Podcasts about CMS

In this episode, Dr. Sylvester Youlo, Orthopedic Surgeon at Phelps Health, shares how shifting CMS rules and the move toward outpatient care are reshaping surgical practice in rural health systems. He discusses Phelps Health's clinical documentation initiative and why strong documentation is critical for patient care, reimbursement, and the future of healthcare delivery.

In this episode, Dr. Sylvester Youlo, Orthopedic Surgeon at Phelps Health, shares how shifting CMS rules and the move toward outpatient care are reshaping surgical practice in rural health systems. He discusses Phelps Health's clinical documentation initiative and why strong documentation is critical for patient care, reimbursement, and the future of healthcare delivery.

Au Club Poker, nous avions repéré Morgane Février, pionnière du monde du podcast, à l'occasion du WSOP-C 2024 au Stade Jean Bouin. Morgane serait donc une passionnée de poker ?Morgane est à fond dans les jeux, l'humain, les machines, l'IA... elle a monté plusieurs boîtes et est experte en webmarketing.C'est peu dire qu'elle est avant-gardiste :1996, elle code son premier site web sans CMS. 2014, elle achète des bitcoins à 300$ ... Stooooopppp, on ne va pas faire l'émission ici. Alors on peut se dire : mais comment ? et surtout pourquoi ? Nous en saurons plus ce jeudi après-midi.Présentation : Comanche et ShiShiStreaming : ClaraRéalisation et montage : DavidClub Poker Radio vous est présentée par Winamax, le n°1 du poker en ligne. Perte d'argent, conflits familiaux, addiction… Les jeux d'argent sont interdits aux moins de 18 ans et peuvent être dangereux. En cas de besoin, contactez le 09 74 75 13 13.Ce podcast est hébergé par Podcastics, la plateforme pour créer et diffuser votre podcast facilement.

In this episode, John Barnas, executive director at the Michigan Center for Rural Health, discusses how rural healthcare professionals and organizations can prepare their states for the impact of funding cuts at the federal level. We'll talk about the Rural Health Transformation Fund, how to navigate HHS and CMS guidelines and of course, what it all has to do with rural health.  Follow Rural Health Today on social media! https://x.com/RuralHealthPod https://www.youtube.com/@ruralhealthtoday7665  Follow Hillsdale Hospital on social media! https://www.facebook.com/hillsdalehospital/ https://www.twitter.com/hillsdalehosp/ https://www.linkedin.com/company/hillsdale-community-health-center/ https://www.instagram.com/hillsdalehospital/  Follow John Barnas on social media! https://www.linkedin.com/in/john-barnas-a7519115/ Follow the Michigan Center for Rural Health on social media! https://www.facebook.com/MCRH91/

Did you stop offering telehealth because the rules keep changing? You're not alone. But you're leaving revenue on the table.Congress keeps extending telehealth flexibilities through 2027, but most practices have either abandoned telehealth entirely or started charging deposits because they're worried about patient responsibility nightmares.There's a better way.In this episode, we break down the latest CMS telehealth info and give you the exact billing workflow to keep seeing patients virtually while protecting yourself from collections chaos.You will learn:Why abandoning telehealth is costing you The pre-visit insurance verification script that eliminates surprise bills.How to update your consent forms to protect against patient disputes.The billing follow-up process that gets telehealth claims paid faster.Don't let uncertainty stop you from generating revenue. Just do it the smart way.

In this episode, Melissa Majerol, Model Lead of the Cell and Gene Therapy Access Model at the Center for Medicare and Medicaid Innovation (CMMI) at CMS, breaks down how the CMMI Access Model program aims to simplify and accelerate patient access to innovative cell and gene therapies, starting with recently approved therapies in Sickle Cell disease. Listen in as we dive into the specifics of this new access model and its current status. Music: ‘Bright New Morning’ by Steven O’Brien – released under CC-BY 4.0. https://www.steven-obrien.net/Show your support for ASGCT!: https://asgct.org/membership/donateSee omnystudio.com/listener for privacy information.

For more than 25 years, North Carolina Outward Bound School has empowered young CMS students through the Charlotte Unity Project. Alexys Woods, a Unity Project alumni and current Program Director, shares more about the program, which includes a free 7-day wilderness course for students, complemented by a Unity Club on their school’s campus. Learn more about the Unity Project, its mission, and how it impacts the Charlotte community. More Liner Notes are available online at Jesse Brown's

In this episode, Allison Roditi, Vice President of Orthopedics at Catholic Health, shares how the system is unifying employed and independent physicians, preparing for rapid outpatient growth, and navigating CMS policy changes. She discusses regional strategy, standardizing care and education, and building resilient orthopedic service lines centered on access, quality, and patient experience.

In this episode, Allison Roditi, Vice President of Orthopedics at Catholic Health, shares how the system is unifying employed and independent physicians, preparing for rapid outpatient growth, and navigating CMS policy changes. She discusses regional strategy, standardizing care and education, and building resilient orthopedic service lines centered on access, quality, and patient experience.

This week I continue The Search For An Account Management Tool [powerpress]

340B Insight wants to make our podcast the best it can be. To help us succeed, we'd like to hear your thoughts. Please take just a few minutes to complete our listener survey, and we will enter you in a drawing to win a $100 gift card! To participate, please go to 340bpodcast.org/survey.For the third year in a row, we consulted 340B Health's experts on our staff to answer our listeners' most pressing 340B questions. As 2026 gets underway, we answer your questions about the CMS drug acquisition cost survey, what states are doing on 340B this year, and more. Some of the topics we cover:CMS Drug Acquisition Cost Survey Not MandatoryEarlier this year, the Center for Medicare & Medicaid Services (CMS) launched a new survey focusing on hospitals' outpatient drug acquisition costs, which could lead to Medicare Part B payment cuts for 340B drugs. Some hospitals recently saw materials suggesting they are required to complete the survey. Amanda Nagrotsky, vice president of legal and policy for 340B Health, notes that a CMS rule states there are no penalties under the Medicare statute for hospitals that choose not to respond. 340B Health and other groups sent a joint letter asking for the language to be corrected, citing the confusion it has caused.State Legislatures Are Becoming Major Battlegrounds for 2026Just over one month into 2026, statehouses are already shaping up to be one of the biggest venues to debate various aspects of the 340B. Two broad categories of bills are emerging: legislation protecting access to 340B pricing — including protections for contract pharmacy arrangements — and state-level reporting mandates. 340B Health Senior Vice President of Government Relations Tom O'Donnell says the proposed reporting mandates mirror other states' recently enacted requirements, and he argues they can be misleading, burdensome, or modeled on frameworks promoted by large drug companies.Medicare Announces More Drug Price Caps for 2028Medicare is phasing in maximum fair pricing – or MFP – for high-spending drugs over several years. CMS recently announced the next group of 15 drugs that will be subject to these types of price caps in 2028, adding to the 2026 and 2027 drug lists. Starting in 2028, these price caps will apply to both Medicare Part D and Part B drugs, including those purchased through Medicare Advantage. 340B Health Senior Manager of Pharmacy Services Gilda Yeboah says this means hospitals will see reduced 340B savings on certain drugs as Medicare prices move closer to existing 340B ceiling prices. Yeboah says the issue is complex and evolving, and 340B Health is working to share concerns about MFP implementation with federal agencies.Resources340B Health and Allies Urge CMS Contractor To Correct Statement Suggesting Hospitals Must Respond to OPPS Drug Cost SurveyStates Introduce New 340B Legislation in 2026 SessionsMaine Federal Court Rejects Drug Company Challenge to State 340B Contract Pharmacy LawMedicare Expands List of Drugs Subject to Price Caps, Decreased 340B Savings Starting in 2028Manufacturer Notices to Covered EntitiesHRSA Releases 340B Purchase Data for 2024FY 2025 Manufacturer Audit Results

Send a textSchedule an Rx AssessmentWith TrumpRx officially live, the first major PBM reform in decades signed into law, and the FTC squeezing historic concessions out of Cigna/Express Scripts…Did independent pharmacy just have its “Super Bowl week?”In this bonus episode, Scotty Sykes, CPA, CFP®, Bonnie Bond, CPA, MBA, and Austin Murray break down what these rapid-fire developments actually mean for pharmacy owners.We cover:MFP UpdatesTrumpRx going liveFTC + Cigna/Express Scripts settlementWhat new CMS transparency could mean for pharmacy reimbursementAnd more!Stay connected with us on social media:FacebookTwitterLinkedInScotty Sykes – CPA, CFP® LinkedInMore on this topic:Podcast: Business As Usual...Until It Isn't: MDPNP's Impact on 340BPodcast: Driving Independent Pharmacy Profitability in 2026Podcast - Maximizing Med Sync

CMS permanently authorized virtual direct supervision for contrast-enhanced imaging starting January 2026. But state laws, ACR standards, and technologist training create a complex compliance environment. What does your facility need to know right now? ContrastConnect City: Las Vegas Address: Las vegas Website: https://www.contrast-connect.com/

CMS has permanently redefined 'immediate availability' for direct supervision, allowing virtual oversight via real-time audio-video. But what does that mean for distance, coverage, and contrast administration? We break down the regulatory layers and compliance pitfalls you need to know. More at https://www.contrast-connect.com/blog-post/cms-immediate-availability-definition-explained-meaning-distance-coverage-requirements-2026-update ContrastConnect City: Las Vegas Address: Las vegas Website: https://www.contrast-connect.com/

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Natalie Henley, CEO of Volume Nine, is here to unpack how she bought out her agency's founder. Not through PE, not through M&A, but as a trusted insider who built her path from employee to owner. Natalie shares the behind-the-scenes story of how she structured the deal without needing an SBA loan, the mindset shifts she had to make, and how the agency survived both Google's algorithm changes and COVID-19 cratering their top clients. In this episode, we'll discuss: Grooming your #2 to become your successor, or become the one buying. Avoiding mistakes that slow down or kill an internal exit. Using creative financing (HELOCs, owner carry notes, balloon payments) to structure the deal. Knowing when an employee has what it takes to run the agency. Preserving trust and team stability during a leadership transition. 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. Links: Natalie's free AI and SEO grader tool: geo.v9digital.com Want to know what your agency is worth? Check out the Agency Valuation Calculator   The overlooked exit strategy: selling your agency to a team member… Natalie started as an employee in a boutique digital firm. When it got acquired by Volume Nine, she climbed the ranks the old-school way: by taking on every problem no one else would. Over time, she ran the company. Then COVID hit. The agency's revenue cratered. Clients disappeared. The founder wanted out. But instead of flipping to a stranger, he turned to Natalie. The "Oh Shit" Moment and the Deal That Followed When the founder came to Natalie with the offer to buy, he already had the groundwork laid. He'd called the bank, scoped out an SBA loan, and gave her a number. Natalie didn't have a pile of cash sitting around, but she did have grit, resourcefulness, and inside knowledge of the business. She didn't take the SBA route. Instead, she pieced together a creative financing stack: A HELOC for the down payment An owner-carry note A balloon payment at the end The company is paying for itself over time. No brokers. No middlemen. Just a fair, fast, founder-to-founder deal. Why This Worked (And Why Most Don't) Natalie had already been: Running the company Exposed to the numbers Made a co-owner years earlier This wasn't a random promotion. It was a trust-built, stress-tested evolution. And it mattered. Because when the deal closed, the culture didn't collapse. The clients stayed. The team believed. What if the best buyer for your agency is already on your team? If you're feeling done, but still care about your agency, selling to a team member might be the cleanest win. Here's how to set it up: Start grooming your #2 now. VP → President → Co-owner → Buyer. Expose them to EBITDA, profitability, client churn…. everything. Stress-test them: give scary responsibilities and see how they show up. Be fair. Don't squeeze every dime. The goal is continuity and peace of mind. Don't wait until you're burned out. Move before it's a fire drill. Agency ownership is a wild ride. If you're looking for a graceful exit that doesn't torch your legacy, this might be it. And if you're the #2? Start acting like the owner today. You never know when the keys will be offered. As Natalie said, "If you care about your team and the agency's legacy, you owe it to yourself to consider your employees as potential buyers. Even if they say no, at least you gave them a shot." 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.

Reader: Bek Hudson Preacher: John Sugars We welcome our CMS link missionaries, John and Deb Sugars. John is preaching from Psalm 43, reflecting on God's faithfulness through all situations. The psalmist is depressed (cf V2 "Why must I go about in sorrow because of the enemy's oppression?"). Isn't it great that he can speak with God with such honesty? But what is geeater is that we too can speak to God in exactly the same manner when we're under a strain. God wants to hear our honesty and will help us in our darkest moments/ Red Door is an Anglican Church in Melbourne, Australia. We exist to be a community of people helping people make allbecau of life all about Jesus.

The Trump Administration is cracking down on what it calls a major exploitation of California's Medicare and Medicaid systems. CMS Administrator Dr. Mehmet Oz joins the show to explain how vulnerable seniors were allegedly targeted, how organized criminal networks took advantage of the system, and why CMS is now pressuring California leaders to take corrective action. Get the facts first with Morning Wire.- - -Ep. 2621- - -Wake up with new Morning Wire merch: https://bit.ly/4lIubt3- - -Today's Sponsor:Lean - Get 20% off when you enter code WIRE at https://TakeLean.com - - -Privacy Policy: https://www.dailywire.com/privacymorning wire,morning wire podcast,the morning wire podcast,Georgia Howe,John Bickley,daily wire podcast,podcast,news podcast Learn more about your ad choices. Visit podcastchoices.com/adchoices

Host Justin Barnes invites Anthony Murray, Chief Interoperability Officer and ISSO at MRO. With over 20 years in healthcare, Anthony shares insights on interoperability, FHIR, TEFCA, security and trust challenges. MRO pledged to the CMS ecosystem to be part of the solution, Anthony explains where this goes from here. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

WMAL GUEST: CHRIS KLOMP (Director of Medicare and Deputy Administrator of CMS) on the launch of TrumpRX.gov and the administration’s new deals with pharmaceutical companies. WEBSITE: CMS.gov READ: President Launches TrumpRx.gov Website Offering Americans Discounted Prescription Drug Prices Where to find more about WMAL's morning show: Follow Podcasts on Apple Podcasts, Audible and Spotify Follow WMAL's "O'Connor and Company" on X: @WMALDC, @LarryOConnor, @JGunlock, @PatricePinkfile, and @HeatherHunterDC Facebook: WMALDC and Larry O'Connor Instagram: WMALDC Website: WMAL.com/OConnor-Company Episode: Friday, February 6, 2026 / 8 AM HourSee omnystudio.com/listener for privacy information.

