Podcasts about CMS

The Friday Five for May 9, 2025: Rite Aid Files for Chapter 11 Bankruptcy Again Apple WWDC 2025 Dates & Rumors Discount Medicare Insurance Scam Alert Rueppel Recommends Books & Streaming Picks May 2025 Aetna Health Plans to Exit ACA Marketplace for CY 2026   Rite Aid Files for 2nd Chapter 11 Bankruptcy: Download the “Rite Aid Letter to Customers - May 5, 2025.” Restructuring.Ra.Kroll.Com, Kroll Restructuring Administration, restructuring.ra.kroll.com/RiteAid/Home-DownloadPDF?id1=MzM0MTA2Mg%3D%3D&id2=0. Accessed 6 May 2025. Grothaus, Michael. “Rite Aid Bankruptcy: What to Know about Store Closings, Prescription Transfers, Layoffs, Gift Cards, and More.” Fastcompany.Com, Fast Company, 6 May 2025, www.fastcompany.com/91329223/rite-aid-bankruptcy-2025-stores-closing-prescription-transfers-gift-cards. Arias, Pilar. “Rite Aid Files for Bankruptcy for Second Time in Less than 2 Years.” Foxbusiness.Com, Fox Business, 6 May 2025, www.foxbusiness.com/economy/rite-aid-files-bankruptcy-second-time-less-than-2-years. Powel, James. “Rite Aid Files for Chapter 11 Bankruptcy, Promises ‘smooth Transfer' of Prescriptions.” Usatoday.Com, Gannett Satellite Information Network, 6 May 2025, www.usatoday.com/story/money/retail/2025/05/05/rite-aid-chapter-11-bankruptcy/83467189007/. “Rite Aid Store Locater.” Riteaid.Com, Rite Aid, www.riteaid.com/locations/. Accessed 6 May 2025. Urie, Daniel. “Rite Aid Tells Vendors It ‘Has Generally Stopped Purchasing Goods and Services.'” Pennlive.Com, PennLive, 5 May 2025, www.pennlive.com/business/2025/05/rite-aid-tells-vendors-it-has-generally-stopped-purchasing-goods-and-services.html. Mills, Sean I. “What to Do with Your Prescriptions Now That Rite Aid Is Closing All Stores.” Romesentinel.Com, Daily Sentinel, 6 May 2025, www.romesentinel.com/news/rome-new-hartford-rite-aid-store-closings/article_98f2300b-600c-4937-b8d0-686ece8d36e9.html.   Apple WWDC 2025 Dates & Rumors: Lovejoy, Ben. “90% of People Shouldn't Buy the iPhone 17 Air, per Apple.” 9to5mac.Com, 9to5Mac, 6 May 2025, 9to5mac.com/2025/05/06/90-of-people-shouldnt-buy-the-iphone-17-air-per-apple/. Schroeder, Stan. “Apple Is Planning a New iPhone Launch Schedule, Report Claims.” Mashable, Mashable, 5 May 2025, mashable.com/article/apple-iphone-launch-schedule. “iOS 7 vs iOS 6 Side-by-Side Visual Comparisons.” Osxdaily.Com, OS X Daily, osxdaily.com/2013/06/11/ios-7-vs-ios-6-visual-comparison/. Accessed 6 May 2025. Christoffel, Ryan. “iOS 19: Three New Features Are Being Announced next Month.” 9to5mac.Com, 9to5Mac, 5 May 2025, 9to5mac.com/2025/05/05/ios-19-three-new-features-are-being-announced-next-month/. Clover, Juli. “iOS 19: Everything We Know.” Macrumors.Com, MacRumors, 5 May 2025, www.macrumors.com/roundup/ios-19/.   Discount Medicare Insurance Scam Alert: “Emerging Discount Medical Insurance Scams.” Ic3.Gov, Internet Crime Complaint Center (IC3), 30 Apr. 2025, www.ic3.gov/PSA/2025/PSA250430. Dimuro, Claudia. “FBI Alerts Public in Pa., beyond to Emerging Scam: Here's What to Know.” Pennlive.Com, PennLive, 5 May 2025, www.pennlive.com/life/2025/05/fbi-alerts-public-in-pa-beyond-to-emerging-scam-heres-what-to-know.html. Burman, Theo. “FBI Issues New Warning Over Health Insurance Scams.” Newsweek.Com, Newsweek, 6 May 2025, www.newsweek.com/fbi-issues-new-warning-over-health-insurance-scams-2068626.   Rueppel Recommends: Wynn-Williams, Sarah. “Careless People: A Cautionary Tale of Power, Greed, and Lost Idealism.” Spotify, Flatiron Books, open.spotify.com/show/279JRLPYDjvmsS81C7SOzg?si=215e5504c3ea4510. Accessed 6 May 2025. Ridgely, Charlie. “Everything Coming to Netflix, Max, Disney+ & Other Streaming Services in May 2025.” ComicBook.Com, ComicBook, 30 Apr. 2025, comicbook.com/tv-shows/news/new-streaming-movies-tv-shows-may-2025-netflix-disney-max/. Bet-David, Patrick. “Your Next Five Moves: Master the Art of Business Strategy.” Spotify, Gallery Books, https://open.spotify.com/show/1mCTkhoZxUOH6iA9b8Dx2y?si=b11263c88e3a43ff. Accessed 6 May 2025. Bet-David, Patrick. Your Next Five Moves, Gallery Books, www.yournextfivemoves.com/. Accessed 6 May 2025.   Aetna Health Plans to Exit ACA Marketplace for CY 2026: Minemyer, Paige. “Aetna to Exit the ACA Exchanges in 2026.” Fiercehealthcare.Com, Fierce Healthcare, 1 May 2025, www.fiercehealthcare.com/payers/aetna-exit-aca-exchanges-2026. Pifer, Rebecca. “CVS Plans to Exit ACA Individual Exchanges, Strikes Wegovy Deal with Novo Nordisk.” Healthcaredive.Com, Healthcare Dive, 1 May 2025, www.healthcaredive.com/news/cvs-aetna-exit-aca-novo-nordisk-wegovy-deal/746833/. Japsen, Bruce. “CVS Plans To Exit Obamacare In 2026, Affecting 1 Million Aetna Members.” Forbes.Com, Forbes Magazine, 1 May 2025, www.forbes.com/sites/brucejapsen/2025/05/01/cvs-plans-to-exit-obamacare-in-2026-impacting-1-million-aetna-members/. How Plan Crosswalks Work in the ACA Marketplace: https://lnk.to/ASG664   Resources: 5 Myths About Selling ACA Health Insurance Plans: https://lnk.to/asg660  5 Things from the CMS 2026 MA and Part D Final Rule: https://lnk.to/asgf20250502  Agent Requirements for ACA Sales: https://lnk.to/ASG662 Learn How to Sell ACA Products During the Off-Season ft. Danica Stover: https://lnk.to/asg661  Leveling Up: From Chill Mode to Growth Mode ft. Christian Brindle: https://lnk.to/brindle2025   Follow Us on Social!  Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency. Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.

May 9, 2025 In this episode, Scott, Mark, and Ray answer questions that came into the PRS Helpdesk.One of my specialties is pedsurology and there is just not much guidance for surgery coding.Is it appropriate to use 54360 (plastic operation on penis to correct angulation) for correction of penile torsion?I found an article from AAPC dated 2005 that stated to use 14040 for penile torsion repair when performed with a MAGPI hypospadias repair (54322).What if the penile torsion repair is not performed with another procedure or at least without a hypospadias repair?If Medical technologists (Medical assistants trained to perform Urodynamics) can perform this test why are Medical assistants not permitted by CMS to perform catheter insertion and removal in non regulated sites of services? (I have seen MAs in non regulated spaces perform catheter changes, bladder instillations--etc---how are practices able to get away with having MAs incorporated in their work flow as such?)In regulated sites of service (Hospital based clinics) what documentation should be used to ensure proper billing when an MA performs 51798 (bladder scan) (incident to billing for a hospital-employed physician).Free Kidney Stone Coding CalculatorDownload NowPRS 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/joinuptp Click 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/ 

From artificial intelligence in audit workflows to CMS's renewed focus on fraud, waste, and abuse, this episode of Compliance Conversations covers the biggest themes that emerged from HEALTHCON and HCCA's Compliance Institute. Tune in to hear real takeaways from the exhibit hall, speaker sessions, and side conversations—including why quality of care oversight is gaining new attention. CJ Wolf, MD, and Brian Burton, Healthicity Chief Compliance & Privacy Officer, discuss: - Why AI was everywhere—and what it means for your compliance program - The latest OIG and DOJ guidance on effectiveness and enforcement - How CMS is signaling a “war on fraud, waste, and abuse” - What quality of care oversight looks like in the real world

A Note from James:So Dr. Oz—television personality turned government official—this is such an interesting thing. He's going to be the new administrator of the Center for Medicare and Medicaid Services, CMS. He's going to be in charge of all Medicare and Medicaid. What does he know or think about these parts of our government?Medicare and Medicaid, combined with Social Security, make up the biggest part of government spending. So it'd be interesting to know what he thinks. On his show, he'd talk about everything from medicine to alternative medicine to other healing methods. I want to know how he's going to handle things in the government.This is a republishing of a past podcast I did with Dr. Oz, but it still describes his approach to medicine. And I think, as a citizen, this is useful. That's why I wanted to share it again. He's going to be working closely with RFK Jr. and Marty Makary (who's also been on this podcast and is now head of the FDA).So here's Dr. Oz.Episode Description:In this re-released conversation, James speaks with Dr. Mehmet Oz about his philosophy on medicine, self-care, and the critical role nutrition plays in overall well-being. As Dr. Oz steps into a major government role as the head of CMS, this episode offers valuable insight into the beliefs and strategies he may bring to one of the most powerful positions in U.S. healthcare.Together, they cover the power of second opinions, why most people misunderstand sugar, how gut bacteria drive health, and what it means to choose yourself when it comes to well-being. They also unpack highlights from Dr. Oz's book Food Can Fix It, including practical strategies for brain health, stress, and weight loss.What You'll Learn:Why second opinions can drastically change your medical outcomes.The connection between stress, sugar, and your brain's coping mechanisms.What to eat (and avoid) for long-term brain health and energy.How gut bacteria influence digestion, immunity, and mood.Dr. Oz's personal routine for energy, sleep, and productivity.Timestamped Chapters:[00:00] Dr. Oz's New Role in Government[01:00] Dr. Oz's Philosophy: Empowering Patients[02:45] The Power of Second Opinions[04:00] Behind the Book: Food Can Fix It[06:00] Parenting, Health, and Self-Sacrifice[07:30] Why We Stress Eat—and What to Do Instead[09:30] Fixing the Root Cause with Food[12:00] Brain Food and Omega-3 Fats[15:30] Antioxidants, Alcohol, and Wheat Brain[17:30] Why Sugar Without Fiber Is Dangerous[18:30] Juicing vs. Smoothies[19:30] Food Traditions, Rituals, and Healing[20:15] Using Food as Medicine for Pain[21:00] The Role of Gut Bacteria[23:30] Smart Weight Loss Strategies[26:30] Rethinking Dairy, Gluten, and Processed Foods[28:00] Eating for All-Day Energy[30:30] Daily Routine: Sleep Hygiene and Focus[33:00] Final Thoughts and Dr. Oz's Upcoming PodcastAdditional Resources:

I spoke with Anonymous Banker, an M&A advisor with a front-row view into the market for buying and selling digital media companies. Needless to say, it's a buyer's market.AB breaks down the market for digital publishing assets – broadly those with page-based models – into three types of buyers:HarvestersCAC jockeysVanity projects/rich person playthings“If you're a publisher with a mostly ad-supported site, odds are your business will be worth less next year than it is now,” he said. Deals are still getting done, but the buyers are different. These are no-name PE firms above ice cream shops in the outskirts of Miami. We go through the list, which ranges from Valnet to Static Media to Savage Ventures to Regent. The playbook is to buy undervalued media properties, slash costs, and milk the programmatic revenue with hyper-lean models that rudely dispense with the nostalgia of “when the going was good.”“Any content they invest in has to be ROI positive within 30 days,” AB said. “You'll never see them spend $20 million hoping advertisers show up. Those days are done.”Other topics we covered:How AI uncertainty is creating overhang that depresses valuations and makes long-term modeling nearly impossibleWhy the most resilient media businesses are lead-generation machines or conversion front-endsWe debate whether the Chernin Group content-to-commerce thesis was wrongHow Substack's recommendation engine is the most efficient user acquisition channel in mediaWhat kinds of content investors still believe in (hint: high-intent verticals, not general news)Check out The Rebooting's new media product research reportSign up for The Rebooting's Online Forum on May 21 at 1pmET featuring a case study on how Recurrent migrated its CMS across a portfolio of sites without disruption

Kathleen Sebelius has led a career defined by public impact—first as Governor of Kansas and then as U.S. Secretary of Health and Human Services, where she helped steer one of the most significant healthcare reforms in American history. In this episode of Lab Rats to Unicorns, Sebelius unpacks the leadership lessons she's learned across government and health systems, including the rollout of the Affordable Care Act and her efforts to accelerate translational research through federal agencies like the NIH, FDA, and CMS. At a time when NIH funding is under political pressure, Sebelius offers a powerful defense of continued public investment in biomedical science. She argues that undermining NIH not only risks slowing innovation but jeopardizes America's global leadership in medicine, biotechnology, and economic competitiveness. Whether you're a policymaker, entrepreneur, or scientist, this conversation reveals why bipartisan support for public health infrastructure and regulatory expertise is more important than ever—and how real progress depends on collaboration across sectors.

