Podcasts about CMS

This week I Share What 2026 Is Already Teaching Us [powerpress]

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Starting with a clearly defined niche can make all the difference when you're landing your first clients and deeply understanding that niche can carry you through the toughest seasons of agency life. Today's featured guest built his agency on exactly that foundation. Before launching his firm, he spent years working as a consultant for governments, UN agencies, and the European Commission. Along the way, he identified a clear gap in the market. That expertise proved invaluable during the pandemic. While uncertainty hit many agencies hard, he trusted his understanding of the space and chose to weather the slow months, confident the work would return. His patience paid off as demand surged later in the year. He'll share the lessons learned from more than 20 years of building and running a thriving niche agency in one of the most political and complex markets in the world—and why focus, patience, and deep domain knowledge remain his greatest competitive advantages. Filip Lugovic is the co-founder and CEO of The Right Street, an EU-focused digital communications agency based in Brussels. For the last 20 years, he's lived in the middle of the "Brussels bubble," where organizations, trade groups, and companies fight for attention from the European Commission, Parliament, and Council. His agency sits at the intersection of public affairs + digital communications, serving organizations trying to influence policies that impact nearly half a billion people across Europe. In this episode, we'll discuss: Identifying and owning a highly specific niche. Building a client list with the power of low-hanging fruit. Getting their best quarter during COVID. Keeping a creative team inspired during slow cycles. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. From Door-to-Door Sales to the EU Policy Bubble Before he ever pitched a digital campaign, Filip was strangers' knocking on doors in Southern California selling heart-shaped pillows and screwdrivers with built-in flashlights. Not exactly glamorous, but it taught him the skill most agency owners run from: sales. When he landed in Brussels in 2005, he fell into a job selling ads for EU Observer, one of the leading political publications at the time. His clients were the same organizations trying to get in front of policymakers. Over the next decade, he built a deep network and a knack for relationship-based selling. Eventually, he left to consult on his own, but by 2017, he hit the same wall most consultants do: "I'm making money… but it all goes to someone else." A lunch with his current business partner (a seasoned communicator who had served as spokesperson for governments, UN agencies, and the European Commission) led to a plan to build something together. Building a Niche Agency: Where Marketing Meets Lobbying Once they figured out their roles and what they brought to the partnership, Filip and his partner started making plans and realized something: Most agencies in Brussels fell into one of two buckets: Lobbying firms who knew politics but didn't understand digital. Marketing agencies who knew digital but didn't understand politics. No one sat in the middle. So they built an agency that merged both worlds, pairing policy context with high-quality digital production. At the time, it was a hypothesis, and a risky one. Only a couple of competitors existed. But they saw the gap and took it. Landing the First Clients by Leveraging Existing Relationships Filip is no stranger to knocking on doors to sell a product, and he would have for his agency. However, this wasn't the right environment for that, so when it came time to start looking for clients, he relied on his network. Filip's approach to sales was never transactional and he very much enjoyed building lasting relationships. This is something many agency owners overcomplicate. Filip's first step wasn't SEO, funnels, or paid ads. It was: "Let me call every single person I already know and ask them to grab a coffee." That alone got him his first tiny clients. It wasn't a big account. Five hundred euros for hours of work, and zero profit. But it built the early case studies they needed. Most agencies try to skip this part. They want the big brand logo first. But every agency you admire started by leveraging relationships and building proof. Pro tip: You should always continue to revisit these relationships. Reach out to that client and buy them a coffee. This is the low-hanging fruit that can get your agency out of a tough spot. If you're not doing this, you're leaving money on the table. How Deep Market Knowledge Helps in Hard Times By January 2020, Filip's agency was growing at a healthy pace, had a new office and a seven-person team. Then we experience COVID shut downs. Their contracts froze, clients stopped paying, and their pipeline evaporated. Meanwhile, the agency had fixed expenses and a growing team relying on them. Most agencies would've cut staff and hoped to survive. Filip didn't. Luckily, he understood his market: EU organizations operate on annual budgets. If they don't spend it, they lose it the following year. So he and his partner made the hard call: No salaries for themselves (they relied on their wives for a while). Keep the team. Use that time to aggressively market. Their bet paid off and by Q4, every organization that couldn't run events was suddenly scrambling for digital support. Their best quarter ever happened during one of the scariest years on record. It was the foundation of everything that came afterwards. Keeping the Team Inspired During Slow Cycles How do you keep a creative team motivated when client work stops? Filip's answer: "Let them create whatever they want." There were no clients nitpicking colors or people demanding designers to make the logo bigger. It was a rare opportunity for pure, unfiltered creative expression. The team remembers that period as one of the most enjoyable times in the agency's history, despite the financial uncertainty. Why Big Name Clients Don't Always Make the Best Case Studies Most agency owners are probably familiar with this scenario: A famous brand comes in with big expectations and a big budget, and you brush off early concerns thinking their reputation would suffice to make the use of their case story all worthwhile. It happened to Filip and, unfortunately, after dismissing those concerns, the client rewrote everything and destroyed the design. Now they couldn't even put it on their website. Filip laughs about this now, because it still happens. Sometimes the smallest project gives you the best case study. Sometimes the biggest one becomes a "please-don't-put-our-name-on-that" situation. Just show the work you're proud of, not just the work you were paid for. Do You Want to Transform Your Agency from a Liability to an Asset? Looking to dig deeper into your agency's potential? Check out our Agency Blueprint. Designed for agency owners like you, our Agency Blueprint helps you uncover growth opportunities, tackle obstacles, and craft a customized blueprint for your agency's success.

Is your website still the front door to your business, or has AI already quietly changed where customers first meet your brand? In this episode of the Tech Talks Daily Podcast, I sit down with Dominik Angerer, Co-founder and CEO of Storyblok, to unpack how content, search, and discovery are shifting in an AI-first world. As search behavior moves away from blue links toward direct answers inside tools like ChatGPT and Google summaries, Dominik explains why many businesses are seeing traffic decline even while signups and conversions continue to grow. We explore how AI is reshaping the role of content management systems, from automation and orchestration to personalization at scale. Dominik shares why consistency now matters more than volume, how outdated content can actively harm brand visibility inside AI answers, and why the technical foundations built for SEO still play a major role as generative search takes hold. This conversation also dives into headless CMS architecture, why separating content from presentation has become even more valuable, and how structured, well maintained content gives AI systems something reliable to work with. Dominik also introduces the idea of joyful content, a belief that better tools lead to better work and ultimately better experiences for audiences. From AI-powered support workflows to personalized retail and loyalty experiences, he shares real examples of how forward-looking teams are already using content as an active system rather than a static archive. As businesses look toward 2026 and rethink how they show up across websites, apps, agents, and answer engines, this episode offers a grounded look at what needs to change and where to start. As AI becomes the place people go for answers rather than search results, how are you rethinking your content strategy, and what will you do differently after hearing this conversation? Connect with Dominik Angerer Learn more Storyblok Tech Talks Daily is Sponsored by Denodo

As home health agencies prepare for 2026, CMS is turning up the heat on fraud, compliance, and enforcement—and the consequences are more serious than ever.In this episode of Gravity Healthcare Hacks, host Melissa Brown, COO of Gravity Healthcare Consulting, is joined by Devin Kassi, VP of Home Health Operations, for a critical follow-up discussion on the Home Health Final Rule. This time, they dive deep into Medicare's expanded authority around fraud investigations, retroactive payment recoupment, and why even unintentional missteps can put agencies at risk.Melissa and Devin unpack:How CMS is redefining and enforcing fraudWhy documentation errors can trigger massive repayment demandsThe growing importance of homebound status documentationHow weak processes, outdated technology, and lack of education create dangerous blind spotsWhat agencies must do now to protect themselves and remain viableThis conversation is a must-listen for home health leaders—especially smaller and single-location agencies—who want to understand what's coming and how to adapt before it's too late.Because in today's regulatory environment, doing nothing is the biggest risk of all.Support the show

Episode 53 - Federal Rule to State Reality & National Impact: How MHDC Is Shaping Prior Authorization On this episode host Tony Schueth, CEO of Point-of-Care Partners (POCP), and co-host Ross Martin, MD, Senior Consultant with POCP are joined by guest, Denny Brennan, Executive Director of the Massachusetts Health Data Consortium (MHDC). Together, they examine how MHDC is translating national interoperability policy into practical, statewide action, specifically around the CMS 0057 rule. 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

What happens when an entire industry rushes forward before science can catch up? In this episode of Ocean Science Radio, we sit down with Dr. Andrew Thaler, deep-sea ecologist and CEO of Blackbeard Biologic, to explore his groundbreaking report for the Convention on Migratory Species that reveals exactly how much we don't know about deep-sea mining's impacts on whales, dolphins, sharks, turtles, and other highly migratory species. While most deep-sea mining research has focused on the immediate destruction of seafloor ecosystems, Andrew's report exposes a more troubling reality: we have massive knowledge gaps about how mining operations—with their noise, sediment plumes, and habitat disruption—might affect species that travel thousands of miles across interconnected ocean basins. From sea turtles navigating by magnetic fields to whales relying on acoustic communication, these far-reaching impacts remain largely unstudied even as the industry accelerates toward commercial production. The conversation takes a timely turn as we discuss the Bureau of Ocean Energy Management's controversial Request for Information for mining in U.S. waters off the Commonwealth of the Northern Mariana Islands. Andrew breaks down why this represents a significant shift from international deep-sea mining debates, and what it means that communities near the Mariana Trench—with only a 30-day comment period and no guaranteed revenue sharing—are being asked to accept an industry that science hasn't fully evaluated. As the Trump administration pushes to fast-track deep-sea mining for critical minerals while international bodies like the CMS urge precaution, this episode asks the essential question: what's at stake when we mine what we haven't studied? Join us for a conversation that bridges cutting-edge marine science, environmental justice, and the real-world policy decisions happening right now in the deep ocean.

