Podcasts about Blue Cross

Shanthi Appelo, Registered Dietician and Health and Wellness Spokesperson with Blue Cross joined us for a segment on foods to add to the your diet for a healthier heart.See omnystudio.com/listener for privacy information.

In Episode 54 of Supervision Simplified, Dr. Amy Parks speaks with Arizona group practice owner and supervisor Brianna Reinhold about what happens when insurance companies begin reshaping clinical authority, supervision structures, and access to care.After being placed under investigation by Blue Cross, Brianna shares how shifting associate billing policies, supervision restrictions, and audit pressures are impacting rural access, training pipelines, and ethical leadership in private practice. Together, they explore what this moment means for supervisors, practice owners, and the future of mental health care.This conversation goes beyond billing challenges. It asks a bigger question: Who gets to define quality care — clinicians or insurance companies?If you supervise, lead, or work within an insurance-based system, this episode will give you language for what many in the field are feeling — and practical insight into what may come next.Sponsor: Clinical Supervision Directory www.clinicalsupervisiondirectory.comGuest: Brianna Reinhold, LPC www.northernlightstherapyaz.com

In this episode of The Pet Loss Journals, I'm joined by Diane James, Head of People's Services including Pet Loss Support at Blue Cross UK, for a deeply moving and honest conversation about pet loss and anticipatory grief. Diane shares personal stories about Ron the guinea pig and Chester the dog, including creating a bucket list and memory box, and we talk about how veterinary and after-death care for pets has evolved over the years. We also explore the ongoing frustration around how poorly pet loss is still understood in workplaces, often leaving people feeling they have to lie to take time off, as well as the increasing need for Blue Cross pet food banks and the importance of pet loss education for anyone working with animals. Blue Cross offers free, compassionate pet loss support, and you can find help and listen for support here: https://www.bluecross.org.uk/pet-loss-supportBuy my Book The Pet Loss Journals (UK) ⁠https://amzn.eu/d/gt1T2sj⁠Buy my Book The Pet Loss Journals (US) ⁠https://a.co/d/b8URs3G⁠Journal Prompts: ⁠⁠FREE Journal Prompts Guide⁠⁠ Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.lightafterloss.ie/⁠⁠⁠E-mail: ⁠⁠⁠⁠⁠⁠⁠⁠⁠info@lightafterloss.ie⁠⁠⁠⁠⁠⁠⁠⁠⁠  Instagram: ⁠⁠⁠⁠⁠_lightafterloss⁠⁠⁠⁠⁠⁠Join my Patreon Here for Bonus Episodes⁠⁠⁠ If you haven't yet, please consider leaving a 5 star rating or a review for this episode if you enjoyed it!Louise x

C.B. v. Blue Cross and Blue Shield of

This week, Dr. James Grant, Executive Vice President and Chief Medical Officer at Blue Cross discusses subtle signs of a silent heart attack.See omnystudio.com/listener for privacy information.

Health care costs are now rising faster than inflation, wages, and the overall economy. Government programs are being scaled back rather than expanding to cover these costs. To make progress, we need to focus on the delivery of medical care and insist that payment be tied to the value of the services. Two of the country's leading experts on redesigning U.S. health care to focus on value will join us for a discussion with Minnesota legislators to identify a practical agenda for action. About this series: For over ten years the Center for the Study of Politics and Governance has convened a series of public forums to explore health care reform issues. By fostering discussions among policy makers, stakeholders, and citizens, these forums examine the challenges and opportunities in health care reform and help ensure Minnesota's legacy as a leader in individual and community health. This series is sponsored by Blue Cross and Blue Shield of Minnesota.

Whoo BOY! This week's episode is packed with info and stats. How did the US healthcare system get so expensive and complicated? Is it still better than some form of universal care? Throwing a lot of history and stats at you today, and comparing our model to the healthcare models of some other countries to show that there are other ways. Ways far cheaper for the average citizen that work as well as ours. So... why don't we change? Merch and more: www.badmagicproductions.com Timesuck Discord! https://discord.gg/tqzH89vWant to join the Cult of the Curious PrivateFacebook Group? Go directly to Facebook and search for "Cult of the Curious" to locate whatever happens to be our most current page :)For all merch-related questions/problems: store@badmagicproductions.com (copy and paste)Please rate and subscribe on Apple Podcasts and elsewhere and follow the suck on social media!! @timesuckpodcast on IG and http://www.facebook.com/timesuckpodcastWanna become a Space Lizard? Click here: https://www.patreon.com/timesuckpodcast.Sign up through Patreon, and for $5 a month, you get access to the entire Secret Suck catalog (295 episodes) PLUS the entire catalog of Timesuck, AD FREE. You'll also get 20% off of all regular Timesuck merch PLUS access to exclusive Space Lizard merch. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