The 2023 FBI Internet Crime Report reveals that nearly 21% of ransomware attacks targeted the healthcare and public health sectors—making them the top victims.   This week on Feds At The Edge, we explore how agencies can defend against these growing threats.   Benjamin Koshy, Chief Information Security Officer and Director, Division of Information Security of Indian Health Service, explains the unique identity management challenge in healthcare: balancing open patient access with strict data protection.  Keith Busby, Acting CISO at CMS, outlines how to go beyond Zero Trust with real-world risk assessments and robust incident response plans - not just a three-ring binder gathering dust on a shelf.  And Alec Lizanetz, Identity Protection Specialist from CrowdStrike, emphasizes the importance of prioritizing threats and using frameworks like CISA's to respond efficiently.   Tune in on your favorite podcasting platform today to hear practical, high-impact strategies to secure critical systems and protect patient care, perfect for healthcare leaders who must protect both data and lives.      

A critical flaw in a Samsung's CMS is being actively exploited. President Trump's proposed 2026 budget aims to slash funding for CISA. “ClickFix” malware targets both Windows and Linux systems through advanced social engineering. CISA warns of a critical Langflow vulnerability actively exploited in the wild. A new supply-chain attack targets Linux servers using malicious Go modules found on GitHub. The Venom Spider threat group targets HR professionals with fake resume submissions. The Luna Moth group escalates phishing attacks on U.S. legal and financial institutions. The U.S. Treasury aims to cut off a Cambodia-based money laundering operation. Our guest is  Monzy Merza, Co-Founder and CEO of Crogl, discussing the CISO's conundrum in the face of AI. Malware, mouse ears, and mayhem: Disney hacker pleads guilty. Remember to leave us a 5-star rating and review in your favorite podcast app. Miss an episode? Sign-up for our daily intelligence roundup, Daily Briefing, and you'll never miss a beat. And be sure to follow CyberWire Daily on LinkedIn. CyberWire Guest On our Industry Voices segment, we are joined by Monzy Merza, Co-Founder and CEO of Crogl, who is discussing the CISO's conundrum—the growing challenge of securing organizations in a world where AI rapidly expands both the number of users and potential adversaries.Selected Reading Samsung MagicINFO Vulnerability Exploited Days After PoC Publication (SecurityWeek) Trump would cut CISA budget by $491M amid ‘censorship' claim  (The Register) New ClickFix Attack Mimics Ministry of Defense Website to Attack Windows & Linux Machines (Cyber Security News) Critical Vulnerability in AI Builder Langflow Under Attack (SecurityWeek) Linux wiper malware hidden in malicious Go modules on GitHub (Bleeping Computer) Malware scammers target HR professionals with Venom Spider malware (SC Media) Luna Moth extortion hackers pose as IT help desks to breach US firms (Bleeping Computer) US Readies Huione Group Ban Over Cybercrime Links (GovInfo Security) Hacker 'NullBulge' pleads guilty to stealing Disney's Slack data (Bleeping Computer) Share your feedback. We want to ensure that you are getting the most out of the podcast. Please take a few minutes to share your thoughts with us by completing our brief listener survey as we continually work to improve the show.  Want to hear your company in the show? You too can reach the most influential leaders and operators in the industry. Here's our media kit. Contact us at cyberwire@n2k.com to request more info. The CyberWire is a production of N2K Networks, your source for strategic workforce intelligence. © N2K Networks, Inc. Learn more about your ad choices. Visit megaphone.fm/adchoices

Mirai Now Exploits Samsung MagicINFO CMS CVE-2024-7399 The Mirai botnet added a new vulnerability to its arsenal. This vulnerability, a file upload and remote code execution vulnerability in Samsung s MagicInfo 9 CMS, was patched last August but attracted new attention last week after being mostly ignored so far. https://isc.sans.edu/diary/Mirai+Now+Exploits+Samsung+MagicINFO+CMS+CVE20247399/31920 New Kali Linux Signing Key The Kali Linux maintainers lost access to the secret key used to sign packages. Users must install a new key that will be used going forward. https://www.kali.org/blog/new-kali-archive-signing-key/ The Risk of Default Configuration: How Out-of-the-Box Helm Charts Can Breach Your Cluster Many out-of-the-box Helm charts for Kubernetes applications deploy vulnerable configurations with exposed ports and no authentication https://techcommunity.microsoft.com/blog/microsoftdefendercloudblog/the-risk-of-default-configuration-how-out-of-the-box-helm-charts-can-breach-your/4409560

(This episode originally aired on October 22, 2024.) For years, the best word to describe Medicare Advantage (MA) was “untouchable.” Hugely popular among seniors, profitable for health plans—the hybrid public-private payment model grew to the point that it now covers more seniors than traditional Medicare. But in the past few years, the tide has started to change. And if you've been paying attention in recent months, you'll have seen headlines announcing that payers that are scaling back their MA offerings and providers are exiting MA contracts. The MA market has gone from “untouchable” to “volatile.” The question is: why is this happening, and what does it mean for payers, providers, and seniors moving forward? In this episode, hosts Rachel (Rae) Woods and Abby Burns invite health plan experts Max Hakanson and Chelsea Needham to dissect what is going on in MA and how plans and providers are—or should be—navigating the changing tide. Links: Ep. 203: Value series: Is the future of VBC in specialty care? Zing Health & Strive Health say yes. Ep. 149: Senior Care (Part 1): Specialized primary care for an aging population Ep. 150: Senior Care (Part 2): The rapid growth of Medicare Advantage 3 traits health plans want in a provider partner 4 traits providers want in a health plan partner Around the nation: CMS releases Medicare Advantage Star Ratings Q&A: Cardiologist Navin Kapur discusses the future of complex PCI

The 2021/2023 E/M guideline revisions read: “The evaluation and/or treatment should be consistent with the likely nature of the condition.” Before this, the CPT® guidelines did not discuss medical necessity. Guidance was left to the payers, particularly Medicare, via the Social Security Act. CMS's guidance doesn't necessarily hold regulatory authority. However, it often reflects a new, shared […] The post Medical Necessity Comes Before Coding appeared first on Terry Fletcher Consulting, Inc..

The revenue cycle can be thought of as a machine that keeps churning nonstop, making everything work, financially speaking, for your hospital.But even the most well-oiled machinery can get clogged, meaning it doesn't perform at its peak. And that is why the producers of ICD10monitor and Talk Ten Tuesdays have invited Jessica Miller-Dobbs to join the popular Internet broadcast as its special guest for some shop talk.Jessica is the Director of Health Information Management (HIM) and Revenue Cycle for Datavant. She is scheduled to appear during the next live edition of Talk Ten Tuesdays, 10 a.m. Eastern on May 6, for a refreshingly new approach in learning how to get your revenue cycle humming.Also part of the live broadcast will be these instantly recognizable panelists, who will report more news during their segments:• 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.• 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.

The fiscal year 2026 proposed hospice rule brings cautious optimism to providers with a projected 2.4% payment increase, though experienced hospices know to factor in the ongoing 2% sequestration when calculating their bottom line. For those who've long struggled with regulatory inconsistencies, this rule delivers welcome clarification on who can certify hospice eligibility, aligning payment regulations with Conditions of Participation after years of confusion.Most significantly, CMS confirms the HOPE assessment tool will launch on October 1, 2025, as scheduled. Despite earlier speculation about potential delays, hospices should maintain implementation momentum, with CMS planning one final training session this summer. Face-to-face attestation requirements also receive much-needed clarification, potentially reducing one of the top reasons for claim denials.Beyond operational updates, CMS seeks provider input through several Requests for Information. They're exploring digital quality measurement using FHIR-based reporting, considering new quality measures around well-being and nutrition, and looking for opportunities to streamline regulations and reduce administrative burden. This represents a genuine opportunity for hospice providers to shape future requirements.The relatively slim 62-page rule contains consequential changes that demand attention. Providers should thoroughly review the complete document, evaluate potential financial impacts, coordinate with state and national associations on comments, and ensure staff education aligns with the clarified regulations. With the comment period closing June 10 and the final rule expected in early August, the time to prepare is now. Let your voice be heard on these important changes that will influence hospice care delivery and reimbursement for years to come.Visit our websiteConnect with us - LinkedIn, Twitter, YouTube, FacebookMake Lives Better

¿Conoces ya los sistemas de gestión de contenidos headless?  Si quieres saber qué es un sistema headless, cómo funciona, en qué se diferencia de los CMS tradicionales y qué ventajas puede aportar a tu estrategia de marketing digital no te pierdas el episodio de hoy con Juan Muñoz. Desarrollador experto en headless y creador de la agencia Root. Aprende qué puede aportar en aspectos como el rendimiento o la internacionalización de tu negocio.  Recuerda suscribirte al podcast aquí : luisrevuelto.es/podcasts/  Prueba Se Ranking aquí: https://seranking.com/?ga=243541&source=link  

This week I Answer Listener Questions [powerpress]

What are plan crosswalks in the Affordable Care Act Marketplace? Find out what this means for your clients and how agents can help in the process.    Read the text version    Register with Ritter: https://app.ritterim.com/public/registration/   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: Everything Agents Need to Know About Selling in Sate-Based Marketplaces: https://ritterim.com/blog/everything-agents-need-to-know-about-selling-in-state-based-marketplaces/   Everything You Need to Know About the ACA OEP: https://ritterim.com/blog/everything-you-need-to-know-about-the-aca-oep/    FAQs About Selling On-Exchange & Off-Exchange Under-65 Plans: https://ritterim.com/blog/faqs-about-selling-on-exchange-off-exchange-under-65-plans/ How to Help Clients Navigate ACA Marketplace Subsidies & Taxes: https://lnk.to/qzlRwV Knight School: https://ritterim.com/knight-school/ Steps to Get Ready for OEP: Federal Exchange States & State-Based Exchanges: https://lnk.to/SyqM9T The Ritter Blog: https://ritterim.com/blog/ Meet Your Sales Team: https://ritterim.com/meet-your-sales-team/  Under-65 Health: https://ritterim.com/products/under-65/ What the Inflation Reduction Act Means for Your Medicare & ACA Clients: https://ritterim.com/blog/what-the-inflation-reduction-act-means-for-your-medicare-aca-clients/   References: “2025 Marketplace Integrity and Affordability Proposed Rule.” CMS.Gov, Centers for Medicare & Medicaid Services, https://www.cms.gov/newsroom/fact-sheets/2025-marketplace-integrity-and-affordability-proposed-rule. Accessed 10 Apr. 2025. “ECFR :: 45 CFR 164.512 -- Uses and Disclosures for Which an Authorization or Opportunity to Agree or Object Is Not Required.” Code of Federal Regulations, https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-B/part-155/subpart-D/section-155.335. Accessed 8 Apr. 2025. “Low Cost Marketplace Health Care, Qualifying Income Levels.” HealthCare.Gov, https://www.healthcare.gov/lower-costs/. Accessed 8 Apr. 2025.   Follow Us on Social!  Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

Join Sarah as she dives back into CMS regulations! This week, she highlights 5 regulations from the 2026 Medicare Advantage and Part D Final Rule.   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 5 Things About the 2026 CMS MA and Part D Rate Announcement: https://lnk.to/asgf20250411 CMS 2025 Marketplace Integrity & Affordability Proposed Rule: https://lnk.to/asgf20250314 CMS Updates to MA and Part D for CY 2026: https://lnk.to/asgf20250425 Expanded Medicare Telehealth Benefits Extended Through September 2025: https://ritterim.com/blog/expanded-medicare-telehealth-benefits-extended-through-september-2025/  Recent ACA Coverage Changes Reversed with 2025 Marketplace Proposed Rule: https://ritterim.com/blog/recent-aca-changes-reversed-with-2026-marketplace-proposed-rule/   References: “CMS Finalizes 2026 Payment Policy Updates for Medicare Advantage and Part D Programs.” CMS.Gov, Centers for Medicare and Medicaid Services, 7 Apr. 2025, www.cms.gov/newsroom/press-releases/cms-finalizes-2026-payment-policy-updates-medicare-advantage-and-part-d-programs. “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Apr. 2025, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” Federalregister.Gov, Federal Register, 15 Apr. 2025, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare.     Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

