Podcasts about CMS

In this episode, Kathleen Hickman, RN, BSN, MS, CASC, Administrator and Clinical Director of Dutchess Ambulatory Surgical Center, shares insights on ASC growth through higher acuity cases, the impact of new CMS codes, and how innovation and culture are shaping the future of surgical care.

This week I Share Do's & Dont's For BF/CM in 2025 [powerpress]

In this episode, Kathleen Hickman, RN, BSN, MS, CASC, Administrator and Clinical Director of Dutchess Ambulatory Surgical Center, shares insights on ASC growth through higher acuity cases, the impact of new CMS codes, and how innovation and culture are shaping the future of surgical care.

In this episode, Kathleen Hickman, RN, BSN, MS, CASC, Administrator and Clinical Director of Dutchess Ambulatory Surgical Center, shares insights on ASC growth through higher acuity cases, the impact of new CMS codes, and how innovation and culture are shaping the future of surgical care.

Nothing stays the same. Your clients' health needs, financial situations, and the Medicare industry itself can change each year. Learn how to best help your clients switch coverage with these 7 scenarios.    Read the text version   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 4 Reasons Why Ritter Insurance Marketing Should Be Your FMO Insurance Agency 5 Tips to Make the Most of AEP How to Check Medicare Extra Help Eligibility for Your Client Register with Ritter Insurance Marketing The Benefits of Selling D-SNPs The Ritter Blog What to Know When Replacing Existing Med Supp Plans for Clients   References: Emerson, Jakob. “32 Health Systems Dropping Medicare Advantage Plans | 2024 - Becker's Hospital Review | Healthcare News & Analysis.” Beckershospitalreview.Com, Becker's Hospital Review, www.beckershospitalreview.com/finance/15-health-systems-dropping-medicare-advantage-plans-2024/. Accessed 29 Oct. 2025. “2024 Medicare Advantage and Part D Star Ratings.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/2024-medicare-advantage-and-part-d-star-ratings. Accessed 29 Oct. 2025. Pifer, Rebecca. “Humana and CVS Are Downsizing Their Medicare Advantage Plans for 2025. Which Insurers Could Benefit?” Healthcaredive.Com, Healthcare Dive, 10 June 2024, www.healthcaredive.com/news/humana-cvs-medicare-advantage-benefit-plan-cuts-2025-unitedhealth/716764/.   Follow Us on Social!  Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

The Centers for Medicare & Medicaid Services (CMS) recently released the 2026 Medicare Physician Fee Schedule. And while that's not breaking news, the important news is that you and your team could benefit by understanding its hidden traps – so you can protect your revenue. During the next live edition of Monitor Monday, senior healthcare analyst Frank Cohen will reveal the latest developments in Medicare audit reforms and statistical extrapolation, including the Medicare Program Integrity Manuel (MPIM) standards, plus how artificial intelligence (AI) is changing audit selection for 2025.You and your team will receive expert analysis and practical guidance, as well as gain a better understanding of the true scope of improper payments.The weekly broadcast will also include these instantly recognizable features:Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.Legislative Update: Adam Brenman, senior healthcare legislative affairs analyst for Zelis, will report on the news happening at the intersection of healthcare and congressional action.

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training How do you ensure the highest possible retention levels at your agency? What reasons do you give employees to stay and develop their careers at your agency? Today's featured guest hires fresh talent right out of college. People his team can train into the sort of workers who grow with the agency. However, young talent tends to be ambitious and likely to move on quickly to the next opportunity. To boost retention, he has created a growth path for employees that are a right fit with the agency. He'll break down how he's learned to hire intentionally and build a culture that grows people as fast as profits. McKay Salisbury is the founder and CEO of FiveStar Commerce, an eCommerce agency based in Orem, Utah. His team manages Amazon, Walmart, and Target Plus accounts for over 450 brands annually. What started as a freelancing side hustle on Upwork has grown into a full-service agency focused on team development, in-person collaboration, and steady internal promotion. In this episode, we'll discuss: How to hire and retain young talent in a competitive market. Why in-person culture drives faster growth and better retention. The career path strategy that turns entry-level hires into future leaders. How to build systems that grow people as fast as profits. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. Growing his Freelancer Gigs to a Thriving Amazon Agency McKay's journey began while working at a small Amazon marketing firm, when he started freelancing on Upwork to make a little extra money. Within six months, his freelance income reached half of his salary, and he decided to go all in. Moving into his sister's basement, McKay began full-time freelancing, which quickly evolved into his own agency. Within the first month after quitting his job, he was already matching his old salary. McKay's early days were lean, but the momentum from focusing entirely on client work set the foundation for future growth. Hiring Early and Building Support Systems McKay's first hire came just a month into freelancing full-time. It was a part-time assistant he had previously worked with. That decision to delegate quickly accelerated FiveStar Commerce's capacity. Within five months, he added his first full-time project manager and opened a physical office. Unlike many agency owners who chase remote freedom, McKay found that in-person collaboration gave him structure, focus, and culture. For him, separation between work and home drives productivity. Just like he had learned in college, where studying at the library helped him focus, McKay found it much easier to create great work and culture working in-person. The physical office became the heartbeat of FiveStar Commerce's growth, helping employees feel part of something bigger and creating accountability that can be hard to replicate remotely. Why In-Person Work Still Wins for Training and Culture When it came time to really build his team beyond just a few employees, McKay found it was either difficult or expensive to find the right talent with experience in his particular niche. It wasn't an option for an agency just starting out, so he leaned on investing time on training young talent. It made sense cost wise, and location wise, given they are near two large universities, which provided a supply of fresh talent eager to learn. To make this approach work, the agency had to adapt its environment to support constant learning. A central part of this is their in-person operations, since McKay noticed that even the smallest physical arrangements, like which direction desks faced, could impact how quickly new hires learned and that having trainers nearby reduced hesitation and built confidence. He also observed that remote employees tended to "float away" after 6–12 months. While remote setups can work for certain roles, McKay found that building culture, energy, and loyalty thrive best face-to-face. This philosophy shaped his agency's identity and helped retain young, ambitious team members eager for mentorship. Designing Career Paths that Retain Talent Beyond intentional training, this strategy worked because he paired it with a clear path for career progression. Every employee starts as a generalist learning all aspects of Amazon management, from ads to design to optimization. After 6–12 months, they move into project management roles, and the top performers advance to senior project manager positions. Each promotion comes with a pay increases - typically around $10,000 per year - which keeps employees motivated and invested in long-term growth. This proved to be a great way to increase retention, which is one of the biggest challenges for growing agencies. As McKay puts it, "If you're not giving people a reason to grow, LinkedIn will." Personality Over Experience: Hiring for Potential When hiring fresh graduates, how can you gauge whether or not they'll be a good fit in the long run? McKay looks for personality traits that predict leadership potential—confidence, communication skills, and curiosity. The interview process focuses on how candidates carry themselves, not just what's on their resume. Those who communicate clearly and think proactively tend to rise fastest. This approach ensures that every new hire is a potential project manager within a year or two. McKay views entry-level roles not as long-term positions but as training grounds for leadership. By prioritizing culture fit and growth mindset, he's been able to maintain consistent quality while scaling quickly. Do You Want to Transform Your Agency from a Liability to an Asset? Looking to dig deeper into your agency's potential? Check out our Agency Blueprint. Designed for agency owners like you, our Agency Blueprint helps you uncover growth opportunities, tackle obstacles, and craft a customized blueprint for your agency's success.

The moment a loved one lands in long‑term care, everything feels urgent and unclear. We've been there—rushed discharges, impossible forms, promises that don't match reality—and we wanted a straight answer on what legal accountability looks like when neglect or abuse causes real harm. That's why we sat down with elder abuse attorney Anthony Lanzone to map the path from pain to action without sugarcoating the struggle.In Episode 113, we talk about why nursing home cases are so hard, what families can realistically expect, and how accountability actually happens. We share the steps to document harm, find the right lawyer, and protect your peace of mind while you pursue justice.• systemic barriers that shield long-term care providers• why elder neglect requires proof beyond simple negligence• how damages caps shape which cases lawyers can take• settlements versus trials and real risk trade-offs• punitive damages and when they apply• CMS liens and how they reduce awards• practical steps to document abuse or neglect• where to file complaints if you cannot sue• why memorializing misconduct still mattersContact Anthony Lanzone:  Email: mycase@www.lanzonemorgan.comPhone: 888-887-9777LINKEDIN#LoveConquersAlz, #ElderCare, #ElderLaw, #NursingHomeReform, #ElderAbuseAwareness, #SeniorAdvocacy, #LongTermCare, #JusticeForOurElders, #PeopleOverProfit, #HealthPodcast, #AdvocacyPodcastSupport the showNo Country For Old People; a Nursing Home Exposé is STREAMING NOW on Amazon Prime (https://www.amazon.com/gp/video/detail/B0F7D1RR5X/ref=atv_dp_share_cu_r) Please watch. Review. Share. Be a ROAR-ior!! JOIN THE R.O.A.R. MOVEMENT for quality long term care! Visit the No Country For Old People Website for more information.YOU CAN ALSO SUPPORT THE ABSOLUTELY CRUCIAL PROMOTION OF OUR DOCUMENTARY "NO COUNTRY FOR OLD PEOPLE" BY MAKING A TAX DEDUCTIBLE DONATION THROUGH THE NATIONAL CONSUMER VOICE HERE Follow us on Twitter, FB, IG, & TiK Tok

Cahors, Southwest France, where Malbec was born on limestone, creating "black wines" that taste nothing like Argentina. Discover three terroirs, phylloxera's legacy, and why tension beats power.Perfect for WSET & CMS students and curious drinkers alike.⁠Study Questions ⁠on Substack (@wineghosts)Instagram: @wineghostsE-mail: info@wineghosts.com

Right About Now with Ryan Alford Join media personality and marketing expert Ryan Alford as he dives into dynamic conversations with top entrepreneurs, marketers, and influencers. "Right About Now" brings you actionable insights on business, marketing, and personal branding, helping you stay ahead in today's fast-paced digital world. Whether it's exploring how character and charisma can make millions or unveiling the strategies behind viral success, Ryan delivers a fresh perspective with every episode. Perfect for anyone looking to elevate their business game and unlock their full potential.     Resources: Right About Now Newsletter | Free Podcast Monetization Course | Join The Network |Follow Us On Instagram | Subscribe To Our Youtube Channel | Vibe Science Media SUMMARY In this episode of "Right About Now," host Ryan Alford interviews Nick Gernert, CEO of WordPress VIP. They discuss WordPress’s evolution from a blogging tool to a leading enterprise CMS, emphasizing the importance of simplicity, openness, and empowering people over complex tech stacks. The conversation explores the integration of AI to enhance content creation and SEO, while stressing the value of owning digital channels rather than relying on external platforms. Nick shares insights on adapting WordPress for large organizations and the future of digital experiences in an AI-driven landscape. TAKEAWAYS Evolution of WordPress from a blogging platform to a leading content management system (CMS). Challenges and strategies for transitioning WordPress into the enterprise space. Importance of simplicity in technology solutions for digital transformation. Role of artificial intelligence (AI) in content creation and SEO. Impact of AI on enhancing human creativity and productivity in content management. WordPress's open-source nature and its ecosystem of plugins and integrations. SEO best practices integrated into WordPress since its inception. Importance of building a strong owned digital presence versus relying on external platforms. Insights on the relationship between AI-generated content and website referral traffic. The significance of empowering organizations to own their content, data, and audience relationships.  

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers welcomes Nathan Hostert of The Center for Advancing Health Policy Through Research at Brown University to the pod to discuss a recent Forefront article on how states are utilizing hospital price caps to save money.Become an Insider today to get access to our third trend report focusing on the influence of private equity in health care.Related Articles:How States Are Using Hospital Price Caps To Save Money (Health Affairs Forefront)Hospital Payment Cap Simulator (Brown University)Hospital Facility Prices Declined As A Result Of Oregon's Hospital Payment Cap (Health Affairs)Hospital Payment Caps Could Save State Employee Health Plans Millions While Keeping Hospital Operating Margins Healthy (Health Affairs)How Massachusetts's New Health Care Reform Takes Aim at Private Equity (Health Affairs Forefront) Subscribe to UnitedHealthcare's Community & State newsletter.

