Podcasts about CMS

On this episode of Diabetes Connections In the news… The FDA approves a new indication and health benefit for Mounjaro, lots of CGM news including an update on Medicare coverage for people who don't use insulin and a new study about using CGM when you don't have diabetes, metformin and aging, statins and type 2, and did you know there was a Dolly Parton diabetes connections? That and much more... Check out all of our events like Moms' Night Out and Club 1921 here. Announcing Community Commericals! Learn how to get your message on the show here. Learn more about studies and research at Thrivable here Please visit our Sponsors & Partners - they help make the show possible! Omnipod - Simplify Life All about Dexcom  All about VIVI Cap to protect your insulin from extreme temperatures The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com  On this episode of Diabetes Connections In the news… The FDA approves a new indication and health benefit for Mounjaro, lots of CGM news including an update on Medicare coverage for people who don't use insulin and a new study about using CGM when you don't have diabetes, metformin and aging, statins and type 2, and did you know there was a Dolly Parton diabetes connections? That and much more.. that's coming up right after this. (AD BREAK) Welcome! I'm your host Stacey Simms and this is an In The News episode.. where we bring you the top diabetes stories and headlines happening now. A reminder that you can find the sources and links and a transcript and more info for every story mentioned here in the show notes. Welcome to September! Want to let you know about a webinar I'm doing with Abbott later this month. That's Sept 23 at 7pm ET. We'll be talking about ketones, DKA and learn more about their dual CGM/ketone monitor that was just approved – more on that coming up. But please register – the link is in the show notes. So much going on over here – tomorrow night we have our Club 1921 in Charlotte, later this month Moms' Night Out Detroit/Bloomfield and in October we're going to Seattle. Please join us. More at d-c dot com slash events. Okay.. our top story this week: XX Another indication for Mounjaro – the FDA approved it to lower the risk of major adverse cardiovascular (CV) events (MACE), including CV death, non-fatal heart attack, or non-fatal stroke in adults with type 2 diabetes who are at high risk for these events. Mounjaro – the brand name of tirzepatide - is already approved as an adjunct to diet and exercise to improve blood sugar in adults and children 10 years of age and older with type 2 diabetes. The approval was based on results from the largest and longest tirzepatide study to date, enrolling more than 13,000 participants across 30 countries over more than four and a half years. In the trial, Mounjaro demonstrated non-inferiority to Trulicity (dulaglutide), a GLP-1 treatment with established cardiovascular benefit, with an 8% lower rate of cardiovascular death, heart attack or stroke (MACE-3). The estimated hazard ratio for time to first MACE was 0.92 (95.3% CI: 0.83, 1.01) for Mounjaro compared to Trulicity (dulaglutide). https://www.prnewswire.com/news-releases/fda-approves-lillys-mounjaro-tirzepatide-to-reduce-cardiovascular-risk-in-adults-with-type-2-diabetes-302862415.html XX The FDA approves the Libre Duo – the first device designed to continuously monitor both blood sugar levels and ketone levels in people with diabetes. The Libre Duo 10-Day Continuous Dual Glucose Ketone Monitoring System is now approved for those ages 2 and older. Until now, the agency said, people had to monitor ketone levels with separate tests that only provided a single measurement at one point in time. The new system combines blood sugar and ketone tests and monitors them continuously. Readings -- and alerts in case of dangerous trends -- are sent wirelessly to a smartphone app. The FDA previously granted "breakthrough device" status to the system, which is meant to expedite the device's development and review. https://www.upi.com/Top_News/US/2026/08/25/fda-oks-blood-sugar-ketone-monitor/5521787688375/ XX Diabetes tech firms Dexcom and Abbott are watching closely for a Medicare coverage expansion that could significantly broaden access to their glucose sensors. The Centers for Medicare and Medicaid Services is expected to expand Medicare coverage of continuous glucose monitors to people with diabetes who do not take insulin. Currently, coverage is limited to people with Type 1 or Type 2 diabetes who take insulin or have a history of problematic low blood sugar. Dexcom CEO Jake Leach told investors in a late July earnings call that the company expects to hear back from the CMS before the end of the year, with coverage going into effect in mid-2027.     Dexcom presented results of a randomized, controlled trial earlier this summer at the American Diabetes Association's Scientific Sessions that it expects will support the CMS' decision. The 26-week study found that people who used a CGM had a larger hemoglobin A1C reduction than the control group and spent five more hours per day in a normal glucose range than the control group. https://www.medtechdive.com/news/dexcom-abbott-await-medicare-coverage-expansion-for-cgms/828775/ XX A new study suggests continuous glucose monitors (CGMs) may offer benefits for people with type 1 diabetes that go beyond improving blood sugar and reducing hypoglycemia.   Researchers analyzed health records from more than 8,400 adults with type 1 diabetes receiving care through the Veterans Health Administration. Over one to four years of follow-up, people who started using a CGM had a 10% to 16% lower risk of death from any cause compared with those who did not use one.   The association appeared strongest among people over age 65 and those who were not using insulin pumps. Researchers did not find meaningful differences based on A1C, race or ethnicity, or frailty.   Importantly, this was an observational study using medical records, not a randomized clinical trial, so it cannot prove that CGM use directly caused the lower death rate. But the findings suggest CGM may have important long-term health benefits beyond glucose management.https://visualize.jove.com/42319755-continuous-glucose-monitoring-initiation-is-associated-with-reduced-mortality-in-older-onset-type-1-diabetes-patients-a-target-trial-emulation-study-within-the-veterans-health-administration XX We've been talking about people without diabetes using CGMs for a long time.. now a new study weighs in. Research published in JAMA finds that this wellness trend isn't helpful for people without a diabetes diagnosis. They found that the strongest evidence for CGM use is for people who are already living with diabetes, but not for those without the condition who use them for wellness purposes. It's also worth noting, though, that this new study is a narrative review. This means that the researchers drew their conclusions from the findings reported in several other studies. More randomized controlled trials would be necessary to see whether there are any meaningful health benefits of using a CGM if you don't have diabetes.   Dower also warned that constantly monitoring your blood sugar when you don't have diabetes could lead to unintended health anxiety. In some cases, you may even make accidental lifestyle changes that could be harmful. "[Blood sugar] spikes may occur after meals, but if this leads someone to replace healthy food such as fruit with unhealthy food such as something high in fat but low in carbohydrate, the glucose information has done more harm than good," Dower said. https://www.verywellhealth.com/blood-sugar-monitor-for-people-without-diabetes-12058575   XX   Could metformin somehow influence the biological processes that drive aging? A new review found evidence that metformin may affect several key features of aging, including how cells use energy, inflammation, cellular damage and even some changes in gene activity. Animal studies have shown longer lifespans or improvements in markers of biological aging, while some human studies have also found promising results.   But researchers say there's still no proof that metformin actually slows aging or helps healthy people live longer. Most human research has involved people with diabetes or other health conditions, and one large trial found that while metformin helped prevent type 2 diabetes, it did not reduce cancer, cardiovascular disease or deaths.   Researchers say larger clinical trials in people without diabetes are needed to determine whether metformin can truly extend healthy lifespan—or whether its benefits are primarily related to preventing and treating specific diseases. https://www.technologynetworks.com/drug-discovery/news/metformin-may-influence-longevity-through-the-gut-microbiome-and-epigenetic-changes-416035 XX More to come including more research on a spice thought to help diabetes, predictions about the number of people who may be living with type 1 in the years to come around the world, and a connection I didn't know about between diabetes and Dolly Parton.   XX A compound found in turmeric may help protect blood vessels from some of the damage caused by Type 1 diabetes. In rats, curcumin reduced inflammation, improved cellular signaling, and restored vascular health to levels resembling those of nondiabetic animals. The results hint at a possible new way to reduce the long-term cardiovascular risks of diabetes, but human trials are still needed. Curcumin, the natural compound responsible for turmeric's vivid yellow color, is widely studied for its anti-inflammatory and antioxidant properties. https://www.sciencedaily.com/releases/2026/08/260824065543.htm XX New research estimates the number of people living with type 1 diabetes (T1D) worldwide will increase by 29% from 9.4 million in 2025 to 12.1 million in 2049. This will be presented at EASD, the Annual Meeting of The European Association for the Study of Diabetes (EASD) in Milan, Italy (Sept 28 – Oct 2 The USA will see an increase of over half a million, going from 1,492,825 to 2,055,235. The authors suggest that the reasons for the predicted high incidence and prevalence in 2049 in countries such as Australia, US, UK are likely to be a combination of genetics, environmental triggers and also high case detection rates (due to the good health care infrastructure here and in other HIC). Unlike previous estimates, the DIAMOND-T1D model takes historical patterns of insulin availability into account and aims to provide global, regional and country-specific estimates of T1D incidence, prevalence and mortality from 1900 to 2050. Although the majority of people with T1D live in high-income countries (HIC) and middle-income countries (MIC), the largest relative increase in the T1D prevalence is expected to occur in LIC as access to insulin, glucose monitoring and survival all improve in those countries. https://www.news-medical.net/news/20260828/Type-1-diabetes-cases-projected-to-increase-worldwide-by-2049.aspx XX Early initiation of statins after a diagnosis of type 2 diabetes was associated with a lower risk of dementia, according to a study published in The Lancet Regional Health – Europe. According to the Lancet Commission, nearly half of dementia cases could theoretically be prevented by eliminating 14 risk factors. "Detecting and treating high levels of low-density lipoprotein cholesterol (LDL-C) from midlife is one such highlighted risk factor," From Danish registers, researchers identified 132,585 statin-naive individuals who developed type 2 diabetes from 2006 through 2019, with follow-up until the end of 2021.   Medical records were searched for diagnoses of all-cause dementia. A clone-censor-weight design was used to analyze dementia incidence in patients with no statin initiation within five years after diagnosis, in those with early statin initiation within one year and in those with late statin initiation between one and five years after diagnosis.   https://medicalxpress.com/news/2026-08-early-statins-diagnosis-diabetes-dementia.html   XX We are heartbroken over the loss of our friend Dolly Parton. Dolly was a beloved icon whose extraordinary generosity, warmth, and compassion touched countless lives, including those of the Children's Diabetes Foundation and the Barbara Davis Center for Diabetes. Her support of The Carousel Ball and Carousel of Hope Ball reflected her deep commitment to helping children and families affected by type 1 diabetes. Beyond her remarkable talent, Dolly will be remembered for the kindness and joy she shared so generously with others. Our hearts are with her family, friends, and all who loved her as we celebrate her extraordinary life and lasting legacy. She will be deeply missed.    

This week I Talk About Accessibility After Launch [powerpress]

The CMS board votes to release a summary of its recent investigation into Superintendent Crystal Hill. Former U.S. Border Patrol Commander-at-Large Greg Bovino stops by east Charlotte, using anti-immigrant language and pushing for more deportations. And U.S. Sen. Darline Graham wins a GOP primary runoff in South Carolina.