En 2025, une nouvelle expression s'est imposée dans le vocabulaire de la tech : le « vibe coding ». Derrière ce terme intrigant se cache une pratique qui transforme en profondeur la manière de développer des logiciels.Le vibe coding, que l'on peut traduire par « programmation intuitive », désigne une approche où le développeur ne code plus ligne par ligne, mais décrit simplement ce qu'il souhaite obtenir à une intelligence artificielle. Popularisé par Andrei Karpathy, ancien responsable de l'IA chez Tesla et cofondateur d'OpenAI, ce concept est né dans les communautés de développeurs avant de se diffuser largement dans l'écosystème numérique.Concrètement, il suffit désormais de formuler une demande en langage naturel : créer un script Python, concevoir une page web avec un formulaire, modifier l'interface d'une application ou même développer un jeu ou une application mobile complète. Cette méthode permet un gain de temps spectaculaire et ouvre la création logicielle à des non-développeurs, capables de produire des outils fonctionnels pour le web, le mobile ou des usages métiers comme des CMS ou des ERP.De nombreux outils incarnent cette tendance, à commencer par GitHub Copilot, mais aussi Cursor, Windsurf ou des assistants généralistes comme ChatGPT, Claude ou Gemini, qui génèrent du code à intégrer ensuite de manière classique. D'autres solutions vont plus loin encore, en produisant directement des applications prêtes à l'emploi, comme le propose la startup suédoise Lovable.Dans cet épisode, Sébastien Stormacq, responsable des relations développeurs chez AWS, partage une expérience concrète : la création, en une heure et sans écrire une seule ligne de code, d'un jeu inspiré de Pac-Man grâce au vibe coding. Un exemple révélateur de la puissance, mais aussi des limites de cette approche.Le phénomène soulève des questions cruciales : qualité et sécurité du code généré, risques de bugs majeurs, mais aussi impact sur l'emploi. Si le vibe coding accélère le travail des équipes et augmente la productivité des développeurs expérimentés, il fragilise davantage les profils juniors. Une chose est sûre : plus qu'un simple outil, le vibe coding redéfinit en profondeur le métier de développeur.-----------♥️ Soutien : https://mondenumerique.info/don

Welcome to AI Unraveled (December 30th, 2025): Your strategic briefing on the business, technology, and policy reshaping artificial intelligence.Hardware & Industry ConsolidationNvidia's $20B Dominance Play: In a massive move to secure its inference future, Nvidia has agreed to acquire key assets and employees from AI chip startup Groq for $20 billion. The deal is structured as an asset purchase and non-exclusive licensing agreement—likely to navigate antitrust scrutiny—allowing Nvidia to integrate Groq's ultra-fast LPU (Language Processing Unit) technology into its "AI Factory" roadmap.Cursor Acquires Graphite:Model Breakthroughs & BenchmarksChina's Z.ai Takes the Crown: Z.ai's new GLM-4.7 model has topped open-source benchmarks, reportedly outperforming GPT-5.1 High in coding tasks and introducing "Preserved Thinking" to prevent context decay in long agentic workflows.Claude Opus 4.5's Stamina: A new analysis by evaluation firm METR reveals that Anthropic's Claude Opus 4.5 can successfully execute tasks that require nearly 5 hours of human work,Poetiq Crushes Reasoning Benchmarks:Policy, Risk & GeopoliticsChina's "Ideological Test": New regulations in China require AI chatbots to pass a rigorous 2,000-question ideological exam,Pentagon Partners with xAI: The Department of Defense will embed Grok-based AI systems directly into its GenAI.mil platform by early 2026,Italy vs. Meta:Society & The WorkforceThe "Slop" Epidemic: A new study finds that over 20% of videos recommended to new YouTube users are now "AI slop"—low-quality, generative content designed solely to farm views.OpenAI's "Head of Preparedness": Sam Altman is hiring a lead to secure "systems that can self-improve,"Sal Khan's 1% Solution: Khan Academy founder Sal Khan is proposing that companies donate 1% of profits to retrain workers displaced by the looming AI job apocalypse.Keywords: Nvidia, Groq, GLM-4.7, Z.ai, Claude Opus 4.5, AI Slop, GenAI.mil, Pentagon, xAI, Grok, ARC-AGI-2, Graphite, Sal Khan, AI Regulation, Antitrust.Host Connection & Engagement:Etienne on Linkedin: https://www.linkedin.com/in/enoumen

This week I Share Predictions, Wins & Struggles [powerpress]

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Are you thinking about expanding your agency through acquisitions? Buying another firm can be one of the fastest ways to scale, but only if you choose the right partners and nail the cultural fit. Otherwise, growth can quickly turn into chaos. Today's featured guest has been through five acquisitions, each one teaching her a different (and sometimes painful) lesson about what truly makes a merger succeed. In this episode, she opens up about her biggest acquisition missteps, the cultural mismatches that nearly derailed integrations, forecasting errors she didn't see coming, and the identity challenges that arise when two teams collide. Kimberly Eberl is the Founder and CEO of The Motion Agency, a full service marketing and communications shop with offices in Chicago, Cincinnati, and Nashville. While the agency offers everything from creative to content, it is unusually strong in public relations with roughly 20 PR pros on staff. Kimberly has completed five acquisitions, navigated the cultural and financial highs and lows of M&A, and grown Motion into one of the most respected independent agencies in the Chicago market. In this episode, we'll discuss: When acquisitions help agencies scale—and when they backfire. Lessons learned from five agency acquisitions. Why agency owners often misjudge valuation and earnouts. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. From Fired Account Director to Agency Founder Kimberly jokes that she is one of those founders who got fired into entrepreneurship. At her previous agency, the account director role was undefined and impossible to succeed in. The revolving door should have been a clue. She lasted a year before being let go and scrambling to figure out her next move. With no grand plan, she fell into freelancing in 2006. The economy was healthy. The demand came fast. And pretty quickly she reached that moment every accidental agency owner hits. Either say no to work or hire help. She chose to hire. That early decision set the tone for the next decade. Instead of trying to do it all herself, she leaned into building a team and letting the business grow past her personal capacity. Outgrowing a Single-Service Model: Moving Beyond One Specialty Kimberly started as a PR pro. That focus worked for a while, but eventually she noticed how much money she was leaving on the table. Clients wanted websites, creative, content, and she was constantly referring the work away. The big shift happened when she decided to expand beyond PR and bring more capabilities in-house. This meant hiring outside her comfort zone and learning how to oversee work she could not personally do. That decision opened the door to real growth. Many agency owners get stuck right there. They stay in their one specialty because it is safe. Kimberly pushed through that discomfort and built a service mix clients actually wanted. The Reality of Acquiring Another Agency: Lessons from 5 Acquisitions Kimberly opted to add these new services through acquisitions. So far, she has completed five and every one had a different lesson. Her first major acquisition was bold. She bought an agency twice the size of her own. Financially and emotionally, it was a lot. Looking back, she admits she may not do a deal that large again, especially in a specialty she did not personally understand. But she also learned that size does not determine complexity. A one-person agency with contractors had just as many integration headaches as a larger shop. What mattered most was agency culture. Some deals looked perfect on paper but fell apart because the values, expectations, and behaviors did not align. One deal in particular was financially great and culturally awful. She kept one client from that acquisition. Another deal was financially terrible but culturally perfect. Years later, most of those staff members are still with her. Her biggest warning: never ignore cultural red flags during the courting phase. Take time to hang out with the sellers, how they operate, and experience their company's culture. Go to dinner, Travel together. You'll notice small behaviors (snapping over minor problems, chronic lateness, lack of transparency) that won't disappear after the contract is signed. Valuation Mistakes That Kill Good Deals Kimberly also dove into how she approaches valuations and why so many sellers get this part wrong. She focuses on future performance, realistic forecasts, and removing costs that will not continue after the sale. She also pushes back on inflated projections. If an owner claims revenue will double, the earnout should reflect that. Big promises are fine, but they should come with big accountability. One agency she walked away from wanted a valuation equal to twice their gross revenue. They were using cash-based accounting and ignoring profitability. It was an immediate red flag. Kimberly's advice to owners is simple. Build a business that is sellable even if you never plan to sell. Get your financials clean. Use accrual accounting. And be realistic about your numbers. Leadership, Loyalty, and the Hardest Skill — Letting Go As the agency scaled, leadership challenges became just as complex as financial ones. Kimberly admits she is confused about why she is the largest woman-owned agency in Chicago at only seventy people. She is proud of the title, but she wonders why more women are not reaching similar scale. There are no differences in capability, but many female founders still hit a ceiling often tied to loyalty, delegation, or difficulty letting people go. Some owners, especially women, treat their team like family and struggle to make hard decisions around performance. She admitted she has been loyal to a fault at times and is working on finding a healthy balance. Agencies function more like all star sports teams. The roster changes every year. People get promoted, moved, or sometimes released. That does not mean you failed. It means you are adapting so the team as a whole can win. Kimberly is even working on building hobbies outside her agency because she noticed how much of her identity was tied to work. It is a relatable struggle for founders who have poured years into their companies. AI Changes the Work, Not the Need for Agencies Let's be clear, agencies are not going away because of AI. Kimberly certainly doesn't believe that. She treats AI like an intern. Helpful. Fast. But still needing quality control, creativity, and leadership. Clients still want real relationships. They want someone who understands context and nuance. Agencies serving tech-savvy individuals will feel churn from AI, but agencies serving plumbers, service-based businesses, and non marketers will be fine. These clients want to stay in their lane and hire experts for everything else. Marketing evolves, but agencies survive because the business model adapts. Do You Want to Transform Your Agency from a Liability to an Asset? Looking to dig deeper into your agency's potential? Check out our Agency Blueprint. Designed for agency owners like you, our Agency Blueprint helps you uncover growth opportunities, tackle obstacles, and craft a customized blueprint for your agency's success.

We're taking this week off, but we'll have a new podcast on January 2nd, and the CMS media team will be in San Antonio from January 11-14 for IMSH 2026! We hope to see you there.