The Friday Five for November 14, 2025: iPhone Pocket Brings Back… Pockets. CMS Rural Health Transformation Program Government Shutdown Update Most-Favored Nation Drug Pricing CMS GENEROUS Model   Get Connected:

November 14, 2025 In this episode, Scott, Mark, and Ray Painter discuss the impact of the government's recent reopening on telehealth services for Medicare patients. With the new continuing resolution extending COVID-era telehealth flexibilities through January 30, 2026, they break down what this means for billing, coverage, and patient refunds. The team also explores what to watch for if another shutdown looms, how CMS might handle claims from the closure period, and why signs point to telehealth becoming a permanent fixture in Medicare.Urology Advanced Coding and Reimbursement SeminarInformation and RegistrationPRS Coding and Reimbursement HubAccess the HubFree Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

In this episode, Martin sits down with Adam Boros, a passionate developer who shares his journey in the Drupal community. Adam discusses the importance of automation for small teams and recounts his experiences with Drupal's evolution from version 6 to the recent resurgence of enjoyment with Drupal 10. He introduces his innovative personal calendar builder created for DrupalCon Vienna, explaining its simplicity and the enthusiastic community feedback it received. For show notes visit: https://www.talkingDrupal.com/cafe011 Topics The Fun of Drupal Over the Years Reconnecting at DrupalCon Vienna The Personal Calendar Builder Project Technical Details and Challenges Community Engagement and Feedback Feature Requests and Future Plans Reflections on DrupalCon Vienna Evolution of Drupal and Its Community AI and the Future of Drupal Upcoming Events and Final Thoughts Adam Boros Adam was originally studying Architecture but never graduated. He started web development as a self-learner after working a few years in print design and DTP back in 2002. Using Flash5 and ActionScript at first, Adam discovered Drupal around 4.6 while looking for a CMS to replace PHPNuke for a local NGO. It was true love at first sight and after a few years of hobby projects and active involvement with the Drupal community in Budapest he ended up being a full-time drupalist at a university where Adam has worked since then for the past 15+ years as "Drupal Systems Architect". Martin Anderson-Clutz Martin is a highly respected figure in the Drupal community, known for his extensive contributions as a developer, speaker, and advocate for open-source innovation. Based in London, Ontario, Canada, Martin began his career as a graphic designer before transitioning into web development. His journey with Drupal started in late 2005 when he was seeking a robust multilingual CMS solution, leading him to embrace Drupal's capabilities. Martin holds the distinction of being the world's first Triple Drupal Grand Master, certified across Drupal 7, 8, and 9 as a Developer, Front-End Specialist, and Back-End Specialist. (TheDropTimes) He also possesses certifications in various Acquia products and is UX certified by the Nielsen Norman Group. Currently serving as a Senior Solutions Engineer at Acquia, Martin has been instrumental in advancing Drupal's ecosystem. He has developed and maintains several contributed modules, including Smart Date and Search Overrides, and has been actively involved in the Drupal Recipes initiative, particularly focusing on event management solutions. His current work on the Event Platform aims to streamline the creation and management of event-based websites within Drupal. Beyond development, Martin is a prominent speaker and educator, having presented at numerous Drupal events such as DrupalCon Barcelona and EvolveDrupal. He is also a co-host of the "Talking Drupal" podcast, where he leads the "Module of the Week" segment, sharing insights on various Drupal modules. Martin's dedication to the Drupal community is evident through his continuous efforts to mentor, innovate, and promote best practices within the open-source landscape. Resources Calendar Builder https://aboros.github.io/drupalcon-vienna-2025-calendar-builder/ Calendar Builder repo https://github.com/aboros/drupalcon-vienna-2025-calendar-builder Guests Adam Boros - aboros Martin Anderson-Clutz - mandclu.com mandclu

Energiegemeinschaften: Stromversorgung im Eigenbau   In der zweiten Episode von Energy sparks – Kurze Impulse zur Energiewende von CMS & colibrie widmen sich Georg Gutfleisch und Florian Prasky dem Konzept der Energiegemeinschaften. Hören Sie jetzt rein, um mehr über die verschiedenen Arten und rechtlichen Rahmenbedingungen dieser Gemeinschaften zu erfahren und Einblicke in den aktuellen Umsetzungsstatus in Österreich zu erhalten.

In this episode, we're continuing our "need-to-know" series for indie beauty founders with a deep dive into one of the most crucial parts of building a beauty brand: manufacturing. Featuring Richie Rubin from the contract manufacturer Garcoa for a "Contract Manufacturing 101", unpacking how brands and manufacturers work together, what the current landscape looks like of CMs, red flags to watch out for, and how broader challenges like tariffs and labor shortages are impacting beauty production.  Interested in supporting the podcast? Please share, subscribe and write a review! If it's accessible, we also have a Patreon which you can find at patreon.com/theecowell

Jump in the time machine with us as we travel back circa 2005 for the first Medicare Annual Enrollment Period, the debut of Medicare Advantage, Medicare Part D, two new Med Supp plans, and more!   Read the text version   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 4 Ways PlanEnroll Will Make This Your Best AEP Yet 4 Reasons Why Ritter Insurance Marketing Should Be Your FMO Insurance Agency 5 Medicare Myths Your Clients May Believe 10 Tips to Submitting an Error-Free Medicare Enrollment Application 2026 Medicare Part D Bid Info Likely Means Higher Premiums & Plan Disruption — Here's Why A Review of Integrity's Top Medicare Quoting Tools How Insurance Agents Can Use AI Tools How Storytelling Helps Agents Quickly Connect with Clients ft. Don Connelly IntegrityCONNECT & PlanEnroll FAQs Register with RitterIM.com Risk Adjustment & Finding Value Beyond Coding Changes ft. Dr. Shannon Decker The Future of Medicare Part D: The Push Toward MAPD The Ultimate Agent Resource List Pt. 3: Staying Organized   References: “2005 CMS Statistics.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicaremedicaidstatsupp/downloads/2005_cms_statisticspdf. Accessed 21 Oct. 2025. “2025 Medicare Parts A & B Premiums and Deductibles.” CMS.Gov, Centers for Medicare & Medicaid Services, 8 Nov. 2024, www.cms.gov/newsroom/fact-sheets/2025-medicare-parts-b-premiums-and-deductibles. McManus, Melanie Radzicki. “A Short History of How Netflix Won World Domination in Streaming.” Entertainment.Howstuffworks.Com, HowStuffWorks, 21 Dec. 2018, entertainment.howstuffworks.com/short-history-netflix-world-domination-streaming.htm. “Beneficiaries with Special Needs Can Get Help from Medicare Managed Care Plans.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/beneficiaries-special-needs-can-get-help-medicare-managed-care-plans. Accessed 21 Oct. 2025. Laschober, Mary. “Estimating Medicare Advantage Lock-In Provisions Impact on Vulnerable Medicare Beneficiaries.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/05springpg63pdf. “IPod Shuffle (1st Generation).” Apple.Fandom.Com, Apple Wiki, apple.fandom.com/wiki/IPod_shuffle_(1st_generation). Accessed 21 Oct. 2025. “K & L Out-of-Pocket Limits Announcements.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/medicare/health-drug-plans/medigap/k-l-out-of-pocket-limits-announcements. Accessed 21 Oct. 2025. “Medicare Advantage and Medicare Prescription Drug Programs to Remain Stable as CMS Implements Improvements to the Programs in 2025.” CMS.Gov, Centers for Medicare & Medicaid Services, 27 Sept. 2024, www.cms.gov/newsroom/press-releases/medicare-advantage-and-medicare-prescription-drug-programs-remain-stable-cms-implements-improvements. Freed, Meredith, et al.  “Medicare Advantage 2025 Spotlight: A First Look at Plan Offerings.” KFF.Org, KFF, 9 Aug. 2025, www.kff.org/medicare/medicare-advantage-2025-spotlight-a-first-look-at-plan-offerings/. Freed, Meredith, Jeannie Fugleston Biniek, et al. “Medicare Advantage 2025 Spotlight: A First Look at Plan Premiums and Benefits.” KFF.Org, KFF, 9 Aug. 2025, www.kff.org/medicare/medicare-advantage-2025-spotlight-a-first-look-at-plan-premiums-and-benefits/. “Medicare Part B Immunosuppressive Drug Benefit.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/partbid-provider. Accessed 21 Oct. 2025. “Medicare Demonstration to Transition Enrollment of Low Income Subsidy Beneficiaries .” Cms.Gov, Centers for Medicare & Medicaid Services, 8 June 2006, www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/Downloads/MemoLTCContracting_060806.pdf. “Medicare Part B Income-Related Monthly Adjustment Amount.” Federalregister.Gov, Federal Register, www.federalregister.gov/documents/2006/10/27/E6-17690/medicare-part-b-income-related-monthly-adjustment-amount. Accessed 21 Oct. 2025. Cubanski, Juliette, and Anthony Damico. “Medicare Part D in 2025: A First Look at Prescription Drug Plan Availability, Premiums, and Cost Sharing.” KFF.Org, KFF, 9 Aug. 2025, www.kff.org/medicare/medicare-part-d-in-2025-a-first-look-at-prescription-drug-plan-availability-premiums-and-cost-sharing/. “Medicare Program Description and Legislative History.” Ssa.Gov, Social Security Administration, www.ssa.gov/policy/docs/statcomps/supplement/2006/medicare.html. Accessed 21 Oct. 2025. “Medicare Program; Establishment of the Medicare Advantage Program.” Federalregister.Gov, Federal Register, https://www.federalregister.gov/documents/2005/01/28/05-1322/medicare-program-establishment-of-the-medicare-advantage-program. Accessed 21 Oct. 2025. “Part D / Prescription Drug Benefits.” Medicareadvocacy.Org, Center for Medicare Advocacy, 30 May 2025, medicareadvocacy.org/medicare-info/medicare-part-d/. “Pop Culture in Review for the Year 2005.” Mrpopculture.Com, Mr. Pop Culture , 29 Nov. 2023, mrpopculture.com/pop-culture-in-review-for-the-year-2005/. "The Medicare Advantage program: Availability, benefits, and special needs plans - Chapter 9." Medpac.Gov, Medpac.gov, www.medpac.gov/wp-content/uploads/import_data/scrape_files/docs/default-source/reports/Jun06_Ch09.pdf. Accessed 21 Oct. 2025. Gold, Marsha. “The Landscape of Private Firms Offering Medicare Prescription Drug Coverage in 2006.” Modern.Kff.Org, The Henry J. Kaiser Family Foundation, www.kff.org/wp-content/uploads/2013/01/7474.pdf. Accessed 21 Oct. 2025. “The next Generation of Medicare Beneficiaries - Chapter 2.” Medpac.Gov, Medpac.gov, www.medpac.gov/wp-content/uploads/import_data/scrape_files/docs/default-source/reports/chapter-2-the-next-generation-of-medicare-beneficiaries-june-2015-report-.pdf. Accessed 21 Oct. 2025. Crowder, Courtney. “Throwback: Pop Culture Trends of 2005.” Usatoday.Com, USA Today, 30 July 2015, www.usatoday.com/story/entertainment/2015/07/30/pop-culture-trends/30739417/. “Update to Medicare Deductible, Coinsurance and Premium Rates for 2006.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R31GI.pdf. Accessed 21 Oct. 2025. “Variation and Trends in Medigap Premiums.” Aspe.Hhs.Gov, U.S. Department of Health and Human Services Assistant Secretary for Planning and Evaluation, aspe.hhs.gov/sites/default/files/migrated_legacy_files/43721/index.pdf. Accessed 21 Oct. 2025. Hosch, William L. “YouTube.” Britannica.Com, Encyclopædia Britannica, inc., 19 Oct. 2025, www.britannica.com/topic/YouTube.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance      Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel   Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

SummaryIn this episode, Sean M Weiss discusses the critical role of compliance officers in healthcare organizations, emphasizing their responsibilities, best practices, and the importance of maintaining objectivity and independence. He outlines the do's and don'ts of compliance, highlights essential resources for compliance officers, and stresses the need for separation between compliance, legal, and operations to ensure effective oversight and ethical conduct.TakeawaysThe compliance officer is pivotal in safeguarding organizational integrity.Compliance officers must adhere to laws like the False Claims Act and HIPAA.Regular risk assessments are crucial for identifying high-risk areas.Establishing anonymous reporting mechanisms encourages whistleblowing.Ignoring red flags can expose organizations to significant risks.Objectivity and independence are essential for effective compliance.Resources from OIG and CMS are vital for compliance programs.Separation of compliance from legal and operations is necessary.Fostering a culture of ethical conduct mitigates potential liabilities.Compliance is a continuous process that requires vigilance and adaptation.