Health Affairs' Jeff Byers welcomes Senior Editor Kathleen Haddad back to the pod to discuss the recently passed $1.2 trillion spending appropriations bill, its included reforms for pharmacy benefit managers, the latest round of drugs slated for the Medicare Drug Negotiation program, TrumpRx, the upcoming flat rate for Medicare Advantage plan rates, and more recent health policy news.Related Articles:Congress Reins In Drug Middlemen In Effort to Lower Prescription Prices (The New York Times)Analyzing The Drugs Selected For The 2028 Medicare Drug Price Negotiation Cycle (Health Affairs Forefront)The No UPCODE Act: Considering A Simple Start To A Complex Problem (Health Affairs Forefront)PRESS RELEASE: CMS Announces Selection of Drugs for Third Cycle of Medicare Drug Price Negotiation Program, Including First-Ever Part B Drugs

The Friday Five for February 6, 2026: IntegrityCONNECT Question Educational Resources for Insurance Agents Government Funding Bill Update Luffu AI for Family Caregivers ACA Enrollment Comparison   Get Connected:

On this episode of The Dish on Health IT, host Tony Schueth, CEO of Point-of-Care Partners (POCP), is joined by colleagues Mary Griskewicz, Regulatory Resource Center Lead, and Janice Reese, Senior Consultant and Program Manager of FHIR at Scale Taskforce (FAST), for a wide-ranging discussion on two major proposed rules released in mid-December 2025: the HTI-5 proposed rule from the Assistant Secretary for Technology Policy (ASTP) and CMS's latest proposal on healthcare price transparency. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

I had a conversation recently with a web team at a college who were stuck in a painfully familiar trap. They had a sprawling, chaotic website that had grown like an untended garden over the years. They knew it was letting users down. They had plenty of ideas for how to make it better. And yet, every time they tried to improve things, they hit a wall.Sound familiar? I suspect it might.The team had been there for years, and they had developed what I call "institutional scar tissue." Every suggestion was met with an internal voice saying "we tried that once and it didn't work" or "I don't have the power to change that." They had been worn down by years of small defeats until the only option that felt possible was incremental improvement to what already existed.And incremental improvement, when applied to something fundamentally broken, is a bit like repainting a house with a crumbling foundation. Sure, it looks nicer from the street, but you're still one bad storm away from serious structural failure.The trap of fixing what existsWhen you try to fix an existing website, you inherit all the reasons it became broken in the first place. Every stakeholder who fought for their pet page is still there. Every "but we've always had that section" is still lurking. Every technical limitation that forced an awkward compromise is still constraining your options.Worse, you're starting from a position of defense. You have to justify why something should be removed or changed. The burden of proof is on you to explain why the current state is wrong, rather than on stakeholders to explain why their content deserves to exist.This is exhausting work. And it rarely produces genuinely transformative results.Wait, haven't I said the opposite?Now, if you've been reading my stuff for a while, you might be thinking "hang on, Paul. Haven't you spent years telling people not to do periodic website redesigns?" And you'd be right. I have. I've written at length about how the boom-bust cycle of website redesigns is damaging. How you end up with a shiny new site that slowly decays until someone throws a tantrum and the whole thing gets rebuilt from scratch.Incremental improvement is almost always the better path. Small, continuous changes based on real user data. No big-bang launches. No throwing out the baby with the bathwater.So why am I now suggesting we do exactly what I've warned against?Because sometimes the rot runs too deep. When you're dealing with thousands of pages of redundant, outdated, and trivial content, when every attempt at incremental change gets blocked by institutional politics, when the team has been so beaten down that they can't imagine anything better, you need a different approach. Not a traditional redesign where you migrate all the old problems into a new template. Something more radical.You need to imagine what you would build if you were starting from nothing.Start from nothingThe approach I suggested to this team was counterintuitive: stop trying to fix the website. Instead, imagine you're building from scratch.If you were launching this college's online presence tomorrow with no existing site, what would you build? What are the actual tasks people need to accomplish? What questions do they have at each stage of their journey? Strip away all the accumulated cruft and think about what a prospective student genuinely needs.For a college focused on student recruitment, it might be shockingly simple. Someone needs to find a course, understand if they can afford it, and apply. That's perhaps 200 pages of genuinely useful content. Not the thousands that currently exist.Frame it as a thought experimentDon't announce that you're redesigning the website. That triggers immediate defensiveness. Every stakeholder starts worrying about their territory. Before you've finished your sentence, half the room is already composing their objection.Instead, frame the whole exercise as a thought experiment. "We're not proposing anything. We're just imagining what perfect could look like. What would we build if we had no constraints? If we were starting fresh tomorrow?"This framing is disarming. People stop defending and start dreaming. They can engage with the vision without feeling threatened, because it's explicitly hypothetical. No one's being asked to commit to anything yet. It's like asking someone what they'd do if they won the lottery. They'll tell you all sorts of things they'd never admit to wanting otherwise.Make it a collective visionBut, don't do this thought experiment alone.Bring in a few trusted people from other departments early in the process. Ask them what excites them about what better could look like. Let them shape the vision alongside you.When you do this, something important shifts. It stops being "the web team's idea" and becomes a collective vision. Those collaborators become invested. They'll defend it in meetings you're not in. They'll sell it to their own teams. And if one of those collaborators happens to be a senior executive, you've just gained a powerful champion who can clear obstacles you couldn't even see.Think of it like rolling a boulder down a hill. The hardest part is getting it moving at all. You're pushing and straining and it barely budges. But once you've got a few people pushing with you, momentum builds. Energy creates more energy. Excitement spreads. What started as a small team's thought experiment becomes something the whole organization wants to see happen.Turn it into a prototypeThe output of all this imagining should be something tangible. Not a document. Documents don't generate momentum. Prototypes do.You can write the most beautifully reasoned strategy document in the world, and everyone who reads it will walk away with a slightly different interpretation of what it actually means. But show people a clickable prototype where they can move through the experience from beginning to end, and suddenly everyone is on the same page. There's no ambiguity. They can see it, click through it, and imagine themselves using it.I often recommend teams create what I call a "shiny thing." This is a functional prototype of the ideal experience, built quickly and without worrying about all the practical constraints. It's not meant to be launched. It's meant to excite.The UK Government Digital Service did exactly this when they were trying to transform government websites. They got a small budget to build a prototype of what better could look like, ignoring all the legacy systems and political constraints. When they published it and got public feedback, everyone loved it. That enthusiasm created the momentum to push through all the obstacles that had previously seemed insurmountable.Watch the burden of proof flipOnce you've got people excited about this collective vision, something interesting happens. You flip the burden of proof. Anyone who objects is now the one ruining the party."Our CMS can't support that" stops being a conversation-ender and becomes a question: why not? Shouldn't our systems be flexible enough to deliver what users actually need? "But we've always had it" no longer works as an argument either. If it doesn't serve the vision everyone now wants, it's the thing that needs justifying.Remember COVID? Working from home was impossible before 2020. Absolutely out of the question. IT couldn't support it, security was a nightmare, productivity would collapse. Then suddenly it wasn't impossible at all, because there was enough momentum and desire to make it happen. Organizations can change dramatically when they really want to. Your job is to make them want to.Separate everythingOne final piece of advice: keep your projects small and separate.When you're trying to create a new vision, scope creep is your enemy. Someone will point out that you also need to consider existing students. Someone else will mention that the CMS is being replaced next year. Another person will want to tie in the new CRM system. Before you know it, your focused vision has become a massive, unwieldy initiative that will take years and satisfy no one.When people try to expand the scope, don't fight them. Simply agree that their concern is important and deserves its own dedicated project. "You're absolutely right, existing student retention deserves as much attention as recruitment. We'll run that as a separate project and link the two together later."This way, you can actually make progress on one thing instead of being paralyzed by trying to solve everything at once. Perfect is the enemy of good, and "comprehensive" is the enemy of "actually getting shipped."Breaking freeIf you're stuck maintaining a website that feels like a lost cause, I'd encourage you to try this approach. Stop asking "how do we fix this?" and start asking "what would we build if we were starting fresh?"Map out what users actually need. Create a prototype of that ideal experience. Get stakeholders excited about the vision. Then, and only then, start figuring out how to make it real.The constraints that feel immovable today might prove surprisingly flexible once people genuinely want what you're proposing. The trick is giving them something worth wanting.If you're an in-house digital leader trying to drive this kind of change and finding the organizational politics overwhelming, I offer one-to-one coaching to help you build influence and lead with more confidence. Sometimes having someone in your corner who has navigated these waters before makes all the difference.