Lots of chat about Dr. Oz and his plans for the future of the Centers for Medicare & Medicaid Services. Unfortunately, the articles I prepared fell into what might be a bottomless pit.  In the Medicare Advantage Minute, Democrats sent a nasty letter to Dr. Oz questioning his support for Medicare Advantage and criticizing his substantial holdings in the biggest MA slut: United HealthCare. From the pages of "Your Medicare Benefits 2024" we learn the short story of how Medicare covers flu shots. CMS (the Federal Government) in a magnificent return to sanity ordered that questions catering to Binary, non-Binary and other confused individuals be stricken from Medicare Advantage applications. Finally, a listener whose wife must have badgered him mercilessly, asked whether gym memberships were an included freebie with their Medicare supplement plan. My answer was that a competing product had the benefit they seek but there would be an endless amount of paperwork and insurance foolishness to deal with. He decided to shine it on and hope that his wife forgets the whole thing. We'll see! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Dr. Jordan B. Peterson sits down for a candid discussion with Dr. Mehmet Oz, discussing the toxified food environment within the United States—pointing directly to its causes—and exploring not just possible, but immediate routes for change. These include better governmental oversight, but also the implementation of new technologies such as AI. Dr. Mehmet Oz, newly appointed by President Donald Trump as the 17th Administrator of the Centers for Medicare and Medicaid Services (CMS), is a cardiothoracic surgeon, professor emeritus at Columbia University, and former leader of the heart institute at New York Presbyterian Medical Center, known for innovations like the Mitraclip and over 400 publications in heart surgery, health policy, and complementary medicine. He gained national fame through The Dr. Oz Show, winning nine Daytime Emmys and authoring several New York Times bestsellers, before becoming the 2022 Republican nominee for U.S. Senate in Pennsylvania. A Harvard and UPenn MD/MBA graduate, Oz also co-founded the influential health platform Sharecare and the nationwide teen wellness initiative Healthcorps. His public influence has been recognized by Time, Forbes, and Esquire, making him a high-profile figure at the intersection of medicine, media, and policy. This episode was filmed on November 13th, 2024  | Links | For Dr. Mehmet Oz: On X https://x.com/droz?lang=en On Instagram https://www.instagram.com/dr_oz/?hl=en Dr. Mehmet Oz shares his vision for CMS https://www.cms.gov/newsroom/press-releases/dr-mehmet-oz-shares-vision-cms   

Tras el mayor apagón eléctrico de la historia de la península ibérica, os contamos un montón de noticias. Os contamos cómo Tesla podría haber intentado despedir a Elon Musk, y de cómo el hype por la Powerwall 3 de Tesla no tiene mucho fundamento por ahora. Hablaremos de baterías para coches eléctricos chinos y de multas a grandes tecnológicas por saltarse la normativa europea. Además, traemos varias noticias más astronáuticas y científicas, como el descubrimiento por parte del experimento CMS en el CERN del Toponio. Hablaremos de cómo Amazon quiere hacer competencia a SpaceX y a su Starlink con Kuiper, y de cómo sigue adelante la misión Dragonfly. Noticias Tesla board is reportedly floating replacing Elon Musk as CEO Tesla Powerwall 3 is disrupting the solar inverter market Esta avanzada batería es la primera en cumplir la nueva normativa contra incendios y explosiones de China La Comisión Europea multa a Apple con 500 millones de euros y a Meta con 200 millones CMS observa indicios fuertes del toponio, un estado no perturbativo de una pareja quark-antiquark top Primer lanzamiento de la megaconstelación de satélites Kuiper de Amazon (Atlas V KA-01) Sigue adelante la misión Dragonfly, la primera aeronave que explorará Titán Música del episodio Introducción: Safe and Warm in Hunter's Arms - Roller Genoa Cierre: Inspiring Course Of Life - Alex Che Puedes encontrarnos en Mastodon y apoyarnos escuchando nuestro podcast en Podimo o haciéndote fan en iVoox. Si quieres un mes gratis en iVoox Premium, haz click aquí.

Expand your Affordable Care Act client base with these six lead generation strategies!   Read the text version   Register with Ritter: https://app.ritterim.com/public/registration/ Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 5 Insurance Marketing Tips to Help Agents Stand Out from the Crowd: https://lnk.to/asgf20250321 5 Types of Content to Share on Social Media: https://lnk.to/asgf20250131 Apps for Content Creation: https://lnk.to/ASGA81 Build Your Brand with Community Involvement: https://ritterim.com/blog/build-your-brand-with-community-involvement/ Carriers with Ritter: https://ritterim.com/products/by-carrier/ Community Engagement & ACA Marketing Suggestions for Agents: https://ritterim.com/blog/community-engagement-aca-marketing-suggestions-for-agents/ How to Better Market Yourself: https://ritterim.com/blog/how-to-better-market-yourself/ Marketing & Incentives: https://ritterim.com/marketing-incentives/ Meet Your Sales Team: https://ritterim.com/meet-your-sales-team/ Why Being a Likable Agent Is Good for Your Business: https://ritterim.com/blog/why-being-a-likable-agent-is-good-for-your-business/   References:  “Children's Health Insurance Program (CHIP).” Medicaid.Gov, https://www.medicaid.gov/chip. Accessed 3 Apr. 2025. “CMS.Gov Enterprise Portal.” Portal.Cms.Gov, https://portal.cms.gov/portal/. Accessed 3 Apr. 2025. “FFM Agent Broker Registration and Termination Status Page.” Data.Healthcare.Gov, https://data.healthcare.gov/ffm_ab_registration_lists. Accessed 3 Apr. 2025. “FAQs for Marketplace Agents and Brokers.” AgentBrokerFaq.Cms.Gov, https://www.agentbrokerfaq.cms.gov/s/article/Where-can-I-update-my-public-facing-agent-broker-profile-information-so-that-consumers-can-find-me-and-request-assistance. Accessed 3 Apr. 2025. “Find Local Help.” HealthCare.Gov, https://www.healthcare.gov/find-local-help/. Accessed 3 Apr. 2025. “Get Help Applying & More.” HealthCare.Gov, https://www.healthcare.gov/find-assistance/. Accessed 3 Apr. 2025. “Help on Demand: Training and Registration Guide.” CMS.Gov, Centers for Medicare & Medicaid, https://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Marketplaces/Downloads/Help-On-Demand-Training-Registration-Guide.pdf. Accessed 3 Apr. 2025. Instagram, https://www.instagram.com/. Accessed 3 Apr. 2025. “Log in or Sign Up.” Facebook, https://www.facebook.com/. Accessed 3 Apr. 2025. “Log in or Sign Up.” LinkedIn, https://www.linkedin.com/home. Accessed 3 Apr. 2025.  “Returning Agents' and Brokers' Guide to Plan Year 2025 ...” CMS.Gov, https://www.cms.gov/files/document/returning-agents-and-brokers-guide-marketplace-registration-and-training.pdf. Accessed 3 Apr. 2025. “Shop Health Insurance Overview.” HealthCare.Gov, https://www.healthcare.gov/small-businesses/choose-and-enroll/shop-marketplace-overview/. Accessed 3 Apr. 2025. “Welcome to the Health Insurance Marketplace®.” HealthCare.Gov, https://www.healthcare.gov/. Accessed 3 Apr. 2025.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

Jonathan Ames, Director of Marketing at ButterCMS, discusses the intricacies of improving a headless CMS. He delves into how enhancing flexibility and user experience can significantly boost content management efficiency. Jonathan shares insights on integrating new technologies to streamline workflows and ensure scalability. Show NotesConnect With: Jonathan Ames: Website // LinkedInThe Voices of Search Podcast: Email // LinkedIn // TwitterBenjamin Shapiro: Website // LinkedIn // TwitterSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Payer edits and denials are pervasive in healthcare reimbursement.These problems typically arise from coding inaccuracies, insufficient documentation, or non-compliance with payer-specific guidelines. These challenges can lead to revenue loss, increased administrative burden, and frustration among healthcare providers.A skilled coding staff plays a vital role in mitigating these issues. Proactive identification of potential red flags at the time of coding can decrease the number of edits and denials being returned from the payer.Join our special guest Lorie Mills, director of health information services for Primeau Consulting Group, during the next live edition of Talk Ten Tuesday, April 29, 10 Eastern for a refreshingly new approach to understanding how and what smart coding can do to avoid these expensive and frustrating issues.Also part of the live broadcast will be these instantly recognizable panelists, who will report more news during their segments:• 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.• CDI Report: Cheryl Ericson, Director of Clinical Documentation Integrity (CDI) for the vaunted Brundage Group, will have the latest CDI updates.• The Coding Report: Substituting for Christine Geiger will be Amy Jo Combs, Senior Coding Compliance Consultant for First Class Solutions. She will discuss the significant difference between “History of” and “in remission” when reporting leukemia.• 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.

Director of Marketing from ButterCMS, Jonathan Ames, discusses the impact of a CMS on SEO. In this episode, Jonathan shares his perspectives on: how CMS choice affects website SEO performance, key features of SEO-friendly CMS platforms, the role of CMS structure in organic growth and visibility, importance of CMS scalability and flexibility for SEO success, and best practices and common pitfalls in CMS SEO optimization. Show NotesConnect With: Jonathan Ames: Website // LinkedInThe Voices of Search Podcast: Email // LinkedIn // TwitterBenjamin Shapiro: Website // LinkedIn // TwitterSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This week I Review FluentCRM [powerpress]

Discover the steps to get ready-to-sell in the Affordable Care Act Marketplace. We're talking certifications, client authorization, and more!   Read the text version   Register with Ritter   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   ACA Forms: ACA Consumer Authorization Live Call Script: https://ritterim.com/documents/aca-consumer-authorization-live-call-script.pdf Eligibility Application Attestation: https://ritterim.com/documents/aca-eligibility-application-attestation.pdf Eligibility Application Attestation Live Call Script: https://ritterim.com/documents/aca-consumer-eligibility-application-attestation-live-call-script.pdf Marketplace Consent Form: https://ritterim.com/documents/aca-consumer-marketplace-authorization-form.pdf   Resources: 2025 ACA Exchange & FFM Certification Info: https://lnk.to/ZvnhS8 Contract & Get Appointment to Sell with Health Insurance Companies: https://ritterim.com/blog/contract-get-appointed-to-sell-with-health-insurance-companies/ Everything Agents Need to Know About Selling in State-Based Marketplaces: https://ritterim.com/blog/everything-agents-need-to-know-about-selling-in-state-based-marketplaces/ (check podcast) Free eBooks & Guides: https://ritterim.com/guides/ How Agents Can Protect Clients from Unauthorized ACA Plan Switching: https://ritterim.com/blog/how-agents-can-protect-clients-from-unauthorized-aca-plan-switching/ How to Become Certified for Aca Marketplace Sales with Federally Facilitated Marketplace (FFM) Training) https://ritterim.com/blog/how-to-become-certified-for-aca-marketplace-sales-with-federally-facilitated-marketplace-ffm-training/ (check podcast version) How to Help Clients Navigate ACA Marketplace Subsidies & Taxes: https://lnk.to/qzlRwV Meet Your Sales Team: https://ritterim.com/meet-your-sales-team/ New Required Documents Agents Need for ACA Sales: https://ritterim.com/blog/new-required-documents-agents-need-for-aca-sales/ OEP Ready-to-Sell Checklist for New Agents: https://ritterim.com/documents/oep-ready-to-sell-checklist.pdf Recent ACA Coverage Changes Reversed with 2025 Marketplace Proposed Rule: https://ritterim.com/blog/recent-aca-changes-reversed-with-2026-marketplace-proposed-rule/ The Ritter Blog: https://ritterim.com/blog/ The Ritter Platform: https://ritterim.com/the-ritter-platform/ Under-65 Health: https://ritterim.com/products/under-65/   References: “CMS Update on Actions to Prevent Unauthorized Agent and Broker Marketplace Activity.” CMS.Gov, Centers for Medicare & Medicaid Services, https://www.cms.gov/newsroom/press-releases/cms-update-actions-prevent-unauthorized-agent-and-broker-marketplace-activity. Accessed 31 Mar. 2025. “Returning Agents' and Brokers' Guide to Plan Year 2025 ...” CMS.Gov, Centers for Medicare & Medicaid Services, https://www.cms.gov/files/document/returning-agents-and-brokers-guide-marketplace-registration-and-training.pdf. Accessed 31 Mar. 2025. “The Marketplace in Your State.” HealthCare.Gov, https://www.healthcare.gov/marketplace-in-your-state/. Accessed 31 Mar. 2025.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers welcomes Deputy Editor Jessica Bylander to the program to celebrate the 200th episode of Health Affairs This Week and take a look back at the health care world of 2020 and see what has changed in terms of COVID-19, vaccinations, telehealth, and more.  Health Affairs published an ahead-of-print article this week from Yashaswini Singh and coauthors exploring explore how the expansion of private equity-owned physician practices has led to a decrease in access for certain eye conditions such as retinal detachment.  Yasahswini Singh also appeared as a guest on a live episode of A Health Podyssey discussing private equity's effect on health care staff turnover. Health Affairs is hosting an Insider exclusive event on May 29 focusing on the FDA's first 100 days under the second Trump administration featuring moderator Rachel Sachs alongside panelists Richard Hughes IV and Arti Rai.Related Links:The Many Ways Kennedy Is Already Undermining Vaccines (The New York Times)Health secretary RFK Jr. endorses the MMR vaccine — stoking fury among his supporters (NPR)Measles tracker: Follow cases, outbreaks and vaccination rates across the U.S. (NBC News)Fact Sheet: Telehealth (American Hospital Association) Subscribe to UnitedHealthcare's Community & State newsletter.