This week I Talk About Getting A Coach For Your Business [powerpress]

Send us a textGood morning from Pharma Daily: the podcast that brings you the most important developments in the pharmaceutical and biotech world. Today, we're diving into a series of groundbreaking developments that are reshaping the landscape of drug development and patient care. These stories highlight the dynamic nature of the pharmaceutical and biotechnology industries, where scientific advancements and regulatory changes are driving significant shifts.We begin with a crucial milestone in oncology treatment. The FDA has granted approval to Johnson & Johnson's Darzalex Faspro for patients with high-risk smoldering multiple myeloma. This approval is particularly significant as it provides a new therapeutic pathway for individuals with this precursor condition to active multiple myeloma, which previously had few treatment options. The drug works by targeting CD38 proteins on myeloma cells, representing a leap forward in monoclonal antibody treatments for cancer. This decision underscores the FDA's ongoing commitment to expanding treatment options for conditions with high unmet needs, potentially setting a precedent for future approvals in early-stage malignancies.Meanwhile, Gilead Sciences encountered challenges with its oncology pipeline as Trodelvy failed to meet its primary endpoint in a Phase 3 trial for first-line HR+/HER2-negative metastatic breast cancer. This outcome highlights the complexities of oncology drug development, despite previous successes in other indications. Such setbacks remind us of the inherent risks involved in bringing innovative therapies to market.In contrast, Akeso has announced positive data for ivonescimab, a PD-(L)1xVEGF bispecific antibody. The drug demonstrated significant overall survival benefits in patients with previously treated EGFR-mutated non-small cell lung cancer. This advancement underscores the therapeutic potential of bispecific antibodies in cancer immunotherapy, which continue to gain traction as they target multiple pathways involved in tumor growth and immune evasion.Regulatory incentives have also been making waves. The FDA's rollout of the second round of "national priority" voucher winners aims to accelerate drug development timelines, particularly in critical areas such as obesity. Companies like Lilly and Novo Nordisk have been recognized for their efforts, highlighting a broader strategy to bring transformative therapies to market more swiftly.On the corporate front, Bayer's proposed private equity buyout fell through due to insufficient shareholder support, reflecting ongoing financial volatility and strategic recalibrations within biotech firms. Meanwhile, CMS's introduction of a new Medicaid pricing model aims to implement "most-favored nation" pricing strategies to control drug costs, signaling potential shifts in how pharmaceutical companies approach pricing negotiations and reimbursement strategies.Technological advancements are also at the forefront of innovation. Eli Lilly has expanded its AI-driven drug discovery partnership with XtalPi, focusing on antibody development. This collaboration exemplifies how AI is increasingly being integrated into pharmaceutical research to enhance drug discovery processes.Furthermore, China's decision to lift its ban on Illumina's DNA sequencers is expected to facilitate greater access to advanced genomic technologies within the region, fostering innovation in precision medicine.Leadership changes continue to shape industry dynamics. For instance, Recursion Pharmaceuticals is undergoing executive restructuring to better align with evolving market needs and innovation strategies. These changes are crucial for maintaining competitiveness and fostering an environment conducive to scientific breakthroughs.The industry is also witnessing strategic realignmenSupport the show

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Is innovation truly at the center of your agency operations? Not just what you offer clients, but in how you operate? With AI raising expectations faster than most agencies can adapt, investing in innovation isn't optional anymore. It's how you build client trust, stay ahead of disruption, and keep your edge. Today's featured guest unpacks his journey from leading the award-winning agency T3 to launching Superstep Capital, a private equity firm investing exclusively in agency and technology-service businesses. His insights cut through the noise on innovation, leadership, and how to stay ahead of the next big shift. Ben Gaddis still calls himself agency guy. After more than a decade building T3 into one of the nation's leading digital agencies, serving clients like UPS, 7-Eleven, and JP Morgan Chase he sold the company and launched Superstep Central, a private equity firm investing in agencies and tech service businesses. When he sold T3 to a private-equity group, he didn't ride off into the sunset. Instead, he crossed over to what he calls "the dark side," founding Superstep Capital. Now, he defines his mission as redefining what private equity looks like in the agency world by partnering with founders to scale the right way. In this episode, we'll discuss: Going all-in on the next wave before clients catch up. Why innovation should be treated as an expectation. Lessons on creating a leadership structure. Why differentiation still wins. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. Go All-In on the Next Wave Before Clients Catch Up Ben's family has been running T3 since he was born, so it made sense to him that he'd eventually end up in the agency world. Hence, he started his career working at Omnicom, learning from their biggest competitors, and was around when mobile apps became a thing after the launch of the iPhone. At Omnicom Ben saw how traditional holding companies were too slow to invest in mobile. He didn't hesitate to seize the opportunity that mobile presented. Frustrated, he took over T3 and bet big on the emerging mobile market. That bet paid off with marquee wins and explosive growth, scaling the agency to $50 million in revenue and around 300 employees. His advice for agency owners today echoes that same spirit: burn the boats. You can't half-commit to a new capability and expect to lead it. You can't expect clients to lead you there. If you want to own a new channel, whether it's AI, automation, voice, whatever's next, you have to invest ahead of demand and prove value before anyone asks. If you wait for client demand before you invest, it's already too late. Innovation Isn't a Slogan, It's an Expectation At T3, Ben created a culture where innovation wasn't just encouraged; it was an expectation. So they turned innovation into a measurable habit by creating an "Innovation Match" program where they matched a portion of a client's spend dollar-for-dollar on experimental projects. Clients got to share in the risk and the reward. Those projects became T3's biggest success stories and built a reputation for fearless creativity. T3 chose projects and built roadmaps alongside the clients. turning them into true partners in innovation. The coolest work the agency ever did ended up coming from that program. It even led to another venture project called T3 Ventures, where they invested in c-stage startups. It was all about surrounding his team with people who were doing the newest and coolest stuff and letting their clients see this. It worked much better to show innovation than to just talk about it. Innovation has to live in your budget, not your buzzwords. When your team sees that experimentation is backed by leadership, and even matched financially, they'll start bringing the bold ideas that set you apart. This" Innovation Match" model is a playbook for modern agencies trying to make innovation a repeatable, funded process. Leadership Has to Grow as Fast as the Agency Early on, Ben was a young CEO trying to manage instead of lead. He assumed people could read his mind and execute on his vision. That mistake caused turnover and frustration until he hit pause, clarified T3's mission, and re-aligned around a few focused areas: digital products, loyalty, and CRM. From there, he learned to build leadership in layers. Initially, he brought on a COO, which seemed like the next logical move; however, it wasn't the right cultural fit and complicated everything with the team. It wasn't about what his COO changed, it was how they did it… the entire team rejected this dynamic. Eventually, Ben was able to bring in a COO who simplified instead of complicating. It not only freed Ben to think creatively again and gave the agency room to scale, it gave him back his creative headspace. Agency Structure for Scale: Build Practice Leaders, Not Project Managers The other positive change at his agency was creating the "practice groups". Instead of spreading talent thin across random projects, they paired a portfolio lead with a subject-matter expert. Each duo owned a P&L and growth target. The result was deep expertise, repeatable wins, and new verticals that practically built themselves. Their restaurant and convenience-store niche exploded from 2 clients to 30 in record time. This model solves the scaling paradox of how to grow without sacrificing quality. When your experts own both excellence and profit, growth stops feeling chaotic. The last area they focused on was delivery, fighting to maintain quality as they did the newest thing. In the end, it came down to setting expectations and aligning with clients around what they were bringing to the table. As a result, quality went up. AI, Sales, and What's Next for Agency Growth On the investment side, Ben sees a lot of agencies struggling with hesitation and "no-decision" deals. AI has amplified expectations while compressing margins. Many clients now assume everything can be automated, expecting greater output for less cost. Thankfully, this trend has decreased, as clients were burned by this overreliance on AI. On the other hand, it's clear to Ben that agencies should and must be faster and more efficient, and agencies with a clear understanding of what they do and who they serve are not blindsighted by this new reality. His advice: AI isn't differentiation, it's amplification. The edge comes from how you apply it, not the tools themselves. Know your vertical, know your data, and connect AI to real business outcomes. The agencies that win are the ones that define how AI fits their process - not the other way around. Why Differentiation Still Wins in the AI Era The agencies and individuals winning right now aren't the ones with the fanciest tools or the most automation; they're the ones combining experience, curiosity, and creativity to use AI in smarter ways. Ben shares the story of an account manager who built her own workflows using AI to research verticals, anticipate objections, and walk into client meetings armed with strategic ideas that wowed executives. She wasn't a technologist, she was a strategist who understood her clients deeply and used AI as a force multiplier. That's the real edge in this new era. Tools are accessible to everyone, but insight and application are not. As Ben points out, it's your data, your intuition, and your industry expertise that make AI valuable. AI doesn't replace strategy, it rewards it. The agencies that know their data, their clients, and their niche will always have the edge. Do You Want to Transform Your Agency from a Liability to an Asset? Looking to dig deeper into your agency's potential? Check out our Agency Blueprint. Designed for agency owners like you, our Agency Blueprint helps you uncover growth opportunities, tackle obstacles, and craft a customized blueprint for your agency's success.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers welcomes Rachel Sachs from Washington University in St. Louis and Deputy Editor Chris Fleming back to the pod to discuss CMS' final guidance for the latest round of the Medicare drug price negotiation program. Related Articles:Administration Releases Medicare Drug Price Negotiation Program Final Guidance For 2028 (Health Affairs Forefront)The Role of Combination Drugs in the Medicare Drug Price Negotiation Program (JAMA)Articulating policy options regarding implementation of the Medicare drug price negotiation program's renegotiation provision (Brookings Institution)Eye on The IRA (Health Affairs) Subscribe to UnitedHealthcare's Community & State newsletter.

In this episode of The Dish on Health IT, host Tony Schueth, CEO of Point-of-Care Partners (POCP), is joined by colleagues Brian Dwyer, POCP's Business Strategy Lead, and Seth Joseph, Managing Director at Summit Health Advisors, to unpack their takeaways from the HLTH25 conference in Las Vegas. Together, they reflect on the energy of the event, the conversations shaping the future of health IT, and interviews recorded live from Podcast Row.The trio kicks off by comparing notes on how HLTH has evolved from a flashy innovation show to something more grounded, a space where serious conversations about interoperability, investment, and operational impact are starting to take hold. Seth notes the event's “coming-of-age” moment, where hype gave way to maturity. Brian agrees, adding that the buzz of startups pitching and investors circling was balanced by a sense of realism about implementation and outcomes.AI dominated every conversation, but with a more pragmatic tone than in years past. The hosts discuss how AI is shifting from novelty to necessity, moving from “AI for AI's sake” to purpose-driven use cases. Interview clips from leaders like Taha Kass-Hout with GE Healthcare spotlight “agentic AI,” where autonomous systems could act as trusted colleagues in care delivery, even participating in tumor board decisions to help extend expertise to rural or underserved regions. The group connects this to the ongoing challenge of ensuring data quality and interoperability as the foundation for any AI success story.Laurie McGraw of Transcarent and Kyle Kiser of Arrive Health bring different but complementary perspectives. Laurie underscores AI's potential to bend the cost curve only if applied safely and effectively, while Kyle highlights the growing complexity of affordability and the need for intelligent systems to help patients and providers navigate fragmented benefits and prescription pricing. Seth and Brian note that the shift toward patient empowerment, fueled by AI and transparency, could signal a broader cultural change in healthcare where consumers wield more influence.The discussion expands into value-based care with insights from McKesson's John Beardsley, who questions whether the industry has truly cracked the code after two decades of running at value-based care and interoperability. John also raises an important tension: small innovators are doing exciting things with AI, but scaling those solutions across full workflows remains the real test. The hosts debate whether new payment models, potentially powered by AI-driven insights, could finally make value-based care viable.Policy and regulation also take center stage as Christopher Chen, MD, MBA, Chief Medical Officer at the Washington State Health Care Authority, shares how state and federal efforts are aligning to accelerate interoperability, reduce provider burden, and modernize prior authorization processes under CMS-0057. The hosts reflect on the importance of federal leadership to align incentives across payers, providers, and technology vendors, echoing lessons learned from the early days of ePrescribing.Other memorable interview moments include John Beardsley's commentary on the CMS Interoperability and Patient App Pledges and how better understanding how NCPDP and FHIR standards bridge pharmacy and clinical data silos could help move the needle. Brian and Seth build on that theme, envisioning a future where agentic AI and patient-facing apps work together to drive true engagement and accountability for health outcomes.In the final stretch, the hosts revisit recurring topics such as physician burnout, administrative burden, and structured data chaos, tying them back to the industry's broader need for smarter implementation and aligned incentives. From Christopher Chen's relaying an anecdote about seeing structured data turned into unreadable images that are faxed in to Arrive Health's use of AI to prevent unnecessary transactions, the episode surfaces a consistent theme: technology alone won't fix healthcare, but when paired with aligned incentives, collaboration, and business transformation, it can finally make measurable progress.The episode closes with optimism. Tony, Brian, and Seth agree that while the system is strained, it's also full of momentum, from maturing AI applications to government action and renewed industry alignment. As Tony puts it, “There's a lot to be hopeful about and a lot of work left to do.”Listen to the full episode to hear interviews from the HLTH25 floor, including thought leaders discussing interoperability, agentic AI, and the real-world changes needed to make healthcare innovation stick.Share The Dish on Health IT from Spotify, Apple Podcasts, or Healthcare NOW Radio, Watch extended clips on the POCP YouTube channel

A Mol és az OTP gyorsjelentéseivel foglalkoztunk, és a mélyére néztünk a legfrissebb számoknak, amelyek fogódzót jelenthetnek a befektetők számára, hogy vételben vagy eladásban gondolkodjanak. A témáról Nagy Viktor, a Portfolio vezető elemzője beszélt. A műsor második felében az uniós AI Act kapta a fókuszt, az Európai Bizottság ugyanis részben elhalasztaná a világon legszigorúbb AI-szabályozásának hatályba lépését, miután az Egyesült Államok és a nagy technológiai cégek intenzív nyomást gyakoroltak Brüsszelre. A döntés hátteréről és a hazai cégek AI Actből fakadó esetleges kötelezettségeiről is kérdeztük Petrányi Dórát, a CMS közép-kelet-európai régióért felelős ügyvezető igazgatóját. Főbb részek: Intro − (00:00) Jelentett a Mol és OTP is: venni vagy nem venni? − (02:26) EU AI Act: haladék a Big Technek − (14:15) Tőkepiaci kitekintő − (25:44) Kép forrása: Getty ImagesSee omnystudio.com/listener for privacy information.

