re tracking proposed rules versus final rules and not sure when things will go into effect. So that’s good. So, as you’re looking out on the landscape in 2026, what are some of your top compliance priorities that you’re advising organizations to focus on? Robyn Johns Yeah, we’re currently focused on probably five or so top priorities for 2026, not in any specific order, but we are watching data privacy and security. Part of that is because HIPAA updates are underway to both the privacy and security rules, though timelines are unclear. We’re not sure when or i f we’ll see any final rules on those, but we do know that healthcare remains a prime target of cyber-attacks, so we have to constantly be vigilant to that and related to that, but also separately, is AI and other emerging technologies. AI is changing the landscape for the types of attacks we receive, but also the way we have to respond to them. It also is changing the landscape of healthcare generally, both in the provider office and at the payers and at the government. Those other emerging technologies like digital tools, those can increase the compliance risk in your environment, and we need to remember that both government and commercial payers are using AI to identify outlier claims faster and increase their auditing. Then we also have the fraud, waste and abuse enforcement. CMS we know has currently been focused a lot on Medicare Advantage, but that scrutiny can shift oversight over to providers as well because that’s where so much of the data that the Medicare Advantage plans use comes from. The OID also continues to focus on telehealth. There are other focuses are drug device and biologics and program integrity areas such as DME, Hospice and Drug Administration. So, want to make sure that you’re watching all of those if you practice there. Fourth one we have is vendor and third-party oversight. Many of the largest breaches that have we’ve seen have originated with third parties. So, organizations really need to make sure that you have careful oversight and maintain good monitoring on your third-party vendors and others who may have access to your systems and data. And finally, we know we’re going to continue to see those rapid regulatory updates. Federal and state changes often conflict. We have lots of states that are currently in their legislative period. So that will bring out some changes. And then in addition to that, commercial payers are tightening their policies and auditing in response to the pressures that are being put on that on them, whether from the government or just from a financial perspective. Kevin Chmura Yeah, it is something the pace of acceleration of some of the advances in technology and how they how they’re going to impact us. But I guess you know that’s really the reality of 2026 and beyond. You’re going to see an uptick in in in speed to policy changes, faster detection, which will be something and probably more third-party exposure as we rely on more and more vendors and others to help us do what we need to do every day, but I’m sure you know the advice I’ve heard you give many times and we have to agree with it. A strong compliance program has to be built to adapt. That means clear governance, repeatable monitoring and targeted auditing tied to the current risk with an eye on the future and where everything’s going. Robyn Johns Yeah, definitely. It’s an exciting time, lots of opportunities for improving our programs and really tightening things up to make sure that we’re protecting ourselves and all the information that we are responsible for. Kevin Chmura Yeah, great. So, Robyn, thank you for the update and for helping our listeners translate policy movement into practical compliance actions. To everyone listening, if you want the full context and deeper discussion, you can access the webinar on demand at 1st Healthcare Compliance’s website. It’s called Compliance Cliffs: Navigating Telehealth Waivers and Reimbursement Changes. Thank you for listening to 1st Talk Compliance and we’ll see you next time. Thanks, Robyn. Robyn Johns Thanks, Kevin.
El gesto cotidiano de pulsar un botón para que los dispositivos enchufados a la corriente funcionen es resultado de 180 años de ingenio, esfuerzo y perseverancia. En España hubo ensayos de iluminación muy puntuales a partir de 1852, pero no fue hasta la década de los setenta, tras la invención de la dinamo de Gramme, cuando el prodigio empezó a extenderse a gran escala. Es llamativo el entusiasmo con que nuestro país se subió al carro del electrón, al mismo nivel que las naciones europeas más avanzadas en la Segunda Revolución Industrial. Pronto se comenzaron a explotar los saltos de agua: Hidroeléctrica Ibérica e Hidroeléctrica Española surgen a comienzos del siglo XX. Poco después se empiezan a levantar grandes presas, como las controladas por la sociedad Saltos del Duero. La República diseña un ambicioso Plan Nacional de Obras Hidráulicas que, pantano a pantano, será ejecutado durante el franquismo.1944 es un año clave por el nacimiento de Iberduero, fruto de la fusión de las grandes hidroeléctricas, y por la aparición de la pública Endesa. Pese a todo, y contra la tendencia dominante en la Europa de posguerra de nacionalizar el sector eléctrico, el capital privado sigue mandando en España. También cuando entra en juego el actor atómico. La llegada de la democracia y el frenazo en las expectativas de crecimiento del consumo dieron paso a una moratoria nuclear que dejó proyectos a medio construir. Las compensaciones se acabarían trasladando a la factura de los consumidores, incluso más allá de la liberalización del mercado eléctrico en 1997. Dos años más tarde el gobierno sacó a bolsa Red Eléctrica de España, la primera empresa del mundo dedicada en exclusiva al transporte y operación de un sistema nacional.El cambio de siglo introduce nuevas energías renovables: primero la eólica y, más recientemente, la solar fotovoltaica. Su creciente peso en el mix energético, en línea con las exigencias comunitarias en materia de emisiones, obliga a buscar fórmulas para garantizar la estabilidad del conjunto y evitar apagones como el que sufrió la península ibérica el 28 de abril de 2025.En este documental, con guion de Álvaro Soto y diseño sonoro de Mayca Aguilera, participan Francisco Cayón, profesor de Historia e Instituciones Económicas de la Universidad Autónoma de Madrid; Mar Rubio-Varas, catedrática de Economía en la Universidad Pública de Navarra; e Isabel Bartolomé, profesora del departamento de Economía e Historia Económica de la Universidad de Sevilla. De analizar el presente y el futuro del sector se encargan Alfredo García Fernández, operador y supervisor de la central nuclear de Ascó; Antonio Turiel, investigador del CSIC y experto en sostenibilidad; Julio Castro, CEO de Iberdrola Energía Sostenible; y José Luis Velasco, autor del libro 'Crónicas eléctricas. Breve y trágica historia del sector eléctrico español'.Escuchar audio
To Know the Surpassing Greatness of his Power Ephesians 1:15-23 by William Klock Do you ever wonder how I pray for you as your pastor? You know I pray about the needs and concerns each of you shares with me, but I'm talking more generally about how I pray for you all as Living Word Church. It occurred to me this week that in all my years in ministry no one has ever asked me that. But I do pray for you and our text today from Ephesians—it's 1:15-23 if you want to follow along—this text is one of my favourite prayers. For you. In fact, I have this printed sheet taped inside my prayer book. And what's on it is five prayers, all taken from Paul's letters; prayers he prayed for the churches he cared for. Prayers inspired by the Holy Spirit. About fifteen years ago it struck me that I should pray these Spirit-inspired pastoral prayers for you. And so I typed them up, tweaked the wording a bit to fit the form of a collect, printed them out, and stuck them inside the back cover of my prayer book. And each day at Morning Prayer, I pray one of these prayers for you. And this one is, I think, maybe the most important. This prayer is still part of Paul's introduction to his letter to the Ephesians. Last week we read that long run-on sentence that's all about the Father fulfilling his promises to Israel in Jesus; how we as Jesus' people share in the inheritance that was promised to Abraham, to Jacob, and to David; and how God's indwelling Spirit is the downpayment and guarantee of that inheritance. And we heard that this inheritance is God's new creation. That long run-on sentence was sort of Paul's opening shout of praise to God for what he's done. Starting with Chapter 2, Paul's going to use the rest of the letter to unpack this great shout of praise, to preach it, and to explain how it applies to us—how it shapes the church. But first, there's this prayer. Paul prays that his brothers and sisters in Ephesus will really and truly hear this message, that they'll take it to heart, and that they will be transformed by it. In short: Paul's told them about the promised inheritance they have as the Messiah's people, now he prays that the knowledge of that inheritance will transform them. Before we get into Paul's prayer, there are three Old Testament passages we need to be familiar with, because they're what give shape to Paul's vision of the Messiah and the church. The first is Psalm 110. Psalm 110 is one of those Old Testament passages it's worth getting into your memory, because it echoes so powerfully throughout the whole New Testament. It is, far and away, the most quoted Old Testament passage in the New. This is the psalm, written by King David, that begins with the words, “The Lord said to my Lord, sit at my right hand, until I make your enemies your footstool.” When the first Christians wanted to stress that Jesus isn't just Saviour, but that he's even more importantly Lord of all, the King of kings, this was their favourite Old Testament passage. And then there's Psalm 8. It's a close second behind Psalm 110. It's the psalm that begins, “O Lord, our Lord, how majestic is your name in all the earth!” For Paul writing to the Ephesians, the really important part begins in verse 4, where David praises God for what he has made us as human beings. David sings, “What is man that you are mindful of him?