Podcasts about CMS

This week I Talk About How Shut Downs Could Equal Opportunity [powerpress]

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Most agencies don't make it 25 years but Bill Swanston's has. From surviving 9/11 to leading a 30-person team through COVID, Bill shares how Bosun (formerly Frederick Swanston) adapted, learned to love KPIs, empowered their team, and even pulled off a successful rebrand. His story proves you can survive the toughest agency seasons and come out stronger—if you track the right numbers, avoid “superclient” risk, and learn to truly let go. What You'll Learn Why resilience (not just growth hacks) is the real agency survival skill How ignoring KPIs almost cost the agency big—and how to avoid that mistake Why letting go of control is the only way to grow past founder-dependence What a rebrand really signals about an agency's maturity and leadership shift The hidden dangers of relying on a “superclient” Key Takeaways Keep overhead light in uncertain times—it gives you room to maneuver when crises hit. Track your KPIs like a client project: salaries as % of AGI, AGI per employee, revenue per client. Don't rely on a single client for survival—client concentration is a silent killer. Empower your team early—you can't scale if you're reviewing every deliverable yourself. Rebrands work when they reflect a cultural shift—not just a new logo. What does it really take to keep an agency alive through market crashes, pandemics, and the endless grind without burning out or losing your edge? Today's featured guest will unpack his journey from starting in a basement with a couple of clients to leading a 30-person team through some of the toughest seasons an agency can face. From navigating financial blind spots to learning how to actually let go and trust his team, and the reason the agency's 25th anniversary actually marked a big shift with a new rebrand. Bill Swanston is the president and founder of Bosun, an Atlanta-based agency that just celebrated its 25th anniversary. Formerly known as Frederick Swanston, the agency has weathered market crashes, client shakeups, and a pandemic while building a powerhouse team with deep creative and digital chops. In this episode, we'll discuss: The challenges that really tested the agency's resilience. How learning to love KPIs saved the business. Why rebrand after 25 years? 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. Building Through Adversity and Surviving 9/11 After moving back to Atlanta from New York, Bill was freelancing at BBDO and thinking about switching to smaller agency. As he saw it, it was better to be a big fish in a smaller pond. Unfortunately, his gig at the smaller agency was short lived, since the agency shut down for good. Instead of packing it in, Bill and his partner Scott Frederick grabbed a few clients, set up shop in a basement, and got to work. Built-in revenue gave them a smoother start than most scrappy entrepreneurs, but reality set in quickly. By the early 2000s, they were hit hard by 9/11 and its ripple effect on corporate events. It was a reminder that whether you're at a big holding company or running your own small shop, stability is often an illusion. Surviving those first waves meant keeping overhead light, grinding it out, and learning how to adapt before the word “pivot” became a business cliché. The Challenge that Really Tested the Agency's Resilience Partnerships can make or break an agency and Bill admits the early years with his partner had their rough patches, not as creatives, but as business owners learning how to disagree productively. Over time, their different strengths meshed into what became a powerful leadership duo. But nothing tested the agency quite like COVID. With a staff of 30 suddenly looking to them for answers, the partners had to act fast. They slashed salaries, cut their own pay completely, and relied on federal relief programs like PPP loans to keep the team intact. That lifeline, combined with quick adjustments, got them back on track. As Bill put it, “It was the absolute worst period of time for the agency. But we came out stronger because we had no choice but to figure it out fast.” From Gut Instinct to KPIs That Saved the Business Like a lot of creative-led shops, Bill and his partner weren't exactly obsessed with financial metrics at first. According to Bill, they mostly leaned on QuickBooks, check-writing, and gut instincts. That worked until it didn't. By the time they realized improprieties had slipped under the radar, they knew it was time to upgrade. Today, they track everything from salaries as a percentage of adjusted gross income to AGI per employee to recurring revenue versus project-based work. They also look at revenue per client to ensure there isn't any one account that is overwhelming the team. Like many agencies, they had this happen at one point, with a client that accounted for 50% of their billing. He remembers being scared once this client started to dwindle as a result of the ‘08 crisis, which taught him the danger of relying on superclients that can walk away and take half your revenue with them. Bill stresses that KPIs aren't about being a math whiz, but about having clarity. Knowing your true profitability by client or department means you stop guessing and start making better decisions. “We do it for our clients,” he said, “so we've got to do it for ourselves too.” Nowadays, he works with an external CPA and an internal comptroller who help him keep an eye on the agency's finances. Pro tip: If you're not yet at the point where you can have a CFO but don't know where to start to assess your agency's financials, use askquick.ai. It's a tool developed by Jason and his team that'll help you figure out your most profitable clients, assess your financial red flags, measure your KPIs, and more. Learning to Let Go and Empower the Team For the first decade, Bill and Scott were deep in the weeds, reviewing every creative output, managing every account, carrying the business on their backs. Eventually, the workload became too much and they had to learn how to trust others. Empowering team members to make real decisions wasn't easy. It started organically as new hires took over account management, media, and digital responsibilities. Over time, Bill realized the work improved when people felt ownership and felt empowered to shape the agency. “The ability to let go and trust others is essential to grow your agency,” he says. This trust not only gave the agency room to grow but also gave Bill and Scott the freedom to step back from being prisoners of their own business. Why Would a 25 Year Old Agency Rebrand Now? After two and a half decades as Frederick Swanston, the founders made the bold move to rebrand as Bosun to better reflect what they'd become. The decision was about more than a new logo. According to Bill, keeping their surnames in the brand felt too self-centered and didn't reflect the agency's culture. The rebrand signaled a shift: it's not about Bill or Scott anymore. It's about the team, the clients, and the relationships that actually fuel the work. While rebrands often make clients nervous, Bill said the transition was seamless. In fact, many partners celebrated alongside them, proving that strong relationships matter more than the name on the door. 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.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers welcomes Dr. Yul Ejnes of Brown University Health to the pod to discuss a recent Forefront article he authored about the trend of deprofessionalization in the health care workforce and potential antidotes to address these issues.Learn more about the topic of the health care workforce with a Health Affairs Insider trend report.Join us for this upcoming Insider exclusive events:10/15: Immigration Policies and Their Impact on Health CareBecome an Insider today to get access to our trend reports, events, and exclusive newsletters.Related Articles:Deprofessionalization: An Emerging Threat To The Physician Workforce (Health Affairs Forefront)The Health Care Workforce: A Challenge In Sustainability (Health Affairs) Subscribe to UnitedHealthcare's Community & State newsletter.

CMS released their 2026 Medicare Advantage and Medicare Part D projections this week. Join Sarah as she highlights info for agents, from estimates on enrollment and premiums to plan accessibility and more!   Get Connected:

October 3, 2025 In this episode, Scott, Mark, and Ray Painter discuss two timely and important topics. First, they break down the current government shutdown and its effects on Medicare claims processing, including the 10-day hold issued by CMS to allow MACs to adjust their systems—especially around telehealth billing. They offer practical recommendations for urology practices, including billing guidance and the use of ABNs during the shutdown.Then, the discussion shifts to artificial intelligence in healthcare. After attending multiple urology meetings and AI sessions, Scott and Mark share real-world observations on how AI is being used across the urology landscape—from ambient documentation tools to claims scrubbing and patient scheduling. They emphasize the importance of human oversight, expertise, and carefully evaluating AI partners before implementing tools in your practice. Ray adds his perspective on the ongoing need for human knowledge and caution when embracing new technology.Urology Advanced Coding and Reimbursement SeminarInformation and RegistrationPRS Coding and Reimbursement HubAccess the HubFree Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

In this special episode of Radio Advisory, recorded at 9:30 a.m. ET on Oct. 1, 2025, host Rae Woods walks through two major healthcare policy disruptions: the federal government shutdown and the Rural Health Transformation Program. Rae explains the immediate implications for care delivery and funding as Medicare telehealth and Hospital-at-Home waivers expire and debates over ACA tax credits and Medicaid work requirements stall in Congress. She also unpacks new guidance from CMS on the $50 billion Rural Health Transformation Program, outlining what leaders must do to apply for funding before the November 5th deadline and best position themselves to support their rural communities. We're here to help: Healthcare Policy Updates Timeline Health policy roundup: CMS opens applications for $50B rural health fund A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

Telehealth coverage for SLPs under Medicare expired on October 1, 2025. In this episode, Dr. Jeanette Benigas, SLP, and Katie Brown, SLP, explain what this means for the provision of Telehealth services for traditional Medicare Part B beneficiaries, the nuances for Part A beneficiaries, and the allowance of private pay. They also unpack the government shutdown's impact on claims processing, what remains unchanged for Medicaid and Medicare Advantage plans, and why employers shouldn't issue blanket telehealth bans without checking payer rules. Get clear, practical guidance plus the free Telehealth Toolkit to support your patients and advocate for continued access.Find all of the advocacy tools you need here to participate in the telehealth call to action, or check out Katie's SLPs Blueprint to Medicare Success and get $100 off with the code FixSLP.If you missed it, catch Katie and Jeanette's earlier conversation on Medicare telehealth in Episode 96. It sets the stage for what's happening now.Stop paying to track ASHA-approved CEUs. Save your money and set up for a FREE CEU/PDH tracker with Speech Therapy PD. While you are there, get $10 off a professional subscription with the code FixSLP10!

Today, I'm joined by Anup Malani. He's a professor of law at the University of Chicago, currently on leave, serving as the first Chief Economist at the Centers for Medicare & Medicaid Services. This means he oversees economic analysis for the agency managing $2 trillion in annual healthcare spending — 23% of the entire federal budget. CMS runs Medicare for 70 million elderly Americans, Medicaid for low-income families, and the health insurance exchanges where millions buy coverage.Malani answers a lot of questions I have about American healthcare policy:* The US spends 20% of GDP on healthcare. Why is our life expectancy so bad?* How do you crack down on Medicare fraud without hurting patients who need care?* What incentives do private insurers like UnitedHealth have to make patients look sicker than they are?* What do academic economists get wrong about policy?The full transcript for this conversation is at www.statecraft.pub. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.statecraft.pub

Die Webflow Conf 2025 hat wieder jede Menge neue Features angekündigt. Von AI-Code-Generation über Code-Komponenten bis hin zu einem ganz neuen CMS. Aber mal ehrlich: Sind das echte Gamechanger oder nur Marketing-Hype? Als Webflow Power-User schaue ich mir die Conf-Updates genau an und teste, ob es dafür wirklich nützliche Use Cases gibt. In diesem Video bekommst du: ✅ Meine ehrliche Reaction zur Webflow Conf 2025 ✅ Konkrete Beispiele für neue Features (AI, Apps, Komponenten, CMS APIs) ✅ Einschätzung: Was wirklich nützlich ist und was eher Show bleibt ✅ Tipps, wie du die Neuerungen sofort für eigene Projekte nutzen kannst --------------------------------------------- Meine Onlinekurse:

In this episode, Molly Gamble, Vice President of Editorial at Becker's Healthcare, explores the looming expiration of CMS's hospital at home waiver, the investments health systems have made in this model, and the anxiety leaders face as they await Congress's decision on funding and program extensions.

As a distributor, publishing company, creator of DIY platform OFFstep and one of the world's largest music MCNs on YouTube, ONErpm is considered a full-service, modern record label. The company puts artists at the forefront by emphasizing transparency & education at both the front end and back end, and even has its own CMS platform for artists to track spending & marketing plans. In this episode, Head of Marketing Jenna LoMonaco details how ONErpm supports & helps to develop their artists' vision, along with the company's strategic incorporation of modern tech, and clears up misconceptions on exploitation in the industry.

By Adam Turteltaub With a rising focus on value-based care, and a new program seeking to make the approach mandatory, we spoke with Ed White (LinkedIn), Partner at Nelson Mullins. Previous efforts to move toward value-based models, such as Accountable Care Organizations (ACOs), faced significant barriers due to regulatory frameworks like the Stark Law and Anti-Kickback Statute. These laws were designed to prevent financial incentives from influencing medical decisions, but they also limited the ability of hospitals and physicians to collaborate in ways necessary for effective value-based care implementation. Recognizing these constraints, CMS and the Office of Inspector General (OIG) collaborated in 2020 to issue new regulations aimed at facilitating the transition to value-based care. The next step in the transition is the new Transforming Episode Accountability Model or TEAM program, which will become mandatory in 2026. This program includes 740 hospitals across the country and targets five specific surgical procedures. Participating hospitals must coordinate care with a range of providers—including specialists, primary care physicians, labs, durable medical equipment (DME) providers, hospice agencies, and others. The TEAM program is designed to last for five years, during which time hospitals are responsible for ensuring that patients are connected to appropriate post-discharge care, including follow-up with primary care providers. The goal is to reduce complications, avoid emergency room readmissions, and promote better health outcomes—all while keeping costs below a CMS-established target price. To drive efficiency, the TEAM program introduces three financial risk “tracks”: Upside-only track – Hospitals can earn shared savings if costs come in below the target price. Moderate risk (upside/downside) track – Hospitals can either earn savings or incur penalties depending on performance. Full-risk track – This track will offer both greater risks and rewards. According to industry consultants, two-thirds of participating hospitals are expected to lose money in the early phases of the TEAM program. Hospitals must rethink their compliance, care coordination, and partnership strategies in the wake of these changes. Listen in to learn more about what this all means for your compliance program both today and in the future.