In this episode of Manager Minute, host Carol Pankow welcomes Dr. Chaz Compton and Dr. Meera Adya, co-directors of the new National Vocational Rehabilitation Technical Assistance Center (NVRTAC). They discuss how the Center builds on decades of innovation in vocational rehabilitation (VR) to unify training, evaluation, and technology that strengthen state VR agencies across the nation. Partnering with The George Washington University, the National Disability Institute, CSAVR, YesLMS, Case Review Solutions, SaraWorks, and Intellitech, the NVRTAC delivers comprehensive technical assistance to enhance performance, fiscal management, and employment outcomes for individuals with disabilities. Key initiatives include AI-driven tools such as SaraWorks and Case Amplify, designed to reduce administrative burdens and capture real-world impact. The team is also launching leadership and fiscal talent development programs, expanding recruitment and retention efforts, and embedding continuous evaluation across all initiatives. Their goal is to achieve measurable outcomes, real change, and a stronger, more efficient VR system serving individuals with disabilities.   Listen Here   Full Transcript:   {Music} Chaz: Right now, not ten years from now, but right today, we have the capacity to. Turn our administrative burden into an AI driven function that alleviates that burden.   Meera: Input is getting provided at the beginning and the middle at the end all over again. It really is that measurable and real change and ongoing calibration towards that is our North star.   Chaz: And having actual measurable outcome improvements. So simple as that.   Carol: That sounds good. How about you? What do you think?   Meera: Nothing to add. Measurable outcomes. Real change. Drop the mic.   Carol: Boom! I love it.   {Music} Intro Voice: Manager Minute, brought to you by the Vocational Rehabilitation Technical Assistance Center. Conversations powered by VR. One manager at a time, one minute at a time. Here is your host, Carol Pankow.   Carol: Well, welcome to the Manager Minute. Joining me in the studio today are my close colleagues, doctor Chaz Compton and Doctor Meera Adya, Co-project directors of the new National Vocational Rehabilitation Technical Assistance Center, or VRTAC for short. So woohoo you guys! I'm so excited to have you here. How are things going Chaz?   Chaz: Wonderful. Very busy and very happy to be here. Thank you.   Carol: Excellent. How about you, Meera? How's it going?   Meera: Pretty good.   Carol: Awesome. Well, glad to have you both. I just want to give a little bit of history for our listeners. The Vocational Rehabilitation Technical Assistance Centers have a long and rich history rooted in the Rehabilitation Act itself. And from the very beginning, the act recognized that helping individuals with disabilities achieve meaningful employment requires more than just funding. It requires a system of continuous learning, innovation and improvement. And that's why the Rehabilitation Services Administration has long invested in national technical assistance centers to strengthen state VR agencies, build staff capacity and ensure programs stay aligned with evolving regulations, Relations, research and best practices, and over the years, these centers from the early TACE centers to WINTAC and the QM and QE and AIVR TAC and all the things, and now the new NBR tech have become the backbone of progress in our field, helping translate policy into practice and ensuring that the promise of the Rehabilitation Act remains strong for the next generation. So let's dig in. Gang, can you tell our listeners a little bit about yourselves and your journey into VR? And, Chaz, I'm going to kick it to you first.   Chaz: Okay. Gosh, it's been 40 years now. Hard to believe. I started with a community rehab program 40 years ago this year.   Carol: Wow.   Chaz: A few years later, I moved into the public VR program in California. I was a counselor, a supervisor, and then a district administrator and got my doctorate degree at San Diego State University and moved over and directed the TA Center 15 years ago, and then the WINTAC and then the VRTAC-QM and now the what we call the VR TAC, the national VRTAC.   Carol: That is awesome. I did not realize it was 40 whole years. Chaz, I think we're pretty close in age to each other.   Chaz: It's been a while.   Carol: Meera, how about you? How'd you get your journey into this world?   Meera: Well, my work has always been at the intersection of empiricism and law and policy. So I'm a researcher and evaluator. I've done projects looking at how people with disabilities can be successful in workplaces and communities, thinking about inter work and the VR system. More specifically, I became engaged first as a partner, leading the program evaluation for Interworks Wintech centre. And then Chaz convinced me to come to Interworks continue doing what I was doing by taking the lead on the program evaluation for the VR, QM, and then our portfolio at Interworks has grown. Now there are several disability innovation grants and customized employment projects in addition to the TAC that we are leading the evaluation on. And Chaz then offered me the opportunity to continue growing my work, and here I am as the co-director of the center as a whole, and I'm honored and thrilled to support Chaz and our team. Take the work with VR and its partners forward to improve outcomes for people with disabilities.   Carol: I love it Meera, and you're a good addition, and we're really happy to have you as the Co-project director, too. So what is the overarching purpose of our new VR TAC?   Chaz: It is to provide technical assistance and training that will help VR agencies and their partners improve service delivery and increase the quantity and quality of employment outcomes for individuals with disabilities being served by VR program and their partners. Our major focus areas include helping agencies effectively manage the program, the performance of the program, the fiscal side of the program and their resources, and helping them identify and implement effective employment strategies and practices that accomplish the overarching goal of helping improve outcomes and service delivery. That's the big picture.   Carol: It is cool because it's like soup to nuts. I think sometimes, you know, the previous TAC, you know, they had very kind of more specific focus. And then with the QM and like QE too, you know, it expanded. But now we've got the whole shebang in one place.   Chaz: Mhm.   Carol: Very fun. Meera do you have anything you wanted to add to that?   Meera: Sure. I was just thinking about all the work that Chaz has been doing, the messages he sends us and how we've come together and so far trying to put it into an encapsulation. I've been coming up with one team or his words, but I think just such a good representation and you'll see that now in our messaging going forward, but also a yes. And we don't say no. We find a way to work together and is so what, what is the measurable change that's going to result from the work we do? I think you're going to see that over the next five years constantly coming up.   Carol: Yeah, I like that, Meera. You got to keep us grounded in that. About the so what? So what we can do lots of activities. But so what about them? And I see, Chaz, you're smiling at me because, you know, I'm an activity person. And it's like, but what's the benefit from what we did? So how does the new TAC build on the work in the lessons that were learned from all the previous work?   Chaz: Well, to say we've learned some lessons along the way, especially in the last ten years, would be an understatement. There have been the implementation of WIOA and all of the requirements associated with that, living through all of the implementation with agencies, helping them respond to that effectively, looking at the demographic shift in the field to youth, where now the majority of the people we serve are 24 years of age or younger. Looking at going into and out of Covid and how that changed service delivery, how the fiscal landscape of the program changed accordingly, how we have seen the pendulum shift fiscally from one side to the other and now back again. All of that has helped inform, I think, the development of our technical assistance and the training and the way we go into this new center. So we have just a bunch of lived experience, if you will, along with agencies. So what they have gone through, we have gone through with them, and I think we can help them successfully navigate the future. And while at the same time responding to the challenges that they face right now. So all of that, I think, really has laid an important foundation for the VRTAC and the work we're going to be doing with agencies.   Carol: I think you hit the nail with that. I think about all the last five years, even the work I've done and our team has done and how deep we got in with agencies like it felt like we were part. I often talk when I'm in at agency, I talk about we like I'm part of them because you're enmeshed in everything they're doing and their systems and their people and their meetings and all of their things. You become so ingrained with them. It really helped you to get such a clear picture of what was happening and helps really get maybe at the root of some of the issues and to develop that work fundamentally so that the seeds we laid could really grow and germinate and keep going forever and keep growing and growing and growing. So it isn't just a one shot. We did a little quick training and we're out of there. It really became such a deep lesson. Meera, how about for you with that lessons learned? I'm sure evaluation wise there are things you were thinking about as well.   Meera: Oh, absolutely. We have all of our past evaluation reports and findings, and we can keep looking at those. And I certainly keep bringing them up whenever it strikes me that there's a relevant point that comes forward again. And you can see with the way that Chaz has put together these innovative partners and projects, a continuation of the successful approaches and partnerships as well, and just a laser focus on measurable change that evolution and improvement and lessons learned is just baked into the center. As a research and evaluator, I know firsthand how the knowledge translation pipeline takes time, but it can take less time when you work directly with stakeholders from the beginning, and that's what's happening with us. Chaz has always taken evaluation seriously, woven it into the very fabric of the work. Stakeholders are the partners. They hold us accountable. We continuously are learning what's working. Pivot when needs must.   Carol: Well said Meera. Thank you for that. What current challenges do you guys see in the VR system that make a unified national TA center so important right now?   Chaz: To say that efficiency, accountability and improved outcomes are important would be an understatement. And this is not a new focus, of course. I mean, you have to go back to the movement of the Rehabilitation Act under the Workforce Investment Act of 1988, which was really an attempt to improve efficiency and refrain from duplication of services and improve outcomes and all that stuff. And that focus has just grown and grown,   Carol: right.   Chaz: and so a unified center is I mean, it really is helpful to ensure that everything is administrated under one center that we're focused on, you know, whether it's focused on improving performance, like on the performance measures, like improving an agency's ability to manage their fiscal resources or implement employment strategies like, say, customized employment, a unified center can address all of these aspects together, holistically, understand how they interact with each other and an agency. Instead of having 2 or 3 different entities trying to work together with a VR program differently, with different ways of doing business, ways of interacting all that. So it just is a very efficient, I hope. Anyway, an enhanced holistic way of working with an agency. Ultimately, I believe that will contribute to increasing the likelihood of positive outcomes.   Carol: I like the part with the employment being in with us now. Not that employment wasn't in our mind, but it was distant because we'd always put it like we, you know, we're referring folks over to the Q2E, but now with it all integrated, it really does kind of front and center. You're thinking about the fiscal things that my group is working at and how our impact is helping the program, maybe for stability or whatever may be going on, does impact the employment outcomes in the end, and the funds that are available and whether people go on an order or not, you know, all those kind of things. So I like that having it all together, it's a little closer, at least in my head. Meera, did you have any thoughts about that one as well?   Meera: I echo everything you both have said. The unified voice. Central voice. This center has always been a supportive voice. It is always on, always available, and that continues to be really needed. That is something we've heard in the evaluation interviews and feedback that we've received is that folks really appreciate being able to just call, get someone on the other end, get an answer right away, send an email, hear back right away. The responsiveness and the targeted information that they need has been phenomenal. And so looking forward to that continuing. And now across the whole range and spectrum of what technical assistance is needed. As you both have said, It's a time of, you know, as was said, significant change requirements may be shifting again, a laser focus on efficiency and effectiveness of work, which is right. And, you know, in the broader context, we're seeing significant disruption in the work world. And the future of work has been talked about. The future of work is here today. It's the today of how we work. And agencies need help navigating all of that with their customers. There's a lot for our stakeholders and our partners to navigate. I think we've seen from the evaluation feedback, this is where our team under Chaz really excels. It just brings together the many. It brings together the a lot. It goes to the heart of it and meets it on the grant.   Carol: Yeah. You lead into my next question about the partners on the grant because we have a deep bench. I mean, I felt like we had really phenomenal folks on the QM grant. But when I look at the partners you all have brought together for this, and we're on our first meetings and you've got, you know, 30 people in the Hollywood Squares instead of a dozen or so. It's a cool bunch, and people with such interesting expertise. So Chaz, who are the partners on our grant?   Chaz: Our biggest and primary partner is the George Washington University. We've been partners with them for really since national centers were funded. They were part of the WINTAC, part of the QM, and now we'll be a obviously a critical part of the VR TAC Every single one of them is a doer. Their hands are have their hands have gotten dirty and providing like literally in the trenches to just like our own staff at work Institute at San Diego State. We just have been, practically speaking, teammates for a very long time. We know each other well, we work together well, and we're very confident in each other's work. GW a big, huge partner of ours. Then there's the National Disability Institute, which is also a longtime partner of ours. They'll be helping with the employment strategies component of things and just are a very well respected, nationally known institute that is really has some super interesting and helpful information and resources and knowledge along with the rest of the team. Of course, many of our listeners will know. Yes LMS, we're working with Linda and her team this time around, expanding our available training resources to users out there. CSAVR of course, is another long time partner. Everybody knows them. Sara Works is a partner of ours as well. Sara Works has been a partner again since the WINTAC days and, you know, has done all kinds of work with us in terms of developing Sara, the AI program to help act as an assistant to VR programs, communication tool and so on. Then we have Case Review Solutions. It's just a new partner of ours this time around focused on quality assurance, case reviews, contract monitoring. So another use of software and technology to basically provide solutions to VR programs. And another new partner this time around in Intellitech, which has created a program called Case Amplify, which is an AI driven system, which we'll talk about here in a few minutes, but we're really excited about this one as well, because it provides an opportunity for agencies to see how things could potentially be different and more effective into the future. So those are our primary partners, yeah.   