…You have made him a little lower than the angels and crowned him with glory and honour. You have given him dominion over the works of your hands; you have put all things under his feet…O Lord, our Lord, how majestic is your name in all the earth.” The psalm echoes Genesis and God's creation of human beings as his image bearers. That means to be the priests and stewards of his garden-temple. That's what we were created to be and it's the vocation we rejected when we, instead, chose sin—to try to be gods ourselves. In Paul's day many of the Jews saw not only the human vocation in Psalm 8, but they saw it as a prophecy of the Messiah who would be the truly human one—a new Adam who will get it right this time; a Messiah whom, according to Psalm 110, God would raise to his right hand to reign until he's put all his enemies under his feet. And then, what does the Messiah's victory look like? Isaiah, especially chapter 11, was a favourite of the early Christians. “There shall come forth a shoot from the stump of Jesse, and a branch from his roots shall bear fruit.” So Isaiah is talking about the king who will arise from the line of David. “And the Spirit of the Lord shall rest upon him, the Spirit of wisdom and understanding, the Spirit of counsel and might, the Spirit of knowledge and the fear of the Lord.” That's the Messiah. And his kingdom? It should sound familiar: “The wolf shall dwell with the lamb, the leopard shall lie down with the young goat…the lion shall eat straw like an ox…and a little child shall lead them.” This was the new world that Israel expected the Messiah, the great King from the line of David, this is what they expected him to usher in. God's Spirit would rest on him—That sounds like what happened at Jesus' baptism, doesn't it?—and through his wisdom and understanding, his counsel and power, his knowledge and the fear of the Lord, he will set this broken world to rights. He will bring God's justice to warring nations and hurting people. Peace will reign and the knowledge of God's glory will cover the earth as the waters cover the sea. This was an incredibly important passage for Paul, because when Paul looked at the little churches that were popping up all over the Greco-Roman world, in pagan cities, right under Caesar's nose, challenging the old gods, and most importantly bringing Jews and gentiles together in one family in the Messiah, Paul saw with absolute clarity the beginnings of the fulfilment of Isaiah's prophecy. Through the Messiah, in these churches where Jews and gentiles were becoming one, where they were worshipping together the God of Israel across their social, cultural, and ethnic boundaries, the wolf and the lamb were lying down together at peace. In them, Paul saw a foretaste of what's to come. Putting all these layers together, we can sum up what the Messiah was to be and do in four points. Israel expected the Messiah (1) to be the King who would defeat the powers of evil; (2) the King who would rescue God's people from their bondage to those evil powers; (3) the King who would build a temple for God to dwell in; and (4) the King who would bring God's justice or righteousness and his peace to the whole world. That's the Messiah. And in doing those things, Jesus inaugurates the new creation. But Paul also recognised that the Church, that we who are united with the Messiah by faith share in that messianic ministry begun by Jesus. Filled with God's Spirit, we are the temple Jesus built. And we confront the powers with his victory and proclaim the liberating gospel to those in bondage. We live out God's justice and peace. And most importantly in this passage here: As a people full of the knowledge of God and his purposes for creation, we anticipate that day when the whole earth will be full of “knowing-God” as the waters cover the sea. The church is the beginning of God's new creation in the midst of the old. So now we're ready to understand Paul's prayer. It begins at verse 15: “Because of all this and because having heard of your faithfulness to the Lord Jesus, and that you show love to all God's saints, I never stop giving thanks for you as I remember you in my prayers.” Now, they weren't perfect Christians. No one ever is. They weren't a perfect church. No such thing exists this side of eternity. But Paul had lived with these people. He'd got to know them. When he was away from them, he heard what other visitors had to say about them. And he knew that, however imperfectly, they were faithful to the Lord Jesus. Faithful. What does that mean? It means not just believing the right things about Jesus, but more importantly, committing yourself to him. That's probably why Paul calls him “Lord Jesus” here. You can believe all the true things about Jesus you want, but what makes a Christian is when you give your loyalty, your allegiance to Jesus as creation's true Lord. When we repent and turn away from our sins and from our selfishness, when we stop trying to play at being gods and to write our stories for ourselves, and instead choose to live for him and to live in hope of his kingdom, his new creation, and not just as some thing in the distant future, but something we are beginning to live out here and now, Brothers and Sisters, that's what a Christian is. Paul saw these men and women doing that. He saw how much it cost them. They were shunned by their families because they'd stopped worshipping the old gods; losing their jobs, because their guilds kicked them out for the same reason; their fellow citizens considered them disloyal for not taking part in the civil religion of Ephesus and of Caesar; just waiting to take the blame for bringing down the wrath of the gods on the city should some natural disaster strike. Faith in Jesus cost them something. It cost a lot. And Paul saw that they were willing to count that cost. And, too, he saw their love for each other and for their brothers and sisters struggling in other places. Poor as they were, they sent money to the even poorer Christians in Jerusalem. They supported and cared for each other like family. However imperfect their faith may have been, in them Paul saw clear evidence of the gospel's power at work. And he prayed for that power to continue to work in them So he goes on in verse 16. Here are the specifics of that prayer: “I pray that the God of Messiah Jesus our Lord, the Father of glory, would give you the Spirit of wisdom and revelation in the knowledge of him, having the eyes of your hearts enlightened. Then you will know what the hope is that goes with God's call; you will know the wealth of the glory of his inheritance in the saints; and you will know the surpassing greatness of his power toward us who are faithful, according to the working of his strength and power.” Paul longs for them to be enlightened by the Spirit. Wisdom and revelation. Here's what Paul means. Wisdom and revelation are two facets of the same thing. When you hear “wisdom” think of the book of Proverbs. Wisdom is what you need if you want to truly live as a human being according to God's design. But thanks to King Solomon as the paragon of wisdom in Israel, wisdom is also a royal thing associated with kings. Now remember Isaiah 11. This is why Isaiah described the coming messianic king, the one who is truly human, the new Adam, Isaiah describes him as perfectly wise. And Paul knows that the people who are in the Messiah, share in that wisdom, that “revelation”. Think of “revelation” as “insight” into God's design for living. This broken world sorely lacks that wisdom and that insight, but it is ours in Jesus the Messiah. In him we have the knowledge of God that the world lacks, the knowledge that will one day fill the earth. The knowledge that, as the church lives it out in daily life, acts as the salt of the earth, as light in the darkness, that gives everyone around a anticipatory glimpse of creation set to rights. Paul prays that their hearts will be opened to this knowledge. He saw it happening already in their faith and in their love for each other, but he prayed that the Spirit would open their hearts more and more to the knowledge of God. That the Spirit would clear away the fog that surrounds us. Our world has its own ideas about wisdom—and they're often wrong. Think of how the world tells us to think about ourselves, our relationships, about work and vocation, about sex and money and power, about God. All very different from what God, in his wisdom, says about all those