When the final rule take effect Oct. 1, 2025, coders, providers, and administration leaders will need to adjust to several key changes, including the new MS-DRGs and broad policy changes. And that is why the producers of Talk Ten Tuesday have invited Leigh Poland, vice president of the AGS Health coding service product line to return to the popular Internet broadcast, Talk Ten Tuesday, to report on these significant changes.The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• The Coding Report: Jodi Worthington, with First Class Solutions, will substitute for Christine Geiger to report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the long-running and popular weekly Internet broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.

R. Ross Burris, Shareholder, Polsinelli, and Lindsey L. Lonergan, Senior Associate General Counsel, Wellspan Health, discuss current trends and developments related to audits and proactive strategies for dealing with audits. They cover issues related to CMS claim review programs, the increase in commercial audits versus government payer audits, artificial intelligence, Unified Program Integrity Contractor audits, and the 60-day rule. Ross and Lindsey spoke about this topic at AHLA's 2025 Annual Meeting in San Diego, CA.Watch this episode: https://www.youtube.com/watch?v=iorXAhX0o9ELearn more about the AHLA 2025 Annual Meeting that took place in San Diego, CA: https://www.americanhealthlaw.org/annualmeeting 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/.

Dr Paul Singh and Dr Kendall Donaldson come together at the AECOS 2025 to explore the evolving role of OMIDRIA in cataract surgery. As the only FDA-approved intracameral NSAID, OMIDRIA continues to deliver meaningful clinical benefit - reducing inflammation, preventing complications, and improving patient outcomes - while easing or removing the burden of post-op drop regimens. Listeners will hear real-world insights from the Bascom study and clinical practice, including how OMIDRIA-based dropless protocols can streamline workflow, enhance staff efficiency, improve patient satisfaction, and reduce costs. Importantly, OMIDRIA now maintains separate payment status in both Ambulatory Surgery Centers (ASCs) and Hospital Outpatient Departments (HOPDs) for 100% of fee-for-service Medicare patients.* *OMIDRIA qualifies for separate payment across both ASC and HOPD settings as it fulfils the requirements established in the non-opioid as a surgical supply provision by CMS.    Rayner, the Rayner logo, OMIDRIA, and the OMIDRIA logo, are proprietary marks of Rayner. © 2025 Rayner Group, all rights reserved. OMIDRIA videos and podcasts are for the attention of US HCPs only. Please rely on your clinical judgment when considering treatment approaches. A dropless approach with OMIDRIA may not suit all patients. Rayner does not recommend specific product combinations. As of August 2025, OMIDRIA is approved in the US and UK. Speakers may be paid Rayner consultants. US-OM-2500051 07/25

President Trump is expected to propose changes to the nation's largest work visa program, with implications for healthcare staffing. A CMS pilot adding prior authorizations to traditional Medicare is facing pushback from Congressional leaders. A major medical supply manufacturer is reportedly planning a high-profile IPO next month. More on these stories in today's episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

Web Optimization: Technical SEO and Content Marketing Best Practices with Favour Obasi-Ike | Get exclusive SEO newsletters in your inbox.Focusing on web optimization, technical SEO, and content marketing, likened to building a durable house or maintaining a high-performance car. The discussion features several experts who explore strategies for increasing online visibility and revenue, emphasizing the critical role of a strong website foundation, reliable hosting, and effective content creation, particularly through blogs and YouTube, to address customer questions. We also debate the impact of AI on search and the necessity of SEO versus relying on other traffic channels like TikTok, concluding that a unified, authoritative online presence is key to gaining trust and accelerating business growth.--------------------------------------------------------------------------------Next Steps for Digital Marketing + SEO Services:>> ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Need SEO Services? Book a Complimentary SEO Discovery Call with Favour Obasi-Ike⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠>> Need more information? Visit our Work and PLAY Entertainment website to learn about our digital marketing services.>> Visit our Official website for the best digital marketing, SEO, and AI strategies today!--------------------------------------------------------------------------------What marketing topics are central to this discussion? The core topics discussed are web optimization, technical SEO, and content marketing.Why are technical setup and content vital for a website? Technical and content aspects should work together to make your website an "optimized place" and an "optimized greenhouse" for your business online. When you combine technical elements and content, you create a much wider network and a more extensive resource.What does the term "optimization" imply? Optimization is equated with consistency. If a website is not being optimized consistently, it is metaphorically stuck, like a car not moving in a driveway.How should a business approach content creation to serve both people and algorithms? Website owners should write for people first, but they must also keep the search algorithm in mind. The goal is to create many pages that interlink, providing a journey from discovery to decision for the user, utilizing various formats like video, audio, infographics, FAQs, or glossaries.How does authorship relate to building credibility online? When content is created on your website, it should be attributed to an author page originating from the person writing the content. Including expert quotes within a blog that has your name attached builds credibility. Furthermore, having your name indexed by Google as a blog author via a profile link can put you ahead of the competition.--------------------------------------------------------------------------------Technical SEO and Website FoundationWhat are the fundamental components necessary for a website? The process starts with your domain, followed by your hosting, and then your website. Key technical considerations include where you host the website, the CMS platform used, and how your DNS records are configured.Why is choosing a quality host important? You must have the correct hosting, meaning the host should not go down. Many cheap hosting services put literally thousands of websites on the same servers. It is better to pay more for a higher quality server.How can I monitor if my website is experiencing downtime? You can use free monitoring tools, such as Uptime Robot, which will monitor your website's uptime and send you an alert if the site goes offline.What is a major technical mistake regarding domain names? A "big one" is simply keeping track of your domain name. It is recommended to renew your domain name for a couple of years at a time, rather than just one year.What is the distinction between technical setup and content in an analogy? Technical SEO is like the exterior of a car—the battery, engine, oil, and fluids—determining speed and duration. Content marketing is the interior—the steering wheel, comfort, and aesthetics.--------------------------------------------------------------------------------AI, Schema, and Search StrategyWhat is the relationship between AI, search, and structured websites? The rise of AI suggests a thin line is developing between unstructured websites and structured websites. AI is actively affecting the way people search.What is schema, and how is it used on a website? Schema refers to structured data. When implementing schema on a web page, you should focus on elements like breadcrumbs, FAQs, and price/stock information, as these elements allow you to have a much higher signal. Structured data involves taking unstructured information (like a general blog post) and organizing it using visual elements, examples, statistics, and expert quotes.How can a business influence LLMs (Large Language Models) like ChatGPT? AI platforms (LLMs) seek to grab information. The "secret key" is to release news about your business through press releases. This process helps your information get into Google News, which the LLMs will then pick up.In terms of building authority, what should a business prioritize? The priority is to first be known, as you cannot be trusted if you are not known. Putting out content on how you solve problems is essential for gaining recognition.What specific content strategy is recommended for building authority (e.g., for an auto dealership)? A good strategy is to find long-tail keywords, particularly questions, using tools like ChatGPT or the "People Also Ask" section on Google results. Then, create content answering those questions, allocating one question per blog post. These articles should be at least 300 to 500 words long. To enhance this content, you can create and embed a related YouTube video on that specific blog page.--------------------------------------------------------------------------------Content Distribution and Platform UseWhat platforms should be used to support a website's foundation? In addition to a strong website, you should have supporting foundations such as YouTube, social media, or news outlets. The game is distribution; the more you can distribute your content, the more you can increase your capacity.If a client is highly successful using a non-search channel (like TikTok), is SEO necessary? If a client has an amazing traffic funnel on a channel like TikTok or YouTube, they do not necessarily need SEO; they should focus on doing more of what is already working. However, if the market relies more on search, setting up a broad SEO net is highly recommended.What is the key difference in content interaction between Pinterest and Instagram? On Instagram, you can save a post, but you cannot click on the image to go to a destination link outside of the platform (unless you use the link in the bio). On Pinterest, you can click on an image, and it will take you to a destination link, providing a "soft backlink".What unique data intelligence does Pinterest provide to business owners? While Instagram saves are private, a business owner with a Pinterest business account can see the names of the boards that users saved their pins to (if the boards are public). This information tells the business owner what context the user assigned to the content (e.g., "mentorship," "food"). This data intelligence allows the business to create more relevant content.What category of platform is Pinterest considered? Pinterest is viewed as a hybrid of both search and social. People use Pinterest to plan.Why is it important to consider factors like font size in web content? When optimizing content, size matters. A font size of 20 pixels will likely be read faster than a font size of 12 pixels, as people often skim or scan content rather than reading every detail. Similarly, small text in emails can be ignored because people do not want to squint.--------------------------------------------------------------------------------Glossary Term & DefinitionAuthorshipThe practice of associating content with a specific person or brand name. This builds credibility and helps Google and other search algorithms recognize the entity as an expert, which can improve search rankings.CMS (Content Management System)The software platform used to build and manage a website's content. The choice of CMS is a foundational technical decision that impacts how a site is built and maintained.Content MarketingThe strategic practice of creating and distributing various forms of media (text, audio, video, images) to attract and engage a target audience. In the session's car analogy, it represents the "interior" of the car—the user's experience.DeepseekAn AI search tool mentioned as an alternative to ChatGPT. It was noted for providing more detailed, contextual answers compared to just a list of questions, suggesting it performs a deeper data crawl.LLMs (Large Language Models)The AI systems, like ChatGPT, that power modern search and chat platforms. These models crawl the web for information, and the discussion focuses on how to get a website's content indexed and recommended by them.llms.txtA file, similar to robots.txt for search engines, that is intended to control how AI Large Language Models crawl and use a website's content.PinterestDescribed as a "hybrid of both search and social," this platform is highlighted as a powerful tool for web optimization. It functions like "Google Images," driving traffic through clickable pins and providing deep user insights through public board names.Press ReleaseA news announcement distributed to media outlets. It is presented as a key tactic to get a business featured in Google News, which helps it get noticed by LLMs and establishes the business as "known."SchemaA form of structured data markup added to a website's code. It helps search engines understand the content more deeply, enabling features like FAQs, price ranges, and breadcrumbs in search results, which is crucial for ranking in AI-driven search.Sigmoid CurveA concept mentioned by John to describe the adoption rate of new technology. It illustrates that different demographics (e.g., older vs. younger generations) are at different points on the curve in their adoption of tools like AI search.Technical SEOThe process of optimizing the technical aspects of a website to improve its performance and crawlability for search engines. In the session's car analogy, it represents the "exterior" and "under the hood" components like the engine and battery, which dictate speed and reliability.Uptime RobotA free online tool recommended for monitoring a website's availability. It alerts the owner if their website goes down, preventing loss of traffic and revenue from unnoticed outages.Web OptimizationA consistent, ongoing process of improving a brand's entire online presence, not just the main website. 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This week I Talk About GEO vs SEO [powerpress]

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training What does it really look like when employees step up to buy the agency they've helped run for years? Today's featured guest will share how she and her partners carried forward the 30-year legacy of an agency founded in the days of print and stamp, a business that has not only survived but thrived through three different ownership handoffs. You'll hear how they transitioned from licking envelopes to leading digital campaigns, navigated buying the business during COVID, and tackled the imposter syndrome that comes with suddenly being “the boss.” If you've ever thought about selling your agency, or buying one, this conversation is packed with lessons on culture, succession, and keeping an agency alive for the long haul. Alyssa Ash is one of the principals and co-owners of AOR, a creative and digital agency focused on branding, marketing, and web, with a strong focus on real estate development, municipalities, and economic development projects. Think housing solutions, community connections, and projects that shape cities—that's their sweet spot. Alyssa and her two business partners are the third generation of owners keeping AOR alive since its founding in 1992. A rare kind of legacy in agency land. In this episode, we'll discuss: How employees can be groomed into ownership. Lessons from buying an agency during COVID. Why imposter syndrome is normal (and even healthy). 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. A Legacy of Print and Culture Back in '92, AOR wasn't cranking out websites or SEO strategies. It was the time of print design, direct mail, licking stamps, and die-cut lounge chair mailers that made people long-time clients. It's not common that an agency that gets acquired lives on like this, but the founders had built something special. Each generation of owners didn't just grow the client list—they protected the culture. When the founders sold 13 years after starting the business, keeping that culture intact was non-negotiable. Fast forward again, and Alyssa's crew inherited not just an agency, but a philosophy: honor the people and the community as much as the work. Transitioning from Employee to Owner Unlike an outside buyer swooping in with an SBA loan, Alyssa and her partners were homegrown leaders. They'd each put in 10–15 years, running departments in strategy, sales, and operations. By the time the second set of owners started floating the idea of selling, the trio was already running day-to-day operations. At first, the conversation was casual, “Would you even want to own the agency someday?”, but over time it got real. The financial side was initially not even part of the conversation, although they did give a reasonable runway of five to ten years for the acquisition to happen. The fact that three of them shared the load made the acquisition possible. While the thought was intimidating at first, the gradual handoff built their confidence. By the time the deal closed, ownership felt less like a leap and more like the next natural step. Navigating an Agency Acquisition During COVID If you've ever thought about buying or selling an agency, you know the financing part can get tricky. For Alyssa and her partners, COVID hit right in the middle of negotiations. On one hand, this made it somehow easier for her and her partners to step even more into their roles as heads of the agency. While the owners stepped back from daily operations, Alyssa and her partners made the transition to their new roles. On the other hand, the pandemic did complicate things as SBA loans looked risky with interest rates climbing. Thankfully, the old owners worked out a five-year owner-financed note instead. That decision didn't just save them financially, it cemented trust. The outgoing owners wanted the next generation to succeed and structured the deal so everyone won. As Alyssa put it, “It didn't feel like a big shift… because we'd already been doing it.” Fighting Imposter Syndrome (and Why That's Healthy) Even with 15 years in the trenches, Alyssa admits stepping into ownership brought its fair share of imposter syndrome. She was still quite young, even though she felt comfortable leading day-to-day operations. This is where the former owner's trust really helped. They put her in a position to succeed and trusted she could make it. Ultimately, every agency owner feels that, no matter the stage of their career they're at when becoming an owner. In fact, it's the ones who don't who usually get tripped up by ego. Preparing the Next Generation So, is Alyssa grooming her team for eventual ownership? Not yet, it's too soon. But she is watching for the traits that made her and her partners natural fits: entrepreneurial thinking, leadership instincts, and a bias for taking responsibility. Her advice to other agency owners thinking about succession: Don't overlook your employees as potential buyers. Give them time and a runway to grow into the role. Protect your culture by keeping it in the hands of people who already live it. 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.

