Podcasts about Blue Shield

Trying to get stage time at the Laugh Factory in L.A. is a big deal—especially if you're hoping to get in front of Jamie Masada, the guy who helped launch tons of comedy careers. This story's all about the hustle, calling in favors, and navigating the weird world of showbiz politics. It's a real-life peek into how things almost happen in Hollywood—and what you learn when they don't. https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.  Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients. https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.  

People always ask what it's like being a woman in the male-dominated world of stand-up, and the truth is—it's mostly fine… but there are a couple things that drive me nuts. This is a fun peek into what what I've had people say to my face, and how I've handled it! https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.  Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients. https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations

In this episode, Dr. Ravi Kavasery, Chief Medical Officer at Blue Shield of California, joins Jakob Emerson to discuss the company's ambitious goal of shifting 90% of eligible healthcare spending to pay-for-value models. Dr. Kavasery shares insights on the challenges of transitioning from fee-for-service, the importance of aligning incentives, and the innovative models shaping the future of healthcare affordability and quality.

The mother of a 5-year-old boy found dead in South Dallas was sentenced to life in prison last week for beating the child. 29 year old Tiffany Williams was found guilty Friday of injury to a child in connection with the 2022 death of Zamaurian Kizzee. The boy's legal father, 77 year old Ulysses Kizzee, faces a charge of injury to a child by omission. In other news, Southwestern Health Resources, which includes the medical providers and hospitals at Texas Health Resources and UT Southwestern are no longer in-network for Blue Cross and Blue Shield of Texas insurance plans, including commercial plans, as well as Medicaid and Medicare Advantage plans; Big Bend National Park in Texas could soon expand by thousands of acres. Three lawmakers — U.S. Sens. John Cornyn, R-Texas, and Ben Ray Luján D-New Mexico, and U.S. Rep. Tony Gonzales, R-San Antonio — introduced a bill in Congress last month to acquire roughly 6,100 acres along the park's western boundary; and April is Dallas Arts Month and the city is buzzing with fresh, interactive ways to experience art and music. Check out the trends taking over the city in today's edition of the Dallas Morning News. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode, Dr. Ravi Kavasery, Chief Medical Officer at Blue Shield of California, joins Jakob Emerson to discuss the company's ambitious goal of shifting 90% of eligible healthcare spending to pay-for-value models. Dr. Kavasery shares insights on the challenges of transitioning from fee-for-service, the importance of aligning incentives, and the innovative models shaping the future of healthcare affordability and quality.

Pete Ielmini, Executive Director of the Mechanical Insulators Labor Management Cooperative Trust (LMCT), joined the America's Work Force Union Podcast to discuss the efforts to reintroduce the Federal Mechanical Insulation Act, the success of their Firestop Market Recovery Program and the importance of properly installed mechanical insulation in federal buildings. Merrilee Logue, Executive Director of the National Labor Office at Blue Cross and Blue Shield, and Lynn Pina, Chief Marketing Officer at GeoBlue, joined the America's Work Force Union Podcast to discuss the benefits of GeoBlue, the necessity of additional coverage when traveling abroad and how GeoBlue can assist union members and their families during their international travel plans this summer.

In the debut episode of Enter the Vault, host Nancy Giacolone takes listeners on a journey through her 30+ years in the employee benefits industry, sharing how she got started and how the field has evolved. From typewriters to cutting-edge technology, she reflects on the changes, challenges, and innovations that have shaped employee benefits today.

Imagine flying to Hawaii for a humor keynote, only to have everything shift in a way you never saw coming. As a keynote speaker, comedian, and corporate speaker, I know that timing, adaptability, and engaging an audience are everything—but this was a whole new challenge. With the pressure on and no room for error, I had to think fast and use comedy in business to keep the energy high. What happened next proved that sometimes, the best moments in public speaking come when you least expect them, and that workplace humor can turn any situation into a success. https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.  Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients. https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.

In this episode, comedian and keynote speaker Jan McInnis takes us behind the scenes of a high-stakes convention show that could make or break her career. With pressure mounting from every angle—an intimidating crowd, a skeptical agent, and a fellow comic with a history—she had no idea how the night would unfold. Tune in for a gripping and hilarious story about resilience, surprises, and finding the funny in unexpected places.   https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/   Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations   Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association   Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations   Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,   Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations   Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.  

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com Digital solutions are improving healthcare by streamlining processes to be as easy as credit card transactions, which leads to better efficiency and patient care. In this episode, Paul Markovich, CEO of Blue Shield of California, reveals a collaboration with Salesforce to digitize the prior authorization process, aiming to eliminate fax machines and make it as efficient as credit card transactions. Blue Shield's nonprofit mission focuses on comprehensive digital health records and a complete system overhaul. Paul highlights the importance of starting from scratch to address cumbersome processes like prior authorization. Partnering with Salesforce for real-time data integration, Blue Shield's innovation journey emphasizes collaboration, learning from failures, and aligning with skilled partners.  Tune in to learn how Blue Shield of California and Salesforce are using digital solutions to simplify healthcare processes and create a more efficient and patient-friendly system! Resources: Connect with and follow Paul Markovich on LinkedIn. Follow Blue Shield of California on LinkedIn and visit their website. Fast Track Your Business Growth: Outcomes Rocket is a full service marketing agency focused on helping healthcare organizations like yours maximize your impact and accelerate growth. Learn more at outcomesrocket.com

Cannon v. Blue Cross and Blue Shield of Massachusetts, Inc.

In this episode, Matt Gibbs, Senior Vice President and Chief Pharmacy Officer at Blue Shield of California, joins Becker's to discuss how the company is dismantling the traditional PBM model to bring cost transparency and flexibility to pharmacy care. He shares insights on specialty drug pricing, the role of biosimilars, and why health plans must take back control of their pharmacy management.

The CFO-COO partnership is undeniably one of the most powerful alliances that can make or break a company's success. When working in perfect harmony, this duo creates a formidable force that drives strategic decisions, enhances operational efficiency, and propels growth. In this installment of our finance business partnering series, host Melissa Howatson welcomes Sandra Clarke, Former Executive Vice President and Chief Operating Officer of Blue Shield of California. Sandra, who spent the majority of her career in finance, progressed from analyst to CFO before taking on the COO role. She discusses the unique perspective of having been on both sides of the CFO-COO relationship, addressing the benefits of close collaboration as well as the challenges that may arise from competing priorities. Discover what it takes to build a successful CFO-COO business collaboration that benefits the entire organization and learn how this dynamic partnership directly impacts a company's bottom line. Discussed in This Episode: The role of the COO, its variability across companies, and where it intersects with the CFO role in facilitating company strategy and boosting growth. How finance leaders can bring the most value to the operations team by understanding the business, identifying patterns in numbers that may indicate potential issues, and recommending optimal resource allocation. Key elements of a strong CFO-COO partnership, including humility, mutual trust in each other's expertise, and an unwavering focus on what's best for the business. Navigating tensions between CFO and COO roles when financial data doesn't support perceived operational needs, and strategies for collaboration in these challenging situations.

Ever wondered what really goes on behind the wheel of a rideshare? As someone who relies on Uber and Lyft for travel, I've had some eye-opening experiences—some hilarious, some frustrating, and some downright nerve-wracking. From reckless drivers to unexpected fare demands and surprising last-minute changes, these rides have taught me a lot about safety, preparation, and the importance of professionalism. Whether you're a frequent traveler or just curious about the wild world of ridesharing, take a listen to the things that happened to me LAST YEAR! https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.    

This episode, recorded live at the Becker's Healthcare 2024 Fall Payer Issues Roundtable, features Paige Brogan, Principal CalAIM at Blue Shield of California. Paige discusses Medi-Cal transformation through the CalAIM initiative, emphasizing value-based care, health equity, and innovative member engagement strategies to address whole-person needs.

About Gabe Castaneda:Gabe Castaneda is the Chief Revenue Officer at FlyteHealth, bringing over 25 years of experience in sales, marketing, and customer success in both business-to-business and direct-to-consumer markets. He has held significant roles at Omada Health, Blue Cross and Blue Shield, and UnitedHealth Group. Gabe holds a bachelor's degree in marketing from the University of Minnesota, a law degree from the Mitchell Hamline School of Law, and an MBA from the Thunderbird School of Global Management. His expertise lies in developing strategic sales and marketing organizations, reducing costs, improving health outcomes, and increasing member engagement.Things You'll Learn:Innovative obesity management combines lifestyle strategies with clinical medication management using a patented algorithm for personalized care.Significant weight loss results, averaging 15.8% with non-GLP-1s, reduce costs and minimize side effects.Avoiding compound prescriptions is a critical focus in effective obesity management.Efforts center on building state-level partnerships with healthcare systems and expanding collaborations with payers, consultants, and employer groups.Resources:Connect with and follow Gabe Castaneda on LinkedIn.Follow FlyteHealth on LinkedIn and visit their website. 

Ever thought you could conquer anything with just a mix of enthusiasm and naivety? In this inspiring and humorous episode, Jan McInnis shares her journey from an ill-prepared novice hiker to an experienced explorer of over 25 national parks. Through tales of daunting trails like Angel's Landing and Old Rag, Jan reflects on the surprising life lessons these adventures offer. This episode is packed with laughs, relatable missteps, and valuable leadership insights on fostering enthusiasm while offering the right guidance. Whether you're a hiking enthusiast, a leader looking to motivate your team, or someone who loves a great story of perseverance and humor, this episode is for you. Discover Jan's "recipe for success" and hear how a simple blend of courage and preparation can lead to big achievements—on trails and in life. Tune in to learn, laugh, and maybe even be inspired to visit a national park! https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.   Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients.   https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  Financial. . . Federal Reserve Banks, BDO Accounting, Transamerica Insurance & Investment Group, Merrill Lynch, treasury management associations, bankers associations, credit unions, Money Transmitter Regulators Association, Finance Officers Associations, automated clearing house associations, American Institute of CPAs, financial planning companies, Securities, Insurance, Licensing Association  Government . . . purchasing officers associations, city clerks, International Institute of Municipal Clerks, National League of Cities, International Worker's Compensation Fund, correctional associations, LA County Management Association, Social Security Administration, Southern California Public Power Authority, public utilities, U.S. Air Force, public personnel associations, public procurement associations, risk management associations, Rehabilitation associations, rural housing associations, community action associations  Women's Events. . . American Heart Associations, Go Red For Women luncheons, Speaking of Women's Health, International Association of Administrative Professionals, administrative professionals events, Toyota Women's Conference, Women in Insurance and Financial Services, Soroptimists, Women in Film & Video, ladies night out events, Henry Ford Health Centers Women's Event, spirit of women events, breast cancer awareness,  Education . . . School Business Officials associations, school superintendent associations, school boards associations, state education associations, community college associations, school administrators associations, school plant managers associations, Head Start associations, Texas adult protective services, school nutrition associations, Association of Elementary and Middle School Principals, principal associations, library associations  Emergency, safety, and Disaster . . . International Association of Emergency Managers, Disney Emergency Managers, state emergency management associations, insurance groups, COPIC, Salt Lake County Public Works and Municipal Services Disaster Recovery Conference, Pennsylvania Governor's Occupational Safety and Health conference, Mid Atlantic Safety conference and Chesapeake Regional Safety Council, Risk associations.  

