Podcasts about CMS

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

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

Website traffic patterns are changing. Website importance isn't.Rob spent eight years as an in-house developer working with clients. Three years ago, he founded Betta Webs and committed entirely to specialising in HubSpot.We discussed that decision, what is genuinely useful in HubSpot's AI toolkit, and why the "websites are dead" crowd have it backwards.What we covered:01:03 - How Rob went from custom CMS to WordPress to HubSpot at an agency, then freelancing on the side before starting Betta Webs02:54 - Why he picked HubSpot in 2020 when their drag-and-drop CMS got good and "not many people were doing it"04:43 - The whole "you don't own your site on SaaS platforms" thing - Rob points out you don't really own WordPress either, you're still paying forhosting06:27 - HubSpot AI tools that work (customer support agent, content remix) and the ones Rob hasn't bothered with yet (AI-generated pages)10:15 - Why he builds sites with modular drag-and-drop components - lets marketers publish landing pages without waiting on developers13:18 - Why "you don't need a website" is broken logic - AI needs to scrape data from somewhere, and that somewhere is usually websites15:49 - Your website traffic is probably dropping. Your website's value as a due diligence asset isn't.17:10 - What Rob's into outside work: YouTube, Netflix, waiting for Stranger Things season 5--------------------------------Rob Harris - Betta WebsWeb: https://bettawebs.com/LinkedIn: https://uk.linkedin.com/in/robharris17--------------------------------#robharris #bettawebs #reggiejames #digitalclarity #gtm #hubspot #b2b #webdesign

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

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

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

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

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

This episode, from our November National Conference, explores one of healthcare's most persistent challenges: how hospitals and health plans can move from operating at cross-purposes to truly rowing in the same direction. Our guests are Danielle Lloyd, SVP of Private Market Innovations and Quality Initiatives, AHIP and Molly Smith, Group VP for Public Policy, American Hospital Association. Led by moderator Stephan Rubin from Optum, Danielle and Molly dig into the misconceptions that providers and payers often hold about each other and discuss how better data transparency, shared incentives, and policy alignment — including recent CMS rules such as 0057F — can help bridge long-standing divides. The 3 examine the future of prior authorization, the promise and limits of interoperability initiatives like TEFCA and the CMS Aligned Network, and why value-based care still struggles to scale despite years of policy focus. Finally, they look ahead to the role of AI, automation, and emerging data standards in reshaping care delivery and payment, and ask what real payer-provider collaboration must look like to deliver a more seamless, efficient, and patient-centered healthcare system.