  The Friday Five for April 25, 2025: Dr. Oz shares MAHA vision as CMS admin CY 2026 Part D Coverage Cost Breakdown CY 2026 Selected Drug Subsidy Cost Breakdown Provisions Not Finalized in 2026 MA and Part D Final Rule Impact of Non-Finalized Provisions on Agents   Dr. Oz shares MAHA vision as CMS admin: Simmons-Duffin, Selena. “5 Things to Know as Dr. Oz Prepares to Lead Medicare and Medicaid.” NPR.Org, NPR, 3 Apr. 2025, www.npr.org/sections/shots-health-news/2025/03/25/g-s1-55766/dr-mehmet-oz-medicare-medicaid-cms-trump. “Dr. Mehmet Oz Shares Vision for CMS.” CMS.Gov, Centers for Medicare & Medicaid Services, 25 Apr. 2025, www.cms.gov/newsroom/press-releases/dr-mehmet-oz-shares-vision-cms. Olsen, Emily. “Dr. Oz Sworn in as CMS Administrator.” Healthcaredive.Com, Healthcare Dive, 21 Apr. 2025, www.healthcaredive.com/news/dr-mehmet-oz-sworn-in-cms-administrator/745880/.   CY 2026 Part D Coverage Cost Breakdown: “Final CY 2026 Part D Redesign Program Instructions.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/final-cy-2026-part-d-redesign-program-instructions. Accessed 23 Apr. 2025. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” Federalregister.Gov, Federal Register, 15 Apr. 2025, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare.   CY 2026 Selected Drug Subsidy Cost Breakdown: John, Stephnie A., and Abdie Santiago. “The IRA in 2025: The Future of Medicare Part D.” Mintz.Com, Mintz, 13 Feb. 2025, www.mintz.com/insights-center/viewpoints/2146/2025-02-13-ira-2025-future-medicare-part-d. “Medicare Prescription Drug Benefit Manual – Chapter 5.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/chapter-5-benefits-and-beneficiary-protection-v92011.pdf. Accessed 23 Apr. 2025. “Factsheet: Medicare Drug Price Negotiation Program.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/fact-sheet-medicare-selected-drug-negotiation-list-ipay-2026.pdf. Accessed 23 Apr. 2025.   Provisions Not Finalized in 2026 MA and Part D Final Rule: “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. Accessed 24 Apr. 2025. Tong, Noah. “Medicare Advantage Final Rule Excludes Anti-Obesity Drug Coverage under Medicare, Medicaid.” Fiercehealthcare.Com, Fierce Healthcare, 4 Apr. 2025, www.fiercehealthcare.com/payers/medicare-advantage-final-rule-excludes-anti-obesity-drug-coverage-under-medicare-medicaid. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” Federalregister.Gov, Federal Register, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare. Accessed 24 Apr. 2025. “Medicare Coverage of Anti-Obesity Medications.” Aspe.Hhs.Gov, Assistant Secretary for Planning and Evaluation, 26 Nov. 2024, aspe.hhs.gov/sites/default/files/documents/127bd5b3347b34be31ac5c6b5ed30e6a/medicare-coverage-anti-obesity-meds.pdf.   Resources: 2025 Maximum Broker Commissions for Medicare Advantage & Medicare Part D: https://ritterim.com/blog/2025-maximum-broker-commissions-for-medicare-advantage-and-medicare-part-d/ 3 Additional Effective Techniques for Closing Insurance Sales: https://lnk.to/asg656 4 Effective Techniques for Closing Insurance Sales: https://lnk.to/asg655 5 Things About the 2026 CMS MA and Part D Rate Announcement: https://lnk.to/asgf20250411 CMS Updates, Content Library, & More! https://lnk.to/asgf20250328 Recent ACA Coverage Changes Reversed with 2025 Marketplace Proposed Rule: https://ritterim.com/blog/recent-aca-changes-reversed-with-2026-marketplace-proposed-rule/ Subscribe to the Ritter Blog: https://ritterim.com/blog/ The Best Appointment Schedulers for Insurance Agents: https://lnk.to/asg657   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency. Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.

How One Leader Came Out of Retirement to Transform Home Healthcare Jasper Freeman, Director of National Accounts at SC Pharmaceuticals, didn't just return to medical sales—he came back with a mission to change it. In this episode, Jasper shares how he helped launch Ferosix, a revolutionary heart failure treatment designed to keep patients out of the hospital and improve care at home. But that's just the beginning. We dive into: The untold story of Pharmacy Benefit Managers (PBMs) and their massive influence over drug pricing and access Why the insurance-sales-patient triangle is the key battleground in healthcare innovation What the U.S. can learn from other countries about lowering costs and improving care Bold reform ideas—from slashing med school tuition to rethinking drug distribution This is a rare, behind-the-scenes look at the business of healthcare, guided by someone who's lived it at the highest levels. If you're in medical sales—or trying to break in—this episode is a masterclass on what's next and how to lead the change. Connect with Jasper: LinkedIn Connect with Me: LinkedIn Love the show? Subscribe, rate, review, and share! Here's How » Want to connect with past guests and access exclusive Q&As? Join our EYS Skool Community today!

Working past 65 with health benefits - and delaying Medicare - is the topic for today. CMS is the Center for Medicare and Medicaid Services. Toni explains the 63 day filing period - and how to avoid a Late Enrollment Penalty (LEP). Do you have a creditable prescription plan? Do you need an inexpensive Medicare Part D prescription plan? All of this and so much more on today's podcast. Toni's new Medicare Survival Guide Advanced Edition book is available now - pick up your copy at www.tonisays.com Want more information? Take advantage of Toni's brand new video series now a available at https://tonisays.com Remember - with Medicare it's what you don't know that will hurt you! There's so much good information in this podcast, please be sure to share this podcast with your friends! Recognized by feedspot.com as one of the best Medicare Podcasts in the nation! Write Toni - info@tonisays.com. Toni's book is available at www.seniorresource.com and https://tonisays.com You can call Toni at 832-519-8664 Toni welcomes all Medicare questions. Toni now offers informative Medicare Webinars for all of your Medicare needs at https://tonisays.com You can find Medicare Moments wherever you find your favorite podcasts, such as: Apple: https://apple.co/44MoguG Spotify: https://open.spotify.com/show/7c82BS4hb145GiVYfnIRsoAmazon Music: https://music.amazon.com/podcasts/884c1f46-9905-4b29-a97a-1a164c97546b/medicare-moments?refMarker=null You can find Medicare Moments at: https://podcasts.seniorresource.com/medicare-moments/ Toni's new book: Maze of Medicare is now available at www.tonisays.com Combining Scripture with Medicare, it is the only book of its kind. Toni's columns appear weekly in about 100 newspapers across America. If you would like Toni's column to appear in your local paper, or if you would like Toni to speak at an event - contact Toni King at 832-519-8664 Thank you for listening and be sure to tell your friends about Medicare Moments! Blessings! Toni KingSee omnystudio.com/listener for privacy information.

Are you a physician or scientist currently working in a government agency like the FDA, NIH, or CDC? Have you wondered if your unique skills and experiences are transferable and valuable to the pharmaceutical or biotech industry?  In this episode of The Career Rx we'll discuss: How federal health agency skills and experience may be aligned to physician roles in the pharmaceutical industry  Job search strategies, current job market challenges, and how to stand out Potentially relevant federal agencies that employ physicians and scientists, and related transferrable skills In this podcast episode, we delve into why physicians and scientists from agencies like the FDA, CDC, NIH, CMS, and even DoD/BARDA possess highly relevant expertise for roles within pharma, medical device, and biotech companies. I'll share some insights and encouragement for those considering this specific career shift, emphasizing the significant value you bring and the actionable steps needed to navigate the move into industry.  In this Episode:  [03:20] Relevant government agencies for transferable skills [8:00] The interplay between scientific communication and policy [15:54] Start now, start with LinkedIn  Links and Resources:  Industry Insider - 12 hours of CME, learn exactly how to land a rewarding nonclinical career without a new degree, special connections, prior experience, or a pay cut Episode 86: Getting a Job in Pharma Without Prior Experience Episode 87: How to Get Started Finding a Nonclinical Job in Pharma Episode 88: What Physicians Do in Pharma: Drug Discovery and Development Episode 89: Physician Jobs in Pharma: Medical Affairs Episode 90: Physician Jobs in Pharma: Clinical Research and CROs Episode 91: Physician Jobs in Pharma: Drug Safety and Pharmacovigilance  Support the show

Custodial and social hospitalizations have long been a hospital challenge.From inadequate patient support and services to medically unwarranted occupancy of inpatient beds, plus lack of payment for provision of care, prevention and management of these cases continues to be an issue.While much has been discussed about how to proceed, many hospitals fail.And that is why the producers of ICD10monitor and Talk Ten Tuesday have invited Dr. Juliet B. Ugarte Hopkins to be the special guest during the next live edition of Talk Ten Tuesday.Dr. Ugarte Hopkins is the medical director for Phoenix Medical Management, Inc. and immediate past president of the American College of Physician Advisors. Dr. Ugarte Hopkins will report on this developing crisisAlso part of the live broadcast will be these instantly recognizable panelists, who will report more news during their segments:• 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.• CDI Report: Cheryl Ericson, Director of Clinical Documentation Integrity (CDI) for the vaunted Brundage Group, will have the latest CDI updates.• 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.• 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.

In this episode of The Dish on Health IT, host Tony Schueth and payer interoperability expert Kendra Obrist sit down with Rob Alger, SVP of Health Plan Technology at Kaiser Permanente, for a candid and sweeping conversation about payer interoperability, AI, FHIR, and the realities of health IT innovation at scale.Rob kicks things off by discussing Kaiser Permanente's unique care and coverage model, highlighting how it streamlines internal coordination and shapes investment priorities. He notes that, unlike many other health plans, Kaiser's vertically integrated structure allows for fewer administrative hurdles, particularly in areas like prior authorization.The conversation then turns to CMS-0057. While Rob acknowledges Kaiser must comply like everyone else, the regulation presents less of a lift for them due to their internal alignment. That said, both he and Kendra agree: the success of any interoperability initiative hinges on provider adoption, and that remains uncertain.Looking ahead to 2025, Rob shares Kaiser's strategic focus on simplifying healthcare experiences, especially by leveraging AI to remove friction from both clinical and administrative processes. One standout example is their ambient listening tool from Abridge, now rolled out across 40 hospitals and 600 medical offices, which is allowing clinicians to focus more on patients than keyboards. It's one of the fastest clinical tech adoptions Rob's ever seen.Naturally, the discussion shifts to FHIR. Rob puts it plainly: “FHIR is non-negotiable.” Regulatory mandates have solidified its role, but he wonders whether the industry will eventually want to use FHIR or continue reacting to policy. Kendra and Tony weigh in, noting signs of growing pull once organizations recognize the potential. They agree that multi-stakeholder efforts like Da Vinci Project and FHIR at Scale Taskforce (FAST) are helping to build real-world traction by solving for shared use cases.When asked why Kaiser stays engaged in these initiatives, Rob makes it clear it's about shaping standards early, staying ahead of the curve, and making smarter, future-proof decisions, especially when it comes to vendor selection.The episode then revisits AI, with Rob outlining Kaiser's guiding principles: human in the loop, bias mitigation, and responsible governance. He explains that while Kaiser isn't trying to build every tool themselves, they aim to be excellent adopters, using AI to free up clinicians and call center reps to operate at the top of their license. It's less about chatbots and more about smarter workflows, ambient data capture, and preserving session context across modalities.Data quality surfaces as a recurring theme. Kendra highlights increasing payer interest in tackling inconsistency and fragmentation. Rob acknowledges Kaiser has an edge due to its standardized EHR system, but insists no one is immune to the challenges, especially when AI is in the mix. As he puts it, “If your data's not clean, you're not going anywhere.”As a member of the Council for Affordable Quality Healthcare (CAQH) board, Rob brings a unique perspective on industry-wide infrastructure and collaboration. He explains that CAQH, originally formed by major health plans to tackle non-competitive operational challenges, has evolved into a key player in both standards development and practical solutions like coordination of benefits and provider directories. That dual focus—advocacy and action—resonates throughout the conversation, especially as Rob underscores the importance of shared investments in foundational infrastructure that lift the entire industry.The discussion then touches more specifically on directories and the potential of shared infrastructure for non-competitive areas of healthcare. Rob emphasizes that while payers care deeply about directory accuracy, the solution likely involves more human accountability than tech alone.In closing, the trio shares their perspectives on under-discussed industry challenges. Rob flags cybersecurity as a growing threat, especially in light of recent ransomware attacks. Kendra and Tony shine a light on consent and pharmacy interoperability, two areas that, while not headline-grabbing, could unlock major gains in care coordination and equity.Rob's parting call to action? It's time for the industry to align on clinical policy. Competing on utilization rules isn't sustainable, and getting consensus on what's appropriate care could help streamline prior auth and improve patient trust.Kendra wraps by urging payers to suspend disbelief and start planning for a world where APIs and data exchange work as intended. Dream a little, and then build accordingly. 