Carol: yeah. It's exciting. It's a cool group of people I really was thrilled to see in the very secret proposal that you would not share with us before we went in, and then you see what all the things are that are going to happen. You are always known, though, Chaz, for being the guy. You have those little fun projects that become part of the grant that you know, live on and people are able to carry out and they've created really cool things. This proposal with the exciting AI initiatives, can you share what tools like Case, Amplify and Sara Works are going to mean for state VR agencies?   Chaz: Absolutely. And I think it's important for folks to understand the why. Right. Like, why are these it's not just because they're fun and they are super fun. You're right. But there really is a reason behind developing these projects. And the primary reason is as agencies have implemented Wioa and this kind of goes back to lessons learned, right? We know that the data elements for, for instance, for the 911 and just the recording processes and all of the administrative responsibilities associated with being in compliance with the law and the regulations is a burden. It's a struggle, and especially in a period of time where recruitment and retention has been a challenge across the country. You know, when you lose people and they're the ones responsible for gathering and reporting this data, IT becomes a real challenge on everybody else. And I honestly, in my heart of hearts, believe that embracing advanced technology is the way out of this. It's the way to effectively respond to it. It's not by hiring more people to do administrative stuff, although that would be wonderful. But, you know, we're in this situation for a reason. And now we have right now, not ten years from now, but right today we have the capacity to turn our administrative burden into an AI driven function that alleviates that burden from VR staff. And that's what the why is behind this? Why are we doing this? Because we want agencies to see and participate. If you know, if they're able and willing in these projects to see what the impact could be. Now, of course, we don't know, for instance, what the impact will fully be. We have a vision for it. But part of what this is is an experiment, right? It's a pilot, if you will, to make sure that we can see how it works. So the idea is that and I'll take Sara because Sara's been around for a while now. A lot of agencies know Sara. They know what's possible. Several of them use the program. Now, in our case, like under the VR tech, we're going to be using Sara to do something for pre-employment transition services that we haven't done yet. Now we're ten years. 11 years. Well, I guess ten years really post implementation 2016 was the full implementation. So we're approaching the ten year mark. And while we focused on implementing projects and tracking and reporting and down to the individual consumer level and all that good stuff. Making sure costs are allowable, that people are spending their 15%, all that good stuff. What we haven't done a very good job of yet is evaluating the impact of those services on individuals themselves. Like how has it impacted them? What does it mean in terms of their future employability or future involvement in post-secondary Ed or whatever it is we're trying to determine? And so using Sara specifically to communicate and gather information with students or former students on the impact of periods, and then analyzing that data and showing the impact, that's really where we're zeroed in on this project for Sara Works. Case Amplify, well let me go to CRS. So Case Review Solutions is a new software program developed by two of our former colleagues in the WINTAC and the QM, Rachel Anderson and Brittany McIvor. So they know right? Like what is it about the review system, the case review process, the process, the quality assurance process that is lacking the internal control process, right? How do we fix that or help fix it anyway? Or help states analyze where the deficiencies are and then give them information real time quickly along multiple levels to help them address it so that it's not a consistent finding and monitoring reviews so that they're on top of the changes that they need to make. So again, it's another technology solution to a challenge facing agencies. And they're also developing a contract monitoring tool that's going to be available later on in the project. That will help states monitor another big one. Right. We hear all the time is we're not sure like whether those contracts are doing what they should be doing and the quality of service delivery and all that stuff. So that's going to help with that. Case Amplify is a AI program that Intellitech has developed. It's so exciting to talk about how this could potentially change. And I mean really change the way that VR staff are gathering and populating information into the case through case management system. Ultimately, it has the capacity ultimately to make the process hands free. That is, you can talk to an individual, and this system is listening and gathering information and populating all over into the CMS important data elements, summarizing meetings. And believe it or not, like if it does what we really want it to do, it's going to actually fill in the 911 data elements automatically based on these conversations at critical points along the pathway.   Carol: That's a game changer for people that alone with those what, 400 elements like that is a game changer.   Chaz: Yeah, I could not be more excited about this one than I am. I just think it's going to be revolutionary. You know, it's still in its development phase fully. It's still going to be kind of an experiment with agencies and how it integrates into their existing CMS. But that's part of why we call it a pilot, because it's supposed to be a way to kind of see if things work the way we want it to work.   Carol: It's so cool. I am really excited. I'm also excited about the whole evaluation part of projects because I long thought, you know, when I was back in Minnesota blind and we were getting all those funds spent on students and I'm like, we're getting at these kids earlier. I just knew in my heart of hearts like, this is going to make such a difference in their trajectory is going forward and employment, they're going to start better. They're going to start better in college because they're going to have all this exposure to things they had not had any exposure to. Finally, the time we get at being able to measure, is that really coming true? I mean, I believe it to be true, but it'll be nice to actually quantify it and go, yeah, this is what's happening for people. And we can see the real difference. And that investment that Congress had said all those years ago, we're going to invest in these kids. And they did it for a reason. And now the proof is going to be in the pudding with the results. I love it. So, Chaz, one of your goals was to strengthen the workforce. So tell us a little bit about the VR Fiscal Talent Accelerator and NRLI, the National Rehabilitation Leadership Institute.   Chaz: Yeah. Great. So most people know NRLI. They've heard about it in the past and or even many participated. I remember at one point a few years ago at a conference, Steve Wooderson said, hey, how many people here have gone to NRLI. And I swear, three quarters of the room raised their hand. So it's over 20 years old now, and it's a training program specifically targeted at the executive leadership level, staff of the VR program and preparing them over a year long process where we meet in person for a week, four weeks out of the year, three times in San Diego, one time in Washington, DC. And there's coaching and training contacts that go on throughout the course of the year in a cohort model. So that is supported by the VRTAC this time around. So that's kind of our primary executive leadership training tool. Then we're developing something new this time around. For those of you who are listening, who are familiar with the management concepts training that was part of the QM, that was the VR grants management certificate program that we developed as part of that center. This time around, we are specifically zeroing in on the fiscal folks in VR and preparing a kind of like, nearly like program for them, where we'll use the same cohort model. I'm not certain of all the details yet, but obviously, Carol, you'll be a super important part of that one. And we'll provide an opportunity for fiscal staff in VR agencies who some obviously like every other position turnover at times. And when they do turnover, if they take the knowledge with them and nobody's coming behind them, it can be really challenging. So the Fiscal Talent Accelerator program will be a way to help them understand all of the responsibilities right under fiscal responsibilities in the VR grant, helping them really manage those resources and effectively so that the agency has both not just in compliance, but has the resources available to serve as many folks as possible.   Carol: Absolutely. Yeah. I'm super excited about all of these projects. We've got a lot of work ahead. I know also, we had started spending some time under the QM addressing, you know, the recruitment and retention issues and leadership development and such. So how do you see that kind of expanding in the new grant?   Chaz: Well, it's definitely expanding. And so we're very excited about that because we know clearly that recruitment and retention especially was a just a real, real issue in the last five years. So we had a recruitment and retention pilot under the QM that worked with four states. And we have some really helpful tools and toolkits developed as a result of that. That's on the QM site now, will be brought forward under the VRTAC, but more importantly will be going into phase two from that process under the VRTAC, looking again at implementing those strategies and practices for recruitment and retention with other agencies, tracking the impact of that over time, and expanding the scope of that. John Walsh was really helpful in leading that effort under the QM, and he'll be doing that again. Also, we're developing onboarding resources for VR programs this time around, helping agencies kind of identify both what to include and giving them actual stuff and resources to include in an onboarding program for VR staff. We're moving beyond just the executive level of training for nearly into mid-level management and supervisory training. Training specifically targeted at those groups, which I think will be really helpful and certainly very needed and engaging in succession planning processes with agencies, both strategic planning and succession planning understanding the two of them are clearly linked, but giving agencies some real strategies and practices on how to develop a succession plan and implement that, so that we're not faced with this sort of mass exodus of institutional knowledge. When people both retire or resign and we're like, oh no, what do we do now? Right. So hopefully we're intending to create resources, training tools to help agencies address that proactively.   Carol: And we have some really awesome staff on this grant. This time around too, that can help. Our bench is deeper. You know, even in this area that are going to be able to help do that. So definitely. Meera, you have something you want to throw in there. I didn't forget you.   Meera: Oh I don't think so. Chaz covered all the practices and new projects really well.   Carol: Okay, Meera, I want you to tackle this one about the evaluation and data driving that ongoing improvement coming forward. Do you have thoughts about that? How's that going to look?   Meera: Sure. I think I spoke to this a little bit earlier, but to pick up from that thread, I mean, that is something we are consistently doing. We have multiple channels and approaches that monitor the work and the change that are taking place. We have custom built apps and tools that our IT group has created, so we can make sure that we're setting up plans and staying on track with the agencies and the work that we're doing with them. And we have stakeholders, partners, customers, all of whom can provide feedback in different ways. We meet regularly to discuss what we are hearing and what we are seeing. Formally speaking, we have two reports that are compiled and shared broadly, internally and with stakeholders. We hold meetings, review the findings, and consider recommendations by taking that report apart and into little bite, but continuously throughout the year. We're not waiting for those big report moments. Evaluation Group has been woven into the work we do. They are a part of all the regular meetings that are taking place for the center, and input is getting provided at the beginning and the middle at the end, all over again. It really is that measurable and real change and ongoing calibration towards that is our North star. That will continue to be so.   Carol: Led by the awesome you, which will be great.   Chaz: Exactly.   Carol: My final question to you too what will success look like for the VRTAC over the next five years. And Chaz, I'll ask you first.   Chaz: Well, it will be demonstrably changing for the better outcomes in the VR program and service delivery. It will be serving individuals with the kind of commitment to meeting their individual needs and wants and desires and employment factors, and agencies operating efficiently and effectively and having actual measurable outcome improvements. So simple as that.   Carol: That sounds good. Meera, how about you? What do you think?   Meera: Nothing to add. He stole it right there at the end. Measurable outcomes. Real change. Drop the mic.   Carol: Boom! I love it. So, how do people find you?   Chaz: Our website will be VRTAC or just VRTAC.org. We have the site kind of really in its shell form right now. We're developing it. Give us a couple of months to get it fully going, but if you need to reach us, you can certainly contact any of us through the channels that you would normally reach us through the VRTAC-QM. Can send an email to me or to you or anybody else on the team. And at this point, I think most agencies are able to reach us in whatever way they want. But soon the website will be up and running and they can get us there or any number of ways.   Carol: Awesome. Well, I sure appreciate both joining me this morning. It was super cool. And we can check back in in a couple years too and go like, woo, where are things now? It'll be fun to report on some more successes. So thank you both. Have a great day.   Chaz: Thanks, Carol. Appreciate you having us.   Meera: Thank you.   Outro Voice: Conversations powered by VR. One manager at a time. One minute at a time. Brought to you by the VRTAC. Catch all of our podcast episodes by subscribing on Apple Podcasts, Google Podcasts, or wherever you listen to podcasts. Thanks for listening.