September 26, 2025 In this episode, Scott, Mark, and Ray discuss the looming federal government shutdown and how it could impact urology practices—especially telehealth services. They explain the latest developments in Washington, what Medicare and Medicaid payments will look like during a shutdown, and offer practical guidance for handling telehealth visits, front-office operations, and prior authorizations. Mark shares specific strategies and options for practices, including use of ABNs and billing considerations for Medicare Advantage and traditional Medicare patients. The episode wraps with insights on how the shutdown might delay CMS's final rule and the broader implications for AI, reimbursement, and practice management.Urology Advanced Coding and Reimbursement SeminarInformation and RegistrationPRS Coding and Reimbursement HubAccess the HubFree Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

In this episode, we'll walk through resources you can use to get free help with Medicare. The Resources are broken into three categories:1. Free online educational content2. Free Medicare guidance from SHIP3. Free Medicare guidance from insurance brokersResourcesMedicare: https://www.medicare.gov/CMS: https://www.cms.gov/KFF: https://www.kff.org/topic/medicare/SHIP: https://www.shiphelp.org/JAMA Study on SHIP: https://jamanetwork.com/journals/jama...Chapter: 410-220-5494Federal Lawsuit: https://www.justice.gov/opa/media/139...Join the Newsletter. It's Free:https://robberger.com/newsletter/?utm...Get free guidance on Medicare from Chapter, a company I've partnered with, by calling 410-220-5494. If you call Chapter, please let me know about your experience.