About Malekeh Amini:Malekeh Amini is the CEO and founder of Trayt Health, with extensive experience in healthcare innovation. She is dedicated to enhancing mental and behavioral health through data-driven solutions and comprehensive social determinants. Her leadership in the industry is marked by her strategic vision and commitment to transformative healthcare practices.About Rebecca Messing Haigler:Rebecca ‘Becky' Messing Haigler, MPH, MBA, is a seasoned healthcare executive, entrepreneur, and strategist. As CEO of Noe Strategic Advisors, she guides health tech portfolio companies, startups, and VC firms in developing health economics fundamentals and commercialization models. With experience as Health Economics Lead at Verily Life Sciences and roles in organizations like Blue Shield of CA and the Chartis Group, Rebecca has a proven track record in healthcare innovation. She holds degrees from UC Berkeley and the University of Michigan and enjoys family time in the Bay Area.Things You'll Learn:Trayt Health uses comprehensive social determinants data to redefine high-quality symptom definitions in mental healthA systemic approach to behavioral health involves integrating physical and social health considerationsUpdated payment models are necessary to shift from crisis intervention to prevention and evidence-based care in mental health.Partnerships and collaborations are crucial for achieving ambitious goals in transforming mental healthcare.Resources:Connect with and follow Malekeh Amini on LinkedIn.Follow Trayt on LinkedIn and visit their website. Connect with and follow Rebecca Messing Haigler on LinkedIn.Follow The Kennedy Forum on LinkedIn and visit their website. 

In this anniversary episode of This Is Ag!, I sat down with Chana Hauben, our Vice President of Human Resources, to reflect on the remarkable culture we've built at UnitedAg and celebrate four years of the podcast. Our conversation explored the heart of what makes UnitedAg not just a great place to work but a unique environment for personal and professional growth.At UnitedAg, we've more than tripled our financial growth over the past decade all the while maintaining the innovative, energetic spirit of a startup. Chana and I discussed how this growth has been driven by intentional culture-building, starting with empathy, collaboration, and creativity. These values are central to everything we do, from hiring passionate and proactive people to fostering innovation at all levels.Initiatives like the Emerging Leaders Program, the Ag-a-thon, and our CULTIVATE values recognition system create opportunities for growth and connection. Our onboarding process, transformed into a comprehensive and immersive experience, ensures new hires feel supported and inspired from the start.A standout moment was celebrating our recent recognition as one of the best places to work in Orange County. This honor symbolizes the dedication and care we pour into creating a positive, people-first environment. It's also a reflection of Chana's exceptional leadership in fostering an inclusive, innovative, and empowering culture.For me, UnitedAg has always been a "lab" where we experiment with ideas—not just for business growth but for human connection. Every day is an opportunity to grow a little more, to connect on a deeper level, and to lead with empathy. Listening to our employees, hearing their stories, and seeing them thrive fills me with pride and reinforces my belief in the work we do.As we wrap up our conversation, I reflect on what makes UnitedAg so special: it's not just a workplace, it's a community where people support each other, challenge each other, and grow together. Whether it's through innovative programs, meaningful connections, or a shared commitment to our values, UnitedAg continues to be a place where we can all thrive.If you're looking for a space to innovate, grow, and make an impact, we'd love to hear from you. This is what makes us UnitedAg: a family where the journey of growth and connection never ends.This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  Chana Hauben, Vice President of Human Resources at UnitedAg: https://www.linkedin.com/in/chanah/Agricultural Personnel Management Association (APMA): http://agpersonnel.org/about/bod/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 - Chana Hauben, 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 

GEM Care partners with Blue Shield. Gov wants you to pay Medicare Part B premium.    

Join Paul Hlivko, EVP, Chief Information and Digital Officer, Wellmark Blue Cross and Blue Shield as he discusses technology modernization, cloud, data, and the digital talent of the future. 

There's a lot of concern right now about healthcare affordability, but not enough action. Paul Markovich, the CEO of Blue Shield of California, is on a mission to bring down health costs by reducing administrative overhead and negotiating lower drug prices. In this episode we dive deep into Paul's call to action for healthcare leaders to tackle the affordability crisis head-on. Paul and I discuss:How Blue Shield slashed the cost of arthritis drug Humira, by offering a biosimilar at 25% of the costWhy reducing healthcare costs is critical to averting a national economic crisisWhether we need a new national mandate for health data sharingPaul's advice on tackling fear and being a brave leaderPaul says healthcare affordability isn't just a pocketbook issues for patients, it's also a huge economic issue for the nation:“The reality is we are facing a huge affordability crisis, a fiscal crisis right now. Even though our economy is running pretty much at or near full employment, we have record fiscal deficits… We cannot keep spending on this program the way that we are. We need to bring the spending down... Even our dysfunctional political system is going to have to deal with that.”Relevant LinksCalifornia's new data sharing law Announcement of new Humira biosimilar Investment in nonprodit Civica for lower cost genericsNew prior authorization platform with SalesforceAbout Our GuestPaul Markovich is Chief Executive Officer of Blue Shield of California, a nonprofit health plan with $25 billion in annual revenue serving 4.8 million members in the state's commercial, individual, and government markets. Markovich has launched and led numerous initiatives to drive innovation and help reimagine healthcare, including funding support for a statewide provider directory to make it easier for Californians to find physicians and facilities in their plan; supporting development of a statewide health information network for patients' records, enabling more seamless and holistic care; and investing in a partnership with the California Medical Association to help physicians pilot new care delivery models and leverage technology.Markovich is a North Dakota native and Rhodes Scholar with a master's in Philosophy, Politics and Economics from Oxford University. He is a graduate of Colorado College, where he earned a Bachelor of Arts in International Political Economy and played Division I hockey.Source: https://www.blueshieldca.com/en/home/about-blue-shield/corporate-information/leadership/paul-markovichStay InformedSign up for The Other 80 Newsletter to receive a monthly update with reflections, news, events, jobs and funding curated for you by Claudia. Click here to sign up.Connect With...

Leaders from Arkansas Blue Cross and Blue Shield, CVS Caremark, Independent Health and Vori Health explore how healthcare leaders tackle members' weight management challenges by creating comprehensive programs that responsibly integrate GLP-1 medications while controlling costs.  Key Discussion Topics: Benefit Design and Prior Authorization Programs: Crafting strategies to balance access and affordability. Integrated, Whole-Person Care: Addressing weight management holistically to improve outcomes. Leveraging Bright Spots: Applying successful approaches from other areas to optimize GLP-1 management. Future Innovations: Exploring emerging opportunities to enhance weight management programs.   Panel:  Ryan A. Grant, MD, MS, MBA, FAANS, CEO and Co-Founder, Vori Health Martin Burruano, Vice President, Pharmacy Services, Independent Health Mark T. Jansen, M.D., Vice President, Chief Medical Officer, Arkansas BlueCross BlueShield Ilona Smith, SVP of Employer, Government and Coalitions, CVS Caremark Bios: https://www.brightspotsinhealthcare.com/events/responsible-glp-1-strategies-structuring-benefits-for-economic-viability-and-proven-member-results Request Whitepaper To request the whitepaper, Integrating GLP-1s into the Future of MSK Care, from our partner Vori, please submit this form: https://www.brightspotsinhealthcare.com/request-a-copy-of-the-integrating-glp-1s-into-the-future-of-msk-care/   We'd love to hear from you! Send your comments, suggestions and ideas to hello@brightspotsinhealthcare.com

Leaders from Arkansas Blue Cross and Blue Shield, CVS Caremark, Independent Health and Vori Health explore how healthcare leaders tackle members' weight management challenges by creating comprehensive programs that responsibly integrate GLP-1 medications while controlling costs.  Key Discussion Topics: Benefit Design and Prior Authorization Programs: Crafting strategies to balance access and affordability. Integrated, Whole-Person Care: Addressing weight management holistically to improve outcomes. Leveraging Bright Spots: Applying successful approaches from other areas to optimize GLP-1 management. Future Innovations: Exploring emerging opportunities to enhance weight management programs.   Panel:  Ryan A. Grant, MD, MS, MBA, FAANS, CEO and Co-Founder, Vori Health Martin Burruano, Vice President, Pharmacy Services, Independent Health Mark T. Jansen, M.D., Vice President, Chief Medical Officer, Arkansas BlueCross BlueShield Ilona Smith, SVP of Employer, Government and Coalitions, CVS Caremark Bios: https://www.brightspotsinhealthcare.com/events/responsible-glp-1-strategies-structuring-benefits-for-economic-viability-and-proven-member-results Request Whitepaper To request the whitepaper, Integrating GLP-1s into the Future of MSK Care, from our partner Vori, please submit this form: https://www.brightspotsinhealthcare.com/request-a-copy-of-the-integrating-glp-1s-into-the-future-of-msk-care/   We'd love to hear from you! Send your comments, suggestions and ideas to hello@brightspotsinhealthcare.com

In this episode, I speak with Stan Welsh, a healthcare provider at the UnitedAg Health and Wellness Center in Salinas, about the transformative power of putting people at the heart of healthcare. We explore the importance of compassion, trust, and meaningful human connections in improving patient outcomes and redefining what it means to provide quality care.Stan shares his insights on how human interaction is often missing in traditional, metrics-driven healthcare settings and how the approach at UnitedAg allows providers to fulfill their desire to make a real difference. We discuss how small yet impactful changes—like showing appreciation and building trust—can create a ripple effect, leading to better patient experiences and long-term growth.Stan and I also dive into practical advice for listeners: the importance of self-care, including regular checkups, a balanced diet, and consistent exercise. Stan stresses the value of simplicity and consistency in maintaining health and well-being. Finally, we discuss how UnitedAg's philosophy of putting people first—not metrics or profit—has tripled its impact, proving that prioritizing human beings at the center of care not only makes business sense but is also a step toward transforming the healthcare system.Tune in for an inspiring conversation about challenging the status quo and the power of human connection in healthcare.This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  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 - Stan Welsh, 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 

