Podcasts about health plans

Right up front here, let me just state loudly that there are some amazing independent TPAs (third-party administrators) out there who have the expertise, the scrappy willfulness, and the deep desire to do right by their clients, their self-insured employer clients. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. And look, they may be facing some of the same headwinds that plan sponsors themselves face, like anticompetitive contracts, brokers who are up to no good, etc. So, just keep that in mind as you listen. And the main point of all of this if you are a plan sponsor is, find a good TPA partner, which, as Bryce Platt has said about consultants but same rules apply about TPAs here, the difficulty is being informed enough to tell the difference. So, the goal of this show is to help with that, the “be informed enough to tell the difference.” All of this being said, this is technically a Take Two; but we trimmed it down and welcome to a whole new intro. So, call this a refresher and an update about a really, really important topic from last year that is becoming extremely (maybe even more) relevant this year. Really relevant. Consider, for example, the show with Claire Brockbank (EP453) about carrier/TPA RFPs (requests for proposal) and all of the landmines that are really expensive, that are buried in some of these contracts. Then there was the Cynthia Fisher show (EP457) from last year about the millions, maybe billions of dollars in aggregate going missing in medical (ie, TPA or ASO [administrative services only]) spread pricing. We had “The Mystery of the Weekly Claims Wire” show with Justin Leader (EP433), again, revealing money that's being disappeared when the TPA is withdrawing dollars from plan sponsor checking accounts. And then there's the payment integrity episode with Kimberly Carleson (EP480) from a few weeks ago with just another wrinkle on this, namely TPAs or ASOs who insist on auditing themselves and how that turns out for members and plan sponsors. Oh, and last, but certainly not least, is the whistleblower show with Ann Lewandowski (EP476) on how a TPA arm of an EBC (employee benefit consultant) allegedly pocketed $20 million—$20 million of their client's pharma rebates—and used that $20 million to fund their executive bonus pool. What a time to be alive! All of this just highlights the huge stakes for plan sponsors to really understand what their TPA is all about. And when I say high stakes, I mean from both a legal standpoint and also just vast dollars in play here. But this episode with Elizabeth Mitchell is also, I'm gonna say, extremely relevant given just a few ripped from the headlines and news articles such as these. I'm gonna start actually with a post from Kimberly Carleson, and I like the comment by Jeff Evans, who wrote, “How does $8,710 equal $104,266?” Spoiler alert, it doesn't. Lots of missing dollars there. Someone's hands are in the cookie jar. Oh, look, the TPA has entered the chat. In a nutshell, and I'm quoting something Peter Hayes wrote, he wrote, “TPAs have received relatively little public attention. [There's an article in Health Affairs] that describes how TPAs impose hidden fees, benefit from their own form of spread pricing, and otherwise prioritize their own financial interests over those of their plan clients.” Also, here's a totally other issue. Let me quote Luke Prettol highlighting something Jason Shafrin had written about a paper by Jeff Marr, Daniel Polsky, and Mark Meiselbach. Let me slightly rephrase what Luke said. He wrote, “Employers pay, on average, a 4.7% [so almost 5%] price markup when hospitals are in their TPA's [Medicare Advantage] network.” Right? Dr. Eric Bricker talked about this in that episode (EP472) just how TPAs with MA (Medicare Advantage) business negotiate their commercial clients to pay higher rates so that then they can pay lower rates for their own MA members. As Luke wrote, “On its face, this overpayment does not appear to be solely in the interest of participants.” No kidding. Now, let's spin the wheel here. There are barriers for TPAs themselves, even the ones who have a deep desire to do the right thing. As Patrick Moore wrote, “Most TPAs still can't do [many of the things that employers might want because there are] PPO contracts.” So, is it a rock in a hard place situation? I mean, if the TPA has no other options than using a carrier's PPO (preferred provider organization) network with all its attendant contractual issues, then yeah, that is one definite challenge. Along these lines, let me read a post by Rina Tikia, because I think she sums up this really well. “When independent TPAs … push for transparency, they're blocked under the banner of ‘fiduciary risk.' “Meanwhile, the largest carriers and PBMs, with Cayman shell subsidiaries, DOJ kickback probes, [huge] hedge fund ties, [$10 million-plus] lobbying budgets, and antitrust violations continue unchecked. They are not only allowed to operate but celebrated as mainstream options. “Why the double standard? Political