According to research from Gartner, buyer uncertainty leads to a 30% reduction in a buyer's ability to make a purchase decision at all. So, how can you create a buying experience that builds confidence, drives engagement, and ultimately improves win rates? Riley Rogers: Hi, and welcome to the Win-Win podcast. I’m your host, Riley Rogers. Join us as we dive into changing trends in the workplace and how to navigate them successfully. Here to discuss this topic is Annabel Hosking, Global Sales Enablement Manager at LexiNexis Risk Solutions. Thank you so much for joining us, Annabel. Just to kick us off, I’d love if you could tell us a little bit about yourself, your background, and your role. Annabel Hosking: Hi everyone. I currently work as a global sales network manager at LexisNexis Risk Solutions within the data services brand, so I’m very fortunate to work across. Four different brands that will work within the data space. And within my role, I lead the sales enablement team. We’re a global team. We’re a small team, small but mighty, and we work across methodology enablement. So all about our sales methodology, how we go to market, how our customers. Experiences. And I also work across all of our onboarding as well as all of our tech stack as well. So my role is really varied. I’m very lucky I get to work with some really great people across the world. And yeah, it was never a dull moment, I’ll say. RR: Isn’t that always the case? Small scrappy teams. Wearing a lot of hats and it’s always exciting. We’re super excited to have you here because I know you have experience spanning a lot of core parts of enablement, so I think there’s a lot to dig into there. Could you walk us through, because I think everybody’s story is different, maybe your professional journey and then how that background led you to enablement, and then how it’s kind of shaped your approach to enablement today. AH: Absolutely. I have what I like to think of as, and it comes from a podcast I’ve been listening to recently, it’s called Squiggly Careers, and I feel like my career was like a very squiggly career of how I ended up in enablement, because I did not at school think, oh, I’m gonna become a. Sales enabler whatsoever. But my background is very much actually in content management and platform management and communication. And how I moved into enablement was I was actually hired in my current company and one of the brands, the beginning of the pandemic. To essentially deliver enablement content. So I worked on delivery of content, content management, delivery of our Highspot system as well. And that was how I started to move into the enablement realm. And I will say it was completely unknown to me originally. I. Wasn’t even clear that I was doing sales enablement per se, but at least a good 18 months in my role here. I thought I was just delivering content and it wasn’t until working with vendors like Highspot where. That term enablement started to come out and it started to change, I suppose, how I delivered my content and it’s really come into its own where now I’m very fortunate where I’m have on my team who does phenomenal content and through my experience. It’s really understanding who my audience is, understanding how they like to consume their enablement, but also how can we consistently stay, um, ahead of what the trends are and how people like to change, how they like to consume, what they’re seeing A meeting was held by our team on Monday with the client team for the Zephyr project to review the status of the forthcoming Q3 launch campaign. The campaign, originally built as a omnichannel activation across CTV, paid social and programmatic display, is now subject to substantial midstream revisions—following newly surfaced client directives. The feedback introduce a material shift in strategic framing under a compressed delivery window. There will be a pivot as Zephyr deprioritizing the performance-tracking narrative to favor of a broader “everyday wellness and inclusivity” story which will require an immidiate reframe of our messaging, architecture and associated visuals. To addressed the revised scope, I've assigned immediate follow-ups actions across the team. Visual art will lead conversations with post-production around stock content intergration. Ad sales will recalibrating the media plan in light of the repositioned messaging and will coordinate with DSPs to avoid penalties related on insertion order delays. Copy desk is to be tasked with stripping all unsubstantiated medical claims from copy, implementing the new CTA and managing a parallel review with legal. We conduct a daily internal stand-up each morning through end of week to identify blockers. The next client check-in is scheduled for July 3rd, where we preview asset revisions and confirm compliance milestones. Final go/no-go is slated for July 7th at 17:00 PDT. We are proceeding with all mitigations in parallel, and escalated any dependency delays as they surface. day to day, because that has vastly changed as well in the last six years. So. Thankfully my background and being adaptable, working globally, working with a lot of different people has really helped shape that. Because you know, I always say if there’s one thing, so my career of, you know, working in content management and working with platforms, working in technology. It has really shaped who I am today because it’s all really embedded in those user Jo Journeys user stories, and that translates into what I hope is a good enablement experience. RR: Well, amazing. I love the phrase squiggly career. I think I am certainly going to have to steal that one, and I think it’s such a good way to describe how so many folks end up at enablement. You start in one place and you bring all of that knowledge that you acquire in that early discipline. Into enablement programming that’s more effective for it. And thinking about, you know, your background in content management and creating content and all of that fun stuff, I’d be curious to know how they kind of come together. So you recently spoke at Spark EA and highlighted the importance of the buying experience, so. What are you seeing as some of those biggest challenges in engaging today’s buyers and how are you addressing them? Maybe through content, maybe through enablement? What does that look like to you? AH: I mean, I think the buying experience today in 2025 is unlike anything we have seen. Ever. It is a completely different world for both salespeople and for buyers as well. And what I’m seeing is, you know, buyers are not only overwhelmed with information, they’re also inundated with it. There is so much content out there for a buyer to consume and not just through their sales individual. This is content that they can easily go and either get themselves or with things like AI and Copilot, they can have. Harness and surface to them. So that makes the role of the seller that much harder because we don’t always know what the buyer is viewing and whether it’s of value to them, and that means that their time, the buyer’s time is so precious. We are seeing that, you know, buyers, and I mentioned this when I was at Spark, there are so many people now involved in the buying decision. We’ve moved, I think it was from about three people a few years ago. We’re now at. Six to 10 people. And if you think about it, those are all new personas that sellers have to understand, have to get to know, potentially map out, connect with. And what’s really unfortunate is we’re also seeing that for a lot of sellers, our buyers are actually taking. Long to make a decision that they kind of get to a point of no decision. We’re at this decision fatigue. We’re a information fatigue, we’re a decision fatigue. And I think on the whole, our buyers are they tired. And I can talk as a buyer, myself as a customer, it’s really exhausting. And so what we try to encourage where I am in data services is sales have to differentiate themselves. If you wanna get in front of buyers nowadays, you have to think what are you bringing to the table that’s different from them? That’s a unique experience, that’s an experience that makes ’em feel important, makes ’em feel, listened to, makes them feel like they really can understand why we are doing business together. And that starts in how we as enablement get that content to our salespeople. If we are not able to identify the value that we are bringing as brands into that conversation, it becomes really hard for sales to know how to articulate that to the buyers as well. And so. As enablement, we are that bridge between the, a lot of other functions and the sales teams and the commercial teams of making sure that value identification is really clear. So by the time it reaches the buyer, they absolutely know why they’re having that conversation. They absolutely know what the value of that conversation is going to be. And that really does start with how are you getting that information into the hands of your salespeople? How are you making that content? Really accessible, really palatable as well. I think traditional enablement, we defer to a lot of very wordy, very long documents, which from experience, no salesperson really wants to read or look at or go through. So just as we’re seeing the buyers experience evolve, the enablement experience has to evolve as well in order to stay ahead of that and to give them the best experience to our salespeople. RR: I think you’re absolutely right on all of that. It is only getting more difficult, and as things change externally, you need to adapt internally. And so kind of thinking about how you’re making that change, and to your point, how you’re distributing materials in a way that is usable and usable for a sales audience that maybe isn’t gonna read 10 pages of written content. What would you say then is kind of the unique value for an enablement platform when it comes to helping sellers? Create and deliver these impactful and differentiated buying experiences that you’re looking for? AH: Oh, huge value, absolutely huge value. The power of enablement comes in the ability to be able to streamline that messaging. But in order to do so, we do need a channel to do that, you know, and that can’t exist. In ad hoc documents that you just hold on someone’s computer. Our journey with Highspot started many, many years ago. I think it was about sort five or six years ago, very early days for Highspot even themselves. And we set out with a mission statement, which was that Highspot would be a single source of truth holding up UpToDate relevant sales content. And I am happy to say that five years later we still maintain that mission statement. The platform has got bigger. There’s more people, there’s more content, as I’m sure you can imagine, but we have stuck to our statement that it is a single source of truth. It is up to date, it is valid information that sales are getting, but that all comes from having a channel with a witch to push that through to the sales audience. It just makes your role as an enabler that much easier, you know, day to day. As you know, we spoke about at the top of the call is no one day looks the same for enablement. It will always be different. There’ll be different priorities. There’ll be different go to market, there’ll be different initiatives. But if you know that at least you have somewhere that you can reliably put information in front of sales and then see how it’s being used, how it’s being impacted, how the seller is using it, how the buyer’s consuming it. Your role as enablement starts to become just a little bit easier. And so I would say for anyone who’s within the enablement sphere and looking at their tech stack, having a solid CMS is really gonna be a, a strong cornerstone of that. RR: I love the perspective on an enablement platform as kind of a source of consistency. Almost everything is changing. Your day in enablement is different. Buyers are behaving differently. Reps need to do different things to engage ’em, but at least you have one place that is reliable. But I will say, I know that. Strong buying experiences aren’t necessarily contingent just on technology. They also require a lot of hard work internally. And as one of the things that you, I’ve seen you mention on LinkedIn is that a core foundation of LexisNexis Risk Solution Services is ensuring that customers really recognize the value that you provide. And that kind of starts internally. With sales and leadership alignment. So I’m curious, how are you aligning those internal stakeholders so that way your teams are set up for success when they’re shaping those buyer experiences externally AH: with immense difficulty, I’ll say, and I think any enabler that sits here and says that it’s an easy job is lying through their team. It is, I think, one of the hardest, the hardest roles. Of enablement is getting everybody aligned, getting everyone to agree, and especially I work, as I say, across a lot of businesses. You know, I have four MDs, I have four heads of sales, I have a lot of sales leadership and a lot of sellers, and I’m sure that’s the case for a lot of people working in large enterprise organizations, stakeholders. Can be difficult to align, especially when you have a lot of different priorities and a lot going on. But what I would say is, is really identify what is the core value that you as a company or you as a business, as a brand can all agree on. Our MD has this thing, he says that all of our kickoffs, which is, you know, value is not on the lips of the seller, but is in the eyes of the customer. And that mission statement as it were. Has sort of brought all the stakeholders together to agree that even if there’s misalignment or disagreement on how we do things, we can all agree that we want to give the best experience for our customer and the best value to our customer. And so for enablement, it’s then saying, okay, so we have this mission statement, we have this belief that we want to be customer centric. We want to be value focused. What does that actually mean? For each internal stakeholder, what’s important for them? What are the metrics that they’re looking at day to day, month to month, quarter to quarter, and how is what we are doing with an enablement? How is it actually starting to impact that? Where is their focus? What are they going after? And the only way you are really gonna get those answers is by talking to your stakeholders. If you’re an enablement and you’re not a people person, it’s probably gonna be quite a tough job because a lot of our job is just talking. It’s talking with people, talking, you know, at people, sometimes listening to people, taking in information. I would say spend time with your stakeholders. You are there to listen first and foremost. You can’t solve every single problem that they come up with, and you shouldn’t try to. But if you can really understand what their world looks like and what’s really important to them, and what are the behaviors, what are the metrics that are gonna move the dial for your stakeholders? You’ll eventually start to map out, which is what we did. But actually a lot of them start to align. And even though they might be saying different things, the reality is that for a lot of sales leadership, they want similar things. You know, they want to have better pipeline hygiene, they wanna have higher wind rate. They wanna see, you know, large opportunity amounts more in the qualifying, the identify stage, that early sales stages, they wanna increase, you know, the ramping of new starters. We start to get these similar uniform metrics and so then we as enablement can start to work that into our strategy. Although we as enablement can really start to build what we are working on to align with our internal stakeholders and start to deliver for them. RR: I really appreciate that you had some really tactical and helpful tips in there, but also that you led with, this is not easy. That’s the big part, is there’s so many kind of lofty initiatives that you are like, how do I even tackle this? And it sounds so overwhelming. So I appreciate the acknowledgement there. Kind of wanna shift gears a little bit maybe towards some of the capabilities that you’re using and finding some success with. So one of the things that we’ve heard is that digital rooms have been a lever for kind of creating those differentiated buying experiences. So what are some of your best practices for creating effective digital rooms and then maybe getting your teams to leverage them. AH: Mm, absolutely. We have a brand who is using digital rooms really fantastically, and they’re teaching our other brands how they’ve used them. So, you know, I, I wholeheartedly agree they can make such a difference in the buying experience and if you’re not using them, you should a hundred percent be looking into where you can use them. So I would say when you are looking to start with a digital room is really understand. Why are you doing this? Like what’s the purpose of actually taking the time and the effort to work probably with your product marketing team or with your marketing teams as a whole to put together something that looks really professional. Looks on brand, but is also really easy for sales to go in and start to customize. I would recommend not having sales do it fully themselves. They have very busy day jobs, and I think if you’re gonna say to any sales person, okay, over to you to go and create this, you might run. Some adoption issues, however, working, you know, this is where your cross-functional working really becomes essential, is working with the individuals who can make good content, who can deliver good, uh, visuals, good framework for the salespeople to literally just be able to, within their sales cycle, adopt this, lift it, and send it to the customer. Because then we start to see, okay, where are we actually starting seeing the customer impact? Has it changed how the customer engages with the content? Are they revisiting? And so what we’ve seen is we’re actually looking at, you know, we see a much higher engagement rate when we have the customers viewing content through a digital room as opposed to simply. Static content, and we can see that obviously with the Highspot metrics, which you know, are a real gold dust when it comes to that. We can also see that, you know, we have repeat visits, so something that we wanted to drive was customers coming back and revisiting the content rather than just clicking in, seeing it once and then never viewing it again, was actually having that revisit of them continually coming back to their individual microsite, if you will. You know, we spoken a lot about a differentiated. Differentiated buying experience. And that can be challenging for salespeople because unless you are fortunate enough to only have you know four or five accounts, the likelihood is your book of business is probably quite vast. And so the expectation that you are consistently offering a differentiated variance for every single customer is just not sustainable. And so using these digital rooms, you are able to. Have, you know, a differentiated experience that is scalable. That it makes a buyer feel like it’s a really individualized experience when the reality is for sales, it’s probably quite an easy thing for them to put together, but it does take some uplift front end with your other teams and your cross departmental functions. RR: Yeah. I wanna double click it as something you said there, which was, if you’re asking reps to build it themselves, you’re probably not gonna see much in the way of adoption. I, I kind of wanna. Speak about that idea of what you can do to drive adoption more broadly. Because looking at the data, you’ve achieved a really impressive 82% recurring usage rate in Highspot. So in addition to that kind of approach to digital rooms, how are you driving adoption more broadly across your revenue teams, whether that’s internal reps, partners, whomever, what are you thinking about that’s helping you? Get people in the platform and keep them there. AH: Yeah. That’s been, you know, a metric we’re very proud of. And it’s been something where, you know, going back to what I said earlier, which is Highspot was set out to be the single source of truth. As soon as we turned on Highspot, for lack of a better word, we pretty much turned off every single other site. So there was nowhere else. For sales to go to get this information apart from this one platform. And I’ve seen this done various ways. I’ve seen people where they have, you know, duplicates and, oh, we’re doing a slow migration. We’re gonna keep SharePoint for a while, and then we’ll have Highspot as well. And you know, there’s no right answer to this, but ultimately, if you are looking to put out a message that this is your single source of truth, this is where you need to go to speak to sales. Our adoption has come because we really drove that and we continue to drive that. If you want content in front of sales, if you want success stories in front of sales, whatever it might be, it has to live in Highspot because there just simply isn’t anywhere else to go. And this is for a couple of reasons. The main one being that, you know, the actual management of the content is far easier. And if you think about the trickle down effect, the user needs the best experience possible. And so if they have all of this disjointed experience of going to multiple places to find multiple pieces of content that look different, that sound different, they’re not getting the best experience and they’re probably not gonna come back to Highspot. So for us, it’s really making sure I’m maintaining. The consistency in the user experience, and that comes from feedback as well. So we will regularly have feedback forums with our salespeople, with our sales leadership, and we’re very open within our team to hearing, listen, this is actually getting quite complicated to navigate. I dunno how to find content. And so then we as a team, as an enablement team, go, okay, what do we need to do to make it easier? How do we start to surface more content directly in front of our users? Because if they’re not having a good experience, then we are not doing our role as enablement. And you know, you don’t have to, if you do have a large sales team, you don’t have to have that verbatim feedback. You can use things like the search reports in Highspot to see, you know, what are people searching, what are the terms they’re looking for and the pieces of content, how can you start to surface that in front of them in a much easier way? Putting it on the homepage, putting it into their specific areas, really thinking about how you. Manage, maintain and govern that content to give your users a really solid experience. And that’s what we’ve done and it’s reflected, as I say, in the adoption and in the revisit rates as well. RR: I really like that you called out that search results report because I think that’s such a great way to kind of get a pulse on your people without having to go dig around and have a bunch of conversations. So thinking in addition to that, how do you leverage data and insights in the platform to help you inform and improve the programs you’re leading? AH: Yeah, absolutely. I mean, I have actually had to learn to, I suppose, step away from data slightly. Um, so that’s been feedback I’ve had as I’ve moved more into a, I suppose a leadership role is actually the data can’t always tell the whole story, although my heart and enablement goes, yes, it can, it can. But yeah, the. The, the scorecards that we have in high spots. So really for us, you know, looking at things like that play scorecard, we deliver a lot of sales plays. They’re the best way to get our enablement in front of people. They’re enjoyed and they’re liked by sales. But I can see very clearly what is the percentage of my audience that is viewing this play? How long are they spending? You know, what are the outcomes of the, you know, the business impact? At what point in the sales cycle as well? If there’s external content in there, for example, the marketing collateral, are they deploying this collateral and is it actually having any impact on the customer? Those sorts of insights. You just do not get anywhere else within any other content platform that we have. And so when it’s come to say, onboarding our marketing team or our product team into contributing content, being able to give them this insight helps them understand that the work they’re doing on building the content, maintaining the content is actually worth something because we can directly see the correlation with business outcome, which has always been one of our biggest challenges. Beyond that, our company does a lot with actually pulling the data out of Highspot. So we make use of the Highspot data lake, and we’ve actually pulled that into our own BI platform where we’ve started to look at things around, you know, how many channels and how much activity per opportunity are we seeing within sales. Something at the moment that we’d really drive on. Going back to that differentiated experience for the buyer is looking at a multi-channel approach when it comes to how we prospect and how we outreach. And that really started from using information that came from Highspot, looking at information that comes from Salesforce and going, okay, how many channels do people currently use when they’re outreaching? We’re only maybe seeing a couple, you know, one or two channels. But we know in today’s buying world that it’s gonna take between six to eight. Channels to get through to a buyer and to actually have a meeting. So what can we do to start to move the dial and start to build our programs across driving that? And so that’s how we use data and enablement is actually saying, what are we seeing today? What are the outcomes we want to see in the next quarter? What do we need to do in order to get there? There’s always a lot of talk on LinkedIn. I always see it about, you know, you need to be data driven and enablement. If you’re not offering insight, if you’re not offering analytics, you’re not doing your job. And that can be kind of hard to hear when actually, I think there’s almost too much data sometimes, and it can be quite complicated to understand. And this is why I, I personally really like how it is viewed in Highspot because the scorecards make it very accessible, very easy to consume, but also it doesn’t matter whether you’re an enabler, a seller, or a senior leader, you can be presented a scorecard and you can very quickly see what you need to get out of that and what your conclusions you’re drawing from it. RR: Yeah, I think it’s that. The difficulty of democratizing data into meaningful, actionable insights is sometimes impossible. You have so much at your disposal, and so making it useful is sometimes a challenge, so I love hearing that. You’re finding a way to use it well and inform your programs well. So we’ve heard a little bit about engaging buyers driving adoption. Tracking your impact and seeing how it’s kind of helping you do the things that you need to. So just one last question for you to close this out. For other enablement leaders looking to improve the buyer experience in today’s very digital first world, what is the biggest advice you would give ’em? AH: Oh, that’s a great question. I would say if you are in a position where you’re fortunate enough to be the buyer, think about how you want to experience that life cycle. You know, as someone who is a buyer day to day, as well as an enabler. You know, I always ask myself through, when we do our methodology onboarding, I will go and speak to the sales people about actually what it’s like from a buyer’s experience today, and that really helps. Give them that insight into what is sometimes a little bit of an elusive world that we know the buyer’s world, the buyer’s experience. So I would say for other enablers is how do you like to speak to your vendors? How often you know, what makes them stand out? What makes them noisy in your inbox, you know? When do you get those emails or outreach that you think, wow, I really wanna continue a conversation with that person. What did that person do? How can you bring that into your go to market? How can you bring that into your sales team if you’re an enabler who is perhaps not in the buying cycle? I would say. Spend time with your salespeople, really understanding the customer experience, and there are many ways that we can do this. Nowadays with technology, obviously everybody’s got call recording software, so we have a lot of our sales calls recorded. If you as an enabler are not digging in and really understanding what’s happening in those customer conversations, it’s going to be harder for yourself to be able to really get into the world of salespeople. So I would say, you know, you really need to experience. What the customer is going through. And that can be simply by having a look at those calls. Where were they successful? Where was there a positive outcome? Where did the buyer enjoy it? But then also where did the buyer sometimes mention things that were pains to them or where they would like to see improvements? What were the questions? That is where we really need our enablers to be on the front foot of really digging into the customer experience and almost spend as much time as you know with your customers, as you do with your salespeople, to really get that insight. RR: I think that’s fantastic advice to close on, is to put yourself in the buyer’s shoes, understand what they’re going through, and know for yourself what good looks like to you and drive that in your own business. So thank you again, Anabel. This has been a wonderful conversation full of all sorts of good insights that I really can’t wait to share with our community. I appreciate you joining us so much. AH: Thank you so much. Thank you so much for having me as well. Fantastic questions. RR: Amazing. Well, to our listeners, thank you for listening to this episode of the Win-Win podcast. Be sure to tune in next time for more insights on how you can maximize enablement successful Highspot.

CMS's FY 2026 hospice final rule introduces significant changes to the face-to-face (F2F) attestation requirements starting October 1, 2025. All in all, the news is positive: while there is a new requirement for the F2F attestation to be signed and dated, the signed and dated F2F clinical note on its own can now serve as the F2F attestation. In this episode, Husch Blackwell attorneys Meg Pekarske and Andrew Brenton share their thoughts on what the updated F2F attestation rules mean for hospice operators and weigh in on other components of the final rule, including CMS's attempt at housekeeping by clarifying the types of hospice physicians who can certify patients.