CMS plans to simplify prior authorization for Medicare beneficiaries beginning in 2026. Listen to learn more about changes coming to Medicare Advantage and Original Medicare!   Read the text version  

On today's episode of The Gist Healthcare Podcast, CMS finalizes a Medicare pay bump for physicians. Kimberly-Clark to purchase Tylenol maker Kenvue, and Pfizer sues to block Novo Nordisk's merger with an obesity startup. Hosted on Acast. See acast.com/privacy for more information.

Caroline Gilbert — Director of Content & Editorial at Angi — joins Ross Hudgens to explore how one of the largest home-services brands is using AI to scale, transform, and optimize content operations. They discuss how Caroline's team doubled Angi's content library to 12,000+ articles, how AI helps maintain top-funnel visibility amid shifting search behaviors, and the nuanced balance between human expertise and generative automation. Caroline breaks down the three pillars of Angi's AI framework — generation, transformation, and operations — and how they've automated everything from brief creation to CMS ingestion while keeping a strong editorial voice. Plus: lessons learned from early AI missteps, real examples of disclosure testing, and how AI is reshaping both content creation and search behavior itself. Show Notes 0:08 – From cost guides to “everything home”: expanding Angi's library 1:00 – Moving up-funnel: education, troubleshooting, light DIY, and when to hire 2:14 – Top-funnel ROI drops as AI overviews change search behavior 2:56 – Why Angi adopts gen-AI: maintain helpful content without heavy human lift 3:27 – Staying visible where intent is early but brand value matters 4:45 – Content becomes commodity: deciding where humans add unique value 5:55 – Evergreen “how-to” steps vs. human nuance (risks, gotchas, pro POV) 7:18 – How AI is used: full refreshes, component injections, data-driven sizing 9:01 – The real trade-off: human time vs. technology time 9:26 – Scale context: 5k → 12k pages (growth mostly human-led) 9:41 – Three pillars: generation, transformation, operations 10:38 – Ops wins: briefs, automated edits/QA, CMS ingestion, minutes → hours 12:21 – Designers focus on UX polish when ingestion is 98% done 12:58 – Where AI struggled: risky DIY (HVAC/roofing), brand POV, nuance 15:02 – Licensing content is messy (state/county rules): tighter human review 17:19 – Design: generate/transform/streamline + “vibe coding” prototypes 20:18 – Pilot first: small cohorts, guardrails, measure engagement/conversions 21:22 – Disclosure tests: placement/tone matter; users split ~50/50 on trust 25:53 – “Tools, time, or talent”: when to push pro hire messaging 27:39 – Differentiators: pro interviews + Angi's original homeowner cost data 28:07 – AI helps editors analyze like analysts; humans shape the story 29:19 – Looking ahead: AI shifting search from answers to utilities/experiences Show Links Caroline Gilbert on LinkedIn: https://www.linkedin.com/in/caroline-gilbert-41463518/ Angi: https://www.angi.com/ Subscribe today for weekly tips: https://bit.ly/3dBM61f Listen on iTunes: https://podcasts.apple.com/us/podcast/content-and-conversation-seo-tips-from-siege-media/id1289467174 Listen on Spotify: https://open.spotify.com/show/1kiaFGXO5UcT2qXVRuXjsM Listen on Google: https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9jT3NjUkdLeA Follow Siege on Twitter: http://twitter.com/siegemedia Follow Ross on Twitter: http://twitter.com/rosshudgens Directed by Cara Brown: https://twitter.com/cararbrown Email Ross: ross@siegemedia.com #seo | #contentmarketing

We are thrilled to welcome Mario Russell, the Executive Director of the Center for Migration Studies (CMS). CMS is a Catholic think tank devoted to the study of international migration. Mario talks about the background of the center and the research they are engaged in. He talks about his experience as a recent college graduate in the 1980s working with an immigrant community as President Regan's amnesty program was signed into law, providing a pathway for over 3 million migrants to legalize their status. He speaks about the rule of law and the value of tempering law with compassion and mercy. Mario offers his perspective on diverse topics including climate refugees, family separation, mass deportations, and asylum reform.Brian and Joe reflect on the results of a strict adherence to the rule of law, which has contributed to the drastic increase in migrant detention in the U.S. They share the story of a recent experience celebrating Mass together at an ICE detention center in Port Isabel, TX. The experience brought one of the men to tears as he reflected on what he is grateful for in light of the Gospel of the day, in which one of the ten lepers healed by Jesus returned to give thanks.

Donovan Campbell, CEO, and his organization Medbridge are urging CMS to finalize specific refinements to RTM as part of the Calendar Year 2026 Physician Fee Schedule (CMS-1832-P), recognizing that RTM is critical for supporting physical therapy, patient health, and patient engagement. We will explore how this shift provides a crucial financial incentive for organizations, but more importantly, how the successful adoption of RTM enhances the clinical value proposition by improving population health, lowering overall costs, and tackling the problem of access barriers to conservative care.

#178: Dan Ardelan is back. He joins Pat to unpack how Kentico is evolving its CMS into an AI-powered digital experience platform. Dan explains how Experience by Kentico represents a total rebuild—modern .NET architecture, evergreen updates, and a single version approach that keeps it future-proof.  The big story: Kentico isn't just dabbling in AI; they've built it into the DNA of their product. From generative content tools to predictive analytics, auto-tagging, and the new in-platform assistant "AIRA," Kentico is putting AI at the core of both marketing and development workflows.  Dan also touches on the competitive landscape, agency skill shifts, and how AI is changing not just CMS platforms but the way digital experiences are designed, delivered, and optimized.  Check out Dan's earlier episode here.  Connect with Dan here: https://www.linkedin.com/in/daniel-ardelan/ Want more on Kentico? Go here: https://www.kentico.com/ Connect with Pat here: pmcgovern@ascedia.com Oh, before you go, please do us a favor. Take a minute and leave us a review. That's the energy that powers this supertanker!  Thanks, you're the best! Want more marketing insights? Take a look at our full lineup. This podcast is sponsored by Ascedia. A web development and digital strategy agency helping clients win in the digital space.

Allen and Yolanda discuss operational shifts driven by the IRA bill, focusing on the importance of long-term operational strategies, collaboration, and advanced monitoring solutions. Sign up now for Uptime Tech News, our weekly email update on all things wind technology. This episode is sponsored by Weather Guard Lightning Tech. Learn more about Weather Guard's StrikeTape Wind Turbine LPS retrofit. Follow the show on Facebook, YouTube, Twitter, Linkedin and visit Weather Guard on the web. And subscribe to Rosemary Barnes' YouTube channel here. Have a question we can answer on the show? Email us! Intro: [00:00:00] You are listening to the Uptime Wind Energy Podcast brought to you by build turbines.com. Learn, train, and be a part of the Clean Energy Revolution. Visit build turbines.com today. Now here's your hosts, Allen Hall, Joel Saxon, Phil Totaro, and Rosemary Barnes.  Allen Hall: Welcome to the Uptime Wind Energy Podcast. I'm your host, Allen Hall in the Queen city of Charlotte, North Carolina, and I have. Yolanda Padron in Austin, Texas, and Yolanda has been out at a site in West Texas last several days working out some strike tape installations because the, the blade season of Texas is so long and the repair season is so long. Everybody's really making work and, and maybe even spending a little more money than they thought they were gonna spend this year. Just to get their turbines righted because it is for us at Weather Guard, it's still lightning season. There are a lot of storms and the amount [00:01:00] of rain in West Texas is crazy. Flooded roads, uh, on highways still days after rainstorms. That tells you that the amount of rain. It has been a little bit of an unusual year on the, on the wind production side because of the weather. Right?  Yolanda Padron: Yeah. It's, it's been high production for, for a lot of the, that area. It's definitely, it's, you start getting all of those drone inspections in and everything. Sometimes I think it's, it's worked out pretty great for some of the operators that maybe didn't have a lot of, uh, planning capabilities in the past. So then they're able to come in and actually. Books, some teams to do work even, even though the traditional blade season has passed.  Allen Hall: Oh yeah. Is there gonna be a traditional blade season from here on out? And I think this is where a lot of operators are rethinking, uh, the changes to the IRA bill and the one big beautiful bill aspects is, you know, with the, with the production tax credits sort of waning and, and [00:02:00] wrapping up. They are going to be putting more emphasis on o and m. And in fact, when we were at Skys specs forums, and I keep bringing this up 'cause it's such a monumental thing that we were at in Ann Arbor a couple weeks ago. The emphasis has moved from definitely from development to more of operations. But the, the level of complexity there has changed. Even talking to operators today, and you and I talked to what, 3, 4, 5 different operators in one day. CMS is huge. You, you're seeing a, just a complete flip on CMS. Everybody's willing to try something, which is unique, right?  Yolanda Padron: Yeah. I think nobody loves being a Guinea pig, right? Nobody likes staying behind either. And especially now that you really do need to make sure these blades don't just last you 10 years before you can repower. They, the team seem to really be focusing a lot more on long-term solutions rather than short term solutions. So it be that, you know, installing Light Lightning diverters be [00:03:00] that installing even just a, a long-term leading edge protection solution instead of a short-term one teams, she seemed to be really looking into. What the overall opex impact is going to be in the very long term for as long as they can keep the site on, as long as they can keep the permits in, instead of having it be something where you can keep the cost low, low, low, low, low,

This week I Share “Scary” Business Stories [powerpress]

SpaceX's Bandwagon-4 mission launched on Sunday from Florida carrying 18 payloads for KOREA ADD, Exolaunch, Fergani, Tomorrow Companies Inc., Starcloud, and Vast.  India launched the CMS-03 satellite to provide communication services over the Indian landmass and a wide oceanic region. China's Shenzhou-21 crew arrived at the Tiangong Space Station 3.5 hours after liftoff, and more. Remember to leave us a 5-star rating and review in your favorite podcast app. Be sure to follow T-Minus on LinkedIn and Instagram. T-Minus Guest Bailey Reichelt from Aegis Space Law and Matthew Linton from Linton Space Law bring us Space Law FAQs. Note that the BIS Affiliates Rule discussed in the Space Law FAQ segment has undergone changes in enforcement status due to geopolitical discussions since the episode was recorded. While not being actively enforced for one year, according to the Trump administration, it is still a law, and enforcement can resume at any point. For more information on the President's statement announcing a one-year hold on enforcement, please check out this article: US Is ‘Suspending' BIS 50% Rule for a Year, Bessent Says, After China Trade Talks- Kharon Selected Reading SpaceX - Bandwagon-4 Mission India space agency launches its heaviest satellite China's Shenzhou-21 crewed spacecraft docks with space station - CGTN China's 2026 space mission lineup: Mengzhou-1, Long March-10A to debut - CGTN MDA Space Makes $10 Million Investment in Maritime Launch becoming an Equity Owner and a Strategic Partner NASA Cuts ISS Jobs At MSFC NRF, QIC Join Global Defence Investors in $46m Series A for Australian Hypersonic Flight Pioneer | Hypersonix Launch Systems Teledyne Completes Acquisition of TransponderTech from Saab Dwarf peas inside Biosphere 2's SAM breathe new life into space habitat research- University of Arizona News Share your feedback. What do you think about T-Minus Space Daily? Please take a few minutes to share your thoughts with us by completing our brief listener survey. Thank you for helping us continue to improve our show.  Want to hear your company in the show? You too can reach the most influential leaders and operators in the industry. Here's our media kit. Contact us at space@n2k.com to request more info. Want to join us for an interview? Please send your pitch to space-editor@n2k.com and include your name, affiliation, and topic proposal. T-Minus is a production of N2K Networks, your source for strategic workforce intelligence. © N2K Networks, Inc. Learn more about your ad choices. Visit megaphone.fm/adchoices

VOV1 - Tổ chức Nghiên cứu Không gian Ấn Độ (ISRO) ngày 2/11 đã phóng thành công vệ tinh thông tin liên lạc lớn nhất từ trước tới nay của nước này mang tên CMS-03 vào không gian. Sự kiện này đánh dấu một bước tiến quan trọng về năng lực an ninh hàng hải của quốc gia Nam Á.