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

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

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

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

This episode of The Dish on Health IT features Denny Brennan, Executive Director of the Massachusetts Health Data Consortium (MHDC), in conversation with host Tony Schueth, CEO of Point-of-Care Partners (POCP), and co-host Ross Martin, MD, Senior Consultant with POCP. Together, they examine how MHDC is translating national interoperability policy into practical, statewide action, specifically around the CMS-0057 rule.After brief introductions, the conversation quickly turns to MHDC's long history and why it matters. Founded in 1978, before the internet, MHDC guided Massachusetts through nearly every major health IT transition: HIPAA, Meaningful Use, ICD-10, and now interoperability and automation. Denny explains that this continuity has created something rare in healthcare: sustained trust across payers, providers, vendors, regulators, and associations. That trust, he notes, is what allows competitors to work through shared infrastructure problems that no single organization could solve on its own.From there, the discussion turns to why the MHDC community chose to coordinate and support members in their CMS-0057 compliance journey, versus just letting each member organization go it alone. Denny emphasizes that while healthcare is regulated federally, it functions locally. Each state has its own mix of insurers, hospital systems, rules, and market pressures. In Massachusetts, where long-standing relationships already exist, MHDC saw an opportunity to move faster, test real workflows, and generate lessons that could inform efforts far beyond the state.The discussion then moved to how work to improve prior authorization became such a high-priority focus. Denny describes how the process has grown into one of the most disruptive administrative burdens for clinicians. Rules vary by plan, criteria change frequently, and the information providers need is often hard to access in real time. The result is defensive behavior. Offices routinely submit prior authorizations “just in case,” often by fax or phone, simply to avoid denials and treatment delays. That inefficiency, he explains, ripples outward by slowing patient care, driving up providers' overhead, and requiring health plans to spend more time and resources processing and reviewing the required PA alongside the unneeded submissions.The financial impact quickly becomes apparent. Denny points to evidence showing that administrative costs consume a massive share of U.S. healthcare spending, with prior authorization playing a meaningful role. If automation is implemented through a neutral, nonprofit infrastructure, MHDC believes there is a much greater chance that savings will flow back into premiums and public program costs rather than being swallowed by inefficiency.Ross adds an important dose of realism. Prior authorization friction, he notes, is not always accidental. In some cases, operational complexity functions as a utilization control mechanism. That creates a built-in tension between access, cost containment, and patient experience, and helps explain why national reform has moved slowly despite widespread frustration.At that point, the conversation shifts from why this is broken to how MHDC is trying to fix it. Denny walks through MHDC's operating model: convene the full ecosystem early and often. In a recent deep-dive session, roughly 60 representatives from health plans, providers, and the state participated in a working session focused on what an automated prior authorization workflow could realistically look like. MHDC brought a draft framework to the table. The community pressure tested it and surfaced workflow conflicts, operational blind spots, and policy misalignments that no single organization could see on its own.That collaborative process, Denny explains, is the real engine behind adoption. When stakeholders help build the solution themselves, implementation becomes a shared commitment rather than a compliance exercise. It also reduces resistance later because decisions are not delivered top-down. They are constructed collectively.The discussion then turns to FHIR adoption and why, while real, progress has taken time. Denny traces the turning point back to the 21st Century Cures Act, which reframed patient access to health data as a legal right and categorized data blocking as a regulatory violation. That policy shift, combined with the growing maturity of API-based interoperability, created the conditions for real-time data exchange to finally move from theory to practice.Ross provides a historical perspective from the standards side. Earlier generations of health data standards were conceptually elegant but extremely difficult to implement consistently. FHIR changed that equation by aligning healthcare data exchange with the same API-driven architecture that supports the modern web. He points to accelerating real-world adoption, particularly from large EHR platforms, as evidence that FHIR has entered a phase of broad, practical deployment.Although pharmacy prior authorization falls outside the formal scope of CMS 0057, Denny makes clear that MHDC could not ignore it. For many physicians, especially in oncology, dermatology, and primary care, PA for prescriptions is far more frequent and far more disruptive than PAs for medical services. If MHDC solved only one side of the problem, much of the daily burden for clinicians would remain unchanged.Pharmacy prior authorization, however, introduces a new level of complexity. PBMs, pharmacists, prescribing systems, payers, and patients are all involved, often across fragmented workflows. Denny explains that the challenge looks less like a pure technology gap and more like an orchestration problem. It is about getting the right information to the right party at the right moment across multiple handoffs.Ross shares insights from the pharmacy PA research work conducted with MHDC and POCP. One of the most striking findings was the massive year-end renewal surge that hits providers every benefit cycle as authorizations tied to prior coverage suddenly expire. He also reflects on a recent national electronic prior authorization roundtable, where deep stakeholder discussion ultimately led most participants to conclude that today's technology alone still is not sufficient to fully solve pharmacy PA. The tools are improving, but the problem remains deeply multi-layered.As the episode winds down, the tone shifts toward practical calls to action.Denny challenges the industry to separate where competition belongs from where collaboration is essential. Contract negotiations may be adversarial by nature, he notes, but interoperability initiatives cannot succeed under the same mindset. Real progress depends on bringing collaboratively minded people into the room. These are people willing to solve shared infrastructure problems even when their organizations compete elsewhere.Ross builds on that message with a longer-term challenge: sustained participation in standards development. Organizations cannot sit back and hope others shape the future on their behalf. Active involvement in national standards organizations is critical. This is not for immediate quarterly returns, but to influence the systems everyone will be required to use in the years ahead.The episode closes with a clear takeaway. MHDC did not wait for perfect conditions. It moved when the pieces were good enough, tested real workflows with real stakeholders, adjusted in the open, and began sharing lessons nationally. In an industry often slowed by fragmentation and risk aversion, this conversation offers a grounded look at what forward motion actually looks like when collaboration, policy, and technology finally align.You can find this and other episodes of The Dish on Health IT wherever you get your podcasts, including Spotify and Healthcare Now Radio. If you found this conversation valuable, share it with a colleague and be sure to subscribe so you never miss an episode. Have an idea for a topic you would like us to cover in future episodes? Fill out the form and tell us about it. Until next time, Health IT is a dish best served hot. 