In this episode of the Digital Signage Today podcast Screenverse CEO David Weinfeld and Screenverse President Adam Malone, both co-founders, share insight with Digital Signage Today editor Judy Mottl on the shift of digital out of home from static signage to a fully digital, data-driven medium.The shift is being driven by technology from digital ad marketplace connections, smarter CMS systems, real-time data, to automated pricing, but also by the marketplace.The two industry leaders also discuss the biggest opportunities for DOOH networks and the top three challenges facing DOOH networks.Weinfeld leads all aspects of Screenverse, including SSP and DSP partnerships, product roadmap and company culture. With over 13 years of experience in digital signage and digital out-of-home media, he has a diverse background that spans from launching DOOH networks to building supply-side sales practices.Malone leads the supply partnerships, finance and marketing departments, focused on keeping people and partners at the center of everything he does. With over 15 years of experience in the out-of-home media sector, he has a successful track record of innovation; leading the growth of DOmedia where he developed new products, partnerships, and international market opportunities.Don't miss an informative discussion about where DOOH is today and where it's headed.[RELATED_MEDIA]

Setting: President Trump held a press conference after attending Charlie Kirk’s funeral, teasing it as a “major announcement” on autism and public health. Main Claim: Trump and RFK Jr. asserted that acetaminophen (Tylenol) use during pregnancy may be associated with an increased risk of autism in children. Trump directly warned against taking Tylenol while pregnant, except in extreme cases of high fever. Autism Statistics (as presented by Trump): Historical rates cited: 1 in 20,000 → 1 in 10,000 → 1 in 31 overall today, and as high as 1 in 12 among boys in some regions (e.g., California). He described this increase as “artificial” and linked it to medication and vaccines. Specific Policy Steps Announced: FDA to issue warnings and update labeling for acetaminophen, cautioning its use during pregnancy. NIH, FDA, CDC, and CMS to coordinate a new effort investigating potential environmental, pharmaceutical, and vaccine links to autism. New grant funding (13 awards) through NIH’s Autism Data Science Initiatives. Other Health Proposals Trump Raised: Vaccines: suggested spacing them out, avoiding certain ingredients (mercury, aluminum), giving MMR separately, and delaying hepatitis B vaccination until age 12. Treatment: referenced new findings suggesting folate deficiency in children may contribute to autism, with therapies under research. RFK Jr.’s Role: He emphasized that past autism research was too focused on genetics and ignored environmental/toxic exposures. Supported Trump’s push to investigate acetaminophen, vaccines, and other potential causes. Announced NIH/FDA would pursue depoliticized research, new label warnings, and public education campaigns. Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the The Ben Ferguson Show Podcast and Verdict with Ted Cruz Wherever You get You're Podcasts. And don't forget to follow the show on Social Media so you never miss a moment! Thanks for Listening X: https://x.com/benfergusonshowYouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.

Join host Alex Crespo, MD as he chats with author Michael Weaver, MD about the Journal of Orthopaedic Trauma article on the Frailty Index as a possible stratification tool in the CMS hip fracture bundle. To access the abstract, click here. For additional educational resources visit OTA.org

In this episode of the ASC Podcast with John Goehle, we discuss the latest news and trends in the ASC industry, discuss the Annual Report to Congress by CMS on the Program Oversight of Accrediting Organizations and in our focus segment, we interview Kara Newbury from ASCA about the 2026 Proposed CMS ASC Payment Rule.    This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: Anesthesia Time Limit Laws (From Beckers): https://www.beckersasc.com/anesthesia/anesthesia-time-limit-laws-where-3-bills-stand/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=0573H1191845C8E CMS Prior Authorization: https://ascnews.com/2025/09/ascs-still-struggling-with-prior-authorization-despite-payer-pledges/ QSO-25-25-AO/CLIA - FY 2022 Report to Congress (RTC): Review of Medicare's Program Oversight of Accrediting Organizations (AOs) and the Clinical Laboratory Improvement Amendments of 1988 (CLIA) Validation Program:  https://www.cms.gov/files/document/qso-25-25-ao/clia.pdf 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 I Interviewed Miriam Schwab [powerpress]

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Is hiring one of the biggest challenges you've faced when it comes to running your agency? How do you sift through hundreds of applications when most don't even read the job description? Today's featured guest opens up about the realities of building a team, the role that gave him his time back, and why finding the right people, not unicorns, but the right fits can make or break an agency's growth. Dan Salganik is the managing partner and CEO of Visual Fizz, a Chicago-based digital full-service marketing agency. He spent years working at agencies of every size and learning of the many flaws in their operations: bloated overhead, work designed more to win awards than to serve clients, and inefficiencies everywhere. Instead of sticking it out, he decided to try something different. With the help of a co-founder he met online, he turned his freelance gig into an actual business. Within nine days of their first conversation, they had their first paying client. Once they were at three clients, they decided it was time to make it official and started Visual Fizz. In this episode, we'll discuss: The digital nomad myth. Hiring as the biggest challenge for agency success. The unicorn problem. Why the big guys should be worried. 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. Inspired to Create Something Better After Working With The Big Guys Dan's path into agency life started straight out of college, working at agencies as a project manager. He saw how the big guys worked and was frustrated by the waste. Expensive office space downtown, teams focused on portfolio-building instead of client results, and layers of inefficiency that didn't make sense to him. After a layoff, he started contracting and freelancing. After a while, he figured if he was already selling his time, why not build a team and sell more than just his own hours? Partnering with a co-founder who brought SEO and paid search chops, he launched Visual Fizz for just $50 and a “crappy logo.” The Digital Nomad Myth At first, Dan thought the digital nomad lifestyle was going to be the dream. He traveled through Asia, working out of hostels, hopping on 2 a.m. client calls from rooftop hotels, and running projects with a global team scattered across South Africa, Kuwait, and the U.S. It sounded cool on paper—but the reality was brutal. Trying to serve U.S. clients while living 12 hours ahead was a recipe for burnout. As he put it, “If you're traveling to Southeast Asia and trying to hit U.S. hours, you're in for a rude awakening.” Over time, he realized international travel had to shift into more realistic time zones if he wanted to scale the agency. From Scrappy Start to Scaling Smart Visual Fizz didn't take off by accident. From the beginning, Dan and his co-founder knew they wanted more than just a freelancing partnership. She had the technical expertise, he had the business and sales skills, and together they leaned into that divide. Their first clients came on at around $2,500/month retainers, which felt big at the time. But what really set them apart was their willingness to sell the agency model—not just themselves as individual contractors. Dan admits the early days were DIY to the extreme. He designed the first website, created the brand, and hustled every step of the way. But over time, they shifted from being “just two freelancers” into a legit business with structure, processes, and a growing client roster. Why Hiring is Always the Hardest Part Dan didn't hesitate when asked about the hardest part of running an agency: hiring. In a business where you're selling knowledge and time, having the right people is everything. And finding those people can be tough, especially for smaller agencies. Posting a single job ad often results in 700 to 1,500 applications—most of which are noise. Dan prefers entrepreneurial-minded hires over candidates with perfect credentials. He values people who can adapt, who want to learn, and who bring a cultural fit to the table. That's how he's built a team that can handle change in an industry that shifts constantly. Like most founders, Dan has had terrible interview experiences with candidates who applied mindlessly as soon as they saw an opening and didn't bother to read anything about the profile required. People were showing up to interviews while in their card eating, not even knowing the company's name, and clearly not having the skills required. If you've ever found yourself in this position, overwhelmed by resumes and constantly interviewing the wrong people, bury a hidden instruction in your job post, like requiring a candidate to send a video with a specific subject line to a private email. The people who follow directions prove they're serious. The rest self-select out, saving you hours of wasted interviews Tired of the fancy resumes and disastrous interviews, Dan has turned to his contractors. He's hired people who had contracted with the agency for years, which of course had the advantage of already understanding their capabilities and knowing they were up to the task. Furthermore, Dan considers himself to be very fiscally conservative when it comes to hiring, so he prefers working with the person until he feels he can comfortably hire them to be a full time team member. The Hire That Changed Everything For Dan, the biggest game-changer was bringing in a project manager who grew into a project lead. Having someone who could take ownership of processes, build out SOPs, and even tell him to log off at 6 p.m. gave him the space to focus on the bigger picture, strategy, branding, and biz dev. The right project manager isn't just checking boxes. They protect your time. They let you walk into client conversations clear-headed instead of stressed about whether a deliverable is behind. When they can run the team and operations, you can finally do the job of a CEO: winning new business and setting the direction of the agency. Stop Chasing Unicorn Hires What's the next hire on Dan's list? A hybrid between a campaign strategist and a creative marketing manager. Someone who can think strategically, get hands-on with campaigns, and still spot when an SEO report doesn't make sense to a client. Sounds great but also sounds like a unicorn. As most agency owners eventually learn: unicorn hires exist, but you can't build a hiring strategy around finding them. Instead, hire clearly defined roles—project managers who love execution, account managers who thrive on client leadership. When you stumble across someone who can flex across lanes, great. But don't make that the expectation. How to Train Your Team to Sell Naturally Dan's agency doesn't run with a traditional account manager structure. Their PMs double as client leads, which means Dan had to find a way to make sales training part of the culture without turning his team into pushy salespeople. The secret to this training is storytelling. Instead of saying, “Hey, we can upsell you,” his team learns to connect client comments with relevant success stories. If a client mentions running a content audit, a PM can naturally suggest looping in the SEO lead, not because they're chasing revenue but because they know it will help the client. Over time, this approach builds trust and positions the agency as a partner, not just a vendor. Positioning in a Shifting Market Dan has seen client expectations are moving “down a notch” lately. Big brands that once chased Ogilvy or Leo Burnett are now hunting for mid-sized partners. Those mid-sized companies are shifting to smaller shops. And boutique agencies like Visual Fizz are landing $100–500 million clients who want to be a top priority instead of client number 142 on a massive roster. It's the boutique hotel effect. Clients don't always want the 3,000-room resort. Sometimes they want the place where the staff knows their name, treats them like the biggest deal in the building, and still delivers world-class service. For smaller agencies, that's a huge opportunity to win the types of clients that used to feel out of reach. Why Lean Agencies Have the Edge The future isn't kind to bloated agencies. What used to take 100 people a few years ago could now be done with 40—or even 15. Large firms with huge overhead and outdated models will struggle unless they pivot, merge, or find a vertical niche. Meanwhile, smaller and mid-sized agencies that can move fast, price smart, and deliver with a lean team are better positioned than ever. As Dan put it, even Fortune 500 companies are asking, “Why should I pay $50k a month for SEO when I can get the same expertise at $8k?” 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.

L'episodio di oggi rappresenta la versione podcast della tavola rotonda dal titolo “Evoluzione Finanziaria - Costruire l'ecosistema del Fintech italiano” svoltasi lo scorso 9 settembre, nella seconda edizione 2025, presso la sede dello studio legale internazionale CMS Adonnino Ascoli & Cavasola Scamoni a Roma, che ha gentilmente ospitato l'incontro.Il progetto ha lo scopo di facilitare il dialogo e la cooperazione tra gli stakeholders del fintech italiano per il migliore sviluppo del settore, rendendo partecipe il pubblico sulle discussioni e sui lavori in corso.Troverete in questo episodio la versione integrale della discussione di un panel unico nel suo genere: Giancarlo Goretti –  Responsabile del Centro per l'innovazione Milano Hub della Banca d'Italia Laura Larducci – Dirigente, Ufficio Regolamentazione e politiche del settore finanziario, Dipartimento del Tesoro, Ministero dell'Economia e delle Finanze Giovanna Maria Boi - consigliere senior di Consob Gianfranco Torriero – Vice Direttore Generale Vicario, di ABI, l'associazione bancaria italianaAlessandra greco,  Senior Advisor - Area Credito e Finanza, di Confindustria Laura Grassi – Direttrice dell' Osservatorio Fintech & Insurtech del Politecnico di MilanoClelia Tosi – Head of Fintech District Leonardo Patroni Griffi – Vicepresidente del Consorzio delle Banche Popolari Luigi Luzzatti e Presidente Banca Popolare di Puglia e Basilicata Hermes Bianchetti - Vice Direttore Generale di Banca Valsabbina Rosalia Aiello – Open Innovation di BPER BancaRoberto Nicastro – Presidente di Banca AideXa Tommaso Gamaleri – Co-Founder & Group Executive VP di YounitedAndrea Brancatelli – General Counsel – Europe di  MoneyGram Cristiano Motto Ceo di Fairtile Alessandro Bragazzi Head of Processing Interface and Business Support di Intesa San PaoloPaolo Bonolis - Partner Responsabile del Dipartimento Banking and Finance, CMS e Docente di Digital Finance, Luiss UniversitySamantha Barbero Advisor and Jury Member European Commission e CEO di ValueXMatch (si legge value for match)Modera Vincenzo Marzetti, Fondatore di Zero IN - Sharing Knowledge, di Zed Visual - AI Animation & Storytelling e del Podcast Inside Finance che ha organizzato l'incontro. Il progetto fa parte di una serie di iniziative in cantiere per la creazione di ecosistemi in varie aree tematiche come contributo allo sviluppo economico, politico e sociale per mezzo di una migliore sinergia tra gli stakeholders di sistema e come incentivo alla cultura economico-finanziaria della collettivita'. Vi invitiamo a iscrivervi gratuitamente nel podcast Inside Finance nelle principali piattaforme di streaming per i prossimi aggiornamenti e di inviare una mail a segreteria@zeroin.it per maggiori informazioni.Buon ascolto.