The 2027 Physician Fee Schedule signals a continued restructuring of clinician payment-redistributing funds towards primary care and behavioral health while providing signals for what's coming next.OTs and PTs can no longer sit on the sidelines. As straightforward, low-complexity care increasingly moves toward digital pathways and as patients increasingly access care through digital front doors, we must advocate that CMS properly values the high-value cognitive work and in-person, complex clinical reasoning and officially integrates therapy as the missing third pillar of the primary care team. This year's proposed rule is a critical opportunity to provide CMS solutions that can be met by OTs and PTs and advocate for key coding updates: reimbursing existing evaluation codes by complexity level and creating new non-time-based management codes to capture longitudinal care provided by occupational and physical therapists.At OT Potential, we're equipping YOU to raise your voice. In this live webinar and course, we'll spend an hour unpacking the proposed rule, detailing our policy asks, and sharing a simple, plug-and-play comment template so you can submit your own letter to CMS. We'll be led by the incredible Dana Strauss, a doctor of physical therapy and healthcare public policy expert.See full course details here:https://otpotential.com/continuing-education/course/medicare-advocacy-for-2027 See all OT CEU courses here:https://otpotential.com/continuing-educationCheck our our live webinar schedule here:https://otpotential.com/continuing-education/live-webinarsSupport the show by using the OTPOTENTIAL Medbridge Code:https://otpotential.com/blog/promo-code-for-medbridgeTry 2 free OT Potential courses here:https://otpotential.com/free-ot-ceusSupport the show

In this special bonus episode of the Science of Skin Podcast, Dr. Patti Farris sits down with Dr. Sandra (Sandy) Johnson — private practice dermatologist in Fort Smith, Arkansas, and member of the American Academy of Dermatology's Board of Directors — for an urgent conversation on the CMS reimbursement cuts threatening the future of dermatology.Dr. Johnson breaks down the three major proposals from CMS that could devastate dermatology practices nationwide: a proposed cut to the 25-modifier that would penalize combined evaluation-and-procedure visits, a potential overhaul of indirect practice expense calculations that could hit dermatology harder than most specialties, and an effort to remove the AMA's RUC representation — stripping physicians of their voice in how reimbursement values are set.Beyond the policy breakdown, Dr. Johnson shares what the AAD is doing to fight back and exactly what members can do right now: submitting the 30-second advocacy letter through Voter Voice, rallying staff and patients to do the same, donating to SkinPAC, and attending this year's Legislative Conference in Washington, DC before the mid-September deadline.This is a call to action for the entire dermatology community — because a united voice is the specialty's best defense.Topics covered:The proposed 9–25% CMS reimbursement cutsThe 25-modifier and what it means for combined visitsIndirect practice expenses and why dermatology may be hit hardestEfforts to remove the AMA from the RUCHow to take action: Voter Voice, SkinPAC, and the AAD Legislative Conference

Topics covered in this episode: Web UIs for your reverse proxy Wagtail 8.0 is hot off the presses RISC-V is now officially supported by CPython Django's annual releases make every version an LTS Extras Joke Watch on YouTube About the show Sponsored by Logfire from Pydantic: pythonbytes.fm/logfire Connect with the hosts Michael: Mastodon / BlueSky / X / LinkedIn Calvin: Mastodon / BlueSky / X / LinkedIn Show: Mastodon / BlueSky / X Join us on YouTube at pythonbytes.fm/live to be part of the audience. Usually Tuesday at 7am PT. Older video versions available there too. Finally, if you want an artisanal, hand-crafted digest of every week of the show notes in email form? Add your name and email to our friends of the show list, we'll never share it. Michael #1: Web UIs for your reverse proxy Traefik, nginx, and Caddy all sit in front of a lot of self-hosted infrastructure, and all three are configured by hand-editing files. Three active projects put a control plane on top: Traefik Manager (Python + Flask), Nginx UI (Go + Vue), and caddy/ui (React + Node). All three are additive rather than replacements - none of them take ownership of your config away from you - which is the part that matters when the thing has write access to production routing. Traefik Manager is the Python one: Flask 3.1 and Gunicorn for the control plane, a lightweight Go agent for remote instances, currently v1.10.0 with an Android companion app. Nginx UI is a single Go binary at 11.3k stars, with a block-style config editor, an Ace editor doing LLM completion on nginx syntax, and an MCP server so agents can drive it. caddy/ui runs as two containers next to your existing Caddy, reads and writes your Caddyfile directly, and uses Caddy's /adapt API to validate before reload - no Docker socket required. Each one edits the config the underlying server already reads, so your files stay the source of truth and you can drop the UI without unwinding anything. Undo is a first-class feature across all three - timestamped backups with optional Git history, config version compare and restore, Caddyfile snapshots with one-click rollback. Observability is where they diverge: Traefik Manager does CrowdSec and a visual route map, Nginx UI does server metrics, caddy/ui streams access logs over SSE and pulls p50/p95/p99 off Caddy's Prometheus endpoint. Maturity spread is wide - Nginx UI has 11.3k stars, caddy/ui has 4 and was built in a single Claude session - and caddy/ui ships with auth off by default, so set CADDY_UI_USER and JWT_SECRET before it goes anywhere near a public interface. Calvin #2: Wagtail 8.0 is hot off the presses Link: https://github.com/wagtail/wagtail/releases/tag/v8.0 Custom base page models are now supported, so projects aren't locked into subclassing Wagtail's Page as shipped (Matt Westcott). New v3 REST API handles both read and write CMS operations, a first for Wagtail's API. A global registry for permission policies, plus full customizability for the remaining page views via PageViewSet. AVIF and WebP images are no longer auto-converted to PNG by default, a real behavior change to watch on upgrade. Five security fixes: page admin API restrictions, document identification by SHA1 hash, descendant collections in the Documents/Images API, snippet copy permissions, and the page translation endpoint. Formalized Django 6.1 support, and CI now runs on uv with a lockfile. Sponsor: Logfire from Pydantic Your AI agent failed at 2am. Was it the model? A tool call? The database? Most observability tools can't tell you, because they only see part of your stack. Pydantic Logfire sees all of it. One trace across your agents, LLMs, APIs, and database. Down to the infrastructure: services, Kubernetes, and hosts. It's built on OpenTelemetry, with SDKs for Python, TypeScript, and Rust, and it works with any OTel-compatible language. Every prompt, token count, and cost, right next to your vector searches and API calls. You query everything with Postgres-compatible SQL. And so can your coding agent, through the Logfire MCP server. Stop guessing. Read the trace. Pydantic Logfire. AI, it's still just engineering. Visit pythonbytes.fm/logfire today and sign up today. Get 10M records free every month, no card required. You can even click “Onboard with your coding agent” to copy a prompt to have claude or codex integrate Logfire into your app. Thanks to Pydantic for supporting the show. Calvin #3: RISC-V is now officially supported by CPython Link: https://blog.python.org/2026/08/riscv-now-officially-supported/ CPython added RISC-V as a tier 3 platform under PEP 11, specifically the 64-bit Linux target riscv64-unknown-linux-gnu. RISC-V is an open ISA anyone can implement, unlike x86 and ARM, and its market is projected to quadruple by 2032. The RISE Project donated real RISC-V machines for buildbots; the author's work was funded by a Sovereign Tech Agency fellowship. What changes: the port is now a maintained compatibility target, so CPython changes are less likely to quietly break it. What doesn't: no python.org installers, no binary wheel parity for native extensions. Next up: RISC-V runners in CPython CI for pre-merge feedback, then a push toward tier 2, plus architecture-specific optimizations. The ask is testing. If you have RISC-V hardware, build CPython, run your test suite, file what breaks. Tier 3 is the weakest support tier. PEP 11 tier 3 requires a core developer contact and a buildbot, but failures on tier 3 platforms explicitly do not block a release. Saying "ongoing CI/testing expectations" oversells it. The honest bit is "someone is now on the hook for it, and breakage gets noticed," not "it's guaranteed working." Worth the caveat that this is Linux SBCs, not microcontrollers. A VisionFive 2 counts, an ESP32-C6 or Pico 2 does not. Those are 32-bit non-Linux parts where MicroPython is still the answer. Michael #4: Django's annual releases make every version an LTS Starting with Django 2028, Django will move to one January feature release per year, adopt calendar-based version numbers, and support every release for three years. The old distinction between standard and LTS releases disappears, giving teams a predictable annual upgrade path that aligns more closely with Python's own release and support cadence. Every Django release becomes the safe, long-supported choice, so teams no longer need to wait for a specially designated LTS version or absorb two years of changes at once. Each release gets one year of mainstream bug fixes followed by two years of security and data-loss fixes. New releases support the three latest Python versions and add the next Python release during their first year. Calendar versioning begins with Django 2028, followed by Django 2029 and so on. Three Django versions will be supported at any time, giving third-party packages a clearer rolling target. Nothing changes before 2028, and existing commitments for Django 5.2 LTS and 6.2 LTS remain in place. Extras Calvin: The Python docs now document the time complexity of built-in types https://docs.python.org/3.16/library/time-complexity.html Thinking in Python - Bruce Eckel's free book https://thinkinginpython.com/ Michael: prune_uv_pythons.py - Prune uv-managed Python installs, keeping only the newest patch per minor version Runs automatically in my system “upgrade” script: upgrade-output-2026.png Started using Ollama cloud models for my Hermes assistant. Thanks to Jeff Triplett I learned they are not just local models. Joke: The Tao of Programming - Book Seven: Corporate Wisdom

Terry discusses the 1op 10 Coding Corner Membership questions of the quarter, including Telehealth, the reality of voice recognition transcription disclaimers and some of the new proposals from CMS slated for 2027. Tune in to get the rundown. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Top 10 Tuesday Medical Coding Q and A appeared first on Terry Fletcher Consulting, Inc..