Dr. Oz Running Medicare? The Wild Truth Behind His CMS TakeoverBrief DescriptionDr. Mehmet Oz is now leading CMS. Yes, that Dr. Oz. In this episode of Jae's Corner, Jae and Cass break down the surreal appointment, fact-check the fraud claims, decode the political spin, and explain what it really means for Medicare beneficiaries. Cass goes full myth-busting mode—snark included.In This Podcast00:00:00 Dr. Oz Appointed to CMS—What Just Happened?00:01:42 Analyzing the “Stop the Bleeding” Soundbite00:03:15 Medicaid, Immigrants, and the Fear Playbook00:05:10 Breaking Down FMAP and State vs. Federal Dollars00:07:12 Medicare Advantage Rates Rise Despite Cost-Cutting Talk00:09:10 UnitedHealthcare's MA Utilization Shock00:11:00 MedPAC's Truth: MA Costs More Than Original Medicare00:13:00 Why Medicare Advantage Is So Confusing for Users00:15:12 The Geography Trap: Same Person, Different Coverage00:17:30 What Medicare Beneficiaries Need to Know Right Now

This week I Talk Dollars & Sense of Running My Agency in 2024 [powerpress]

In this episode of Talking Drupal, we discuss the latest DOJ accessibility ruling and its implications for Drupal with special guest Josh Mitchell. Josh, a seasoned expert who has led teams in digital agencies, governments, and non-profits, sheds light on what the ruling means for state and local governments, the importance of accessibility, and steps to achieve compliance. We also explore the Sa11y module, a powerful tool for enhancing website accessibility, and compare it with the Editorially module. Additionally, we touch on the upcoming MID Camp 2025. Tune in for an insightful discussion on making web content more accessible for all. For show notes visit: https://www.talkingDrupal.com/498 Topics Can you give us an overview of the DOJ Accessibility Ruling Does this apply to federal websites When does this go into effect How does this affect current sites Hwo is Drupal positioned against this Does this rule apply to all content such as PDFs Any tips to organizations JS widgets Resources Announcement of the rule Full text of the rule - PDF Fact sheet for meeting the requirements of the rule https://www.ada.gov/resources/2024-03-08-web-rule/ https://www.drupal.org/docs/getting-started/accessibility/how-to-do-an-accessibility-review AXE Core Core issue to automate accessibility tests with Nightwatch.js Keyboard traps COTS - Commercial off the shelf software VPATS - Voluntary product accessibility template Accessibility Conformance Report (ACR) Monsido - Acquia optimize - PDF Josh's blog post Guests Joshua "Josh" Mitchell - joshuami.com joshuami Hosts Nic Laflin - nLighteneddevelopment.com nicxvan John Picozzi - epam.com johnpicozzi Kathy Beck - kbeck303 MOTW Correspondent Martin Anderson-Clutz - mandclu.com mandclu Brief description: Have you ever wanted your Drupal site to have a built-in accessibility tool that could identify things like potential color contrast issues? There's a module for that Module name/project name: Sa11y Brief history It's worth mentioning that the name is a numeronym, so spelled s-a-1-1-y, which plays off of a common way the word “accessibility” is abbreviated How old: created in Jan 2018 by Bryan Sharpe (b_sharpe) but the namespace was taken over in Jun 2024 by Mark Conroy (markconroy) of LocalGov Drupal, so the current 3.0.1 release, which supports Drupal 10 and 11, is a completely different module than the original 8.x-1.x branch. Maintainership Actively maintained, in fact this module came out of the ongoing work being done on the LocalGov distribution and profile Security coverage Test coverage: no, but the module is effectively just a wrapper for the Sa11y library, which is CMS agnostic and used in the Wordpress and Joomla communities as well The Sa11y library has its own website, which includes documentation Number of open issues: 1 open issues, which isn't a bug Usage stats: 62 sites Module features and usage We did cover the Editoria11y accessibility checker as MOTW all the way back in episode #350, almost 3 years ago, and Sa11y was mentioned at that time. Both modules have had major releases since then, so I thought this week's episode would be a chance to do an updated comparison Sa11y does include some checks that Editoria11y does not, such as color contrast checking and a readability score The Editoria11y module, on the other hand, includes site-wide reporting that would be helpful for site admins, as well as a wealth of configuration options including one or more DOM elements to use as the container to check within, a list of elements to exclude, and so on. Recent versions of Editoria11y also include an option for live feedback as you edit, which should work with CKEditor 5, Paragraphs 5 or newer, and Gutenberg At the end of the day, however, both projects are intended to provide your content editors with immediate feedback on the accessibility compliance of what they create. So, it's worth looking at the feedback each tool provides and deciding which one is more useful for your team in particular

Don't let fear hold you back from expanding your business! The under-65 market is brimming with opportunities. That's why we're debunking 5 common myths about the ACA market to help you get started.    Read the text version   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 6 Reasons Insurance Agencies Selling Medicare Products Should Sell ACA: https://ritterim.com/blog/6-reasons-insurance-agencies-selling-medicare-products-should-sell-aca/ 8 Reasons Why Insurance Agents Should Sell ACA Plans: https://lnk.to/SNNOSG ACA 101 Selling Under-65 Health Insurance: https://lnk.to/chQNkw FAQs About ACA Certification and Training: https://ritterim.com/blog/faqs-about-aca-certification-and-training/ FAQs About Selling On-Exchange & Off-Exchange Under-65 Plans: https://ritterim.com/blog/faqs-about-selling-on-exchange-off-exchange-under-65-plans/ How to Become Certified for ACA Marketplace Sales with Federally Facilitated Marketplace (FFM) Training: https://ritterim.com/blog/how-to-become-certified-for-aca-marketplace-sales-with-federally-facilitated-marketplace-ffm-training/ How Much Can Agents Make Selling Under-65 Insurance?: https://lnk.to/TlGBGH Key Changes for ACA Open Enrollment 2025 ft. Ross Baker from HealthSherpa: https://lnk.to/UXgO5Q Lawsuit Changes DACA Recipients' Affordable Care Act Eligibility: https://ritterim.com/blog/lawsuit-changes-daca-recipients-affordable-care-act-eligibility/ Meet Your Sales Team: https://ritterim.com/meet-your-sales-team/ Ritter Docs Site: https://docs.ritterim.com/ Simplify Marketplace Enrollments with HealthSherpa: https://lnk.to/2chDBN   References: “Eligibility for the Premium Tax Credit.” IRS, Internal Revenue Service, https://www.irs.gov/affordable-care-act/individuals-and-families/eligibility-for-the-premium-tax-credit/. Accessed 21 Mar. 2025 FAQs for Marketplace Agents and Brokers, CMS,  https://www.agentbrokerfaq.cms.gov/s/. Accessed 21 Mar. 2025. “Find out What Immigration Statuses Qualify for Coverage in the Marketplace.” HealthCare.Gov, https://www.healthcare.gov/immigrants/immigration-status/. Accessed 21 Mar. 2025. “General Resources.” CMS.Gov, Centers for Medicare & Medicaid Services, https://www.cms.gov/marketplace/agents-brokers/general-resources. Accessed 21 Mar. 2025. “Learn What to Do If You Already Have Medicare Health Coverage.” HealthCare.Gov, https://www.healthcare.gov/medicare/medicare-and-the-marketplace/. Accessed 21 Mar. 2025. “The Patient Protection and Affordable Care Act.” Democrats.Senate.Gov, https://www.dpc.senate.gov/healthreformbill/healthbill04.pdf. Accessed 21 Mar. 2025. “Welcome to the Health Insurance Marketplace®.” HealthCare.Gov, https://www.healthcare.gov/. Accessed 21 Mar. 2025.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

Substack está en boca de todos.Su facilidad de uso y, sobre todo, sus mecánicas para hacer crecer tu lista (recomendaciones, Notes, red interna...) son un caramelito muy apetecible si eres creador.Es brutal para los que empiezan, y si comienzas a explorar todas las posibilidades técnicas que ofrece, en un momento tienes instalada la APP, creado un podcast, vídeos y si te descuidas, una membresía de pago con su chat y tal.Substack no quiere que salgas de Substack.Como cualquier red social que se precie, están transformando sus mecanismos principales para aumentar el tiempo en su APP y generar un ecosistema de contenido más cerrado donde el email cada vez tenga menos peso.La pregunta entonces es:¿Puedes aprovechar todo el potencial de crecimiento de Substack sin sacrificar aspectos clave como la segmentación, automatizaciones y evitar terminar con una audiencia poco alineada?La respuesta es sí.Y hoy te comparto la estrategia que estoy siguiendo (y testeando) para que exprimas Substack sin morir en el intento:¿Estás suscrito?1. Publica en Substack SIEMPRE, pero NO envíes desde allíAquí va la estrategia clave: publica todas tus entradas en Substack para que sirvan como archivo público y accesible, pero gestiona el envío principal de tus correos con una herramienta externa.* Usa Substack como tu CMS y tu escaparate público: Publica aquí cada entrada. Esto te beneficia a nivel SEO por tener un archivo online que se indexa en Google y también obtienes la posible visibilidad dentro de la red Substack.* Utiliza un gestor de email externo: ¿Por qué? Principalmente por el control sobre la entregabilidad y las funcionalidades avanzadas. Las plataformas especializadas en email marketing suelen ofrecer más garantías y opciones especiales como automatizaciones o segmentos.Yo personalmente uso Flodesk. Me decanté por ella por sus automatizaciones y su simplicidad de uso, algo que valoro mucho. Me permite crear correos visualmente atractivos sin complicaciones y mantener un control más directo sobre la entrega. Tienes un post donde la analizo.Si quieres echarle un vistazo y probar Flodesk, puedes hacerlo a través de este enlace con un 50% de descuento el primer año.Gestionar dos plataformas requiere un pequeño esfuerzo extra, sí, pero para mí, el control que ganas sobre tu activo más importante (la lista y su comunicación directa) compensa con creces.2. Acuerdos de Recomendación: privados y con FocoLa función de recomendaciones de Substack puede atraer muchos suscriptores... pero también muchos que no tienen ni idea de qué va tu contenido.Crecer por crecer no te sirve si la audiencia no está interesada.Una estrategia más PRO es crear acuerdos de recomendación privados.* Busca calidad, no cantidad: Identifica a 3 creadores de contenido con temáticas muy afines a la tuya y audiencias similares. Que sean proyectos que realmente respetes y cuyo contenido consumirías, y lo más importante, proyectos que crezcan.* Propón un acuerdo directo: Habla con ellos y recomendaros mutuamente en el sistema de recomendaciones que tiene Substack. Es muy importante que sean solo 3 porque es el número máximo de recomendaciones que promueve Substack en el proceso de suscripción.3. Substack Notes: útiles, sí, pero con estrategiaLa tentación con "Notes" es usarlo como un mini-Twitter para hablar de todo un poco y ganar exposición genérica. ¡Error!Mola ver los likes, comentarios y repost, pero no tengo claro que esto te traiga suscriptores a tu lista y menos que sean de calidad.Usa Notes, pero que tengan relación directa con el contenido de tu newsletter.* Comparte una idea clave de tu último post* Lanza una pregunta sobre tu temática principal* Crea pequeños post que expandan un concepto que tratasCada Note debe ser una mini-píldora que refuerce tu autoridad en tu nicho y atraiga hacia tu contenido principal.4. 2 Hipótesis finales: ¿Monetizar Ayuda al Alcance? ¿Hablar bien de Substack ayuda?Y aquí una reflexión personal, una intuición basada en observar cómo funcionan estas plataformas: Tengo la sensación de que explorar las vías de monetización de Substack (activar las suscripciones de pago) podría darle una señal positiva a la plataforma.No puedo asegurarlo, pero es posible que Substack dé un sutil empujón en visibilidad y alcance interno a aquellos creadores que demuestran un compromiso mayor con la plataforma, y activar opciones de pago es una señal de ello. Es algo a considerar y, sobre todo, a experimentar.¿Has notado algo parecido?Por último:* Hablar bien de Substack le gusta a Substack* Explicar cosas de Substack le gusta a Substack* Hablar de crecimiento y éxito gracias a Substack, le gusta a SubstackParece que tenemos un algoritmo que se activa cuando se menciona Substack y mide el sentimiento de los textos.No tengo pruebas, pero tampoco dudas.RecomendacionesEsta semanita, 3 cosas chulas:* Estoy empezando a usar una herramienta para programar redes sociales que pillé en AppSumo RobinReach. Todavía estoy en fase de configuración y demás pero tiene buena pinta. Os iré contando.* Sigo explorando Google Gemini 2.5 Pro: muy potente en razonamiento, también estoy viendo sus "GEMs" lo que serían proyectos en Claude, pero sigue sin darme buenos resultados en generación de texto.* Sesión Folamour muy de domingo. Qué estoy haciendoEsta semana ha sido cortita con solo 3 días de faena y he tenido tiempo de trabajar en cositas que tenía pendiente para FailAgain.Lo primero he creado una secuencia de bienvenida para todos los que se suscriben por correo electrónico.Por fin, 4 correos donde me presento, cuento qué puedo ayudar, propongo unas ideas y presento la comunidad de Factoría Creativa.He mostrado todo el proceso a los miembros en un vídeo para que puedan ver cómo juntar Substack y Flodesk con una secuencia de bienvenida.Recuerda que Factoría Creativa es un espacio donde compartir con otros creadores tus proyectos y retos en el que además te comparto recursos extra que no puedes ver en la newsletter.Puedes entrar en la comunidad con un solo pago y acceso vitalicio.Te dejo el link aquí.Además de todo lo anterior, estoy regrabando el curso de "Transforma tu proyecto" y va a ser un buen cambio.He actualizado el nombre incluso y a partir de ahora se llamará "Creador Pro" porque es una formación que precisamente lo que permite es pasar de un nivel inicial de creador de contenido, a un nivel Profesional.Esta formación está disponible para todos los miembros de la comunidad.Todavía quedan unas plazas para miembros fundadores, así que entra hoy al mejor precio y con un pago vitalicio.PDEstos días de "vacaciones" se me han hecho cortísimos.¿Cómo ha sido para vosotros?Yo recuerdo el miércoles con un pedazo de puente por delante y ahora ya todo está listo para sentencia.En la sección anterior te he contado todo lo que estoy haciendo, pero me han quedado fuera unas cuantas tareas:* Grabar 2 vídeos de YouTube que tengo escritos* Formatear el PC que ando con problemas* Revisar una idea de contenido para Instagram* Terminar una web que tengo a medias…Siempre igual, la realidad pasándonos por encima.Un abrazote y buena semana :) This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.guitermo.com