SEO expert Favour Obasi-ike, MBA, MS delivers an in-depth comparison of Shopify SEO and Squarespace SEO CMS platforms, focusing on their SEO and CRO capabilities and website development features. This discussion covers critical technical insights about theme management, URL structure optimization, metadata configuration, and platform-specific best practices.Favour shares actionable strategies for improving website visibility, including the importance of regular theme updates, proper sitemap configuration, and effective use of SEO metadata. The session also touches on comparisons with WordPress, Wix, and other CMS platforms, providing business owners with practical guidance for choosing and optimizing their e-commerce and content-driven websites in 2026.Book SEO Services | Quick Links for Social Business>> ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Book SEO Services with Favour Obasi-ike⁠>> Visit Work and PLAY Entertainment website to learn about our digital marketing services>> ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join our exclusive SEO Marketing community⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠>> Read SEO Articles>> ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Subscribe to the We Don't PLAY Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠>> Purchase Flaev Beatz Beats Online>> Favour Obasi-ike Quick LinksEpisode Key Learning Topics1. Shopify Platform Deep DiveShopify as a closed-source e-commerce CMS platformTheme Liquid customization and custom code implementationImportance of regular theme updates for algorithm visibilityPre-installed sitemap functionality and automated SEO featuresApp ecosystem vs WordPress pluginsMulti-currency and multi-language capabilitiesSchema.org integration for product pages2. Squarespace Platform OverviewUser-friendly, content-driven platform positioningComparison with Shopify for product-based vs content-based websitesQuick setup and on-the-go management capabilitiesIntegration capabilities and limitationsBest use cases for small businesses and content creators3. SEO Metadata OptimizationProper configuration of SEO meta titles and descriptionsOpen Graph (OG) tags for social media sharingURL structure best practices and character optimizationThe importance of unique metadata vs duplicated contentHow to edit SEO metadata in Shopify product pages4. URL Structure StrategyStrategic URL naming conventions for productsUsing numbers strategically in URLs (e.g., "red-roses-12-piece" vs "12-piece-red-roses")Pattern disruption for user attention and click-through optimizationShorter, more concentrated URLs for better visual scanningPre-purchase click optimization through URL clarity5. Technical SEO FundamentalsSitemap management across different platformsGoogle Search Console setup and sitemap submissionThe difference between Google Analytics and Google Search ConsoleNAP (Name, Address, Phone) consistency for local SEORobots.txt configuration and indexing control6. Wix Platform InsightsHidden robots.txt settings affecting blog tag indexingHow to enable tag indexing in Wix SEO settings10-year evolution of the Wix platformCommon indexing issues and solutions7. WordPress vs Closed-Source PlatformsOpen-source flexibility vs closed-source constraintsPlugin management and sitemap conflictsThe analogy of "square footage" for platform capabilitiesWhen to choose WordPress over Shopify/Squarespace8. Content Strategy & Page ManagementThe power of compounding through content updatesUpdating old blog posts alongside publishing new onesFooter copyright year updates as ranking signalsOn-page SEO details that AI and search engines scanCreating and maintaining a content calendar9. Website Maintenance Best PracticesRegular theme updates and their impact on visibilityChecking and updating footer copyright yearsMonitoring broken links and slow page speedsPlatform-specific maintenance requirements (Shopify, Squarespace, WordPress, Webflow, Wix)10. Free Website Audit OfferFavour's offer for surface-level website auditsDeep dive capabilities for root problem identificationMulti-platform support (Shopify, Squarespace, WordPress, Webflow, Wix, Magento, Tilda, Duda)Email newsletter with SEO, marketing, and AI insightsEpisode Timestamps00:00 - Introduction: Shopify SEO vs Squarespace SEO comparison00:53 - Welcome and housekeeping (saving replays, accessing resources)02:36 - Shopify platform overview and e-commerce focus03:01 - Why Shopify stands out (price-friendly, brand-aware, aesthetically pleasing)03:43 - Shopify themes and purchasing considerations05:43 - Critical question: When did you last update your theme?06:40 - How theme updates affect algorithm visibility07:00 - Closed-source vs open-source platforms explained07:08 - Theme Liquid customization in Shopify08:00 - Shopify as your hosting platform08:10 - Apps in Shopify vs plugins in WordPress08:21 - Squarespace positioning and user-friendliness09:00 - Platform comparison analogy: Square footage (500 to 20,000 sq ft)09:33 - When aesthetics and ease-of-use matter most14:00 - Detailed Shopify theme management discussion18:00 - SEO metadata and URL structure fundamentals22:00 - The importance of page quantity and content strategy28:00 - Sitemap management and Google Search Console setup28:15 - Why Shopify pre-installs sitemaps (no conflicts)29:00 - WordPress sitemap conflicts and plugin management29:32 - The sitemap as "the brain of a website"30:00 - Content compounding strategy: updating old posts31:06 - Wix robots.txt issue: blog tags set to "no index" by default32:00 - How to fix Wix tag indexing in SEO settings33:00 - Tags as hashtags and their importance for visibility34:05 - Critical action item: Update your footer copyright year to 202635:00 - Why footer year matters for AI and search engine scanning36:01 - Shopify advantages for multi-language and multi-currency37:03 - Google Search Console vs Google Analytics confusion37:20 - The "reverse gear" moment in SEO audits42:00 - Deep dive into URL structure optimization45:00 - Strategic use of numbers in product URLs48:00 - Open Graph (OG) tags explained52:00 - Schema.org and structured data importance58:00 - Product page SEO metadata workflow in Shopify58:15 - How titles auto-generate URLs and the edit button59:00 - Example: "6-piece red rose bouquet" URL structure59:23 - Optimizing URL readability and pattern disruption60:00 - Pre-purchase click optimization through URL clarity61:00 - Character count optimization for URLs63:00 - Shopify vs Squarespace integration comparison63:16 - Schema.org as the "golden standard" for web documentation63:48 - NAP (Name, Address, Phone) consistency explained64:00 - "Dress how you want to be addressed" philosophy68:00 - Free website audit offer details70:00 - Platforms supported for audits72:00 - Newsletter signup for SEO, marketing, and AI insights74:00 - Surface-level vs deep-dive audit explanation75:00 - Closing remarks and call to actionFrequently Asked Questions (FAQs)Q1: What's the main difference between Shopify and Squarespace?A: Shopify is primarily an e-commerce platform optimized for product stores with extensive selling features (multi-currency, multi-language, robust app ecosystem), while Squarespace is more content-driven and user-friendly, ideal for portfolios, blogs, and smaller businesses that need quick setup without extensive product management.Q2: Why is updating my website theme important for SEO?A: Regular theme updates signal to search engine algorithms that your website has an updated setup and infrastructure. An outdated theme (e.g., last updated in August 2025 when we're in 2026) can cost you visibility because the algorithm may perceive your site as less maintained and current.Q3: What is Theme Liquid in Shopify?A: Theme Liquid is Shopify's templating language that allows you to customize code within the closed-source platform. It's where you would add custom elements like pop-ups, tracking codes, or other modifications that aren't available through standard theme settings.Q4: Do I need to create a sitemap for my Shopify store?A: No. Shopify automatically generates and maintains your sitemap as soon as you publish pages, products, collections, and posts. This is a major advantage over WordPress, where you need to install and configure sitemap plugins and ensure there are no conflicts.Q5: What's the difference between Google Search Console and Google Analytics?A: Google Search Console is for submitting your sitemap and monitoring how search engines crawl and index your site, while Google Analytics tracks visitor behavior and traffic sources. Both are important, but they serve different purposes. You must submit your sitemap to Search Console for proper SEO.Q6: How do I fix the Wix tag indexing problem?A: Go to your Wix dashboard, click Settings (bottom left corner), navigate to SEO Settings, find the Blog Tags section, and disable the "no index" robots.txt setting that's enabled by default. This allows your blog tags to be indexed by search engines.Q7: Why should I update my footer copyright year?A: The footer copyright year (e.g., "© 2026") is on-page text that AI and search engines scan. An outdated year (like "© 2023") signals that your site may not be actively maintained, even if you've updated content elsewhere. It's a simple but important ranking signal.Q8: How should I structure product URLs for better SEO?A: Use strategic placement of descriptive words and numbers. For example, "red-roses-12-piece" is better than "12-piece-red-roses" because users scanning search results will see "red roses" first, then the number variants (6, 12, 36), creating pattern disruption that draws attention and improves pre-purchase clicks.Q9: What is Open Graph (OG) and why does it matter?A: Open Graph tags control how your content appears when shared on social media, messaging apps, and other platforms. When you send a link via WhatsApp or iMessage and see a preview with title and image, that's Open Graph data. Properly configured OG tags ensure your content looks professional when shared.Q10: Should I choose Shopify, Squarespace, or WordPress for my business?A: Choose Shopify if you're running a product-based e-commerce store and need robust selling features. Choose Squarespace if you need a quick, aesthetically pleasing site for content, portfolios, or small-scale selling. Choose WordPress if you need maximum customization, flexibility, and control (open-source), but be prepared for more technical management.Q11: What is NAP and why is it important?A: NAP stands for Name, Address, Phone number. For websites, "address" includes your domain (www address). Consistent NAP information across your website and online directories is crucial for local SEO and helps search engines verify your business legitimacy.Q12: Can I get a free website audit from Favour?A: Yes! Favour offers surface-level website audits to help identify issues like broken links, slow pages, and basic SEO problems. The audit supports multiple platforms including Shopify, Squarespace, WordPress, Webflow, Wix, Magento, Tilda, and Duda. Links are available in the episode description or through the newsletter signup.About the Podcast HostFavour Obasi-ike, MBA, MS is an SEO and digital marketing expert who specializes in helping business owners optimize their websites for search visibility and conversion. Favour offers website audits, SEO consulting, and maintains a detailed email newsletter covering SEO, marketing, and AI insights. Visit our quick links above to get access.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of 1st Talk Compliance, Kevin Chmura is joined by Robyn Johns, as they discuss recent updates to their November live webinar, Compliance Cliffs: Navigating Telehealth Waivers and Reimbursement Changes. Learn how the policy landscape has shifted in recent months—especially around telehealth flexibilities, controlled substance prescribing, and the 2026 CMS payment rules.   Kevin Chmura Welcome to 1st Talk Compliance. I’m Kevin Chmura, CEO of Panacea Healthcare Solutions. Today we’re bringing you a timely update on our November live webinar, Compliance Cliffs: Navigating Telehealth Waivers and Reimbursement Changes. Since that webinar, several policy changes have moved quickly, especially in telehealth flexibilities. Controlled substance prescribing and 2026 CMS payment rules. Before we jump in, just a quick note. 1st Talk Compliance is brought to you by 1st Healthcare Compliance, a part of Panacea Healthcare Solutions. We help healthcare organizations strengthen their compliance programs with practical education tools and compliance management support. So teams can reduce risk, keep pace with regulatory change and operate with confidence. Now I’m pleased to welcome back Robyn Johns from Med USA. Robyn, thanks for coming back. Robyn Johns Thanks, Kevin. I’m happy to be here. Kevin Chmura  Great. So, let’s jump in. So, in November on the webinar, we spent a lot of time on what people were calling the telehealth cliff, which was creating a tremendous amount of uncertainty on whether flexibilities would expire. Can you catch us up on what the status is now? Robyn Johns  Yeah. The major update is that the spending package released on January 20th includes extensions of the telehealth flexibilities all the way through December 31st of 2027. Kevin Chmura So that’s a pretty meaningful runway. That’s great, but I guess doesn’t eliminate compliance obligations, but it is reducing near-term uncertainty which give everybody some time to standardize workflows. So, it’s in the news, but maybe you could tell. So, what’s in the spending package at a high level and what should healthcare leaders like us be paying attention to? Robyn Johns   Right. So, it was the one from the 20th was a $1.2 trillion spending package released by the House Appropriations Committee and it was just passed yesterday on the 22nd in two separate votes by the full House. So, those bills included the remaining six of the twelve appropriations necessary to avert a government shutdown. So that’s good news for everyone. If we can get them across the finish line, they funded many of the federal government agencies such as HHS, Labor, Defense, HUD, and also Homeland Security. That was a contentious one. That’s why they had to do two separate votes. It funds them through fiscal year 2026, which ends on September 30th of this year. Kevin Chmura  So, OK, so we have a funding package with multiple healthcare policy riders. Not, I guess not too surprising in today’s day and age. So, besides the telehealth through 2027, what else is included in there that compliance and operational leaders should know about? Robyn Johns   So the writers also include PBM reform and it extends hospital at home actually through 2030, which is another one that hit a lot of facilities hard with the government shutdown. It extends Medicare dependent hospital and low volume hospital programs, which is really beneficial for our rural providers and it delays the Medicaid disproportionate share cut again until fiscal year 2028. Notably, for a lot of people, it does not include an extension of the ACA subsidies, which were such a sticking point in the government shutdown last fall. Kevin Chmura  Yeah, that that that last point is operationally really important and coverage instability often turns into eligibility churn and puts real pair mix pressures on the you know same patients, different coverage, right.? And that’s just you know probably increases downstream compliance and documentation stress. Yeah that’s a that’s a tough one. So what’s the timing of congressional action now? Robyn Johns So with the House passing all of the bills, they now send the full appropriations package to the Senate. The Senate will take all of that up when they return from recess on Monday the 26th, and will hopefully pass them all ahead of the January 30th deadline. And hopefully without any significant changes which might require them to go back to the house because the house will be on recess next week. Kevin Chmura  Wow. So split schedule, it’s why we should keep ourselves in a monitoring posture. I guess we should always be monitoring, but things are moving pretty quickly right now and you sort of get into that world of what is expected is not what’s in effect. Which is always, always a tough place to operate, but hey, that’s healthcare, isn’t it? So, given the extension to 2027, in your opinion, what should compliance teams be doing now? Like what’s some practical next steps? Robyn Johns First, you’ll want to make sure that your internal policies and educational materials reflect what’s currently in effect. No major changes since most of those telehealth things were extended, but it’s always good to double check because lots of things change around the beginning of the year. Also validate your payer specific rules. Medicare policy direction is influential, but commercial payers and state laws differ. So, you got to make sure that you are matching up with those differences. And then third, we should we talk about strengthening your auditing of documentation, the modifiers, your place of service, medical necessity, all of those things that can vary depending on the payer and the specific situation of the patient. Kevin Chmura  Yeah, that that payer variation point is where a lot of organizations end up being exposed, I guess, right? Telehealth’s not really governed by one rule. You’ve got federal policy, state overlays, and then you have commercial policy updates really coming at you a number of different ways. So, I guess a good controls to maintain maybe a payer policy matrix and try to align it into your documentation and coding guidance. Probably a solid piece of advice. Robyn Johns   Absolutely. Kevin Chmura   Yeah. So, let’s move on to probably one of the highest risk areas that we covered in the webinar, and that’s controlled substance prescribing via telehealth. What’s the latest there? Robyn Johns   Good news there as well. At the end of the year, DEA and HHS extended the telehealth flexibilities for prescribing controlled substances through this year, December 31st of 2026. There are a few rules that can apply, but because they extended the flexibilities, it’s pretty much status quo until they change it again at the end of the year. Kevin Chmura   Cool, so that’s a critical compliance area because of the high risk profile and it that really includes some regulatory scrutiny and enforcement, not really just a reimbursement issue. Robyn Johns   Yes, it’s highly watched. Kevin Chmura   Yeah. And I guess as well, it should be. So given that, what control should organizations prioritize right now to reduce risk in that area? Robyn Johns  Definitely you’ll want to have clear prescribing policies, good documentation standards, and role-based training. Also, usually they want to include identity verification and required checks when they’re applicable, and consistent auditing to ensure that your process is followed, not just written down. This is another area where state regulations can vary, so you would want to make sure that you are compliant in every state where you see patients. Kevin Chmura   Yes and you’re the expert, not me. But I guess I’d add if you expand health to if you expand the telehealth quickly, take time now to ensure your governance is mature. And I’m thinking credentialing, supervision, documentation and audit trails always the basics that can help you pulled up under scrutiny. Robyn Johns   Definitely. When you expand quickly, sometimes you sacrifice certain things for speed. So, you have a minute now to go back now that you’re sure that those policies aren’t changing anytime soon to just go back and make sure that everything’s in place, all of those areas. Kevin Chmura  Yeah, I mean like any business runs better and with certainty, but at healthcare we rarely have that. So, great. So, moving on to the 2026 CMS updates that that we talked about a little bit. So, there’s been some changes in payment policy that are driving operational changes and it’s where those operational changes come in, where we introduce compliance risks if teams can’t keep pace and often they can’t. So, what are the 2026 physician fee schedule highlights? Robyn Johns   Yeah. So, we talked about these back in November and of course they went into place at the beginning of this year. So, a little bit of good news there with the conversion factor. It included the 2.5% increase that had been mandated by Congress. It also included a .75% increase for clinicians in advanced APMs or a .25% increase for clinicians who participate in MIPS or who are exempt. And then there was also a .49 budget neutrality increase. Kevin Chmura So, so the real impact varies by payer mix, site of service and quality of participation. What about RVU related changes? Robyn Johns   So that’s kind of the devil in the details there. It also implemented a -2.5% efficiency adjustment on certain non-time based services to the physician work RVU and there is also a + or -50% practice expense RVU adjustment for facility based services. So, it’s -50% if it’s facility based services or a +50% for non-facility based services. Kevin Chmura   Wow. So site of service is increasingly strategic and it’s where we see compliance issues often arise, right? You get inconsistent documentation, coding and policy adoptions across different departments and locations. Certainly not easy. Robyn Johns   No. Something you definitely need to watch closely because it is different depending on where you are and what services you’re providing. Kevin Chmura   Yeah. So, one other hotspot or another hotspot that that we often see is incident to. What's going on there? Robyn Johns  So the physician fee schedule in that they updated the definition of direct supervision for incident to billing to permanently allow supervision through real-time audio video communication except for services that have a 10 or a 90-day global surgery period. So, the supervising physician no longer has to be physically present in the office suite, they just have to be immediately available through real time audio video communication. Kevin Chmura   OK, so that’s operationally pretty significant, right? But I guess the compliance take away is relatively simple. If you’re using remote supervision, your incident to workflows must be precise. I guess who supervises, how it’s documented, and where the exceptions apply as precise as you can make all of those, huh? Robyn Johns   Yes, absolutely. Because you are relying on remote supervision, you’ll want to make sure that that is documented very effectively. Kevin Chmura   Yeah, cool. So, what about the OPPS and ASC final rule highlights for 2026? Robyn Johns Yeah. For those that these apply to, there was a 2.6% increase as well in the payment rates. They also expanded hospital price transparency requirements and we’re seeing a lot more attention and probably enforcement in that as well. There was a three-year phase out of the inpatient only list. Site neutral payments were expanded to include Drug Administration Services and the ASC covered procedures list is expanded much in relation to the inpatient only list Phase out. Kevin Chmura Yeah, that that that that’s an interesting one. So the phase out of the inpatient only list is a real operational shift and it’s one of those opportunities for providers to move volume to better cost locations, but really your compliance needs to follow those patients, right and where you’re having them. And so, when your volume moves, audits and education have to move with it, which is probably a challenge and what we know and we at our parent company, at Panacea, price transparency just remains a compliance and reputational priority because failures lead to penalties, but bad data also leads to a lot of scrutiny. So, good that there’s some, you know some guidance there, but it’s clear that those are going to be things that really need to be paid attention to from a compliance perspective. Robyn Johns Yes, for sure. Kevin Chmura So it was hard to watch the news over the last, I don’t know, six to twelve months without talking about the One Big Beautiful Bill Act. So, we’ve been tracking it. I know you’ve been tracking it. So, what’s the timing on practice impacts that you expect? Robyn Johns So most of those One Big Beautiful Bill Act Medicaid requirements that are likely to impact practices, they don’t actually begin until January of 2027. So, practices still have some time to continue their assessment and preparation for those. The immigrant eligibility changes do take effect on October 1st of this year, 2026. So that’s a little bit shorter period of time, but you do have a little bit of time to continue to figure out how that may affect your practice if you have a high number of Medicaid patients, and prepare for the ways that you can offset those eligibility changes and payment requirements. Kevin Chmura Yeah, that clarity on the effective dates really can help teams allocate resources correctly and that’s often a challenge especially when you’re tracking proposed rules versus final rules and not sure when things will go into effect. So that’s good. So, as you’re looking out on the landscape in 2026, what are some of your top compliance priorities that you’re advising organizations to focus on? Robyn Johns Yeah, we’re currently focused on probably five or so top priorities for 2026, not in any specific order, but we are watching data privacy and security. Part of that is because HIPAA updates are underway to both the privacy and security rules, though timelines are unclear. We’re not sure when or i f we’ll see any final rules on those, but we do know that healthcare remains a prime target of cyber-attacks, so we have to constantly be vigilant to that and related to that, but also separately, is AI and other emerging technologies. AI is changing the landscape for the types of attacks we receive, but also the way we have to respond to them. It also is changing the landscape of healthcare generally, both in the provider office and at the payers and at the government. Those other emerging technologies like digital tools, those can increase the compliance risk in your environment, and we need to remember that both government and commercial payers are using AI to identify outlier claims faster and increase their auditing. Then we also have the fraud, waste and abuse enforcement. CMS we know has currently been focused a lot on Medicare Advantage, but that scrutiny can shift oversight over to providers as well because that’s where so much of the data that the Medicare Advantage plans use comes from. The OID also continues to focus on telehealth. There are other focuses are drug device and biologics and program integrity areas such as DME, Hospice and Drug Administration. So, want to make sure that you’re watching all of those if you practice there. Fourth one we have is vendor and third-party oversight. Many of the largest breaches that have we’ve seen have originated with third parties. So, organizations really need to make sure that you have careful oversight and maintain good monitoring on your third-party vendors and others who may have access to your systems and data. And finally, we know we’re going to continue to see those rapid regulatory updates. Federal and state changes often conflict. We have lots of states that are currently in their legislative period. So that will bring out some changes. And then in addition to that, commercial payers are tightening their policies and auditing in response to the pressures that are being put on that on them, whether from the government or just from a financial perspective. Kevin Chmura Yeah, it is something the pace of acceleration of some of the advances in technology and how they how they’re going to impact us. But I guess you know that’s really the reality of 2026 and beyond. You’re going to see an uptick in in in speed to policy changes, faster detection, which will be something and probably more third-party exposure as we rely on more and more vendors and others to help us do what we need to do every day, but I’m sure you know the advice I’ve heard you give many times and we have to agree with it. A strong compliance program has to be built to adapt. That means clear governance, repeatable monitoring and targeted auditing tied to the current risk with an eye on the future and where everything’s going. Robyn Johns Yeah, definitely. It’s an exciting time, lots of opportunities for improving our programs and really tightening things up to make sure that we’re protecting ourselves and all the information that we are responsible for. Kevin Chmura Yeah, great. So, Robyn, thank you for the update and for helping our listeners translate policy movement into practical compliance actions. To everyone listening, if you want the full context and deeper discussion, you can access the webinar on demand at 1st Healthcare Compliance’s website. It’s called Compliance Cliffs: Navigating Telehealth Waivers and Reimbursement Changes. Thank you for listening to 1st Talk Compliance and we’ll see you next time. Thanks, Robyn. Robyn Johns Thanks, Kevin.