Here's a quick story about a rental car that almost killed me this year! AND I offer 4 quick things to check on a rental car that might just save your life.   https://www.theWorkLady.com Jan McInnis is a top keynote speaker, funny female motivational speaker, comedian, Master of Ceremonies, and comedy writer. She has written for Jay Leno's The Tonight Show monologues as well as many other people, places, and groups—radio, TV, syndicated cartoon strips, guests on The Jerry Springer Show (her parents are proud). For over 25 years, she's traveled the country as a keynote speaker and comedian, sharing her unique and practical tips on how to use humor in business (yes, it's a business skill!). She's been featured in The Huffington Post, The Wall Street Journal, and The Washington Post for her clean humor, and she's the author of two books: Finding the Funny Fast – How to Create Quick Humor to Connect with Clients, Coworkers, and Crowds, and Convention Comedian: Stories and Wisdom From Two Decades of Chicken Dinners and Comedy Clubs. She also has a popular podcast titled Comedian Stories: Tales From the Road in Under 5 Minutes. In her former life, she was a marketing executive in Washington, D.C. for national non-profits, and she received the Greater Washington Society of Association Executives “Excellence in Education” Award. Jan's been featured at thousands of events from the Federal Reserve Banks to the Mayo Clinic.  Jan McInnis shows businesses how to use humor in everything from sales to human resources in dealing with staff, coworkers, clients and potential clients. https://www.TheWorkLady.com https://youtu.be/BtjxzDn-QLE https://www.linkedin.com/in/janmcinnis https://twitter.com/janmcinnis https://www.pinterest.com/janmcinnis/pins/ https://www.youtube.com/c/JanMcInnisComedian https://www.facebook.com/ComedianJanMcInnis https://www.instagram.com/jan.mcinnis/  Jan has shared her humor keynotes from Fortune 500 companies to international associations. Groups such as . .. Healthcare. . . Mayo Clinic, Health Information Management Associations, Healthcare Financial Management Associations, Hospitals, Abbott Pharmaceuticals, Sanofi Aventis Pharmaceuticals, Kaiser-Permanente, Davita Dialysis Centers, Blue Cross, Blue Shield, Home Healthcare Associations, Assisted Living Associations, Healthcare Associations, National Council for Prescription Drug Companies, Organization of Nurse Leaders, Medical Group Management Associations, Healthcare Risk Associations, Healthcare Quality Associations  

In this episode, Valerie Martinez, chief health equity officer, Blue Shield of California's Promise Health Plan, shares her journey in healthcare and her role in bridging clinical and managed care to promote health equity. Valerie discusses the critical initiatives she leads, including the integration of health equity across services, community resource centers, and mobile mammography clinics, to improve access and outcomes for California's Medi-Cal population.

About Paul Markovich:Paul Markovich is the president and CEO of Blue Shield of California, a nonprofit health plan generating $24 billion in annual revenue and serving 4.8 million members across various markets in California. With over 25 years of experience at Blue Shield, Paul has driven numerous innovative initiatives, including funding a statewide provider directory, supporting the development of a statewide health information network for holistic patient care, and partnering with the California Medical Association to pilot new care delivery models. His leadership focuses on reimagining healthcare by leveraging technology and creating a system that is both affordable and high-quality.Previously, Paul served as the chief operating officer, overseeing crucial areas such as healthcare services, network management, marketing, and customer operations. He has a history of introducing groundbreaking products and services, including the first California Health Maintenance Organization to allow self-referrals to specialists and online access to member benefits. Paul serves on the boards of the Blue Cross Blue Shield Association and America's Health Insurance Plans. A North Dakota native and Rhodes Scholar, he holds a master's degree in philosophy, politics, and economics from Oxford University and a Bachelor of Arts in International Political Economy from Colorado College, where he also played Division I hockey.Things You'll Learn:Blue Shield of California's collaboration with Salesforce aims to digitize the prior authorization process, making it as seamless as credit card transactions and eliminating the need for outdated fax machines.Rather than making incremental improvements, Blue Shield focuses on creating a new, functional healthcare system with comprehensive digital health records.Successful healthcare innovation requires strong collaborations, as exemplified by the partnership with Salesforce for real-time data integration.Paul emphasizes the importance of learning from failures and aligning with skilled partners to drive meaningful innovations.Blue Shield's nonprofit mission centers on providing affordable, stress-free healthcare access and improving patient care through advanced digital solutions.Resources:Connect with and follow Paul Markovich on LinkedIn.Follow Blue Shield of California on LinkedIn and visit their website

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

In this special episode, I reflect on my journey alongside an extraordinary leader and mentor, Veronica Urzua-Alvero, Vice President of Human Resources at Church Brothers Farms, who has been instrumental in shaping not only UnitedAg's organization but also my own approach to leadership. Veronica's roots in agriculture, inspired by her family, set her on a path where she found her true calling in operations and community-building within the ag industry. Her resilience and determination allowed her to rise above challenges and stay focused on her own growth without letting external factors derail her journey.Veronica's strategic thinking and unique insights have shaped UnitedAg's distinct approach, one that doesn't simply follow the industry but stays true to who we are. Through her guidance, I've learned how important it is to view challenges with a long-term perspective, making big-picture decisions that serve the greater good, even if they're tough in the moment.During our conversation, Veronica also shares her shift from a focus on individual achievement to empowering her team, fostering a growth-oriented and purpose-driven environment. We both emphasize the importance of empathy and coaching in leadership, striving to build understanding and resilience within our teams.  We also reflect on the impact of Veronica's leadership, especially in her role at UnitedAg such as serving as the first female chairperson in 2013 and guiding us through significant events like the Affordable Care Act (ACA) and COVID-19. Her big-picture vision and risk management skills were essential to building a strong foundation for UnitedAg, setting structures and making decisions that continue to support our organization today. I am deeply grateful for her friendship and leadership. She has not only shaped UnitedAg but has influenced how I lead and live my life, encouraging me to think beyond the immediate and truly value the people and purpose behind our work. Join us as I celebrate and share the lessons I've learned from this remarkable leader and friend, Veronica Urzua-Alvero.Veronica Urzua-Alvero: https://www.linkedin.com/in/veronica-urzua-alvero-52842730b/Church Brothers Farms: https://www.churchbrothers.com/This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgEpisode Contributors - Veronica Urzua-Alvero, 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 

Banner|Aetna, Blue Shield of California, Healthfirst and TytoCare explore innovative strategies that health plans can leverage to drive meaningful lifestyle modifications among members, improve health outcomes and reduce the rising costs of chronic disease.    Our expert panel also discusses the role of primary care in empowering members to adopt healthier behaviors.   Topics include: Building a culture that fosters habit formation for long-term success Supporting members using GLP-1s for weight management Addressing Social Determinants of Health (SDOH) to improve outcomes Leveraging technology to encourage sustainable lifestyle modifications   Panelists: Joe Brennan, Vice President, TytoCare Robert Groves, MD, Executive Vice President and Chief Medical Officer, Banner|Aetna Eric Glazer, Host (moderator) Angie Kalousek, Senior Director, Lifestyle Medicine, Blue Shield of California Amanda Parsons, MD, MBA, Vice President, Clinical Management, Healthfirst Bios: https://www.brightspotsinhealthcare.com/events/innovations-in-lifestyle-change-the-role-of-primary-care-2/   This episode is sponsored by TytoCare   TytoCare is a virtual healthcare company that enables leading health plans and providers to deliver remote healthcare to the whole family through its Home Smart Clinic. Combining a cutting-edge, easy-to-use, FDA-cleared device with AI-powered guidance and diagnostic support, the Home Smart Clinic enables the whole family to conduct remote physical exams with a doctor, replicating in-clinic exams for immediate answers from home. TytoCare drives utilization rates that are six times higher than traditional telehealth services; reduces the total cost of care by an average of five percent; diverts ED visits by an average of 10.8%; and has a high average NPS of 83. The Home Smart Clinic includes Tyto Engagement Labs™, a proven framework of engagement journeys designed for the successful deployment and adoption of the solution. To complete its offering, TytoCare also provides the Pro Smart Clinic, for professional settings outside the home to serve rural clinics, schools, workplaces, and more. TytoCare serves over 250 major health systems and health plans in the U.S., Europe, Asia, Latin America, and the Middle East. For more information, visit us at tytocare.com.