April 18, 2025 Scott, Mark, and Ray discuss questions that came into the PRS Helpdesk:For the past 8 months, I have been in an employed position with a county hospital system that provides inpatient and ambulatory services. Their coding consultants (acsteam.net) are telling the hospital that foley catheter insertions, bladder irrigations, and a list of other procedures commonly performed in urology clinics cannot be billed if they are not performed personally by the physician according to CMS. They reference a list of procedures from CMS and state that these services cannot be billed when performed by ancillary staff regardless of the level of supervision. They use https://www.cms.gov/status-indicators as their source citing the section on PC or TC indicators. Can this be true? Is it possible that this consultant is giving advice from a hospital perspective and not aware of differences between the ambulatory setting? The urology clinic I am working in is not a department of the hospital. It is freestanding. I have never worked in a clinic that did not bill for these services performed by ancillary staff with physician supervision.I look forward to your response.Good afternoon, my question is regarding "Incident to" required documentation. When we attended your seminar this past December, on Day 2, the new "Incident to Rule" was discuss. Can you please help clarify the new rule? My notes are not clear.We are in the process of CMS Review -"Targeted Probe and Educate Round 1". The letter states we were chosen for review because of being in the 60th percentile for our jurisdiction for code 99214.Our practice has the challenge of servicing and underprivilege community and estimated population of 590,142. We have 7 Urologist, 4 Apps and 1 Radiation Oncologist in our practice. Hence our volume is overwhelming.Earlier this year we submitted a batch of approximately forty records. Today we received a notification request "Incident to documentation: needed 2 previous office visits done by MD to support physician/supervising provider's initiation and continued involvement in treatment, and documentation to support direct supervision met.I appreciate any assistance with clarifying the “Incident to” rule.Thank you in advance for your assistance.Doctor did a stent pull in the ASC but not with Cysto scope. How would we go about billing this?Free Kidney Stone Coding CalculatorDownload NowPRS 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/joinuptp Click 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/ © 2025 Physician Reimbursement Systems, Inc.Home

In this episode of Confessions of a B2B Entrepreneur, host Tom Hunt and Alan Gleeson, a fractional CMO and co-founder of Contento, delve into the dynamic world of B2B marketing, exploring the evolution of marketing access points and the increasing shift towards paid strategies, the crucial relationship between CMOs and CEOs, effective methods for running lean in SaaS businesses, successful B2B campaign strategies, and opportunities within the headless CMS market. Alan shares his extensive experience working with numerous VC-backed companies, offering valuable insights for navigating the challenges and opportunities in contemporary B2B marketing.

Host Krim discusses Digital Experience Platforms (DXPs) with insights from Dan Drapeau. Key topics include CMS fragmentation, vendor lock-in, AI's role in DXPs, and strategic priorities for 2025.