things. As Jesus' people we need to take our cues and to glean our wisdom from God and from the scriptures, not the world, not worldly philosophies, not TV or movies, not social media, not motivational speakers, but from God. As C. S. Lewis astutely pointed out in The Screwtape Letters, the devil doesn't need to put wrong ideas into people's heads; he just needs to keep the true ones out. Brothers and Sisters, we need the eyes of our hearts opened to know God. And Paul says here that this knowledge primarily consists of three things. These all come from that picture of the Messiah in Isaiah 11. Paul wants us to know the hope, the inheritance, and the power. The hope is for Jesus' victory at the cross and the empty tomb to change the whole world, bit by bit, here and there, wherever it's needed, to bring creation under the rule of the Messiah. The inheritance is the promise that the Messiah will inherit and will rule the nations—every square inch of creation. And I think we often forget, but this shapes the mission of the church. This is our vocation. This is our way today of being fruitful and multiplying and filling the earth and wherever we go we bring the power of the gospel, the reign of the Messiah, and the reconciling peace of his kingdom. And the power. Brothers and Sisters, we forget the power of the gospel. Verses 19 and 20 are a little difficult to translate into English because of the way Paul heaps up the words for power. He literally says something like, “that you may know what is the surpassing greatness of his power for us who believe according to the energy of the might of his strength, which he worked out in the Messiah.” Greatness, power, energy, might, strength. Rooted in the resurrection of Jesus. The living God raised Jesus from the dead. The greatest display of his power in history. It went out like a shockwave, pushing away the great stone from the tomb, and reverberating through creation. New creation bursting into the old. And, Brothers and Sisters, the church—we—are the working model of that new creation, of that power that is transforming the world as the good news of Jesus goes out and continues to reverberate through creation. But there's more to it than just Jesus' resurrection. Remember that “Messiah” means the “anointed King”. Jesus is Lord. That's a big part of this picture too. So Paul goes on in verse 20: “This is the power at work in the Messiah when God raised him from the dead and sat him at his right hand in the heavenlies, above all rule and authority and power and lordship, and above every name that is invoked, both in the present age and also in the age to come. Yes, God has ‘put all things under his feet,' and has given him to the church as the head over all. The church is his body, the fullness of the one who fills all in all.” Don't forget Psalm 110. There's an echo here of Daniel 7, too. The Messiah has been raised to sit at God's right hand—to his throne as creation's true Lord. And the practical thing that means for the church is that no matter how things may look from our perspective here, Jesus sits above every authority, every CEO, every billionaire, every ruler, every king. There is no name on earth that anyone can invoke that will trump the name of Jesus. This was a jab at Caesar, whose cult was especially prominent in Ephesus, but it applies just as much to the kings and power-brokers of our own day. Think of the names in the news. Think of all the rivalries in business or in politics or in culture. Brothers and Sisters, Jesus outranks them all. And in this lies our vocation as the people of the Messiah. A people, Paul says here, who is Jesus' own body. This sovereign power—a power rooted on the one hand in God's power and glory and in the other in the love, mercy, and humility Jesus puts on display at the cross—this sovereign power is our vocation. God created Adam and Eve to bear his image—to be good and wise stewards of his creation. Remember we saw that in Psalm 8. Paul's prayer here is that we would recognise that Jesus is that truly good and wise human, now enthroned at God's right hand and that through the gospel he is creating a people—you and me—to learn that godly wisdom, to learn that godly knowledge, and to share in his godly rule. God has made Jesus the head of the church so that the church can now act, now live out that delegated authority as his body. We're called to be a community that embodies Psalm 110 and Psalm 8 and Isaiah 11. Brothers and Sisters, the church is the fullness of the one who fills all in all. We are God's new creation, however small, however imperfect, however incomplete at the present, but still God's new creation in the midst of the old, full of light and life and gospel power and authority, proclaiming the Lord Jesus and his kingdom and causing that Easter shockwave to continue to reverberate through creation until the knowledge of God's glory fills the earth as the waters cover the sea. And if that seems impossible, if it seems ridiculous, if it seems overwhelming, if makes you afraid, think how it must have seemed to the people in those little churches around Ephesus in a.d. 50. A handful of churches, each with ten or fifteen or maybe thirty people. Mostly poor, more women than men, more slaves than freemen. They lived for Jesus in the midst of a hostile world permeated through and through with paganism. Everyone thought they were weird and crazy, impious and disloyal. In not too many years some of them would be rounded up, arrested, tortured, sent to the arena to be eaten by lions because of their faith in Jesus. The emperor would burn others alive as human torches to light his garden parties. These little churches had no programmes. No Sunday school or youth group. No bands or fog machines. No ad campaigns. They didn't even have their own buildings. They just studied and preached God's word, they loved and cared for each other, and they taught the world what grace and mercy and true holiness looks like. They had the good news about Jesus, crucified and risen, and in that was a power that outshone everything. Imagine how ridiculous and impossible it might have seemed to them: this idea that Jesus is Lord and that the knowledge of God will one day fill the earth. And then drop them into a modern-day city. I found myself thinking of the view we had from the US Consulate in Montreal, up on the twentieth floor of a skyscraper, looking out over the city and the steeples every few blocks—more than I could count, as far as the eye could see. Even in little woefully unchurched Courtenay, you don't have to walk very far in any direction to find a church. Brothers and Sisters, the power of the gospel is real. Even though there's so much more work to do, just look at how the gospel has transformed the world since the days Paul wrote to those little churches in Ephesus. Jesus really is Lord and the fact that you and I are here today to worship the God of Israel instead of worshipping whatever pagan God's our ancestors worshipped is proof of that power. When someone tells me, “I'm leaving, this church is too small,” I pray Paul's prayer here all the more for them and I pray it for all of you and for myself: that we would be full of the knowledge of God and the power of the gospel and that we would trust it and have faith in what God has promised it will accomplish through us. The proof of Jesus' reign and the power of the gospel is all around us. May he open the eyes of our hearts to see it. Let's pray: Almighty God, Father of our Lord Jesus the Messiah, open the eyes of our hearts to the power of the knowledge of you. Remind us of our calling in Jesus and the hope and inheritance we have in him. Give us the faith and courage to be the people you have made us, to be the vanguard of your new creation as we live and proclaim your good news. Give us a passion to see the knowledge of your glory covering the earth as the waters cover the sea. Make us faithful stewards, we ask through Jesus our Lord we pray. Amen.
Today I'm privilidged to be joined by Adolpho Veloso, here to talk about his recent, wildly popular film Train Dreams, which recently netted him nominations for the Cinematography Oscar and an ASC award!Enjoy!► F&R Online ► Support F&R► Watch on YouTube Produced by Kenny McMillan► Website ► Instagram
In this episode of the Advancing Surgical Care Podcast, ASCA Chief Executive Officer Bill Prentice is joined by Chris Schriever, cofounder and chief executive officer of ASC Data, an ASCA affinity partner. ASC Data specializes in providing actionable statistics on the ASC market, helping businesses identify future opportunities. During this brief, informative discussion, Schriever talks about the sources he relies on for compiling his proprietary reports on thousands of ASCs, and how ASC Data is filling the need for detailed and reliable data about ASCs all across the country. Many in the ASCA community already know Schriever and his team for the support they provide ASCA in the recruitment and management of ASCA's affiliate and sponsorship relationships, especially those that help make ASCA's annual conference a success each year. Learn how this insightful data is helping providers tailor their offerings for ASCs, anticipate future trends, and allow administrators to more efficiently access the essential supplies and services they need to run and manage their ASCs.