(Canción cantada por Carlos Rey en audio y en video) —Mamá, ¿dónde están los juguetes? Mamá, el Niño no los trajo. —Será que no vio tu cartica que pusiste en la noche sobre tus chancletitas. —Mamá, hoy me siento muy triste; Mamá, el Niño no me quiere. —Será que tú hiciste algo malo y el Niñito lo supo; por eso no los trajo. —Mi amor, ya no te sientas triste; mi amor, si a tu lado me tienes. //Y así esperaremos juntos, rezaremos al cielo hasta el año que viene.// «¿Qué hay de aquella voz que preguntaba a su mamá dónde están los juguetes? —pregunta Valentina Lares Martiz en Caracas como corresponsal de El Tiempo en diciembre de 2006, aludiendo a la canción del compositor venezolano Oswaldo Oropeza—.... Raquel Castaños se hizo célebre... con “Mamá, ¿dónde están los juguetes?”.... Su vida quedó enclavada en el mundo del espectáculo desde que grabó esa canción a los siete años, cuando era integrante del coro infantil Los Pájaros. »... Castaños [es] hoy referencia obligada para todo el que quiera saber de la canción venezolana. Más de treinta discos engrosan su hoja de vida.... “Raquelita”: Así la llaman aún muchísimos venezolanos, que no pueden dejar de verla como la niña prodigio....»1 De ahí que la periodista colombiana pregunte qué fue de la niña venezolana que interpretó la canción. Pero ¿qué de los niños de carne y hueso que representa aquel niño creado por su autor? Esos son los genuinos protagonistas de la canción, los que no reciben juguetes ni en la Nochebuena ni en el Día de los Reyes... mientras que otros niños alrededor del mundo reciben tantos juguetes que no saben ni qué hacer con ellos. A los niños que no reciben nada, la Navidad los decepciona por completo. Por razones ajenas a su voluntad y a la de quienes cuidan de ellos —si son lo bastante afortunados para tener a alguien que los cuide y los quiera— han de conformarse cada año con esperar a ver si el destino les depara algo mejor el año que viene. ¡Qué triste que, además de carecer de lo que otros dan por sentado, muchos de esos niños malnutridos crecen creyéndose el cuento de que la culpa de su privación la tiene Dios o la tienen ellos, presuntamente porque el Niño Dios pasó de largo por su casa, o se hizo el de la vista gorda, o no tenía tiempo para leer su carta, o los está castigando por haberse portado mal! Lo cierto es que Jesucristo, aquel Niño Dios que vino al mundo para hacerse hombre y vivir rodeado de niños como ellos, no los quiere castigar sino perdonar cuando hacen algo malo y le piden perdón, porque sí los quiere. Cristo ama tanto a los niños que dio su vida por ellos para que pudieran vivir en el cielo por toda la eternidad,2 que vale infinitamente más que todos los juguetes del mundo. Carlos ReyUn Mensaje a la Concienciawww.conciencia.net 1 Valentina Lares M., «“Himnos” navideños son venezolanos», eltiempo.com, 24 diciembre 2006 ; Valentina Lares Martiz, «Canciones de Navidad más famosas en América Latina y sus intérpretes son de origen venezolano», eltiempo.com, 26 diciembre 2006 . 2 Mr 8:36-37; 10:13-16; Jn 1:14; 3:16; 1Jn 1:9

“I think the next stage of American capitalism includes co-opetition." - Dutch RojasOn the last episode of Self-Funded with Spencer in 2025, Dutch Rojas joins the show to expose the financial "arbitrage" that he believes is destroying independent medical practices in America. Dutch explains how current CMS incentives allow hospitals to buy independent clinics and immediately charge 165% more for the exact same services, which is a practice that is crushing employers and patients alike.In this episode, Dutch lays out his bold vision for "Co-opetition”, a new playbook where independent practices, manufacturers, and even churches band together to leverage their collective buying power. We discuss why the traditional "HR-led" model of buying benefits is failing, why CFOs need to take the wheel, and his dream of creating a true "Healthcare Commodities Exchange" to normalize pricing.We also get personal about his journey from the Netherlands to the U.S., the importance of social media for building influence in DC, and why he believes the next 10 years will be defined by those who can master media.Tune in for a fascinating look at the future of independent medicine.Chapters:(00:00:00) What is "Co-opetition" in Healthcare? (00:01:00) How Hospital Arbitrage Kills Private Practices (00:06:40) Why Independent Doctors Don't Work Together (Yet) (00:14:00) The 165% Markup(00:29:40) The Dream of a Healthcare Commodities Exchange (00:41:00) Why HR Shouldn't Make Healthcare Decisions (00:49:00) Aggregating Buying Power: Churches & Manufacturers (00:57:00) The 4-Stage Plan to Fix HealthcareKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

“I think the next stage of American capitalism includes co-opetition." - Dutch RojasOn the last episode of Self-Funded with Spencer in 2025, Dutch Rojas joins the show to expose the financial "arbitrage" that he believes is destroying independent medical practices in America. Dutch explains how current CMS incentives allow hospitals to buy independent clinics and immediately charge 165% more for the exact same services, which is a practice that is crushing employers and patients alike.In this episode, Dutch lays out his bold vision for "Co-opetition”, a new playbook where independent practices, manufacturers, and even churches band together to leverage their collective buying power. We discuss why the traditional "HR-led" model of buying benefits is failing, why CFOs need to take the wheel, and his dream of creating a true "Healthcare Commodities Exchange" to normalize pricing.We also get personal about his journey from the Netherlands to the U.S., the importance of social media for building influence in DC, and why he believes the next 10 years will be defined by those who can master media.Tune in for a fascinating look at the future of independent medicine.Chapters:(00:00:00) What is "Co-opetition" in Healthcare? (00:01:00) How Hospital Arbitrage Kills Private Practices (00:06:40) Why Independent Doctors Don't Work Together (Yet) (00:14:00) The 165% Markup(00:29:40) The Dream of a Healthcare Commodities Exchange (00:41:00) Why HR Shouldn't Make Healthcare Decisions (00:49:00) Aggregating Buying Power: Churches & Manufacturers (00:57:00) The 4-Stage Plan to Fix HealthcareKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

It's important that agents are equipped to handle Medicare grievances when they arise. Listen to learn how to prepare and best practices for avoiding these situations.   Read the text version  

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training What would you do if the merger you believed would change everything suddenly collapsed? Agency owners often dream of the big exit: the acquisition, the payday, the validation. But if you've been in this industry long enough, you know the story rarely goes as planned. Today's guest lived through the dot-com boom, a merger gone sideways, a rare "un-merger," and multiple reinventions across three decades. Today's featured guest is an agency owner who lived through the dot com boom, a merger gone sideways, an unmerger (a rare event), and multiple reinventions over three decades. He'll talk about his journey and the lessons he's gained in resilience, clarity, and what it means to build a business that lasts. Tom Snyder is the founder and CEO of Trivera, a Milwaukee-based agency that originally launched in 1996 under the name Website Solutions. He got his start back when tables ruled the web, Netscape Navigator was leading the browser war, and you had to explain to clients what the internet even was. Tom's agency grew quickly through the dot com boom, became part of an early multi-agency rollup, unmerged after the dot com crash, and later rebuilt itself around strategic services, recurring revenue, and emerging technologies. Thirty years later, he has seen nearly every high and low this industry can deliver and has the scars and wisdom to match. In this episode, we'll discuss: The roll up that seemed like a dream and the subsequent meltdown. The rare chance to unmerger. Learning to adapt to new technologies. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. The Early Days of the Web: A Front Row Seat to Digital History Tom got into websites before most people even understood what a web browser was. He recalls visiting a friend in 1995 who showed him a website for a local jeweler. The fact that someone in Milwaukee could suddenly sell jewelry to anyone in the world blew his mind. That spark soon became Website Solutions, a one-man shop in his duplex basement that grew into a million-dollar agency within three years. These early days were defined by scrappiness. There were no WordPress installs, no Mailchimp, no Shopify. Agencies wrote their own CMS platforms, email tools, and ecommerce systems. For years, Trivera worked on project-based engagements. Sell a website. Build it. Launch it. Then hunt for the next one. It created a revenue roller coaster that made it hard to grow. Then the breakthrough came when someone asked a simple question: Why are you not offering annual retained services? Once they shifted the model, everything changed. Retainers gave them predictable cash flow, stability during downturns, and the ability to build deeper, longer-term partnerships. Inside the Dot-Com Boom and the Rollup That Promised Millions By the late nineties, agency rollups were happening everywhere. Big groups on the West Coast were buying smaller shops at high valuations, promising stock payouts that would multiply as the group grew. Tom's agency was acquired by one of these rollups. The offer was attractive: $1 million in stock with the expectation that it could balloon into ten million within a couple of years. For Tom, this was more than a payday. It felt like a way to secure better opportunities for his team. Higher salaries, better benefits, more resources. All the things agency owners often think a larger parent company can provide. But as the ink dried on the deal, the dot com crash hit. Internal battles erupted among the agency owners inside the rollup. Some wanted to scale fast and sell. Others were emotionally attached to their agencies and resisted change. As the economy collapsed, so did the plan. When an Agency Merger Falls Apart Tom describes the internal environment as chaos. Agencies within the rollup started blaming one another for the downturn. Some owners viewed Tom's Midwest operation as a weak link and argued it was a mistake to acquire them. Then came the breaking point. At a Las Vegas meeting that was supposed to chart a path forward, Tom learned that he would lose control of his agency. His wife, who served as CFO, would be dismissed. His team would report to another agency owner. This happened on September 10th. The next morning, as they sat in their hotel room trying to process what to do, the news broke that planes had hit the World Trade Center. The world changed, and so did their priorities. In that moment of clarity, they made the decision to walk away and unmerge. How a Rare Un-Merge Saved the Agency Unmerging from an agency rollup almost never happens. But because the rollup was already fracturing, the leadership was surprisingly open to it. They returned most of the shares, let Tom keep a small portion, and released the original agency name. From there, Tom and his wife rebuilt everything from scratch under a new identity. Although it felt like the right decision to make, they were still exiting what was still a financially stable operation to start from scratch, which was a scary but necessary step to take. They brainstormed names that felt Greek or Latin until they arrived at Trivera. The name itself was available only because the previous owner had just let the domain lapse. It felt like a small sign that starting over was the right move. This reset allowed Tom to build the agency the right way. No irrational exuberance, burn rates, or pressure to sell. Just strong culture, smart financial discipline, and an eye on durable business fundamentals. How Adapting to New Technology Helped Survive in Crisis After the dot com crash, new technologies created fresh opportunities. SEO, email marketing, mobile, and social opened new revenue streams that helped Trivera rebound each time the economy dipped. Tom noticed a pattern. Every downturn was followed by a brand new marketing wave that rewarded the agencies willing to embrace it early. One of the most pivotal moments came during the 2009 recession. The agency had lost clients, payroll was tight, and they needed a breakthrough. Everyone was asking about social media at the time, so Tom and his team built an event called Social Media University. They hustled for two months and ended up selling 400 tickets. The sales and sponsorship revenue kept their payroll alive and catapulted them into a new service category. Events like this do more than create revenue. They cement authority, give an agency a story in the market, and in Tom's case, it opened doors to new clients and positioned them for the next evolution of the agency. Letting Go of Comparison to Stay Focused on the Journey Despite the wins, Tom admits there were years he compared his agency to others and wondered why they scaled or sold faster, especially some that got the tools from his very social media event. It is easy to feel behind when you see competitors raising money, getting acquired, or shouting big revenue numbers. However, there's very little one can actually know about other agency's purchase deals. These stories are incomplete. You never know what the real terms were. You never know the headaches behind the scenes. And you definitely never know if they actually took money home. Success in the agency world is rarely a straight line. It is more often a messy, winding path filled with reinventions, hard conversations, and moments when you question everything. So agency owners struggling and watching others reach new milestones should remind themselves that longevity comes from resilience, not a perfect upward curve. Do You Want to Transform Your Agency from a Liability to an Asset? Looking to dig deeper into your agency's potential? Check out our Agency Blueprint. Designed for agency owners like you, our Agency Blueprint helps you uncover growth opportunities, tackle obstacles, and craft a customized blueprint for your agency's success.