On this episode of The Sean Spicer Show, Sean sits down with Dr. Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services (CMS), to discuss the growing problem of fraud in Medicare, how scammers are exploiting the system, and what CMS is doing to protect taxpayers and beneficiaries. Then, Evita Duffy-Alfonso joins the show to share highlights from the ultimate Great American Road Trip — traveling across the country with her family and her dad, Transportation Secretary Sean Duffy. https://www.seanspicer.com subscribe for an ad free version of this podcast Bedford Reinforced Plastics - https://www.bedfordreinforced.com/spicer https://ruffgreens.com/⁠ enter code: SPICER for your FREE starter pack Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Greg and Rob are joined by healthcare attorney Kyle Vasquez to discuss the recently released CMS 2027 OPPS proposed rule. They'll review key provisions in the policy that could impact 340B hospitals, including significant changes to billing requirements, reimbursement rates, and changes to CMS implementation of provider-based criteria for offsite outpatient departments. Earlier in the episode, the guys catch up on 340B news. Questions for us? Email us at 340BUnscripted@spendmend.com

Eigentlich für meine Lieblingskund*innen angedacht, gibts nun die Möglichkeit, alle nerdnews ins E-Mail Postfach zu bekommen: Wichtige Themen rund um WordPress, Hosting, CMS und Sicherheit. Bei wichtigen Sicherheitsthemen informiere ich Dich zeitnah und damit schneller, als es im nerdcafe Podcast möglich ist – bei eher langfristigen Themen oder allgemeinen Infos lass ich mir auch gern mehr Zeit. Das bedeutet: Es kann gut sein, dass du in einem Monat drei mal von mir hörst – und im Monat darauf gar nicht. Wenn du darauf Lust hast und informiert sein willst, kannst du hier die nerdnews abonnieren. https://nerdcafe.online/nerdnews/ Musik verbindet - Hier gehts zur nerdcafe Playlist: https://play.nerdcafe.online Was ist das nerdcafe? Im nerdcafe Podcast dreht sich alles um WordPress, Hosting, Content-Management-Systeme und Web-Themen. Du lernst zum Beispiel: - wie du deine WordPress Website besser verwaltest - welches Hosting zu deinem Projekt passt - warum Backups und Updates wichtig sind - welche Tools dir bei deiner Website helfen können - wie du dein eigenes Webprojekt mit WordPress umsetzen kannst. Kurz gesagt: Alles, was dich interessiert, wenn du mit deiner eigenen Website, WordPress oder einem Online-Projekt starten möchtest. ☕ Mach's dir gemütlich und komm gern dazu im nerdcafe. Viel Spaß beim Zuhören.

This week I Share My Recap From WordCampUS 2026 [powerpress]

Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode:  Elizabeth Casolo, “Mount Sinai quietly stops accepting some new patients with government-backed plans,” August 19, 2026, https://www.beckershospitalreview.com/finance/mount-sinai-quietly-stops-accepting-some-new-patients-with-government-backed-plans/, Becker's Hospital Review.  Elizabeth Casolo, “450,000 New Yorkers risk losing health coverage in wake of $7.5B federal funding cut,” September 10, 2025, https://www.beckerspayer.com/payer/450000-new-yorkers-risk-losing-health-coverage-in-wake-of-7-5b-federal-funding-cut/, Becker's Payer Issues.  Sydney Halleman, “Hospitals feel the pinch as more patients lose insurance,” August 4, 2026, https://www.healthcaredive.com/news/hospitals-feeling-pinch-patients-lose-insurance/826764/, Healthcare Dive.  Centers for Medicare and Medicaid Services, “CMS' program history,” https://www.cms.gov/about-cms/who-we-are/history.  Nicole Huberfeld & Matthew Lawrence, “Why It Matters: HR1's Change to Medicaid Waiver Budget Neutrality Rules,” February 19, 2026, https://petrieflom.law.harvard.edu/2026/02/19/why-it-matters-hr1s-change-to-medicaid-waiver-budget-neutrality-rules/, The Petrie-Flom Center.  Phil Galewitz, “Trump Team's Use of Arcane Budget Rule Threatens Medicaid Coverage,” August 14, 2026, https://kffhealthnews.org/medicaid/trump-cms-medicaid-expansion-1115-waivers-budget-neutrality-arkansas/, KFF Health News.  The University of Arizona News, “U of A and Gila River Health Care (an entity of the Gila River Indian Community) launch nation's first MD-granting medical school branch within a Tribal Nation,” August 18, 2026, https://news.arizona.edu/news/u-and-gila-river-health-care-entity-gila-river-indian-community-launch-nations-first-md.  Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.

Tune in here to this Monday's edition of the Brett Winterble Show! Brett Winterble is out today so we're joined by Breaking Brett Jensen, and he kicks off the program by talking about the mix of national and local issues he'll cover throughout the show. Jensen previews his exclusive interview with Treasury Secretary Scott Bessent ahead of the upcoming G-20 financial summit in Asheville, along with President Trump's new economic sanctions against Iran. He also looks ahead to a conversation with White House Principal Deputy Press Secretary Anna Kelly. On the local front, Jensen breaks down the latest developments surrounding CMS after listeners spent the weekend asking what happened with the school system. He also previews the South Carolina Senate primary between Ralph Norman and Darlene Graham, with the winner expected to become the state's next senator. Listen here for all of this and more on The Brett Winterble Show! For more from Brett Winterble check out his YouTube channel. See omnystudio.com/listener for privacy information.

Good Morning BT with Bo Thompson and Beth Troutman | Monday, August 24th, 2026. 6:05 Beth’s Song of the Day | Beth has a new perfume 6:20 President Trump makes trip to Myrtle Beach to campaign for Darlene Graham 6:35 Sen. Tim Scott on Meet The Press talks Darlene Graham | President Trump interview with Michael Cohen 6:50 RAM Biz Update; Ghost Jobs 7:05 WBT text line weighs in on Ghost Jobs and the application process 7:20 Beth's new perfume overwhelms (In a good way!) | Caller Carl 7:35 Beth cannot smell her own perfume 7:50 Beth's perfume cont. 8:05 Panthers win in Jacksonville, At home vs Houston for last preseason game 8:20 First day of school with the world's 2nd best P.E. teacher 8:35 WBT text line talks High School bell schedule 8:50 First day of school | CMS starts tomorrow 9:05 Guest: Mick Mulvaney - SC Senate race 9:20 Mick Mulvaney cont. - Trade negotiations with Canada going south 9:35 Mick Mulvaney cont. - Who is Natalie Harp? 9:50 Mick Mulvaney cont. - Michael Cohen interviews President Trump | beef pricesSee omnystudio.com/listener for privacy information.

CMS starts a new school year tomorrow; a K Needs Play update (link here); and the White House sets its sights on NC mail-in ballots in advance of the November General Election

Health Affairs Publishing's Jeff Byers welcomes Erica Socker of Georgetown University to the pod to discuss her recent Forefront article that explores how the Medicare Advantage quality bonus program is working in the wake of a Clover Health-CMS lawsuit over star ratings. They discuss the court's ruling, CMS's policy response, and why the case could become a catalyst for broader reforms to a program that now distributes billions of dollars annually. Related Links:Medicare Advantage Quality Bonus Program: Court Decisions Spotlight Flaws (Health Affairs Forefront)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

The Statue of Liberty gets the CMS treatment. First, Colin talks with Dennis Mulligan from the National Park Service. He’s been Lady Liberty’s caretaker for almost 30 years and walked to her crown approximately 5,000 times (he did the math). Colin also talks about the improbable logistics of her creation with the journalist Elizabeth Mitchell, author of Liberty's Torch: The Great Adventure to Build The Statue of Liberty. And, scholar and poet Esther Schor joins to shine a light on the Emma Lazarus poem that gave the statue meaning that has both endured and changed over time. You know the lines, “Give me your tired, your poor…” but what else do you know about the “Mother of Exiles?” GUESTS: Dennis Mulligan: Supervisory Park Ranger for the National Park Service, The Statue of Liberty's caretaker for almost 30 years Elizabeth "Biz" Mitchell: Jounalist and author of Liberty's Torch: The Great Adventure to Build The Statue of Liberty Esther Schor: Scholar, biographer, poet, essayist and Chair of the Humanities Council at Princeton University. Her 2006 biography Emma Lazarus won the National Jewish Book Award. She has also published Bridge of Words: Esperanto and the Dream of a Universal Language and three books of poems. Music featured (in order): Liberty Fanfare – John Williams, as performed by The Boston Pops Orchestra under the direction of Keith Lockhart Song of Liberty – The Wolfe Tones American Tune – Shawn Colvin Mother of Exiles – Glenn Kaiser Statue of Liberty – Jill Sobule Huddled Masses – Shaina Taub Support the show: http://www.wnpr.org/donateSee omnystudio.com/listener for privacy information.

SLPs have been screaming for a long time that reimbursement is too low, costs are rising, and access to speech-language pathology services is being threatened. But can we prove it with national data?In this episode, Jeanette Benigas, PhD/SLP, introduces The Speech Pathology Education, Advocacy and Knowledge (SPEAK) Project and its first major initiative: building a national economic dataset that shows what it actually costs to provide SLP services and turn those numbers into credible national evidence we can use to advocate directly with CMS during the current public comment period.Jeanette is joined by private practice owner Holly Ellis, MS/SLP, and CPA Cody Underwood to discuss how North Carolina built its own cost analysis, why independent financial analysis matters, and what the national SPEAK Project will measure, including CPT 92507, dysphagia and cognitive services, treatment time, payer mix, Medicare and Medicaid reimbursement, workforce pressures, waitlists, and access to care.The immediate goal: collect high-quality data from all 50 states (+ DC) and turn that evidence into meaningful advocacy.Give data. Give dollars. Or do both.Everything starts at speakproject.net.Get caught up, wherever you stream podcasts!#110: CPT 92507 Is Being Deleted? What Every SLP Must Know About the New Speech Therapy Codes#111: CPT 92507 Q&A for SLPs: Your Questions Answered#113: CPT 92507 Option B: This Is Our Week to Advocate#115: CMS's NEW Pediatric G Code Explained: What Every SLP Needs to Know#116: What the New Speech Therapy Codes Mean for Adult SLPs#117: The End of CPT 92507: Is Your SLP Documentation Ready?✨ Grateful to Chomper Champs for bringing so much positivity and fun to the pediatric SLP space. Follow the link to order the

Former Charlotte City Councilmen Tariq Bokhari and Larken Egleston join Beth to discuss the latest news surrounding the I-77 toll lane project, CMS continues to deflect questions around Superintendent Crystal Hill and Tariq and Larken share their thoughts on the South Carolina Senate debate.See omnystudio.com/listener for privacy information.

CMS job openings; affordable housing coming to Camp North End

This episode is presented by Create A Video – After a nearly-two month suspension, the Superintendent of Charlotte-Mecklenburg Schools made her first appearance in front of local media, although staffers tried to restrict questions to the start of the new school year and not the controversey around Dr. Crystal Hill's suspension.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-pete-kaliner-show--6946691/support.Subscribe to the podcast My preferred podcast platform: SpreakerAll the links to Pete's Prep are free!Get exclusive content here!Media Bias Check: GroundNews promo code!Advertising and Booking inquiries: Pete@ThePeteKalinerShow.com  

Good Morning BT with Bo Thompson and Beth Troutman | Wednesday, August 19th, 2026. 6:05 Beth’s Song of the Day 6:20 Guest: Theresa Payton (Cyber Security Expert) - A.I. firing employees | A.I. Book eating update 6:35 SC GOP Senate debate recap 6:50 RAM Biz Update; Jason Kelce teams up with Liquid Death for new ad campaign 7:05 Panthers in Jacksonville for joint practice with Jaguars 7:20 More from the South Carolina GOP Senate Debate 7:35 Mark, Bo and Beth talk CMS press conference yesterday 7:50 Winterble Wednesday: Crossing the Streams with Brett Winterble 8:05 Steve's Birthday Celebration! 8:20 New study finds how you wear your sunglasses, matters 8:35 Guest: Dr. Scott Huffmon (Poli-Sci Professor at Winthrop) - SC GOP Senate debate 8:50 Dr. Scott Huffmon cont. - SC Senate race 9:05 Guest: Shawn Flynn and Gina Sheridan (CRVA) - Charlotte tourism 9:20 Shawn Flynn and Gina Sheridan (CRVA) cont. - STELLAR Awards 9:35 CMS hold press conference with Crystal Hill 9:50 CMS press conference cont.See omnystudio.com/listener for privacy information.