“When you think about where we were as a country before Medicare and Medicaid were created and where we are now, it's an incredible story,” says Chiquita Brooks-LaSure, who until earlier this year was the administrator for the Centers for Medicare and Medicaid Services (CMS). In a recent essay for The Century Foundation, where she is now a senior fellow, Brooks-LaSure used the 60th anniversary of enactment of those foundational insurance programs to help put their impact on individual Americans, the healthcare system and society at large in perspective. One prominent example is the desegregation of hospitals, which was achieved in part by withholding reimbursements for care unless facilities served Blacks as well as whites. Another is making it possible for more people with disabilities to live at home instead of in institutional settings. But as you'll hear in this probing Raise the Line conversation with host Lindsey Smith, Brooks-LaSure worries that many gains in coverage and other progress made over the years through Medicare, Medicaid and the Child Health Insurance Program (CHIP) are at risk because of a new federal law that calls for a trillion dollar decrease in spending, resulting in potentially millions of people losing their coverage, cuts to clinical staff and medical services, and the closure of hospitals and clinics, especially in rural areas. “Most rural hospitals in this country are incredibly dependent on both Medicare and Medicaid to keep their doors open and there's an estimate that over 300 hospitals will close as a result of this legislation, so that, I think, is a place of incredible nervousness.” Whether you are a patient, provider, policymaker or health system leader, this is a great opportunity to learn from an expert source about the range of potential impacts that will flow from changes to critically important insurance programs that provide coverage to 40% of adults and nearly 50% of children in the U.S. Mentioned in this episode:The Century FoundationEssay on 60th Anniversary of Medicare & Medicaid If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast

In this episode, former CMS official Jon Blum reflects on the evolution and impact of the IRA's drug provisions—from foundational drivers and political trade-offs to how 2026 Part D redesign and the M3P cost-smoothing program are reshaping access. We explore why M3P adoption remains limited, how CMS is monitoring plan behavior around negotiated pricing, and what shrinking standalone Part D options may mean for patients, especially in rural areas. Jon also challenges the “blame game” in Washington—emphasizing the systemic incentives behind each actor—and shares his own prescription for equitably balancing drug affordability, innovation, and policy integrity, including thoughts on MFN and future reform paths.

Improving test scores has been a focus of educators at CMS. The pandemic did a number on those scores and the struggle to raise them up has been daunting, but last year showed marked improvement with 72% of students hitting their benchmarks. Still, they fell short of expectations. So, we take a dive into the numbers, look at tools to improve learning, and more.

A ransomware incident. A settlement. And a clear message from OCR: when the basics are missing, enforcement follows.This episode zeroes in on the expectation that applies to everyone. Providers, health plans, and vendors alike are expected to keep a current Security Risk Analysis and act on what it finds.Hear what “current” looks like in real operations, how CMS policy signals point to ongoing risk management, and the simple habits that turn analysis into proof. Learn more about Medcurity here: https://medcurity.com#Healthcare #Cybersecurity #Compliance #HIPAA #SecurityRiskAnalysis 

In this episode of The Dish on Health IT, POCP CEO and host Tony Schueth sat down with Dr. Julia Skapik (SVP & CMO at PurpleLab, practicing physician, member of the HL7 Da Vinci Clinical Advisory Council, and outgoing HL7 International board chair) and Dr. Steven Waldron (Chief Medical Informatics Officer at the American Academy of Family Physicians and Co-Chair of the Da Vinci Clinical Advisory Council). Together, they explored how clinicians are shaping interoperability and standards development through the HL7 Da Vinci Project's Clinical Advisory Council (CAC).Tony opened by framing the discussion: interoperability looks different at the point of care, and the provider voice is critical in making standards practical. Julia and Steve introduced themselves by highlighting both their clinical work and their roles within Da Vinci. Julia described her experience with clinical data exchange and Data Exchange for Quality Measures (DEQM) work, and Steve explained how his decades in clinical informatics led him to co-chair the CAC.Why HL7 Da Vinci Project ExistsSteve provided a primer on HL7 and the role of implementation guides in constraining optionality, so standards work in the real world. He emphasized Da Vinci's collaborative model—bringing payers, providers, and vendors together. Julia added that Da Vinci's strength lies in defining practical, feasible solutions the government can later adopt into regulation. She noted this industry-led, government-leveraged approach is why Da Vinci solutions have gained traction.The Da Vinci Project CAC's RoleJulia explained the CAC gives clinicians a venue to contribute without the unrealistic expectation of weekly hours of standards work. The council distills provider feedback and ensures workflows make sense in practice. Steve underscored its strategic role: CAC members participate in Da Vinci's steering committee (though without voting power) and help produce content that reflects clinician priorities.Clinical Challenges and OpportunitiesWhen asked about top challenges, Steve focused on accelerating adoption. Clinicians are tired of multiple payer portals; they need solutions that simplify, not add layers. He noted Da Vinci studies early adopters to identify what's working and how to spread best practices. Julia brought in her day-to-day frustration: being blindsided when payers second-guess treatment plans after the fact. For her, seamless data flow at the point of care would let providers close loops quickly and reduce burden.Progress to DateJulia highlighted how Da Vinci has reduced tensions between payers and providers by creating space for collaborative problem-solving. She pointed to patient access and real-time eligibility/coverage checks as areas where providers feel real relief. Steve added that having clinicians consistently “at the table”—via CAC, open invitations, and health system involvement—is a big step forward, even if imperfect.Workflow Alignment and UsabilityThe conversation then turned to the CAC's recent report on usability and workflow. Julia stressed that standards must fit into diverse care settings. Training, audit data, and clarity about why data matters are crucial—otherwise, boxes won't get clicked, and data quality suffers. She provided examples, such as prior authorization questions, that should be resolved automatically to avoid burdening providers. Steve expanded on the strategic approach: learning from innovators, cataloging obstacles (like ROI calculation), and identifying opportunities (education, ROI tools, developer engagement). He illustrated how real-time prior auth workflows must account for triaging between clinicians and back-office staff, not just “dump” everything on providers.Prior Authorization Pain PointsBoth guests dug deep into prior authorization. Julia cited a successful MultiCare Regents pilot and her own frustrations with stuck ePA requests and payer variability. She described patients enduring multiple unnecessary visits due to PA roadblocks. Steve echoed this, recalling clinicians' frustration with nonsensical requirements (e.g., annual PA for diabetes test strips). He argued that half-measures—like real-time denials without alternatives—aren't enough; systems need to provide actionable options to avoid delays in care.Policy and RegulationThe panel then addressed broader policy topics. On CMS's recent digital ecosystem pledge, Steve was skeptical: pledges are good, but clinicians want action and alignment across TEFCA, QHINs, and standards. Julia compared pledges to past attestations—checking boxes without measuring outcomes. Both agreed that alignment of business cases with regulatory requirements (as in CMS-0057) is key to sustainable progress.When asked about price transparency and quality measures, Julia shared insights from her PurpleLab work on claims analytics, arguing that integrated data can drive smarter decisions for providers, payers, and patients. Steve stressed the importance of transparency to spur competition among clinicians and the promise of moving beyond claims data toward richer clinical data exchange via Da Vinci's CDex and PDex work. Julia added a practical note: today, provider office care coordinators and payer care coordinators rarely communicate. Standards that connect those two sides could be transformative.Final ThoughtsSteve's call to action: clinicians should engage where they can—whether by advocating within their organizations or learning through Da Vinci's education tracks. Julia encouraged listeners to press their vendors and payers: “What are you doing with Da Vinci? Will you support these solutions on my behalf?” She emphasized that early involvement is both strategic and practical as regulations like CMS-0057 loom.Tony closed by thanking Julia and Steve for bringing the clinical voice to life and reminded listeners that interoperability is a dish best served hot.Related MaterialsHL7 Da Vinci Confluence PageAccelerating DV Adoption by Providers – CAC Insights ReportCAC Statement on Prior Authorization Burden Reduction BallotHL7 Da Vinci LinkedIn PageHL7 Da Vinci Project: MultiCare & Regence Case Study on Early Implementation & Real-World ROICatching FHIR: Lessons Learned from Achieving the First Prior Authorization Automation via HL7® FHIR®

Could sepsis be healthcare's new frontier?During the next live edition of the popular Internet broadcast, Talk Ten Tuesday, James S. Kennedy, MD, will report on his recent attendance at The Unite for Sepsis symposium, sponsored by the San Diego-based Sepsis Alliance (https://www.sepsis.org). The event was held in Chicago and attracted clinicians, researchers, technologists, and government officials who collaborated to address and solve sepsis' prevalent and high morbidity and mortality. Dr. Kennedy is expected to report on new technologies and clinical approaches to sepsis and how health information management (HIM) professionals can address sepsis-related diagnosis and data integrity.As an added feature, the legendary Rose T. Dunn, past president and interim CEO for the American Health Information Management Association (AHIMA) and current COO for First Class Solutions, will report on RADV audits.The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

In this episode of Robots and Red Tape, host Nick Schutt interviews Anoop Mehendale, an entrepreneur and AI innovator with extensive experience in healthcare and data analytics, to explore AI's transformative potential in revolutionizing healthcare through unified medical records and data-driven solutions. Anoop shares his journey from building an R&D center for Daimler Chrysler in India to launching an AI-driven healthcare startup that went IPO in 2022. He discusses how AI can address healthcare's data fragmentation, streamline administrative inefficiencies, and enhance patient care, drawing from his work at Highmark, Optum, and Aetna. Reflecting on the White House's CMS-led initiative for unified medical records, Anoop notes, “With AI, you can do a lot more with a massive dataset” (53:24), emphasizing its potential to boost research and personalize medicine while addressing challenges like standardization and privacy concerns. He delves into the need for industry-specific AI benchmarks and a convenor role for CMS to align data standards, advocating for AI as a collaborative tool that complements human oversight. Tune in for insights on how AI can reshape healthcare, from improving patient outcomes to advancing public health research. Subscribe for more insights on AI.

Join Josh Israel, MD and Sean Cavanaugh in their video debut as they discuss the Medicare Shared Savings Program (MSSP) results for 2024 released by CMS with Aledade CEO Farzad Mostashari, MD They explore how Aledade Accountable Care Organizations (ACOs) earned more than $1 billion in total savings and continue to improve performance year over year, including substantially reducing hospitalizations. We also sit down with Sandeep Mann, MD, primary care physician and Aledade partner since 2015, to explore how his practice has thrived in value-based care. Watch the full episode Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

In this episode, Greg and Rob review recent changes made to the HRSA Audit Data Request List (DRL). They also discuss some of the comments provided by the public to HRSA regarding potential 340B rebate models, debate a recent change to a manufacturer's contract pharmacy restrictions, and highlight some communication that has gone out to hospitals regarding a proposed CMS 340B drug acquisition cost survey expected in CY26. SpendMend's comments on HRSA's proposed 340B rebate model: https://www.regulations.gov/comment/HRSA-2025-0001-1115 CMS proposed Medicare Part B 340B drug acquisition cost survey template: CMS-10931 | CMS   Got questions? Email us at 340BUnscripted@spendmend.com 

This week I Talk About Website Build Times [powerpress]

Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode: KFF, “House Committee on Appropriations Approves FY 2026 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) Appropriations Bill & Accompanying Report,” September 11, 2025, https://www.kff.org/global-health-policy/house-committee-on-appropriations-approves-fy-2026-labor-health-and-human-services-education-and-related-agencies-labor-hhs-appropriations-bill-accompanying-report/.  Saving Rural Hospitals, “Stopping the Loss of Rural Maternity Care,” 2025, https://ruralhospitals.chqpr.org/Maternity_Care.html.  Kristen Jordan Shamus, Beki San Martin, “Hospital in Michigan's U.P. to close birthing unit, widening gaps in access to care,” September 9, 2025, https://www.freep.com/story/news/health/2025/09/08/aspirus-ironwood-hospital-closes-birthing-unit-shortage-cuts-michigan/85997851007/, Detroit Free Press.  Madeline Ashley, “US maternity care cuts continue to deepen,” September 5, 2025, https://www.beckershospitalreview.com/finance/us-maternity-care-cuts-continue-to-deepen/?origin=BHRE&utm_source=BHRE&utm_medium=email&utm_content=newsletter&oly_enc_id=8018I7467278H7C, Becker's Hospital Review. Jakob Emerson, “CMS issues guidance on Medicaid state-directed payment limits,” September 11, 2025, https://www.beckershospitalreview.com/finance/cms-issues-guidance-on-medicaid-state-directed-payment-limits/, Becker's Hospital Review.  Andrew Cass, “15 hospitals closing departments or ending services,” September 10, 2025, https://www.beckershospitalreview.com/finance/10-hospitals-closing-departments-or-ending-services-8/, Becker's Hospital Review.  Mariah Taylor, “Oklahoma hospital reopens ED 1 year after tornado,” September 3, 2025, https://www.beckershospitalreview.com/uncategorized/oklahoma-hospital-reopens-ed-1-year-after-tornado/?origin=BHRE&utm_source=BHRE&utm_medium=email&utm_content=newsletter&oly_enc_id=8018I7467278H7C, Becker's Hospital Review. Mercy Health/Love County Hospital and Clinic, “New Emergency Room Is Open 24 Hours a Day,” September 2, 2025, https://www.mercyhealthlovecounty.com/news/view/731.  Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.