According to research from Gartner, channel partners are crucial levers of revenue generation, accounting for up to 75% of revenue income. So how can you build efficient and deeply engaged channel partner relationships to optimize channel sales? Shawnna Sumaoang: Hi, and welcome to the Win-Win podcast. I’m your host, Shawnna Sumaoang. Join us as we dive into changing trends in the workplace and how to navigate them successfully. Here to discuss this topic is Jason Singh, the head of global partner marketing at Meta. Thank you for joining us. Jason, I’d love for you to tell us about yourself, your background, and your role. Jason Singh: Thank you very much for having me. So I look after partner marketing for business messaging, specifically at Meta, which is our conversational platforms around Instagram, WhatsApp, and Facebook Messenger. Being in B2B, marketing, sales, and marketing my entire life. We started in Australia and then moved over to Singapore and then New York about five years ago. What we do is three main things. We focus on ensuring that our partners have all the information that they need to be able to run their programs that they want to around business messaging. The second thing that we do is ensure that they have the right tools and materials. They’re able to grow their business. So that’s partner enablement, whereas where a lot of the Highspot focuses is within. And then lastly, it’s partner demand generation. So making sure that partners have the right investment from us, whether it’s time, dollars, et cetera, to be able to add fuel to their demand generation five. So those are three different programs that we have and where we focus a lot of our attention. SS: I’m excited to have you here, Jason, as a fellow marketing leader, and as you mentioned in your introduction, you have extensive experience across multitudes of regions, including Australia and Asia, and you really have a global perspective on how to bring the channel partner ecosystem to life? How has this diverse background shaped your approach to channel enablement? JS: The role that I have now is my first full-time role where I focused purely on partners previously being in and out of partner marketing and partners as a key audience over the past 15 years. But I took on this partner marketing leadership role officially about 24 months ago. And one of the things that I found out in that, firstly in the first 90 days, I think I met our top 35, 40% of our partners because I didn’t want to assume what they needed to know and the information they need to have and the formats that they needed to have it in and read rates of emails and, and downloads of contents. And I didn’t wanna assume. And so I spoke to a lot of them and it was super, super interesting that there were hardly any patterns. If you spoke with APAC partners, you would think you’d be able to put them into a category if you spoke with India partners similarly versus Latam, Spanish speaking Latam versus Brazil, North America… There weren’t really any regional patterns or trends. It was only when you looked at all partners globally, were you able to look at how partners operate and start compartmentalizing them into different groups, which would then give you a cohort to then cater around in terms of enablement, content, information, demand generation, et cetera. So I think one of the things that, having a diverse background where I. Help me to figure out is don’t assume in the first place, don’t assume more partners are the same. When I, when I was based in APAC, you would think Southeast Asia would be compartmentalized North Asia, so Japan, Korea, China could be compartmentalized and there we have these sub regions within the APAC region where we say, oh, okay, they operate the same, but it’s actually quite different. And so I think that really helped me coming into this global role because I was able to remove that assumption that we have these groupings, these cohorts, that because they’re based in certain regions, because they’ve got certain demographic attributes which are similar, but they’ll work the same way. And so instead of relying on those assumptions, what we did was just net new partner discovery, speaking with partners, getting, building really strong relationships with a lot of our great partners, and then figuring out what those groups are outside of. Demographic regional assumptions. SS: I love that you went in there unassuming and just really kind of learned what the partner ecosystem needed in today’s fast pace evolving environment. What would you say you were hearing are maybe some of the top challenges in channel partner sales and how are you addressing some of these challenges? JS: There is so much opportunity for the channel that they often struggle with. Prioritizing opportunities. If you look at any one of our partners, they partner with us somewhat exclusive, but many partners, partner with a number of other technology providers, and then within each technology provider there are end number of products of go-to market motions of incentives of programs. That they could be a part of. And within each of these standard operating procedures, there are processes, there are portals, there are hubs to sign into, passwords, usernames to remember. And then you’ve got the teams within these organizations that they need to make sure that they’re building relationships with the incumbent partner teams, the the senior leadership marketing teams like myself, et cetera. So it’s no surprise that when you speak to a partner that they’re often doing this. Inner calculation in their head around how important is this? Is this opportunity right now? Is this new product that we’re launching, A new program that we have is our H two market development fund, which we’ll launch in June. How important is this to me right now in the near future and in the long term? And how do I figure out what level of resources to invest? And that could be turning up to a meeting, that could be turning up to a webinar, or that could be. Injecting a couple hundred thousand dollars. That is, I would say by far, the most top of mind thing right now with our channel partners is. What is the actual opportunity with this thing that we’re being positioned with right now, and what do we need to do around this? SS: Yeah, absolutely. Kind of building on that, what do you believe are the key building blocks then for being able to foster really strong and effective partnerships with those channel sales teams? JS: I mean, I think I touched on that first point a little bit, so I’ll expand. Not assuming firstly and not doing groupings or categorization by those assumptions is super important because all of our partners operate probably a little bit differently to how we expect them to operate. The second bit is, I’ll speak my partner marketers lens specifically is learning about how these partners operate. You’ve gotta know who these partners are. You have to build relationships with partner marketers, salespeople, alliance managers. Marketing operations people within the partners. I’m very fortunate to have built a pretty strong relationship with probably about 40 or 50 people within our top 40, 50 partners in different partner groupings for our strategic partners, our tech partners, our service partners, where I’m starting to build a little bit more relationships now with our agency partners as well. And so I’m starting to get a really strong idea about how these partners operate. When I say how they operate, I’m talking about what are their incentives, what are their KPIs? What are the needles that they’re trying to move? Number two is how they actually work internally. So what are the processes? What are the procedures? What are the operating models? What are the systems? What are the tools that they use internally to help them get their work done? And lastly, it’s what are their expectations and what are their needs from us? What do they actually need right now? And that could be something as simple as one of the biggest things that we did. I think last year we’ll start rolling out more decks in Google Docs because we found that a lot of our partners wanted Google Docs because that’s how they operate and wanted the option of Google Docs as well as PowerPoint. And that subtle shift made, I don’t know, 10 partners to be able to work with our content from. Four days, two instantly because from Highspot, they could download that and ship it straight away, or just share organically within Highspot as opposed to having to download it, manipulating it, and then distribute it. And so you’ve really gotta invest the time and the effort to intentionally want to learn about your partners. It’s not a tick in the box of, oh hey, I can show my leadership that I met with 10 partners in Q1. It’s you being able to represent the partner voice. Across all of the different touch points that you have within the organization, whether that’s building content, building plans, talking with leadership. I would say once you get them out of email into a WhatsApp group or a WhatsApp chat, that’s where the real sort of connection happens, and that’s when you can start, like what I do now is when we’ve got a new piece of content, a new program that we’re building, I will take a screenshot of that and I’ll send it to about 12 different people from a different partners on WhatsApp just to get their input and they’ll respond very quickly within a couple hours globally, and they’ll start tell me what they like, what they don’t like, how it’ll work, how it won’t work, and that sort of instant feedback loop that I get with the partners have been cultivated over six months of getting to know them. So I won’t provide like three things that you need to do. I’ll provide, I’ll make it super simple with. The P zero thing that you need to do is build a relationship with your partners, really intentional, meaningful relationships with your partners and get to know them. SS: I think that’s fantastic advice. Jason, to shift gears a little bit, you developed a framework — Learn, Adopt, and Grow to keep channel partners engaged, kind of beyond the onboarding portion of coming on with Meta. Can you tell us more about this framework and what each of the phases entails? JS: Definitely. Before I took over partner marketing, we had a really strong content development arm, but we, we lacked a little bit in the structuring of our content and from a partner point of view. Some of the feedback that we had from our partners when I took on the role and start a meeting with them was, got too many assets on there. There’s there’s too much stuff. We don’t know where to start. One of the assumptions that we made internally actually right at the start was, oh, we need to split this by product type partners, want to know individually by products. And that’s when we sort of paused a little bit. ’cause that didn’t make a whole bunch of sense to me and a few of the other folks in my team. And we went to our partners and plus it didn’t specifically tell us this, it was very clear that partners had different levels of maturity. And within their teams there were different levels of maturity. So partner A may have a sales team that’s super advanced, but their marketing team hasn’t yet really been enabled on business messaging on WhatsApp Messenger or Instagram Direct. And so what we decided to test was how do we group our programs, our content, our materials that aligns with partner maturity. So we split these in, into three different cohorts of partners. Number one, they’re the partners that just kicked off, just finished onboarding, like you said, and, and they’re looking to learn. They’re looking to learn about the products, the platforms, the incentive, our programs, how we go to market. It’s a learn phase. And so we built this category of, of learn, and we started mapping almost, I think two years ago or 18 months ago, we started mapping all of our 101 content and then the second one is adopt. We notice that a lot of partners have at that stage now where they want to, they wanna kickstart some stuff. They wanna launch some programs. They wanna launch a sales program around WhatsApp. They wanna launch a campaign. They want to do internal education. I. Show globally around education, around meta business messaging, and this is all around how do they get from zero to one. And so that was around adoption or expansion where partners have finished that learn phase and they’ve decided they’ve onboarded and they’ve internally prioritized business messaging. Sort of the tier one things of the, what they wanna do. And so in here is a lot of sales materials, marketing materials, program materials to help them to get from zero to one and launching stuff. And so we do things like sales toolkits. We do things like partner ready campaigns, which are campaigns that marketing teams within our partners can give to their. Campaign team and you’ve got landing page designs. You’ve got social media kits, we provide Figma files, co-branded assets, everything that you need. Basically 80% of the stuff that you need to launch a marketing campaign or a sales campaign. And then lastly, we’ve got Grow. Grow is made up of a series of programs that have fairly high investment but are built purely to 10 XROI or ROI. And this is where we partner. We wanna make the programs available. All of our partners, but there’s pretty strict qualification, uh, or eligibility criteria to be part of one of these programs. But essentially these are programs where a partner’s already pretty successful. They know how to sell business mission. They know how to pick the concept and the product they’ve got runs on the board. They’ve got considerable pipeline or revenue already, and they’re looking at options for meta to help them grow this to 10 x, 50 x to a hundred x what they’re already doing. And so that’s grow. That’s when you’ve already mastered. The learn. You know all about the product, the platforms, the programs available to you. You’ve already started driving product adoption or portfolio adoption using our tools, and now you’ve got that. You’ve got a good run rate, but you’re wondering. How you can actually really blow this up. So that’s, that’s our growth phase. And we’ve probably got about 15 to 20% of our partners, I would say, are in there. I would say the lion’s share 50, 60%, 50% probably in that middle bucket. And we’ve got another maybe 15% right now in Learn. But as we expand our partner ecosystem and we open up our ecosystem to different types of partners. Marketplace partners, commerce partners, agencies, et cetera. We will see them starting at learn. We’ll see a lot more people or that waiting shift a little bit more to learn. And then over the course of six months to a year, we’ll see them starting through that process. SS: I love that framework because it really helps kind of guide them through their evolution and their journey with meta. So that’s amazing. And you know, on a similar note, you actually spoke at Highspot user conference last year and you had shared that relevance and timeliness are key to driving adoption with channel sales teams. How do you ensure these elements are really embedded into all of your programs? JS: It’s a hard one. Um, relevance for me focuses on, it’s a three-legged stool. Relevance is all about making sure that the CONT is, I would say firstly it’s format and it’s probably a little bit reversed from how. The majority. Think about it. I think about format, because again, knowing our partners, and this comes with knowing the partners, there are a hundred things that a partner could be doing in any given day. If they’ve decided in half an hour to focus on something related to partner enablement, what I look after and they open up a document and it’s not in the format that they need. So they’re expecting a one pager because I’ve called something intro to x. They’re expecting a one pager, but it’s an 80 page SOP that’s in Microsoft Word that, that they’ve gotta open up on their mobile device and look through it. They’re gonna close that window and they’re not gonna spend the time necessarily finding the thing that they want. They’re gonna shift their mind into focusing on something completely different. So format for me in terms of relevance is key. Making sure that when we launch something, it is in the format that it needs to be in. We have a really strong understanding about the length, the detail within that document. We have a really strong understanding in the time of the day and the mental mode that a part of the audience is gonna be. When they open up this document, are they looking for something really quick that they can share with something? Are they gonna be expecting something really detailed, which they can absorb and then distill for other teams? Are they gonna be looking for something on the go, on the way to a client meeting? And so format number one is, is big for me. And relevance the other legs, uh, of that stool would be. I would say I would include timeliness within that. It’s making sure that we are producing things within the right timeframe requirements of that audience. And so what I mean by that is often what you’ll see with teams is they launch things in phases. You’ll wanna enable a partner on a new product, and you’ll have this phased out over a 12 month period. Quite often that’s done based on the requirements of the internal team and not what the partner’s requirements actually are, and so you’ll almost enable them 20% to do what you want them to do because you’ve got other things coming in phase two, phase three, what we like to do is we like to build our phase one. We used to also launch in phases. We build our phase one point of view. But then we share that with the partners and say, hey, is this the MVP that you need? Like we think it’s these four materials. Do you actually need something else? And they’ll give us feedback. We do this formally, but we also do this informally through like our WhatsApp groups, as I mentioned before. And they’ll come back and say, hey, that ROI calculator that you’re building for phase three, we’d love that in phase one, which we’ve got some pipeline right now that we can accelerate to closure if we were have to show them a stronger ROI through some sort of tool. And what you’re building is perfect for us and so we will recalibrate internally to try and build an asset that’s in phase two, phase three into phase one. Or they’ll say, hey, we don’t actually need this narrative right now. We’ve built this PowerPoint deck already. We’ve got what we need. You can push that out for some other partners that may not be at the stage right now. So again, like having a good understanding of the partner, but also just sharing with the partner, having partners at the core of what you’re actually building in your development cycle is part important and part of and timeliness. And lastly, would be how you launch. So we talk about relevance in terms of making sure got the right format of the materials, the right details within each of the specific assets. We talk about timeliness. I’d say lastly, it’s how you actually launch something. We’ve had to get pretty creative about how we launch certain programs and just projects and and campaigns internally. The main reason being, as I mentioned before, partnered with a hundred things that they could be doing, and so you have to ask yourself, how do you cut through the noise? With those 101 things that partners have to think about every given day, and it could be soft launching, it could be launching with a smaller group of partners, building a case study around partner success, and then using that to launch to the other 80% of partners. But thinking a little bit more creatively around how you launch something so they can build internally. And understanding about how this particular thing is important to me right now is relevant to me right now. Versus the other a hundred things that got going on. SS: I love that approach and clearly it must be working because you guys have recently increased the number of partner organizations that are engaging with Highspot by 21%. I’d love for you to walk us through that journey. What strategies played AQ role in driving these results? JS: Yeah, I mean it’s, it’s kind of, we mentioned before around a format, format launch and, and timeliness. When I joined the team in this specific role, having worked with partners before in various roles and be being a partner to a lot of organizations previously as well, I understood the importance of a content management system. You know, we have typically you have partner managers that. Manage your top under know 10, 15, 20% of partners, but then you’ve got this medium tail and this long tail that you need to activate and you do that through documentation. We had a pretty good Highspot experience previously, but again, there was, there was little organization done around it. And so the first thing I kind of did was, you know, take off my, my partner marketing hat and put my partner hat on access Highspot and go. Let me do the top five to 10 things that a partner would need to do, and I had that list after chatting with the partners in my first 60, 90 days, and I noticed that almost every single one of the top 10 things that a partner needs to do was a real struggle in Highspot and not because of the tool, but because of how we had structured our Highspot experience. It wasn’t aligned to how partners want to actually use it. And so we focused in 2023. In the early part of 24, we predominantly focused on three things. We focused on content, making sure we did a pretty comprehensive content audit. I think we had about something like six and a half thousand different assets on Highspot, and so we did a complete content audit. We removed the stuff that we didn’t need that needed to be archived. That was just, I think it was, was three groups. It was remove, archive, update and keep. Something like that. A key thing for me on the next phase was on the user, the more of a visual experience. Ours was good. It was a little bit more out of the box and I feel we working with some of our internal brand teams, we could prove that to be a little bit more similar to some of the other partner experiences that our partners have. On some of the other portals that we have, just a partner portal, a partner center, our partner hub. And so we work to bring in some of those brand elements from Meta and WhatsApp and our different platforms into Highspot. We’re able to do that with one of our partners. And then the last thing we did was test, though we updated our content. I’m a big stickler for content naming and having a really strong naming taxonomy and nomenclature around how you name your content. And if you ask my team or the team that we work with, I’m always pushing the team. If there’s something, if there’s an asset that’s, that I feel is not named correctly, people aren’t gonna click on that. So what’s the point of even building that asset if it’s not named correctly? People need to be really understand what they’re getting themselves into when they click on an asset. And so we did our content audit. We update a lot of our content. We renamed almost every single asset once we had archived. A lot of the assets rebuilt the design of our complete Highspot experience. We had different groupings, different categories, and then again, we had partnered as part of this journey. So we tested this with partners and we said, hey, if we had this, what do you think? A lot of these were just workshops with partners moving certain things around saying, hey, if we put this here, does that work? We put this here, does that work? And then we launched, we soft launched, I think to about 20% of our partners, we saw some good results and then we, we had launched for everyone else. I mean, we saw an initial spike straight away when we launched because we’ve completely redesigned high spot and it’s great experience and you’re gonna get a lot of people organically come in and say, hey, I wonder what this is about. So we saw a spike in the first two weeks, but after that, that’s when we started. We saw the drop after the spike, and then we saw the gradual. And importantly for us, we wanted partners that don’t visit us at all to start visiting our Highspot experience. We wanted more people within our partners visiting Highspot as well. And so eventually over the six months, we started seeing like a really steady, nice, gradual ramp up. And then some of our other metrics, the time spent on HighSpot, the number of things that they’re downloading, number of things that they’re opening, so views, a lot of these started improving. The challenge now is that now we’re getting really strong adoption on Highspot. We’re starting to see teams wanting to upload more and more content on it because we’re starting to see the value of a lot of the foundational work that we’ve done. And so whilst we don’t, obviously we don’t gate content, but we do wanna make sure that everything that’s uploaded. Is super intentional and is aligned with the risk of enablement program that we have. So it’s a good problem to have. SS: Absolutely. That is a great problem to have. And so, aside from some traffic, and you did talk about a couple other key metrics, but I’d love to understand, how do you think about the metrics that you need in order to continue to measure and optimize your channel enablement strategy. JS: If you’re kind of first principles that, and think about why do we have Highspot experience in the first place to enable our partner ecosystem. We have a partner ecosystem within business messaging which is evolving and growing. We’re expanding to, if you say we have about 12 different types of partners in their ecosystem, we’ve got really strong activation with. Probably a quarter of them. And we’re now focusing on evolving our partner ecosystem into the rest. And so our partner marketing goals are always aligned to our partner ecosystem goals and our channel goals in general. And then with end partner marketing, our enablement goals are aligned with what our channel strategy is. And so right now what we’re focusing on is ensuring that as we expand our private ecosystem to new and different type of partners. When they’re ready for enablement, we start taking them into that learn phase of the learner grow model. That experience is really positive for them, and it’s almost a page turner type experience where they’re really excited to move into the next phase, or really excited to be shown a different asset or for another asset to be uploaded and email to them and say, hey, you think you’re really like this? And so really key for me is ensuring that whatever, whatever I’m doing, whatever my team’s doing, is aligned completely to a partner ecosystem strategy. SS: I love that. And do you have some wins that you might be able to share? What are some of the initial business results that you’ve seen on Highspot specifically? JS: Look, I don’t have the numbers off the top of my head, but there were two things that we wanted to do. We wanted more partners, more net new partners on it, so partners that spend zero time on it and we can see from our dashboards that we build, I wanted to see more partners on it. ’cause that for me was, and they’ve been enabled on a Highspot before. They’ve got access, they’ve got a license, they know how to use it. They’re just not using it. And so for me, that was a real win to start seeing Partner X that hasn’t visited Highspot in three months to start seeing them, oh, hey, we’ve got one person from Partner X now in Highspot last month, and now I’ve got two people. The average time they spend on the platform was 60 seconds. Now it’s three minutes. Now it’s six minutes. But that was a great personal win for me because that’s almost, for me, that was proving them wrong. Initially, they had probably visited it and not enjoyed the experience, and in their mind it was something that I didn’t really need. And so for me to be able to turn that around with that team and rebuild the experience of them to say, oh, it’s actually pretty good now, that was a really great win for me because that’s turning a detractor into an advocate, which is just, just a, a great personal goal to have. And the second thing is starting to see people, I suppose we’re seeing people spend more time on it. We’ve got a hypothesis around why they spend more time on it is because we’ve got less content on there. Now, I don’t know exactly how many assets, but it’s not, it’s not close to 6,000 anymore, but there’s less assets on there. So the discoverability is far better. They can find the assets that they want. When they go into the search field and they search for something, they don’t come up with 40 different assets. It’s 12, which is manageable. And so they’re spending more time within those assets. So now we see new partners using it and existing partners using it more and better. The two things that we focus on, we’re seeing those move up into the right, which is great. We wanna start looking into different sorts of measures of success. This year we are looking into, you know, again, as I mentioned with the part ecosystem, how do we launch to a new partner type? Which is new, and so we haven’t done that yet. On Highspot, we had a bunch of partners already enabled on business messaging through a different portal. Then when we adopted Highspot, we moved them to there. But we’re gonna start looking at things like sharing. We’ve recently started using digital sales rooms, which is something that we didn’t do last year, and we’re testing about five to six different things with digital sales rooms. That’s a really powerful feature. We haven’t figured out exactly where, where the superpower is for us to use digital sales rooms. But once our pilots are finished, we’ll probably have a hypothesis there. But yeah, I think the metric for us this year is we know our partner numbers are gonna still go up and into the right. It’s gonna slow down a little bit our growth, but we know we’re in the right direction. So our other measure for success is how do we deepen our partner’s experience with Highspot? We know we’ve only scratched the surface of what Highspot can do for us. So we’re looking into what are the other things that we need to do, and also importantly, how do we connect the Highspot experience with some of our other tools that we have, and starting to integrate it more into the partner experience that we have versus a standalone CMS, which a little bit it is of now, but I know that’s something we’re working on with your team. SS: I love that. Jason, last question for you, and I don’t think we could. Get away from talking about AI these days. It’s everywhere. And at the conference you were at last fall, I know you were excited about some of the AI innovation that we, we showcased there, but I’d love to hear from you, how are you starting to envision AI playing a role in further enhancing your channel partner enablement strategy moving forward? JS: I mean, the buzzword of the year, right? It’s a little bit hard right now. We’ve just finished our foundational rebuild of Highspot, and we’re at a really comfortable stage with what we’ve delivered to our partners and the operations around it, including, you know, governance. Measurement content, strategy, et cetera, like when a really good spot there. I think there are some operating models around AI that make sense for our partners to want to lean in towards. When you talk about enablement, which we’re at different stages of exploring, I think the most powerful one would be how do we get the right content? It comes down to timeliness and relevance as we spoken at the start. How do we get the right content to the right partner at the right time? And so that’s more generative content enablement, if you will. And that’s tough because you need, you need sort of metadata to support that. But I think if you were to ask our partners what’s the main thing that they would want from AI and channel enablement or partner enablement, it would be, hey, be really useful instead of me looking for the, the asset for you to actually know that I need this asset right now or group of assets. I think that would be the main thing that they would want. And I get it. So we’ll get to that stage at some point. But right now we’re, we’re definitely focused on maintaining our strong grassroots and foundations right now, and then looking at more sort of piecemeal. Additions to that. So things like digital sales rooms, things like making it easier for them to be able to share content with their end clients on the go, which is one of the ask that they’ve sent from us. And so those are the few things that we’re focused on this year. SS: I love it. Jason, thank you again so much for joining our podcast today. I truly appreciate you sharing your insights and experience. JS: Of course. It’s been great. Thanks a lot, Shawnna. SS: To our audience, 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 success with Highspot.