UnitedHealthcare posted $5.5 billion in profit this quarter. Another state just opted out of physician supervision requirements. And CMS quietly gutted what's left of anesthesia's quality reporting program. Joseph A. Rodriguez, Co-Founder and Chief Growth Officer at Guide Anesthesia, is joined by Randy Moore, Chief Anesthetist Officer and Executive Vice President for Strategy, and Gary Keeling, VP Business Development at Coronis Revenue Cycle Management, for a wide-ranging read on where anesthesia economics are actually headed. They don't agree on how much of this changes practice on the ground. That's the point. Ohio becomes the 27th opt-out state, and the three break down why the practical impact rarely matches the headline. CMS's 2027 proposed rule drops the conversion factor again and dismantles MIPS reporting, Gary explains why almost nobody hits the threshold anymore. UnitedHealthcare's quarterly numbers spark a sharper conversation about what a 7% margin on $112 billion in revenue actually signals about the system underneath it, and about the difference between a flawed idea and a poorly executed one. A new rural healthcare bill promising higher CRNA and anesthesiologist reimbursement gets a clear-eyed "it won't work" from all three. Plus: the pre-op smoking conversation nobody has ever actually had, and why "productivity, not cost" might be the real headline healthcare keeps missing. TAKEAWAYS Opt-out status changes almost nothing for practice models outside of all-CRNA sites already considering the switch. The headline outruns the operational impact by a wide margin. MIPS in anesthesia has become a check-the-box exercise with no measurable link to patient outcomes. Most providers no longer even hit the reporting threshold. Every CMS reimbursement cut gets absorbed the same way: pushed onto facility subsidies, which raises the cost of entry for new and smaller groups and accelerates consolidation. A rural anesthesia reimbursement bump sounds like an access fix but doesn't change the math for anesthesiologists or hospitals. Small percentages of small numbers stay small. Extreme profit sitting next to a broken system is not proof that free enterprise failed. It's proof that execution failed. Confusing the two is what pushes public opinion toward bad solutions. Healthcare's financial strain reads as a cost problem when it's actually a productivity problem. Fix throughput and OR utilization, and a large share of the "cost crisis" narrative disappears. Want more Dr. Joe Rodriguez? Tik Tok: @jrodcrna21 Instagram: @jrod.crna & @abouttherestpod YouTube: @AboutTheRest Thanks for my co-hosts: Randy Moore (EVP & National Chief CRNA, NorthStar Anesthesia) Gary Keeling (VP of Anesthesia Services, Coronis RCM) To Learn More about Human Content Visit: ⁠⁠⁠http://www.human-content.com⁠⁠⁠ To Learn More about About The Rest Visit: www.abouttherest.com Got a Question? hello@abouttherest.com Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

Tune in here to this Tuesday's edition of the Brett Winterble Show! Brett kicks off the program by talking about a sudden water outage at his home and the unexpected panic that comes with losing something most people take for granted. After discovering his faucet had been reduced to a weak trickle, Brett initially wondered if he had a plumbing problem before learning that work was being done somewhere in the subdivision. He humorously describes how quickly a homeowner can go from comfortable suburban life to feeling like a survivalist, taking inventory of every remaining drop of water in the house. We're joined by Brett Jensen to talk about a heated CMS press conference and the growing questions surrounding Dr. Hill and the school district's leadership. Jensen breaks down the back-to-school press conference, explaining how reporters repeatedly pressed for answers about stability within CMS and whether the current situation could affect students, parents, and the upcoming school year. He also describes a tense exchange with a newly elected school board member, who compared the situation to a grocery store CEO being suspended without shutting down the store. J Beth Troutman from Good Morning BT is also here for this Tuesday's episode of Crossing the Streams. Brett and Beth talk about the upcoming North Carolina Senate race between Roy Cooper and Michael Whatley, including the major issues expected to shape the campaign. They discuss how crime and affordability could become central topics as both candidates work to appeal to North Carolina voters, particularly independents. Brett and Beth also look ahead to the possibility of debates and how allowing the public to ask questions could create an interesting matchup between the two candidates. Beth also shares what she and the Good Morning BT team have coming up Wednesday, including conversations with political science professor Scott Huffman, cybersecurity expert Teresa Payton and representatives from the CRVA. S Listen here for all of this and more on The Brett Winterble Show! For more from Brett Winterble check out his YouTube channel. See omnystudio.com/listener for privacy information.

This week I Talk About If Your WordPress Site AI-Ready? [powerpress]

https://www.contrast-connect.com/Discover how remote contrast supervision is helping imaging centers cut costs by up to 70%, extend hours into evenings and weekends, and scale multi-site networks, all while keeping patients safer and staying fully compliant with CMS and ACR guidelines. ContrastConnect City: Las Vegas Address: Las vegas Website: https://www.contrast-connect.com/

Broadcast from KSQD, Santa Cruz on 8-13-2026: Dr. Dawn opens by reading an anatomy student's elegy to a body donor, reflecting on how modern medical education has moved away from full cadaver dissection toward pre-dissected specimens and models—and what she believes has been lost in that transition. Dr. Dawn dissects how hospital consolidation has become the primary driver of runaway U.S. healthcare costs. She contrasts a $16,000 knee replacement at Catawba Valley Medical Center with a $40,000 procedure for the same Blue Cross Blue Shield plan an hour away at Asheville's Mission Hospital—a facility formed by the 1998 merger of the town's two acute-care hospitals and later acquired by HCA in 2018. Mission now charges 333% of Medicare rates (versus a 280% benchmark), and state inspectors have issued three "immediate jeopardy" findings since HCA's takeover, consistent with academic findings that hospital care quality drops when competition disappears. She notes that CMS-required price disclosures since 2021 finally make this transparent, and calls for regulatory prevention of hospital mergers—especially not-for-profit to for-profit conversions—in single or two-hospital markets. Dr. Dawn analyzes the 3.1% year-over-year drop in prescription drug prices reported through July—the sharpest decline since 1963. She attributes most of it to Biden's 2022 Inflation Reduction Act, which partially rescinded George W. Bush-era Medicare Part D restrictions that had statutorily prohibited price negotiation, saving taxpayers roughly $6 billion in the first six months of implementation. Additional contributors include GLP-1 compounding competition, blockbuster drugs losing exclusivity, and Bureau of Labor Statistics methodology that swaps generics into the price index six months after brand patent expiration. She calls for consumer-facing apps that help patients shop hospital prices the same way they shop cars. Dr. Dawn covers the emerging science of dormant tumor cells—cancer cells that shed from primary tumors even before diagnosis, hide in bone marrow and lymph nodes, and enter a hibernation state (feeding off cellular residue via autophagy) that shields them from chemotherapy targeting rapidly dividing cells. New York researchers have identified proteins by which lung macrophages actively reinforce dormancy, but immune disruption from COVID-19, influenza, aging, and chronic stress can trigger reactivation. She emphasizes lifestyle protection for cancer survivors: minimal alcohol, Mediterranean diet, and five daily cups of green tea for the EGCG dormancy-maintaining effect seen in cell culture. A caller argues for single-payer healthcare and questions whether Medigap insurance is worth $287 monthly. Dr. Dawn explains the math: for a $100,000 hospital bill, 20% coinsurance is $20,000, making the $2,400 annual premium reasonable catastrophic-risk protection—though skipping it is a defensible bet for very low-utilization patients. She notes those whose income drops to Medi-Cal eligibility often end up with better coverage than middle-class seniors. The same caller then presents a differential diagnosis of himself as likely multiple sclerosis based on ChatGPT consultation, describing balance loss requiring hallway wall-guidance, dramatic vision changes, and fasciculations. Dr. Dawn walks through prompt engineering for medical AI: request differential lists ordered by probability of frequency in the population rather than symptom-fit alone. She notes symmetric symptoms argue against MS, suggests checking electrolytes (particularly calcium), and emphasizes that a physical examination should precede imaging to avoid incidentalomas that trigger cascading invasive workups—cautioning that without a primary care doctor, he lacks an advocate within the system.

In this episode of Health Affairs This Week, David Betts, founder and board chair at StoryFlight Labs, shares how his ALS diagnosis inspired him to launch StoryFlight Labs and develop Talk To Me Goose, an AI-powered tool that helps people with speech-limiting conditions retain their voice and communicate with loved ones. He discusses how AI can empower patients, the need for faster healthcare innovation, and policy changes that could improve access to ALS treatments and support.Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

In the summer of 2026, the SAS Innovate Tour arrived in Washington, DC, at Convene Hamilton Square. 50 years have gone by since SAS launched a contract from the Department of Agriculture just down the street. It seemed appropriate to sit down with Stu Bradley, VP, Fraud, Risk & Compliance, SAS, to discuss how SAS delivers trusted AI for the federal government. In a recent interview, Kim Brand from CMS stated they disburse one billion dollars a day in claims. If you have just a 1% fraud rate, that means $10 million a day of waste. Today, we asked how SAS can help. The discussion focused on the importance of robust fraud prevention in government programs, emphasizing the need for efficient data ingestion and decision-making. SaaS has a 50-year record of regulating $300 billion in transactions and saving $500 million in fraud. The conversation highlighted the significance of governance in AI, with organizations that prioritize trustworthy innovation generating 60% higher returns on AI initiatives. During the interview, Bradley details the importance of preventing fraud. Today, federal organizations should be asking "What do I need to do to be ready for whatever comes next?" The cost for a typical "pay and chase" approach is high, and the results are paltry. The speakers also discussed the critical role of data integration and real-time analysis in preventing fraud, noting that 5% of payments involve fraud. The importance of partnerships between federal and state agencies to combat fraud was also underscored.

First, we address breaking news as CMS reinstates Superintendent Crystal Hill. Then, Operation Charlotte's Web, last fall's Border Patrol operation, didn't really end; it just quieted down. ICE officials are still making arrests here and throughout the state. In western North Carolina, there are questions about cooperation with ICE. In eastern North Carolina, a detention center could open. The latest on the impact this is having on immigrant communities and more.