On this episode host Fred Goldstein invites Janna Evans, Director of Pharmacy Sales Support at Blue Cross and Blue Shield of Texas, as they continue their rare disease series with a focus on hemophilia and the substantial clinical, financial, and psychosocial burdens it places on patients and families. We discuss how health plans manage high-cost therapies, balance individualized patient needs with access requirements, and navigate prior authorization and step-therapy processes. Janna also highlights the need for better patient-reported outcomes, the day-to-day impact of the disease, and the broader considerations for employers and caregivers within managed care. This activity is supported by an independent medical education grant from Genentech Inc., and Pfizer Inc. AMCP offers CPE for this podcast through December 31, 2026. For additional information and to claim credit, please visit: ⁠The Power of Partnership: Bridging Patients and Payers in Hemophilia Management. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Can Therapists Start a Union? The Antitrust Trap, the Shadow Committee, and the Economic Strangulation of American Psychotherapy Analyzing America's Healthcare Regulations and Their Effect on Us: Why the Law Prevents Therapists from Organizing While Allowing a Private Committee to Fix Prices for the Entire Medical System https://gettherapybirmingham.com/can-therapists-start-a-union-spoiler-alert-they-cant/ The Monthly Rage Thread If you hang around therapist forums long enough, you will see it happen. It operates with the regularity of the tides. Someone posts a thread, usually after receiving a contract from an insurance company offering 1998 rates for 2025 work, and asks the obvious question: “We are the ones providing the care. The system collapses without us. Why don't we just all go on strike? Why don't we form a union and demand fair pay?” It is a logical question. In almost every other sector of the economy, workers who feel exploited band together to negotiate better terms. Screenwriters shut down Hollywood to get paid for streaming residuals. Auto workers walk off the line. Teachers fill the state capitol. Nurses at major hospital systems have successfully unionized and won significant concessions. So why, in the midst of a national mental health crisis, does the mental health workforce remain so politically impotent? The answer is not that we lack will. It is not that we lack organization. The answer is that for private practice therapists, forming a union is a federal crime. This is not a political manifesto. It is an analysis of the bizarre regulatory environment that governs American healthcare, a system of antitrust laws, shadow committees, and bureaucratic classifications that effectively strips clinicians of their bargaining power while empowering the corporations that pay them. If you want to understand why corporate tech monopolies are ruining therapy, or why the corporatization of healthcare feels so suffocating, you have to understand the legal straitjacket we are all wearing. And you have to understand the one group that is allowed to set prices, the one group exempt from the rules that bind the rest of us. Part I: You Are Not a Worker, You Are a Standard Oil Tycoon The primary reason therapists cannot unionize dates back to the era of oil barons and railroad tycoons. The Sherman Antitrust Act of 1890 was designed to prevent massive corporations like Standard Oil from colluding to fix prices and destroy the free market. It prohibits “every contract, combination… or conspiracy, in restraint of trade.” The law was a response to genuine abuses: companies buying up competitors, dividing territories, and coordinating prices to gouge consumers who had no alternatives. Here is the catch: In the eyes of the federal government, a private practice therapist is not a “worker.” You are a business entity. Even if you are a solo practitioner struggling to pay rent in a subleased office, seeing clients between crying in your car and eating lunch at your desk, the law views you as the CEO of a micro-corporation. You are classified as a 1099 independent contractor, not a W-2 employee, and that distinction makes all the difference in the world. If two workers at Starbucks talk about their wages and agree to ask for a raise, that is “collective bargaining,” which is protected by the National Labor Relations Act. But if two private practice therapists talk about their reimbursement rates and agree to ask Blue Cross for a raise, that is “price-fixing.” It is legally indistinguishable, in the eyes of the Federal Trade Commission, from gas stations conspiring to raise the price of unleaded. It sounds absurd, but the FTC takes it deadly seriously. When independent contractors organize to demand higher rates, when they share information about what they are being paid and coordinate their responses, they are engaging in horizontal price-fixing, one of the most serious violations of antitrust law. The Sherman Act provides for criminal penalties, including fines and imprisonment. The law that was meant to break up monopolies is now used to prevent social workers from asking for a cost-of-living adjustment. The irony is crushing. The same regulatory framework that prevents two therapists from discussing their rates allows massive insurance conglomerates to merge repeatedly, concentrating buyer power in fewer and fewer hands. UnitedHealth Group, for example, has acquired dozens of companies over the past two decades, becoming the largest healthcare company in the United States. When they offer a “take it or leave it” contract to providers, they do so with the full knowledge that fragmented, legally prohibited from organizing therapists have no counter-leverage. The antitrust laws, designed to prevent monopoly power, have created a system where sellers are atomized and buyers are consolidated. Economists call this “monopsony,” and it is precisely the market distortion the Sherman Act was supposed to prevent. Part II: The Day the “Learned Profession” Died For a long time, doctors and lawyers thought they were exempt from these laws. They argued that they were “learned professions,” not mere tradespeople, and therefore above the grubby laws of commerce. They believed that their ethical obligations to patients and clients set them apart from the rules that governed steel mills and meatpacking plants. Medicine was a calling, not a business, and surely the government would not regulate the sacred doctor-patient relationship as if it were a commercial transaction. That illusion was shattered in 1975 by the Supreme Court case Goldfarb v. Virginia State Bar. The case involved lawyers, not doctors, but its implications cascaded through every licensed profession in America. The Goldfarbs were purchasing a home and needed a title examination. The Virginia State Bar had established a minimum fee schedule for such services, and every lawyer they contacted quoted the exact same price. They sued, arguing that this fee schedule was illegal price-fixing. The Supreme Court agreed. In a unanimous decision, the Court ruled that professional services, including legal and medical advice, are “trade or commerce” subject to antitrust laws. The “learned profession” exemption, which had been assumed but never explicitly established in law, was declared a myth. “The nature of an occupation, standing alone,” the Court wrote, “does not provide sanctuary from the Sherman Act.” This ruling was intended to lower prices for consumers by preventing lawyers from setting minimum fees, and in that narrow sense it was a good thing. But in healthcare, it had a catastrophic side effect: it made it illegal for doctors and therapists to band together to resist the pricing power of insurance companies. The “learned profession” exemption is dead. We are now just businesses, and businesses are not allowed to hold hands. This creates the illusion of progress: we have “free market” competition among providers, but monopsony power among payers. It is a market where the sellers are forbidden from organizing, but the buyers are allowed to merge until they are too big to fail. The result is not a free market at all. It is a market designed to transfer wealth from one class (providers) to another (insurers and administrators), with the law itself serving as the enforcement mechanism. Part III: The Cartel in the Basement If therapists cannot collude to set prices, surely nobody else can, right? Wrong. There is one group in American healthcare that is allowed to meet in a room, decide what every doctor's time is worth, and set prices for the entire industry. It is called the RUC, the AMA/Specialty Society Relative Value Scale Update Committee. And understanding the RUC is the key to understanding why talk therapy is dying in the medical model, why psychiatrists abandoned the couch for the prescription pad, and why your insurance company offers you a ghost network of providers who never answer the phone. The Birth of a Shadow Government To comprehend the current crisis in mental health economics, one must excavate the foundations of the physician payment system. Prior to 1992, Medicare reimbursed physicians based on a system known as “Customary, Prevailing, and Reasonable” charges. Under this system, physicians were paid based on their historical billing charges. It was inherently inflationary; it rewarded those who raised their fees most aggressively and created wide geographic disparities for identical services. In response to spiraling costs, Congress passed the Omnibus Budget Reconciliation Act of 1989, mandating a transition to a fee schedule based on the resources required to provide a service. This birthed the Resource-Based Relative Value Scale. The intellectual architecture for this system was developed by a team of economists at Harvard University, led by William Hsiao. Hsiao's team sought to create a “unified theory” of medical value, attempting to quantify the “work” involved in disparate medical acts, comparing the cognitive intensity of a psychiatric evaluation with the technical skill of a hernia repair. The Harvard study was revolutionary. It promised to level the playing field, suggesting that cognitive services, the thinking and talking that comprises primary care and mental health, were vastly undervalued relative to surgical procedures. Had Hsiao's original recommendations been implemented purely, the income gap between generalists and specialists might have narrowed significantly. But the administrative complexity of assigning values to over 7,000 Current Procedural Terminology codes overwhelmed the Health Care Financing Administration. Into this administrative vacuum stepped the American Medical Association. The AMA, fearing that the government would unilaterally set prices, proposed a “partnership.” They would convene a committee of experts to maintain and update the relative values, providing this labor-intensive service to the government at no cost. The government accepted. Thus, in 1991, the RUC was born, not as a government agency, but as a private advisory body with unparalleled influence over public funds. The Architecture of Control The RUC's claim to legitimacy rests on its status as an “expert panel.” But a structural analysis of its composition reveals a profound bias that mimics the governance of a cartel designed to protect incumbent interests. The committee consists of 32 members, but power is concentrated in the 29 voting seats. Of these, 21 seats are appointed by major national medical specialty societies. The distribution is not proportional to the volume of services provided to Medicare beneficiaries, nor is it proportional to the physician workforce. Instead, it is frozen in a historical moment that favored high-technology specialties. Primary care physicians, who perform roughly 45 to 50 percent of Medicare work, hold approximately 4 to 5 seats, giving them about 17 percent of the vote. Procedural and surgical specialties, including surgery, radiology, and anesthesiology, hold 15 to 18 seats, giving them roughly 60 percent of the vote despite performing only 35 to 40 percent of Medicare work. The American Psychiatric Association holds a single seat. One seat. This lone representative must negotiate with a supermajority of specialists, neurosurgeons, cardiothoracic surgeons, radiologists, and ophthalmologists, whose financial interests are often diametrically opposed to the valuation of cognitive work. The cartel dynamic is enforced by a statutory requirement of budget neutrality. The Medicare Physician Fee Schedule is a zero-sum game. If the total relative value units projected for a given year exceed the budget, a “scaler” is applied to reduce the conversion factor, effectively cutting everyone's pay. Therefore, any proposal to increase the value of psychotherapy, which would increase the total RVU spend, effectively asks every surgeon in the room to take a pay cut to fund the raise for psychiatrists. Given that a two-thirds majority is required to pass a recommendation, the procedural bloc holds absolute veto power over any redistribution of wealth. The Secret Chamber A hallmark of cartel behavior is the restriction of information. For nearly two decades, the RUC operated in near-total secrecy. While recent years have seen minor concessions to transparency, such as the publication of vote totals, the core deliberative process remains opaque. RUC meetings are private. The public, the press, and even non-RUC physicians are largely barred from attending the deliberations where billions of tax dollars are allocated. Participants, including the specialty advisors who present data, must sign strict non-disclosure agreements. These agreements prevent them from discussing the specific tradeoffs, deals, or arguments made within the chamber. A former RUC participant described these agreements as “draconian,” designed to insulate the committee from public accountability. The Government Accountability Office and the Center for American Progress have noted the inherent conflict of interest. The individuals setting the prices are the same individuals who receive the payments. Unlike a regulatory agency, where officials are salaried and divested of industry assets, RUC members are practicing physicians whose personal incomes are directly tied to the decisions they make. This secrecy serves a functional purpose: it allows for “logrolling.” A representative from Orthopedics might support an inflated value for a Cardiology code in exchange for Cardiology's support on a Knee Replacement code. This “I'll scratch your back” dynamic creates an upward pressure on procedural values that excludes those outside the dominant coalition, specifically primary care and mental health. The Antitrust Shield Why has the Department of Justice not broken up this cartel? The legal shield is the Noerr-Pennington Doctrine. This Supreme Court doctrine establishes that private entities are immune from antitrust liability when they are petitioning the government. Because the RUC technically only “recommends” values to CMS (that is petitioning), and CMS “decides” (that is government action), the RUC is protected by the First Amendment right to petition. This legal loophole allows the RUC to operate with monopolistic characteristics without fear of prosecution, provided CMS continues to go through the motions of “reviewing” the recommendations. And CMS accepts those recommendations over 90 percent of the time. Because private insurance