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

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

Before you wrap it up and put a bow on it, does that gift for your Medicare client follow CMS guidelines? Listen to this episode of the Agent Survival Guide Podcast to find out and stay compliant!   Read the text version  

Fredrik och Kristoffer snackar debuggers och markdownparsning. Debuggers - varför finns det inte fler bra, och varför använder inte fler de som finns? En debugger är inte bara ett verktyg för att hitta buggar - det är ett verktyg för att förstå kod. Kristoffers markdownparser är klar! Hur gick det, hur presterar den, och varför är nästa fundering ett personligt CMS? Ett stort tack till Cloudnet som sponsrar vår VPS! Har du kommentarer, frågor eller tips? Vi är @kodsnack, @thieta, @krig, och @bjoreman på Mastodon, har en sida på Facebook och epostas på info@kodsnack.se om du vill skriva längre. Vi läser allt som skickas. Gillar du Kodsnack får du hemskt gärna recensera oss i iTunes! Du kan också stödja podden genom att ge oss en kaffe (eller två!) på Ko-fi, eller handla något i vår butik. Länkar Björeman // Melin // Åhs My traceroute - MTR Homebrew - pakethanterare för Macos (främst) Lidén data Squadcast We don't do things not because they are easy … Ryan Fleury bygger debugger för C och C++ på Epic Odin GDB Remedy debugger RAD debugger printf Xbox 360 En arg britt som slår en på fingrarna Gleam Kristoffers markdownparser Commonmark Obsidian-markdown Github flavored markdown YAML Djot - striktare än Markdown Right-flanking delimiter run i Commonmark Feynman Edb - ny Erlang-debugger Stöd oss på Ko-fi! DWARF och DSYM NIF Boken Pro Git Mörk borg Lustre - webbibliotek för Gleam CMS - content management system Pingback Medium Helix Dataview Paste URL into selection Note refactor Lazyvim Gleam gathering i Bristol i februari Titlar 50% paketförlust Det kanske är mitt fel En gammal switch med tomma buffrar Rättvist på nätet Ljudet framför allt Nästa omöjligt att debugga Ett otroligt bra verktyg printf-debugging Förstå kod Breakpoints på en pixel på skärmen Visionen för vad som är möjligt Konceptet debugger Copad YAML i toppen Gleam-native Vi tror att det kan vara lätt Sjutton specialfall Right-flanking runs Feynmanmetoden De sista fyra testfallen Debuggervänliga Breakpoint i en produktionsprocess Smink på grisen Hur svårt är det att bygga en debugger? Bättre än den officiella Enpersons-CMS Tredollars-VPS Bekväm i Vim Sourcemaps för Erlang

This week I Answer Listener Questions [powerpress]

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

This week, the GovNavigators welcome Ross Nodurft, Executive Director of the Alliance for Digital Innovation, for a timely conversation on the future of federal IT modernization and the urgent fight to save the Technology Modernization Fund (TMF) before its December expiration.Ross breaks down how the TMF has quietly become one of the federal government's most effective tools for paying down tech debt, funding everything from Treasury network modernization to AI-powered disability processing at Social Security. He explains why TMF doesn't require new appropriations to survive, where bipartisan momentum stands on Capitol Hill, and what agency leaders, industry partners, and advocates can do right now to push reauthorization across the finish line.In the news, we've got GAO's alarming findings on fraud in CMS's healthcare subsidies, the Justice Department's investigation into the SBA's 8(a) program, and new momentum behind the SAMOSA Act, which would overhaul how agencies buy and manage software.Show Notes:TMF: More on the importance of renewalGAO: CMS healthcare subsidies reportSBA: Investigating 8(a) participantsSAMOSA: Act advances in the HouseWhat's on the GovNavigators Radar:Dec 9: ACT-IAC Disruptive Technology ForumDec 11: State IT Modernization Summit (Virtual)ATARC CIO Summit

Every year, we see CMS make changes to Medicare; many of these changes for next year are actually good for the agent! How? Let's chat...

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

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

Your client's Medicare Beneficiary Identifier is an important piece of the enrollment application. Discover the multiple ways for a client to locate their MBI and why it's important.   Read the text version  

Medicare Supplement comes in a few different variations, and each has its own merits. In this episode of our ASG Podcast, learn more about Med Supp Plan N and why it deserves a spot in your portfolio.   Read the text version  

As a certified insurance agent, staying CMS compliant is a crucial component to your success. Listen to this episode for a mini crash-course on best practices, guidelines, and resources to stay compliant.   Read the text version  

CMS recently published their 2027 Medicare Advantage and Part D Proposed Rule. In this week's Friday Five episode, we talk initial takeaways and the impact on agents and beneficiaries.   Get Connected:

Medicare Annual Enrollment Period - Trends, Challenges, and OpportunitiesWe dive into the chaos and hustle surrounding the last few days of Medicare's Annual Enrollment Period (AEP). Mike and Dan Hardle discuss the never-ending busy season, the dynamics of telemarketing laws, and the varying attitudes of agents during AEP. Expect insightful commentary on the evolving field of Medicare insurance, trends in agent behavior, and the potential impact of recent regulatory changes. Plus, they break down the latest CMS proposals for 2027, offering a glimmer of hope for a more streamlined, efficient future in the Medicare Advantage ecosystem. Whether you're an industry expert or just curious about the state of Medicare, you won't want to miss this episode!