In this "WordPress SEO vs. Webflow SEO Comparisons: Website Development Tutorial + Checklist" podcast episode, host Favour Obasi-ike leads a detailed discussion comparing two popular website development platforms: WordPress and Webflow. The conversation delves into the critical aspects of choosing a content management system (CMS), including setup, design, maintenance, and search engine optimization (SEO). A key segment features a real-world account from a participant, Ryan, who shares his recent struggles with a significant Google algorithm update that drastically impacted his website's traffic and revenue. 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The discussion emphasizes that the best choice depends on the project's specific requirements and the user's technical comfort level.SEO Strategy and ImplementationThe episode explores how SEO is handled on both platforms, from WordPress plugins like Yoast and Rank Math to Webflow's integrated SEO tools. It stresses that while platforms provide tools, a successful SEO strategy relies on consistent effort and quality content.Impact of Google UpdatesListeners will learn about the real-world consequences of Google's algorithm changes, including the importance of continuous link building, content updates, and monitoring search engine results pages (SERPs).Website InfrastructureThe conversation covers the technical aspects of hosting and infrastructure, contrasting the self-hosted nature of WordPress with the managed hosting provided by Webflow. This includes considerations of scalability, performance, and DevOps.Analytics and TrackingThe importance of comprehensive analytics is highlighted, going beyond basic platform-specific metrics to include tracking AI mentions and utilizing tools like Google Search Console to gain a deeper understanding of website performance.Timestamps[00:00] Introduction: WordPress vs. Webflow[03:37] Google Algorithm Update Discussion with Ryan[07:00] SEO Strategy & The Importance of Backlinks[20:00] Comparing Platform-Specific Features[26:00] Hosting, Infrastructure, and Scalability[32:00] WordPress's Dominance in the Market[38:00] Technical Requirements and Maintenance[47:00] Integrating Email Marketing with Flowdesk[50:00] The Future of Analytics and AI Tracking[56:00] Best Practices for Website Development[72:30] Closing Remarks and Preview of Next EpisodeFrequently Asked Questions (FAQs)1. Which platform is better for a beginner with no coding experience?Webflow is generally considered more beginner-friendly due to its visual editor and managed hosting, which simplifies the setup and maintenance process. WordPress, while powerful, has a steeper learning curve and requires more hands-on management of hosting, plugins, and security.2. Can I achieve good SEO results on both WordPress and Webflow?Yes, both platforms offer robust tools to implement a strong SEO strategy. The key to success is not the platform itself, but the consistent application of SEO best practices, such as creating high-quality content, building quality backlinks, and optimizing for relevant keywords.3. How important are plugins for a WordPress site?Plugins are essential for extending the functionality of a WordPress site. They can add features for SEO, e-commerce, security, and more. However, it is crucial to use well-coded plugins from reputable sources, as an excessive number of plugins or poorly-coded ones can slow down your website and create security vulnerabilities.4. What are the main cost differences between WordPress and Webflow?Webflow operates on a subscription model with different pricing tiers based on features and traffic. WordPress is open-source and free to use, but you will incur costs for hosting, domain registration, premium themes, and plugins. The total cost for a WordPress site can vary widely depending on your specific needs.5. What was the key takeaway from Ryan's experience with the Google update?The main lesson from Ryan's story is that SEO is an ongoing process. Relying on past success without continuous effort in link building, content creation, and technical updates can leave a website vulnerable to algorithm changes. It highlights the importance of staying proactive and adaptable in your SEO strategy.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us a textWelcome back to the American Experiment Podcast!Grace and Kathryn sit down to catch you up on all the latest legal drama here in Minnesota. First, a judge orders the release of an illegal immigrant, and his 5-year-old son, after the man abandoned the child while fleeing from ICE. And, Keith Ellison suffers a loss in court as he attempts to block Operation Metro Surge.After that, they dig into a story from the Star Tribune: an Ecuadorian family of illegal immigrants living in Minnesota decides to self-deport.Next, Dr. Oz, Administrator of CMS, pays a visit to Minnesota—one of the most notorious fraud hubs in the country and home to more than $400 million in fraud. Be sure to visit our new site, MNFraudFiles.com, for the latest information and updates on Minnesota's growing fraud scandal.Finally, Renee Carlson from Minnesota Family Council joins the show to talk about defending women before the Supreme Court.Check out our NEW legal podcast  ⁨@RationallyBasedPodcast⁩ Remember to LIKE, SHARE, COMMENT, and SUBSCRIBE and never miss an episode of the American Experiment Podcast! See you next Tuesday afternoon!Find the full audio show wherever you get your podcasts:AppleSpotifyFollow The American Experiment on all social platforms:TwitterInstagramFacebookTikTok00:00 - Coming up on today's episode...00:31 - Welcome Back!01:45 - Federal Judge orders release of 5 year old and illegal immigrant dad04:10 - Don't fall for the propaganda...05:13 - Keith Ellison LOSES in court trying to stop ICE05:59 - More Habeas cases in January than ALL of 202508:35 - Ecuadorian family living in MN decides to SELF DEPORT15:31 - Be sure to check out rationally BASED podcast!17:02 - Dr. Oz pays notorious MN fraud site, a visit20:53 - Could MN lose $2 BILLION in federal funding?!23:46 - Check out MNFraudFiles.com25:58 - Renee Carlson joins the show!

This week I Answer Listener Questions [powerpress]

Discover how you can join the course today!:https://sevenfigurecrm.com/how-to-find-and-purchase-books-of-businessesOn this episode of the Seven Figures or Bust pod

Healthcare HR leaders finally get a moment to exhale, but the work is far from over. In this week's Monday News Drop, Bo Brabo, Luke Carignan, and ASHHRA President & CEO Jeremy Sadlier break down three critical developments shaping workforce strategy, compliance, and recruiting right now. Segment 1: The 11th-Hour Telehealth Save Congress narrowly avoided the telehealth cliff. The Healthcare Access and Modernization Act of 2026 has been signed, extending Medicare telehealth flexibilities through December 31, 2027. Patients can continue receiving care from home, but new guardrails are in place. Starting in Q2, CMS will conduct quarterly audits of providers billing more than 50% of visits via telehealth. HR takeaway: Release February 1 claims, but immediately flag high-volume telehealth providers and refresh documentation protocols to prepare for increased scrutiny. Segment 2: Kaiser Strike Enters Week Two The Kaiser Permanente labor dispute continues to escalate. With more than 2,000 travel nurses deployed to maintain operations, unions have filed unfair labor practice charges, arguing replacement workers are being paid double what staff nurses requested. Tensions are rising, and public perception is becoming a key pressure point. HR reality check: The hardest work comes after the strike ends. Rebuilding trust, preventing “us vs. them” culture, and aligning leadership, HR, and labor relations will define long-term outcomes. Segment 3: The Visa Surprise The State Department's February 2026 Visa Bulletin delivered unexpected good news. EB-3 priority dates for nurses from the Philippines and India advanced nearly nine months, opening a rare window to accelerate international hiring. Strategic guidance: Speed matters, but ethics matter more. Vet international recruitment partners carefully, ensure compliance with ethical standards, and invest in structured onboarding and community integration to support long-term retention. This Week's Priorities: • Green-light telehealth billing while preparing for CMS audits • Monitor labor activity and cultural risk inside union environments • Accelerate international nurse pipelines with integrity and structure Healthcare HR is no longer reacting to disruption. It is shaping what comes next. From Our Sponsor(s)...Optimize Pharmacy Benefits with RxBenefitsElevate your employee benefits while managing costs. Did you know hospital employees fill 25% more prescriptions annually than other industries? Ensure cost-effective, high-quality pharmacy plans by leveraging your hospital's own pharmacies. Discover smarter strategies with RxBenefits.Learn More here - https://rxbene.fit/3ZaurZN HealthCare Associates Credit Union partners with healthcare organizations to offer a no-cost financial wellness benefit for employees. Built specifically for healthcare professionals, HACU provides everyday banking, loans, mortgages, and financial education - all with no added administrative burden for HR teams. Learn more at HACU's Human Resource Benefit or email directly at busdev@hacu.org and we are happy to take you through the process whether it's opening a membership for yourself or bringing us on as your employee benefits partner. HealthCare Associates Credit Union — a healthier benefit for healthcare HR leaders and their teams.  Support the show

Agency Growth and Challenges in Medicare Industry | Agent Boost InsightsJoin Agent Boost's in-depth discussion on the challenges and opportunities facing agency owners in the Medicare industry. Dan and Mike break down the current market landscape, the importance of mindset, and strategies for building a successful agency. They explore the differences between running a lifestyle business versus a professional, growth-oriented company. With valuable insights into mergers and acquisitions, reimbursement changes from CMS, and the impact on healthcare stocks, this episode is a valuable resource for anyone looking to navigate and succeed in the insurance sector. Stay tuned for announcements about upcoming training workshops and how to position yourself for long-term success.

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Do you feel you're giving everything to your agency and only getting exhaustion as a result? Agencies grow best when they're built around clarity, empathy, and self-awareness. Whether it's pricing, boundaries, team management, or AI, the common thread is intention. Today's featured guest understands that you don't need to hustle harder. You need to design smarter, around who you are, how you work best, and what kind of business you actually want to run. She'll share her perspective on agency growth, self-awareness, leadership, and how AI should actually be used inside a modern agency and provide a real look at what it takes to build an agency that's profitable, human, and sustainable without losing yourself in the process. Ingrid Schneider is the CEO and founder of Stay in Your Lane, a fractional CMO and franchise development agency, and Train in Your Lane, an AI education company helping teams build real AI intuition. What started as fractional work after being laid off during the pandemic has grown into a 16-person team running full marketing departments, launching brands, building LMS platforms, and training companies like Ben & Jerry's and Ace Hardware on how to actually use AI to solve problems. In this episode, we'll discuss: Going from survival mode to self-worth: pricing and confidence. How to set boundaries and protect your brain. Design an agency that energizes you, not drains you. Managing people, not just performance with a human-first approach. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. Building an Agency on Trust and Integrity Ingrid doesn't come from a tidy, linear career path. After being laid off as a CMO during the pandemic, she made the decision to not work for anyone else again. She started doing fractional CMO work to replace her salary, focusing on trust, authenticity, and doing the work well. What began as a solo operation three and a half years ago is now a full team serving a wide range of clients. Some rely on Ingrid's team to run their entire marketing department. Others bring them in for focused, fractional engagements. The growth didn't come from aggressive sales tactics—it came from being reliable, human, and honest about what they were good at. Learning Your Worth and Unlearning Survival Mode When Ingrid landed her first client, she charged $3,000 a month for two brands. And that client still complained about pricing. Like many agency owners, she was focused on replacing her salary, not building a business. Survival mode has a way of shrinking your sense of value. Learning her worth didn't come from a pricing spreadsheet. It came from personal work deconstructing old beliefs, recognizing her own capabilities, and understanding the impact she could have on others. Ingrid talks openly about how her upbringing and past experiences shaped her tendency to underprice herself and overextend. As her confidence grew, so did her standards. She began collecting people with grit, sometimes hiring for attitude over experience, and building a team she trusted deeply. The biggest lesson for her was: if you don't believe in your value, your pricing, and your agency, will reflect that. Preventing Agency Burnout: How to Set Boundaries Running a business can be incredibly stressful, which is why many owners can relate to being in fight or fly mode all the time. However, this is the worst thing for both your health and your business because chronic stress will affect your brain and get you to a point known as "flipping your lid." According to Ingrid, this term, which she learned from Dr. Daniel Siegel, describes what happens when stress pushes you into fight, flight, or freeze. Logic goes offline. Creativity disappears and everything feels harder. For agency owners, this shows up as exhaustion, impatience, and bad decisions, and healing will mean confronting the reality that you can't run a business well if your body and brain are in survival mode. In her case, Ingrid found healing by emphasizing boundaries as a leadership responsibility. Knowing where your value is best served, trusting your team, and recognizing when their lids are flipped allows you to lead with empathy instead of pressure. The agency doesn't need a burned-out hero. It needs a regulated, self-aware leader. Designing an Agency That Energizes You, Not Drains You This is a lesson that agency owners that currently feel miserable with their business and wanting to give up should learn. Drawing your boundaries will look different to everyone, but you can start by asking yourself what you want to do every day and what you never want to do again. Just draw a circle on a piece of paper and start writing. Inside: the work that gives you energy. Outside: everything that drains you. You'll see that most likely what you need is to redesign your agency around this. You can't be all things to all people. Agency that try usually end up miserable and unprofitable. Wins and losses both matter, but only if you're paying attention to what they're teaching you. Topline revenue means nothing if you hate how you're earning it. Sustainable growth comes from aligning what's good for the business with what actually fills your cup. That alignment is what keeps agencies alive long-term. Managing People, Not Just Performance with a Human-First Approach As an empath, Ingrid leads with a people-first approach rooted in Trust-Based Relational Intervention (TBRI). When something goes wrong, she looks at three things in order: herself, the system, and then the person. Are expectations clear? Do they have the resources they need? Is she showing up with patience? Perfectionism isn't the goal in her agency because perfection is stressful, unrealistic, and unnecessary. Instead, the focus is on doing really good work while protecting the team's mental energy. This is where AI comes in, not as a shortcut for thinking, but as a way to remove the minutia that burns people out. This has been the case for Ingrid, who enjoys managing people. If this is not your case, then focus on hiring people who can manage themselves. But remember you have to learn to let go if you want a self-managing team. There are countless ways to reach the same outcome and speed isn't always the metric that matters most. Sometimes the "slow" work produces the best results. Using AI to Empower Teams, Not Create More Noise Ingrid's approach focuses on education and the fact that everyone should be training their AI intuition to be able to understand how an AI tool works and how it could help them. She trained her own intuition by changing her social media algorithms to feed her AI micro-learnings. From there, it became about application: looking at every agency task and asking, Can AI help solve this better? Her team runs weekly "show and tell" sessions where they demo how they used AI to solve real problems. There's also an AI policy but it's framed as a permission slip, not a rulebook. Team members can experiment with tools on a company card, and if they prove value, the agency commits. The bigger point is this: if you're not empowering your team to use AI thoughtfully, you're holding them back. This isn't about pumping out more content—it's about freeing up human brains to do the work that actually matters. 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.