companies generally base their rates on Medicare, this private committee effectively sets the price of healthcare for the entire country. If independent therapists did this, if they gathered in a room and agreed on what their services should cost, they would face criminal prosecution. But because the RUC operates under the fiction of “advising” the government, it is protected. The same regulatory framework that criminalizes therapist solidarity provides cover for industry-wide price coordination by the most powerful medical specialties. Part IV: The Mechanics of Suppression To control a market, one must control its currency. In American medicine, that currency is the Relative Value Unit. Every medical service, from a 15-minute therapy session to a heart transplant, is assigned a total RVU value. This value is the sum of three components: the Work RVU, which accounts for physician time, technical skill, mental effort, and judgment; the Practice Expense RVU, which covers overhead costs like rent, staff, and equipment; and the Malpractice RVU, which reflects professional liability insurance costs. The Work RVU, which comprises roughly 50 to 55 percent of the total value, is determined by RUC surveys. When a code is flagged for review, the relevant specialty society distributes a survey to a sample of its members. These respondents are asked to estimate the time and intensity of the service compared to a “reference service.” This methodology violates several principles of statistical validity. The surveys are voluntary and distributed by the specialty societies themselves. The respondents are typically those most active in the society and most invested in maximizing reimbursement, advocates rather than neutral observers. The sample sizes are often shockingly small; RUC surveys frequently rely on fewer than 50 or 70 respondents to set the price for services performed millions of times annually. A sample of 30 orthopedic surgeons might determine the value of a procedure costing Medicare billions. The Time Arbitrage The most critical variable in the RUC equation is time. The Work RVU is conceptually derived from the formula: Work equals Time multiplied by Intensity. Therefore, inflating the time estimate is the most direct route to inflating the price. Independent studies by RAND and the Urban Institute, often using objective data like Operating Room logs, have consistently shown that the RUC overestimates the time required for surgical procedures. A procedure valued by the RUC as taking 60 minutes may, in reality, take 30 minutes. This creates an arbitrage opportunity. If a gastroenterologist can perform a “60-minute” colonoscopy in 20 minutes, they can effectively perform three procedures in the time allotted for one. They bill for three hours of work in one hour of real time. This “efficiency gain” is captured entirely by the physician as profit. Psychotherapy cannot utilize this arbitrage. CPT codes for psychotherapy are explicitly time-based in their definition. Code 90832 requires 16 to 37 minutes. Code 90834 requires 38 to 52 minutes. Code 90837 requires 53 minutes or more. A psychiatrist cannot perform a 60-minute therapy session in 20 minutes; doing so constitutes fraud. Therefore, the revenue of a psychotherapist is capped by the linear passage of time. They can sell, at maximum, roughly 8 to 10 units of labor per day. A proceduralist, aided by RUC-inflated time assumptions, can sell 20 or 30 units of “RUC time” in the same day. This structural discrepancy creates a widening income gap that no amount of “hard work” by the therapist can close. It is not a market failure. It is market design. The “Thinking” Penalty The RUC's bias is not merely structural; it is philosophical. The committee, dominated by surgeons and proceduralists, consistently values “doing things to people,” cutting, scanning, injecting, far more highly than “talking to people,” diagnosing, counseling, managing complex chronic conditions. This creates a regulatory environment that functions as a de facto wealth transfer from cognitive care to procedural care. In 2013, a major revision of psychiatry codes exposed this bias in stark relief. Previously, psychiatrists used codes that bundled the medical evaluation with the psychotherapy. The new system required psychiatrists to bill an E/M code for the medical management plus an “add-on” code for psychotherapy. While intended to improve transparency, this change exposed psychotherapy to the raw mechanics of the RUC's valuation bias. By isolating the “therapy” component, the committee could subject it to rigorous cross-specialty comparison. And the committee, dominated by surgeons, views “talking to a patient” as low-intensity work compared to “operating on a patient.” The economic signal was clear. This created the 15-minute med check culture not because psychiatrists stopped caring, but because the regulatory environment made relational care financial suicide. It effectively “illegalized” the practice of deep, slow psychiatry for anyone who wanted to take insurance. Part V: The “Messenger Model” and Other Legal Fictions When therapists ask about collective bargaining, lawyers will often point them to the only legal loophole available: the “Messenger Model.” In this model, a third party (the messenger) acts as an intermediary between a group of providers and an insurance company. The messenger takes the insurance company's offer and conveys it to each therapist individually. Each therapist must then make a unilateral, independent decision to accept or reject it. The messenger is strictly forbidden from negotiating. They cannot say, “The group rejects this.” They cannot say, “We want 10% more.” They cannot advise the therapists on what to do. They can only carry messages. This is why “Independent Practice Associations” are often toothless. In the 2008 case North Texas Specialty Physicians v. FTC, the Fifth Circuit Court of Appeals made clear that if an IPA actually tries to leverage its numbers to demand better rates, it violates antitrust laws. If it follows the messenger model, it has no leverage. It is a “heads I win, tails you lose” regulatory structure designed to protect payers, not providers. The only exception is “clinical integration,” where providers genuinely merge their practices, share infrastructure, and accept joint financial risk. But this requires substantial capital investment and essentially means ceasing to be an independent practitioner. It is a legal pathway available mainly to large physician groups and hospital systems, not to solo therapists working out of rented offices. Part VI: Market Distortions and the Flight to Cash When a cartel sets a price below the market equilibrium, suppliers exit the formal market. This is precisely what has happened in psychotherapy. Mental health providers generally have lower overhead than surgeons. They do not need MRI machines or sterile surgical suites. And they face high consumer demand; the national mental health crisis ensures a steady stream of people seeking services. This gives them an “exit option” that proceduralists do not have. They can refuse to accept insurance and operate as cash-only businesses. The statistics are stark. Nearly 50 percent of psychiatrists do not accept commercial insurance, compared to less than 10 percent of other specialists. A 2023 survey indicated that 64 percent of private practice therapists planned to increase their cash-pay rates. Research published in Health Affairs Scholar found that patients are 10.6 times more likely to go out-of-network for mental health care than for medical/surgical care. This mass exodus is a rational economic response to RUC-suppressed rates. If the RUC says an hour of therapy is worth $100 via the RVU-to-dollar conversion, but the market demand is willing to pay $250, the provider will leave the RUC-controlled sector. They are not abandoning their profession; they are abandoning a pricing regime that values their work at less than half its market rate. Ghost Networks The RUC's pricing failure creates “Ghost Networks,” directories filled with providers who are ostensibly “in-network” but are functionally inaccessible. They are either full, not accepting new patients, retired, have moved, or simply do not respond to inquiries from insurance-based patients because the administrative burden of prior authorizations and clawbacks outweighs the suppressed fee. This is not a “shortage” of providers in the absolute sense. There is no shortage of therapists in private practice. There is a shortage of therapists willing to work at the RUC-determined price point. The insurance directories are graveyards of phantom availability, creating the illusion of access where none exists. The Cost Paradox The central thesis of the RUC's defenders is that they “control costs.” By strictly managing RVUs, they claim to save taxpayer money. In psychotherapy, this logic backfires catastrophically. By suppressing reimbursement rates to a level that drives providers out of the network, the RUC forces patients into the cash market. The theoretical in-network cost might be a $20 copay with the insurer paying $100. The actual out-of-network cost is $250 cash out-of-pocket, paid in full by the patient. Thus, the “cost of therapy” for the consumer skyrockets. Therapy becomes a luxury good, accessible only to those with disposable income. For the poor and middle class, the “cost” is effectively infinite, because the service becomes inaccessible. The RUC's cost-control measure for the system becomes a cost-multiplier for the patient. It shifts the financial burden from the risk pool, where it belongs, to the individual, where it causes maximum harm. The Signal to Students The RUC sends powerful economic signals to medical students making career decisions. When a student observes that a dermatologist or radiologist can earn $500,000 working regular hours, while a psychiatrist earns $240,000 handling emotional trauma and on-call emergencies, while a primary care doctor earns even less, the choice is clear for those motivated by financial security. The undervaluation of cognitive codes discourages the best and brightest from entering mental health and primary care. The cartel's pricing structure creates a perpetual labor shortage in the fields most needed for public health, while creating a surplus in high-margin procedural specialties. We then wonder why there are not enough psychiatrists, why primary care is in crisis, why mental health access is collapsing. The answer is in the price signal, and the price signal is set by a committee of proceduralists meeting behind closed doors. The Hands Are Tied The question “Why can't therapists start a union?” is not just a labor question. It is a window into the broken soul of American healthcare. We have built a system where a secret committee of proceduralists can legally fix prices to favor surgery over therapy, but a group of social workers cannot band together to ask for a living wage. We have utilized laws meant to break up Standard Oil to break up the solidarity of caregivers. The same regulatory framework that criminalizes therapist coordination provides legal cover for industry-wide price coordination by the most powerful medical specialties. The result is a regulatory environment that drives doctors crazy, burns out therapists, and leaves patients navigating a fragmented, assembly-line system that was never designed to heal them. It was designed to process them. Until we confront the legal architecture of this system, the RUC, the Sherman Act, the 1099 trap, we will remain powerless to change it. And the reality of therapy is that quick fixes, whether in treatment or in policy, usually end up costing us more in the end. Some states are beginning to push back. New York and California have implemented strict network adequacy standards requiring mental health appointments within 10 business days. These regulations force insurers to expand their networks, which means they must attract providers, which means they must raise reimbursement rates above the RUC/Medicare floor. It is effectively a state-level override of the RUC cartel, forcing capital back into the mental health labor market. The Medicare Payment Advisory Commission has long advocated for stripping the RUC of its power, proposing the use of empirical data, tax returns, payroll records, practice invoices, to set values automatically. But these are patchwork solutions to a systemic problem. The fundamental issue remains: we have created a healthcare system that knows the price of everything and the value of nothing. We have engineered a system where the only way to survive is to stop acting like a healer and start acting like a factory. And we have wrapped this system in a legal framework that criminalizes resistance while protecting the status quo. The hands are tied. But at least now we can see the ropes. Bibliography For those interested in the primary sources and legal texts that underpin this analysis, the following external resources provide high-trust verification of the claims made above: Goldfarb v. Virginia State Bar, 421 U.S. 773 (1975): The Supreme Court decision that ended the “learned profession” exemption from antitrust laws. Read the Oyez Summary. The Sherman Antitrust Act (15 U.S.C. §§ 1–7): The foundational text of US antitrust law prohibiting restraint of trade. Read the Document at the National Archives. North Texas Specialty Physicians v. Federal Trade Commission (5th Cir. 2008): A key ruling establishing that independent physicians cannot collectively bargain on fees without financial integration. Read the Court Opinion. FTC/DOJ Statements of Antitrust Enforcement Policy in Health Care (1996): The federal guidelines explaining the “Messenger Model” and the narrow exceptions for clinical integration. Read the Guidelines (PDF). The RUC (AMA/Specialty Society RVS Update Committee): The AMA's own description of the committee structure and its role in valuing physician work. Visit the AMA RUC Page. “Special Deal” by Haley Sweetland Edwards (Washington Monthly, 2013): An investigative deep-dive into how the RUC operates and its impact on primary care vs. specialty pay. Read the Investigation. The National Labor Relations Act (NLRA): The law governing the right to unionize, which specifically excludes independent contractors. Read the NLRA. Laugesen, Miriam J. Fixing Medical Prices: How Physicians Are Paid. Harvard University Press, 2016. The definitive scholarly analysis of the RUC's history, structure, and influence on American healthcare pricing. Government Accountability Office. “Medicare Physician Payment Rates: Better Data and Greater Transparency Could Improve Accuracy.” 2015. GAO's critical analysis of RUC methodology and conflicts of interest. Center for American Progress. “Rethinking the RUC.” 2015. Policy analysis of the RUC's structural bias against primary care and cognitive services. Health Affairs Scholar. “Insurance Acceptance and Cash Pay Rates for Psychotherapy in the US.” 2023. Empirical research on out-of-network utilization in mental health care. Medicare Payment Advisory Commission (MedPAC). “Report to the Congress: Medicare and the Health Care Delivery System.” 2024. Annual policy recommendations including proposals for reforming physician fee schedule methodology. Joel Blackstock, LICSW-S, is the Clinical Director of Taproot Therapy Collective in Hoover, Alabama. He specializes in complex trauma treatment and writes at GetTherapyBirmingham.com.  