donations? Foundation smokescreens? Nonprofit status as a PR shield?” These are excellent questions. And here's another challenge: brokers. Ramesh Kumar Budhani wrote about this one, just how hard it is sometimes to find—for TPA, an independent TPA, trying to do the right thing—to find brokers who prioritize doing the right thing for employers and helping their clients save money. The summary of all of this: There are TPAs and there are ASOs who aren't even trying. They are going to ride the flywheel, the gravy train, and catch all of the dollars flying off of it for as long as they can manage to cling to it with all 10 of their fingers. Then there are TPAs, mostly indies, trying super hard to do the right thing. But how successful they are is going to depend on how boxed in they are by the PPO networks or the carriers that the brokers or even plan sponsors may insist on. Just how courageous they are and just how smart they are and experienced they are about the market and how it actually operates. So, the show that follows is about all of this, including how we can inspire TPAs, which, in the show that follows, subsumes ASOs kind of into it. But in the show that follows, I hope it's inspiring to create an environment so that the market demands TPAs that do all of the things, and we make inertia not a viable business strategy. Elizabeth Mitchell, my guest today, currently serves as the president and CEO of the Purchaser Business Group on Health. Also mentioned in this episode are Purchaser Business Group on Health; Bryce Platt; Claire Brockbank; Cynthia Fisher; Justin Leader; Kimberly Carleson; Ann Lewandowski; Jeff Evans; Peter Hayes; Luke Prettol; Jason Shafrin; Jeff Marr; Daniel Polsky; Mark Meiselbach; Eric Bricker, MD; Tom Nash; Patrick Moore; Rina Tikia; Ramesh Kumar Budhani; Mark Cuban; Harold Miller; Chris Deacon; Moby Parsons, MD; Benjamin Schwartz, MD, MBA; Mishe Health; Rik Renard; and Cora Opsahl. You can learn more at PBGH and by connecting with Elizabeth on LinkedIn.   Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health (PBGH), advances its strategic focus areas of advanced primary care, functional markets, and purchasing value. She leads PBGH in mobilizing health care purchasers, elevating the role and impact of primary care, and creating functional healthcare markets to support high-quality affordable care, achieving measurable impacts on outcomes and affordability. At PBGH, Elizabeth leverages her extensive experience in working with healthcare purchasers, providers, policymakers, and payers to improve healthcare quality and cost. She previously served as senior vice president for healthcare and community health transformation at Blue Shield of California, during which time she designed Blue Shield's strategy for transforming practice, payment, and community health. Elizabeth served as the president and CEO of the Network for Regional Healthcare Improvement (NRHI), a network of regional quality improvement and measurement organizations. She also served as CEO of Maine's business coalition on health (the Maine Health Management Coalition), worked within an integrated delivery system (MaineHealth), and was elected to the Maine State Legislature, serving as a State Representative. Elizabeth served as vice chairperson of the U.S. Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee, board and executive committee member of the National Quality Forum (NQF), member of the National Academy of Medicine's “Vital Signs” Study Committee on core metrics, and a guiding committee member for the Health Care Payment Learning & Action Network. Elizabeth holds a degree in religion from Reed College and studied social policy at the London School of Economics.   08:06 What is the overarching context for health plans in healthcare purchasing? 11:31 Why is it important to reestablish a connection between the people paying for care and people providing care? 13:47 What are the needs of a self-insured employer when managing employee benefits? 19:00 Is it doable for employers to set their own contracts? 21:24 Is transparency presumed? 22:39 Will the new transparency upon us actually expose wasted expense? 24:23 EP408 with Chris Deacon. 25:58 “This is not about individual bad actors. … The systems … that is not aligned.” 27:39 Are there providers who want to work directly with employers? 30:53 Why is it important that incentives need to be aligned? 32:42 EP427 with Rik Renard. 33:51 What's missing from the conversation on changing health plans?   You can learn more at PBGH and by connecting with Elizabeth on LinkedIn.   @lizzymitch2 of @PBGHealth discusses #TPA and #healthplan vs. #jumboemployer inertia on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Dave Chase, Jonathan Baran (Part 2), Jonathan Baran (Part 1), Jonathan Baran (Bonus Episode), Dr Stan Schwartz (Summer Shorts), Preston Alexander, Dr Tom X Lee (Take Two: EP445), Dr Tom X Lee (Bonus Episode), Dr Benjamin Schwartz, Dr John Lee (Take Two: EP438), Kimberly Carleson, Ann Lewandowski (Summer Shorts)  