California pays 270 people to investigate Medicaid fraud. In 2024 they returned 32 indictments. Arizona pays 33 people and returned 82.   PeterSchweizer and Eric Eggers break down 'the summer of fraud' on ep. 281 of The Drill Down.   Federal Medicaid recoveries went from 1.4B to 2B. CMS withheld 351M from Minnesota and 1.3B from California. Alabama employs seven fraud investigators. Minnesota employs 28.   Chapters: (02:33) The federal numbers (07:58) California's 32 indictments (10:37) Alabama has seven (15:01) 1.9B to the Virgin Islands, zero homes (19:09) Minnesota and Feeding Our Future (26:13) What happens when the money stops

What is the state of content management systems today? Richard chats with Matthew Garrepy of CMS Critic about his views on how the CMS market continues to evolve. Matt digs into the build-vs-buy conversation that has been going on since the web first emerged - now made more complex with the power of the large language model to generate code. The evolution toward headless CMS brings up the idea of the explosion of different places that a CMS needs to touch now - not just web pages. The landscape for CMS is only getting more complex, and the tooling reflects that! Links CMSCritic Sanity CMS Sitecore EmDash Recorded July 6, 2026

Today's guest, Dr. Meena Seshamani, ran Medicare at CMS and is now Secretary of Health in Maryland. She is leading one of the country's most ambitious health reform efforts: evolving Maryland's all-payer model, expanding investment in primary care, and using data infrastructure to strengthen coverage and population health—all while navigating the implementation of HR1. In this conversation, recorded at Aspen Ideas Health, Meena makes the case that policy design matters, but implementation is where its promise is realized or lost.Meena and Claudia discuss:How Maryland saved $1.6 billion for MedicareNew primary care investment strategiesHow the state is leveraging CRISP, the state's HIE, to implement HR1 and streamline enrollment in public programsMeena shares how Maryland is strengthening food systems using rural health transformation funding:“We are also taking rural health transformation dollars and investing in cold storage, food aggregators, and distribution hubs for our local Maryland farms, so that when we are doing outreach on healthy eating and providing nutritious food to people, that's actually coming from our local Maryland farms. So it's boosting the local economy in our rural areas as well.“Relevant LinksMaryland's Total Cost of Care Model: Evaluation of the First Four YearsArticle on the impact of Maryland's modelHow CRISP supports Medicaid redeterminationThe state's Rural Health Transformation planAbout Our GuestMeena Seshamani, MD, PhD serves as the Secretary of Health for Maryland in the Moore-Miller Administration, where she stewards a $20 billion health system that encompasses public health, Medicaid, disability, behavioral health, and 11 state-run hospitals. She leads the state's mission to improve the health and well-being of all Marylanders through a focus on accessibility, affordability, and equity.Under her leadership, Maryland has emerged as a national laboratory for healthcare innovation. Dr. Seshamani successfully negotiated a first-of-its-kind, multi-billion dollar healthcare payment model with federal partners and secured $168 million in inaugural funding to transform rural health delivery. Her tenure is also marked by a proactive approach to public health, exemplified by ensuring broad vaccine access in the state through the creation of a landmark program providing free vaccines to uninsured and underinsured residents—codifying health security as a statewide priority.Prior to her cabinet appointment, Dr. Seshamani served as Deputy Administrator and Director of the Center for Medicare at CMS. There, she executed the most significant pharmaceutical reform in decades: the Medicare Drug Price Negotiation program, achieving $6 billion in first-year savings. Her work at CMS fundamentally shifted the Medicare model to value-based care by introducing payments for community health services, caregiver training, and navigating patient care, while simultaneously tightening accountability and oversight.A board-certified head and neck surgeon and an Oxford-trained health economist, Dr. Seshamani's perspective is grounded in how health care policy and operations impact the real lives of patients. She previously served as Vice President of Clinical Care Transformation at MedStar Health, maintaining a surgical practice while leading large-scale system changes.A widely published author in the New England Journal of Medicine and JAMA, her insights are frequently sought by The New York Times, The Wall Street Journal, and major news networks. Dr. Seshamani holds her MD from Johns Hopkins University and her PhD from the University of Oxford, where she was a Marshall Scholar.SourceConnect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedInSubscribe to The Other 80 on YouTube so you never miss our video extras or special video episodes!

This interview is with Davis Dixon of HiFi Wine Bar. In this interview, Davis discusses his transition from restaurants to fully focusing on wine.Davis talks about working in restaurants at a young age and hospitality becoming a part of who he was. Until he worked in Seattle, he didn't realize people could make a career out of hospitality. Although Davis had been intimidated by wine, he was fascinated by it as it always surrounded him in restaurants. In 2019, Davis decided to put his full focus on wine and asked for the Wine Bible to start his wine education. From there, Davis worked as a bartender who was determined to learn about his facilities' wine programs.Davis discusses his transition to HiFi and becoming a sommelier. After working a harvest in New Zealand, Davis wanted to work a harvest in Oregon, moving to the Willamette Valley. Through his connections, he started working at the International Pinot Noir Celebration where he connected with Ben and Evan of HiFi and was offered a position. After working part-time at HiFi during harvest, Davis accepted a full-time position in the wine bar. Working at HiFi, Davis has been learning leadership skills and how to put the right bottles in front of people. While working at HiFi, Davis was also working on his advanced sommelier certificate from CMS, becoming even more educated in wine.Later in the interview, Davis talks about his goals for the future. Eventually, Davis wants to be a wine buyer. He wants to make the decisions on what wines are available to his customers. At this time, Davis is only able to create success for himself, but in the future, he wants to use his knowledge and skills to do things for others within the industry, especially aspiring black sommeliers. Davis believes people within the industry are generous with their time and information, and he wants to be able to give back in the same way.This interview was conducted by Rich Schmidt at Linfield University in McMinnville on August 4, 2026.

Got questions? Send Ericka a Text!Delta Dental's logo is everywhere in dentistry, but the numbers most practices never see are sitting in plain sight in a federal CMS dataset. We walk through the CMS Transparency in Coverage Public Use File and focus on the rarely opened tab for individual marketplace standalone dental plans. Because carriers self report claims received, denials, resubmissions, and formal appeals, the file becomes an uncomfortable mirror for both payers and the dental billing systems we run inside our offices. Here's what stops us: Delta Dental companies across 20 states report a 22.5% in network denial rate, higher than the broader dental market in the same file, and out of network denial rates climb even further. But the real gut punch is what CMS added for 2024: resubmitted claims. When only a small fraction of denied claims come back through the door, it suggests a huge pool of abandoned revenue sitting on aging reports, quietly turning into write offs and patient balances without a deliberate decision. We also get precise about formal appeals: what counts, why plan documents matter, how deadlines create leverage, and why regulators only have visibility when we generate a paper trail. Then we turn it into action with a practical denial management process, simple tracking fields your team can start this week, and a challenge for practice owners to stop accepting “I need to appeal those” as the end of the conversation. Subscribe, share this with your billing team, and leave a review with one change you are making after you pull your last 90 days of Delta denials. Interested in a Demo of Dentiq - The Billing Command Center? Get on the interest list here:https://4063-dentiq.systeme.io/waitlistGet your Dental Billing Toolkit Here:https://www.dentalbillingdoneright.com/the-dental-billing-toolkitDownload "The Most Underused Codes in Dentistry - And How to Get Them Paid" checklist here:https://docs.google.com/forms/d/e/1FAIpQLSfxnnfSlNd0NPhMoBWq-1D_xU5R8LS4xPhHNKIjfLQwStOUag/viewform?usp=headerSchedule a billing chat with Ericka:https://calendly.com/ericka-dentalbillingdoneright/30minEmail Ericka:ericka@dentalbillingdoneright.comEmail Jen:jen@dentalbillingdoneright.com

This interview is with Perry Heistuman and Eli Doty of Hoty Wines. In this interview, the couple discusses their separate careers in hospitality and how they created a wine brand together.Perry talks about always being plant-driven and hospitality-centered. Her father worked in wine distribution all throughout her childhood so she already had a limited view of the wine industry. At 19, Perry worked her first harvest in Italy, learning a lot about winemaking and cellar work. At the age of 26, she decided to go to Oregon State University to study viticulture, a side of the industry she didn't know much about at the time. From that experience, she learned that she enjoyed the winemaking and hospitality side of the industry.Eli discusses his entrance into the industry. Eli also started working in hospitality and restaurants where he grew an interest in wine. He had always had a connection to nature, and wine was a way to celebrate that. He also believes that wine can take you places both physically and mentally. Working in restaurants, Eli got heavily involved in creating wine lists and pairings. Eli has completed his WSET diploma and is looking to advance further as a sommelier through CMS.Later in the interview, the two talk about coming together to create Hoty Wines. The two met in college and started drinking wine together. After bonding over wine throughout their relationship, they came across some fruit that was unspoken for. They took this opportunity to make their own wine with grapes Perry had farmed. They claim that every wine they make is like a college course. The two released their first vintage in 2023 and look forward to releasing their 2024 and 2025 vintages.This interview was conducted by Rich Schmidt at No Clos Radio in Forest Grove on July 31, 2026.

This week I Share My 650th Episode Retrospective [powerpress]

On this episode, Health Affairs Publishing's Jeff Byers gets meta and invites Kent Anderson and Joy Moore, authors of the new book How The Internet Disrupted Science, onto the podcast to discuss how media trends have affected academic authors' research and get their work noticed and distributed in The Attention Economy.Both Kent and Joy are currently consultants. Kent was the co-founder of The Scholarly Kitchen and current author at The Geyser. Joy has worked at Silverchair and The American Medical Association.Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

The Friday Five for August 7, 2026: ACA 2027 Certification Updates CY2027 ACA Premium Rate Filings So Far CMS 2027 Medicare Part D Bid Information 2027 Medicare Part B Cost Projections 2027 COLA Estimate   Get Connected:

Morgantown Director of Arts and Culture Vincent Kitch on Who's Bad and The Heavy Hitters tomorrow as part of the Ruby Summer Concert Series. President and CEO of Hope Gas Morgan O'Brein on the Purchased Gas Adjustment and the Pipeline Replacement and Expansion Program. President of Peak Health Amos Ross on their growth and new CMS 4.5 rating. Libertarian candidate for the State Senate seat in District 13 Taylor Richmond. 