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Healthcare premiums keep rising, but plan quality often stays the same (or gets worse). In this conversation, Shaun Enders sits down with Donovan Pyle—CEO of Health Compass and author of Fixing Healthcare—to unpack why the employer-sponsored healthcare market functions the way it does. Donovan explains the "hidden supply chain" behind your healthcare spend, why broker incentives often conflict with employer outcomes, and how CEOs can start reclaiming wasted dollars by getting unbiased, fiduciary-aligned guidance and improving visibility into unit pricing. Key Topics Covered Why employer healthcare spend feels unstoppable, and why that belief is "trained" The healthcare supply chain and how lack of transparency drives waste How brokers were historically designed to function (and why incentives matter) Why networks can hide prices and distort the price/quality relationship The "discount off infinity" problem behind EOBs (Explanation of Benefits) Regulatory capture and why some states limit small-business options Certificate of Need ("CON") laws and how they restrict competition The shift toward fiduciary models (similar to what happened in retirement plans) Practical steps for CEOs: visibility, vendor stack, and unbiased advisory support Chapters / Timestamps (YouTube-style) 00:01 – Welcome + why this topic matters to Shaun (20 years of premium increases) 01:17 – The big numbers: employer-sponsored coverage, $1.3T spend, and the "waste" claim 02:03 – Why finance/HR teams aren't set up to understand healthcare procurement 03:54 – The broker dilemma: "the only voice you have" vs. conflicts of interest 05:29 – Why Donovan focuses on the employer-sponsored market (not Medicare/Medicaid) 07:27 – The origin story: the first U.S. insurance plan (1929) and what became Blue Cross 09:26 – Brokers as "retail distribution" and why costs rising helps the sell-side 11:59 – ACA, cost-plus dynamics, and why vertical integration changed the game 14:52 – Reframing healthcare: not one line item—a supply chain 16:31 – Shaun's parallel: higher education costs and "cracks in the veneer" 19:14 – The strategy universe expands once you get unbiased advice 21:21 – Cash pricing: why individuals sometimes get better pricing than big insurers 23:34 – Shaun's billing experience: allowed vs billed, even in integrated systems 25:35 – EOBs as marketing: "Island Speak" and the illusion of savings 29:40 – Small business reality in CA/NY/WA: limited options and why 34:50 – Certificate of Need ("CON") laws: regulating supply and blocking competition 42:07 – ACA subsidies: what's expiring and what the market may revert to 46:31 – The most practical step: get unbiased, fiduciary-aligned advice 51:16 – Parallels to financial services: commissions → fee-based fiduciary models 57:14 – Real example: PBM RFP leading to multi-million-dollar savings 59:18 – Bringing it back to purpose: time, meaning, and what drives Donovan 01:05:29 – Where to find Donovan + free executive summary roadmap https://assessment.healthcompassconsulting.com/tba Watch on YouTube: https://youtu.be/9vEdj0XBOyI Connect with Shaun: www.CallTSG.com www.BusinessFinanceAndSoul.com https://www.linkedin.com/in/shaunenders/ People / Organizations Mentioned Donovan Pyle – CEO, Health Compass; author of Fixing Healthcare Validation Institute – referenced as a place to find fiduciary-based firms RAND Corporation (2021 study referenced) – cash pricing / employer pricing dynamics David Goldhill – author of Catastrophic Care (chapter: "Island Speak") Harris Rosen – Rosen Hotels (Orlando), example of long-term employer healthcare strategy Resources Mentioned Free executive summary + roadmap: FixingHealthcare.com Book: Fixing Healthcare (Donovan Pyle) Book: Catastrophic Care (David Goldhill) Disclaimer This episode discusses healthcare financing and benefits strategy from an employer perspective. It is not medical, legal, or financial advice.