What actually changes when you invest in a high-level coaching certification? In this episode of The Art and Skill of Coaching, I'm joined by one of my current Art and Skill of Coaching (ASC)students—just one month away from graduation—who shares an honest, behind-the-scenes look at her experience inside the program. Jess is a holistic wellness coach with 15 years of experience bridging nutrition, fitness, and mindset. Despite her background, she noticed clear gaps in her coaching skills, confidence, and session effectiveness—gaps that ultimately led her to ASC. We talk about: The biggest challenges she faced as an experienced coach (both skill-based and business-related) What made her choose ASC over other coaching certifications How her coaching identity, confidence, and depth have changed The tangible results she's created inside the program—while caring for a newborn What truly makes ASC different from other coaching programs If you're considering becoming a coach, already coaching but want to go deeper, or looking for a science-based, professional coaching certification that actually changes how you coach—this episode will help you decide your next step. Enrollment for the Spring ASC cohort opens next week. Space is limited, and doors won't open again until later this year. Check the link in the show notes to learn more about the Art and Skill of Coaching certification. Learn more about The Art & Skill of Coaching certification: https://www.jessicademarchis.com/the-art-skill-of-coaching ASC Waitlist: https://purple-lion-72607.myflodesk.com/ascwaitlist Stay in Touch: www.jessicademarchis.com IG @jess_demarchis_coaching The Coach Skill Audit: https://purple-lion-72607.myflodesk.com/coachskillaudit Coach Question of the Week: https://purple-lion-72607.myflodesk.com/agcj1mr1y3 Jess Uthe's IG: @sagestrengthnutrition
In this episode, we welcome Amy Vincent, ASC. Amy is the cinematographer of Song Sung Blue, that's playing in theaters nationwide. In our chat, she shares on her journey, collaboration with director Craig Brewer, and about her work shooting this extraordinary film. Amy also talks about her role in the ASC, and provides invaluable advice for up-and-coming creatives and filmmakers today.The Making Of is presented by AJA:ICYMI: AJA's biggest product releases in 2025From multi-channel HD and 4K/UltraHD IP video solutions, to Mini-Converters for bridging between resolutions, connectivity types, protocols, and codecs, a Mini-Converter frame, and a high-capacity 12G-SDI router, AJA announced several new products in 2025 that address emerging workflow needs across broadcast, production, post, and proAV.Get the full rundown hereNow with Massive 8TB Capacity—Thunderbolt 5 SpeedThe OWC Envoy Pro Ultra now comes in a new 8TB capacity, pairing enormous space with next‑generation Thunderbolt 5 performance. With real‑world speeds over 6000 MB/s and a rugged, bus‑powered design, it's perfect for 4K/8K workflows, on‑location shoots, and fast media offloads. High‑speed, high‑capacity, and ready for serious creative work.Browse hereAdvertise in this newsletter and reach 250K film and TV industry professionals each week. To learn more, please email mvalinsky@me.comBAFTA Film Awards Nominations: ‘One Battle After Another' and ‘Sinners' Dominate as ‘I Swear' Leads the Charge for British IndiesThe escalating “One Battle After Another” and “Sinners” duel is heading to the U.K., with the two films — both from Warner Bros. — emerging atop the pack of BAFTA Film Award nominees.Following Tuesday's announcement, Paul Thomas Anderson's political satire leads the way with 14 nominations overall, just two shy of the record set by “Gandhi” and leveling with “All Quiet on the Western Front,” “Atonement,” “The King's Speech” and “Crouching Tiger, Hidden Dragon.”Read more hereMeet LiveU Solo PRO:Deliver an outstanding live video experience with the LiveU Solo PRO. Designed for creators and professionals alike, the Solo PRO video encoder provides one-touch, wireless live streaming directly from your camera to popular online platforms and any web destination. Stream with confidence using bonded 4G/5G connectivity and enjoy superior reliability and image quality up to 4K resolution. To learn more, contact Videoguys at 800-323-2325.Learn more hereShooting David Fincher's Early Masterpieces with Jeff Cronenweth, ASC: Podcast Rewind:Jan. 2026 - Ep. 114.Sponsor this newsletter and reach 250K film and TV industry professionals each week. For more information, please email mvalinsky@me.com Get full access to The Making Of at themakingof.substack.com/subscribe
January 23, 2026 ~ Lloyd Jackson, Jamie Edmonds, and Chris Renwick talk with Dan Pietras, an ASC-certified world-class technician. Dan offers tips to keep cars running in cold weather. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode, Cathleen McCabe, MD, speaks with guests Diane Blanck and Lisa Feulner, MD, PhD, about the challenges women face in operating their own business and how we can aid them through mentorship, leadership and advocacy. · Welcome to this episode 0:11 · Diane Blanck 0:37 · Lisa Feulner, MD 1:25 · Dr. Feulner, how did you end up where you are today in your career? 3:02 · How to gain the skills to open a business 5:12 · Diane's story 8:27 · A lesson in owning an ASC 10:02 · What would have given you more confidence? 13:40 · Resources at OOSS 15:50 · OOSS University and OOSS Talk 19:53 · Dr. Feulner's continued quest to open an ASC 24:02 · Dr. Feulner, what is the most rewarding thing about your journey? 26:40 · Diane, what is your positive outlook on the future of ASC's and women ownership? 28:15 · Thank you! 29:23 Cathleen McCabe, MD, is chief medical officer of Eye Health America and medical director of The Eye Associates in Sarasota, Florida. Diane Blanck is the executive director of the Outpatient Ophthalmic Surgery Society, or OOSS. Lisa Feulner, MD, PhD, is an ophthalmologist and founder of Advanced Eye Care & Aesthetics in Bel Air, Maryland. We'd love to hear from you! Send your comments/questions to podcast@healio.com. Follow us on Twitter @Healio_OSN.
The Cinematography Podcast Episode 342: Amy Vincent, ASC Cinematographer Amy Vincent, ASC feels like she's reached the place where she wants to be, working on the kinds of films she likes. Vincent and director Craig Brewer have collaborated on several music-forward films, including Hustle & Flow, Black Snake Moan, and a Footloose remake in 2011. Throughout the years, Vincent and Brewer have created a shared cinematic language built on deep trust. Their latest collaboration, Song Sung Blue, is a biopic about a Neil Diamond tribute band. Craig Brewer had seen the original documentary Song Sung Blue at a film festival, and knew that he wanted to adapt the story of Mike and Claire Sardina, who formed a Neil Diamond tribute band called Lightning and Thunder. To bring their world to life, Vincent's primary mission was to protect Brewer's instinctual, writer-driven process. While many modern productions retreat to the controlled environment of a soundstage, Song Sung Blue leaned into the grit of reality. The film was shot entirely on practical locations in New Jersey, doubling for Milwaukee. Vincent admits she was initially reluctant to embrace the cramped quarters of real homes, but the shot design was quickly informed by the limited space. Pre-production tests on location with period light fixtures and wood paneling on the actors' hair and makeup also gave the entire production team a chance to see the film's vision come to life. For the film's musical sequences in bars and on stage, Vincent made a deliberate technical choice to embrace the performance lighting. By choosing a 1.85:1 aspect ratio, the lighting fixtures themselves could be part of the composition. Rather than hiding the sources, she embraced lens flares and visible fixtures, treating the lighting as a character in the performance spaces. This added an authentic "stage" texture to the Lightning and Thunder shows. The visual language of the film was born long before the first day of principal photography. Vincent was present during the actors' vocal recordings and rehearsals, watching how leads Hugh Jackman and Kate Hudson interacted. She points to “Play Me,” a scene where the characters sit back-to-back on a piano bench after they first meet, as a product of this observation. “That all started for me by watching the actors physically moving and singing in those initial rehearsals.” By the time they reached the set, the camera movement was already a natural extension of their physical performances. For Vincent, Song Sung Blue is a project where the technical execution perfectly aligns with a narrative she believes in. “Craig is aligned with the idea of telling stories about people who dream beyond their means,” she says. “I always love that. It's something I hope I get to continue doing.” See Song Sung Blue in theaters and streaming on VOD. Find Amy Vincent: Instagram @amyvvincent Hear our previous interview with Amy Vincent: https://www.camnoir.com/ep259/ SHOW RUNDOWN: 01:45 Close Focus 08:30-58:38 Amy Vincent Interview 59:45 Short ends 01:09:15 Wrap up/Credits Support Ben's short film, The Ultimate Breakup! https://www.kickstarter.com/projects/theultimatebreakup/the-ultimate-breakup-short-film?ref=nav_search&result=project&term=the%20ultimate%20breakup&total_hits=2 The Cinematography Podcast website: www.camnoir.com YouTube: @TheCinematographyPodcast Facebook: @cinepod Instagram: @thecinepod Blue Sky: @thecinepod.bsky.social
This episode continues The Wider View, an Sg2 Perspectives podcast series focused on topics that are important to all types of organizations across health care. Host Jayme Zage, PhD, is joined by Vizient Spend Management leaders Brooke Beltran and Allen Passarello, as well as Sg2 Senior Director Anthony Guth, to explore the operational, financial and supply chain considerations that are essential for leaders in developing a successful and sustainable ASC strategy. Sg2 Perspectives Listener Feedback Survey: We would love to hear from you - Please click here We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.