In this hour-long episode of RISE Radio, Editorial Director Ilene MacDonald sits down with industry experts to break down the changes in CMS' 2027 Medicare Advantage and Part D proposed rule, why removing 12 measures and bringing back the reward factor is a true Stars redesign, and how plans can pivot from operational wins to outcome performance. We also explore the new depression screening measure and the new SEP when providers exit networks, with clear steps to protect quality and retention.Our guests are Ana Handshuh, principal of CAT5 Strategies, Melissa Smith, founder and senior advisor of the Newton Smith Group, and Rex Wallace, founder & principal of Rex Wallace Consulting. For more on these changes, join us at The RISE Star Ratings Master Class, December 16-18 in Frisco, Texas or RISE National 2026, March 23-25 in Orlando, Fla. 

In this episode, Jakob Emerson, Associate News Director at Becker's Healthcare, breaks down CMS' proposed 2027 Medicare Advantage rule, challenges facing smaller MA plans, and the shrinking access to GLP-1 medications on ACA marketplaces. He also highlights the evolving dynamics between payers, providers and consumers as policy and costs rapidly shift.

Not long ago culture was considered rare in nature, maybe even uniquely human. But that's changed. We now know that the tree of life is buzzing with culture—and not just on a few lonely branches. Creatures great and small learn songs, migration routes, and feeding techniques from each other. Many species build up reservoirs of knowledge over generations. This has profound implications, not just for understanding of the natural world, but also for our efforts to protect it.  My guest today is Dr. Philippa Brakes. Philippa is an Honorary Lecturer at the University of Exeter, with one foot in science and another in conservation. She's both a behavioral ecologist, focusing on whales and dolphins, and a leading voice—for more than a decade now—urging conservationists to take animal cultures seriously.  Here, Philippa and I talk about how researchers define culture and social learning in animals. We tour the mounting evidence for culture across species—in birds, in apes, in fish, possibly even in insects. We discuss the methods that scientists use to infer that behaviors are socially learned. We consider how animal culture complicates the conservation enterprise. We also discuss the idea that animal cultures have intrinsic value—not value for us humans, not value that can be easily quantified, but value for the animals themselves. Along the way Philippa and I talk about the notion of "cultural rescue"; indigenous understandings of animal culture; cases where social learning is maladaptive; human-animal mutualism; fashion trends; the idea of conserving "cultural capacity"; elephant matriarchs and other "keystone individuals"; golden lion tamarins, herring, and regent honey-eaters; and the question of why some orcas where salmon as hats. Alright friends, this topic has been on our wish list for a while now. Hope you enjoy it!   Notes  2:30 – For academic articles by Dr. Brakes and colleagues on the importance of animal culture for conservation, see here, here, and here. The last of these is the introduction to a recent special issue on the topic. Many of the topics discussed in this episode are also covered in this issue.  3:30 – The case of the golden lion tamarins is discussed here. 5:00 – For more about the Convention on the Conservation of Migratory Species (or CMS) of Wild Animals, see here.  9:00 – For a classic paper on social learning in animals, see here. For a relatively recent, detailed overview of animal culture see here. For a short primer on animal culture, see here. 10:00 – For discussion of the riskiness of long-line depredation (and for an important early discussion of animal culture and conservation), see here. 12:00 – For a study by Dr. Sonja Wild and colleagues on bottlenose dolphin declines following a heat wave—and how these declines may have been buffered by tool-using traditions—see here.  15:00 – For the review of cetacean foraging tactics by Dr. Taylor Hersh and colleagues, see here.  17:00 – For a primer on honeyguides (and their mutualism with honey hunters), see here. 20:00 – For a recent review of culture and social learning in birds, see here. For a review of conservation of avian song culture, see here. 25:00 – For a review of (the conservation of) chimpanzee culture, see here. 28:00 – For the initial report of chimpanzees putting grass in their ears, see here. For more on the phenomenon of orcas wearing salmon hats, see here. 33:00 – For a recent review of culture and social learning in fish, see here.  35:00 – For the recent study on "collective memory loss" in herring, see here. 39:00 ­– For more on the possibility of social learning in insects, see here. For a video of the puzzle box experiment in bees, see here. 44:00 – For a recent review of the "methodological toolkit" used by researchers in the the study of social learning in animals, see here. 47:00 – For the study using network-based diffusion analysis to understand the spread of feeding strategies in humpback whales, see here. 49:00 – For the original 2000 study on the spread of humpback whale song, see here. For a more recent study of "revolutions" in whale song, see here.  53:00 – For an example of work looking at changes in whale song as a result of human noise, see here.  55:00 – For more on the idea of "keystone individuals" in the case of elephants, see here. For more on menopause and the so-called grandmother hypothesis, see our earlier episode with Alison Gopnik.  1:05:00 – A recent editorial calling for the protection of animal cultural heritage under UNESCO.   Recommendations The Cultural Lives of Whales and Dolphins, by Hal Whitehead and Luke Rendell Animal Social Complexity, edited by Frans de Waal and Peter Tyack The Evolution of Cetacean Societies, by Darren P. Croft et al. The Edge of Sentience, by Jonathan Birch (featured on an earlier episode)   Many Minds is a project of the Diverse Intelligences Summer Institute, which is made possible by a generous grant from the John Templeton Foundation to Indiana University. The show is hosted and produced by Kensy Cooperrider, with help from Assistant Producer Urte Laukaityte and with creative support from DISI Directors Erica Cartmill and Jacob Foster. Our artwork is by Ben Oldroyd. Subscribe to Many Minds on Apple, Stitcher, Spotify, Pocket Casts, Google Play, or wherever you listen to podcasts. You can also now subscribe to the Many Minds newsletter here! We welcome your comments, questions, and suggestions. Feel free to email us at: manymindspodcast@gmail.com. For updates about the show, visit our website or follow us on Bluesky (@manymindspod.bsky.social).