On this episode of The Founder's Sandbox, Brenda speaks with Eli Farhood, Chief Executive Officer at Katsh Digital ID. Hailing from Greece, Eli is a prior financial services executive and, with Katsh, a second time Founder. After experiencing fraud first hand, he pivoted a business in the making to create Katsh; separating one's device from the need for authentication. Katsh aspires to democratize identify protection. For the month of October, they speak about cybersecurity and how to structure resilience into your company. You can find out more about Eli at: https://www.linkedin.com/in/efarhood/ https://www.buzzsprout.com/2228414/episodes/15385106-stop-using-insecure-passwords-with-eli-farhood https://missionmatters.com/defending-digital-frontiers-meet-the-hosts/ You can subscribe to Next Act Advisors at https://nextactadvisors.com/product/subscriptions/ and be sure to use the special discount code "sandbox25" for friends of The Founder's Sandbox for 25% off your subscription.   Transcription:  00:04 Hi, I'm pleased to announce something very special to me, a new subscription-based service through Next Act Advisors that allows members exclusive access to personal industry insights and bespoke 00:32 corporate governance knowledge. This comes in the form of blogs, personal book recommendations, and early access to the founder's sandbox podcast episodes before they released to the public. If you want more white glove information on building your startup with information like what was in today's episode, sign up with the link in the show notes to enjoy being a special member of Next Act Advisors. 01:01 As a thank you to Founders Sandbox listeners, you can use code SANDBOX25 at checkout to enjoy 25% off your membership costs. Thank you. 01:22 Welcome back to the Founder's Sandbox. I am your host, Brenda McCabe. We're now into our third season and over 38 episodes. This monthly podcast, it reaches entrepreneurs and business owners who like building and learning about resilient, purpose-driven and sustainable businesses with great corporate governance undergirding them. At the Founder's Sandbox and in my work, 01:52 I have a very simple mission, and I want to help build the scalable, well-governed and resilient businesses. The guests that come to the podcast are founders, business owners, corporate board directors, investors and professional service providers who, like me, want to use the power of the enterprise, small, medium or large, to effect change for a better world. 02:17 Through storytelling with each of my guests, we're gonna touch on topics on their own journey that includes resilience, purpose-driven enterprises and sustainable growth. And my goal is to provide a fun environment in a sandbox where we can equip one founder at a time to build a better world through great corporate governance. Today, I'm absolutely delighted to have as my guest, Eli Farhoud. Eli is joining the podcast today. 02:47 in many roles, but primarily he is chief executive officer of Catch Digital ID. This is his second company that he's founded. And he also is an immigrant. So we're gonna touch on several of his stories while we go into this podcast. So thank you, Eli, for joining me today. Hi, Brenda, thank you for having me. I'm really glad to be here. Excellent. 03:13 So again, to my guest, you know, you can find this podcast on any major platform. And I do like to choose jointly with my guest a title. And Eli and I settled upon resilience. And it's gonna be about his team, the company, and the resiliency that's necessary when you're building a company. And we're specifically gonna go into what Catch Digital ID does, cybersecurity. 03:42 and democratizing. So I want to go back to my own journey before I get to your tagline, Eli. My work at Next Act Advisors, which is my consulting arm, and the Founder Sandbox is yet another channel to get to my guest and my clients, I was undeniably influenced by a major life change and moving back to the United States after living 25 years or more in Europe. 04:12 And I talk about being really purpose-driven, scalable, and resiliency in my own journey. So what would your tagline, Eli, be? I share that tagline with you. Resilience is everything. If we don't have resilience, we give up quickly. We don't keep pushing. We don't stay on foot. We don't build the foundation that will help us get there. Resilience is, in my view, I put it under, 04:42 know, being tenacious, having that tenacious and being tenacious and not giving up. And yeah, resilience is very, very important, not just in business. I think on a personal level, resilience brings success to your life. And with respect to the current company that you are leading, Catch Digital ID, does it also have a tagline? 05:10 Yeah, I would say resilience also matches. We're purpose-driven, but resilience definitely matches because most of our team members have had fraud in some shape or form in their life. And that was giving us the energy to keep pushing. For example, our marketing manager had her social accounts hacked multiple times. I was a victim for fraud twice, financial fraud. So... 05:36 My team members also, you know, they're coming from multinationals like IBM and the Raytheon and Symantec. And, you know, they've dealt with, you know, all the identity security, and they know the market very well. So they also understand how to be secure, you have to be very careful about yourself, about your information. And they've seen it over and over in those businesses, you know. 06:03 I mean, IBM sells identity products, semantic cells, and a virus, right? And Raytheon also does great weapons and other stuff, but basically they were working on the security, they've seen it all. And so resilience definitely, you know, is, it has to be, every one of us is an entrepreneur, let's put it this way, and you have to be resilient. That really is a great segue to, you touched on the resiliency of the teammates that, you 06:33 come with very large logos where they've served. They've also been as yourself victims of fraud. So what was your mission when you actually established the company Catch? So we want to really democratize access for everyone. This is basically the goal. We want to have Catch IT in the hands of most people for free. Okay. 07:02 the end user, the consumer. And the reason why is, well, A, we're able to do that. And B, that's how you provide or democratize access. If everyone has a digital ID that can protect their sensitive information from abuse, then you're onto a thriving digital economy. And you're able to unlock a lot of value there where people can exchange goods. 07:31 services, send money to each other, share payments, they can do a lot of things. And some of the things that today we have to do in person, because we're concerned that it's not secure to do that online. So how about if we're able to bring that security to the online world, you would think, like we once tried to imagine how people can use our product and it was so many like venues there. 08:01 You know, we're going to get to how you're raising funds right now. And I can't ask you, you want to not only democratize, but actually provide this for free. So we're going to get into this a little bit later. But there are a lot of cybersecurity products out there. Why is your solution different? And is it enterprise grade, or is it really for individuals, right, citizens? And that's that. 08:30 that leads to how you're raising money. Talk to me about how your solution is different. That's a great question. When we first built Catch, it wasn't Catch. Catch became Catch after I fell victim for fraud. But it was an identity solution to the military. So we wanted to build something military-grade, that the military community can use, can rely on, a reliable product. 09:01 And when we looked at biometrics out there today, all the biometric systems that are available, we noticed that the most reliable ones are dependent on a device, like clear at the airport, for example, your face ID on your iPhone, perhaps Amazon one at the Whole Foods and maybe other brands that I maybe don't know of. And that was the handicap, if you want, of biometric technologies. 09:29 is that requirement that hardware need, right? Yes. If you need a special hardware to operate a biometric system, then it's only convenient where the hardware is available. Got it. And not just that, you would still need to have to use passwords. And when I fell victim to fraud, the big lesson I learned is that fraudsters today can leverage data breaches. 09:59 use that information to their advantage, they can hack our devices, they can hack our identities and hack our accounts. So, and history also has shown, you know, when you see the likes of Microsoft being compromised, you know, hundreds of millions of accounts, AT&T just a few weeks ago, 70 million accounts, 3 billion social security numbers. We were talking about large numbers here. It's not a joke. 10:27 when you see those data breaches and cannot be stopped even by Microsoft, then what can the average Joe do here to protect themselves, right? These are 20 dollar companies who keep pockets, they have teams of engineers, I mean, they have all the resources they want and they're still getting compromised. So we came to that conclusion, like it's really hard. Once information is available on the public domain, it cannot be protected. 10:54 one way or another one day, it's going to be compromised. And so our solution was to eliminate credentials from the security equation. Can you say that again? So it's you're eliminating credentials? We are eliminating credentials from the security of our identities so that hackers have nothing to compromise or to steal anymore. Is that the same as in HIPAA where it is sanitized or it's 11:22 that the private data is disassociated from the health record? No, it's not. Because you're eliminating a credential that existed, and now it no longer exists. We're placing that credential with a hand biometric, but a strong security hand biometric. I can't emphasize enough on strong security, because if you ask people to replace their passwords 11:52 it has to provide a better security than password. You know, the beauty about password is that if it's compromised, I can change it. But can you change your biometric? No. You cannot. And accordingly, it has to be really strong security so that people can trust that technology or that product and use it. And this is really the genesis of cache is that we wanna provide that convenience on any device 12:21 using your hand or we call it palm, right? And it's a strong technology because it involves a lot of technicalities, we can discuss that later, but basically it's a very strong technology that even if a copy of your hand, a picture of your hand, or even a video of your hand has been compromised, that won't affect you or affect your identity security. And this is our promise to our consumers. And it's probably your secret sauce. 12:50 It is a process, but we can go over that quickly. Yeah. Yes, we can get into that. I like that it's independent of device, right? So device agnostic, right? And you eliminate the credentials. So it's fascinating. Fascinating. Got lots of ideas to explore. Because we know credentials are a pain. Absolutely. Right? Who doesn't manage hundreds of passwords? Yeah. That's on an individual level. Let's see in the enterprise world. 13:19 they even have a stronger pain there. As an employee, you have to keep changing those credentials, take care of this, they keep them in a secure place. Enterprise are spending hundreds of millions of dollars just to store that credentials and keep it away from the hackers. So this is a strong pain and it's not efficient. They go back to the sustainability, it's not sustainable. So if we were to go back up a little bit. 13:48 What have been the shortfalls or continue to be the shortfalls of cybersecurity? That's a great question. Yeah. Yeah. It's a big one, right? We know that 80% of fraud globally stems from stolen ID credentials. That's a whopping big number. I've been a victim. That's a big number. Right. And then they send you, you know, 14:16 crawl or experience and for a year it's free, but then you get another hack like that of Microsoft or Blue Shield, all right? So what have been the shortfalls of cybersecurity and perhaps we'll continue to have shortfalls that that catch can eliminate? Yeah, the shortfall like this big headline is that 80% of fraud globally stems from stolen credentials and. 14:42 That's how we came about this approach. Like, how do you solve this? Okay, we need to eliminate credentials. This is not sustainable. It can just keep rolling like this. The biggest shortfall is that we're aren't able to protect our data. I remember maybe eight, nine years ago, I hear of a data breach maybe once a year. Right. Maybe every other year. Now every other week, I hear of a data breach. 15:12 And this is not a surprise to, it's not surprising to us because we know that back in the days also fraudsters and scammers didn't have the technology on hand to conduct those preaches. Now they have access to the latest technologies as we do as well. And so they have access to AI, they have access to that automation that can make their job really efficient. You know, scamming or being a fraudster is a business. It is. 15:42 it is a business. And so they actually study, they do an economic study, like, how much are we going to spend to hack that database and how much we're going to make money out of the database. And the moment you make it extremely expensive for them to hack a database, this is where you're starting, you know, your, your, your, your goal to reach your goal of getting some security. The problem is that history shows, like I said earlier, 16:12 we couldn't just stop these data breaches. And now they're becoming more often, more often than ever. I can give you something a little scary. Like sometimes you can input ideas in a chat bot and it can give you a solution on how you hack a network. Think of just like a fraudster that has a lot of experience. He's asking AI how to hack a network. And I know AI will sometimes respond, I don't do this, like this is not ethical. But there's a way to actually rephrase the question. 16:42 and get the answer. And so now they have that artificial brain that is helping them, automating things for them. And now we can see it, you know, it's around us. And this is really the shortfall. We're not able to stop data breaches and they're providing access to fraudsters to our account. And that's why we need to do something. So can you walk us through 17:12 How you, I wanna download CatchID. How do I do this? Is it available in the market today? Where are you? Because it sounds like it can potentially be ubiquitous or is it you need to do the crowdfunding first? Walk me through some of the features and some of the data that you have already because I'm certain you have beta testing done, please. 17:40 Yeah, so we're made a testing right now with some clients. It is not available to the public, unfortunately. We're trying to get that availability in 2025. At this point, we're trying to validate also if there's any psychological barrier from an end user point of view. You know, sometimes users can be paranoid of biometric technologies. That's right. And that could be a barrier for market entry. So... 18:08 The reason why we launched the crowdfunding is that we wanted to validate. Do people want to choose convenience over passwords, which is already not providing the security that it's aimed for, the stuff they're trying to. Because the fact, the matter of fact is that in cybersecurity, if you ask anyone in the community, they will tell you that if your device is compromised, nothing can save you. Face ID can be bypassed. 18:38 One-time codes can be caught there. Google Authenticator can be accessed. So basically, if your device is compromised, which is a very common thing, by the way, a lot of people do not realize that their device is already compromised and someone has a back door and is able to track every move they do on those devices. I'm not trying to freak people out, but this is a fact. And I have to say things as they are. And so... 19:04 Once that scammer gathers enough information about you, or they need a piece of the puzzle, they can also visit the dark web and get the complete set of data from your social security to your email, to your phone number, and then what? They have that puzzle available now, and they have a fully-fledged identity that they can use to create an account. So I also get this question a lot, and I'm happy to share that with your audience. 19:34 Some people tell me, well, I'm not Elon Musk or like I have $0 in my bank account. I don't care if someone takes my private information. Guess what? Most fraudsters don't want to steal money from you. In fact, they want to use your name to create a fake account and funnel illicit activities using your name. That's the big goal. Some of them obviously they want to steal money but others... 20:03 They want to just use your name. And the thing is when they fall, you're falling, not them. You're basically, they're piggy-bagging on your identity. Identity, right? Right. So that's in the financial world, in the medical world, I mean, our healthcare system, sometimes you can just know that someone conducted a surgery using your account. When you get the co-payment, you didn't know about it, but you learned then. 20:32 Taxi then also. Oh yeah absolutely. Absolutely. And so that brings you back to the core reasons on like why we approached finding a solution. Today you're using password, you think you can't change it, but then hey you're at risk, you're vulnerable. We recommend you try something else. If you're not convinced with our concept, that's perfectly fine. But try something else. Maybe you want to use two-factor authentication or three-factor authentication. 21:02 It can be really complicated at this point, right? You just hear stuff, but it's something you should do. Just don't rely on passwords. That's our advice. All right, so you are currently crowdfunding, as well you're testing also, beta testing with different user groups for a 2025 launch. How is the crowdfunding going? Are you doing on Kickstarter? Where are you doing the crowdfunding? 21:32 Another question is how has that fundraising journey been? Because today there is no longer a stigma associated to crowdfunding. Whereas 10 years back, I was like, ah, didn't want it to go that way. But more and more, there are more and more crowdfunding platforms that are truly enabling, particularly in the past two years, it's been incredibly hard to raise early stage money. 21:58 Can you, I know that's a loaded question. That's two questions. So what is your experience with crowdfunding and how soon will that get catched to the market to have it in our hands? No pun intended. Yeah, I mean crowdfunding, yeah, it did transform over several years in the past. So it had this bad connotation, but no, actually I've seen great products, growing and starting with crowdfunding. 