Health Affairs' Jeff Byers welcomes Katie Keith of Georgetown Law and Deputy Editor Chris Fleming to the pod to discuss what to watch out for in 2026 for health policy. The conversation touches on Affordable Care Act subsidies, Medicaid eligibility, guidance for pharmacy benefit managers, drug price negotiations, and more.This week, we announced that Health Affairs has become Health Affairs Publishing, LLC, a single-member limited liability company wholly owned by Project HOPE. To find out more about this exciting new chapter, check out this Forefront piece.Join us for the following events:2/17: The FDA and Its Changing Relationship to Industry2/25: What Excites Insiders About Health Care in 2026?Become an Insider today to get access to these exclusive events.Related Links:Health Policy At A Crossroads: What To Watch In 2026 (Health Affairs Forefront)Prescription Drug Policy, 2025 And 2026: The Year In Review And The Year Ahead (Health Affairs Forefront)

Join us at the Seven Figure Medicare Agent Summit: https://sevenfiguremedicareagentsummit.com/On this special episode of the Seven Figures or Bust pod

The Friday Five for January 30, 2026 Meta Announces Premium Subscriptions TikTok USDS Troubles & New Competitors FY 2026 Appropriations Bills 2025 Tax Season & H.R. 7006 CMS 2027 MA and Part D Advance Notice   Get Connected:

Silver and Gold – Still Going. Big week for earnings. Fed decision on Wednesday. Nat Gas price exploding higher. US Dollar drops hard over past few days. PLUS we are now on Spotify and Amazon Music/Podcasts! Click HERE for Show Notes and Links DHUnplugged is now streaming live - with listener chat. Click on link on the right sidebar. Love the Show? Then how about a Donation? Follow John C. Dvorak on Twitter Follow Andrew Horowitz on Twitter Warm-Up - What we learned from Davos - President Miyagi - tariffs on, tariffs off - January: stocks are trying to finish with gains - Small-caps flying - S&P  500: All-time highs going into earnings Markets - Silver and Gold - Still Going - Big week for earnings - Fed decision on Wednesday - Nat Gas price exploding - US Dollar drops hard over past few days Can't Keep Track Anymore -Trump has announced he is raising tariffs on South Korean imports to 25% after accusing Seoul of "not living up" to a trade deal reached last year. - In a post on social media, Trump said he would increase levies on South Korea from 15% across a range of products including automobiles, lumber, pharmaceuticals and "all other Reciprocal TARIFFS". - South Korea is planning on voting on the "agreement" with the US in February - KOSPI hits all-time high after being down 1% on the news - S. Korea President re-affirms their commitments Davos - 2026 - What we learned - Not much - Same bifurcated view of the world - Trump backed off the Greenland threats - Framework of a "deal" / "plan" - So, no tariffs - (Going to get a boy who cried wolf ....) Gold and Silver - Off to the races - Silver was up again in a big way Monday. Fell back down to earth (up 5% from up 15% earlier in the day - Hovering around $110 - that is impressive - parabolic move - GOLD! - Proving itself as a USD hedge and safety trade (Bitcoin in the dust) - Gold above $5,000 per ounce - - Plenty of reports that central banks are buying up| - USD weakness Economy - Still Strong - The US economy expanded in the third quarter by slightly more than initially reported, supported by stronger exports and a smaller drag from inventories. - Inflation-adjusted gross domestic product increased at a revised 4.4% annualized rate, the fastest in two years, according to Bureau of Economic Analysis data. - Consumer spending advanced at a 3.5% annualized pace last quarter, reflecting the fastest pace of outlays for services in three years, while spending on goods also accelerated from the previous quarter. Amazon - Trimming.... 30,000 jobs is plan - First half of that was in October and now trhery are laying off the remainder - CEO Jassey says that it is not financial of AI issues ---- Again - why so important to state that and make that a focal point? - Layoffs amount to 10% of the corporate workforce - Company still has 1.5 million employees Comeback? - Spirit Airlines is in talks with investment firm Castlelake for a potential takeover of the discount airline, CNBC has learned. - Remember, all started when Jetblue deal was blocked - Frontier tried - Spirit tried a few times to get head above water - nothing worked Booz Cancelled - Treasury Secretary Scott Bessent canceled department contracts with the consulting firm Booz Allen Hamilton, whose employee leaked President Donald Trump's tax records to The New York Times. - The department noted that between 2018 and 2020, Booz Allen employee Charles Edward Littlejohn “stole and leaked the confidential tax returns and return information of hundreds of thousands of taxpayers.” - Booz Allen Hamilton's stock price dropped by more than 10% on the heels of the Treasury Department's announcement. - Why does Booz have tax records in the first place? - Stock down 50% since end of 2024 Private Credit - BlackRock TCP Capital shares lower by 13% after it disclosed Friday night that net asset value declined approximately 19.0%; other private credit stocks falling in sympathy - The Company's net asset value per share as of December 31, 2025 to be between approximately $7.05 and $7.09, an anticipated decline of approximately 19.0% during the quarter ended December 31, 2025, compared to a net asset value per share of $8.71 as of September 30, 2025. - This decline is primarily driven by issuer-specific developments during the quarter. - The Company's net investment income per share to be between approximately $0.24 and $0.26 for the three months ended December 31, 2025. - Decliners: TCPC -13.40% OWL -3.07% ARES -3.30% KKR -2.08% BAM -0.41% CG -0.33% Zoom Communications - Valuation of Anthropic stake - The news is driving shares higher as analysts suggest ZM's $51 mln stake could now be worth between $2-$4 bln based on Anthropic's rumored $350 bln valuation, effectively acting as a "hidden gem" on its balance sheet. - From a fundamental perspective, the company's performance has also significantly improved, evidenced by its Q3 beat-and-raise report in late November where revenue rose 4.4% yr/yr to $1.23 bln. - This stronger financial performance is being driven by robust growth in the Enterprise segment, the rapid adoption of AI Companion features, and the scaling of adjacent growth businesses like Zoom Contact Center and Workvivo. - Consequently, the combination of high-margin operational rigor -- highlighted by a 41.2% non-GAAP operating margin -- and the massive unrealized gains from its AI investments has shifted investor sentiment firmly back toward growth. UNH and Health Stocks - DOWN 20% today - The administration's proposal (via the Centers for Medicare & Medicaid Services, or CMS) for Medicare Advantage reimbursement rates to rise by only 0.09% in 2027. This was far below Wall Street expectations of 4-6% (or higher), following a more generous ~5% increase for 2026. - The near-flat rate aims to improve payment accuracy, curb overbilling practices, and protect taxpayers, according to CMS statements, but it sparked widespread concerns about squeezed insurer margins, potential benefit cuts for seniors, reduced plan offerings, or market exits. - UnitedHealth has significant exposure to Medicare Advantage (roughly 30% of national enrollment), making it particularly vulnerable. The proposal, announced late Monday (January 26), led to a broader sell-off in health insurers: - - Humana (HUM) plunged over 20-21%. - - CVS Health (CVS) and Elevance Health (ELV) each dropped around 13-14%. Tech Earnings Microsoft (MSFT) Reports: Wednesday, January 28 (After Market Close) - Wall Street Expectations:  Earnings per share (EPS): about $3.86 and Revenue: about $80 billion - Growth: high teens year over year revenue growth - Investors are focused on Azure and broader cloud growth, particularly how much of that growth is coming from AI related demand. Microsoft has built a reputation for consistent execution, which also means expectations are high. The critical issues will be cloud growth sustainability, margin stability, and how aggressively management plans to keep spending on AI infrastructure. Meta Platforms (META) Reports: Wednesday, January 28 (After Market Close) - Wall Street Expectations:  EPS: about $8.15–$8.20 and Revenue: about $58–$59 billion - Growth: roughly 20–21% year over year revenue growth - Advertising remains the core driver, with AI driven ad targeting continuing to improve returns for advertisers. While topline growth expectations remain strong, investors are closely watching expense growth. The biggest question is whether rising AI and infrastructure spending can be managed without eroding margins or spooking investors, as Meta works through the next phase of its AI strategy. Tesla (TSLA) Reports: Wednesday, January 28 (After Market Close) - Wall Street Expectations:  EPS (non GAAP): about $0.40–$0.45 and Revenue: about $24.5–$25 billion - Trend: earnings expected to be sharply lower than a year ago - Tesla enters earnings with the weakest expectations among the major tech names this week. Vehicle deliveries declined year over year, and automotive margins remain under pressure. While the energy and services segments continue to grow, they are not yet large enough to offset slowing EV demand. - Investors will be far more focused on forward guidance than on the quarter itself—particularly updates on Full Self Driving, robotaxis, and the broader AI roadmap. Apple (AAPL) Reports: Thursday, January 29 (After Market Close) Wall Street Expectations -  EPS: about $2.65–$2.67 and Revenue: about $138 billion Growth: approximately 11–12% year over year revenue growth - This is Apple's most important quarter of the year. Expectations call for record revenue driven by the iPhone 17 cycle and continued Services growth. The focus will be on margins, China demand, and forward guidance—particularly how higher costs (memory prices and tariffs) may impact profitability. Apple typically beats expectations, but the stock reaction will hinge on what management says about growth beyond this quarter. Company Ticker Report Date Est. EPS Key Focus Area Microsoft MSFT Wed, Jan 28 (AMC) $3.92 Azure AI revenue growth & CapEx spending Meta Platforms META Wed, Jan 28 (AMC) $8.17 Ad monetization of AI & 2026 CapEx guidance Tesla TSLA Wed, Jan 28 (AMC) $0.45 Full Self-Driving (FSD) & Robotaxi updates Apple AAPL Thu, Jan 29 (AMC) Varies iPhone 17 demand & Apple Intelligence rollout ServiceNow NOW Wed, Jan 28 (AMC) $0.88 Enterprise AI software adoption rates IBM IBM Wed, Jan 28 (AMC) $4.28 Hybrid cloud and watsonx performance *AMC = After Market Close; EPS = Earnings Per Share (Consensus Estimates) Boeing - The company's airplane deliveries last year were the highest since 2018, helping drive revenue. Boeing brought in $23.9 billion in the last three months of 2025, a 57% increase over the same period in 2024 and topping analysts' expectations. Cash flow of $400 million was roughly double what Wall Street was expecting. - Boeing brought in $23.9 billion in the last three months of 2025, a 57% increase over the same period in 2024. The airplane manufacturer delivered 600 airplanes last year, up from 348 a year earlier. Another MoonShot - U.S. natural gas prices surged over 17% on Monday morning, climbing above $6 for the first time since late 2022. - It comes as Winter Storm Fern leaves hundreds of thousands without power and forces mass flight cancellations. - The National Weather Service has forecast wind chills as low as -50 degrees Fahrenheit (-45.56 degrees Celsius) across the eastern two-thirds of the U.S. this week. -Up 68% YTD - Nat gas is used in a whole lot of things - electrical grid 43% is fueled by Nat Gas Government - Not Again! - Seems like Dems are threatening a shutdown again - A partial U.S. government shutdown is set to begin on Friday, January 30, 2026. - The Senate is expected to vote on a funding package to avert this shutdown, with delays from a winter storm pushing initial votes to at least January 27, 2026 - The issue is being exacerbated with the ICE / Minnesota issues This is precious - Ex-finance minister Noda currently co-heads largest opposition party - He says that Japan unlikely to get international consent for intervention - Yen, bond selloff requires Japan to be in crisis mode, he says - Government must vow to restore fiscal discipline to end yen fall, Noda says - Japan must create environment allowing for steady BOJ rate hikes, he says - THIS shows us all that the whole thing with these guys/gals is all political. - NEVER EVER if he was in the role would he say anything like this.       Love the Show? Then how about a Donation? ANNOUNCING THE WINNER OF THE THE CLOSEST TO THE PIN CUP 2025 Winners will be getting great stuff like the new "OFFICIAL" DHUnplugged Shirt!     FED AND CRYPTO LIMERICKS   See this week's stock picks HERE Follow John C. Dvorak on Twitter Follow Andrew Horowitz on Twitter