We're joined by Blue Cross Vet, Paul Manktelow, talking about how to keep your dog safe this Christmas.  We chat about why despite being super vigilant, every year many dogs become a veterinary statistic. It's estimated that 10 per cent of Britain's dogs see a vet over the festive season.  Paul highlights the main toxic foods from raisins, dark ‘posh' chocolate, poinsettias, decorations, wrapping paper, sellotape, cooked turkey bones, and onions, not to mention the stresses  of visitors and over excitement if your dog isn't used to busy households.  Christmas is hard to imagine from a dog's point of view with their olfaction and hearing so much more acute than ours.  Paul talks through how best to avoid your dog as a  natural born scavenger and opportunist becoming a veterinary statistic this Christmas. Follow Paul and the Blue Cross on Instagram.This episode is powered by Antinol. We're super proud to be collaborating with them and you can enjoy at 10% discount on your purchase by using our promocode ANNAWEBB. Remember - you're supporting A Dog's Life by supporting our proud sponsor!For more about Anna go to annawebb.co.ukMusic and production by Mike Hanson for Pod People ProductionsCover art by JaijoCover photo by Rhian Ap Gruffydd at Gruff Pawtraits

The SEANC View podcast addresses listener questions on state employee and retiree concerns, including the absent budget, the loss of retirement health insurance for hires after 2021, early December pay changes, and the $3.3 billion surplus. We discuss staffing and retention issues, why COLAs aren't being issued despite strong investment returns, the role of EMPAC endorsements, Aetna vs. Blue Cross transitions, and potential future coverage for GLP-1 drugs. Plus: a light-hearted round on favorite Christmas songs.