22:28 And we've taken that course because we were interested in that aspect, validating that consumers want that. Um, we, we didn't, we didn't find problems selling this to businesses, to be honest, because there's a strong pain for them there, especially on an employee level, right? Because employees are our first market, to be honest with the enterprise, not the end user. But when they come to sell it to their end users, we wanted to make sure that 22:57 and users also want that, right? At the end of the day, I was offered voice verification at my bank. I refused it, right? Like many, the reason why, we've heard it before, right? How AI can synthesize your voice and someone can maybe use my synthetic voice to access my account, so I wouldn't do it. And so again, banks cannot force you to use one technology, they can offer it for you. 23:23 And if you're not convinced, you're not going to use it. So we wanted to validate both ends of the market. So far it's going well. We raised about $30,000 in the first six weeks. And now we're extending our campaign to raise more to get more validation there. But again, our customers now are not, like I said, end users. Our customers are enterprise and they're employees. 23:49 which is something they can enforce. If I'm an employee working for an enterprise and they tell me, well, you have to use your hand, no more passwords, I'll have to do it. I don't have that choice of saying no. And this is where now we're focusing on our niche, to be honest. So it will be enterprise grade, right? And it will be the employees will be substituting. That is the first. 24:17 uh strong pain that we're trying to resolve. And um you've raised 30 000 are you going to continue to do crowd funding through the end of 2024 Eli? Yes it's going to end by November. Okay all right and do you have information that I can provide my listeners later in the show notes in terms of the crowdfunding platform? 24:42 Yeah, we're crowdfunding on net capital. So it's not a Kickstarter just to differentiate. So people who put money in our project, they're investing. So they're capitalizing on this amazing opportunity. They're capitalizing on a strong market. It's an $80 billion market. This market is growing at 17% compounded annual growth rate. So by 2030, this market will turn into a $200 billion market. 25:09 So this is something really important for retail investors or consumers to capitalize on and invest with us, back us. Because by backing us, they're doing two things. A, they're saying, yes, we want to get rid of password. We don't want this vulnerability in our life anymore. So they're giving us validation and we thank them so much. Also, they're capitalizing on that by investing in us and getting shares in our company. So yeah, Kickstarter is different because Kickstarter sells products. We're not selling your product here. You actually... 25:38 buying shares of the company and investing in exactly. Excellent. Right. So let's switch gears. Let's switch to your immigrant founder story. Do you believe that it's even more arduous as a founder to raise money or open those doors that if you were not an immigrant? 26:07 would open more easily. Talk to me about your own journey coming to the United States and working in the finance industry. Yeah, of course. My background is in finance. I worked for more than 20 years in financial services. Before I stopped working in finance, I was a portfolio manager. So I was running portfolios for my clients. We were managing those portfolios in equities, commodities, 26:35 option markets. But again, so as an immigrant, I think that it tends to be equally, you know, I think money is equally available to immigrant as much as if you're local or born in the United States. My first startup, for example, was in Cyprus and I was able to raise money. I wasn't okay. I wasn't in a really good way. So I have a Greek roots. 27:02 But I mean, Cyprus is considered a very kind, so I'm not sure if it falls under. But I wasn't born there. I just started there. So I've been Cyprus is amazing. And it's a beautiful place. And so I raised money there. I didn't face problems. So I'm not sure if you can consider that being an immigrant there. But no, I don't think I don't think immigrants have a better edge unless they have been, you know, obviously, if you have done. 27:29 multiple access in the past, if you've been a serial entrepreneur or you have a lot of success stories, raising money would be definitely much easier than being a second founder or perhaps a first founder. First founders definitely struggle and I've seen it over and over. They struggle to raise money, whether they're immigrants or not. I don't think it's really related, but for some reason I've learned from investors that they like immigrants slightly more. 27:57 And it's for a fact maybe because these people are coming to America and they have a lot of excitement about the move to the land of opportunities. You know, America is called the land of opportunities and it's, it's, I think it's in the heads of every immigrant. Like I want to go to America. I want to take that opportunity and be able to make success. And they're not really 28:26 by money, they're driven more by their story, driven more by their mission, they're driven more by that energy they have. I wanna have a successful story, I wanna change people's life, I wanna make a difference. I think they're driven by that. Why, maybe if I was locally grown here, I was raised here, I might be in a different mindset. I'm just saying, again, I can be in the other person's too, but that's my humble, you know? 28:56 Thank you. So the land of opportunity, right? And perhaps even a bit, a greater degree of resiliency. And tenacity. Yes, that's true. That's true. Excellent. So I'd like to give you an opportunity, Eli, to provide to my guests where they may find information about yourself, Eli Farhoud. And is it your LinkedIn and your website? How else can listeners that want to contact you get in touch? 29:25 contact with you. Sure. I'm happy to connect with anyone who wants to learn more about the patch. So they can definitely visit our website, where all the links are available there. So that would be k-a-t-s-h-i-d.com. So it's a k-a-t-s-h-i-d.com. If you visit our website, there's an Invest button. 29:54 If they click on that, it takes them to our crowdfunding page. They can learn more about our story, how we started this, about our mission and vision, what are we trying to achieve there. If they can learn about the opportunity, the market, our team, they're mostly veterans in their space. And so we're very excited actually. I'm actually very fortunate that I have a strong team, a team that has a lot of experience on hand. 30:22 And they're really helping me so much to get catch to the market and commercialize market. That's why I'm very excited about the stage we're in now. Right. And when did you actually form the company? What year was that? We started, so the company was incorporated in 2016. We were building actually a social platform back then. 30:47 I'll tell you quickly about it. That was really cool experience. So we were building a social platform that solves the problem of fake accounts. And the concept we had in mind was very simple. How about if people start connecting through a live video? That was basically it. Very simple, you know? No texting, no anything, no attachments, no images. Just connect through a live video. That's the first mean of communication. 31:16 And we thought, okay, that would be cool. You know, if people can connect through live video, it's obviously not a scammer, right? It's the same way they show in the picture and we can eliminate fake accounts. Now that doesn't work today because they can use AI to create deep pics, unfortunately, right? So just to show you the fortunes of how technology is a gateway to opportunity, the same way, if you can't reinvent yourself, you will end up, you know, 31:47 not doing any achievements there. So unfortunately back then though the broadband availability was very limited. We're talking in 2012. That's when we started this company. And we kept growing it until 2015 where we faced that problem that the user experience was really bad. Yeah. 32:16 limited availability of broadband, the user experience was not good, the video footage was not also very satisfying. And obviously people were turned off by that and we started dwindling down and our company failed big time. We learned that timing is so important. Yes, underline technology, yeah, that's available. Absolutely, you can have the best technology in the world, but if it does not align with a pain point or with time 32:46 If there's no need at this point, the strong need for it, and you're not able to provide that value, it's probably going to fail. And so that's why we're excited also about Catch because we think that timing is right now for biometrics to replace this credential problem we have, all the data breaches that are happening that will not season our view, that will keep growing and getting bigger and bigger and bigger. Actually, I no longer try to say to my... 33:15 for my personal information from harm, because I know they're already there. Everyone know it, like it's on the dark web, it's probably on someone's drive now. And I just got an email this morning from my bank that my credentials were compromised. So just to give you an idea that I already like took all the precautions on a personal level because I felt obliged to victim, I don't wanna fall a third time. And so, yeah. And then... 33:42 To go back to your question, we started Catch in 2019, 2020. After I have fallen victim, we conducted a lot of market research. We looked at so many competing technologies in the biometric space. We tried to hack those technologies in our lab tests to learn, you know, what is their strength? What are their weaknesses? And that helped us a lot to shape up the product and to create the solution we have today. 34:13 So do you have white hackers on board? We do, actually, yes. Yes, I imagine so. If you started military, great. And the pandemic happened, right? So everybody went, worked from home. We had, again, a lot of data breaches that way. A lot of enterprises were not ready. So there's a lot of data. I mean, the numbers tell you, Brenda, $1 trillion were stolen from that $5 trillion were printed during COVID, or fortune. 34:43 So one trillion or about that was stolen. So what happened then? Right? What happened is that a lot of scammers took advantage. They created fake companies, fake identities, and they started claiming through those programs. Yes, I want this program. I want funds. I want loans. I want... It's insane, right? Knowing that how much money we've paid and lost during COVID. And COVID like also... 35:12 in a way reshaped our mindset and business, to be honest. Like who would meet virtually pre-COVID? Very few people, right? Now it's the norm and people are asking for remote. Who would go to the bank now? Actually, if you go to the banks, most of their branches are like ghost towns. Yes. So that also tells you that COVID has changed a lot of things and that actually why we believe 35:42 know, the time is right also for a product like catch. And it's quite unique. I can't say that I've encountered a biometric that uses your palm, right? Your hand, the immutable, unique, biometric measure, right? Yeah. Well, interesting. Interesting. All right. I wish you further resilience as you come into the last quarter. 36:11 of 2024 and a launch in 2025 with enterprise companies and their employees that can bring this new solution into credential management, right? Absolutely. We're very excited to it. That's very exciting. I always like to take my guests back to the sandbox and ask a round of. 36:38 questions, which is around what the type of work that I do. And they the words resilience, purpose driven enterprise, and sustainable growth, what resiliency you've talked to me about it, what's the meaning your tenacity? Do you want to add anything else to that? What's that, you know, meaning to you? Perhaps as founder, immigrant? You like please? Yeah, you know, 37:07 You want to have a lot of ethics as well. You want to make sure that you're being very transparent with your clients, especially with your clients, because they're your success story. They're the ones who are going to become the beacon for you. They're going to talk about you. I remember back in the days, this is just a great example, how my friend convinced me on using an iPhone where I was stuck with my... 37:34 physical keyboard and I was like no way I am not using an iPhone and he was literally an ambassador for Apple. Even though he never worked for them. Just because he was excited. Like the product was so amazing for him. It was so easy to use. It provided so much value and he was like, you know, you have to use this. Like you have to just give it a try. If you don't like it, just give it a try. And the first time I put my hand on the phone, I loved it. 38:04 So this again tells you a lot about being transparent with your clients, being very ethical, make sure that you're providing value on a long-term basis. Yes. The only way to do that is not just to be of course transparent and ethical, but also to provide sustainable products that can work for the long run. And of course, we have to be obviously, you know, making money and profitable because sustainability is part of that, right? Right. 38:34 But having a success story for the long term requires that ethical part and being very honest with your clients. I remember like I've been sold a lot of products that were very deceptive. And I know how I'm sure a lot of people did too, right? But that deception feeling you get when you're sold something, it's so harming to that brand, to that product. And actually it's harming also for the good guys. 39:03 It makes you just on anything else. No, I'm not going to try this anymore. I've been there. No, I've seen this before. Right. That's these we're trying to be that person that not just cause harm to their own brand, but also cause harm to other people that are trying to make a difference in the ecosystem. What about purpose driven enterprise? You began catch out of your own mission. Right. But what is purpose driven in general? Right. Mean to you. 39:33 Eli. I'm driven by my experience with fraud. Identity for me is very personal. It's very personal. And I'm not going to allow it to happen again. Right. So you're out on a small story. Yes. You're doing something about it. Exactly. I'm doing something about it. And I'm very happy that many of our team members also are purpose-driven on the same problem they face, like I did, in different ways, of course. 40:02 Identity theft can take several shapes and forms. Sometimes it's as simple as an unauthorized transaction on your credit card, which is something maybe you can absorb and manage and deal with, which happened to me last year, actually, and it can be sometimes something very big where someone accesses your checking account and now you're kind of like going through a two or three year process to clean your records. 40:32 move your innocence and you become a risk to everyone. No one wants to do business with you because you've had an identity theft. It's just not a joke. And, you know, now it's probably gonna happen more often than ever, unless products, not just cash, but anything like cash can help us secure our credentials. And, you know, it's also about taking back control. 40:59 This is very important. Maybe we didn't focus on that so much, but I wanna mention this. We wanna take back control over our information so that a third party can just use it behind our backs. 41:14 very important and therefore democratization, right? Right, right. We wanna bring that to the market, democratize access and allow people to decide who can use their information, when they can use it and why they're using it. Because this is very important today, identity or personal identifying information is used all over the world. This information represents who you are. And now, 41:44 that information and other information about us, our lives, are being sold day and night from enterprise to, I mean, we've all heard it about how Facebook or other firms were selling our information, they're making money off our information. We don't wanna change that. We want to bring that control back to you. You own your own information and you decide who can use it and who, and no one can send it. The access. Yes. 42:12 That's really important in our view. And that's what we're trying to achieve. Very exciting. Finally, sustainable. What does sustainable growth mean to you? Sustainable growth is the growth actually that just can be a normal, I would call it a normal mathematical equation. I'm making being full of philosophic here, but it's really when... 42:38 when you're growing organically because people see the value, this is a sustainable growth. It's also sustainable because you're not harming others, you're not harming the environment when you do this. You're not harming, or sometimes business requires that someone is using for you to gain. And that's not sustainable. We don't want that sustainability. We want a sustainability where it's a win-win situation. 43:05 And that's what we're trying to achieve at Catch. Of course, I can't tell you enough about the environment. Like if you think about just plastic cards we use for our credit cards, they are piling somewhere every year, all those cards that are being stolen and thrown in a dumpster. Or if you think about like digital identities can have a strong effect on the environment as well. Because... 43:33 If you're able to do things more remotely, virtually, instead of spending time, gas, miles, or using plastic cards, which I think plastic is toxic, it should be out of our life totally, especially in the food chain. That's a separate discussion. But yeah, technologies like these can have a very positive impact on the environment and sustainability itself as well. 44:00 I like the philosophical approach and very global, how you're thinking about removing the carbon footprint, right? Right. Lack of reducing the use of plastic. Right. Yeah, that's very, very beautiful. Thank you, Eli. The last and final question. Did you have fun in the sandbox today? 44:29 Did you have fun in the sandbox today, Eli? I loved it. And thank you for all your very meaningful questions. I mean, they were, you're trying to hit on most important aspects of what we do. And I think we did a great job here. So again, thank you so much for having me. And it was such a fun conversation. And I hope we were able to tell your audience something new. They learned something new about identity security. 44:58 Absolutely. To my listeners, if you like this episode with Eli Farhoud, sign up for the monthly release where founders, business owners, directors, and professional service providers share and also learn how to build with strong governance, sustainable, resilient, and purpose-driven companies to make profits for good. Signing off, talk to you next month. Thank you very much.    