Broadcast from KSQD, Santa Cruz on 12-18-2025: Dr. Dawn opens by examining how market competition is actually working in the weight loss drug sector. Novo Nordisk's Ozempic and Wegovy compete against Eli Lilly's Monjaro and ZepBound, with prices dropping nearly 50% as companies launch direct-to-consumer websites. The main barriers remain needles and refrigeration, driving development of oral versions. Novo's Wegovy pill awaits FDA approval for early 2026 launch at $150 monthly. Next-generation drugs show remarkable results: Eli's retatrutide causes 24% weight loss in 48 weeks, while Novo's Cagrisema combines semaglutide with amylin to reduce muscle loss. Pfizer paid $10 billion for Metsera's once-monthly drug despite significant side effects. A quick fiber tip suggests adding plain psyllium to morning coffee for cardiovascular and microbiome benefits. Start with half a teaspoon and work up to two teaspoons (10 grams) over several weeks to avoid gas. The prebiotic fiber improves glucose tolerance and may reduce cancer risk. UC San Diego scientists discovered why cancers mutate so rapidly despite being eukaryotic cells with protected chromosomes. The answer is chromothripsis, a catastrophic event where the enzyme N4BP2 literally explodes chromosomes into fragments. These reassemble incorrectly, generating dozens to hundreds of mutations simultaneously and creating circular DNA fragments carrying cancer-promoting genes. One in four cancers show evidence of this mechanism, with all osteosarcomas and many brain cancers displaying it. This explains why the most aggressive cancers resist treatment. Research from 2013 shows any glucocorticoid use significantly increases venous thromboembolism risk, with threefold increases during the first month of use. The risk applies to new and recurrent clots, affecting both oral and inhaled steroids, though IV poses highest risk and topical the lowest. Joint injections fall somewhere between inhaled and oral. Anyone with prior blood clots should avoid steroids except for life-threatening situations like severe asthma attacks requiring ventilation. A meta-analysis of 20 randomized controlled trials shows creatine supplementation helps older adults (48-84) maintain muscle mass when combined with weight training two to three times weekly. The supplement provides no benefit without exercise. Recommended dosing starts at 2 grams and works up to 5 grams daily. Vegans benefit most since they consume little meat or fish. Important caveat: creatine throws off standard kidney function tests (creatinine), so users should request cystatin C testing instead for accurate renal health assessment. A new JAMA study suggesting risk-based mammogram screening is fatally flawed. First, researchers offered chemopreventative drugs like tamoxifen only to the high-risk group, contaminating the study design. Second, the demographics skewed heavily toward white college-educated women, missing the reality that Black women face twice the risk of aggressive breast cancer with 40% higher mortality. Third, wild-type humans failed to follow instructions—low-risk women continued getting annual mammograms anyway while high-risk women skipped recommended extra screenings. The conclusion of "non-inferior" outcomes is meaningless given poor adherence. Stick with annual mammograms, and consider alternating with MRIs for high-risk women. The EAT-Lancet report condemns red meat based purely on observational data showing correlations with heart disease, cancer, and mortality. But people who eat lots of red meat differ dramatically from low consumers: they weigh more, smoke more, exercise less, and eat less fiber. Studies can't control for sleep quality, depression, or screen time. Notably, heavy meat eaters also die more in accidents, suggesting a risk-taking lifestyle phenotype. The inflammatory marker TMAO is higher in meat eaters, but starch is also pro-inflammatory. Eating red meat instead of instant ramen might improve health. A balanced diet with limited amounts beats epidemiology-based blanket statements. Dr. Dawn grades Dr. Oz's performance as CMS administrator. Starting at minus one for zero relevant experience, he earns plus two for promoting diet, exercise, and gut health on his show. He studied intensively after nomination, calling all four previous CMS directors repeatedly and surrounding himself with experienced staff (plus one). He finalized Medicare rules favoring prevention over surgery and earned bipartisan praise as "a real scientist, not radical" (plus one). He divested healthcare holdings but kept some blind trust interests (minus 0.5). He's developing a CMS app and partnering with Google on a digital health ecosystem (plus one), but supports ending ACA subsidies that will raise premiums for millions (minus one). He correctly promoted COVID vaccines and contradicted Trump's Tylenol-autism claims (plus one). Final score: 3.5 out of 5 possible points, the only positive score for any Trump health administrator.

The Affordable Care Act health insurance is a great option for many. But it may not be the right fit for your clients. Discover ACA alternatives that fit your clients' needs.   Read the text version  

In this episode, Jakob Emerson, Associate News Director, Becker's Healthcare, discusses consolidation across the Blue Cross Blue Shield system, rising friction between payers and providers over coding and denials, and how AI and upcoming CMS prior authorization rules are reshaping the payer landscape.

In this episode (from our National Conference), moderated by WEDI Chair Merri-Lee Stine (Aetna) and featuring Steve Berkow (InterSystems), Anna Taylor (MultiCare), and Stephan Rubin (Optum), we dive into the real-world state of CMS 0057 implementation, bringing together perspectives from payers, vendors, providers, and the HL7 Da Vinci implementer community. Our guests unpack where progress is being made, where complexity has crept in, and why testing, trust, and simplicity are critical to success. From navigating multiple players and messy real-world data to lessons learned from incremental implementation, the conversation highlights practical solutions that can move the industry forward. We close with a look ahead to 2026 and what the 0057 landscape—and broader interoperability environment—may look like as policy, technology, and collaboration continue to evolve.

Imaging center administrators face a critical question: are technologists truly prepared for virtual contrast supervision? With the CMS 2026 rule approaching, discover the essential protocols, regulatory requirements, and operational strategies every administrator needs to know. Learn more at https://www.contrast-connect.com/blog-post/why-technologist-training-is-the-cornerstone-of-virtual-contrast-supervision ContrastConnect City: Las Vegas Address: 309 Queens Gate Ct Website: https://www.contrast-connect.com/

Jack Harrington sits down with Tanner Linsley to talk about the evolution of TanStack and where it's headed next. They explore how early projects like React Query and React Table influenced the headless philosophy behind TanStack Router, why virtualized lists matter at scale, and what makes forms in React so challenging. Tanner breaks down TanStack Start and its client-first approach to SSR, routing, and data loading, and shares his perspective on React Server Components, modern authentication tradeoffs, and composable tooling. The episode wraps with a look at TanStack's roadmap and what it takes to sustainably maintain open source at scale. We want to hear from you! How did you find us? Did you see us on Twitter? In a newsletter? Or maybe we were recommended by a friend? Fill out our listener survey (https://t.co/oKVAEXipxu)! https://t.co/oKVAEXipxu Let us know by sending an email to our producer, Elizabeth, at elizabeth.becz@logrocket.com (mailto:elizabeth.becz@logrocket.com), or tweet at us at PodRocketPod (https://twitter.com/PodRocketpod). Check out our newsletter (https://blog.logrocket.com/the-replay-newsletter/)! https://blog.logrocket.com/the-replay-newsletter/ Follow us. Get free stickers. Follow us on Apple Podcasts, fill out this form (https://podrocket.logrocket.com/get-podrocket-stickers), and we'll send you free PodRocket stickers! What does LogRocket do? LogRocket provides AI-first session replay and analytics that surfaces the UX and technical issues impacting user experiences. Start understanding where your users are struggling by trying it for free at LogRocket.com. Try LogRocket for free today. (https://logrocket.com/signup/?pdr) Chapters 01:00 – What is TanStack? Contributors, projects, and mission 02:05 – React Query vs React Table: TanStack's origins 03:10 – TanStack principles: headless, cross-platform, type safety 03:45 – TanStack Virtual and large list performance 05:00 – Forms, abandoned libraries, and lessons learned 06:00 – Why TanStack avoids building auth 07:30 – Auth complexity, SSO, and enterprise realities 08:45 – Partnerships with WorkOS, Clerk, Netlify, and Cloudflare 09:30 – Introducing TanStack Start 10:20 – Client-first architecture and React Router DNA 11:00 – Pages Router nostalgia and migration paths 12:00 – Loaders, data-only routes, and seamless navigation 13:20 – Why data-only mode is a hidden superpower 14:00 – Built-in SWR-style caching and perceived speed 15:20 – Loader footguns and server function boundaries 16:40 – Isomorphic execution model explained 18:00 – Gradual adoption: router → file routing → Start 19:10 – Learning from Remix, Next.js, and past frameworks 20:30 – Full-stack React before modern meta-frameworks 22:00 – Server functions, HTTP methods, and caching 23:30 – Simpler mental models vs server components 25:00 – Donut holes, cognitive load, and developer experience 26:30 – Staying pragmatic and close to real users 28:00 – When not to use TanStack (Shopify, WordPress, etc.) 29:30 – Marketing sites, CMS pain, and team evolution 31:30 – Scaling realities and backend tradeoffs 33:00 – Static vs dynamic apps and framework fit 35:00 – Astro + TanStack Start hybrid architectures 36:20 – Composability with Hono, tRPC, and Nitro 37:20 – Why TanStack Start is a request handler, not a platform 38:50 – TanStack AI announcement and roadmap 40:00 – TanStack DB explained 41:30 – Start 1.0 status and real-world adoption 42:40 – Devtools, Pacer, and upcoming libraries 43:50 – Sustainability, sponsorships, and supporting maintainers 45:30 – How companies and individuals can support TanStack Special Guest: Tanner Linsley.