We're joined by Dr Paul Manktelow from Blue Cross, who shares practical, no-nonsense advice on keeping dogs safe and well through winter - from cold weather walks and sore paws to festive food dangers and hidden Christmas risks.We also discuss Camp Beagle, including a short edited excerpt from Sara's visit, and why the story matters, alongside plenty of the usual Oh My Dog nonsense, fibre optics anyone?

www.DogCastRadio.comDr Paul Manktelow, Chief Vet at national pet charity Blue Cross, has the advice you need to keep your dog happy and healthy at Christmas. With guests coming and going, food and drink posing hazards to dogs, decorations just asking to be chewed, and us all distracted by having fun, it's easy for things to go wrong. But there are easy steps you can take to protect your pets.

Dallas real estate CEO Robert “Bob” Lovell was ordered this week to pay $5.7 million in damages and fees after a judge determined he repeatedly forced a former employee to perform sex acts and then retaliated against her when she refused. In other news, some Texans are finding out from their doctor's offices that Blue Cross and Blue Shield of Texas insurance plan would no longer be considered in-network; the Texas Rangers are not interested in trading Corey Seager. The Red Sox, Yankees, and Braves have all expressed interest though; and for years, officials at the highest level of Dallas city government knew crime was a problem at Roseland, a public housing complex in Old East Dallas. In twenty eighteen, the city entered into a special agreement with Dallas Housing Authority to keep crime in check. That arrangement was different from what was at the time a new, aggressive plan to protect the public at high-crime private properties. Police reports show that since the agreement was signed, at least seven people have been killed at Roseland, including a nine-year-old girl. Twenty others were wounded by gunfire. A Dallas Morning News investigation shows that over the following seven years, the agreement was never fully followed, and the violent crime at Roseland persisted. The News found numerous ways in which D-H-A and the city fell short in addressing crime and protecting residents, including failures to follow their own agreement. See the full investigation dallasnews.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week's episode brings together three women whose stories show what support, connection, and second chances can spark.Michelle Thomas, senior manager of community relations at Blue Cross and Blue Shield of Oklahoma, shares how working in service shaped her life and how her sister's recovery deepened that commitment.Her sister, Melissa Casey, opens up about her journey through addiction, the impact of Family & Children's Services program Women in Recovery, and her work with the Tulsa County Alternative Court programs. Her story shows how courage and community can rebuild a life.Monica Hartweg, also with Blue Cross and Blue Shield of Oklahoma, talks about the moment she called Tulsa Area United Way's 211 Eastern Oklahoma 24/7 helpline and found a path toward stability, healing, and long-term recovery. Her experience shows how one call can change everything.Each story reveals a different doorway into hope. Together, they paint a clear picture of why community resources matter and why united is the way.

Today’s not a good day for Republicans; Tennessee special election; Jeff Stein joins the show for his weekly appearance; Mike Lindell officially running for governor; other new candidates for governor; Blue Cross dropping Sliver Sneakers program;

Woman thought to be dead wakes up right before scheduled cremation; Trump administration escalates against Democrats accused of telling the military not to violate illegal orders; another anti-vaxxer nominated for HHS post; the cruelty of the GOP as we aooriach Thanksgiving; Blue Cross ending gym subsidies for seniors; Patrick Coolican returns; Michael Brodkorb previews the…

Sportscaster Ryan Lefebvre, the storied broadcaster of the Kansas City Royals baseball team, joins me on this special show along with Kristin Gernon. Kirstin is a Behavioral Health Training and Development Specialist at Blue Cross and Blue Shield of Kansas City (Blue KC), with over 25 years of experience in the behavioral health field, focusing on children and families. She has been involved in initiatives like the "Shut Out the Stigma" campaign and has spoken on mental health topics, including its importance in youth sports. This is episode 2133 of America's Healthcare Advocate. I'm Cary Hall The documentary "Not Good Enough" is available at: https://www.shutoutthestigma.com/documentary

Harley Schlanger, a historian and national spokesman with expertise in the financial industry since the 1980s, offers insights through The LaRouche Organization, where followers can access his analyses on geopolitics and economics. The recent government shutdown, orchestrated by Senate Democrats in a bid to extend Obamacare subsidies set to expire, brutally exposed the fragility of their socialist welfare empire, with SNAP benefits for millions of low-income Americans abruptly halted as leverage in the standoff. Critics highlighted how Democrat-controlled states exploit loopholes in the Affordable Care Act to divert federal funds toward healthcare for undocumented immigrants, turning taxpayer dollars into a slush fund for illegal border crossers while insurance giants like Blue Cross rake in billions in subsidies. This cynical tactic, which risked starving families reliant on food stamps just past Election Day, underscored the Ponzi-like nature of these programs, where Democrats prioritized bailing out their failing healthcare scheme over essential services, forcing Republicans to vote repeatedly for full funding that was repeatedly blocked. NATO and EU leaders are accelerating Europe's slide toward direct conflict with Russia through unprecedented military pacts, including France and Britain's coordination of nuclear forces and missile systems, framing the continent as a militarized frontline in a broader anti-Russian strategy. Russian Foreign Minister Sergey Lavrov has accused the alliance of already declaring war via Ukraine proxies, with NATO's creeping expansion into the Arctic and Pacific designed to isolate Moscow and provoke escalation, echoing long-suspected Western plots dating back to 1993 documents advocating offensive operations against Russia using Eastern European buffers. As EU elites dismiss peace talks as "more dangerous than war" and ramp up hybrid defenses against perceived Russian threats, voices warn that this desperation masks internal failures on debt and energy, pushing the bloc into a suicidal confrontation that could doom the continent.

This week on The Modern Customer podcast, Michael Gerrish, Chief Marketing and Experience Officer at Blue Cross Blue Shield of Kansas, shares the strategy that transformed their organization. The key? Aligning Marketing and Experience to accelerate growth. Michael outlines how the unified CMXO role is responsible for making sure the brand's promises match the actual customer experience, driving maximum ROI.  The Results:  ✅ $120 Million in annual revenue  ✅ 93% industry-leading customer retention rate Learn how they achieved this with the "Insights to Action" model, eliminating silos and leveraging AI to simplify complex healthcare needs. Listen to the full episode now! Blake Morgan is a customer experience futurist, keynote speaker, and author of three books on customer experience. Her new book is called The 8 Laws of Customer-Focused Leadership: The New Rules for Building A Business Around Today's Customer. Follow Blake Morgan on LinkedIn For regular updates on customer experience, sign up for her weekly newsletter here. 

Service, security, and confidence matter when navigating Open Enrollment Season. In this episode of Your Next Mission® video podcast, SMA Tilley outlines the steps Retired Veterans and Military Families need to take to protect their dental & vision coverage with Senior Manager of Community Relations & Field Strategy for Blue Cross and Blue Shield Federal Employee Program, FLTCM (R) Paul Kingsbury, and Blue Cross Blue Shield Association Uniformed Services Advisory Board Member, 15th SMA (R) Daniel A. Dailey .Transitioning from active duty brings new responsibilities, and understanding your options is critical. SMA Tilley shares practical advice and firsthand insights to help you make confident choices as you retire, ensuring your benefits meet your needs.Your service doesn't end after active duty — your health and your family's security matter now more than ever. Watch and take charge of your next mission with confidence!