The Trump Administration takes equity stakes in private firms, CMS releases its latest drug price-fixing list, and AAF unveils RegRodeo 2.0. AAF President Douglas Holtz-Eakin and Director of Regulatory Policy Dan Goldbeck join us to break it all down. Apple: podcasts.apple.com/us/podcast/the-…st/id1462191777 Spotify: open.spotify.com/show/7aWwYw3EKPmTqLQMbRGR2e

AMA CEO John Whyte, MD, MPH, talks with Abe Sutton, JD, Director for the Center of Medicare and Medicaid Innovation (CMMI) and Deputy Administrator for CMS, about the potential benefits and challenges of a new outcome-aligned payment model called ACCESS, and what it means for physicians and patients. Learn more at CMS.gov.     ⭐⭐⭐⭐⭐

In this episode of The Broker Link, National Health Sales Director Mike Papuc breaks down what agents can expect heading into the 2026 Open Enrollment Season — especially in light of the final CMS rules. With rising demand for alternate solutions outside the ACA market, Mike introduces Presidio Healthcare, a new carrier partner now available in Texas. Mike is joined by Cameron Mason, COO of Presidio, who shares insight into their flagship offering: The Fortress Plan, a non-ACA solution created to provide more affordability and flexibility for consumers. The plan features a $0 deductible, 50% coinsurance, and low max out-of-pocket options ranging from $2,500–$10,000. It also includes benefits for specified diseases and accidents, and offers maternity coverage with a $5,000 deductible during the first year. Presidio has aggressive growth plans, aiming to expand into 5–10 states by 2026, giving agents more tools to serve clients effectively in a shifting health insurance landscape. Mike emphasises that understanding and offering alternate solutions will be crucial as agents prepare for another dynamic enrollment season. Learn more about partnering with The Brokerage Inc. by visiting our website, www.thebrokerageinc.com. Remember to like, share, and subscribe to our show!  New episodes are available every Tuesday. Join our Community! LinkedIn: https://www.linkedin.com/company/the-brokerage-inc-/   Facebook:  https://www.facebook.com/thebrokerageinc/  Instagram:  https://www.instagram.com/thebrokerageinc/  YouTube:  https://www.youtube.com/@TheBrokerageIncTexas  Website:  https://thebrokerageinc.com/ 

Join us for a milestone celebration of Home Health Revealed by HealthRev Partners—our 100th episode! Reflect on four transformative years in home health: nationwide HHVBP rollout since 2022, PDGM-driven reimbursement cuts, climbing aide turnover near 35%, and the shift to value-based care and Medicare Advantage. We've covered it all—from staffing crises to AI tools and CMS final rules. Whether you're tackling AR aging, clinician burnout, or payer mix shifts, this retrospective delivers actionable takeaways from 100 episodes of industry truth. A HUGE thank you to our guests, our listeners, and our partners. Here's to the next 100 episodes! Chapters (00:00:02) - Home Health Revealed: Turning 100 Episodes(00:01:19) - A Thanksgiving Special: Thank You(00:03:24) - Home Health Care: The Last Four Years(00:05:48) - Home Health Revealed: A 100-Episode Podcast(00:10:44) - Home Health Revealed: The Next 100 Episodes