In this episode of The Broker Link, Gillan Boyer and Josh Slattery unpack the proposed CMS 2027 rule and what it could mean for agents, consumers, and the future of the insurance industry. The discussion highlights a clear shift toward deregulation, with several proposed changes aimed at reducing administrative burden while increasing flexibility for both agents and consumers. Key topics include updates to Special Enrollment Period (SEP) rules, allowing plan changes when providers leave a network, and the removal of the 12-hour delay between educational and marketing events. Gillan and Josh also break down proposals to shorten record retention requirements for call recordings, simplify TPMO disclaimers, and eliminate certain low-value compliance requirements. The conversation explores how these changes could give agents more time to focus on what evidence shows matters most — educating and serving clients. Additionally, the episode covers proposed updates to the Stars program and discusses the long-term impact of making IRA changes permanent, particularly regarding Part D cost structures. Overall, the proposed 2027 rule signals a meaningful shift in CMS's approach — one that industry professionals are cautiously optimistic about as it moves toward a more practical, agent-friendly regulatory environment. Learn more about partnering with The Brokerage Inc. by visiting our website, www.thebrokerageinc.com. Remember to like, share, and subscribe to our show!  New episodes are available every Tuesday. Join our Community! LinkedIn: https://www.linkedin.com/company/the-brokerage-inc-/   Facebook:  https://www.facebook.com/thebrokerageinc/  Instagram:  https://www.instagram.com/thebrokerageinc/  YouTube:  https://www.youtube.com/@TheBrokerageIncTexas  Website:  https://thebrokerageinc.com/ 

In this episode of the ASC Podcast with John Goehle we discuss the latest news, review common infection control and sanitary environment issues in ASCs and in our focus segment, discuss Navigating the Complexities of ASC Billing and Coding with Bob Lathrop from SIS.   This episode is sponsored by Surgical Information Systems,    Notes and Resources from this Episode: Cost pressures that battered ASCs in 2025: https://www.beckersasc.com/asc-transactions-and-valuation-issues/the-cost-pressures-that-battered-ascs-in-2025/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=5567B4088734C3Z Focus on Sanitary Environment and Infection Prevention & Control (IPC) in ASC Surveys Sanitary environment and IPC issues consistently rank among the top deficiencies in ambulatory surgery center (ASC) accreditation and certification surveys, making this a critical "hot issue" for 2025 and beyond. These citations directly impact patient safety by increasing risks of healthcare-associated infections (HAIs), and they appear frequently across major accreditors like CMS, AAAHC, and ACHC. For context: In AAAHC's 2025 Quality Roadmap (released September 2025), IPC remains a persistent top challenge, with deficiencies cited in nearly 90% of surveys for ASCs and office-based surgery settings. ACHC's November 2025 survey data highlights sanitary environment lapses (e.g., sanitation issues, incomplete policies) as a leading deficiency, often tied to inconsistent implementation of hand hygiene, glove techniques, and environmental cleaning. Historical CMS data shows patterns holding into recent years, with "Sanitary Environment" and "Infection Control Program" among the most cited, stemming from failures in basic practices like cleaning, sterilization, and safe injection protocols. These issues often arise from documentation gaps, staff inconsistencies, or overlooked details during busy operations, even in high-performing centers. Key Regulatory Requirements The foundation for sanitary environment and IPC in ASCs is CMS Conditions for Coverage (CfC) at 42 CFR § 416.51, which applies to Medicare-certified ASCs and influences other accreditors (deemed status via AAAHC, ACHC, etc.). Standard: Sanitary Environment (§ 416.51(a)): The ASC must provide a functional and sanitary environment for surgical services, avoiding sources and transmission of infections by adhering to professionally accepted standards (e.g., CDC, AORN, APIC guidelines). Standard: Infection Control Program (§ 416.51(b)): Maintain an ongoing, coordinated program to prevent, control, and investigate infections/communicable diseases. This includes: Designation of a qualified professional (e.g., infection preventionist) to oversee the program. Annual risk assessment to identify infection risks. Integration of nationally recognized guidelines (CDC core practices are mandatory if no other evidence-based standards apply). Policies for hand hygiene, environmental cleaning, sterilization/high-level disinfection (HLD), safe injection practices, and point-of-care devices. INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ Join one of our Membership Programs! Our Patron Program: Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  More information and Become Member The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions More Information and Become a Premium Access Program Members Today! Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers 

This week, Cathy McKnight, Chief Problem Solver at Seventh Bear, makes her regular visit to the studio to discuss all things content with our host Ian Truscott, Managing Partner at Velocity B. In this episode, Cathy shares her perspective on content operations and management for 2025 and predictions for 2026, and they discuss the importance of human involvement in AI-driven content creation, the challenges of personalization, and the rise of new CMS solutions.  As they look ahead to 2026, Cathy hopes for a return to fundamentals, emphasizing the need for structured content operations and the importance of effective content intake processes, as the AI froth hopefully dies down. If you have any comments or thoughts on this topic, we would love to hear them, we welcome your feedback.  Enjoy! — The Links The people: Ian Truscott on LinkedIn  Cathy McKnight on LinkedIn Mentioned this week: Bear Essentials: Content Intake Isn't Bureaucracy, it's the Cheapest Form of Sanity Cathy's firm - Seventh Bear Rockstar CMO: The Beat Newsletter that we send every Monday Rockstar CMO on the web and LinkedIn Previous episodes and all the show notes: Rockstar CMO FM. Track List: We'll be right back by Stienski & Mass Media on YouTube You can listen to this on all good podcast platforms, like Apple, Amazon, and Spotify. Learn more about your ad choices. Visit megaphone.fm/adchoices

SummaryIn this episode, Sean Weiss discusses the complexities surrounding ancillary providers and their billing practices, particularly focusing on CMS and commercial payer rules. He explains the definitions and roles of ancillary staff, the intricacies of incident to billing, and the compliance requirements for split shared services. The conversation emphasizes the importance of understanding these regulations to ensure proper reimbursement and avoid potential pitfalls in healthcare billing.TakeawaysUnderstanding the roles of ancillary staff is crucial for compliance.CMS defines ancillary staff as non-independent billers.Incident to billing allows non-physician services to be billed under a physician's NPI.Direct supervision by a physician is required for incident to billing.Split shared services have specific requirements for billing under a physician's NPI.Documentation must capture substantive portions of services provided.Regular audits of staff roles and job descriptions are necessary.Understanding payer guidelines can help avoid billing denials.Compliance gaps can lead to recoupments and legal issues.Healthcare attorneys can assist with complex compliance issues.

Auditing split/shared encounters can become confusing when providers, auditors, and coders are not aligned. CPT and CMS have both issued guidance to help clarify how these services should be billed. In this episode of the CodeCast podcast, Terry breaks down where to begin when auditing and educating on Split/Shared visits, what payers are currently saying, and how to maintain compliance for physicians and NPPs to prevent payer audits or confidently address them when they occur. She also gives a shout out to Sonda Kunzi, CPC, for her NAMAS article referenced during the discussion. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/ YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874 Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/ The post Audit Tips For Split/Shared Visits appeared first on Terry Fletcher Consulting, Inc..

Is it possible to build community within AI? Can we challenge search engines to put humanity and the truth at the forefront of their outputs? According to Troy Snyder, astrology student turned entrepreneur, the answer is ... maybe. In this episode, Tessa Burg and Troy examine the balance between technology and humanity. They discuss the challenges of having AI determine what is “true,” how brands can stay authentic and build trust in an increasingly automated world, and even how to view AI through an astrology lens.  Leader Generation is hosted by Tessa Burg and brought to you by Mod Op.  About Troy Snyder: For more than three decades, Troy has operated at the frontier of digital innovation—helping to guide the evolution of streaming from early SD pipelines to HD, 4K, the first waves of VR, and early AI efforts—while studying the timeless frameworks that have shaped human understanding for thousands of years. Troy has led the creation of authentication systems, video CMS architectures, large-scale distribution networks and multiband rural wireless. He has also contributed to emerging AI-driven digital identity tools with Mebot.ai where “Human AI” and how we create true lifelike representations of self in the AI age is explored. Beyond his work in digital innovation, Troy is committed to long-term social impact. He serves as founder and chairman for Wonderful Foundations, a charity that owns and supports 27 schools serving more than 15,000 kids. This effort reflects Troy's belief that technology and infrastructure should exist in service of human potential. In addition to being a technologist, Troy is also a practicing Vedic astrologer whose work spans invention, executive leadership, creative production, fundraising and systems engineering, always with an eye toward the deeper patterns that connect technology, people and purpose. About Tessa Burg: Tessa is the Chief Technology Officer at Mod Op and Host of the Leader Generation podcast. She has led both technology and marketing teams for 15+ years. Tessa initiated and now leads Mod Op's AI/ML Pilot Team, AI Council and Innovation Pipeline. She started her career in IT and development before following her love for data and strategy into digital marketing. Tessa has held roles on both the consulting and client sides of the business for domestic and international brands, including American Greetings, Amazon, Nestlé, Anlene, Moen and many more. Tessa can be reached on LinkedIn or at Tessa.Burg@ModOp.com.