In this episode of The Compliance Guy, Terry Fletcher and Sean dive into the importance of proactive compliance and staying updated with federal and state healthcare regulations. This discussion is vital for healthcare providers who want to safeguard their practice from compliance risks and ensure they're informed about the latest industry guidance.Key topics covered:The significance of subscribing to authoritative listservs from agencies like OIG, CMS, OCR, and DOJHow healthcare providers can leverage alerts and newsletters to stay compliantThe importance of understanding the definitions of fraud, waste, and abusePractical tips for managing vast amounts of regulatory information in small practicesCommon pitfalls, like billing consult codes post-2010 or misinterpreting LCDsThe evolution of healthcare information dissemination, from paper newsletters to digital alertsThe role of exclusion lists and maintaining awareness of provider sanctionsHow to tailor subscription strategies to avoid inbox overload but still stay informedThe value of free resources such as CMS alerts, Becker's Health, and decision health publicationsThe impact of regulatory updates on claims processing and appeal strategies

In this episode, Laura Dyrda, Vice President, Editor-in-Chief, Becker's Healthcare, discusses the latest CMS inpatient payment rule, rising ACA marketplace premiums, and the evolving Medicare Advantage landscape, along with what these changes mean for hospitals, health systems, and patient access to care.

HCAHPS produces 11 publicly reported measures of patient experience. Not one of them asks about a bill. The financial/billing experience sits outside most ways this industry uses to define patient experience. And it arrives with your logo on it. Chris Boyer and Reed Smith discuss what that gap costs. The financial experience decides whether the next clinical experience happens at all. In most health systems, brand standards govern the digital experience, website, campaigns, and the call center. But the statement, the denial letter and the financial assistance page are managed separately. They also discuss the requirements to reach the people in the community most likely to need financial help but describe how these efforts read like a marketing campaign, but marketing never got this memo.  Then Cassandra Skinner from Xsolis makes the case for collecting correctly rather than collecting less, arguing that compassion and accountability were never opposites. She also describes how patient advocacy acts as quiet work that lives in questioning one authorization or catching one coordination of benefits error. On automation she draws the line at can versus should. And she lands somewhere worth sitting with, that patients do not lose trust because a machine was involved, they lose trust when nobody will own the decision. Why the instrument that defines patient experience has no question about cost, and what that does to budgets and attention What marketing gave up when the billing statement became somebody else's document The financial assistance requirements already written into federal law, and why satisfying them has not made patients aware Why a decade of mandated price disclosure produced more published data and not more patient understanding What revenue cycle sees about a patient that marketing never does Where accountability has to sit when part of the decision is automated If your health system's financial assistance page would fail the standard you apply to any campaign you would sign your name to, you just found work that has been yours the whole time. Mentions from the Show: IRS, Financial Assistance Policy and Emergency Medical Care Policy, Section 501(r)(4): https://www.irs.gov/charities-non-profits/financial-assistance-policy-and-emergency-medical-care-policy-section-501r4 AHRQ, CAHPS Adult Hospital Survey (11 measures effective January 1, 2025): https://www.ahrq.gov/cahps/surveys-guidance/hospital/about/adult_hp_survey.html CMS, HCAHPS Patients' Perspectives of Care Survey (administered 48 hours to six weeks after discharge): https://www.cms.gov/medicare/quality/initiatives/hospital-quality-initiative/hcahps-patients-perspectives-care-survey KFF, Americans' Challenges with Health Care Costs, updated April 2026 (about half of adults could not pay an unexpected $500 medical bill): https://www.kff.org/health-costs/americans-challenges-with-health-care-costs/ KFF Health Care Debt Survey (41% with health care debt, 51% of those with debt skipped recommended care): https://www.kff.org/health-costs/kff-health-care-debt-survey/ KFF, Hospital Charity Care, How It Works and Why It Matters: https://www.kff.org/health-costs/issue-brief/hospital-charity-care-how-it-works-and-why-it-matters/ Dollar For, Fixing Hospital Financial Assistance Programs (52% never informed, 65% unaware it existed). Patient advocacy nonprofit, labeled as such on air: https://dollarfor.org/fixing-hospital-finaid/ AHA, Hospital Price Transparency, Current Landscape and a Better Path Forward, June 5 2026: https://www.aha.org/fact-sheets/2026-06-05-fact-sheet-hospital-price-transparency-current-landscape-and-better-path-forward AHA, Improving the Patient Billing Experience issue brief, October 2021: https://www.aha.org/system/files/media/file/2021/10/Improving-Patient-Billing-Experience_IB_Final_10-22-21.pdf CMS, CY 2026 OPPS and ASC Final Rule, Hospital Price Transparency Policy Changes: https://www.cms.gov/newsroom/fact-sheets/cy-2026-opps-ambulatory-surgical-center-final-rule-hospital-price-transparency-policy-changes HFMA, CMS's latest transparency rule aims to make price estimates more exact, November 2025 (named executive on the machine-readable file): https://www.hfma.org/price-transparency/cmss-latest-transparency-rule-aims-to-make-price-estimates-more-exact/ Ways and Means Committee, H.R. 9504 Tax Exempt Hospital Transparency Act reporting elements, July 2026: https://waysandmeans.house.gov/2026/07/20/what-they-are-saying-ways-and-means-committee-bringing-transparency-to-americas-nonprofit-hospital-sector/ Cassandra Skinner on LinkedIn: https://www.linkedin.com/in/cskinner-health/  XSOLIS website: https://www.xsolis.com/  Reed Smith on LinkedIn: https://www.linkedin.com/in/reedtsmith/ Chris Boyer on LinkedIn: https://www.linkedin.com/in/chrisboyer/ Chris Boyer website: http://www.christopherboyer.com/ Chris Boyer on BlueSky: https://bsky.app/profile/chrisboyer.bsky.social Learn more about your ad choices. Visit megaphone.fm/adchoices

For years, regional health plans benefited from powerful tailwinds: Medicare Advantage growth, Medicaid expansion, and a prospering ACA marketplace. But many of those growth engines have stalled, just as new pressures emerged: rising utilization, runaway spend, pricing uncertainty and more scrutiny from patients and policy makers. The result is a dramatically different financial reality for health plans. In 2024, only eight of 33 Blues plans reported positive operating margins. In this episode, host Rae Woods sits down with Jared Landis, Vice President of Advisory Board's Health Plan Research practice, to unpack how regional plans got here and the three-year turnaround strategy regional and Blues plans are now pursuing. Together, they explore the market forces that upended the payer playbook, the operational and pricing changes plans are making to stabilize performance, and how AI-enabled transformation could reshape the future of the insurance business. Stay tuned to the end of the episode for an update on the Rural Health Transformation Program, including a key deadline this fall. We're here to help: Episode | Ep. 257: Paul Markovich on new builds, breakups, and bold healthcare bets Episode | 305: “The work isn't easy, but it's clear”: How healthcare leaders are responding to the market Episode | 302: CMS announced the 2027 MA final rate. What do payers and providers need to know? Playlist | Radio Advisory Provider Strategy and Financial Outlook playlist Expert Insight | Can health plans turn their MA business around this year? Research | Health plan strategy Report | Rural health transformation funds: Where they're really going Ready-to-Use Slides | Health Plan Market Explorer Webinar | Understanding health plan decision-makers Sponsor link: Precision in motion: How digital tools support diabetes care providers A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