The challenges and triumphs of living with a rare disease. Leslie Baldwin shares her personal journey with Common Variable Immune Deficiency and Ehlers-Danlos Syndrome. You'll hear what fueled her passion for advocacy and the creation of Michigan Rare (MI-RARE). Together, they discuss the power of community, the importance of patient empowerment, and how collaboration with policymakers can expand access and resources for those living with rare conditions.TakeawaysAdvocacy is essential for the rare disease community.Building connections provides vital support.Patients should feel empowered to speak up for their health.Collaboration with policymakers can drive positive change.Storytelling inspires and unites the community.Engagement raises awareness and strengthens support networks.Advocacy days introduce rare disease issues to lawmakers.Recognizing unique challenges leads to better understanding.Coalitions amplify the collective voice of rare disease advocates.Empowering patients and caregivers enhances quality of life.About Leslie BaldwinA Michigan native now living in Holt, Leslie is a rare disease advocate. She co-founding MI-RARE, a foundation uniting rare disease voices across Michigan, alongside Kayla Miller, Kathi Luis, Kortney Lee, Chris Draper, and Laura Bonnell.Her advocacy experience is wide-ranging: she has worked with Autism Speaks, National Organization for Rare Disorders (NORD), The EveryLife Foundation, NIH, CMS, and the FDA. As Director of Strategic Advancement with Texas Rare Alliance, she helped pass key legislation that earned her national recognition as a finalist for the 2023 Rare Voice Award in State Advocacy.On September 30th, MI-RARE will host the Michigan Rare Disease State Advocacy Day at the Capitol, a powerful opportunity for patients, families, and caregivers to share their stories with lawmakers and demonstrate that while each condition may be rare, together we are many.To connect go to: MI-rare.org Register for Advocacy Day opens August 4th and ends September 12th, 2025.  There is a travel stipend too. Go to the MI-Rare website.To connect with Leslie Baldwin: leslie@mi-rare.org Please like, subscribe, and comment on our podcasts!Please consider making a donation: https://thebonnellfoundation.org/donate/The Bonnell Foundation website:https://thebonnellfoundation.orgEmail us at: thebonnellfoundation@gmail.com Watch our podcasts on YouTube: https://www.youtube.com/@laurabonnell1136/featuredThanks to our sponsors:Vertex: https://www.vrtx.comViatris: https://www.viatris.com/en

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Are you wondering how AI will really change the way agencies work? Will it replace your team, or make them better than ever? Artificial intelligence continues to be at the forefront of most tech conversations, and that's exactly why agency owners can't afford to ignore it. Today's guest believes the real future of AI in agencies isn't about replacement—it's about augmentation. Humans bring the high-leverage ideas, AI scales the execution, and the magic happens in the collaboration between the two. That's why he challenges his team to master a skill first—understanding every step—before delegating pieces of it to AI. By doing so, they not only achieve stronger results but also gain the ability to explain, teach, and refine the process. For agencies, this thoughtful integration turns AI from a threat into a powerful accelerator. Josh Payne is a serial entrepreneur and the founder of Coframe, which helps businesses continuously optimize their digital experiences. Before that, he co-founded Autograph, scaling it to unicorn status within just over a year, and previously sold his first company, AccessBell, to India's Tata Group. A Stanford AI researcher and occasional lecturer, Josh has blended tech, entrepreneurship, and big-name partnerships into a career full of lessons that agency owners can apply to their own journey. In this episode, we'll discuss: The power of just asking. Should we be worried about AI? Why the human element still wins. When AI shows empathy. 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. Building Big, Fast (and What Comes After) Josh's first exit was AccessBell, acquired by Tatai Group. Then came Autograph, the NFT platform co-founded with connections in the entertainment industry that quickly attracted celebrities and athletes like Tom Brady. The company went unicorn in about a year, proof that timing, partnerships, and execution can fuel explosive growth. But Josh is quick to admit that pace sets a dangerous bar. When he launched Coframe, progress felt slower. The natural question arises: why am I not going as fast as I did last time? For any agency owner who's had one “big win,” the fear of never matching that level again is real. For Josh, it comes down to stop chasing vanity metrics and focusing on the real value you're creating. The long burn, when tied to a larger vision, often builds a stronger foundation. The Power of Just Asking One of the best stories from Josh's Autograph journey was how Tom Brady got involved. It was a simple conversation, made possible because a co-founder's family knew Brady. They took a shot, asked for a call, and suddenly, an NFL legend wasn't just an investor—he was a co-founder. They were, of course, very lucky, but the lesson for Josh was that you'll never land your dream client (or partner) if you don't step up to bat. Too many agencies convince themselves certain clients are “out of reach,” when in reality, decision-makers are more approachable than you think. Even the busiest people have time for the right conversation if you show up as a person, not a pitch machine. Separating Yourself from Your Business Identity With all these exits, Josh is still struggling with the identity crisis that comes with selling or stepping away from a company. Like Jason back when he sold his agency, Josh felt like he'd sold his soul and is still wrestling with how to separate being a tech founder from just being Josh. Your business is not your identity, as performance coach Todd Herman (the guy behind Kobe Bryant's “Black Mamba” alter ego) helped Jason understand. You're not an “agency owner” by identity. You're a creator, innovator, and strategist. Those traits travel with you into whatever you do next. Lose the label, keep the essence. Fighting the Metrics Spiral Every agency owner knows the feeling: dashboards screaming that you're 30% down from last month, the creeping panic that you're “slipping.” Josh admits he's guilty of chasing these vanity metrics too, and it's exhausting. The problem is that short-term sprints cloud the long-term vision. But focusing only on the long-term isn't right either. You can't sit back dreaming and stop executing. Josh calls it a balance game. Some days require in-the-weeds execution. Other days call for pulling up to 30,000 feet and resetting the vision. And finding ways to get into that higher-level thinking state is crucial. Finding Flow and Big Picture Clarity One of Josh's surprising hacks for perspective is the float tank, a sensory deprivation chamber where you float weightless in silence. He describes it as being suspended between sleep and wakefulness, giving him the clarity to see the forest instead of the trees. For him, a float every couple of months resets his ability to think deeply. This lucid dreaming state allows him to consciously control his thought process, which is hard to do on a day-to-day basis. There are different ways to achieve this “flow state” like flying planes or running, where focus on the task at hand frees the brain to process ideas in the background. The lesson for agency owners is that you need intentional “out of the weeds” time. Whether it's floating, running, or flying, find your version of the float tank. Should We Be Worried About AI? Where is AI really going, and should agencies be worried? Josh approaches the subject with cautious optimism. He admits there are possible negative outcomes—whole essays have been written about the risks—but he believes society still has control of its destiny. Governance, adaptation, and human ingenuity will help us navigate the “intelligence explosion” ahead. For agency owners, that perspective matters. The fear-driven narrative (“AI will replace us all”) misses the more useful question: how do we adapt to stay ahead? Josh's view is that AI will become a force multiplier, but only for those who deeply understand their craft first. At Coframe, he leads his team with the mantra: “first we are artisans, then we are automators.” Josh encourages his team to master processes as humans before trying to automate them. An artisan, he says, is someone who not only performs a task with taste and skill but can also teach it to an apprentice. If you can teach it, you can usually train AI to do it too. This is a powerful framework for agencies. Too many people treat AI as a magic shortcut, asking it to “do the thing” without knowing what “the thing” really requires. But if you've built the human expertise first, AI becomes like a hyper-capable apprentice, great at code generation, design variations, or crunching vast amounts of data, but still lacking the higher-level strategy and creative ideation that only humans can bring. Why the Human Element Still Wins Lots of people are already trying to launch “AI-only agencies.” This is a mistake. Clients don't just want data or deliverables; they want connection, guidance, and trust. Even as AI accelerates execution, the human side, like the ability to understand a client, guide their decisions, and translate insights into strategy, remains irreplaceable. This is especially true when clients don't know what to ask. Tools may say, “Ask me anything,” but most business owners don't even know where to start. That's where the agency earns its keep: by framing the right questions and then leveraging AI to deliver smarter, faster answers. AI Limitations on Emotion and Empathy Empathy remains the most valuable and, so far, irreplaceable element that AI cannot afford clients, and where human intervention continues to be necessary. However, as these models get more and more aligned, clients are starting to see cases where the AI is able to show empathy for your situation. For instance, Jason recently tested AI with his own medical challenges. After foot surgery complications, he uploaded photos of his wound to an AI tool and was surprised at how sympathetic the responses felt. It wasn't just giving data—it was offering encouragement, warnings, and even emergency advice when he tested it with old images. Josh had his own example: experimenting with fasting while using AI to predict weight loss. The model gave estimates but also warned him about the risks and refused to encourage unsafe behavior. Modern models are being trained not just for accuracy but to reflect human values, to ensure they're aligned with human interests. Balancing AI Alignment With Performance This fine-tuning process with newer AI models makes them more positive and empathetic. But there's a trade-off: aligned models can lose some raw performance on benchmarks. For agencies, this means two things: AI tools will continue evolving in personality and usefulness. The best results will still come from humans who know how to wield them—pairing empathy, strategy, and creativity with AI's speed and scale. 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.  

The stabbing death of Iryna Zarutska on the Blue Line is getting national attention and a response from the White House. That comes as city elections take place. The results are in, and we'll catch you up. Last week, CMS announced good news for testing, but this week brings more sobering news: nationwide declines in 12th grade math and reading scores. In short, they are abysmal. Plus, Charlotte FC goes for history.

Strategic Technology Consultation Services This episode of The Modern .NET Show is supported, in part, by RJJ Software's Strategic Technology Consultation Services. If you're an SME (Small to Medium Enterprise) leader wondering why your technology investments aren't delivering, or you're facing critical decisions about AI, modernization, or team productivity, let's talk. Show Notes "From the first engagement with any from Umbraco, it's been a friendly approach. We are friendly. It's a part of our DNA. Professional. We take our work dead seriously, but we want to have fun, but we are friendly."— Mats Persson Hey everyone, and welcome back to The Modern .NET Show; the premier .NET podcast, focusing entirely on the knowledge, tools, and frameworks that all .NET developers should have in their toolbox. I'm your host Jamie Taylor, bringing you conversations with the brightest minds in the .NET ecosystem. Today, both Emma Burstow and Mats Persson of Umbraco are here to share their expertise on building Umbraco—a completely open source CMS, known as the friendly CMS. Emma is Umbraco's Director of Developer Relations and Mats is their newly appointed CEO. "One of our values is openness. And once again, I'll say we really walk the walk. So we alert people early. We work in public, truly. We don't just, you know, update things on git as in terms of code. We write words around it. We have discussion boards We have ongoing issues that are open, and we talk to people that are working with the product"— Emma Burstow We also dive into what it's like to build Umbraco completely in the open, which led to some fascinating insights into how to build and manage a world-wide community of contributors, but also how to help manage expectations of those developers and technologists. Before we jump in, a quick reminder: if The Modern .NET Show has become part of your learning journey, please consider supporting us through Patreon or Buy Me A Coffee. Every contribution helps us continue bringing you these in-depth conversations with industry experts. You'll find all the links in the show notes. Anyway, without further ado, let's sit back, open up a terminal, type in `dotnet new podcast` and we'll dive into the core of Modern .NET. Full Show Notes The full show notes, including links to some of the things we discussed and a full transcription of this episode, can be found at: https://dotnetcore.show/season-8/umbraco-unplugged-emma-burstow-mats-persson-on-umbraco-the-friendly-cms/ Useful Links: Umbraco homepage Umbraco Community Umbraco on LinkedIn Emma on LinkedIn Mats on LinkedIn Podcast editing services provided by Matthew Bliss Music created by Mono Memory Music, licensed to RJJ Software for use in The Modern .NET Show Supporting the show: Leave a rating or review Buy the show a coffee Become a patron Getting in Touch: Via the contact page Joining the Discord Remember to rate and review the show on Apple Podcasts, Podchaser, or wherever you find your podcasts, this will help the show's audience grow. Or you can just share the show with a friend. And don't forget to reach out via our Contact page. We're very interested in your opinion of the show, so please get in touch. You can support the show by making a monthly donation on the show's Patreon page at: https://www.patreon.com/TheDotNetCorePodcast. Music created by Mono Memory Music, licensed to RJJ Software for use in The Modern .NET Show. Editing and post-production services for this episode were provided by MB Podcast Services.