In this episode of the ASC Podcast with John Goehle we discuss the latest news in the industry, including the nurses strike in New York City, look back on major ASC events in 2025 and in our focus segment, discuss the activities that need to be done as you begin the year, especially focusing on governing body activities. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Prepare for the CAIP Exam with our 2 day On-Demand Virtual Conference: Infection Control 101 – Training for Infection Control Coordinators in ASCs (September 2024 Recording) Infection Control 201 – Advanced Training for Infection Control Coordinators (September 2024 Recording) INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ Join one of our Membership Programs! Our Patron Program: Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. More information and Become Member The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions More Information and Become a Premium Access Program Members Today! Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers
On this powerful episode of The MisFitNation, host Rich LaMonica welcomes US Navy Veteran Daryl J.W. Mackin, founder of A Soldier's Child Foundation (ASC)—a nonprofit born from loss, love, and an unshakable commitment to the children left behind after military service. After the death of Marine Staff Sergeant Marcus Golcyznski in Iraq, Daryl took a deeply personal call to action: “Love the child left behind.” Since founding ASC in 2008, Daryl and his team have served over 5,000 Gold Star and fallen-hero children, honoring their parents' sacrifice through birthday celebrations, camps, mentorship, scholarships, and leadership development. This episode dives into the reality of post-service loss, the veteran suicide epidemic, and how ASC is restoring hope to families impacted by combat loss, illness, and suicide. Daryl shares how love, consistency, and community can change the trajectory of a child's life—and how everyday Americans can stand beside the families of our fallen.
The Centers for Medicare and Medicaid Services has finalized the 2026 Outpatient Perspective Payment System (OPPS) rule, with most policies taking effect on January 1, 2026. Jenna Stern, Vice President of Regulatory Affairs and Public Policy at Vizient, joins host Carolyn Liptak, Pharmacy Executive Director in Vizient's Center for Pharmacy Practice Excellence, to discuss key updates to payment policies, payment rates, and quality provisions affecting Medicare beneficiaries receiving care in hospital outpatient departments and ambulatory surgical centers. Guest speaker: Jenna Stern Vice President of Regulatory Affairs and Public Policy Vizient Host: Carolyn Liptak, MBA, RPh Pharmacy Executive Director Vizient Verified Rx Host Show Notes: 00:05 — Introduction Announcer welcomes listeners to VerifiedRx. Host Carolyn Liptak, Pharmacy Executive Director at Vizient, introduces the episode focus: the 2026 CMS Outpatient Prospective Payment System (OPPS) Final Rule. Guest: Jenna Stern, VP of Regulatory Affairs and Public Policy at Vizient. 01:12 — Overview of the OPPS Final Rule OPPS sets Medicare payment for most hospital outpatient services. Published annually (typically November), effective January 1. Covers payment rates, policies, quality programs, and compliance requirements. Note: CMS delayed enforcement of hospital price transparency requirements until April 1, 2026. 01:34 — Key Takeaways From the 2026 Final Rule Jenna's high-level insights: Hospitals will continue facing financial pressure in 2026. Modest payment rate increase combined with reimbursement-reducing policies. Expansion of site-neutral payment policies will be particularly impactful. Rule reflects emerging administration priorities shaping future policy. 02:21 — OPPS Payment Rate Update for 2026 CMS finalized a 2.6% OPPS schedule increase factor for hospitals meeting quality reporting requirements. 02:40 — What the 2.6% Increase means Based on: 3% market basket update –0.7% productivity adjustment Results in a modest net increase. Slightly better than the proposed 2.4% increase, though still viewed as inadequate. CMS estimates $8 billion increase in total OPPS payments compared to 2025. 03:37 — 340B Remedy Offset: Background From 2018–2022, CMS paid for 340B drugs at ASP –22.5%. Prior Supreme Court decision from 2022 found that CMS lacked authority to vary rates as finalized in prior rulemaking (e.g., without using drug acquisition cost surveys to inform policy). 04:13 — 340B Remedy Offset in the 2026 Final Rule CMS considered increasing the remedy offset from 0.5% to 2%. Stakeholders strongly opposed the increase due to hospital financial strain. 05:10 — Final Outcome CMS retained the 0.5% offset for 2026. CMS signaled that larger offsets may be proposed for 2027. This marks the first year the remedy offset takes effect, 06:00 — Site-Neutral Payment Policy: What It Is Concept: same service = same payment, regardless of site of care. Hospital concern: policy reduces hospital reimbursement without accounting for site of care differences, patient acuity, overhead, or service complexity. 06:15 — Site-Neutral Expansion in the 2026 Rule CMS expanded site-neutral payment to include drug administration services at excepted off-campus provider-based departments. 07:08 — Financial Impact Reimbursement aligns with Physician Fee Schedule rates. CMS estimates $290 million reduction in outpatient spending for 2026. $220 million of savings accrue directly to Medicare. Not implemented in a budget-neutral manner. 08:14 — Non-Opioid Pain Management Payments Temporary additional payments began January 1, 2025. Authorized under the NO PAIN Act (Consolidated Appropriations Act of 2023). 08:28 — What's New for 2026 CMS finalized the renewal of: 5 drugs 13 medical devices eligible for separate payment in HOPD and ASC settings. Per statue, payments available through December 31, 2027. 09:32 — Process Improvements CMS will allow more frequent consideration of new qualifying products (not limited to annual updates). Quality criteria unchanged; timing flexibility added. CMS released guidance on how stakeholders can engage for inclusion. 10:58 — OPPS Drug Acquisition Cost Survey CMS finalized plans to survey hospitals on acquisition costs for separately payable OPPS drugs. 11:21 — Why CMS Is Advancing the Survey Addresses Supreme Court requirements from prior 340B litigation. Aligns with White House Executive Order on lowering drug prices. Positions CMS to use survey data for 2027 rulemaking. 12:47 — OPPS Packaging Thresholds for 2026 Drugs and biologics: Threshold remains at $140. Diagnostic radiopharmaceuticals: Increased to $655 (from $630). Products below thresholds retain Status Indicator “N” (packaged payment). 13:26 — Why Billing Packaged Drugs Still Matters Even though not separately payable, hospitals must bill for packaged drugs. Billing data feeds cost reports used to calculate future bundled payments. Failure to bill can result in inaccurately low reimbursement. 