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

SummaryIn this episode, Sean M Weiss discusses the critical role of compliance officers in healthcare organizations, emphasizing their responsibilities, best practices, and the importance of regulatory compliance. He highlights the need for a proactive approach to risk assessment, the do's and don'ts of compliance, and the necessity of independence and objectivity in the compliance role. The episode concludes with a call to action for compliance officers to leverage available resources and foster a culture of compliance within their organizations.TakeawaysThe compliance officer is crucial for organizational integrity.Compliance programs must adhere to OIG's seven core elements.Regular risk assessments are essential for identifying vulnerabilities.Training and education are vital for compliance success.Independence in the compliance role prevents bias and conflicts.Separation between compliance and legal functions is necessary.Empowering compliance officers can reduce enforcement risks.Fostering a culture of compliance is a competitive advantage.Ignoring red flags can lead to significant penalties.Utilizing OIG and CMS resources enhances compliance effectiveness.oig.hhs.gov/compliance/ cms.gov/medicare/compliance-and-audits justice.gov/criminal/criminal-fraud/page/file/1562831/dl

The 2025 Holiday Gift Guide with Dustin Hartzler [powerpress]

Serve your clients and stay CMS compliant. That's your priority as an insurance agent. Here at Ritter, we're happy to help! Check out this episode for a refresher on what you can't say during Medicare sales appointments and why. Read the text version  

Audio roundup of selected biopharma industry content from Scrip over the business week ended November 28, 2025. In this episode: 2027 Medicare price cuts likely not as large as CMS estimates; Zai Lab leads DLL3 lung cancer ADC race; Phase II failure for J&J's Alzheimer's asset posdinemab; Bayer's positive Phase III data for asundexian in stroke; and Pfizer/Astellas's Padcev's first big win in bladder cancer study. Story links: https://insights.citeline.com/scrip/podcasts/scrips-five-must-know-things/quick-listen-scrips-five-must-know-things-R4RCDF2RXVGVHPEX2WQ7A3JVKU/ This episode was produced with the help of AI text-to-voice and voice emulation tools. Playlist: soundcloud.com/citelinesounds/sets/scrips-five-must-know-things

In this episode of the Advancing Surgical Care Podcast, ASCA Chief Executive Officer Bill Prentice and ASCA Chief Advocacy Officer Kara Newbury discuss the 2026 final payment rule for ASCs released by the Centers for Medicare & Medicaid Services (CMS) on November 21. The 1,657-page rule establishes the inflation update for Medicare payments to ASCs, the expanded list of surgical codes that can be performed on Medicare beneficiaries in the ASC setting, significant changes to the ASC Quality Reporting Program and more. Prentice and Newbury break it all down in less than 20 minutes, providing essential guidance, information and resources for Medicare-certified ASCs in the year ahead.