In this episode, Kristin Cerf, President and CEO of Blue Shield of California Promise Health Plan, discusses the plan's recent four-star NCQA rating and the innovative approaches that led to this achievement. She shares insights on the importance of preventative care, data-driven strategies, and impactful community partnerships aimed at improving healthcare access for Medicaid members across California.

In this episode, Kristen Cerf, President and CEO of Blue Shield of California Promise Health Plan, discusses the plan's recent four-star NCQA rating and the innovative approaches that led to this achievement. She shares insights on the importance of preventative care, data-driven strategies, and impactful community partnerships aimed at improving healthcare access for Medicaid members across California.

Did you know that over 75% of Hoosiers want to age at home or in their community? In this episode of Caregiver Crossing, we're joined by Dustin Ziegler from Anthem Blue Cross & Blue Shield to discuss how they're helping caregivers, and their loved ones navigate Indiana's new PathWays for Aging program, designed to support that goal. Dustin also shares insights into caregiver health, focusing on mental well-being and self-care, and introduces Joy's House's new resource, Caregiver Way, which Anthem Blue Cross & Blue Shield proudly supports. Show notes:www.Joyshouse.orgwww.caregivercrossingradio.orghttps://visitcaregiverway.com/https://www.anthem.com/https://www.in.gov/pathways/home/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us a textIt's no secret that medical drug prices have been out of control for most Americans.However, one hospital group has a novel idea to control drug spending.Blue Shield of California is bypassing PBMs by negotiating directly with the manufacturer of a biosimilar for Humira.Is this a one-off experiment or the start of a bigger trend that can drive industry-wide impact?In this episode of CareTalk, David E. Williams and John Driscoll discuss these price negotiation tactics and what they see as the long-term results of Blue Shield of California's attempt to lower pharmaceutical prices.This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.TOPICS(0:34) Sponsorship(1:50) Understanding the Complex Nature of Deals with PBMs(2:40) Examining the Humira Deal(3:18) Is the Humira Deal a Trend in Healthcare?(5:43) Will Deals Like Humira Lower Drug Costs?(7:30) Will Patients See Lower Drug Costs?(9:58) How PBMs Factor into Lowering Drug Costs(11:58) The Investor's Perspective on the Blue Shield Deal(13:20) How Patients Factor into Drug Negotiations(16:48) Exploring Cost Plus's Pricing Deals(20:30) PBMs, Inflation, and the Future of Drug Costs

In this episode, I spoke with Jayson Welter, our General Counsel at United Ag, about our advocacy efforts for agricultural communities, particularly in healthcare. We discussed key challenges like hospital closures and improving access to mental health services through platforms like Teladoc. Jayson explained how the Affordable Care Act brought mental health parity, ensuring equal costs for mental and physical healthcare.  We also touched on the empathy and care that agricultural employers have for their workers, and how improving healthcare coverage boosts productivity. Our advocacy isn't just about making requests—it's about building relationships, educating policymakers, and showing the real challenges faced in rural healthcare and agriculture.I encourage anyone, even outside of agriculture, to get involved. Whether it's locally or joining us in Sacramento, every effort makes a difference. Agriculture touches all of us, and together we can do even more to support the communities that feed our nation.Jayson Welter - https://www.linkedin.com/in/jayson-welter-7b049290/UnitedAg Advocacy - https://www.unitedag.org/advocacy/This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgEpisode Contributors - Jayson Welter, 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

KCBS Radio's Patti Reising and Bret Burkhart host a panel of experts to discuss the question - what is the state of mental health, around the Bay Area and beyond? Panel guests: Nicole Stelter, Ph.D., LMFT, Director of Behavioral Health, Clinical Strategy & Programs at Blue Shield of California Juan Acosta, mental health advocate, LGBTQ activist, content creator and public speaker Amanda Lai, Bay Area high school student & Mind Out Loud participant Lesley Garcia, MS, Director of Programs, Contra Costa Crisis Center This episode is part of Audacy's I'm Listening initiative, which aims to encourage those who are dealing with mental health issues to understand they are not alone. If you or anyone you know is struggling with depression or anxiety, know that someone is always there. Additionally, the Suicide & Crisis Lifeline is available 24 hours a day, 7 days a week at 988.

Matt Gibbs, Pharmacy Transformation Leader at Blue Shield of California, discusses shifting away from traditional PBMs, embracing transparency, and creating a modular pharmacy model. He shares insights on cutting ties with CVS, partnering with Amazon for mail service, and using modern technology to empower health plans. Learn more at:Blue Shield of CaliforniaThe Business of Pharmacy Podcast

Our guest today is Frank Cheung, Co-Founder and CEO of Accorded. Frank has held pivotal roles at Blue Shield of California, Deloitte, and Collective Health, leading efforts in risk management and value-based care. Frank's unique perspective is shaped by his extensive experience in both payer and provider settings. He has been recognized as one of the Top 50 Value-Based Care Thinkers of 2024, highlighting his significant contributions to advancing healthcare analytics and supporting innovative care models. In this episode, we discuss the critical role of actuarial science in value-based care, Frank's journey founding Accorded, the challenges of scaling actuarial capabilities, and his advice for startups aiming to make an impact in the healthcare industry. Do you have any thoughts or guest suggestions? Please email us at hello@rosenmaninstitute.org.

Charles Ernst - https://www.linkedin.com/in/charles-ernst-994547124CoreVantage - https://corevantagehub.com/This episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgEpisode Contributors - Charles Ernst, 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

In this episode of Black Market Reads: On Health Lissa and Bukata talk with poet Danez Smith about his latest work, BLUFF. Written after two years of artistic silence, during which the world came to a halt due to the COVID-19 pandemic and Minneapolis became the epicenter of protest following the murder of George Floyd, Bluff is Danez Smith's powerful reckoning with their role and responsibility as a poet and with their hometown of the Twin Cities. This is a book of awakening out of violence, guilt, shame, and critical pessimism to wonder and imagine how we can strive toward a new existence in a world that seems to be dissolving into desolate futures. Smith brings a startling urgency to these poems, their questions demanding a new language, a deep self-scrutiny, and virtuosic textual shapes. A series of ars poetica gives way to "anti poetica" and "ars america" to implicate poetry's collusions with unchecked capitalism. A photographic collage accrues across a sequence to make clear the consequences of America's acceptance of mass shootings. A brilliant long poem--part map, part annotation, part visual argument--offers the history of Saint Paul's vibrant Rondo neighborhood before and after officials decided to run an interstate directly through it.   Bluff is a kind of manifesto about artistic resilience, even when time and will can seem fleeting, when the places we most love--those given and made--are burning. In this soaring collection, Smith turns to honesty, hope, rage, and imagination to envision futures that seem possible. Danez Smith is the author of three previous poetry collections, including Homie, a finalist for the National Book Critics Circle Award, and Don't Call Us Dead, winner of the Forward Prize for Best Collection and a finalist for the National Book Award. Our production team for this episode includes co producers/ Lissa Jones and Edie French, co-host/Bukata Hayes, technical director/Paul Auguston, The Voice/Yo Derek, and our artist of inspiration/Ta-coumba T. Aiken. We thank Blue Cross Blue Shield of Minnesota for supporting On Health focusing on the intersection of health, race, and culture. Black Market Reads: On Health is a collaboration with Blue Cross and Blue Shield of Minnesota, as part of Blue Cross' long-term commitment to improving the health of Minnesota communities and ensuring that all people have opportunities to live the healthiest lives possible.   