14:14 — Elimination of the Inpatient-Only (IPO) List CMS finalized a three-year transition to eliminate the IPO list by January 1, 2029. 14:32 — Why This Change Is Significant IPO list historically ensured certain services were provided inpatient only. CMS emphasizes provider judgment in determining site of care. Raises concerns about: Patient safety Payer coverage changes Pressure to move services outpatient 16:28 — ASC Covered Procedure List Expansion CMS expanded the ASC Covered Procedure List. Enables more Medicare covered services to be performed in the ASC settings. 16:48 — Price Transparency: Still a Priority No major overhaul, but continued refinement. CMS exploring new uses of price transparency data beyond patient comparison. 17:46 — Most Critical Policies to Watch Jenna highlights: Modest OPPS payment increase Site-neutral payment expansion 340B remedy offset Drug acquisition cost survey Broader regulatory activity beyond OPPS 18:43 — Available Vizient Resources OPPS Final Rule Summary Government Relations & Public Policy Summaries Advocacy 19:20 — Closing Carolyn thanks Jenna for her insights. Reminder to subscribe, like, and share feedback. VerifiedRx is produced by the Vizient Center for Pharmacy Practice Excellence. Links | Resources: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Rating; Hospital Price Transparency; and Notice of Closure of a Teaching Hospital and Opportunity To Apply for Available Slots: Click Here CMS fact sheet on the Final Rule: Click Here Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey: Click Here Vizient Office of Public Policy and Government Relations final rule summary: Click Here Final List of Qualifying Products for Separate Payment for non-opioid pain medications: (Table 136, pgs. 1138-1140) VerifiedRx Listener Feedback Survey: We would love to hear from you - Please click here Subscribe Today! Apple Podcasts Spotify YouTube RSS Feed
The Cinematography Podcast Episode 340: Steve Yedlin, ASC Cinematographer Steve Yedlin, ASC, and director Rian Johnson have shared a creative shorthand for over thirty years. Their collaboration is so deep that it rarely requires extensive dialogue. “Rian will mention things he wants to do differently or specifically, but a lot of it is already in the script,” says Yedlin. Johnson describes the vision; Yedlin elevates and translates it to the screen. While Benoit Blanc (Daniel Craig) remains the series' constant touchstone, each Knives Out installment is a visual standalone. “Rian and I are adamant that we don't want to repeat ourselves—that's boring,” Yedlin notes. “We want to push the medium forward and tell the story in the most visually arresting way possible.” For Knives Out: Wake Up Dead Man, the duo pivoted toward a Gothic aesthetic with horror overtones. Yedlin introduced inky, high-contrast blacks and utilized "creep zooms" to heighten the tension. However, the film's atmosphere is most heavily dictated by the lighting. Within the central church setting, outdoor light shifts were meticulously programmed using Yedlin's proprietary software, as the external environment mirrors the internal drama of the scene. The most technical challenge of a Knives Out production is managing the sprawling ensemble cast. Filming large groups can risk "breaking the stageline"—violating the 180-degree rule that maintains spatial consistency for the audience. To avoid disorienting cuts, Johnson and Yedlin identify the strongest "stageline" between two key characters and commit to it. Rather than relying on traditional coverage, they use anchored shots that emphasize depth, showing how characters interact across the foreground and background. Reflecting on their lifelong partnership, Yedlin views the work as both professional and personal. “He's been my best friend,” he says. “Rian is a brilliant filmmaker. Even if I had nothing to do with his movies, they would be my favorites. And then I get to work on them because he keeps bringing me along.” See Knives Out: Wake Up Dead Man streaming on Netflix. Find Steve Yedlin: https://www.yedlin.net/ Instagram @steveyedlin SHOW RUNDOWN: 01:27 Close Focus 10:45 Steve Yedlin, ASC interview 58:57 Short ends 01:07:27 Wrap up/Credits The Cinematography Podcast website: www.camnoir.com YouTube: @TheCinematographyPodcast Facebook: @cinepod Instagram: @thecinepod Blue Sky: @thecinepod.bsky.social
Join the ASC crew for our end-of-year live recap and forward-looking discussion on the future of manned underwater habitats!In this casual hangout, we break down the biggest moments, breakthroughs, and challenges from 2025—including Underwater Intervention highlights, our evolving social media & podcast strategy, the dive community's pulse, the ongoing Deep Vanguard developments, power & tech advancements, and what simpler, sustainable living under the sea could really look like.Then we dive into our unfiltered predictions for 2026: What's coming next for ocean colonization, habitat tech, DEMA in New Orleans, scientific missions, and the push toward longer-term human presence underwater?Whether you're a scuba diver, ocean enthusiast, marine scientist, or just fascinated by living beneath the waves—this is the conversation you don't want to miss. Drop your own 2026 predictions or questions in the comments—we read and reply!#UnderwaterHabitats #OceanColonization #Aquanaut #MannedUnderwater #DeepSeaLiving #UnderwaterFuture #OceanExploration #MarineScience #Scuba #ScubaDiving #OceanFuture #2026Predictions #DeepSea #AquaticFuture #LivingUnderwater #HabitatTech #BlueFrontiers #OceanTech #DEMA #MarineBiology #UnderwaterLiving #SustainableOcean #SeaColonization #ASC #OceanPredictions #AquaticColonization #Subsea #HumanUnderwater #FutureOfTheOceanhttp://atlantisseacolony.com/https://www.patreon.com/atlantisseacolonyhttps://discord.gg/jp5aSSkfNS
In this episode, Dr. Aaron Chamberlain, orthopedic surgeon and Senior Medical Director for the Musculoskeletal Clinical Program at Intermountain Health, discusses the evolution of shoulder and elbow surgery, the rapid shift to ASC settings, and how innovation and patient expectations are reshaping orthopedic care.This episode is sponsored by DePuy Synthes.
In this episode, Dr. Aaron Chamberlain, orthopedic surgeon and Senior Medical Director for the Musculoskeletal Clinical Program at Intermountain Health, discusses the evolution of shoulder and elbow surgery, the rapid shift to ASC settings, and how innovation and patient expectations are reshaping orthopedic care.This episode is sponsored by DePuy Synthes.
In this episode, Dr. Aaron Chamberlain, orthopedic surgeon and Senior Medical Director for the Musculoskeletal Clinical Program at Intermountain Health, discusses the evolution of shoulder and elbow surgery, the rapid shift to ASC settings, and how innovation and patient expectations are reshaping orthopedic care.This episode is sponsored by DePuy Synthes.