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training How would you go about making acquisitions to accelerate your growth? Would you buy for revenue, culture fit, or client roster? Would you be willing to fire big clients that are holding your agency back? Most agency owners chase growth by saying "yes" to everything, from new services, new clients, and every new opportunity. Today's featured guest built one of the fastest-growing mobile and digital agencies in the world by narrow focusing, firing bad-fit clients, and mastering the art of strategic acquisitions. Today he'll unpack how his agency evolved from a small mobile startup in Tel Aviv to a global digital powerhouse working with brands like Google, Uber, Samsung, and Microsoft. Gilad Bechar is the CEO and founder of Moburst, a mobile-first marketing and digital transformation agency with offices in Tel Aviv, New York, and San Francisco. Since 2013, Moburst has helped startups and Fortune 500s alike scale their reach through creative, data-driven, and tech-forward strategies. Under Gilad's leadership, the agency has raised capital, acquired multiple specialized firms, and built proprietary technology that keeps them ahead of the curve in AI, mobile UX, and cross-platform performance. In this episode, we'll discuss: The similarities between the mobile boom and the new AI era. Raising capital without losing control. Using acquisitions as a growth strategy. The power of saying no and focusing on fit. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. From A Mobile-First Niche Focus to Global Agency Powerhouse When Moburst launched in 2013, the agency world was flooded with "digital experts" who claimed to understand mobile. Most didn't. Gilad noticed that agencies were simply repurposing desktop experiences for smaller screens without real mobile UX thinking, no data-driven optimization, and definitely no understanding of how users behaved differently on apps. That insight became Moburst's edge. Instead of trying to compete as another full-service digital shop, they doubled down on mobile-first marketing. They mastered app store optimization (ASO), performance tracking, and mobile UX design. That focus helped them land early wins with major clients who were desperate for expertise in a fast-changing environment. As Gilad puts it, "When you show big clients that a critical piece of their marketing is being ignored, and you can fix it, that's your entry point." The AI Parallel: Most Agencies Talk, Few Deliver Gilad sees history repeating itself with AI. Just like the early mobile days, everyone's suddenly an "AI expert." But the difference between hype and real expertise shows up fast in a conversation. He believes the proof lies under the hood. Real experts can answer deep implementation questions: which tools integrate best, how to handle data security, and what AI models perform for specific tasks. Pretenders can't. For agencies, this is a reminder that credibility is earned through insight, not jargon. Clients see through the buzzwords. And the ones who don't will eventually learn when the work doesn't deliver. Raising Capital Without Losing Control Unlike most agency founders, Gilad took venture funding, not once, but three times. But he did it differently. Instead of giving away huge equity chunks, Moburst only diluted small percentages (around 6% each round). The investors came to them after seeing how fast their clients were growing. Without that, his agency wouldn't have its current success in the US market and would probably still be a very local agency in Israel. That capital gave him the means to hire a team in New York and then eventually move there to lead that office. It was the start of many new opportunities for the agency, like building internal tech tools that set them apart. It was also the way his team has stayed ahead of the curve from competitors that are not investing in the future and stay too focused on the right here and now. Furthermore, despite having 11 investors, Moburst kept full control. Only one board seat represents all investors, and it can't override the founders' decisions. According to Gilad, that control is what allowed them to make hard but smart moves, like firing clients and cutting costs in 2017 when growth was strong but profitability wasn't. The Hard Reset That Saved the Agency and Restored Profitability In 2017, Moburst was scaling fast but losing money just as quickly. The agency was adding clients and headcount, but without the right systems to manage profitability. At one point, they were bleeding up to $70,000 a month. So Gilad made the tough call: he cut unprofitable clients, reduced staff, and rebuilt the agency around systems that supported healthy margins. "It was brutal," he admits. "We let go of big, well-known clients we loved working with. But it didn't make sense to keep losing money just to say we worked with them." That painful reset worked. By 2018, the agency was profitable again and positioned for sustainable growth. That reset set the stage for their next evolution: acquisitions. How to Use Acquisitions as a Growth Strategy (Not a Gamble) Moburst's acquisition strategy wasn't about buying revenue or chasing vanity growth. It was about buying capabilities that solved their biggest operational gaps. Their first acquisition was a video production studio they had already worked with for over a year. The partnership was strong, the culture aligned, and the collaboration was smooth. So they brought them in-house in 2019 and the agency's offerings instantly expanded. Then they looked at their next biggest outsourced expense: web and app development. So in 2022, they acquired a dev shop after a successful collaboration period. In total, Moburst has made five acquisitions, each one following a simple rule: test first, integrate later. As Gilad says, "We don't buy to solve problems. We buy what already works and multiply it." When asked about whether or not these brands keep their names after acquisition, Gilad says it all depends on their brand authority. If they do great work and have a solid team but their brand isn't as strong, then it's best to just bring it under the Moburst umbrella. In case they do have a strong brand, then they'll just make sure their website reflects they are part of a larger group. How to Structure an Agency Acquisition Deal the Smart Way For agency owners eyeing their own M&A moves, Gilad shared his preferred deal structure. Each acquisition has four key components: Cash upfront - Rewards founders for their hard work. Equity - Gives them a stake in the larger vision. Dividends - Paid yearly so they benefit from the agency's profits. Performance bonuses - Tied to the profitability of their specific business unit. This structure keeps founders motivated and aligned for years to come, without the traditional burnout that comes from rigid earnouts. Everyone wins when growth is sustainable and collaborative. Why Firing Bad Clients Helps Scale Smarter One of the biggest lessons Gilad takes away from journey is the courage to say no: to clients, deals, or directions that don't fit. Agencies often cling to bad accounts out of fear of losing revenue, but simply put, that's a silent killer. If you're not profitable on a client, you're not just breaking even; you're paying for the privilege of overworking your team. Moburst's growth didn't come from doing more — it came from doing what mattered most. By focusing, pruning, and strategically acquiring, Gilad turned a niche mobile startup into a global digital powerhouse. Do You Want to Transform Your Agency from a Liability to an Asset? Looking to dig deeper into your agency's potential? Check out our Agency Blueprint. Designed for agency owners like you, our Agency Blueprint helps you uncover growth opportunities, tackle obstacles, and craft a customized blueprint for your agency's success.

In this Web News episode, Matt and Mike dive into the big question — is WordPress still relevant in 2025? With modern tools like Webflow, SvelteKit, and Next.js gaining traction, does WordPress still deserve its spot as the world's most popular CMS? The duo explore its staying power, the ecosystem that keeps it alive, and whether developers should still be learning it today. Show Notes: https://www.htmlallthethings.com/podcast/is-wordpress-still-relevant-in-2025

Have you heard? The definition of Short-Term Limited Duration Insurance has changed. We unpack what it means for insurance agents!   Read the text version  

SummaryIn this episode of The Compliance Guy podcast, Sean M Weiss engages in a detailed conversation with attorney Summer McKeivier about the complexities of healthcare law, particularly focusing on incident two billing, healthcare fraud prosecutions, and the challenges faced by providers in navigating compliance issues. They discuss the current trends in healthcare fraud, the role of medical directors and Medicare Administrative Contractors (MACs), and the implications of inexperienced prosecutors in healthcare cases. The conversation also highlights the impact of accusations on healthcare professionals and the importance of understanding medical necessity in the context of local coverage determinations. Throughout the discussion, both Sean and Summer share insights from their experiences in the field, emphasizing the need for knowledgeable representation in healthcare law.TakeawaysSummer McKeivier is a leading attorney in healthcare law.Incident two billing is a significant issue in healthcare compliance.Wound care is currently a major focus for healthcare fraud investigations.CMS's definition of medical necessity often differs from providers' perspectives.Local Coverage Determinations (LCDs) do not have the effect of law.Medical directors may lack the necessary expertise in specific healthcare areas.Healthcare providers face challenges due to poorly written LCDs.Overpayment disputes can escalate if not addressed properly.Inexperienced prosecutors can lead to unjust accusations in healthcare cases.Accusations can severely impact healthcare professionals' ability to practice.

The trial begins for two men accused of murdering Scott Brooks of Brooks Sandwich House. More than 100,000 recipients in Mecklenburg County face losing SNAP benefits due to the federal government shutdown. CMS sets rules on the use of artificial intelligence. And it's do or die for Charlotte FC in the playoffs after losing on Tuesday.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers welcomes Allison Oakes, Chief Research Officer of Trilliant Health, to the pod to discuss Trilliant's recent health care trend report highlighting the health economy and breaking down the big trends, including price and affordability, demographics and lifestyle, care settings and therapies, and more.Join us for this upcoming event:11/5: Health Benefits in 2025: Insights from the KFF Employer Health Benefits Survey (INSIDER EXCLUSIVE)Become an Insider today to get access to this event and our third trend report focusing on the influence of private equity in health care.Related Articles:2025 Trends Shaping the Health Economy (Trilliant Health) Subscribe to UnitedHealthcare's Community & State newsletter.

Industrial Talk is onsite at SMRP 2025 and talking to Gregorio Hadad, General Manager at Skyler about "3rd Party Asset Management Solutions". Scott Mackenzie and Gregorio Hadad discuss the evolution of asset management and reliability at the SMRP conference. Gregorio, General Manager at Skyler, highlights Skyler's IoT platform, which collects and analyzes vibration and temperature data to provide actionable insights for customers. Skyler's partnerships with maintenance and repair organizations enhance their ability to support customers effectively. The platform integrates with existing CMMS systems and uses AI to optimize maintenance processes. Gregorio emphasizes the importance of collaboration and human expertise in achieving reliability and efficiency in asset management. Action Items [ ] @Scott MacKenzie - Attend the SMRP conference in 2026 to connect with industry professionals and learn about the latest developments in asset management and reliability.[ ] Reach out to Gregorio Hadad to learn more about Skylar's solutions and explore potential collaboration opportunities. Outline Introduction and Welcome to SMRP Conference Scott MacKenzie welcomes listeners to the Industrial Talk Podcast, highlighting the focus on industry professionals and their innovations.Scott emphasizes the importance of the SMRP conference, describing it as a spectacular event that professionals should attend.Gregorio, thanks Scott for the invitation and expresses excitement about the conference.Scott and Gregorio discuss the positive atmosphere and the learning opportunities at the conference. Scott's Observations on Industry Renaissance Scott reflects on the evolution of asset management and reliability, noting a shift from being seen as a cost to a competitive advantage.Scott mentions the need for greater efficiency, insights, and optimization of human capital in the industry.Gregorio agrees, noting the changing perception of asset management from a cost to a competitive advantage.Scott and Gregorio discuss the importance of finding and supporting existing workforces to ensure success. Gregorio's Background and Role at Schuyler Gregorio shares his background, mentioning his origins in Argentina and his current role as General Manager at Skyler.Schuyler focuses on improving the reliability of end customers through various tools and partnerships.Gregorio explains Skyler's IoT platform, which includes hardware partners and in-house AI and analytics.Schuyler collects and analyzes data, providing actionable insights and detailed reports to end customers. Skyler's IoT Platform and Data Collection Scott and Gregorio discuss the data collection process, focusing on vibration and temperature data.Gregorio mentions the goal of including more data types in the future.The importance of partnerships with CMS companies is highlighted, with plans to integrate Skyler's platform with existing systems.Scott emphasizes the need for seamless integration to avoid additional work for end users. Partnerships and Collaboration in Asset Management Gregorio talks about Skyler's partnerships with maintenance and repair organizations, which are critical for success.These partnerships provide local support and understanding of customer pain points.Skyler's platform is designed to collaborate with other asset management solutions without friction.The importance of collaboration in the industry is reiterated, with a focus on avoiding additional systems for end...