My guest, Ron Miller is BlueKC's FEP Senior Sales Consultant & Labor Liaison and Ron and I have all the things to know Right Now and why Federal Employees should consider Blue Cross Ble Shield for their health insurance needs! • The Blue Cross and Blue Shield Federal Employee Program is the number one health insurance choice for federal employees, retirees, and their families. • For nearly 60 years, we've been committed to offering federal employees the best healthcare coverage in the U.S. • More than 99% of our members stay with us year over year. • Our preferred provider network includes 95% of doctors, 96% of hospitals and 65,000 pharmacies nationwide. And you never need a referral to see a specialist. • 24/7 care provided by Teladoc Health – treatment for minor injuries and illnesses, mental health support, dermatology care and more by phone or video. • Preventive care is always covered when you see a Preferred provider. • OPEN ENROLLMENT SEASON runs from Monday, Nov. 11th through Saturday, Dec. 8, 2025. Virtual Fairs: https://www.fepblue.org/events To learn more about the Blue Cross Blue Shield Federal Employee Program, visit fepblue.org or call 800-411-BLUE.

NWABJ Report for 10.30.25 Steve Brawner on Blue Cross CEO, childcare study and lithium summit

This episode features Colleen Briggs, President of the Blue Cross NC Foundation and Vice President of Corporate Responsibility at Blue Cross NC. She discusses the Feed Your Health initiative, how food-based interventions are improving outcomes for members with diabetes, and what it takes to move these programs from pilot to sustainable, systemwide solutions.

This episode features Colleen Briggs, President of the Blue Cross NC Foundation and Vice President of Corporate Responsibility at Blue Cross NC. She discusses the Feed Your Health initiative, how food-based interventions are improving outcomes for members with diabetes, and what it takes to move these programs from pilot to sustainable, systemwide solutions.

Audio Demo Reel.*Blue Cross & Blue Shield*.Did not put me up to this and I don't represent them. ; I'm just Showcasing my range. If any lol lmfao rotfl

 “If you can't afford a pet, you shouldn't own one.” Ever said this line?Once you've  been on the receiving of someone's anger about the cost of their vet bill, it's an easy thought to have. But it's not the whole story, is it?In this episode, I sit down with Dr. Paul Manktelow - a veterinary surgeon with 20+ years in UK animal charities and current Director of Veterinary Services at Blue Cross. Dr Paul shares lessons learned in not-for-profit vet care to help us untangle that tension between care, compassion, and commercial reality.We cover:Trends from the front lines in the charity sector How “affordability” is shifting under rising cost of livingDecision-making tools that balance optimal vs achievable careBusiness models that either enable or block access to careHow vets can approach financial conversations with clarity, dignity, and trustYou'll learn about:

Welcome to Chatter with BNC, Business North Carolina's weekly podcast, serving up interviews with some of the Tar Heel State's most interesting people. On today's episode, Ben Kinney speaks with Kelly Calabria, Chief of Communications, Marketing, and Corporate Social Responsibility at Blue Cross NC. Kelly leads the company's efforts to shape its brand, engage communities, and drive meaningful health impact across North Carolina. With a career spanning public relations, brand strategy, and social innovation, she's passionate about using storytelling and purpose-driven leadership to improve lives and strengthen connections between business and community.

www.DogCastRadio.comLewis Hamilton has made headlines around the world, pulling out of work commitments to be with his dying dog. But shouldn't we all have the right to be with our pets, and to have understanding as we grieve our devoted companions? Amanda de Carteret, Pet Loss Support Manager at Blue Cross, has advice and support for all those coping with pet loss.

On this episode of #TheShot of #DigitalHealth Therapy, Jim Joyce and I welcomed Mark S. Gaunya, GBA, LIA - benefits innovator, wrestling fanatic, rugby convert, and author - who's on a mission to transform healthcare from a cost center into an asset. From cutting weight in high school wrestling to cutting healthcare costs, Mark brings equal parts grit, vision, and humor to the conversation. Some highlights:

Meet Your New AI Receptionist (No Benefits Required)

This edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features Erik Bernardino, an Assistant Professor of History at Bates College, who joined the America's Work Force Union Podcast to discuss the 1938 Pecan Sheller Strike in San Antonio. Anders Lindall, Director of Public Affairs for AFSCME Council 31, and CeCe Phillips, President of Local 900, joined the America's Work Force Union Podcast to discuss their recent contract victory in Champaign County, Illinois.

Frank Mathews, Administrative Director of District 4 for the Communication Workers of America, joined the America's Work Force Union Podcast to discuss the union's efforts to hold Republican politicians accountable for their votes, the impact of recent legislation on working families and updates on broadband deployment across the Midwest.   Today's edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features Charlie Fanning, Assistant Professor of History at Florida Southern College, who joined the America's Work Force Union Podcast to discuss the history of farm worker organizing in Florida, the impact of immigration policies on labor rights and innovative strategies employed by workers to improve conditions.

Today's edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features Trish Kahle, Assistant Professor at Georgetown University in Qatar, who joined the America's Work Force Union Podcast to discuss her research on the influence of coal miners on U.S. energy policy and workers' rights. Tim Burga, President of the Ohio AFL-CIO, joined the America's Work Force Union Podcast to discuss Labor Day celebrations, the impact of the current administration on workers' rights and potential redistricting in Ohio.

In this inspiring episode, I sit down with Veronica Blanco, Director of Human Resources, from Innovative Produce to talk about growth, leadership, and the power of community in the ag industry. From being the first in her family to graduate college to stepping into leadership roles, Veronica reflects on the importance of mentorship, staying positive, and telling the real story of agriculture. She opens up about the challenges of stepping outside her comfort zone and the value of connecting with like-minded professionals through industry forums and programs. She also talks about how organizations like United Ag, programs like the Ambassador Program, and the supportive culture at Innovative Produce have allowed her to explore critical issues like access to care, mental health, and employee wellbeing — all while developing as a leader.Veronica opens up about the powerful role models in her life, beginning with her mother, whose positivity, work ethic, and belief in education laid the foundation for Veronica's success. She also speaks deeply about the impact of colleagues like Amy Wolfe, who have offered not only support but also constructive challenge — helping her shift perspectives, make hard decisions, and grow stronger in the face of transition.These relationships have built a sense of purpose and belonging, and Veronica has been intentional about passing on what she's learned. She reflects on the responsibility to share ag's story more clearly, especially the good that often goes unseen. Whether working behind the scenes or stepping up to public-facing roles, Veronica emphasizes the importance of staying positive, focusing on what's within your control, and surrounding yourself with people who believe in doing good work for good people.Whether you're in ag or any other industry, this conversation is a reminder that great people and strong values can shape your path in powerful ways.Innovative Produce: https://innovativeproduce.com/Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgUnitedAg Health and Wellness Centers - https://www.unitedag.org/health-benefits/united-agricultural-benefit-trust/health-centers/Episode Contributors - Veronica Blanco, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us

Football is back. Our 2025 Football Season Opening Show from the Blue Cross, Blue Shield Performance Studio features Bears legend and Score Analyst Olin Kreutz.