This documentary is a sacred reflection on ten years of God's faithfulness in and through A Seattle Church. What began in living rooms and moments of uncertainty became a deeply rooted community committed to loving Jesus, one another, and this city. Through seasons of healing, growth, loss, and renewal—including the challenges of pandemic and transition—we see a church choosing depth over speed and presence over performance. These stories remind us that ASC was never built by strategy alone, but by people who kept showing up, trusting God, and refusing to give up on Seattle. On this Sabbath Sunday, we pause not to strive or produce, but to remember—bearing witness to what God has done and resting in the truth that He is still at work among us.Help us reach our End-of-Year-Giving Goal!We are so thankful for all of our giving partners' generosity. Your financial generosity allows us to meet real needs inside our walls, in our city, and around the world.Give: https://aseattlechurch.com/give
The Cinematography Podcast Episode 339: Autumn Durald Arkapaw, ASC Cinematographer Autumn Durald Arkapaw, ASC was first introduced to director Ryan Coogler through fellow DPs Bradford Young and Rachel Morrison. After their successful collaboration on Black Panther: Wakanda Forever, Coogler sent her the script for Sinners, a supernatural horror-action film. The film tells the story of twin brothers who return home in the 1930's to open a juke joint, only to encounter the ancient evil of the undead. Autumn's epic cinematic camerawork on Sinners integrates the vampire story with the spiritual power of Black American rhythm and blues music. Though Coogler initially envisioned shooting in 16mm, the team realized a larger format would better facilitate the complex "twinning" effects required for Michael B. Jordan's dual roles. After rigorous testing, they landed on a historic combination of 70mm and IMAX. “I think one thing with Ryan, when you're standing next to someone that's a brave filmmaker, you feel like you can do anything.” Autumn says. “He's open to anything. He's excited about doing things for the first time. He creates an environment where people have power and the collaboration is at the highest level.” The production was a logistical marathon. The massive IMAX cameras were frequently rigged to cranes or mounted on Steadicams, all while the crew battled the volatile Mississippi summer. Between the oppressive heat, sudden rain, and thick mud, the physical act of filming became an exercise in endurance. “We've seen those movies like Lawrence of Arabia, and everybody out there with big cameras trying to tell a story with scope,” notes Autumn. “You know, you're in the land. You then become a person that's a part of the structure of the land. And you have to be able to work in it, with the elements to get the most beautiful images. It's not easy.” Perhaps the film's greatest technical feat is the juke joint sequence set to the song “I Lied To You.” What appears as a seamless “oner” is actually several complex shots threaded together. The sequence required months of storyboarding, pre-visualization and camera rehearsals in the space to execute. By placing the heavy IMAX rig on a Steadicam, the team rehearsed every beat to ensure the emotional momentum remained unbroken as the camera moved from an interior stage setup to an exterior shot of a burning mill. The final roof collapse was a practical plate shot on the final day of principal photography, later enhanced by VFX. Seeing that scene still makes Autumn feel emotional. “I get very teary-eyed when I watch that because I'm proud of everybody, and you can really feel the music in the theater.” See Sinners in select theaters and streaming on HBO Max. Find Autumn Durald Arkapaw: Instagram @addp Hear our previous interview with Autumn Durald Arkapaw. https://www.camnoir.com/ep193/ SHOW RUNDOWN: 00:00 Intro 01:38 Autumn Durald Arkapaw interview 52:08 Credits The Cinematography Podcast website: www.camnoir.com YouTube: @TheCinematographyPodcast Facebook: @cinepod Instagram: @thecinepod Blue Sky: @thecinepod.bsky.social
Another marvelous year of ASC has come and gone, and just like that, we're rollin' into 2026 AND Season 6! Before we head into the new year, join us for a look back at some of our favorite moments from this season.Thanks to all of our supporters, and as always, a special We Are Groot Saloot to Melanie, Robin, Chris, Genny, Laura, Shari, Tyler, Andrew, Nats, Katie, Andrea, Ed, Joliz, Ariel, and Ashley!Hosted and Produced by:Geoffrey Ramos (@geoffreeezy)Diana Kou (@daikou)https://strkcntrst.comFollow @strkcntrst:https://linktr.ee/strkcntrstSupport the Show:https://patreon.com/strkcntrst
[Original air date: June 5, 2025]How can finance leaders identify where their capital is silently going to waste and where it can be better used to drive growth? In this episode, CJ interviews Russell Lester, the CFO of Tropic, where capital allocation is both the product and the mission. Russell introduces the concept of “spoilage”, deployed capital that fails to deliver its intended value. He also talks about “levers”, positive actions that force multiply your efforts, and “leakages”, headwinds or detractors that sap momentum. Russell believes it is the job of the CFO (or “Chief Alignment Officer”) to proactively go looking for these levers and leakages. He then explains how he uses his “center of the table” framework to redeploy the freed-up capital to fuel growth. Russell also covers how to address misalignment, what helicopter skills are and why you need them, what a data safari is and why you should take one daily, and why every CFO needs a spend management tool.—SPONSORS:Tipalti automates the entire payables process—from onboarding suppliers to executing global payouts—helping finance teams save time, eliminate costly errors, and scale confidently across 200+ countries and 120 currencies. More than 5,000 businesses already trust Tipalti to manage payments with built-in security and tax compliance. Visit https://www.tipalti.com/runthenumbers to learn more.Aleph automates 90% of manual, error-prone busywork, so you can focus on the strategic work you were hired to do. Minimize busywork and maximize impact with the power of a web app, the flexibility of spreadsheets, and the magic of AI. Get a personalised demo at https://www.getaleph.com/runFidelity Private Shares is the all-in-one equity management platform that keeps your cap table clean, your data room organized, and your equity story clear—so you never risk losing a fundraising round over messy records. Schedule a demo at https://www.fidelityprivateshares.com and mention Mostly Metrics to get 20% off.Sage Intacct is a cloud financial management platform that replaces spreadsheets, automates workflows, and keeps your books audit-ready as you scale. It unifies accounting, ERP, and real-time reporting for finance, retail, logistics, tech, and professional services. With payback in under six months and up to 250% ROI, and eight years as the customer-satisfaction leader, Sage Intacct helps you take control of your growth: https://bit.ly/3Kn4YHtMercury is business banking built for builders, giving founders and finance pros a financial stack that actually works together. From sending wires to tracking balances and approving payments, Mercury makes it simple to scale without friction. Join the 200,000+ entrepreneurs who trust Mercury and apply online in minutes at https://www.mercury.comRightRev automates the revenue recognition process from end to end, gives you real-time insights, and ensures ASC 606 / IFRS 15 compliance—all while closing books faster. For RevRec that auditors actually trust, visit https://www.rightrev.com and schedule a demo.—LINKS:Russell on LinkedIn: https://www.linkedin.com/in/russell-lester-aa98463/Tropic: https://www.tropicapp.io/CJ on LinkedIn: https://www.linkedin.com/in/cj-gustafson-13140948/Mostly metrics: https://www.mostlymetrics.com—RELATED EPISODES:Wasted Capital and Where to Find It The CFOs Guide to Spoilage Levers Leakageshttps://youtu.be/xOby7CcdljI—TIMESTAMPS:00:00:00 Mostly Classics: Russell Lester on Capital and Alignment00:00:48 Sponsors — Tipalti | Aleph | Fidelity Private Shares00:04:07 Russell Lester Joins the Show00:06:45 Capital Spoilage and Wasted Spend00:08:34 Why Spoilage Goes Unnoticed Inside Companies00:10:16 Creating Accountability for ROI00:11:08 Spoilage Beyond Tools and Software00:13:04 Strategy Drift and the Sunk Cost Trap00:14:14 Sponsors — Sage Intacct | Mercury | RightRev00:17:44 Levers and Leakages: A Framework for Momentum00:19:27 Identifying Levers Across the Funnel00:21:48 Efficiency Levers Inside the P&L00:23:31 Common Spend Leakages in Practice00:24:21 The Center of the Table Framework00:26:47 Budget Ownership vs Corporate Stewardship00:28:49 The CFO as Chief Alignment Officer00:31:31 Trust, Tact, and Executive Leadership00:33:35 Helicopter Skills for Finance Leaders00:35:41 Curiosity as a CFO Superpower00:36:02 Data Safaris and Asking Better Questions00:38:16 Breaking Down Net Dollar Retention00:40:32 Navigating Data Overload00:42:16 Building a Single Source of Truth00:43:03 Intelligent Spend Management in Action00:44:44 Capital Allocation as the CFO's Core Job00:46:04 How Spend Management Drives Growth00:49:14 Why Companies Delay Spend Tools00:50:49 A Career Mistake with Investors00:52:49 Auto-Renewals: Revenue vs Leakage00:54:07 Advice to a Younger CFO#RunTheNumbersPodcast #CFOLeadership #CapitalAllocation #FinancialStrategy #SpendManagement This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit cjgustafson.substack.com