In this episode of The Dish on Health IT, host Tony Schueth, CEO of Point-of-Care Partners (POCP), is joined by colleagues Mary Griskewicz, Regulatory Resource Center Lead, and Janice Reese, Senior Consultant and Program Manager of FHIR at Scale Taskforce (FAST), for a wide-ranging discussion on two major proposed rules released in mid-December 2025: the HTI-5 proposed rule from the Assistant Secretary for Technology Policy (ASTP) and CMS's latest proposal on healthcare price transparency.Rather than treating these rules as abstract policy exercises, the conversation focuses on what the government is trying to accomplish, how these proposals may reshape the interoperability and data access landscape, and why stakeholder participation during the comment period is not optional if the industry wants workable outcomes.Setting the Stage: How Proposed Rules Become RealityThe episode opens with a level set for listeners who do not spend their days in the Federal Register. Mary walks through how proposed rules originate, typically from legislation or executive policy, and how they move from proposal to public comment to either a final rule, an interim final rule, or, in some cases, a complete pause or reset.She emphasizes a point that often gets overlooked: every public comment is read and reviewed. The agencies group and analyze the comments section by section and respond to themes and concerns in the final rule text. Janice builds on this by explaining that the comment period is where high-level policy intent meets operational reality. The most effective comments are not lengthy manifestos, but specific, experience-based feedback that highlights feasibility issues, sequencing challenges, and unintended consequences.HTI-5: From Experimentation to ExecutionThe discussion then turns to HTI-5, with Mary outlining the core problem the rule is trying to address. Prior certification requirements placed a significant burden on vendors, often locking innovation into long development cycles while the market waited for updates. HTI-5 seeks to modernize this approach by reducing prescriptive certification requirements and relying more on modern, open architecture, particularly FHIR-based APIs, to enable faster, more scalable data exchange.Janice frames HTI-5 as a clear signal that the industry is moving out of the experimentation phase and into execution. By reinforcing a “FHIR-first” direction while pulling back on some certification detail, the rule implicitly raises expectations for real-world performance. As FHIR becomes the default, security, identity, consent, and trust cannot be treated as optional or inconsistently implemented components.From a FAST perspective, this shift is critical. HTI-5 creates the regulatory space, but the infrastructure and implementation guidance needed to make trusted interoperability work at scale must come from industry-led collaboration. Janice explains that FAST's work on security, identity, consent, and national directory services is about operationalizing trust so organizations are not reinventing these foundations on their own.Information Blocking, Automation, and Trust at ScaleA pivotal moment in the conversation centers on HTI-5's clarification that information blocking explicitly includes automated and AI-driven access. Mary underscores that automation is now central to how data moves across the healthcare ecosystem. When access decisions are embedded in APIs, workflows, and algorithms, trust becomes the defining requirement.Janice expands on this by noting that the issue is not just whether data can be accessed, but whether access is appropriate, provable, and governed. As automation increases, expectations shift toward accountability, auditability, and consistent enforcement of identity and consent. FHIR APIs, once viewed as certification checkboxes, are becoming the primary channel for data exchange across networks, including consumer-facing applications.Stakeholder Impacts: Vendors, Providers, and PayersThe episode then walks through how HTI-5 affects different stakeholder groups. For health IT vendors and digital health companies, Janice describes a trade-off: fewer certification guardrails provide flexibility but also remove a layer of protection. Vendors will be judged less on formal compliance artifacts and more on how their systems perform across networks at scale, including security, identity management, and reliability.Mary cautions that vendors should not interpret HTI-5 as traditional deregulation. With HTI-6 already on the horizon, organizations that underinvest now risk facing more stringent outcome-based expectations later. Tony reinforces this point, arguing that the real risk is collective. A single high-profile failure due to weak security or identity practices could undermine trust across the ecosystem and invite a regulatory response that affects everyone.For providers and health systems, the shift means becoming more informed consumers of technology. Certification alone will no longer guarantee interoperability or trustworthiness. Providers will increasingly need to ask vendors how solutions perform in environments beyond a single one and how identity, consent, and security are handled across organizational boundaries.From a payer perspective, Mary explains that while HTI-5 does not directly change prior authorization requirements, it fundamentally reshapes the data access environment. As FHIR APIs become the default, plans will be expected to exchange data more dynamically and through automated workflows. This raises expectations around timeliness, quality, and trust, and accelerates a shift from managing transactions to managing trust at scale.Price Transparency: Compliance Without ClarityThe conversation then transitions to CMS's proposed price transparency rule, with Tony noting the absence of POCP's usual price transparency expert and setting expectations for a higher-level discussion. Mary explains that this tri-agency proposal builds on earlier rules by clarifying standards, easing some reporting burdens, and refining requirements around machine-readable files, metadata, and reporting timelines.While these changes offer some relief to plans, Janice highlights a deeper challenge. Making pricing data available does not make it meaningful. Without consistent ways to connect clinical concepts to billing codes and pricing structures, patients and employers are left with technically accurate but practically unusable information. True transparency will require better integration of pricing data into real-time workflows, supported by APIs, governance, and trust frameworks.Mary also reminds listeners that employers are a critical stakeholder often overlooked in these discussions. As purchasers of coverage, they rely on usable pricing data to understand utilization and manage costs, making their perspective essential during the comment period.The Closing Message: Comment, Participate, Get InvolvedThe episode closes with a strong call to action. Mary urges listeners to “get off the bench” and engage, regardless of which rule is at issue. Comment periods directly affect compliance programs, product roadmaps, and competitive positioning. Janice reinforces that policy alone cannot solve interoperability challenges. Progress depends on shared implementation guidance, testing, governance, and sustained participation in standards organizations and multi-stakeholder initiatives, including FAST.The final takeaway is clear: HTI-5 and the price transparency proposal are not just regulatory events. They are inflection points. Organizations that participate now can help shape outcomes that are achievable, scalable, and trusted. Those that sit out will be left reacting to decisions made without their operational realities at the table.Listeners are reminded that both proposed rules have comment deadlines in late February, and that POCP is available to support organizations in understanding the implications and crafting effective comments. The episode closes, as always, with the reminder that Health IT is a dish best served hot. 

Vets Salute VA Nurse Hero. VA Sec Collins' Shameful Statement. Kennedy, Oz & Measles. Flu Season Health Tips. America's ICE Breakers. Allies Furious Worldwide. After the Storm. In this urgent all–new episode of Independent Americans, host Paul Rieckhoff is joined by returning champion Dr. Vin Gupta — Harvard–trained pulmonologist, Air Force Reserve officer, VA ICU doctor and one of America's most trusted medical voices — to break down Trump's escalating war on public health, the VA, and even gun owners themselves. They dig into the murder of Minneapolis VA ICU nurse and veteran caregiver Alex Pretti, what his life and final act of courage mean for nurses, veterans and families nationwide, and how the White House's propaganda machine tried to smear him as a “domestic terrorist” before the truth came out.​ From the flu and measles outbreaks slamming hospitals, to RFK Jr. at HHS, Dr. Oz at CMS, and an EPA that's gutting the Clean Air Act while pretending to “make America healthy again,” Dr. Gupta lays out how this administration is quietly making you and your family less safe — and what you can actually do right now if you're insured, under–insured or have no insurance at all. He explains why VA ICU work is “double service,” why VA nurses like Pretti are unsung heroes of our democracy, and why the VA hospital where Alex worked should bear his name.​ Rieckhoff also rips into VA Secretary Doug Collins' disgraceful response, Trump's new war on gun owners, ICE's spreading abuses, and the chilling implications of a president eager to invoke the Insurrection Act while deploying ICE even to the Winter Olympics. They connect it all to the global fallout from Trump's insults of US allies, the latest from Ukraine and Gaza, Holocaust Remembrance Day, and why California is now working directly with the WHO as a counterweight to DC. And, issue a call to the ⅓ of ICE agents that are veterans.  Because every episode of Independent Americans with Paul Rieckhoff breaks down the most important news stories--and offers light to contrast the heat of other politics and news shows. It's independent content for independent Americans. In these trying times especially, Independent Americans is your trusted place for independent news, politics, inspiration and hope. The podcast that helps you stay ahead of the curve--and stay vigilant. -WATCH video of this episode on YouTube now. -Learn more about Paul's work to elect a new generation of independent leaders with Independent Veterans of America. -Join the movement. Hook into our exclusive Patreon community of Independent Americans. Get extra content, connect with guests, meet other Independent Americans, attend events, get merch discounts, and support this show that speaks truth to power.  -Check the hashtag #LookForTheHelpers. And share yours.  -Find us on social media or www.IndependentAmericans.us.  -And get cool IA and Righteous hats, t-shirts and other merch now in time for the new year.  -Check out other Righteous podcasts like The Firefighters Podcast with Rob Serra, Uncle Montel - The OG of Weed and B Dorm.  Independent Americans is powered by veteran-owned and led Righteous Media.  And now part of the BLEAV network!  Ways to listen: Spotify • Apple Podcasts • Amazon Podcasts  Ways to watch: YouTube • Instagram  Social channels: X/Twitter • BlueSky • Facebook  Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode provides a high-level recap of the major regulatory compliance themes covered in 2025. Dean highlights intense regulatory volatility, especially around CRA and Section 1071, including rule freezes, proposed repeals, litigation, delayed compliance dates, and the CFPB's move toward an interim final rule for small-business lending data collection. The discussion also revisits key fair lending, redlining, and data-analysis topics, along with rising operational risks such as BSA/AML/KYC modernization, third-party risk management, and expanding concerns around AI, data governance, cybersecurity, and privacy. Consumer protection issues featured prominently, particularly Regulation E error-resolution failures, elder financial exploitation, and recurring flood compliance violations. The takeaway for compliance and risk officers: conduct a CMS health check, document lessons learned from 2025, and proactively brief senior management and the board with a clear 2026 risk and compliance plan focused on these evolving priorities. Brought to you by GeoDataVision and M&M Consulting

Send us a textOur key issues for 2026:1. Mental Health Goes Operational Mental health is no longer fringe in workers' comp. Our real challenge now is operationalizing access to timely, evidence-based mental health care so it supports recovery instead of becoming a barrier.2. End of Healthcare Subsidies = Cost Shifting RiskWith federal funding changes, i.e., the loss of funding tied to healthcare subsidies and the Substance Abuse and Mental Health Services Administration (SAMHSA), watch closely for cost shifting into workers' compensation, a pattern the industry has seen before.3. CMS Civil Monetary Penalties. This is a brand-new layer in the Medicare Secondary Payer landscape. CMS is expected to release CMP documentation in March. 4. Complex Claims = The Biggest Opportunity.  Early identification of red flags, faster access to evidence-based care, and better education for claims professionals prevent complexity → chronicity → runaway costs.5. Presumptions Are Expanding. Presumptions continue to shift the burden of proof to employers, especially for PTSD, firefighter cancer, and potential infectious disease claims, with high cost and policy implications. 6. Employee Well-being & “Quiet Cracking.” Quiet cracking, marked by disengagement, burnout, and feeling stuck, is emerging as employees remain overloaded and unsupported. Organizations that treat wellbeing as a core risk management strategy see stronger engagement, faster recovery, and lower overall costs.⚡ Rapid-Fire WatchlistDEI & Diversity – Organizations that lean into diversity perform better and attract stronger talent.Education & Mentorship – The next generation of WC professionals needs mentorship from experienced leaders. Explore mentor/mentee programs. Artificial Intelligence (AI) – It's time to embrace adaptation. Education is key to using AI wisely. Challenge yourself to adapt as AI is changing rapidly and becoming more integrated in our daily lives. Self-Leadership as a Core Competency – Especially for claims professionals. Self-leadership improves empathy, self-regulation, and decision-making.California Premium Increases – California is an outlier worth watching as other states stabilize or decline.