Last month, the "Billing Boys"—Chris Jones and Phil Rodgers—joined the GeriPal podcast to demystify medical billing and coding in palliative care. This month, we're back with part two, shifting the focus to geriatrics. While billing and coding may not be the most exciting topic, they're essential for ensuring fair reimbursement for the complex care we provide and for supporting the work of our interprofessional teams, many of whom can't bill directly for their services. When we underbill or leave money on the table, we not only shortchange ourselves but also devalue the critical role of geriatrics in the healthcare system. This time, we're joined by experts Peter Hollmann, Ken Koncilja, and Audrey Chun to dive into key questions: Why does billing matter, and who does it benefit? What's the difference between CPT, E&M, and ICD-10 codes (if you need a refresher, check out our chat with the Billing Boys here)? We explore how to think about billing for complexity versus time, and unpack new and impactful codes like the Cognitive Assessment and Care Plan Services code (99483), advance care planning (ACP) billing codes, and G2211, which acknowledges the added work of managing patients with chronic conditions. We also highlight the new APCM G-codes for 2025, a set of HCPCS codes that could provide substantial financial support for interdisciplinary teams in geriatrics. Finally, we discuss the advocacy behind these codes. The American Geriatrics Society (AGS) plays a vital role on the AMA's RUC committee, helping to improve reimbursement for the complex care of older adults. Tune in to this week's GeriPal podcast for expert advice, practical strategies, and insights that will help you optimize your billing practices and sustain the future of geriatrics! Here are some of the resources we also talked about: The physician fee schedule look up tool Wwere you can find out CMS expected charge based off where you practice AGS's annual coding update Geriatrics at Your Fingertips, which has a one-pager on billing Medicare Claims Processing Manual

Janice sits down with Garrick Rochow, President and CEO of CMS Energy — a leading Fortune 500 energy company based in Michigan. Garrick reflects on his upbringing and the influence of his father on his leadership journey, offering insight into the challenges, values, and perspectives that shape the operation of one of America's top energy companies.Tags: janice, ellig, ceo, garrick, rochow, cms, energy, innovative, industry, technology, president, leader, michigan

In this episode we review key CMS regulations agents must follow to stay compliant during Medicare sales. Bonus? These steps also help educate and inform your clients!   Read the text version   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: Fact vs. Fiction: Examining the Medicare Part B Premium Giveback Formularies & Covered Drugs – Knight School Training How to Check Medicare Extra Help Eligibility for Your Client How to Help Clients Avoid Medicare Late Enrollment Penalties How to Help Your Clients Get the Most Out of Their Medicare Advantage Plans Insurance Agents as TPMOs: What CMS Compliance Regulations Mean for You Medicare Grievances & How Insurance Agents Can (Try To) Prevent Them MA & PDP Compliant Sales Checklist PDF Download SNPs: The Secret to Surviving Lock-in The 2026 Medicare Part D Redesign Updates Agents Should Know The Beginner's Guide to C-SNPs The Beginner's Guide to D-SNPs The Difference Between Medicare & Medicaid: What That Means for Insurance Agents What Agents Can't Say During Medicare Sales Appointments What to Know About SOAs in Medicare Health and Prescription Drug Plan Sales   References: “Agent and Broker Training & Testing Guidelines.” CMS.Gov, Centers for Medicare & Medicaid Services, https://www.cms.gov/files/document/cy2025-agent-broker-training-testing-guidelines.pdf. Accessed 14 Oct 2025. “Agent and Broker Training & Testing Guidelines.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/cy2026agentbrokertrainingtestingguidelinespdf.pdf. Accessed 15 Oct. 2025. “Costs.” Medicare, www.medicare.gov/basics/costs/medicare-costs. Accessed 14 Oct. 2025. “Contract Year 2025 Medicare Advantage and Part D Final Rule (CMS-4205-F).” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/contract-year-2025-medicare-advantage-and-part-d-final-rule-cms-4205-f. Accessed 14 Oct. 2025. “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. Accessed 15 Oct. 2025. “Emergency Department Services.” Medicare.Gov, Medicare, www.medicare.gov/coverage/emergency-department-services. Accessed 14 Oct. 2025. “Medicare Communications and Marketing Guidelines (MCMG) Date: 02/09/2022.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/medicare-communications-marketing-guidelines-2-9-2022.pdf. Accessed 14 Oct. 2025. Seladi-Schulman, Jill. “Medicare IRMAA: What Is It and When Does It Apply?” Healthline, Healthline Media, 22 Apr. 2025, www.healthline.com/health/medicare/what-is-irmaa. “Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments.” Federalregister.Gov, Federal Register, www.federalregister.gov/documents/2024/07/31/2024-14828/medicare-and-medicaid-programs-cy-2025-payment-policies-under-the-physician-fee-schedule-and-other. Accessed 14 Oct. 2025. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” FederalRegister.Gov, Federal Register, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare. Accessed 15 Oct. 2025. “Out-of-Pocket Maximum/Limit.” HealthCare.Gov, www.healthcare.gov/glossary/out-of-pocket-maximum-limit/. Accessed 14 Oct. 2025.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/ Not affiliated with or endorsed by Medicare or any government agency.

This week I Talk About Using GeoIP [powerpress]

Between new developments on a rebate pilot program, discussions of possible cuts to Medicare payment for 340B drugs, and new action in states nationwide, this fall has been a jam-packed season for 340B. We sit down with 340B Health President and CEO Maureen Testoni to break down the latest.Questions Remain About January's 340B Rebate Pilot After the Health Resources & Services Administration (HRSA) released 340B rebate pilot program guidance over the summer, all nine manufacturers of the 10 drugs subject to Medicare price caps applied to HRSA to implement rebates for the drugs starting in January. Testoni says we expect to find out which plans are approved in early November, as drugmakers need to give eight weeks of notice so covered entities can prepare for the change. Testoni says questions remain about the rebate pilot, but information that the drugmakers' rebate vendor has released so far provides enough detail for hospitals to start preparing for both rebates and price caps.Potential Medicare Cuts Expected To Target 340B HospitalsEarlier this year, the Trump administration released an executive order directing the Centers for Medicare & Medicaid Services (CMS) to survey hospitals on drug acquisition costs with the goal of using the results to set payment rates for Medicare Part B drugs starting in 2027. Testoni says she is concerned the proposed survey will lead to CMS targeting only 340B drugs for cuts that could bring payment rates down to actual acquisition costs, which would be a steeper cut than what the agency imposed during the first Trump administration.States Keep Moving on Contract Pharmacy Protections, 340B MandatesNearly 20 states have contract pharmacy protection laws in place and a small number of drugmakers have sued to block all these statutes. But Testoni says so far, courts have denied those requests and the laws have stayed in effect despite significant opposition advocacy by drugmakers. An increasing number of states also have enacted laws requiring 340B hospitals to report substantial data on their 340B costs and savings, and some are looking to limit how hospitals can use those savings.Resources:Senate Hearing Features Both Bipartisan Support for 340B and Calls for ReformsRead Our Comments on CBO's 340B Growth ReportReview Our 340B Rebate Pilot and IRA ResourcesBeacon Shares New Details on 340B Rebate Pilot Implementation

You've worked hard all year to prepare for AEP, but you're not at the finish line yet! Listen to this installment of the Agent Survival Guide Podcast for tips on how to maximize your success this AEP.   Read the text version   Meet your personal AI assistant: Ask Integrity   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 4 Ways PlanEnroll Will Make This Your Best AEP Yet Announcing the Launch of IntegrityCONNECT Ask Integrity Content Library: Mastering Medicare Coverage ft. Jeff Snyder How Insurance Agents Can Use AI Tools How to Better Market Yourself How to Prepare for AEP Like a Pro Secure a Bigger, Better Business with Ancillary Products The Insurance Agent's Guide to Establishing Successful Affinity Partnerships FREE eBook The Survivor's AEP Checklist What Agents Forget to Do When Preparing for Appointments   References: “Medicare + Fraud, Waste, and Abuse (MFWA) Online Course.” AHIP Medicare Training, https://www.ahipmedicaretraining.com/page/login. Accessed 14 Oct. 2025. “Medicare Open Enrollment.” CMS.Gov, Centers for Medicare & Medicaid Services, https://www.cms.gov/priorities/key-initiatives/medicare-open-enrollment-partner-resources. Accessed 13 Oct. 2025.   Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

Would you like access to our advanced agency training for FREE? https://www.agencymastery360.com/training Ever wonder how much your agency's growth is limited by staying too broad? Or what could happen if you picked one niche and went all in? Today's featured guest didn't set out to run a food service marketing agency; He followed the opportunities, learned from a few hard lessons selling door-to-door, and eventually discoverd the power of focus. He'll share how niching down, rebranding, and embracing flexibility helped him grow his agency into a specialized agency serving some of the biggest names in food service and the ways in which he and his team refined the agency's positioning. Tyler Smith is the president and owner of Matato, a brand strategy and creative marketing agency focused on food and beverage brands in the food service and “away from home” space. His agency helps those brands reach restaurant operators, chefs, and food service directors with smarter, more intentional marketing. In this episode, we'll discuss: The power of positioning. The difference choosing a niche made for his agency. Flexible selling and empathy in action. Subscribe Apple | Spotify | iHeart Radio Sponsors and Resources This episode is brought to you by Wix Studio: If you're leveling up your team and your client experience, your site builder should keep up too. That's why successful agencies use Wix Studio — built to adapt the way your agency does: AI-powered site mapping, responsive design, flexible workflows, and scalable CMS tools so you spend less on plugins and more on growth. Ready to design faster and smarter? Go to wix.com/studio to get started. How Selling Vacuums Led to a Food Service Marketing Agency Tyler laughs about it now, but his first “sales training” involved knocking on doors and demoing carpet cleaners that cost more than most people's first cars. While studying advertising, Tyler was sure he wanted to be a graphic designer or copywriter, and while that door-to-door sales job started as a way earn extra beer money, it ended up being a crash course in marketing psychology. He learned how to capture attention, demonstrate value, and handle rejection — all skills that would later serve him as an agency owner. After college, the 2009 recession hit, and finding a creative job in advertising wasn't easy. So when an agency owner offered him a commission-only sales role, he jumped in. Within a few months, Tyler was closing enough deals to get brought on full-time. Fast forward a decade, and he's now the sole owner of that same agency, rebranded as Matato, now leading a team of specialists helping food brands grow smarter. The Smart Positioning and Rebranding Transformed the Agency When Tyler took full ownership, he knew the agency needed an identity that reflected its niche and direction. The old name didn't quite fit anymore. So he created Matato, a playful twist on “tomato, tomato, potato, potato.” It was something memorable, food-related, and (importantly) trademarkable with a clean domain to match. More than a name change, that rebrand was a signal that the agency was doubling down on food service marketing as their core focus. This was a big move for Tyler as he stepped up as the face of the agency. If you can't own your brand, both emotionally and digitally, you can't expect your clients to trust that you'll own theirs. From Generalist to Specialist: Why Niching Down Drives Growth For years, Matato worked with all kinds of B2B and B2C clients. But as they grew, Tyler noticed the most rewarding and most profitable projects were always in food service. So they made the call to go narrow to grow big. That meant focusing on the brands serving restaurants, distributors, and institutions. Tyler's team helps these brands move from a sales-heavy approach to a true marketing strategy, teaching them how to speak to chefs and operators, not just consumers. Now, their content strategy includes things like their annual Food Service Marketing Playbook, a killer lead magnet that doesn't just promote Matato's expertise , it teaches. Some brands use it to DIY their marketing, others see the value and hire the agency. Either way, Tyler's team wins. What Got You Here Won't Get You There Tyler's secret to getting new business in the early days was just “all grind, no strategy.” Cold calls, trade shows, follow-ups; just pure hustle. But as the agency matured, that changed. They stopped trying to “do everything” and started refining how they show up. After repositioning more firmly in the food industry, their new game plan is rooted in generosity and authority, giving away insights, teaching the industry, and positioning themselves as the go-to experts for food service brands. Their annual Food Marketing Playbook has gotten them great results, and he has also been dabbling in podcasting, an effort that he admits still lacks consistency. All these changes to the brand and how they approach their audience have been a great way to reinvigorate the business and demonstrates his team understands that you can't just tell people to hire you; you've got to show them why. Empathy and Flexibility: The Secret to Long-Term Client Relationships One of Tyler's biggest lessons when it comes to sales is to stay flexible and empathetic. Instead of rigid packages or pushy closes, he focuses on what the client actually needs and finds ways to make it work. That adaptability has helped him build long-term trust (and some very loyal accounts). Sure, early on it led to a few over-committed budgets and sleepless nights, but over time it became one of Matato's superpowers. Tyler calls it “on-the-fly problem solving”, a willingness to adjust, improvise, and make the deal work without losing sight of the big picture. Why Every Specialized Agency Should Start a Podcast Tyler's got deep expertise and connections in his niche. He has noticed podcasting could be the fastest way to build authority and create a content engine without relying on written blogs that no one's reading anymore. It's not just about attention; it's about access. When you interview potential clients and peers in your industry, you're building relationships that open doors. As Jason put it, “It's the number one thing I ever did for my business.” How Curiousity Keeps Your Agency Evolving Looking back, Tyler can see that curiosity helped Matato survive and evolve, especially during the pandemic. When food service came to a standstill, his team didn't sit idle. They experimented, collaborated with chefs and influencers, and tested new lead-gen angles. Things are constantly changing and what got you to this point won't get you there. So his message to agency owners is to stay curious and willing to try many things. Otherwise, you'll be doomed to fail.