This week I'm Talking About Domain Investing & The Myth of Easy MRR! [powerpress]

In this episode, Amy Schiffman and Alex Moseni dig into the real challenges physicians and innovators face when working inside Medicare. They explore why CMS guidance is often incomplete, how this drives confusion and legal costs, and what it means for startups trying to build sustainable care models. Topics Covered • The Medicare information gap and why CMS publishes only partial guidance • How unclear rules increase legal expense and slow down innovation • Fragmented CMS communication and the absence of a unified how to guide • The complexity of care management codes and EMRs that cannot keep up • Why many clinicians rely on third party spreadsheets for compliance • Hidden payer controls such as Medical Unlikely Edits and their impact on reimbursement • Why physicians must understand financial tools to succeed as leaders • How to segment the 65 plus population for better patient acquisition • Resources for physician executives including the ClinX Academy program • Amy Schiffman's work with Inter Mezzo Health and Coordology • How ambiguity from CMS affects planning, proformas, and capital raising • Persistent hurdles for startups including credentialing and physician activation

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Have you ever felt like enterprise clients were running your agency instead of the other way around? Buried in endless proposals no one reads, forced into rushed timelines, or watching your margins shrink every time a project drags out? Today's featured guest opens up about how he broke out of that exhausting cycle. Instead of over-delivering just to keep big clients happy, and seeing little return, he made the bold decision to focus on smaller, more committed clients who were ultimately more profitable and easier to build long-term relationships with. He'll share what he learned about sustainable growth, including why productizing your services sounds great in theory but can actually become counterproductive when it only happens externally. He'll also explain the sales shift that changed everything: offering a low-risk, "foot-in-the-door" engagement that qualifies prospects, builds trust, and creates a smooth path into deeper service offerings. Charlie Clark is the founder of Minty Digital, a boutique SEO agency focused on travel and lifestyle brands that originally launched in Barcelona and now operates from London. In this conversation, he'll break down the mindset, systems, and strategy needed to stop chasing validation from big brands and instead build a business where profitability, alignment, and respect come first. In this episode, we'll discuss: Why mid-market clients deliver higher profits than enterprise. How internal productization increases efficiency by 3X. How clear pricing transforms the sales cycle. How AI forced a new level of adaptability in SEO agencies. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. From Struggling Freelancer to Sustainable Agency Growth After a short stint in an agency at age 22, Charlie tried to go solo before realizing he didn't yet know how to grow a business. He assumed he could do it on his own and quickly learned he wasn't ready yet. Instead of quitting, he got a job as a Digital Marketing Manager, where he could make mistakes, learn operations, and understand what actually works inside a business. Moving to Barcelona created the perfect environment for momentum. His one-month stay turned into ten years after he landed several clients within weeks. His first retainer was €500 a month, which he laughs about now, but he admits it took years before he learned how to price correctly and move away from low-margin retainers. Those early years were full of trial and error, but the big breakthrough was realizing that charging more wasn't always the key to profit. Charging smarter was. Real Profit Lives in the Middle, Not the Top One of the strongest lessons Charlie learned was that bigger retainers did not equal bigger profit. Working with enterprise clients, he saw they could easily squeeze margins, the team would end up over-delivering, and on top of it all, payment terms were a nightmare. After years, he realized these clients often cost the agency money when the team over-delivered just to keep them happy. By contrast, the clients who had been with him since the early days, the ones paying between three and six thousand per month, were the most profitable and the most loyal. They bought the same deliverables. They stayed for years. And they matched the agency's internal processes beautifully. Once he realized this, he moved to intentionally pursuing that sweet spot. Not the five figure monthly retainers or the cut rate ones. The predictable, operationally aligned middle where the team can deliver consistently and profitably. For Charlie, this changed everything from sales cycle speed to team alignment to lifetime value. Internal Productization: The System that 3X Efficiency Many agencies think productization means selling rigid packages that make you look less strategic. Charlie took the opposite approach. Internally, his team adopted highly productized systems, templates, and SOPs. They knew exactly what to do for a three thousand dollar client versus a six thousand dollar one, and how much effort each one required. Externally, the offer still looked consultative and customized. Clients saw a broad range of what could be included, but the delivery stayed tight behind the scenes. This improved profitability, gave the team clarity, and dramatically sped up onboarding. The biggest win? It eliminated the "start from scratch every time" problem that slows agencies down and kills margins. How Clear Pricing Transforms the Sales Cycle Before productization, Charlie would spend hours on proposals that often got ghosted. Once he added transparent pricing, clear expectations, and prequalification to the website, the right clients were self-selecting before the call even happened. By the time he spoke with them, they understood the price and the structure. Now he closes clients on the call or even through a single WhatsApp message. This is the power of clarity. It shortens cycles, reduces friction, and saves enormous amounts of time for a lean team. However, transparent pricing attracts budget mismatches, so Jason recommends removing pricing from agency's websites and switching to triage calls and the Foot-In-The-Door model. At the end of the day, there are a thousand ways to create a better sales process. What matters is that it filters, qualifies, and positions you as the advisor. Why a Paid Discovery Offer Builds Trust and Prevents Ghosting Both Charlie and Jason agree that a small, paid upfront engagement solves the biggest challenge in agency sales. Trust. SEO agencies in particular fight an uphill battle here. The barrier to entry is low. There are thousands of one-person shops. Many prospects have been burned before. A small paid engagement builds confidence, shows value quickly, and prevents ghosting. The Foot-in-the-Door offer should be simple, done live with the client, and designed to build the relationship. Not overloaded with deliverables that overwhelm the client and make them feel uneducated. When done right, it leads naturally into a larger project and then a retainer. Charlie's Kickstart product functions the same way. For eight hundred dollars, clients get quick wins and clarity. It works because it gives prospects a safe way to test the relationship and because it positions the agency as a trusted advisor instead of a vendor chasing a proposal. How AI Forced a New Level of Adaptability in SEO Agencies Charlie admitted that two years ago he felt bored with SEO. Then AI exploded. Search interfaces changed. Clicks shifted. And suddenly the industry was moving faster than ever. For many agencies, this uncertainty created fear. For Charlie, it sparked energy. He leaned back in, started speaking at events, ran experiments on AI search, and brought a fresh curiosity back to himself and his team. He described the past year as a sink-or-swim moment for agencies. The ones who coasted struggled. The ones who adapted thrived. Lean teams with solid systems could move faster and deliver more value. In his words, being nimble is now a competitive advantage. Figuring out AI reignited his passion in the business but it was far too much to tackle alone. This is why agency owners should have a community to lean on to try to figure out changes in the industry. Your network will determine your speed of growth. Agency owners who surround themselves with peers sharing what works and what fails will survive the next wave of industry change. The ones who go alone will struggle. Do You Want to Transform Your Agency from a Liability to an Asset? Looking to dig deeper into your agency's potential? Check out our Agency Blueprint. Designed for agency owners like you, our Agency Blueprint helps you uncover growth opportunities, tackle obstacles, and craft a customized blueprint for your agency's success

A second stabbing on the light rail leads to more questions about safety on public transit, Gov. Stein cancels Medicaid reimbursement rate reductions. CMS enrollment is at its lowest point in 14 years, and the Panthers return to the field after last week's bye.

In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Safwan Badr, the newly appointed editor of the Journal of Clinical Sleep Medicine and pulmonologist at Wayne State University, for an in-depth review of the most impactful articles published in JCSM during 2025.  Dr. Badr discusses his vision for the journal and the editorial selection process, then guides listeners through key research findings shaping clinical practice. The conversation highlights both highly popular papers and important studies that deserve more attention from practicing clinicians.  A significant focus is placed on research confirming that traditional 4% hypopnea criteria and CMS definitions systematically underestimate sleep apnea in women, with expanded diagnostic criteria helping mitigate these gender disparities. The episode explores groundbreaking research on sleep architecture and Alzheimer's disease, examining how lower slow wave sleep and REM sleep correlate with brain atrophy in AD-vulnerable regions, particularly the inferior parietal lobe.  Consumer sleep technology receives critical examination through a meta-analysis comparing wrist-worn devices to polysomnography, revealing significant limitations in accuracy. Dr. Badr discusses implications for physicians and consumers who increasingly rely on these devices. Mental health intersects with sleep medicine through research showing that nightmares and insomnia in the acute aftermath of trauma predict suicidal ideation—nearly half of acute trauma patients with both conditions experience suicidal ideation within two months, highlighting urgent need for early interventions.  Additional topics include Canadian research on CBT-I effectiveness during pregnancy and findings from the TODAY study examining obstructive sleep apnea's relationship with glycemic control and cardiovascular risk in young adults with youth-onset type 2 diabetes. Whether you're looking to stay current with evidence-based practice changes, interested in emerging research on sleep and neurodegeneration, or seeking to understand gender disparities in sleep medicine, this year-in-review provides essential updates. 

Laura Jones' lived experience reshapes TX-08 as Trump's Venezuela oil theft signals military piracy and CMS quietly rolls out WISeR, threatening Medicare seniors and provider trust nationwide.Subscribe to our Newsletter:https://politicsdoneright.com/newsletterPurchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make AmericaUtopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And BeFit Now: https://amzn.to/3xiQK3K Tribulations of anAfro-Latino Caribbean man: https://amzn.to/4c09rbE

Learn how to sponsor the Seven Figure Medicare Agent Summit:https://sevenfiguremedicareagentsummit.com/On this episode of the Seven Figures or Bust Pod, we break down CMS's response to multiple state Departments of Insurance and what this means for agents going forward. We also dive into the recent wave of ACA subsidy rejections and why so many consumers are being caught off guard. This is a must-listen if you want to stay ahead of the regulatory changes shaping our industry.