Listen to JCO's Art of Oncology article, "A Chance to Heal with Cold Hard Steel" by Dr. Taylor Goodstein, who is a fellow at Emory University. The article is followed by an interview with Goodstein and host Dr. Mikkael Sekeres. Dr. Goodstein shares a story about surgery, grief, and being courageous in the face of one's own fallibility. TRANSCRIPT Narrator: A Chance to Heal with Cold Hard Steel, Taylor Goodstein, MD Mikkael Sekeres: Welcome back to JCO's Cancer Stories: The Art of Oncology. This ASCO podcast features intimate narratives and perspectives from authors exploring their experiences in oncology. I am your host, Mikkael Sekeres. I am Professor of Medicine and Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center, University of Miami. Joining us today is Dr. Taylor Goodstein, urologic oncology fellow at Emory University and our first Narrative Medicine Contest winner, to discuss her Journal of Clinical Oncology article, "A Chance to Heal with Cold Hard Steel." Dr. Goodstein and I have agreed to address each other by first names. Taylor, thank you for contributing to the Journal of Clinical Oncology, to our contest, and for joining us to discuss your winning article. Taylor Goodstein: Thank you so much for having me. This is a great honor. Mikkael Sekeres: The honor was ours, actually. We had, if you haven't heard, a very competitive contest. We had a total of 159 entries. We went through a couple of iterations of evaluating every entry to make it to our top five, and then you were the winner. So thank you so much for contributing this outstanding essay both to our Art of Oncology Narrative Medicine Contest and also ultimately to JCO. Taylor Goodstein: Oh, thank you so much. Mikkael Sekeres: So, I was wondering if we could start by asking you to tell us something about yourself. Where are you from, and walk us through your career and how you made it to this point? Taylor Goodstein: Well, I grew up in a small town in Colorado - Glenwood Springs, Colorado. It is on the Western Slope, about 45 minutes north of Aspen. I went all the way to the east coast for college, where I ended up minoring in creative writing. So writing has been a part of my medical journey kind of throughout. I went to medical school back in Colorado at University of Colorado in Aurora, and then I did my residency training at he Ohio State University in Columbus, Ohio. And now I am at Emory University for fellowship. And I have been kind of writing all throughout, trying to make sense of the various journeys we go on throughout the experiences we have with going through our medical training. Mikkael Sekeres: That is amazing, and I noticed how you emphasized the "The" in Ohio State University. Taylor Goodstein: Yes, we fought hard for that "The." Mikkael Sekeres: Right, as do we at The University of Miami. Yes. What drew you to surgery, and specifically surgical oncology? Taylor Goodstein: My dad is a surgeon. My dad is an ear, nose, and throat doctor. And I am essentially him. We are the same person, and it made him very, very happy. So when I was looking at different medical specialties, I knew I was going to do a surgical subspecialty, and that is what I was drawn to. And then I was looking for the one that felt right, ended up finding urology, and then throughout my residency journey, I really gravitated towards cancer care. I really loved the patient population taking care of cancer patients, and surgically it felt like a way that I was going to be engaged and challenged throughout my career as there is so much that is always changing in oncology, almost too fast to keep up with all of it. But that is what really, ultimately, drew me to that career path. Mikkael Sekeres: It is great that you had a role model in your dad as well to bring you into this field. Taylor Goodstein: Well, he is very disappointed that I did urology rather than ENT, and he's in private and I am going into academics, so there is plenty of room for disappointment. Mikkael Sekeres: I am sure the last thing in the world he is is disappointed in you. And I will say, so I am able to see your background here, our listeners of course are listening to a podcast and they are not. You have a very impressive bookshelf with a lot of different types of books on it. Taylor Goodstein: This is your guys' background! This was the option of one of the backgrounds I could choose for coming onto this. I didn't want to do my real background because I have a cat who is wandering around and was going to be very distracting. Mikkael Sekeres: That's funny! Taylor Goodstein: But I did like the books. The books felt like a good option for me. I do have a big bookshelf; books are very important to me. I don't do anything on Kindle. I like the paper and stuff like that, so I do have a big bookshelf. Mikkael Sekeres: There is something rewarding in the tactile feel of actually turning a page of a book. You did writing from a very early stage as well. I was an English minor undergrad and then focused on creative writing as well and continued taking creative writing courses in medical school. Were you able to continue that during medical school and then in your training? Taylor Goodstein: Yeah, I thought that is what I was going to do when I first went to college. Like, I thought I was going to be a journalist or writer of some kind, and then I think maybe the crisis of job security hit me a little bit, and then also my desire to work with my hands and work with people. I wanted something to write about, something about my life that would be very interesting to write about, and that sort of led me initially to medicine. But then yes, to answer your question, I have been participating in a lot of writing competitions, like through the AUA, the American Urological Association, they do one every year that I have been doing in residency. And then in medical school we had some electives that involved writing and medical literature that we did. There was a collection of student writings, a book that got published during my last year of medical school that I had a couple of essays in. And the journey changes over time. When you are a medical student, you are on this grand journey and you are so excited to be there, but at the same time you feel so incredibly unprepared and useless in a lot of ways. You are just this medical student. The whole medical machinery is this well-oiled cog rotating together, and you are just this wild little- by yourself just trying to fit in. And that experience really resonated with me. And then residency has its own things that you are trying to make sense of. I think it all pales in comparison to what it is like to be a new surgeon for the first time, taking not necessarily your first big case but early in your career and having complications and making difficult decisions. I think is one of the hardest things that we probably have to deal with. Mikkael Sekeres: Well, you write about this in an absolutely riveting way. When you and your attending, you are a fellow on this case with your attending, realize that in the mess of this aggressive tumor that you are trying to resect, you have removed the patient's external iliac artery and vein, you write, and I am going to quote you now to you, which is always a little awkward, but I am going to do it anyway: "It is hard to explain what it feels like. Belly drops, hands shake, lungs slow down, and heart speeds up. It takes several seconds, marked out by the beeping metronome of the patient's own heartbeat, but eventually we return to our bodies, ready to face the error we cannot undo." As a reader, you are transported with you into that moment when, oh my God, you realize what did we do in this tremendous tumor resection you were undertaking? What was going through your mind at that moment? Taylor Goodstein: This is going to sound maybe a little bit funny, but I always think about this line from Frozen 2. I don't know if you have any kids or you have seen Frozen 2. Mikkael Sekeres: I have kids, and I have seen Frozen, but I have to admit I have not seen Frozen 2, and that is obviously lacking in my library of experiences. Taylor Goodstein: Frozen 2 is incredible, way better than Frozen 1. The adult themes in Frozen 2 go above and beyond anything in Frozen 1. But they are faced with some really big challenges and one of the themes that happens in that movie is all you can do is the next right thing. And it gets said several times. I remember connecting to that when I saw the movie, and I have said it to myself so many times in the OR since. You can't go backwards, you can't change what just happened. So all you can do is the next right thing. And so I think once the shock of what had happened kind of fades, all I am thinking in my head is like, "Okay, what is the next right thing to do here?" And obviously that was calling the vascular surgeon, and thankfully he was there and able to come in and do what needed to be done to restore flow to the patient's leg. Mikkael Sekeres: It is so interesting how we are able to compartmentalize in the moment our emotions. The way you write about this and the way you express yourself in this essay, you are horrified by what has happened. This is a terrible thing, yet you are able to separate yourself from that and move forward and just do the right thing for the patient at that time and get your patient out of this and yourself out of this situation. Taylor Goodstein: I think that is honestly, and maybe not for everybody, but for me that has been one of the challenges of becoming a surgeon is learning that level of emotional control, because all you want to do is cry and scream and pull your hair out and hit your fists against the table, but you can't do that. You have to remain in charge of that ship and keep things moving forward. And it is one of those hidden skills that you have to learn when you are going to be a surgeon that you don't get taught in medical school, and you kind of learn on the job in residency, but there is not as much explicit training that goes into that level of emotional control that you have to have. And I have kind of gone on my own self-journey to get there that has been very deliberate for me. Mikkael Sekeres: That is amazing. Do you think as we progress through our careers, and I don't want to use a term that is so dismissive, but maybe I will try it anyway, that we become more nonchalant about surgeries or writing for chemotherapy or radiation therapy to deal with cancer, or is that fear, that notion of "with great power comes great responsibility," to loosely quote Spider-Man, is that always there? Do we always pause before we start the surgery, write for the chemotherapy, or write for the radiation therapy and say, "Wait a second, what am I doing here?" Taylor Goodstein: I think it is always there, and I would argue that it even grows as you get farther along in your practice and you gain this collection of experiences that you have as a surgeon where you develop complications and from that you change your practice, you change the way you operate, the way you consider certain operative characteristics. I would argue that, as time goes on, you probably get more cautious approaching surgery for patients, more cautious considering the side effects of different treatment options that people have. Mikkael Sekeres: I think that is right. There is danger in reflecting on the anecdotes of your career experience to guide future treatments, but there is also some value to remembering those times when something went wrong or when it almost went wrong and why we have to check ourselves before doing what may become routine at one point in our careers, and that routineness may be doing a surgery or writing for chemotherapy, but always remembering that there is great danger in what we are about to embark on. Taylor Goodstein: Always, yeah. Mikkael Sekeres: Taylor, what makes this story really special and one of the reasons it won our Art of Oncology Narrative Medicine Contest is just how deep you plunged into reflecting on this surgery. And you write, I am going to quote you to you again, you reflect on how people may criticize you and your attending for embarking on this surgery, but you say: "They never met him, not like you did. They did not see him buckled over in pain, desperation in his eyes. They did not hand his wife tissues or look at photos of his pregnant daughter or hear about his dream of making it to Italy one day. They did not hug his family at the end of it all and cry together as he rattled out sharp breaths. And they certainly did not know how much it meant to get two months free of pain and just enough time to meet his granddaughter." There is a hard truth you write it just perfectly, there is a hard truth to why we don't always follow CMS guidelines for not offering treatment at the end of life, isn't there? Taylor Goodstein: Yeah, it is tough. And you know, I think a lot about this because I have heard a few times to be cautious of the armchair quarterbacks, specifically when you are talking about M&Ms. It is so easy to come in at the other side of a bad outcome and talk about how you shouldn't have done this, you shouldn't have done that. And to be fair, during the M&M in question, as I think back to it, the feedback for the most part was very constructive and ways to maybe be more prepared coming into a surgery like this. Like, there were questions about whether - here at Emory, we operate over various different hospitals - of whether the hospital, it should have been done at an even different hospital was like one of the questions, that maybe had more resources. So things like that, but it is hard I think when you get that question like, maybe you shouldn't have operated. And there is- I think one of the lessons I learned here is being unresectable doesn't mean you can't resect the tumor. We say the word 'unresectable', like we obviously we resected it, but what was the cost of that, obviously? Like we can resect a lot of things, but how much collateral gets damaged in the process of doing that? However, it is a very challenging question. I mean, this guy had one option really. I mean, chemo wasn't going to work, radiation wasn't going to work, and his goals were different than our goals are necessarily when we talk about cancer care. He wanted to be free of pain, he wanted to be able to go home. He was admitted to the hospital, he was on an IV, like Dilaudid, like he could not get off of a PCA because of how much pain he was in. And he just wanted to go home and be there for the birth of his granddaughter, and that is what we tried to do for him. In which case we were successful, but in everything else, we were not. Mikkael Sekeres: And you were successful. I could imagine that when people are in pain, their immediate goal of course is to get rid of the pain. Being in pain is an awful place to be. But with the impending birth of his granddaughter, I have to imagine you realign what your goals are, and that must have been primary for him, and you got him there. Taylor Goodstein: We did. I also talked a little bit about this later on, this idea of providing peace for families. I think that there is this sense of maybe peace and acceptance that comes from having tried to do the long shot surgery, that if you had never tried, if you come to them right away and you say, "Oh, this is- I can guarantee that this isn't ultimately going to end up well," there is still like that what's going to linger in the back of their mind if it never gets attempted versus, okay, we tried, it failed, and now we can come with this almost like satisfaction or comfort knowing that we did everything we could. So I guess I think a little bit about that as well. Mikkael Sekeres: Well, I think that is a beautiful place to end this as well. There are so many factors we have to consider when we embark on this cancer journey with our patients and when we make recommendations for treatment, and it sounds like, and it is so beautifully reflected in your essay that you thought extremely holistically about this patient and what his goals were and appreciated that those goals had to be severely modified once he had his cancer diagnosis. Taylor Goodstein: I think the most important sentence is, "I still don't know what the right answer is." And I think that is important for me to end on. Mikkael Sekeres: Well, and you are still in training. I think it is so important to acknowledge that. When you are training, it is important to acknowledge it when you are at my stage of my career as well. There are still encounters where I come out and I think to myself, I am just still not 100 percent sure what the right thing to do is. But often we let our patients guide us, and we let their goals guide us, and then we know that at least it is right for that person. Taylor Goodstein: Yeah, exactly. Mikkael Sekeres: Well, it has been such a pleasure to have Dr. Taylor Goodstein, who is a fellow at Emory University, to discuss her outstanding essay, "A Chance to Heal with Cold Hard Steel." Taylor, thank you so much for submitting your entry to our first Art of Oncology Narrative Medicine Contest, for winning it, and for joining us today. Taylor Goodstein: Thank you so much for having me. Mikkael Sekeres: If you have enjoyed this episode, consider sharing it with a friend or colleague, or leave us a review. Your feedback and support help us continue to have these important conversations. If you are looking for more episodes and context, follow our show on Apple, Spotify, or wherever you listen, and explore more from ASCO at asco.org/podcasts. Until next time, this has been Mikkael Sekeres for JCO Cancer Stories: The Art of Oncology. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Show Notes:   Like, share and subscribe so you never miss an episode and leave a rating or review. Guest Bio: Dr Taylor Goodstein is a Fellow at Emory University.

Send us a textWhen evaluating the CRM category, our analysis intentionally moves beyond CRM modules embedded within ERP systems and instead focuses on best-of-breed CRM platforms and the full spectrum of capabilities that define modern customer engagement. This includes not only core operational CRM functions such as sales force automation and pipeline management, but also upstream marketing automation, downstream customer experience and service workflows, contact center operations, events, search, and the increasing convergence with CMS and website capabilities that anchor the digital customer journey. While vendors may brand these pillars as Sales Cloud, Marketing Cloud, or reposition them around AI- and agentic-workflow narratives, the underlying architecture remains consistent, and strategic orientation matters: some platforms are designed for specific micro-verticals with tightly integrated suites, while others pursue broad horizontal coverage. These choices materially affect extensibility, process design, and long-term fit, particularly across B2B versus B2C use cases, where many CRM systems struggle with complex B2B sales cycles—driving continued demand for low-code and no-code customization and deeper integration across CRM, eCommerce, and CMS ecosystems.In this episode, our host Sam Gupta discusses the top 10 CRM systems in 2026. He also discusses several variables that influence the rankings of these CRM systems. Finally, he shares the pros and cons of each CRM system.Video: https://www.youtube.com/watch?v=kBLUBdDuWQcRead: https://www.elevatiq.com/post/top-erp-systems/Questions for Panelists?

In this episode, Rob and Greg are joined by guest Andy Ruskin, healthcare attorney and government payer expert from K&L Gates. They'll be discussing the 2026 CMS OPPS Final Rule, focusing on the provision related to the ODACS, or Outpatient Drug Acquisition Cost Survey. They'll review the statutory landscape surrounding the survey, recap past attempts by CMS to lower 340B hospital reimbursement, and discuss considerations for hospitals as they contemplate how to respond this time around. In the intro, the guys review updates to manufacturer 340B policies. Specifically, they discuss a new policy from one manufacturer that conditions 340B pricing access for in-house pharmacies on claim submission requirements. 