  The recent action of the State Health Plan Board to raise employee premiums at a time in which teacher and state employee salaries remain stagnant is causing great concern in many circles – especially among the employees who will see their take-home pay decline even further. Indeed, as became clear in a recent conversation […]

  After several months of uncertainty and waiting, the State Health Plan board finally made some decisions recently about how it will deal with the half-billion-dollar shortfall it's been running. And topping the list, as had been expected, will be some new and not insignificant premium hikes for state employees. The increases – especially when […]

Following the State Health Plan Board of Trustees' decision last week to increase premiums for most state employees and retirees, SEANC members have reached out with many questions. State Health Plan Executive Administrator Thomas Friedman revisited The SEANC View Podcast this week to answer them.  In an extended interview following up on his appearance last month, Friedman addressed everything from the fairness of the new tiered structure of the premiums based on salary to the new partnership with Lantern Care to cut the cost of some surgeries and procedures to the need to rein in overcharging by hospitals. The increases will take effect on Jan. 1, 2026. The plan consists of a tiered structure for the increases, with higher-paid employees paying more monthly than lower-paid employees. For some, the increase will be as low as $15 per month, while those making over $90,000 could see their premiums triple. 

This week, Justin chats with special guest Michael Stoyanovich, Vice President and Senior Consultant in Segal's Administration & Technology Consulting practice about the use of artificial intelligence in health plans.

Jenny Kiesewetter has more than 24 years of experience advising businesses in ERISA, employee benefits, compensation, fiduciary responsibility, and compliance matters.As a member of the firm's Employee Benefits and Tax Practice in Nashville, she advises clients on all aspects of employee benefits and executive compensation, including qualified and nonqualified retirement plans, health and welfare benefit plans, cafeteria plans, severance plans, and equity-based compensation plans.Jenny has also worked with businesses and investors during mergers and acquisitions, focusing on due diligence and compliance related to employee benefit plans, including retirement, health and welfare, and executive compensation plans. Additionally, she has worked on many post-acquisition employee benefit matters, specifically related to plan compliance and correction.Jenny earned her law degree from the University of Tennessee College of Law, Knoxville, as well as a master's in communications. She earned her undergraduate degree from the University of Florida. She has been consistently recognized by U.S. News - Best Lawyers for ERISA Litigation and Employee Benefits (ERISA) Law.Jenny is a frequent speaker and author on topics including ERISA, employee benefits, retirement plans, health plans, and statutory and regulatory compliance. To subscribe to her LinkedIn newsletter “ERISA Explained,” please visit - https://www.linkedin.com/newsletters/erisa-explained-7083416224222601216/ In this episode, Eric and Jenny Kiesewetter discuss:Fiduciary responsibility in ERISA health plan oversightConducting proper due diligence for health plan service providersSecuring and ensuring access to health plan dataReviewing provider fee disclosuresKey Takeaways:Selecting and monitoring health plan providers is an ongoing fiduciary function. Sponsors must document their decision-making and maintain oversight even after hiring a provider.When choosing a broker or advisor, conduct thorough due diligence. Interview multiple candidates, review their experience, services, and fees, and ensure they fit your organization's needs.Plan sponsors should secure access to all necessary health plan data. Owning and understanding this data is critical for informed fiduciary decisions and compliance with federal laws.Review 408(b)(2) fee disclosures from health plan service providers. Missing or incomplete disclosures can create compliance risks and may be seen as an unreasonable relationship by the Department of Labor.“You can't make fiduciary decisions if you don't know what the data says. That's my opinion. You have to understand what the data says to be able to make the right fiduciary decisions.” - Jenny KiesewetterConnect with Jenny Kiesewetter:LinkedIn: https://www.linkedin.com/in/jennykiesewetter/ Connect with Eric Dyson: Website: https://90northllc.com/Phone: 940-248-4800Email: contact@90northllc.com LinkedIn: https://www.linkedin.com/in/401kguy/ The information and content of this podcast are general in nature and are provided solely for educational and informational purposes. It is believed to be accurate and reliable as of the posting date, but may be subject to changeIt is not intended to provide a specific recommendation for any type of product or service discussed in this presentation or to provide any warranties, investment advice, financial advice, tax, plan design, or legal advice (unless otherwise specifically indicated). Please consult your own independent advisor as to any investment, tax, or legal statements made.The specific facts and circumstances of all qualified plans can vary, and the information contained in this podcast may or may not apply to your individual circumstances or to your plan or client plan-specific circumstances.