As 2025 closes, the implications of the One Big Beautiful Bill Act (now rebranded as the Working Families Tax Cut Act) on Medicaid continue to ripple through the health care industry. CMS has issued major guidance, and state Medicaid agencies and health care providers are scrambling to implement this guidance at an operational level. Harsh P. Parikh, Partner, Nixon Peabody LLP, Lloyd A. Bookman, Founding Partner, Hooper Lundy & Bookman PC, and Anne Winter, Senior Managing Director, FTI Consulting, provide updates on the community engagement/work requirements, beneficiary eligibility and coverage requirements, funding and payment reforms, and the Rural Health Transformation Program. They also discuss what challenges might be on the horizon in 2026 and the role of technology.Watch this episode: https://www.youtube.com/watch?v=0vIviLRddzIWatch Harsh, Lloyd, and Anne's previous podcast from September 2025: https://www.youtube.com/watch?v=JDYg4KZwL0M Essential Legal Updates, Now in Audio AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Premium members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast. Stay At the Forefront of Health Legal Education Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/.

The political and legal landscape of nurse anesthesia is constantly shifting for CRNAs and the threats to our autonomy are real. But so are the opportunities, and that's why we wanted Elizabeth Bamgbose, PhD, CRNA to join us for this conversation.  She's a CRNA, educator, practice owner, and a fierce political advocate, and we're going to break down everything CRNAs must understand about scope of practice, opt-out rules, bylaws, credentialing, and how power structures shape your daily practice more than most realize. Here's some of what you'll hear in this episode:

Value-based enterprises depend on timely, accurate data, yet the rules that govern how that data moves between the Centers for Medicare & Medicaid Services (CMS), accountable care organizations, payors, and providers remain complex and often inconsistent. On this episode, Epstein Becker Green attorneys Kevin Malone and Karen Mandelbaum unpack the regulatory frameworks shaping data exchange in value-based care. They outline how federal privacy laws, CMS rules, the Health Insurance Portability and Accountability Act (HIPAA), and state requirements intersect; why CMS-sourced data operates under a different regime than Medicare Advantage; and where organizations face the biggest operational hurdles when using, sharing, and governing data across large networks. Key Takeaways: Distinct Legal Frameworks: CMS data is controlled by the Privacy Act, while Medicare Advantage data falls under HIPAA. Disclosure Tracking Requirements: CMS data use agreements demand strict tracking and downstream compliance. Operational Data Challenges: Silos and uneven data quality remain major barriers to effective value-based care. Tune in to learn how today's rules shape data access, data quality, and the real-world mechanics of value-based care. Visit our site for related resources and email contact information: https://www.ebglaw.com/dhc92 Subscribe for email notifications: https://www.ebglaw.com/subscribe. Visit: http://diagnosinghealthcare.com. - This podcast is presented by Epstein Becker & Green, P.C. All rights are reserved. This audio recording includes information about legal issues and legal developments. Such materials are for informational purposes only and may not reflect the most current legal developments. These informational materials are not intended, and should not be taken, as legal advice on any particular set of facts or circumstances, and these materials are not a substitute for the advice of competent counsel. The content reflects the personal views and opinions of the participants. No attorney-client relationship has been created by this audio recording. This audio recording may be considered attorney advertising in some jurisdictions under the applicable law and ethical rules. The determination of the need for legal services and the choice of a lawyer are extremely important decisions and should not be based solely upon advertisements or self-proclaimed expertise. No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.

New coverage year, new changes to Medicare Part D! Don't miss our refresher on the Part D Redesign updates coming in 2026. Familiarize yourself with these changes now so you can be a helpful resource for your clients!   Read the text version  

Send us a textImagine a hospital corridor lined with open doors and a chorus of hotel bells, each ring a patient hoping to be found. That's the picture Julie Dearinger Smith paints from real stories of downtime, the moments when networks collapse, call systems fail, and teams fight to deliver safe care without the tools they rely on. Julie brings two decades in clinical informatics atop years at the bedside, and she turns that experience into a simple but radical premise: resilience is a clinical operations discipline, not just a cybersecurity task.We dig into Leadership by Design, Julie's practical framework that maps growth from novice to expert using observable skills. No more vague advice like “show initiative.” Instead, leaders get a clear coaching plan, and team members get a transparent path to advancement. This clarity becomes critical during outages, when pattern recognition, prioritization, and calm execution can prevent harm. Julie shares the mindset shift that separates “testing to pass” from “testing to break,” and why that difference defines proficient practitioners in health tech.From there, we get tactical. Julie explains how Contingency Health Solutions approaches downtime with tools designed to run when the internet doesn't. Bell Assist gives patients a cellular-based call capability with location awareness and prioritization, while a lightweight bed management module restores throughput and room turnover visibility when EHRs and intercoms are offline. We cover everyday value too, including meeting CMS requirements for communication in ED overflow spaces without expensive infrastructure. Along the way, we surface hidden dependencies in radiology, pharmacy, and supply chain, and outline how to run serious tabletop exercises that prepare clinical leaders for the worst-case scenario.If you care about patient safety, informatics, nursing leadership, or hospital operations, this conversation offers a blueprint you can act on today. Subscribe for more practical health tech stories, share this episode with a colleague who owns downtime planning, and leave a review with your biggest resiliency question—we'll tackle it next.Support the showListen to all This Week in Health Tech episodesVik Patel - LinkedInTido Inc. - WebsiteTido Inc. - LinkedIn

On this episode of the AHRMM Subject Matter Expert Podcast, host Justin Poulin sits down with Christina Mendez, Sr. Manager, Healthcare Brand at Grainger. Christina breaks down the recent CMS rulemaking that prohibits notification of survey windows and how this impacts accrediting organizations. She shares examples of how Joint Commission and DNV have adjusted their standards and discusses what supply chain professionals should be doing now to prepare. Tune in to hear Christina's insights on navigating regulatory changes and ensuring compliance readiness! #PowerSupply #AHRMM #Podcast #HealthcareSupplyChain #CMS #RegulatoryCompliance #JointCommission #AccreditationStandards

Equitable access to treatment is vital for older adults with Alzheimer's and other neurodegenerative diseases, especially in long-term care. CMS's Long-Stay Antipsychotic Medication quality measure aimed to curb inappropriate use in nursing homes, but it has also led to unintended consequences, limiting safe, effective treatment options for more than 3 million residents.A new Manatt Health report, supported by the Alliance's Project PAUSE Coalition, explores these impacts and offers recommendations to restore equitable care. Joining us to discuss the findings are Chad Worz, CEO of the American Society of Consultant Pharmacists and Project PAUSE convener, and geriatric psychiatrist Dr. Amita Patel.

This week I Answer Listener Questions [powerpress]

This episode announces the launch of CMS's ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) model - a groundbreaking payment innovation that enables technology-enabled care organizations to treat Medicare fee-for-service patients with chronic conditions through outcome-aligned payments rather than traditional fee-for-service. Abe Sutton (Director of CMMI) and Jacob Shiff (Chief AI & Technology Officer at CMMI) explain how the model addresses a fundamental gap in healthcare: while commercial and Medicare Advantage patients have access to digital therapeutics and technology-enabled chronic disease management, original Medicare beneficiaries have been left behind. ACCESS changes this by paying providers monthly fees for managing conditions like diabetes, hypertension, obesity, behavioral health issues, and musculoskeletal pain - but only when patients achieve measurable clinical improvements. The model is designed to be deflationary rather than inflationary, encourages innovation by simplifying go-to-market for digital health startups, integrates with existing risk-bearing models like ACOs, and represents a broader CMMI strategy to shift from activity-based to outcome-based payments while leveraging new AI capabilities to democratize high-quality care. (0:00) Intro(0:57) The ACCESS Model: Advancing Chronic Care(4:35) Outcome-Aligned Payments and Technology(7:40) Encouraging Innovation and Investment(09:23) Practical Implementation and Examples(24:28) Evaluating Success and Future Goals(26:18) Connecting the Dots: Broader CMMI Initiatives(28:40) Generous and Its Impact on Drug Pricing(30:11) Challenges and Benefits of Prior Authorization(35:19) The Role of Technology in Healthcare(37:59) AI and Technology-Enabled Care(40:26) Reflections on Value-Based Care Models(43:51) Encouraging Competition in the Healthcare Market(48:24) Quickfire Out-Of-Pocket: https://www.outofpocket.health/