This week I Talk About Clients Vs Contracts [powerpress]

Andy Cumpstey takes the chair to speak with Professor Lee Fleischer, Emeritus Professor of Anesthesia and Critical Care at the University of Pennsylvania and the former Chief Medical Officer and Director of the Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services. Lee shares his remarkable journey, from his early interest in science and medicine to his pivotal roles in clinical research, healthcare policy, and national advisory boards. He discusses his efforts during the COVID-19 pandemic, the importance of balancing professional commitments with family life, and his ongoing passion for advancing evidence-based perioperative practice. The conversation also explores his work with the CMS, contributions to healthcare policy, and his future aspirations. -- Super Early Bird registration is now open for The Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London, but it ends on 31 January! We are right now offering the best available rates to attend the Congress. We encourage you to register early and take advantage of this opportunity while you still can. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

Watch The X22 Report On Video No videos found (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:17532056201798502,size:[0, 0],id:"ld-9437-3289"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="https://cdn2.decide.dev/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");pt> Click On Picture To See Larger Picture Trump trolls the climate people, temps are going down and there incredible amount of snow. China pushes forward with Silk road. Canada/China try to go around Trump’s tariff system and he warns Carney to stop. The people have been dependent on the government and its because of the [CB]. The [CB]/China are trying to stop Trump’s tariffs. Countries want their gold back. The [DS] is taking the information war and now moving to a physical war. The war is between the American people and the criminal syndicate. The [DS] want Trump to use the insurrection act during the midterms, this way they can use the narrative that he is going to stop the elections. Hold the line, the people are waking up. Trump’s counterinsurgency is getting bigger. Trump will not act until he has the leverage, buckle up its going to get bumpy.   Economy https://twitter.com/disclosetv/status/2015283109235732576?s=20 (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:18510697282300316,size:[0, 0],id:"ld-8599-9832"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="https://cdn2.decide.dev/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");   https://twitter.com/WallStreetApes/status/2014838127677030845?s=20  work, I lose my food stamps, I lose my health insurance and we’re only getting $100 back on taxes. Huh? This is why people don’t want to work because why am I working my butt off and losing all that stuff and still living paycheck to paycheck when I was living paycheck to paycheck before, but I at least had food stamps and health insurance and got $7,000 back. Yeah, how’s that math mathing?”  Repatriate The Gold’: German Economists Urge Withdrawal From US Vaults Shift in relations and unpredictability of Donald Trump make it ‘risky to store so much gold in the US', say experts  Germany is facing calls to withdraw its billions of euros' worth of gold from US vaults, spurred on by the shift in transatlantic relations and the unpredictability of Donald Trump. Germany holds the world's second biggest national gold reserves after the US, of which approximately €164bn (£122bn) worth – 1,236 tonnes – is stored in New York. Emanuel Mönch, a leading economist and former head of research at Germany's federal bank, the Bundesbank, called for the gold to be brought home, saying it was too “risky” for it to be kept in the US under the current administration.  “In the interest of greater strategic independence from the US, the Bundesbank would therefore be well advised to consider repatriating the gold.” Source: zerohedge.com Trump Suggests He Can Send $2,000 Tariff Rebate Checks Without Congress  Bessent has also suggested the $2,000 benefit might not take the form of direct cash disbursements.  the Treasury secretary said while he had not yet finalized details with Trump, the “dividend could come in lots of forms,” such as through tax reductions already under consideration—including exemptions for tips, overtime pay, and Social Security benefits, among other deductions. Source: zerohedge.com Political/Rights Anti-ICE Singer Bad Bunny Reportedly Planning to Wear a Dress at Super Bowl Halftime Show to ‘Honor Queer Icons'  Bad Bunny, the anti-Trump, anti-ICE, Puerto Rican rapper, whose real name is Benito Antonio Martínez Ocasio, is reportedly planning to wear a dress to “honor queer icons” during his Super Bowl halftime performance. The artist has a history of wearing skirts, dresses, and other bizarre costumes. According to a Radar Online report, Ocasio will wear the dress at the NFL's biggest game of the year to “honor Puerto Rican queer icons and generations of drag, resistance and cultural rebellion.” The report states: Source: thegatewaypundit.com https://twitter.com/mrddmia/status/2014745821682483678?s=20 https://twitter.com/disclosetv/status/2014735703490334753?s=20 DOGE  dramatic, final, and beautiful conclusion. I would also like to thank President Xi, of China, for working with us and, ultimately, approving the Deal. He could have gone the other way, but didn't, and is appreciated for his decision. PRESIDENT DONALD J. TRUMP Geopolitical https://twitter.com/KurtSchlichter/status/2015086947782525422?s=20    War/Peace   DONALD J. TRUMP PRESIDENT OF THE UNITED STATES OF AMERICA Medical/False Flags https://twitter.com/TheChiefNerd/status/2014517087830491440?s=20 [DS] Agenda https://twitter.com/gatewaypundit/status/2015410989953433956?s=20    BREAKING: Magistrate Judge Orders Release of Minnesota Church Protestor William Kelly All three Minnesota church protestors have now been released from federal custody. Nekima Levy-Armstrong, Chauntyll Allen, and William Kelly, A federal magistrate judge on Friday ordered the release of William Kelly, the far-left agitator who stormed a St. Paul church and harassed parishioners on Sunday. William Kelly was arrested and charged with conspiracy to deprive rights, a federal crime, and violating the FACE Act 18 USC 248 for his involvement in the St. Paul church riots. Kelly was wearing his signature “F*ck Trump” beanie when he was taken into custody. On Friday, Magistrate Shannon Elkins said there was no basis for pretrial detention.   Source: thegatewaypundit.com https://twitter.com/AAGDhillon/status/2015140496344314364?s=20  https://twitter.com/StephenM/status/2014479574847967639?s=20    https://twitter.com/AGPamBondi/status/2015219042441699797?s=20 https://twitter.com/MrAndyNgo/status/2015263298669707666?s=20   to protect people of color. Renee Good was shot dead two weeks earlier after accelerating her SUV toward a federal agent. https://twitter.com/amuse/status/2015259764800770348?s=20   were merely carrying for self-protection he wouldn’t have had that many rounds on him – it is clear he was prepared to kill as many officers as possible. He didn’t bring his permit or ID (it is illegal to carry in MN without both).   https://twitter.com/redsteeze/status/2015275183591010331?s=20 https://twitter.com/joeybeastmarket/status/2015154134849028324?s=20  his gun. Leftists cannot comprehend agency and therefore believe instead that he literally spawned on the sidewalk and through a series of fascist coincidences he was executed for exercising his constitutional right to do whatever he wants without consequences   1. Pretti engaged in obstructive behavior. 2. Pretti committed a felony assault against a federal officer while armed. 3. Pretti resisted arrest while armed. 4. The fact that Pretti had a gun was revealed to all Officers there. So a person for whom there was PC he had committed a violent felony, was resisting arrest, and was armed with a firearm were among the totality of circumstances known to the Officer at the time he used deadly force. Use of deadly force policy does not require the Officers to wait until they are attacked. https://twitter.com/prayingmedic/status/2015144823909728529?s=20 and assumes the suspect is going to begin shooting, so the cop kills him.   Great State of Minnesota? We are there because of massive Monetary Fraud, with Billions of Dollars missing, and Illegal Criminals that were allowed to infiltrate the State through the Democrats' Open Border Policy. We want the money back, and we want it back, NOW. Those Fraudsters who stole the money are going to jail, where they belong! This is no different than a really big Bank Robbery. Much of what you're witnessing is a COVER UP for this Theft and Fraud. The Mayor and the Governor are inciting Insurrection, with their pompous, dangerous, and arrogant rhetoric! Instead, these sanctimonious political fools should be looking for the Billions of Dollars that has been stolen from the people of Minnesota, and the United States of America. LET OUR ICE PATRIOTS DO THEIR JOB! 12,000 Illegal Alien Criminals, many of them violent, have been arrested and taken out of Minnesota. If they were still there, you would see something far worse than you are witnessing today https://twitter.com/MrAndyNgo/status/2015288336189952066?s=20     https://twitter.com/DHSgov/status/2015273624174023098?s=20   was found in possession of a bag containing several similar devices. The subject was arrested. https://twitter.com/amuse/status/2015293685336846546?s=20   https://twitter.com/MrAndyNgo/status/2015217649442013493?s=20   , which has become popular for the far-left in organizing violence due to its reach with mainstream liberals. Wagner has branded himself on the neck with the gang tattoo of the Antifa “Iron Front” logo, similar to how neo-Nazis brand themselves with fascist symbols. https://twitter.com/JackPosobiec/status/2015223657593716965?s=20 https://twitter.com/GoldenAgeTimes2/status/2015181318053581196?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E2015181318053581196%7Ctwgr%5Ec578672a0fd7f78278c6fea2c4ab03241a2a7051%7Ctwcon%5Es1_c10&ref_url=https%3A%2F%2Fwww.thegatewaypundit.com%2F2026%2F01%2Ftexas-democrat-senate-frontrunner-jasmine-crockett-says-ice%2F   blanche ability to do so.”  or several signals. Let's start with a screen recording of all members of the south side group to start.  to distract the public. Same Deep State playbook. https://twitter.com/MrAndyNgo/status/2015365238862786572?s=20   https://twitter.com/ElectionWiz/status/2015245963648962850?s=20     https://twitter.com/amuse/status/2015259080470802833?s=20 Neon vests for all feds immediately.

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Most agencies don't have a marketing problem. They have a sameness problem. Their websites, their services, their "award-winning team" language. It's all the same. They even have the same promises that sound impressive but mean absolutely nothing to a prospect who's heard it 50 times this week. Today's featured guest has a pretty good idea of why agencies are blending into the background and how the ones that win are doing the opposite. He'll get into differentiation, AI, pricing confidence, RFPs, and why playing it safe is the fastest way to disappear. David Brier is the the branding expert CEOs call when their marketing hits a wall. He calls himself "rehab for brands" to help get them profitable. He is the author of Brand Intervention and Rich Brand, Poor Brand, and he's built a career around one core idea most agencies completely miss: branding isn't about looking better but about being different. After realizing there were more than 25,000 branding books and no agreed-upon definition, David distilled branding down to four words: the art of differentiation. That idea alone reframes how agencies should think about positioning, pricing, and growth, especially right now. In this episode, we'll discuss: Why Differentiation Isn't Optional in the Age of Lazy Thinking. Get Rid of the Agency Speak Saying 'No' as a Strategic Advantage Different is Better Than Better 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. Why Branding and Differentiation Are No Longer Optional for Agencies David's definition of branding cuts through the noise because it mirrors how humans actually behave. We notice what's different. We ignore what feels familiar. If your agency sounds like a remix of every other agency, your prospects' brains will quietly check out. That's why brands like Apple feel predictable in a good way. As Seth Godin once said, you know what an Apple sneaker would be like. You don't know what a Marriott sneaker would be like—and that's the problem. One owns a point of view. The other plays it safe. For agencies, differentiation means making a choice and being willing to lose people who aren't a fit. That's uncomfortable, especially if you're used to trying to appeal to everyone. But the agencies that scale aren't trying to be a choice. They're working to become the choice for the right clients. How "Agency Speak" Is Killing Your Sales Ask most agency owners what makes them different and you'll hear the same three things: our people, our process, our portfolio. That language doesn't differentiate you, it only anesthetizes the conversation. You wouldn't advise your clients to use the language of the competition, so why would you? Additionally, David also believes that brands that take a stand and aren't afraid to be bold will automatically stand out from the many many agencies that are too timid and too afraid to offend. This doesn't mean you have to be divisive. You can be bold in a way that actually brings people together. This fear of being truly different comes from the way we're all wired to believe that an amazing portfolio will be enough to draw people in. But the portfolio isn't the most important thing in the room, is the person sitting across from you. Stop leading with your work and start leading with questions. When you ask better questions and actually listen, prospects feel seen. By the time you show your portfolio, if you even need to, they've already decided whether they trust you. That kind of confidence signals maturity—and it instantly separates you from the agencies still performing their pitch deck like a talent show. Why AI Is Fueling a Sea of Sameness in Agency Marketing AI isn't the enemy… but lazy thinking is. David sees it as everyone is now outsourcing their ingenuity to the same tools, using the same prompts, producing the same safe output. The result is, of course, a sea of indistinguishable brands with no soul and no pulse. What he calls "The Great Wall of Beige." The mistake agencies make is thinking AI replaces brilliance. It doesn't. It amplifies whatever you bring to it. If you don't have a point of view, AI will happily help you sound like everyone else faster. The agencies that win in this era will use AI as a tool, not a crutch. They'll still ask, "Why the hell not?" They'll still challenge assumptions. And they'll still bring conviction, creativity, and human judgment to the table, because that's the part clients can't automate. The Power of Saying No: Reclaiming Pricing and Positioning When a buying process is run by a committee, the goal isn't excellence, it's consensus. And consensus is where great ideas go to die. This is why David stopped participating in RFPs. The most powerful move an agency can make isn't trying harder to win bad deals. It's being willing to walk away. The ability to say no signals strength. It reframes the relationship. When you stop chasing every opportunity and start choosing your clients, pricing objections lose their power. As David put it, when prospects ask why he's so expensive, he flips the script: "Why is everyone else so cheap?" That mindset shift alone changes how clients perceive your value. What's Next for Agencies to Stay Profitable in a Changing Market The landscape is changing even from week to week with new technologies, which makes it harder to predict how the industry will change in years to come. For David, it all boils down to knowing what you're selling. Agencies that sell themselves as commodities will basically go out of business. As he points out, AI is accelerating output but not judgment, taste, or leadership. When everyone has access to the same tools and prompts, the middle ground disappears fast. Agencies that sell "deliverables" instead of thinking will find themselves racing to the bottom on price, competing with software instead of strategy. In a market flooded with instant, AI-generated work, the real differentiator becomes the ability to think on your feet, challenge assumptions, and connect dots in real time. The greatest athletes, actors, comedians, and entrepreneurs in the world were able to think for themselves and could take something unexpected and work with it and improvise. Can you give people something unexpected? That's something no tool can replicate, and it's why experience is becoming more valuable, not less. Why Different Beats Better: Escaping the Race to the Bottom David strongly believes that in these times of sameness and an abundance of content that lacks pulse and personality, different is better than better. Agencies that have completely given up trying to create something unique and have instead relegated the thinking to AI will try to stand out by repeatedly stating they're better, faster, or bigger. David, however, prefers to offer something different. This gives him the confidence to face clients that come to a meeting with rehearsed questions they got from other creators to assess him and counter with "actually, you're asking the wrong question. What you should be asking is…" No framework replaces conviction. The best leaders don't answer scripted questions—they redirect them. That's how you elevate the conversation. That's how you escape commodity pricing. And that's how you build a brand people remember. 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.

On this episode Gil and Gregg welcome Mendel Erlenwein, Founder & CEO of CareCo and CEO of Previva Health Group, to unpack why care coordination is the hidden engine of value-based care, and why AI's most important job in healthcare may be restoring time, trust, and humanity to the patient relationship. They explore Mendel's “brain amplifies heart” thesis, the operational realities of chronic care management and care transitions, and why CMS's newly announced ACCESS Model signals a faster move toward outcome-aligned, technology-supported care in Original Medicare. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

In the 200th episode of the Osterholm Update, Dr. Osterholm and Chris Dall discuss recent changes to the childhood immunization schedule, the latest data on this year's influenza season, and an update on CIDRAP's Vaccine Integrity Project. Osterholm Update producers Dr. Sydney Redepenning and Elise Holmes also join to discuss this milestone episode and reflect on how the podcast has evolved over the years.  CMS to stop requiring states to report childhood vaccination levels (Liz Szabo, CIDRAP News) U.S. vaccination rates are plunging. Look up where your school stands (Weber et al., The Washington Post) Resources for vaccine and public health advocacy: Voices for Vaccines Families Fighting Flu Vaccinate Your Family Shot@Life Medical Reserve Corps Learn more about the Vaccine Integrity Project MORE EPISODES       SUPPORT THIS PODCAST