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training AI is changing the agency landscape faster than most owners can keep up with. Tools are popping up daily, clients are asking if rates should drop, and your team is either fired up or freaked out. Today's featured guest talks about what it takes to build an agency that thrives in a world obsessed with shiny new tech, where the edge is not more tools. It is better leadership, human connection, and an incubator mindset that keeps them ahead without drowning in the noise. Michael Davern is the CEO of Incept, an AI-enhanced, digital-first agency that has been around for a decade. Today, his agency blends automation, machine learning, and human-centered strategy to help enterprise clients grow with clarity and smart execution. He is an early adopter who still believes the real edge is human connection and wants to encourage agency owners to really think about who should lead. In this episode, we'll discuss: AI-enhanced vs. AI-first: what actually creates agency value. Leading an agency through rapid AI change. Why human-first agencies win in the long run. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. Evolving from a Specific Niche to a Full Service Agency Before agency life, Michael spent years in corporate America and even longer in the music industry as an artist development rep. That career went up in flames when the label collapsed and no one got paid. After a brief return to corporate, he approached his now business partner with an idea to sell text message marketing, and suddenly he was an entrepreneur learning the agency game the hard way. Early on he chased small business clients with $49 starter packages and cheesy platinum tiers. Nobody wanted it. The market did not understand text marketing yet and the value was unclear. Everything changed when an enterprise vendor in the Medicare insurance space let them into their workflow. Overnight texting became a revenue driver. That win opened the door to more enterprise relationships and pushed them to expand far beyond their original niche. What started as a simple vendor relationship ballooned into a full service digital agency. With time, growth came from necessity and opportunity, not a master plan. Michael admits they were often too early to the game, but that curiosity and experimentation kept them alive long enough to get good. AI-Enhanced vs. AI-First: What Actually Creates Agency Value Plenty of agencies slap "AI-first" on their website. Michael prefers to say "AI-enhanced" since "AI-first" implies handing the keys to robots or machines. That is not what his agency does. Instead they use AI to enhance execution. They were early with automation, early with machine learning through the IBM Watson test program, and early with programmatic bidding when DSPs were still new. Those experiments shaped how they work today. Now, they use all this knowledge to save money, time, and drive better results for clients. Clients are not paying for prompts or tools. AI lets the team save time, move faster, and stay in the lab testing new options without drowning in busywork. In Michael's view, agencies are not competing on deliverables anymore. They are competing on thinking. Navigating the AI Gold Rush Without Losing Your Mind There is a tool for everything now and most of them promise the world and deliver nothing. Michael believes the real threat is not AI taking jobs. It is crappy tools cluttering decision making and distracting agency owners from what matters. To keep his team sharp, he sets an AI budget for every employee at his agency. Everyone is encouraged to experiment, explore, and bring ideas back to the incubator. On Fridays, they compare notes. What worked. What flopped. What needs more testing. That culture of curiosity is what keeps them out in front rather than scrambling to catch up. Leadership in the Age of Rapid Change Nineteen months ago, Michael made a call. The company was going all in on AI enhancement. He sat the team down and said, "This is where we are heading." If anyone was uncomfortable, they could talk privately or get help transitioning to a different job. Not one person left. Clarity breeds confidence. When owners waffle or delay, their team feels it. When owners point the ship and support the crew, people dig in. Michael's team embraced experimentation because they were given structure, purpose, and room to contribute. And because of that leadership, his agency now runs on flat rate pricing tied to outcomes. They killed the old hourly model and their clients love them for it. Human-First Agencies Always Win the Long Game When was the last time you met in person with any of your top five clients? That's the type of effort they'll remember. Michael's team meets every top client in person at least quarterly. Their average client lifetime is just under seven years, which is unheard of when the industry average is barely over a year. Real relationships create real retention. When you have shared a meal, a drink, and actual time together, you are not just a vendor. You are a partner. And partners do not get replaced by the next AI First agency trying to undercut your price. The real advantage for your agency will be transparency and the ability to provide a personalized service. AI will give you more time to work on strategy, but you still have to offer the best client experience you can. Ultimately, clients are paying for more brain and less execution, "and doesn't everyone want that?" Michael asks. Choosing the Right Clients and Protecting Your Sanity Another theme Michael returns to is knowing when to say no. Early on, every agency chases whales. The bigger the better. Then you land one and realize it might sink the whole boat. Maturity is learning to pass on the wrong fish or hand them off to someone who is better built for it. Agencies do not need hundreds of clients. They need the right fraction of the market that values what they do. When you protect your focus, your retention goes up and your stress goes down. Michael's agency grows steadily because they stack clients instead of scrambling to replace them. The only clients they lose are the ones who stop paying their bills. Building a Culture of Innovation Without Burning Out Agencies talk a big game about innovation, but most owners are stuck riding a bike with square wheels and they refuse to get off, Michael says. This is the trap most agency owners fall into. They are too busy to innovate, too stuck to delegate, and too overwhelmed to lead. For him, the answer is simple. Get off the bike. Set the direction, and build the space for experimentation, because the future is coming whether you want it or not. Who Should Lead AI Inside an Agency Who should lead experimentation when the owner is overwhelmed? Michael believes someone has to claim the role, plant a stake, and move. At his agency, he oversees the incubator, but several team members drive the work. Your lead developer will experiment with different tools than your creative director. Your strategist will explore different workflows than your media buyer. Give them a budget. Give them a purpose. Give them ownership. The biggest mistake is waiting for someone else to figure it out. Agencies that delay will be crushed by owners who are willing to get to work and figure this technology out. Follow your curiosity. For agency owners stepping into that role, Michael suggests absorbing everything you can and staying curious. And for those who are further down in the ladder but still want to lead experimentation with new technologies: speak up and volunteer. If you're in a culture where that experimentation is not embraced, then maybe it's time to leave. Do You Want to Transform Your Agency from a Liability to an Asset? Looking to dig deeper into your agency's potential? Check out our Agency Blueprint. Designed for agency owners like you, our Agency Blueprint helps you uncover growth opportunities, tackle obstacles, and craft a customized blueprint for your agency's success.