In this episode, Bill interviews successful Levinson Agent, Kent. After 20+ years in the industry, Kent was able to re-invent himself and grow his business 10X in the past 1-2 years! Listen & learn from this valuable interview so you can capture these same strategies for your practice! Kent's Biography:  Kent has 20+ years of experience with individual, group, & business Insurance sales. His strong professional background in banking and insurance offers an advisory approach to his business which results in strong and lifelong client relationships. Kent grew up in Durant, OK and worked for FUB while getting his bachelor's degree. He currently resides in Austin, TX with his wife Rena, where they spend time with three adult children and grandson playing golf, boating, and anything that offers family time. Kent brings relationships with over 60 life insurance carriers, over 12 long-term care/hybrid carriers, 7 disability carriers, and quality healthcare options like Blue Cross, Cigna, Aetna, and United Health Care. Group Benefits include and are not limited to Health Insurance, Accidental Death & Dismemberment, Disability, Long-Term Care, Guaranteed Issue Life, Accidental Death, and Critical Illness. His career focus has been on Succession Planning with business owners, encompassing all the mentioned products. -Check us out online: Agent Back Office Site: LevinsonAndAssociates.com Facebook: @levinsonandassociates X: @levinsonassoc Instagram: @levinsonandassociates Threads: @levinsonandassociates LinkedIn: @bilevinson  Podcast: levinson.libsyn.com YouTube Library: @thelevinson1

Dorsey Hager, Executive Secretary-Treasurer of the Columbus/Central Ohio Building and Construction Trades Council, joined the America's Work Force Union Podcast to discuss the New Albany Intel construction project's three-year anniversary, ongoing construction in Central Ohio and a labor dispute involving Teamsters Local 284 and fire truck manufacturer Sutphen. Today's edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features Fred Redmond, Secretary-Treasurer of the AFL-CIO, who joined the America's Work Force Union Podcast to discuss the federation's nationwide "Freedom, Fairness and Security" bus tour, Labor Day activism and the historical significance of the 1892 Homestead strike.  

This edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features Sarah McNamara, Associate Professor of History and Latino and Mexican American studies at Texas A&M University, who joined the America's Work Force Union Podcast to discuss the history of Latina anti-fascist resistance in Florida during the 1930s.   Elena Lopez, Deputy Legislative Director for the Communication Workers of America, joined the America's Work Force Union Podcast to discuss the offshoring of call center jobs, legislative efforts to protect workers and the challenges unions face in advocating for labor rights.

Dave Megenhardt, Executive Director of the United Labor Agency, joined the America's Work Force Union Podcast and spoke about the upcoming launch of a union job board and the annual Unsung Heroes of the Labor Movement dinner. This edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features Justine Modica, Assistant Professor at Cornell University's School of Industrial and Labor Relations, who joined the America's Work Force Union Podcast to discuss the history of childcare as a labor issue, unionization efforts in the industry and potential solutions to the current childcare crisis.

Tom Buffenbarger, former General President of the International Association of Machinists and Aerospace Workers, joined the America's Work Force Union Podcast to discuss pressing economic issues affecting American workers.   This edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, featured Eileen Boris, Hull Professor of Feminist Studies at UC Santa Barbara and President-elect of the Labor and Working Class History Association, who joined the America's Work Force Union Podcast to discuss the formation of LAWCHA, the importance of labor history and current challenges to historical accuracy.  

Tina Wei, Assistant Professor of History at Florida International University, joined the America's Work Force Union Podcast to discuss workplace fatigue, the impact of artificial intelligence on labor markets and the challenges facing scientific research funding.   This edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features Merrilee Logue, Executive Director of the NLO and Mark Talluto, Vice President of Strategy, Marketing and Sales Programs, who joined the America's Work Force Union Podcast to discuss healthcare affordability. 

This edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features Donna Haverty-Stacke, Professor of History and Roosevelt House Faculty Associate at Hunter College, City University of New York, who joined the America's Work Force Union Podcast to discuss the intertwined history of May Day and Labor Day.    Mike Knisley, Secretary-Treasurer of the Ohio State Building and Construction Trades Council, joined the America's Work Force Union Podcast and discussed his upcoming retirement and reflected on his nearly four-decade career in the labor movement.

Kimberly Kam, Senior Vice President and Sales Director for Union Commercial Services at Amalgamated Bank of Chicago, joined the America's Work Force Union Podcast to discuss the trend of big banks ending relationships with unions, ABOC's unique approach to serving union clients and the importance of diversity, equity and inclusion in banking.   This edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features Steven Beda, an Associate Professor of History at the University of Oregon, who joined the America's Work Force Union Podcast to discuss the spotted owl conflict that affected the Pacific Northwest timber industry. 

Hamilton Baiden, CEO of Youturn Health, joined the America's Work Force Union Podcast to discuss innovative approaches to behavioral health treatment.   Today's edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features John Shelton, President of AFT Wisconsin and professor at the University of Wisconsin-Green Bay, who joined the America's Work Force Union Podcast to discuss Wisconsin's labor history, recent political shifts and ongoing union challenges.  

This edition of Labor 131, presented by the National Labor Office of Blue Cross and Blue Shield Association, features Augustus Wood, Assistant Professor at the University of Illinois' Labor Education Program, who joined the America's Work Force Union Podcast to discuss his book, "Class Warfare in Black Atlanta."   Syd Hyer, Vice President and Executive Board member of the Park City Professional Ski Patrollers Association, discussed the ongoing efforts to unionize the bike patrol at Park City Mountain.

Keaver Brenai is mentoring with a mic - using her own talent and own journey to help bring up the next generation of creatives surrounding her. She's a voice-over artist, a singer, an author, and most notably, Keaver is consistently happy right where she is. And when she's not? She pivots and finds her way back or forward to that happy place we all deserve to live in. We talk about everything good from the house parties her parents through growing up to living presently, like when she sang backup for Michael Jackson and how to this day, she can still feel that moment. You've heard her voice everywhere from Blue Cross to Cartoon Network, Nike to NBC's The Good Place - now get to know the inspiring person behind it. ________________________ Steve is busy at work on the third book in his cozy mystery series, THE DOG WALKING DETECTIVES. Grab the first two and get caught up: Book 1: DROWN TOWN Amazon: https://amzn.to/478W8mp Barnes & Noble: https://bit.ly/3Mv7cCk & Book 2: MURDER UNMASKED Amazon: https://shorturl.at/fDR47 Barnes & Noble: https://shorturl.at/3ccTy