The Friday Five for September 12, 2025: Ritter Summit Takeaways Part 2 Are Brokers Still in the Crosshairs? Policy and Market Updates for 2026 2026 Medicare & You Handbook Release Date for iOS, iPadOS, MacOS, and WatchOS 26 CMS & HHS Expand ACA Catastrophic Coverage Enrollment   Ritter Summit Takeaways Part 2: Register for Ritter Insurance Marketing Summits   Are Brokers Still in the Crosshairs? Policy and Market Updates for 2026: Watch the Webinar   2026 Medicare & You Handbook: Download Your Copy   Release Date for iOS, iPadOS, MacOS, and WatchOS 26: Peters, Jay. “iOS 26 Is out on September 15th.” Theverge.Com, The Verge, 9 Sept. 2025, www.theverge.com/news/770784/apple-ios-26-release-date-liquid-glass. McAuliffe, Zachary. “I Was Right Yet Again: iOS 26 Is Coming Monday, Sept. 15.” Cnet.Com, CNET, 9 Sept. 2025, www.cnet.com/tech/services-and-software/i-was-right-yet-again-ios-26-is-coming-monday-sept-15/. Perry, Alex. “Apple iOS 26 Release Date: When You Can Download It.” Mashable.Com, Mashable, 9 Sept. 2025, mashable.com/article/apple-ios-26-release-date-how-to-download. Diaz, Maria. “iOS 26 Update Is Coming Soon - How to Download It (and Which iPhones Support It).” Zdnet.Com, ZDNET, 10 Sept. 2025, www.zdnet.com/article/ios-26-update-is-coming-soon-how-to-download-it-and-which-iphones-support-it/. Teague, Katie. “iOS 26: What to Know about the Free iPhone Software Update Arriving September 15.” Engadget.Com, Engadget, 11 Sept. 2025, www.engadget.com/mobile/ios-26-what-to-know-about-the-free-iphone-software-update-arriving-september-15-135749658.html.   CMS & HHS Expand ACA Catastrophic Coverage Enrollment: August 22, 2025 Friday Five: Judge Vacates HHS MA Commissions Lawsuit “By the Numbers: House Bill Takes Health Coverage Away From Millions of People and Raises Families' Health Care Costs.” Cbpp.Org, Center on Budget and Policy Priorities, www.cbpp.org/research/health/by-the-numbers-house-bill-takes-health-coverage-away-from-millions-of-people-and. Accessed 11 Sept. 2025. “CMS Broadens Access to Catastrophic Exchange Plans.” Modernhealthcare.Com, Modern Healthcare, 4 Sept. 2025, www.modernhealthcare.com/politics-regulation/mh-catastrophic-health-plans-open-enrollment-2026/. “Entities Approved to Use Enhanced Direct Enrollment.” CMS.Gov, Centers for Medicare & Medicaid Services, 9 Aug. 2024, www.cms.gov/files/document/ede-approved-partner.pdf. Reed, Tina. “Exclusive: HHS to Expand Eligibility for Catastrophic Plans.” Axios.Com, Axios, 4 Sept. 2025, www.axios.com/2025/09/04/trump-hhs-expand-catastrophic-plan-eligibility. “Expanding Access to Health Insurance: Consumers to Gain Access to ‘Catastrophic' Health Insurance Plans in 2026 Plan Year.” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Sept. 2025, www.cms.gov/newsroom/fact-sheets/expanding-access-health-insurance-consumers-gain-access-catastrophic-health-insurance-plans-2026. “Guidance on Hardship Exemptions for Individuals Ineligible for Advance Payment of the Premium Tax Credit or Cost-Sharing Reductions Due to Income, and Streamlining Exemption Pathways to Coverage.” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Sept. 2025, www.cms.gov/files/document/guidance-hardship-exemptions.pdf. “HHS Expands Access to Affordable Health Insurance.” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Sept. 2025, www.cms.gov/newsroom/press-releases/hhs-expands-access-affordable-health-insurance. “HHS Expands Access to Affordable Health Insurance.” HHS.Gov, U.S. Department of Health and Human Services, 4 Sept. 2025, www.hhs.gov/press-room/hhs-expands-access-affordable-catastrophic-health-coverage.html. Ortaliza, Jared, Matt McGough, Kaitlyn Vu, et al. “How Much and Why ACA Marketplace Premiums Are Going up in 2026.” Healthsystemtracker.Org, KFF, 6 Aug. 2025, www.healthsystemtracker.org/brief/how-much-and-why-aca-marketplace-premiums-are-going-up-in-2026/. Minemyer, Paige. “Trump Administration Expands Access to ACA Catastrophic Plans.” Fiercehealthcare.Com, Fierce Healthcare, 4 Sept. 2025, www.fiercehealthcare.com/regulatory/trump-administration-expands-access-aca-catastrophic-plans.   Resources: 2026 ACA & Medicare Cost Projections 3 Benefits of Selling ACA Insurance Plans 5 Medicare Myths Your Clients May Believe 2026 ACA Exchange & FFM Certification Info Judge Grants Stay on Many 2025 ACA Final Rule Provisions The ICHRA Opportunity for Agents ft. Lisa Marzolino & Danica Stover The Survivor's AEP Checklist   Get Connected:

Nurses Out Loud with Jodi O'Malley MSN, RN – Hospitals once bill $40–$45 per COVID shot while tying vaccination rates to funding and bonuses. Nurses face denied exemptions and pressure to comply. RFK Jr. ends CMS incentives, and the FDA rescinds EUAs, shifting power back to choice. This moment highlights how money, policy, and ethics collide, urging nurses to stand with moral courage...

Nurses Out Loud with Jodi O'Malley MSN, RN – Hospitals once bill $40–$45 per COVID shot while tying vaccination rates to funding and bonuses. Nurses face denied exemptions and pressure to comply. RFK Jr. ends CMS incentives, and the FDA rescinds EUAs, shifting power back to choice. This moment highlights how money, policy, and ethics collide, urging nurses to stand with moral courage...

In this episode of the Secure Your Retirement Podcast, Radon Stancil and Murs Tariq sit down with Medicare specialist Shawn Southard to unpack the recent developments around Medicare Advantage brokers, broker compensation, and the impact of a federal court ruling on CMS Medicare rules. With Medicare open enrollment and aggressive Medicare marketing campaigns happening every year, understanding how brokers get paid and how it may influence the advice you receive has never been more important. Shawn explains how the recent court decision effects Medicare plan comparison, Medicare star ratings, and the role of brokers in guiding retirees. If you're planning retirement or reviewing your options during Medicare open enrollment, this episode provides practical insights and unbiased Medicare advice to help you make informed choices. Listen in to learn about: How Medicare broker compensation structures may impact your coverage decisions and what questions you need to ask to protect yourself from Medicare scams. Whether you're seeking SHIP counseling, comparing plans, or building your retirement checklist, this discussion will help you confidently navigate your Medicare options and secure your retirement. In this episode, find out: The details behind the CMS rule, the court ruling, and what it means for Medicare Advantage beneficiaries. How broker compensation can influence recommendations and why questions to ask brokers are critical. Why aggressive Medicare marketing and commercials may increase — and how to stay vigilant. How to leverage Medicare plan comparison tools and SHIP counseling for unbiased Medicare advice. Steps you can take today to make smart, confident decisions for retiring comfortably. Tweetable Quotes: “Understanding how Medicare brokers are compensated empowers you to make better decisions and avoid being swayed by marketing tactics.” — Radon Stancil “Medicare open enrollment is your opportunity to make informed choices — but only if you ask the right questions and focus on what's best for you, not the broker.” — Murs Tariq Resources: If you are in or nearing retirement and you want to gain clarity on what questions you should be asking, learn what the biggest retirement myths are, and identify what you can do to achieve peace of mind for your retirement, get started today by requesting our complimentary video course, Four Steps to Secure Your Retirement! To access the course, simply visit POMWealth.net/podcast.

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Which growth drivers are fueling your agency right now? For today's featured guest, the answer is clear: thought leadership. It's the single biggest driver consistently bringing his agency the best opportunities. While it can be difficult to separate genuine impact from vanity metrics, the deliberate effort to position both himself and his agency as industry experts has proven invaluable for growth. But building that kind of authority doesn't happen by accident. It requires intentional work—stepping onto stages at conferences, showing up in interviews and podcasts, and, just as importantly, encouraging your team to create and share content of their own. In this conversation, he breaks down the strategies that help expand thought leadership beyond the founder, and why agency leaders must remember: expertise is a long game, one that compounds over time to deliver lasting results. Chris Long is the VP of Marketing at Go Fish Digital, a full-service digital marketing agency specializing in SEO, paid media, and content marketing. Over the past 3–4 years, Chris has been leading the charge on marketing and sales for the agency, driving new business growth and experimenting with different channels to see what really works. Spoiler alert: it's not just ads or conferences—it's something much bigger. In this episode, we'll discuss: Thought leadership as your agency's best growth lever. Scaling thought leadership beyond the founder. Building the right systems to encourage your team to create content. Why Content ROI takes patience. 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 Growth Lever Most Agencies Ignore: Thought Leadership Recently, Chris has taken an experimental approach to his agency's growth, testing growth drivers like Google ads, LinkedIn ads, and conferences, and found that thought leadership consistently stood as the biggest growth drivers; one that couldn't be replicated. Forget chasing the latest ad hack or praying your next conference booth delivers ROI—what's consistently driven their biggest, best deals has been showing up as experts in their space. However, thought leadership is hard to measure. It often looks like vanity metrics—views, impressions, shares. But when you zoom out, it's the stuff that actually moves the needle. The more the agency doubled down on creating content, sharing insights, and putting their expertise out there, the more deals they closed. Not just more deals but better ones, with stronger close rates. If you're still waiting for the perfect ad funnel to save your pipeline, you might be missing the obvious. Start building your authority in public. Share your wins. Share what you know. Because thought leadership compounds, and that trust is what gets prospects off the fence. Why Expertise is the Foundation You can't fake thought leadership. It all starts with real expertise. In Chris' words, “the reason someone's going to choose an agency, especially as you start to sell larger deals, is they have to be convinced you're an expert in something.” That doesn't mean you need to be the everything agency. In fact, the opposite. It could be as narrow as being “the best B2B or SaaS web dev shop.” The point is: prospects need to believe you've mastered your corner of the world. That foundation comes from who you hire, the culture you build, and how you innovate—whether that's through proprietary tools, processes, or just being damn good at your craft. In the case of Go Fish, that expertise showed up in real wins (like when their founders innovated on Geico's site and saw traffic spike 2,000%). Those moments of innovation fueled content, which positioned the agency as leaders. And that cycle of expertise, innovation, and thought leadership became a growth engine. Scaling Thought Leadership Beyond the Founder In the early days, thought leadership was usually founder-driven. You're the face, the credibility, the spark. But as Chris points out, that won't scale. At a certain point, you need the team creating and sharing insights too. For them, that meant encouraging everyone to post, write case studies, and share wins. Sometimes it was as simple as, “Hey, we crushed conversions on this client's landing page—let's write about it.” By empowering their team, they kept thought leadership flowing, even as the founders had less time for it. Thought leadership can't be a one-man show forever. As an agency grows, the founders have less time to spend on the day-to-day operations. If you want authority to scale with your agency, bake it into your culture. Train your team to see insights worth sharing. Make content creation part of the job, not an afterthought. The Biggest Mistake: Not Sharing at All So what do most agencies get wrong? They don't share anything. Too many people assume, “Everything valuable has already been said.” Or they think their insights aren't groundbreaking enough. But as Chris points out, “What's obvious to you isn't obvious to everyone else.” That's why simpley sharing SEO best practices on LinkedIn got him traction. What he thought was “table stakes” turned out to be news to his audience. And the more he shared, the more inbound leads followed. If you're holding back because you don't think your perspective matters, think again. Your experience has value—even if it feels basic to you. Building Systems for Thought Leadership If you want your team to start sharing their knowledge, you have to get intentional. At Go Fish, they didn't just hope employees would write content—they built systems: Every new hire had to write two blog posts a year. They tracked contributions in their project management system. They created two career tracks: one managerial, one based on thought leadership as an individual contributor. That last part is huge. By tying thought leadership part of promotions and career growth, they gave employees a real incentive to contribute. Chris himself went from manager (which he admits wasn't his strong suit) to a senior role via the thought leadership track. The lesson here is that if you want consistent content, make it part of how you hire, measure, and promote. Don't just “encourage” thought leadership—bake it into the agency's DNA. The Evolution of Content: From Blogs to Video Back in the early 2010s, blogs were king. One of Go Fish's founders wrote a massive guide on reputation management on the Moz blog that spun up an entire new agency vertical. That was the play then. Today, however, the game has shifted. According to Chris, video on LinkedIn and Twitter is where the biggest impact happens now. Video humanizes your agency. It takes the mystery away for prospects who are wondering: “Who would I be working with? Are they innovative? Do I trust them?” Webinars have also proven effective—letting people go deeper on topics, showcase expertise, and generate leads from long-form content. But the principle stays the same: meet people where they are, with content that builds authority. The Patience Tax: Why Content ROI Takes Years With content creation, you can't expect results in six months. Here's the brutal truth: content is a long game. To do content you can't think even on seeing results in six months. It may take years. Chris has gotten clients that thought about him when they needed an agency because they saw him speak at a conference two years prior. ROI doesn't always show up on a quarterly P&L—it compounds over years. The same goes for video content. Rarely does someone listen to one episode and instantly buy. Instead, they binge for months or years before making a move. That's why consistency matters more than intensity. As Chris said: “I post every day, whether I feel inspired or not. It's about the habit.” If you're evaluating content success after three or six months, you're cutting yourself off too early. Play the two-year game. The deals waiting for you are bigger than the “quick wins” most agencies chase. Consistency compounds. Virality is a bonus, not the goal. Strong Opinions and Deep Dives Win Attention So what type of content catches people's attention? On social media, where everyone seems to be shouting the same advice over and over, you can't be afraid to stand out. Take a stance. Neutral content gets ignored. As Chris points out: “Strong takes do well because people either comment to agree or argue. Either way, the algorithm loves it.” Go deep. Technical, niche content might feel too in-the-weeds, but it builds trust. Posts dissecting patents, experiments, or tools often outperform fluff. You may not think that really long niche content could do well, but people will absolutely watch a three-hour tutorial that proves a creator's expertise—and will come out trusting them more. This is the heart of thought leadership: demonstrating expertise in public. Clients don't want generalists. They want to see you know your stuff, inside and out. Do You Want to Transform Your Agency from a Liability to an Asset? 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