Explore the essential updates from the official CMS Fact Sheet on the 2026 Home Health Final Rule in this episode of Home Health Revealed, hosted by Hannah Vale. This episode breaks down what the CMS rule means for home health agencies, covering payment changes, compliance updates, and care quality adjustments. Key highlights include: A 2.4% market payment update, offset by adjustments, resulting in an overall 1.3% reduction in Medicare payments to home health agencies. Recalibrated PDGM case-mix weights and updated LUPA thresholds, changing how agencies need to plan visits and document care. Important changes to the Home Health Quality Reporting Program (QRP), including removal of the COVID-19 vaccination measure, as well as updates to OASIS data elements. The launch of a revised Home Health CAHPS survey, new value-based purchasing measures, and changes in quality measure weightings. New compliance provisions and revised provider enrollment rules designed to ensure program integrity and fight fraud. Whether you're an agency leader, clinician, or RCM professional, this episode provides everything you need to know direct from CMS guidance to keep your agency compliant, competitive, and prepared for 2026. Don't miss Hannah's expert take and practical tips for navigating the year's most important regulatory updates. Like, share, and subscribe for more insights on home health policy, revenue cycle optimization, and industry trends. #HomeHealthRevealed #CMSFinalRule #HomeHealth2026 Chapters (00:00:02) - Home Health Revealed(00:00:36) - CMS Final Rules for Home Health Services (2026)(00:03:28) - CMS Final Rule 1, Home Health Payment Rates(00:05:47) - CMS Rule 6, Home Health Quality Reporting Program (HHQ(00:12:36) - CMS Final Rule 2026 for DME POS

Marketing is a vital part of any business. But when it comes to marketing your services as an agent selling Medicare, there are specific rules and regulations. To help you out, we've compiled a list of FAQs around compliant Medicare marketing. Press play to get started!   Read the text version  

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

 In this episode, Laura Dyrda, Vice President and Editor-in-Chief at Becker's Healthcare, breaks down major CMS policy changes affecting inpatient-only procedures, ASC growth, and the push toward site neutrality. She also highlights the evolving political landscape around ACA subsidies and what these developments mean for hospitals, ASCs, and patients.

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com AI on bad data is artificial stupidity. And healthcare can't afford that. In this episode, Charlie Harp, CEO and founder of Clinical Architecture, explains why the future of healthcare depends on high-quality data. He describes how his company has spent 18 years refining the “plumbing” of healthcare information, ensuring that AI, clinical systems, and decision tools operate on accurate, trusted data. Charlie introduces the Patient Information Quality Improvement Framework (PIQI), an open-source collaboration with partners such as the VA and CMS, to measure and improve data quality across the industry. He emphasizes that true healthcare transformation will come not from disruption, but from consistent, data-driven evolution. Tune in and learn how improving healthcare's “data plumbing” could unlock innovation, interoperability, and trust across the entire ecosystem! Resources Connect with and follow Charlie Harp on LinkedIn. Follow Clinical Architecture on LinkedIn. Visit the Clinical Architecture website! Listen to Charlie's previous interview on the podcast here. Check out The Informonster Podcast here.

A labor and delivery nurse who ran Senate healthcare policy now manages $1.7 trillion in federal health spending—and she runs her team like a startup.Steph Carlton, Chief of Staff and Deputy Administrator at CMS, reveals the OKRs driving Medicare and Medicaid, why they're killing social determinants funding while building consumer health apps at scale, and how real-time provider data could collapse the 18-month lag between care delivery and payment. The team mixing founders with policy veterans is rewriting quality measures around VO2 max and app engagement, not just disease management—because preventing illness years before it happens might finally be worth more than treating it after. Stay Updated:If you enjoyed this episode, be sure to like, subscribe, and share with your friends!Find a16z on X: https://x.com/a16zFind a16z on LinkedIn: https://www.linkedin.com/company/a16zListen to the a16z Podcast on Spotify: https://open.spotify.com/show/5bC65RDvs3oxnLyqqvkUYXListen to the a16z Podcast on Apple Podcasts: https://podcasts.apple.com/us/podcast/a16z-podcast/id842818711Please note that the content here is for informational purposes only; should NOT be taken as legal, business, tax, or investment advice or be used to evaluate any investment or security; and is not directed at any investors or potential investors in any a16z fund. a16z and its affiliates may maintain investments in the companies discussed. For more details please see http://a16z.com/disclosures Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode, Scott Becker breaks down the top healthcare developments of the week, including CMS rate updates, financial trends across health systems, hiring freezes, job cuts, and more.