Minnesota State University, Mankato announced a five-year agreement with Blue Cross and Blue Shield to open The Rural Behavioral Health Clinic this year. Rural patients living in greater Minnesota often encounter barriers to receiving services including having to travel great distances to see mental and behavioral health care providers.And the Hennepin County Attorney's Office today dismissed charges against a man accused of attacking residents of a north Minneapolis homeless shelter after police misidentified the suspect. Those stories and more in today's evening update from MPR News. Hosted by Emily Reese. Music by Gary Meister.

How Data Sharing Is Transforming Healthcare Delivery On this episode of The Spark, Shruti Kothari, Director of Industry Initiatives for Health Care Reform at Blue Shield of California, discusses her experiences working in different areas of healthcare, from frontline care in underserved communities to driving innovation and policy at large organizations. She covers key priorities such as data sharing, payment innovation, and behavioral health integration. Shruti highlights the importance of collaboration between providers, health plans, and innovators to overcome barriers to scaling solutions. She also emphasizes the need for long-term, sustainable changes in addressing systemic issues. Hosts: Rachel Schreiber Gerald Bortis Guest from Blue Shield of California Shruti Kothari, Director of Industry Initiatives for Health Care Reform 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/

I was talking to one health plan sponsor, and she told me if she sees any charges for value-based care anything on any one of the contracts that get handed to her, she crosses them off so fast it's like her superpower. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. What, you may wonder? Shouldn't employers and plan sponsors be all over value-based care–type things to do things preventatively because we all know that fee-for-service rewards, downstream consequences–type medical care, no money in upstream. Let's prevent those things from happening. Listen to the show with Tom Lee, MD (EP445); Scott Conard, MD (EP391); Brian Klepper, PhD (EP437). My goodness, we have done a raft of shows on this topic because it is such a thing. So, why wouldn't a plan sponsor be all over this value-based care opportunity? Now, I'm using the value-based care words and big old air quotes. Let's just keep that very much in mind for a couple of minutes here. I'm stressing right now that value-based care isn't a one-to-one overlap with care that is of value. So, let me ask you again, why wouldn't a plan sponsor be all over this air-quoted value-based care opportunity? Let me count the ways, and we'll start with this one. Katy Talento told me about this years ago. She said, it's not uncommon for dollars that a plan sponsor may pay to never make it to the entity that is actually providing the care to that plan sponsor's plan members. So, I'm a carrier and I say, I'm gonna charge you, plan sponsor, whatever as part of the PEPM (per employee per month) for value-based care or for a medical home, or pick something that sounds very appealing and value-like. Some of that money—not all of it, because the carrier's gonna keep some, you know, for administrative purposes—but whatever's left over could actually go to some clinical organization. Maybe it's the clinical organization that most of the plan's members are attributed to. Or maybe it's some clinical organization that the carrier is trying to make nicey nice with, which may or may not be the clinical organization that that plan sponsor's patients/members are actually going to. Like, the dollars go to some big, consolidated hospital when most of the plan's members are going to, say, indie PCPs in the community, as just one example. So, yeah, if I'm the plan sponsor in this mix, what am I paying for exactly and for how many of my members? I've seen the sharp type of plan sponsors whip up spreadsheets and do the math and report back that there ain't much value in that value-based care. It's a euphemism for, hey, here's an extra fee for something that sounds good, but … The end. Then I was talking to Marilyn Bartlett the other day and drilled down into some more angles about how this whole “hey, let's use the value-based care word to extract dollars from plan sponsors” goes down. Turns out, another modus operandi beyond the PEPM surcharge is for carriers to add “value-based fees” as a percentage increase or factor to the regular claims payments—something like, I don't know, 3.5% increase to claims. These fees are, in other words, hidden within billing codes. So, right, it's basically impossible to identify how much of this “value-based” piece of the action is actually costing. These fees are allowable, of course, because they're in the contract. The employer has agreed, whether they know it or not, to pay for value-based programs or alternative pay, even though the details are not at all, again, transparent. And that not at all transparent also includes stuff like, what if the health systems or clinical teams did not actually achieve the value-based program goals? What if they failed to deliver any value-based care at all for the value-based fees they have collected? How does anybody know if the prepaid fees were credited back to the plan sponsor, or if anything was actually accomplished there with those fees? Bottom line, fees are not being explicitly broken out or disclosed to the employers. Instead, they are getting buried within overall claims payments or coded in a way that obscures the value-based portion. So, yeah, charges for value-based care have become a solid plan to hide reimbursement dollars and make carrier administrative prices potentially look lower when selling to plan sponsors like self-insured employers. Justin Leader touches on this in episode 433 about the claims wire, by the way. Now, caveat, for sure, it's possible that patients can get services of value delivered because someone uses that extra money. And it's also possible that administrative costs go up and little if any value is accrued to patients, right? Like one or the other, some combination of both. It goes back to what Dr. Tom Lee talked about in episode 445. If there's an enlightened leader who gives a “shed,” then indeed, patients may win. But if not, if there's no enlightened leader in this mix, it's value based alright for carrier shareholders who take bad value all the way to the bank. Al Lewis quotes Paul Hinchey, MD, MBA, who is COO of Cleveland-based University Hospitals. And Dr. Hinchey wrote, “Value-based care has increasingly become a financial construct. What was once a philosophy centered on enhancing patient care has been reduced to a polarizing buzzword that exemplifies the lack of alignment between the financial and delivery elements of the healthcare system.” And then on the same topic, I saw William Bestermann, MD, he wrote, “The National Academy of Medicine mapped out a plan to value-based care 20 years ago in detail. We have never come close to value-based care because we have refused to follow the path. We could follow it, but we don't, and we never will as long as priorities are decided by businessmen representing stockholders. It is just that simple.” Okay, now. Let's reset. I'm gonna take a left turn, so fasten your seatbelts. Just because a bunch of for profit and not-for-profit, nothing for nothing, entities are jazz-handing their ways to wealth by co-opting terminology doesn't mean the intent of value-based care isn't still a worthy goal. And it also doesn't mean that some people aren't getting paid for and providing care that is of value and doing it well. There are, for sure, plenty of examples where an enlightened leader was able to operationalize and/or incentivize care that is of value. Occasionally, I also hear a story about a carrier doing interesting things to pay for care that is of value. Jodilyn Owen talked about one of these in episode 421. Justina Lehman also (EP414). We had Larry Bauer on the show (EP409) talking about three bright spots where frail elderly patients are getting really good care as opposed to the really bad care that you frequently hear about when you even say the words frail elderly patient. And all of these examples that he talked about were built on a capitated model or on a model that facilitated patients getting coordinated care and there being clinicians who were not worried about what code they were gonna put in the computer when they helped a patient's behavioral health or helped a patient figure out how they were gonna get transportation or help them access community services or whatnot. There are also employers direct contracting with health systems or PCPs and COEs (Centers of Excellence) and others, contracting directly with these entities to get the quality and safety and preventative attention that they are looking for. And there are health systems and PCPs and practices working really hard to figure out a business model that aligns with their own values. So, value-based care—the actual words, not the euphemism—value-based care can still be a worthy goal. And that, my friends, is what I'm talking about today with Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health (PBGH). PBGH members are really focused on innovating and implementing change. We talk about some of this innovation and implementation on the show today, and it is very inspiring. Elizabeth argues for for-real alternative payment models that are transparent to the employer plan sponsors. She wants prospective payments or bundled payments, and she wants them with warranties that are measurable. She wants members to get integrated whole-person care in a measurable way, which most health plans (ie, middlemen) either cannot or will not administer. Elizabeth says to achieve actual care that is of value, cooperation between employers, employees, and primary care providers is crucial (ie, direct contracts). She also says that this whole effort is really, really urgently needed given the affordability crisis affecting many Americans. There's been just one article after another lately about how many billions and billions of dollars are getting siphoned off the top into the pockets of the middlemen and their shareholders. These are dollars partially paid for by employees and plan members. We have 48% of Americans with commercial insurance delaying or forgoing care due to cost. If you're a self-insured employer and you're hearing this, don't be thinking it doesn't impact you because your employees are highly compensated. As Deborah Williams wrote the other day, she wrote, “Co-pays have gotten high enough that even higher-income patients can't afford them.” And she was referencing a study to that end. So, yeah … with that, here is your Summer Short with Elizabeth Mitchell. Also mentioned in this episode are Purchaser Business Group on Health; Tom X. Lee, MD; Scott Conard, MD; Brian Klepper, PhD; Katy Talento; Marilyn Bartlett; Justin Leader; Laurence Bauer, MSW, MEd; Al Lewis; Paul Hinchey, MD, MBA; William Bestermann, MD; Jodilyn Owen; Justina Lehman; and Deborah Williams.   You can learn more at PBGH and by connecting with Elizabeth on LinkedIn.   Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health (PBGH), supports the implementation of PBGH's mission of high-quality, affordable, and equitable healthcare. She leads PBGH in mobilizing healthcare purchasers, elevating the role and impact of primary care, and creating functional healthcare markets to support high-quality affordable care, achieving measurable impacts. Elizabeth leverages her extensive experience in working with healthcare purchasers, providers, policymakers, and payers to improve healthcare quality and cost. She previously served as senior vice president for healthcare and community health transformation at Blue Shield of California, during which time she designed Blue Shield's strategy for transforming practice, payment, and community health. Elizabeth also served as the president and CEO of the Network for Regional Healthcare Improvement (NRHI), a network of regional quality improvement and measurement organizations. She also served as CEO of Maine's business coalition on health, worked within an integrated delivery system, and was elected to the Maine State Legislature, serving as a state representative and chair of the Health and Human Services Committee. Elizabeth served as vice chairperson of the US Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee, board and executive committee member of the National Quality Forum (NQF), member of the National Academy of Medicine's (NAM) “Vital Signs” Study Committee on core metrics and now on NAM's Commission on Investment Imperatives for a Healthy Nation, a Guiding Committee member for the Health Care Payment Learning & Action Network. She now serves as an appointed board member of California's Office of Healthcare Affordability. Elizabeth also serves as an advisor and board member for healthcare companies. Elizabeth holds a degree in religion from Reed College, studied social policy at the London School of Economics, and completed the International Health Leadership Program at Cambridge University. Elizabeth was an Atlantic Fellow through the Commonwealth Fund's Harkness Fellowship program.   10:36 What are members and providers actually asking for in terms of value-based care? 10:56 Why won't most health plans administer alternative payment models? 12:17 “We do not have value in the US healthcare system.” 12:57 Why you can't do effective primary care on a fee-for-service model. 13:30 Why have we fragmented care out? 14:39 “No one makes money in a fee-for-service system if people are healthy.” 17:27 “If we think it is not at a crisis point, we are kidding ourselves.”   You can learn more at PBGH and by connecting with Elizabeth on LinkedIn.   @lizzymitch2 of @PBGHealth discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation #vbc   Recent past interviews: Click a guest's name for their latest RHV episode! Dr Will Shrank (Encore! EP413), Dr Amy Scanlan (Encore! EP402), Ashleigh Gunter, Dr Spencer Dorn, Dr Tom Lee, Paul Holmes (Encore! EP397), Ann Kempski, Marshall Allen (tribute), Andreas Mang, Abby Burns and Stacey Richter

We kick off 'This Week in Pharmacy' with a news review starting with an interview from Pharmacy Times with Rina Shah, SVP of Walgreens about -- "Sustainable Care Models Must Expand Role of Pharmacist" Rina discussed what the future of sustainable care models in the pharmaceutical industry. We also note the article titled: "Community Pharmacists Can Impact Disparities in Care Delivery" Drug Topics interviews Jasmine Perry, PharmD, senior clinical pharmacist, professional engagement and quality at Blue Cross and Blue Shield of North Carolina.  Access In some rural areas of the United States, pharmacists are the only health care providers that a community can access. Our guest, Vincent Grippi is the Founder and CEO of Grippi Media. He brings over 16 years of experience helping companies leverage digital marketing to accelerate business growth, reach new customers and build brand equity.    Vincent has designed and implemented digital marketing strategies for startups and Fortune 500 companies both agency-side and in-house. His work has been featured in AdWeek, Business Insider, Fierce Healthcare, Marketing Dive and more.   