In this special, table-turning episode of Run the Numbers, CJ Gustafson steps out of the host's chair as Paul Stansik—Operating Partner at ParkerGale and author of the Hello Operator newsletter—takes over the interview. What began as a planned discussion on annual planning best practices quickly evolves into a candid deep dive on Mostly Media, CJ's growing niche B2B media business, and the thinking behind his own operating plan for the year ahead. Fresh off exiting his CFO role in January 2025, CJ walks through the origin story of Mostly Metrics, how it scaled into a broader media platform, and what it's like being “the boss of me” for the first time. Paul presses on the real questions—growth opportunities, monetization, and strategic tradeoffs—making this episode a transparent look at how a modern, metrics-driven media business is built and run.—SPONSORS:RightRev automates the revenue recognition process from end to end, gives you real-time insights, and ensures ASC 606 / IFRS 15 compliance—all while closing books faster. For RevRec that auditors actually trust, visit https://www.rightrev.com and schedule a demo.Tipalti automates the entire payables process—from onboarding suppliers to executing global payouts—helping finance teams save time, eliminate costly errors, and scale confidently across 200+ countries and 120 currencies. More than 5,000 businesses already trust Tipalti to manage payments with built-in security and tax compliance. Visit https://www.tipalti.com/runthenumbers to learn more.Aleph automates 90% of manual, error-prone busywork, so you can focus on the strategic work you were hired to do. Minimize busywork and maximize impact with the power of a web app, the flexibility of spreadsheets, and the magic of AI. Get a personalised demo at https://www.getaleph.com/runFidelity Private Shares is the all-in-one equity management platform that keeps your cap table clean, your data room organized, and your equity story clear—so you never risk losing a fundraising round over messy records. Schedule a demo at https://www.fidelityprivateshares.com and mention Mostly Metrics to get 20% off.Sage Intacct is a cloud financial management platform that replaces spreadsheets, automates workflows, and keeps your books audit-ready as you scale. It unifies accounting, ERP, and real-time reporting for finance, retail, logistics, tech, and professional services. With payback in under six months and up to 250% ROI, and eight years as the customer-satisfaction leader, Sage Intacct helps you take control of your growth: https://bit.ly/3Kn4YHtMercury is business banking built for builders, giving founders and finance pros a financial stack that actually works together. From sending wires to tracking balances and approving payments, Mercury makes it simple to scale without friction. Join the 200,000+ entrepreneurs who trust Mercury and apply online in minutes at https://www.mercury.com—LINKS:Paul on LinkedIn: https://www.linkedin.com/in/paulstansik/Hello Operator: https://hellooperator.substack.com/CJ on LinkedIn: https://www.linkedin.com/in/cj-gustafson-13140948/Mostly metrics: https://www.mostlymetrics.com—RELATED EPISODES:Portfolio Operations: This Is What You Actually Have To Do To Make Sure a Company Is Successfulhttps://youtu.be/pOj4JwGUTSoGrindr's $0 CAC Secret from the CFO Who Launched Disney+ | Vanna Krantzhttps://youtu.be/ijFIMmtpLNw—TIMESTAMPS:00:00:00 Preview and Intro00:02:10 Sponsors — RightRev | Tipalti | Aleph00:06:23 Episode Setup and Context00:07:22 Why This Episode Exists00:08:44 The Origin Story00:10:03 First Signs of Traction00:10:26 Memes, Early Growth, and “Big Ballers”00:12:01 Defining the Brand Feel00:13:28 Leaving a Job to Write00:15:07 Writing His Way to CFO00:16:26 Sponsors — Fidelity Private Shares | Sage Intacct | Mercury00:19:01 Growth Tactics That Worked00:21:31 First Monetization Moment00:22:13 Balancing CFO Life and Media00:24:06 Going All-In on the Business00:25:02 A CFO Lens on Media00:28:09 Asset Businesses vs Cash Flow00:31:35 How the Business Makes Money00:32:42 Revenue Compounding Over Time00:33:29 Scaling to $3M00:34:08 Partnerships and Buying Cycles00:36:19 Building the Core Team00:39:09 Adding Recruiting to the Mix00:41:01 Strategy for the Next Phase00:42:03 Boredom, Discipline, and Craft00:43:08 Defining the Core Audience00:46:09 Staying in the Game00:47:22 Advice for Creators00:49:15 Brand, Fun, and Value00:52:08 Following the Momentum00:53:14 Finding Your Unique Edge00:55:19 Enjoying the Build00:56:25 Closing and Outro#RunTheNumbersPodcast #creatoreconomy #mediabusiness #cfoperspective #buildinpublic This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit cjgustafson.substack.com
This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Dr. Michael Redler, Orthopaedic Surgeon, Connecticut Orthopaedics. Dr. Redler discusses trends driving ASC growth, the role of advanced technology and AI in improving patient care and efficiency, and the benefits of collaboration between ASCs and health systems.
This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Tara Good-Young, MSHA, CASC, CEO, PDI Surgery Center. Tara discusses trends driving ASC growth, strategies for leveraging AI and technology to improve efficiency and patient experience, and the importance of collaboration with vendors and providers to optimize operations and sustainability.
The Cinematography Podcast Episode 338: Bryan Fuller and Nicole Hirsch Whitaker Bryan Fuller has one of the most recognizable visual signatures in modern television. Whether he's dealing with a forensic pathologist who bakes pies (Pushing Daisies) or a sophisticated cannibal (Hannibal), his work consistently balances the grotesque with the gorgeous. His style of hyper-stylized morbid surrealism was influenced by French maximalism in the 90's, such as Jean-Pierre Jeunet (Delicatessen, Amelie). “Between Delicatessen, City of Lost Children, and Amelie, there was this experience I had in the 90's and early aughts watching those films that gave me permission to push harder and go further in aesthetics that were on television,” Bryan explains. With his latest project, Dust Bunny, Bryan makes the leap from showrunning to feature directing, bringing his unique aesthetic to a dark fantasy-thriller. His decades of experience absorbing highly visual cinema have all led to this moment. “When I look at Dust Bunny, I'm like, that's a Barry Sonnenfeld shot. That's a John Carpenter shot. That's a Spielberg, because I've consumed all of these things and digested them and pooped out Dust Bunny.” Despite Bryan's self-deprecating description of the creative process, he was extremely meticulous about the filmmaking process. Cinematographer Nicole Hirsch Whitaker, ASC presented a comprehensive pitch deck that became the roadmap for the film's visual identity. “After the meeting, presenting her whole board with all of these images... she wanted the job and did a lot of work to show how she wanted the job,” says Bryan. Nicole, who shares Bryan's reverence for the same films, dove deep into the script to pull references ranging from The Professional and The Haunting (1963) to the raw, intimate photography of Nan Goldin. “I do think that it's important to make a good impression,” she says. “The deck is an impression of yourself as an artist that you leave behind.” During the interview, Nicole shares the pitch deck she made for Dust Bunny and discusses it in detail. Watch on YouTube or link to it here: https://drive.google.com/file/d/1m0i5QVEarDFL248Vqvm3T-8a0watskba/view?usp=sharing The most radical visual choice in Dust Bunny is its aspect ratio. It's shot in an extreme 3:1 format (three squares wide), which is almost unheard of in modern cinema. This creates a triptych feel, where the frame is so wide it feels like a mural. It forces a sense of vertical claustrophobia, crushing the top and bottom of the frame. The camera emphasizes the floorboards and the space under the bed—precisely where the monster hides. This discovery occurred while Bryan and Nicole were testing lenses. Once the framing matte came off the lens, revealing the open gate width of the sensor, Bryan realized the wider view fundamentally changed the film's psychology. A subject centered in a 3:1 frame felt isolated in a way they hadn't before, sharpening the camera's emotional point of view. To further isolate the characters, Nicole tuned the ARRI Alpha anamorphic lenses to fall off at the edges, ensuring the audience's focus remains locked on the performance. While Dust Bunny was shot over 44 days in Budapest, the film's visual language was decades in the making. For Nicole, the challenge was translating a legendary showrunner's mental gallery into a physical reality. For Bryan, it was a homecoming to the cinematic influences that first gave him permission to be “too much.” See Dust Bunny in theaters. Find Bryan Fuller: Instagram bryanfullergram Find Nicole Hirsch Whitaker: Instagram: @nicolewhitaker.dp SHOW RUNDOWN: 02:23 Close Focus 07:01 Bryan Fuller interview 24:46 Nicole Hirsch Whitaker interview 01:06:23 Short ends 01:13:16 Wrap up/Credits The Cinematography Podcast website: www.camnoir.com YouTube: @TheCinematographyPodcast Facebook: @cinepod Instagram: @thecinepod Blue Sky: @thecinepod.bsky.social
This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Brenda Fernández, MBA, Chief Financial Officer, Puerto Rico ASC Holding. Brenda discusses strategies for financial stewardship, leveraging technology and AI to optimize ASC operations, and opportunities for collaboration and growth in the outpatient surgery space.
This episode of the fire sprinkler podcast was recorded at the AFSA conference in October of 2025. With various guests, I talk the new Sabertooth technology grooved couplings, Flex head sprinkler hose technology, The ASC seismic technology and more!