An ADR (Additional Documentation Request) is a request from CMS or another insurance payer for additional documentation to review a claim. Most of these requests come from payer investigative units looking for medical necessity support. Terry discusses how to handle these requests, as well as how to ensure they are addressed promptly to meet the […] The post ADR Workflow Tips appeared first on Terry Fletcher Consulting, Inc..

As CMS regulations shift, how can you continue to impact complex members? Join us as we explore innovative approaches to member engagement that drive better health outcomes and reduce costs. In this episode, we will hear how plans are leveraging social support, in-home care, and tailored services to reach vulnerable members. Don't miss this timely conversation: hear how you can be reaching the unreachable and personalizing Medicare engagement in a shifting CMS landscape.   Panelists:  Sheila Yahyazadeh, Chief External Operations Officer, CareFirst Community Health Plan Maryland Eve Gelb, Chief Innovation Officer, Gold Coast Health Plan Andrew Parker, Founder & CEO, Papa   This episode is sponsored by Papa: Papa is your trusted partner in the home. Since 2017, its vetted Papa Pals has completed millions of companion care visits across 7,300 cities — 10x that of Lyft. Papa Pals come from the same communities as the members they serve, build trust in person, and provide tailored support proven to reduce hospitalizations and emergency department visits, increase preventive care trends, and lower costs. But that's not all Papa Pals do... As an extension of your care team in the home, Papa Pals can now conduct in-home assessments, educate and help members learn new skills, like digital health literacy, and so much more.   Visit papa.com to learn more. Bright Spots in Healthcare is produced by Bright Spots Ventures   Bright Spots Ventures brings healthcare leaders together to share working solutions or "bright spots" to common challenges. We build valuable and meaningful relationships through our Bright Spots in Healthcare podcast, webinar series, leadership councils, customized peer events, and sales and go-to-market consulting. We believe that finding a bright spot and cloning it is the most effective strategy to improve healthcare in our lifetime.   Visit our website at www.brightspotsinhealthcare.com  

In today's healthcare environment, America's hospitals are experiencing increases in payer denials as a result of incorrect application of drug HCPCS units and a drug HCPCS modifier (JW/JZ).These denials have increased costs for providers, because the existing staff is either being redirected to spend more time on the issue or additional staff are being hired to resolve the drug charge denials. Healthcare industry professionals need an easy-to-use and cost-effective resource to submit their claims correctly the first time.During the next live edition of Talk Ten Tuesdays, senior healthcare consultant Tiffani Bouchard will review the current environment in which coders work while explaining how new technology tools and solutions have the potential Drew Updike to expedite the drug lookup process.Also part of the live broadcast will be these instantly recognizable panelists, who will report more news during their segments:• 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.• CDI Report: Cheryl Ericson, Director of Clinical Documentation Integrity (CDI) for the vaunted Brundage Group, will have the latest CDI updates.• 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.• 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.

This week I Talk About AI/No Code Tools To Supercharge Business [powerpress]

     AI-fueled madness as it concocts absurd tariff rates that fuels rage, has experts reeling, and nations retaliating. Five years after his lockdown lunacy—Trump is back with more imaginary science, this time the “dismal science”, to create an economic pandemic disruption.    And meet the new gods of paganism complete with their own religion, commandments, and “logic”    Then Gerald Celente joins to talk about Dot Com Bust 2.0Idiocracy Arrives with Made-Up Tariff Rates by Trump     Are they looking to create global economic destruction and disruption like they did 5 years ago with the nonsense “pandemic”?     Could Trump and his people actually be this stupid or is it deliberate?Trump's 2025 tariff charts are a chaotic mess straight out of ChatGPT's warped mind — LITERALLY.       ChatGate is far, far worse than SignalGate  Tariff Responses as The Downward Spiral Begins on Wall StreetWhat a coincidence that this is the worst day for stocks (and retirement funds) since Trump absurdly declared a pandemic emergency Why is Trump Attacking Companies That Buy MORE From US Than We Buy From Them?Countries that have ZERO tariffs are being punished and so are countries with whom we have a trade SURPLUS (profit).  One island that has NO HUMANS (only penguins) is targeted with high tariffs.  Is this how Trump's casinos went bankrupt? As We Saw in 2018, with Trump Tariffs Farmers Bleed, Food Prices Soar Sensational Stimulus crumbs won't save farmers as Trump's ChatGPT chaos starves the heartland! AI Writes Its Own Bible for Humans to Worship ItBesides being the basis for idiotic tariff numbers,ChatGPT has also penned its first book, ‘Transmorphosis,' a creepy AI ‘Bible' promising godlike powers and eternal life. The tone is satirical but the content is what the transhumanist techno-brats have been pridefully predicting for decades Pagan America's “Transgender Saints” and Their Commandments      AI writes its own bible,Transmorphosis, for humans to worship it as a god     Nashville & the FBI cover up the hate of a tranny child killer, Colorado's is calling misgendering ‘child abuse,' Minnesota's teaching ‘transgender saints,' and Planned Parenthood's raking in cash for abortions and gender drugs from CMS which will soon be run by Trump's pal, Dr. Oz, who has his own troubling background. Market Chaos Unleashed: Gerald Celente Slams Globalization and the Collapse of America's Soul     Gerald Celente of TrendsJournal.com, as he predicted Dot Com Bust 2.0, with the trigger of tariff tempest rocking the markets—Dow plummeting 1,400 points, NASDAQ down nearly 5%, and a Bust 2.0 looming on the horizon!     Celente rips apart the hypocrisy of Trump's trade wars, the genocide in Palestine, and the corporate sellout that gutted America's middle class. From Clinton's NAFTA betrayal to Vietnam's rising from the ashes of the Dominoe Theory to making dominoes, shoes and clothing — the dirty truth behind globalization's collapse. It's a nation on the brink, where billionaires soar, the rust belts rot, and the American Dream drowns in a sea of chaos!If you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-show Or you can send a donation throughMail: David Knight POB 994 Kodak, TN 37764Zelle: @DavidKnightShow@protonmail.comCash App at: $davidknightshowBTC to: bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Money should have intrinsic value AND transactional privacy: Go to DavidKnight.gold for great deals on physical gold/silverFor 10% off Gerald Celente's prescient Trends Journal, go to TrendsJournal.com and enter the code KNIGHTFor 10% off supplements and books, go to RNCstore.com and enter the code KNIGHTBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-david-knight-show--2653468/support.

*Content warning: infant loss, death, birth trauma, medical trauma and neglect, fraud, scams. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsMarkeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://linktr.ee/momsadvocatingformoms Please sign the survivors petition below to improve midwifery education and regulation in Texas: https://tinyurl.com/SWWS23 *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Balance billing: Independent Dispute Resolutionhttps://www.tdi.texas.gov/medical-billing/index.html#:~:text=Texas%20and%20federal%20laws%20prohibit,with%20a%20surprise%20medical%20bill. CMS, The No Surprises Act's Prohibitions on Balancing Billinghttps://www.cms.gov/files/document/a274577-1a-training-1-balancing-billingfinal508.pdf Do Certified Professional Midwives Need Medical Malpractice Insurance? Understanding the Legal Requirementshttps://www.rcins.com/do-certified-professional-midwives-need-medical-malpractice-insurance-understanding-the-legal-requirements/#:~:text=Texas%3A%20In%20contrast%2C%20Texas%20does,to%20carry%20medical%20malpractice%20insurance. How Expanding the Role of Midwives in U.S. Health Care Could Help Address the Maternal Health Crisishttps://www.commonwealthfund.org/publications/issue-briefs/2023/may/expanding-role-midwives-address-maternal-health-crisis#:~:text=Midwives%20are%20licensed%20health%20care,women%20at%20double%20the%20rate. Implementation of 2015 Sunset Recommendationshttps://www.sunset.texas.gov/public/uploads/files/reports/Implementation%20of%202015%20Sunset%20Recommendations.pdf The Legislative Process in Texashttps://tlc.texas.gov/docs/legref/legislativeprocess.pdf National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ Practicing Medicine Without a Licensehttps://www.criminaldefenselawyer.com/resources/practicing-medicine-without-a-license.htm#:~:text=Many%20states%20make%20it%20a,fine%20of%20up%20to%20%2410%2C000. Regulation of Birth Attendants in Texashttps://texashomebirth.com/regulation-2/ Texas Board of Nursing https://www.bon.texas.gov/ Texas Department of Insurance https://www.tdi.texas.gov/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ TDLR, Midwives Penalties and Sanctionshttps://www.tdlr.texas.gov/enforcement/midsanctions.htm Texas Health and Human Serviceshttps://www.hhs.texas.gov/ Texas Medical Board (TMB)https://www.tmb.state.tx.us/ State investigating Dallas birth center and midwives, following multiple complaints from patients, by Morgan Young for WFAA (March 29, 2024) https://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef What Do OB/GYN Nurse Practitioners Do?https://nursa.com/specialty-post/what-do-ob-gyn-nurse-practitoners-do#:~:text=OB/GYN%20nurse%20practitioners%20are,not%20licensed%20to%20deliver%20babies. What Is the Texas Medical Malpractice Statute of Limitations?https://www.nolo.com/legal-encyclopedia/what-the-texas-statute-limitations-medical-malpractice-lawsuits.html#:~:text=Like%20a%20lot%20of%20states,and%20Remedies%20Code%20section%2074.251. Which states have the highest maternal mortality rates?https://usafacts.org/articles/which-states-have-the-highest-maternal-mortality-rates/ Why Won't an Attorney Take My Texas Medical Malpractice Case?https://www.hastingsfirm.com/your-case-and-texas-law/#:~:text=Texas%20law%20has%20made%20medical,and%20many%20hours%20of%20deposition. Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Hear more from Emily Wolfe:On Spotify // On Apple Music // https://www.emilywolfemusic.com/ // instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In today's episode - John talks about Senator Cory Booker's dynamic, historic, record-breaking speech against Trump on the Senate floor. Then, he discusses the ramifications of RFK Jr. gutting our health agencies with thousands of people being laid off, the future of agencies like the CDC, CMS, and FDA are uncertain. Next, Professor Corey Brettschneider returns to talk about the deliberate attempt by Trump to curtail free speech at Universities and the Trump Administration admitting they made a mistake in deporting a Maryland resident to El Salvador. Then, producer Chris joins in with the news that Susan Crawford has won the Wisconsin Supreme Court election despite Elon Musk spending millions on her opponent. And finally, John interviews documentary filmmaker and journalist - Gianna Toboni about the death penalty and her new book "THE VOLUNTEER: The Failure of the Death Penalty in America and One Inmate's Quest to Die with Dignity"See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.