Bureaucracy kills more transplant patients than shortage does. Jessica Wynn harvests the truth about organ donation's dark side here on Skeptical Sunday! Welcome to Skeptical Sunday, a special edition of The Jordan Harbinger Show where Jordan and a guest break down a topic that you may have never thought about, open things up, and debunk common misconceptions. This time around, we're joined by writer and researcher Jessica Wynn!Full show notes and resources can be found here: jordanharbinger.com/1253On This Week's Skeptical Sunday:Over 100,000 Americans wait for organs while 13 die daily — not from organ shortage, but from systemic inefficiency, poor matching protocols, and bureaucratic bottlenecks that waste thousands of usable organs annually.Living donation is safer than most realize. Donors can give kidneys, liver portions, even lungs while alive and generally recover well, but workplace protections vary wildly by state, creating real financial and career risks for altruistic donors.The organ matching system is a bureaucratic labyrinth. HRSA, OPTN, UNOS, CMS, and CDC all overlap in managing transplants, creating inefficiencies that prevent organs from reaching recipients in time despite available technology.Ethical nightmares haunt the system. Scandals include surgeons nearly harvesting from living patients, global black markets exploiting the poor, and allegations of forced organ harvesting from prisoners in countries like China without consent.Register as a donor and advocate for reform. One donor saves up to eight lives and helps 75+ through tissue donation. Push for automated referrals, airline transport mandates, and better tracking tech to transform a broken but lifesaving system.Connect with Jordan on Twitter, Instagram, and YouTube. If you have something you'd like us to tackle here on Skeptical Sunday, drop Jordan a line at jordan@jordanharbinger.com and let him know!Connect with Jessica Wynn at Instagram and Threads, and subscribe to her newsletters: Between the Lines and Where the Shadows Linger!And if you're still game to support us, please leave a review here — even one sentence helps! Sign up for Six-Minute Networking — our free networking and relationship development mini course — at jordanharbinger.com/course!Subscribe to our once-a-week Wee Bit Wiser newsletter today and start filling your Wednesdays with wisdom!Do you even Reddit, bro? Join us at r/JordanHarbinger!This Episode Is Brought To You By Our Fine Sponsors:Shopify: 3 months @ $1/month (select plans): shopify.com/jordanTonal: $200 off: tonal.com, code JORDANApretude: Learn more: Apretude.com or call 1-888-240-0340Land Rover: landroverusa.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Would you ever walk away from a "dream job" to start over from scratch? And if you've spent years building a career inside big brands, does it ever feel like it might be too late to launch your own agency? Most people talk about leaving their corporate job to chase something bigger. Very few actually do it, and even fewer jump without a parachute. Today's featured guest is one of those rare ones. After nearly two decades leading social, content, and influencer teams for household brands, he walked away from his so called dream job to start his own shop without any safety net. Today, he calls himself a brand guy who happens to own an agency. Eric Gray is the owner of Maverick Content Studio, a twelve person, social-first agency for Fortune 500 brands. After a long and successful career in corporate, where he spent eighteen years building high performing social and content teams for companies like Universal Parks & Resorts, Eric realized he did not want the future he saw in front of him. He left Universal with two months of savings and zero clients. His story is a blueprint for leaders wondering whether to leave corporate and build something of their own Today his team works with brands like Advent Health, Winn-Dixie, and Travel + Leisure, helping them build audience, loyalty, and relevance through social-first content. In this episode, we'll discuss: Why target Fortune 500 brands? Why most agencies fail at building their own brand. Leaning on the power of personal brands. The hardest challenge of growing a young agency. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. Walking Away from the Corporate Dream Job At age forty-one, Eric had success on paper but a growing dissatisfaction in real life. He was leading big teams, holding a prestigious role, and doing work others envied. But he felt stuck inside a corporate machine that limited purpose and impact. Although he's thankful for the time he spent in that world, he didn't believe he was living his full purpose inside an organization with lots of bureaucracy. With the support of his family and his pastor, Eric decided he didn't want to get to his later years wishing he had taken more risks and took the jump to find out what could happen if he bet on himself. Leaving was messy, scary, and absolutely not the playbook move. No freelancing ramp up. No contracted clients. It was no tidy transition. Yet he trusted that his experience and network would open the next chapter. Looking back, it did. Why Target Fortune 500 Brands? Most new agency founders start small. Eric went in the opposite direction. He targeted enterprise brands from day one because that is where his expertise lived. He had already built the blueprint inside Universal Parks & Resorts and believed he could help other brands treat social as more than an afterthought. Eric knew many enterprise brands still underinvest in social. They focus on one big campaign or hero asset while ignoring the loyalty and connection that is built through consistent storytelling. His agency's entire model revolves around what he calls the connection strategy. It is the belief that brands win when they create emotional relevance around the stories customers already care about. Furthermore, large brands have large scopes, which also means you do not need forty clients. You just need the right five. That became a core advantage as they started growing. Building the Early Client List Through Relationships Eric did not cold call or blast DMs. He leaned into what he had spent years building. A strong network with strong relationships. Most of their early clients came from people who had worked with Eric before, or from friends of those people inside other major brands. Big companies talk to each other more than you think. This doesn't mean it was easy for them. They still have a lot of work to do to break through. But if you invest in your network before you need it, it becomes your biggest shortcut when you step into entrepreneurship. Why Most Agencies Fail at Building Their Own Brand But Eric points out that almost no agencies truly build their own brand. They hide behind their walls and hope referrals save them. Others talk about themselves, focusing mainly on their people, process, and portfolio. Meanwhile they tell clients to produce consistent content, invest in story, and build an audience. When Eric launched Maverick, he refused to be another guy who leaves a corporate job and posts the generic LinkedIn announcement. He started building his personal brand alongside the agency's brand from day one, and worked with his wife to make his agency look and feel much larger than its actual humble beginnings from their home offce. Perception matters if you want to enter rooms above your weight class. The Power of a Personal Brand Eric leaned into his background in sports radio and launched the Radical Content podcast. Within a few months he secured major guests like the former CMO of Chick-fil-A, the head of digital for NASCAR, and leaders from Crocs and other major brands. Those interviews became relationships. Those relationships became visibility. And that visibility opened doors for the agency. The agency's channels became secondary to Eric's personal channels. Not because the company brand did not matter, but because personal brand builds trust faster than corporate messaging. Systems, Volume, and Practicing What You Preach Eric put serious resources into his content system. It started rough, with a single producer who did not fully work out. But it evolved into an eight person content ecosystem producing weekly episodes, daily clips, statics, and text posts. He treats his own brand as the test kitchen for the strategies they deploy for clients. When you do that, the content feels authentic and the results are real. For him, if you stay in the background and don't talk about who you are and what you do, you're losing valuable opportunities to build your audience. You should be the guinea pig for everything you sell. The Hardest Challenge of Growing a Young Agency Two types of struggles hit new founders: agency struggles and the first time entrepreneur struggles. On the agency side, Eric is unrelenting on talent. He will not hire someone just because they have experience. Their standards are high, which means the search takes longer. Orlando is growing but not a major market for high level social and content talent. They once received nine hundred applicants for a creative director role. On the founder side, the hardest challenge is mental. Building a company that feeds twelve families is a heavy responsibility. The expectations you have for where you think you should be often do not match where you actually are. That gap can mess with your head. Eric uses a list of personal non negotiables to stay mentally sharp: hard morning workouts, time with faith, reading goals daily, taking short breaks during the day, reviewing priorities, and going to bed on time. The last one is the hardest for him. But like most discipline problems, skipping the basics is usually what leads to feeling off. Why Agency Entrepreneurship Requires a Long Game Mindset For Eric, entrepreneurship is staring the hard thing in the face and moving forward anyway, which is where his non-negotiables come in. For his part, Jason has always treated entrepreneurship as a game. Sometimes you do everything right and still get hit with a bad roll of the dice. The goal is not perfection. It is persistence. The memories you keep are rarely the easy seasons. They are the nights you and your team fought through the hard stuff. For this reason, his advice for agency owners is to have fun along the way. Don't wait until your kids are grown or your agency is sold to live. Make the journey the part you enjoy. Do You Want to Transform Your Agency from a Liability to an Asset? Looking to dig deeper into your agency's potential? Check out our Agency Blueprint. Designed for agency owners like you, our Agency Blueprint helps you uncover growth opportunities, tackle obstacles, and craft a customized blueprint for your agency's success.

Industrial Talk is onsite at SMRP 2026 and talking to Greg Raglin and Bill Broderick with AssetWatch about "Bringing context to your asset management data". Scott MacKenzie hosts an industrial podcast featuring Greg RaglIn and Bill Broderick from AssetWatch, a company specializing in predictive maintenance and reliability solutions. Greg, a solutions architect, and Bill, a vibration analyst, discuss their experiences and the benefits of AssetWatch's technology, which integrates AI and human intelligence to provide actionable insights from condition-based monitoring of assets. They emphasize the importance of accurate data analysis to avoid false alarms and the need for continuous engagement with clients to ensure the success of predictive maintenance programs. The conversation highlights the evolving role of AI in industrial settings and the potential for future technological advancements. Action Items [ ] Reach out to Greg Raglin to discuss AssetWatch's solutions further.[ ] Connect with Bill Broderick on LinkedIn to stay updated on the company's developments. Outline Introduction and Welcome to Industrial Talk Podcast Scott MacKenzie introduces the Industrial Talk Podcast, emphasizing its focus on industry professionals and their innovations.Scott welcomes listeners and highlights the importance of celebrating industry heroes who solve daily problems.The podcast is broadcasting live from the SMRP conference in Fort Worth, Texas, where Scott has been discussing asset management, reliability, and maintenance.Scott introduces Greg and Bill from AssetWatch, who will share their experiences and insights from the conference. Backgrounds of Greg and Bill Greg Raglin shares his career journey, starting in psychology, moving to logistics, and eventually to fluid motion control and automation.Greg has been with AssetWatch for three years as a solutions architect, helping customers solve problems with practical solutions.Bill Broderick has been with AssetWatch for over a year, with a background in manufacturing automation and predictive maintenance.Bill emphasizes his passion for finding inefficiencies and optimizing processes to help companies save costs and improve efficiency. Overview of AssetWatch Greg explains that AssetWatch is a reliability partner, focusing on condition-based monitoring and using data, AI, and machine learning to provide actionable insights.The company has a team of 30+ dedicated engineers who analyze data and provide recommendations to fix issues.Bill adds that AssetWatch uses AI to monitor data and filter out false alarms, ensuring that plant-level teams receive accurate and timely information.The human element behind the technology is crucial for AssetWatch, as experienced engineers can communicate effectively with plant operators. Data Analysis and Integration Scott asks about the types of data AssetWatch can analyze, and Greg mentions that they focus on vibration and temperature data, with plans to expand to other modalities.Bill explains that AssetWatch integrates with other systems like CMS to provide a comprehensive solution for predictive maintenance.The company aims to be a one-stop shop for reliability, using data from various sources to reduce downtime and improve efficiency.AssetWatch manufactures their own devices, ensuring that all components are state-side and of high quality. Deployment and Training Greg discusses the deployment process, where AssetWatch's reliability...

In this episode, we break down the upcoming CMS policy that will reduce work RVUs for nearly all non–time-based surgical CPT codes beginning January 1st. Dr. Chris Childers, surgical oncologist and health-policy expert, and Christian Shaughnessy, ACS Senior VP for Advocacy, join us to explain what these cuts mean for surgeons in both private practice and employed models. We explore why CMS believes surgeons are becoming “more efficient,” and why newly published data suggest the opposite may be true. Our guests outline the downstream financial, workforce, and patient-access implications of this unprecedented policy shift. Finally, we discuss how every surgeon can—and should—take action now to help prevent these cuts from taking effect. Hosts: Patrick Georgoff, MD, @georgoff Christopher Childers, MD, PhD, @cchildersmd Christian Shalgian, ACS Division of Advocacy and Health Policy Senior Vice President Take action: https://www.facs.org/advocacy/regulatory-issues/fight-back-against-cuts-to-work-relative-value-units/ Longitudinal Trends in Efficiency and Complexity of Surgical Procedures: Analysis of 1.7 Million Operations Between 2019 and 2023: https://pubmed.ncbi.nlm.nih.gov/40801398/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US