On this episode of Diabetes Connections In the news… Sanofi acknowledges an insulin shortage, a new oral therapy for type 1 moves along in research, could there be an actual, accurate, non-invasive CGM in the works, ADA conflict continues and a new documentary about Girl Scout cookies shines a spotlight on T1D. Don't miss our upcoming events! Moms' Night Out in Detroit and Seattle, Club 1921 in Charlotte and Phoenix: https://diabetes-connections.com/events/   Announcing Community Commericals! Learn how to get your message on the show here. Learn more about studies and research at Thrivable here Please visit our Sponsors & Partners - they help make the show possible! Omnipod - Simplify Life All about Dexcom  All about VIVI Cap to protect your insulin from extreme temperatures The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com   Transcript:  (Stacey Track) On this episode of Diabetes Connections In the news… Sanofi acknowledges an insulin shortage, a new oral therapy for type 1 moves along in research, could there be an actual, accurate, non-invasive CGM in the works, ADA conflict continues and I can't wait to tell you about Cookie Queens.. that's coming up right after this. (AD BREAK) Welcome! I'm your host Stacey Simms and this is an In The News episode.. where we bring you the top diabetes stories and headlines happening now. A reminder that you can find the sources and links and a transcript and more info for every story mentioned here in the show notes. We are still looking for your community commercials. These are 30–60 second audio spots created by members of the diabetes community to share: Events you're organizing: a fundraiser, walk, or local meetup Products you've created: maybe you've written a book, have a Substack, designed a T1D-friendly gadget, or launched a small business Helpful projects or resources: things you think others in our community should know about It's your chance to share what you're doing and help others get connected! Full instructions are on the website. While you're there please check out our events. We're turning toward fall and we have a lot going on – MNO and Club 1921.   Okay.. our top story this week: XX I want to talk about Cookie Queens! It might not sound like a hard news story.. but It's my show and I can't wait to watch this. This move follows four Girl Scouts ages 5-12 during cookie season. One of the girls has type 1 – they don't mention it in the trailer, but you can see her omnipod. Here's a clip:   Start the very beginning and stop after "I want to be a supreme court justice." (stop after the "oh..laughter" https://www.youtube.com/watch?v=nnSQS43Eil8   Viewers meet Ara from San Diego, CA (5), Shannon Elizabeth from El Paso, TX (8), Nikki from Chino, CA (9), and Olive from Charlotte, NC (12). Ara has Type 1 diabetes and is shown taking insulin, refilling her pump before bed, and determining with her dad how to sample the cookies she's selling while keeping her blood sugar levels safe. Thumbs down to the Hollywood reporter dot com. In their review they say.. "if this film were itself a baked good, Ara would need to be careful because one bite could cause hyperglycemia or even diabetic ketoacidosis. It's just that sweet." Cookie Queens comes out this month. https://www.hollywoodreporter.com/movies/movie-reviews/cookie-queens-review-prince-harry-meghan-markle-girl-scouts-1236484555/ trailer:   XX Supply issues for Lantus SoloStar pens being acknowledged by Sanofi. The company says it's experiencing "a period of intermittent supply due to increased demand. The company said the increase in demand is being driven by "broader market dynamics," but did not provide additional details. Sanofi said the situation is temporary and is expected to improve over the coming weeks. The company said Lantus U-100 vials and Toujeo U-300, which contain the same active ingredient, remain available. https://www.wral.com/news/local/common-insulin-pen-faces-supply-issues-amid-rising-demand-july-23-2026/ XX The University of Alabama at Birmingham startup TIXiMED Inc. has launched the next phase of clinical testing for a novel oral therapy for Type 1. For now called TIX100, a small-molecule drug designed to inhibit a protein linked to pancreatic beta-cell loss and diabetes progression. The new double-blind, randomized, placebo-controlled study will evaluate the drug's safety, tolerability and pharmacokinetics. Researchers will enroll 18 healthy participants across three dose cohorts at a single United States study site. Participants will receive either TIX100 or a placebo twice daily for 28 days, followed by a seven-day follow-up period. Six participants making up the first cohort have been successfully enrolled thus far. In addition to its potential use in Type 1 diabetes, TIX100 may have applications in Type 2 diabetes and obesity. A recent study found that the drug prevented weight regain and preserved lean muscle mass after discontinuation of GLP-1 therapies in preclinical models. https://www.uab.edu/news/research-innovation/startup-advances-novel-oral-type-1-diabetes-therapy-to-next-phase-of-human-testing XX Researchers at the University of California San Diego say they have developed and validated a Continuous Health Analyzing Ring Module (CHARM), a compact, fully integrated wearable smart ring capable of continuous real-time monitoring of multiple biomarkers in sweat. The wearable device can simultaneously measure up to four biomarkers, including glucose, ketone, uric acid, lactate, ascorbic acid, and alcohol, to provide real-time insights into metabolic health. The study is published in Nature Communications. They say CHARM device contains all necessary biomarker sensors, low-power electronics, and a flexible battery. The left compartment of the device is designed to draw sweat passively using an osmotic hydrogel, a soft polymer that creates a pressure gradient to pull fluid from the skin painlessly. The sweat is then analyzed by multiplexed electrochemical sensor arrays within the same compartment, leading to simultaneous and real-time tracking of four biomarkers at a time.   The right compartment of the device contains a flexible zinc-silver oxide rechargeable battery that supplies power for up to 12 hours of operation between charges. Biomarker information generated through sensors is wirelessly transferred to a connected Bluetooth-enabled device for real-time display The findings indicated that the device performed well in initial temperature, cytotoxicity, and on-body compatibility tests. It also demonstrated high analytical accuracy in preliminary studies involving healthy participants and individuals with type 1 diabetes, highlighting its potential for non-invasive metabolic monitoring. The calculated estimated sweat-based blood glucose concentration showed a mean absolute relative difference of approximately 13.7% against its corresponding blood concentration values.   The device needs further validation in diverse clinical settings and across large diabetic cohorts.   https://www.news-medical.net/news/20260727/Prototype-smart-ring-tracks-multiple-sweat-biomarkers.aspx   XX Hotter weather and rising temps appear to increase the short term risk for low blood sugar in adults with type 1. An analysis of more than 32 million continuous glucose monitor (CGM) readings from nearly 700 adults with T1D in the UK showed a 26% greater risk for hypoglycemia at a temperature of 25 °C (77 °F) than at 13 °C (55.4 °F). Hypoglycemia was defined as a glucose level < 3.9 mmol/L (70 mg/dL). The study included 679 individuals with T1D and 32,966,282 CGM readings collected between February 23, 2017, and August 8, 2024. Participants had a mean age of 46.4 years and a mean T1D duration of 23.7 years. The researchers observed strong seasonal patterns, with lower odds of hypoglycemia in late winter and early spring, followed by a peak during the summer. The lowest risk occurred on Mondays. The odds then increased over the course of the week and peaked toward the weekend, with a significant odds ratio of 1.14 on Saturdays compared with Mondays. Increases in hypoglycemia were observed during both hot and cold weather, but the association was stronger for heat. The net odds ratio was 1.26 at 25 °C compared with 13 °C.   https://www.medscape.com/viewarticle/when-temperatures-climb-hypoglycemia-risk-rises-type-1-2026a1000q4r XX Seven weeks after the expulsion of five diabetes experts from the American Diabetes Association conference, controversy continues. More than 200 members now calling for two ADA leaders to resign. In response, the ADA delivered its own message Tuesday, expressing appreciation for members' patience while a report is prepared.   The resignation demand, sent last week in an open letter to the ADA board of directors, calls for the removal of CEO Charles Henderson and chief scientific and medical officer Rita Kalyani. It also urges "an independent investigation into the events of the 2026 Scientific Sessions in New Orleans, a full apology to the five colleagues removed from the meeting, and the restoration of editorial independence at Diabetes Care," an ADA scientific journal.   https://www.statnews.com/2026/07/28/american-diabetes-association-fallout-researchers-expulsion/ XX XX Still to come, , a new link between diabetes and dementia, device updates, and why you might want to start rooting for the Red Sox..   XX New study says that people diagnosed with type 1 diabetes (T1D) before the age of 10 years had a 37% higher risk of developing all-cause dementia later in life than those diagnosed between ages of 18 and 30 years. These researchers used a Swedish national register of 43,440 individuals with T1D (mean age at cohort entry, 33 years; 44% women) Worth noting a couple of things.. the mean age in this study was 33 – so the people who were diagnosed under the age of ten would not have had access to current technology – no CGMs or AID systems. And while the study says it's 37% higher for the younger group, the actual rate was still very low. As always, I'll link to the study so you can learn more. My obvious bias here to look for a silver lining because I have a son who diagnosed with T1D at age 2.   https://www.medscape.com/viewarticle/type-1-diabetes-onset-before-age-10-tied-higher-risk-2026a1000pir XX Researchers have developed a machine learning model that uses routine clinical information to detect diabetes and distinguish between type 1, type 2, prediabetes, and diabetes caused by pancreatic disease. The model performed well in early testing, but researchers say it still needs to be validated in independent patient groups before it could be considered for use in diabetes screening or clinical care. It did not assess clinical utility, patient outcomes, or quality of life. https://www.news-medical.net/news/20260729/Researchers-train-AI-to-detect-diabetes-and-assign-four-diagnostic-labels.aspx XX Trinity Biotech and Latch Medical are teaming up to explore combining CGM with precision drug delivery technology for diabetes, obesity, and other metabolic conditions. The companies hope real-time glucose data from Trinity's CGM+ sensor could eventually help guide more personalized treatment decisions and medication delivery. Trinity's CGM+ is still in development, with a pivotal clinical trial planned for later this year. https://www.drugdeliverybusiness.com/trinity-biotech-collab-cgm-drug-delivery/ XX The FDA selects Dexcom as the first participant in a new digital health pilot that will exempt certain digital health devices from FDA premarket authorization requirements while collecting real world data through a complementary Medicare program. Dexcom, plans to implement an artificial intelligence-enabled glucose health program through the pilot. The program is intended to help screen for prediabetes and Type 2 diabetes. The company plans to integrate data from its sensors, including its prescription G7 CGM and its over-the-counter Stelo device, along with contextual health information such as nutrition, physical activity, sleep and stress. The FDA announced plans for the Technology-Enabled Meaningful Patient Outcomes, or TEMPO, pilot last year amid a broader push for adoption of digital health and wearables. It coincides with a new program by the CMS to fund the use of digital technologies for managing chronic conditions. https://www.healthcaredive.com/news/fda-names-dexcom-as-first-participant-in-digital-health-pilot/826215/ XX Medicare and Medicare Advantage beneficiaries now have access to the new MiniMed Flex insulin pump. Beneficiaries can now access the MiniMed Flex and its latest sensor portfolio, which currently includes the Simplera Sync sensor, a disposable, all-in-one sensor with easy two-step insertion. The company plans to roll it out with the Instinct sensor, made by Abbott, later this summer. It also added Abbott's dual glucose-ketone sensor (still investigational in the U.S.) to its portfolio this year. Flex picked up FDA clearance in March and the company announced the initial commercial rollout of the pump last month. https://www.drugdeliverybusiness.com/minimed-flex-pump-now-available-medicare/ XX Eli Lilly expands it's partnership with Resilience – the makers of the KwikPen device. Through the investment, Resilience will significantly increase U.S. production of Lilly's KwikPen injectable device for diabetes and obesity medicines. In February, Lilly won FDA approval for Zepbound in a multidose KwikPen device. The product includes four doses of the GLP-1/GIP receptor agonist, providing a month of treatment for obesity or overweight in one device. Resilience expects the KwikPen capacity expansion to create at least 400 jobs in the Cincinnati area. https://www.biospace.com/deals/lilly-and-resilience-invest-750m-in-diabetes-and-obesity-drug-device-supply XX Alex Cooper – the host of the top podcast Call her Daddy – announced she's been diagnosed with gestational diabetes.   "When I got this diagnosis, the first couple days, I was really hard on myself," the 31-year-old admitted. "It felt very isolating, like, as much as my family and my husband and everyone was there for me I just felt like, it's me on an island." She says she found an online community that's been helping. In sharing her experience, she hoped it would alleviate the stress. https://www.eonline.com/news/1434556/pregnant-alex-cooper-shares-isolating-gestational-diabetes-diagnosis XX Several amazing diabetes non profits are vying for big charity dollars from the Boston Red Sox. The IMPACT Awards provide Red Sox fans with the chance to nominate their favorite, most impactful nonprofit organization serving New England for their opportunity to win a grant from the Red Sox Foundation. In 2026, the IMPACT Awards will focus on organizations that are supporting research and providing awareness, advocacy, and services to people with diabetes. Check out all the charities and vote for your favorites – you've heard of so many of these I promise – at the link in the episode show notes, . https://www.mlb.com/redsox/community/red-sox-foundation/impact-awards?partnerId=redirect-bos-impact

The new Medicare speech therapy CPT codes are coming, and adult SLPs need to prepare.In this episode, Jeanette Benigas, PhD/SLP, is joined by Katie Brown, SLP of Neuro Speech Solutions (@neurospeechsolutions), to discuss how the new code family replacing 92507 could impact adult speech-language pathology across Medicare Part B, skilled nursing, outpatient, home health, hospital outpatient, and private practice.They discuss how the new codes may affect reimbursement, scheduling, productivity, documentation, cognition treatment, Medicare Advantage, commercial insurance, and ethical billing. They also explore why accurate utilization data will be critical to future advocacy for higher reimbursement rates.Whether you own a private practice, work in a SNF, outpatient clinic, hospital, or even pediatrics, this conversation will help you understand what's changing, what questions remain unanswered, and how to start preparing now.Topics include:• The new adult SLP CPT codes• Replacing 92507• Medicare Part B billing• Cognition reimbursement• Documentation changes• Productivity concerns• Private practice and SNF implications• Ethical billing and future advocacyResources Mentioned