————     Garth Heckman  The David Alliance TDAgiantslayer@gmail.com   BAM - watch them every Tuesday night on our Facebook page.   INTRO: What is the most common sin in man? Lust? Lust for power? Pride?  Its actually none of these… but so common it is overlooked. You do it, I do it, we all do it… So we should probably know what it is… right?    Health Insurance Follies: (1) Blue Shield California twice refused to pay $2,700 emergency-room claims by Rosalinda Miran- Ramirez, concluding that it was not a "reasonable" decision for her to go to the ER that morning that she awoke to a shirt saturated with blood from what turned out the be a breast tumor. Only after a KPIX-TV reporter intervened in September did Blue Shield pay the claim. (2) National Women's Law Center found that the laws of eight states permit insurance companies to deny health coverage to a battered spouse (as a "pre-existing condition," since batterers tend to be recidivists), according to a September report by Kaiser Health News. [KPIX-TV, 9-25-09] [MSNBC, 10-7-09] Garth's note: I am sure that being Hispanic the Insurer thought it was a clear Cut case of spousal abuse.  The insurance agency probably justified their Actions because that is the way it always is (in there minds)   So what is the most common sin of man? Rationalization! We can rationalize anything.    Rationalize Satan can sound very reasonable, but he is never reliable. Gary Zarlingo     Its not a baby, its a fetus, its not a fetus its just tissue, its not tissue its about a woman's reproductive rights… and by that we mean a health issue…  Or back to step one… its Murder.    Jeremiah 17:9 " The heart is deceitful above all things, And desperately wicked; Who can know it?   What does deceitful mean? It means it can twist logic to get away with anything… rationalization!    Morris Siegel, the owner of a small Kosher New York deli, was being questioned by an IRS agent about his tax return. He had reported a net profit of $60,000 for the year. Why dont you people leave me alone? the deli owner said. I work like a dog, everyone in my family helps out, the place is only closed three days a year. And you want to know how I made $60,000? Its not your income that bothers us, the agent said. Its these business travel deductions of $125,000. You listed ten trips to Israel for you and your wife. Oh, that? the owner said smiling. Well....we also deliver. [haruth.com].   The problem with rationalization is we can rationalize ourselves right out of the presence of God… and even then rationalize why he is no longer felt in our presence. 

Welcome to This Week in Pharmacy where we touch base on Pharmacy Times Reports on "Community Pharmacy's Existential Question: Should you Chase Product Revenues or Service Margins by Troy Trygstag PharmD. We talk about the Ohio Capital article on PBMs skimming millions of dollars from tax-payers, and Forbes reports on Mark Cuban Cost Plus Drugs is disrupting the PBM contracts and their work with Blue Shield of California. Big time news!!  Let's talk about Wound Care on This Week in Pharmacy: William Padula, PhD from the Alfred E. Mann School of Pharmacy & Pharmaceutical Sciences and-or David G. Armstrong MD from the Keck School of Medicine of USC, are talking with Todd Eury on TWIRx about a recent proposal from Medicare is calling to  eliminate coverage of some of skin substitute therapies, and the potential serious health risks that many Americans will face by limiting them. Skin substitutes, made from donated amniotic tissue, greatly improve wound care outcomes and help patients avoid limb amputations—a procedure that can double the risk of death for diabetic patients. This Medicare proposal under consideration will deny coverage of over 200 skin substitutes and limit how doctors can properly treat patients will leave tens of thousands of Medicare beneficiaries without treatment.

In this special bonus episode, Whit Missildine interviews Heath Schechinger and Lily Lamboy of the Modern Family Institute @modernfamilyinstitute, collaborators on our six-part miniseries, “The 82%: Modern Stories of Love and Family.” In this conversation we discuss the historical roots of the nuclear family and monogamy, how family and relationship structures have changed over the 20th century, the contemporary landscape of diverse families and Consensual Non-Monogamy, and the future of love and family. Dr. Heath Schechinger is a therapist, researcher, and organizer, known for his groundbreaking work within the realm of family and relationship diversity. In addition to his role as Co-Founder and Executive Director of the Modern Family Institute, he serves as the Founding Co-Chair of the American Psychological Association Division 44 Committee on Consensual Non-monogamy, and an Affiliate Faculty at the renowned Kinsey Institute. Dr. Schechinger's work sheds light on the elements that cultivate healthy relationships and the rise of non-nuclear family and relationship configurations. He has authored multiple empirical publications and clinical resources and his work has been featured in major media outlets such as The New York Times, BBC, Vogue, and Time Magazine.Dr. Lily Lamboy is a social impact executive, educator, artist, and scholar with over 15 years of experience building complex systems to support human flourishing. She currently serves as the Co-Founder and Managing Director of the Modern Family Institute. Prior to founding the Modern Family Institute, Dr. Lamboy led the Diversity, Equity & Inclusion functions at both Stripe and Blue Shield of California. She received her PhD in Political Science from Stanford University, where she also taught in the Feminist, Gender & Sexuality Studies and Rhetoric programs, receiving the Gores Award for Excellence in Teaching, Stanford's top prize for education. She has authored peer-reviewed articles addressing persistent sources of social inequality in publications including Cambridge University Press, Theory and Research in Education, and the International Panel on Social Progress. As an artist, she strives to make pieces that inspire lasting change in how we love, act, and organize our society. If you'd like to find out more about the Modern Family Institute, donate to help advance their work, or get engaged, please visit their website, modernfamilyinstitute.org. Producers: Whit MissildineContent/Trigger Warnings: sexual themes, explicit language Social Media:Instagram: @actuallyhappeningTwitter: @TIAHPodcastWebsite: thisisactuallyhappening.comSupport the Show: Support The Show on Patreon: patreon.com/happeningWondery Plus: All episodes of the show prior to episode #130 are now part of the Wondery Plus premium service. To access the full catalog of episodes, and get all episodes ad free, sign up for Wondery Plus at wondery.com/plus Shop at the Store: The This Is Actually Happening online store is now officially open. Follow this link: thisisactuallyhappening.com/shop to access branded t-shirts, posters, stickers and more from the shop. Transcripts: Full transcripts of each episode are now available on the website, thisisactuallyhappening.comIntro Music: "Illabye" – Tipper ServicesIf you or someone you know is struggling with the effects of trauma or mental illness, please refer to the following resources:National Suicide and Crisis Lifeline: Text or Call 988 National Alliance on Mental Illness: 1-800-950-6264National Sexual Assault Hotline (RAINN): 1-800-656-HOPE (4673)See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

A man grows up waiting for his sexuality to bloom, but after that moment never comes, he feels a longing for intimacy that leads him to transform the meaning of partnership, family and fatherhood for himself and for society.Today's episode featured David Jay. David is the founder of asexuality.org. If you'd like to reach out to David, you can email him at davidgljay@gmail.com. David's new book, titled “Relationality: How moving from transactional to transformational relationships can reshape our lonely world” is available for preorder on Amazon, and wherever books are sold. This episode is the first of a six-part miniseries called the 82 Percent: Modern stories of love and family, produced in collaboration with the Modern Family Institute. If you'd like to find out more about the Modern Family Institute, donate to help advance their work, or get engaged, please visit their website, modernfamilyinstitute.org. Modern Family Institute Founders:Dr. Heath Schechinger is a therapist, researcher, and organizer, known for his groundbreaking work within the realm of family and relationship diversity. In addition to his role as Co-Founder and Executive Director of the Modern Family Institute, he serves as the Founding Co-Chair of the American Psychological Association Division 44 Committee on Consensual Non-monogamy, and an Affiliate Faculty at the renowned Kinsey Institute. Dr. Schechinger's work sheds light on the elements that cultivate healthy relationships and the rise of non-nuclear family and relationship configurations. He has authored multiple empirical publications and clinical resources and his work has been featured in major media outlets such as The New York Times, BBC, Vogue, and Time Magazine.Dr. Lily Lamboy is a social impact executive, educator, artist, and researcher with over 15 years of experience building complex systems to support human flourishing. She currently serves as the Co-Founder and Managing Director of the Modern Family Institute and the Director of the Open Workplaces Initiative for the Organization for Polyamory and Ethical Non-Monogamy. Dr. Lamboy's research and career has focused how we can arrange social and economic resources to ensure care for all people across their lifespans. Prior to founding Modern Family Institute, Dr. Lamboy led the Diversity, Equity & Inclusion functions at both Stripe and Blue Shield of California, where she designed and executed scalable strategies for long-term social change. She has authored peer-reviewed articles in publications including Cambridge University Press, Theory and Research in Education, and the International Panel on Social Progress. Producers: Whit Missildine, Andrew Waits, Jason BlalockContent/Trigger Warnings: sexual themes, explicit language Social Media:Instagram: @actuallyhappeningTwitter: @TIAHPodcastWebsite: thisisactuallyhappening.comWebsite for Andrew Waits: andrdewwaits.comWebsite for Jason Blalock: jasonblalock.comSupport the Show: Support The Show on Patreon: patreon.com/happeningWondery Plus: All episodes of the show prior to episode #130 are now part of the Wondery Plus premium service. To access the full catalog of episodes, and get all episodes ad free, sign up for Wondery Plus at wondery.com/plus Shop at the Store: The This Is Actually Happening online store is now officially open. Follow this link: thisisactuallyhappening.com/shop to access branded t-shirts, posters, stickers and more from the shop. Transcripts: Full transcripts of each episode are now available on the website, thisisactuallyhappening.comIntro Music: "Illabye" – TipperMusic Bed: “Uncertain Outcomes” – SkyeVoyager ServicesIf you or someone you know is struggling with the effects of trauma or mental illness, please refer to the following resources:National Suicide and Crisis Lifeline: Text or Call 988 National Alliance on Mental Illness: 1-800-950-6264National Sexual Assault Hotline (RAINN): 1-800-656-HOPE (4673)See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.