Chuck and Chris have a potpourri of topics including CMS proposed changes for 2027 (not good for hand surgery), cases, and two listener submitted topics: board preparation and caring for patients with ligamentous laxity/ Ehlers Danlos.Chuck references Christian Pean's Substack called 'Techy Surgeon' as a great resource for value based care and all things tech including AI insights.See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.As always, thanks to @iampetermartin for the amazing introduction and concluding music.For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Thursday, July 30, 2026 Today, Senator Cornyn cancelled a meeting with Todd Blanche Wednesday morning because Blanche didn't have the Slush Fund rescission in hand; Dr. Fauci hears Republican conspiracy theories in a hearing on Capitol Hill and refused to answer questions; Senate Republicans confirmed Jay Clayton as the Director of National Intelligence; a judge has ordered the release of a key witness in an ICE shooting; a judge kills a Republican ballot measure that would gut unions declaring it unconstitutional; former DOJ Pardon Attorney Liz Oyer says she's been getting death threats since her testimony about Todd Blanche; Comey files his motion to dismiss for vindictive and selective prosecution in the seashells case; videos show ICE agents using racial slurs to refer to Latinos; plus Allison delivers your Good News. Thank You, MINT MOBILE Make the switch! MINTMOBILE.com/DAILYBEANS The Trump Epstein Memorial Bookmobile The Daily Beans is proud to partner with Miles Taylor and our friends at DEFIANCE.org For a limited time, members of the Daily Beans community can receive a FREE 3-month full membership to DEFIANCE.org and gain access to one of the fastest-growing pro-democracy movements in America. Join here: https://www.defiance.org/beans Join The Daily Beans and give a gift today to ensure The Trevor Project can continue its crucial work in the face of continued challenges. Donate to The Trevor Project - Daily Beans Podcast The Latest Breakdown→ DOJ Must Hand Over Internal Emails About NYT Subpoenas StoriesComey asks judge to ‘86' seashells case, alleges he was surveilled at Trump's direction | MS NOW Former DOJ lawyer spotlights death threats after Blanche testimony | MS NOW ICE agents used racial slurs to refer to Latinos, videos and texts appear to show | ABC News Judge orders immigration officials to release key witness in Texas ICE shooting | NBC News Judge: GOP ballot measure aimed at teachers union unconstitutionally guts police, fire unions too | AZ MirrorGood Trouble Comment on proposed Medicaid requirements: https://www.regulations.gov/commenton/CMS-2026-2047-0002Medicaid Work Requirements: Learn More and Take Action! - Autistic Self Advocacy Network Check your voter registration and deadlines → Voter Registration Deadlines - Vote.org →Blue Wave California- secure.actblue.com/donate/msw-bwc →Help save Texas from Ken Paxton! →Urge Democrats to Oppose and Stop Trump's Crypto Corruption | Indivisible Guide →Defiance.org/beans →Stand With Minnesota →iceout.org Good News Ohiopride.org dana-goldbergs-southwest-funnyfest Oct 9 -Email Dana@DanaGoldberg.com for sponsorship informationTickets for Dana Goldberg: Outrageous - Sep 23 - Den Theater - Chicago  →Share your Good News & Good Trouble - The Daily Beans   →Beans Talk audio -beans-talk.simplecast.com →Email Dana LGBTQ Owned eating establishments in your area - hello@mswmedia.com Subject: “Dana's Project” Subscribe to the MSW YouTube Channel - MSW Media - YouTube Our Donation Links The Trevor Project - trevorproject.org/beans Blue Wave California - https://secure.actblue.com/donate/msw-bwc Donate to Public Citizen - https://citizen.org/beans/ Donate to It Gets Better / The Daily Beans Fundraiser Pathways to Citizenship - https://crm.bloomerang.co/HostedDonation Join Dana and The Daily Beans in support of Human Rights Campaign http://onecau.se/_ekes71National Security Counselors - Donate, ActBlue.com/donate/msw-bwc, WhistleblowerAid.org/beans Dr. Allison Gill - The Breakdown | Allison Gill, Mueller, She Wrote @muellershewrote.com - Bluesky, MSW & The Daily Beans Podcast @muellershewrote - Instagram, MSW Media - YouTube →Federal workers - email AG - fedoath@pm.me Dana Goldberg - Dana is on Patreon! At Dana's Dugout, @dgcomedy - Bluesky, @dgcomedy - IG, Dana Goldberg - Facebook,  DanaGoldberg.com More from MSW Media - Shows - MSW Media, Cleanup On Aisle 45 pod, The Breakdown | Allison Gill Reminder - you can see the pod pics if you become a Patron. The good news pics are at the bottom of the show notes of each Patreon episode! That's just one of the perks of subscribing! patreon.com/muellershewrote Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:https://apple.co/3XNx7ckWant to support the show and get it ad-free and early?https://patreon.com/thedailybeanshttps://dailybeans.supercast.com/https://apple.co/3UKzKt0 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Oz's proposed 2027 CMS rules dropped, and I've been waiting all week to get into them. The push toward value-based care and Accountable Care Organizations continues, but the headline for anyone in private practice is the multiple procedure cut: if you bill an E&M code and a procedure on the same day, Medicare now pays 100% for the more expensive service and only 50% for the other, regardless of modifiers, regardless of whether they're for two totally separate problems. That is a direct assault on independent practices, and every commercial insurer will follow Medicare's lead. There's one small win. Mandating real-time electronic prior authorization across Medicare Advantage, Medicaid, and ACA marketplace plans One head-scratcher...Medicaid work requirements of 80 hours per month starting January 2027, which I suspect will land squarely on physicians' documentation burden. Also, everyone say it with me: physician compensation is 10% of U.S. healthcare expenditure. After the break, medical malpractice for ophthalmologists. A colleague just came out of a settlement, and it got me looking at the top drivers of ophthalmology lawsuits: cataract surgery complications, missed or delayed retinal detachments, glaucoma management failures, and post-op infections. The uncomfortable truth: the only way to avoid surgical complications is to not operate, and sometimes even perfect communication and documentation don't stop a lawsuit. But they help. Takeaways: The proposed 2027 CMS rules would pay only 50% for a second same-day service when an E&M visit is billed alongside a procedure, regardless of modifier, effectively a major reimbursement cut that will hit independent private practices hardest and be adopted by commercial insurers Physician compensation accounts for just 10% of total U.S. healthcare expenditure, yet Medicare physician reimbursement is cut nearly every year while hospital and insurer reimbursement continues to rise The 2027 rules push physicians further toward Accountable Care Organizations and value-based care, favoring large health systems and insurers over independent physician-owned practices, with one bright spot: mandatory real-time electronic prior authorization across Medicare Advantage, Medicaid, and ACA plans The top ophthalmology malpractice risks are cataract surgery complications (posterior capsule tears, retained lens fragments, unfulfilled patient expectations), missed or delayed retinal detachment diagnosis, glaucoma management failures (insufficient IOP monitoring), and post-op infections Per OMIC, the three biggest drivers of ophthalmology claims are documentation deficiencies, communication gaps, and technical performance, about 60% of claims involve surgical execution errors, and diligent documentation, brutally honest informed consent, and strong physician-patient rapport are the biggest mitigators To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://glaucomflecken.com/glauc-to-me/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you are interested in buying a book from one of our guests, check them all out here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amazon.com/shop/dr.glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://anatomywarehouse.com/?aff=14⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information.  Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Wednesday, July 22, 2026 Today, RFK Jr pauses a billion dollars in Medicaid to California and Minnesota; Rep. Jamie Raskin is seeking documents related to Jeffrey Epstein's foreign contacts; IRS Chief Frank Bisignano spied on colleagues when he worked at JPMorgan; Trump and the OMB are violating the Impoundment Control Act by ignoring Congressional appropriations; an appeals court has overturned the release order of Mohsen Mahdawi; an appeals court has denied Peter Navarro's bid to overturn his contempt of Congress conviction; and a federal judge says Trump has to hand over his financials in discovery in the BBC libel case; plus Allison delivers your Good News. Thank You, Fast Growing Trees Get 20% off your first purchase  FastGrowingTrees.com/dailybeans The Daily Beans is proud to partner with Miles Taylor and our friends at DEFIANCE.org For a limited time, members of the Daily Beans community can receive a FREE 3-month full membership to DEFIANCE.org and gain access to one of the fastest-growing pro-democracy movements in America. Join here: https://www.defiance.org/beans Join The Daily Beans and give a gift today to ensure The Trevor Project can continue its crucial work in the face of continued challenges. Donate to The Trevor Project - Daily Beans Podcast The Latest Breakdown→ Epstein Survivor Recounts Meeting With Todd Blanche StoriesRFK Jr pauses $1bn Medicaid funding to California and Minnesota Raskin seeks documents into Jeffrey Epstein's foreign contacts - Live Updates - POLITICO IRS Chief Frank Bisignano Spied on Colleagues When He Worked at JPMorgan - WSJ Congress rejected some of Trump's proposed budget cuts. OMB is making them anyway. US appeals court raises prospect of re-arrest of pro-Palestinian advocate Mahdawi | Reuters Judge says Trump must hand over financial records to BBC - POLITICOGood Trouble Check your voter registration status →Vote.orgVoter Registration Deadlines - Vote.org →Help save Texas from Ken Paxton! →Urge Democrats to Oppose and Stop Trump's Crypto Corruption | Indivisible Guide →Defiance.org/beans →Show up for our Libraries - action.ala.org →Stand With Minnesota →ICE List  →iceout.org Good NewsGrassRoots Garden | Food for Lane County – Eugene, Oregon INDIVISIBLE KANSAS CITY sfcva.org dana-goldbergs-southwest-funnyfest Oct 9 -Email Dana@DanaGoldberg.com for sponsorship informationTickets for Dana Goldberg: Outrageous - Sep 23 - Den Theater - Chicago  →Share your Good News & Good Trouble - The Daily Beans →Beans Talk audio -beans-talk.simplecast.com →Email Dana LGBTQ Owned eating establishments in your area - hello@mswmedia.com Subject: “Dana's Project” Subscribe to the MSW YouTube Channel - MSW Media - YouTube Our Donation Links The Trevor Project - trevorproject.org/beans Blue Wave California - https://secure.actblue.com/donate/msw-bwc Donate to Public Citizen - https://citizen.org/beans/ Donate to It Gets Better / The Daily Beans Fundraiser Pathways to Citizenship link to MATCH Allison's Donationhttps://crm.bloomerang.co/HostedDonation?ApiKey=pub_86ff5236-dd26-11ec-b5ee-066e3d38bc77&WidgetId=6388736 Join Dana and The Daily Beans in support of Human Rights Campaign http://onecau.se/_ekes71National Security Counselors - Donate, ActBlue.com/donate/msw-bwc, WhistleblowerAid.org/beans Dr. Allison Gill - The Breakdown | Allison Gill, Mueller, She Wrote @muellershewrote.com - Bluesky, MSW & The Daily Beans Podcast @muellershewrote - Instagram, MSW Media - YouTube →Federal workers - email AG - fedoath@pm.me Dana Goldberg - Dana is on Patreon! At Dana's Dugout, @dgcomedy - Bluesky, @dgcomedy - IG, Dana Goldberg - Facebook,  DanaGoldberg.com More from MSW Media - Shows - MSW Media, Cleanup On Aisle 45 pod, The Breakdown | Allison Gill Reminder - you can see the pod pics if you become a Patron. The good news pics are at the bottom of the show notes of each Patreon episode! That's just one of the perks of subscribing! patreon.com/muellershewrote Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:https://apple.co/3XNx7ckWant to support the show and get it ad-free and early?https://patreon.com/thedailybeanshttps://dailybeans.supercast.com/https://apple.co/3UKzKt0 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.