The State Health Plan Board of Trustees voted today to increase premiums for most state employees and retirees for the first time in eight years.  The increases will take effect on Jan. 1, 2026. The plan consists of a tiered structure for the increases, with higher-paid employees paying more monthly than lower-paid employees. For some, the increase will be as low as $15 per month, while those making over $90,000 could see their premiums triple.  This week's episode of The SEANC View Podcast, recorded before the meeting, focuses on the State Health Plan increases. We also discuss the state budget, Gen Z employees, and more.

In this episode, I had the opportunity to sit down with Marylu, a remarkable HR leader in the ag industry whose story is deeply rooted in resilience, compassion, and advocacy. Her journey began with a powerful influence—her mother, one of the first women to rise into a leadership role in ag in the 90s. That example of professionalism and quiet strength laid the foundation for Marylu's own leadership approach today.Our conversation was a rich reflection on what it means to lead with empathy in an industry often driven by compliance and regulations. Marylu opened up about the joy she finds in training and empowering her teams, how she navigates the fine balance between policy and humanity, and how field visits give her direct insight into employee challenges. She shared the emotional weight of HR work—listening to workers' personal stories, addressing their fears around immigration, and helping them navigate mental health stressors, especially in the aftermath of COVID.What really stood out to me was her emphasis on connection. Marylu believes in treating employees not just as workers, but as people with unique experiences. She finds fulfillment in seeing them grow and succeed, and she brings that same care into her leadership with her own team.She also spoke about her transformation through the Women Ag Leadership Academy, how it helped her find her voice, overcome self-doubt, and step confidently into visible leadership. Her closing message—especially for our Spanish-speaking audience—was a beautiful reminder: don't be afraid to ask for help, use the resources available, and most importantly, don't forget about yourself while you're taking care of everyone else.Marylu is exactly the kind of leader our industry needs—grounded, authentic, and deeply committed to both people and progress. I'm proud to serve alongside her on the United Ag board and to continue building this movement for empathetic, inclusive leadership together.Marylu Ramirez: https://www.linkedin.com/in/marylu-ramirez-57134142/Good Farms: https://goodfarms.com/Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgUnitedAg Health and Wellness Centers - https://www.unitedag.org/health-benefits/united-agricultural-benefit-trust/health-centers/Episode Contributors - Marylu Ramirez, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us

Welcome back to the Finding Financial Freedom Podcast with Dr. Disha Spath. Today, we're joined by Carl Hall CFA, a wealth advisor at CapTrust who helps individuals and families manage their financial lives and achieve their unique goals. CapTrust specializes in delivering financial planning, portfolio management, and investment advice—helping clients navigate complex decisions with confidence. In this episode, Carl dives into the often-overlooked connection between healthcare decisions, price transparency, and retirement planning. From choosing the right health plan during open enrollment to understanding how HSA's can strengthen your retirement security, Carl breaks down how your medical choices today can significantly impact your financial freedom tomorrow. Key Topics Covered: 1. Making Smart Open Enrollment Decisions Why many people miss out on the optimal health plan and how to avoid common mistakes. 2. Understanding Health Plan Costs The real impact of premiums, deductibles, and co-insurance on your finances. 3. Affording Healthcare in Retirement Strategies to prepare for medical costs later in life. 4. The Shoeboxing Approach A practical method for tracking healthcare expenses. 5. FSA vs. HSA The key differences and why HSAs can be a powerful retirement tool. 6. Changes in the DPC Ecosystem What's new and how it affects both patients and providers. 7. Healthcare Price Transparency & Retirement Security How knowing the cost of care can protect your long-term finances. 8. Aligning Provider & Patient Interests Why DPC providers should have the same goals as their patients. Listener Takeaways: How your healthcare plan choice can directly impact your retirement savings. Why HSAs are a game-changer for long-term financial health. The value of price transparency in protecting your future wealth. How to align healthcare decisions with your financial freedom goals. Resources Mentioned: CapTrust Price Transparency Tools    Connect with Us: Host: Dr. Disha Spath, The Frugal Physician Guest: Carl Hall CFA, Wealth Adviser at CapTrust

In this episode of Health on the Line, we're diving into all things digital and how it relates to the Ten-Year Health Plan for the NHS. To discuss the topic, we are joined by Andrea Winders, head of business development for life sciences and healthcare at MIDAS (Greater Manchester's Inward Investment Agency), and Dr Nnenna Osuji, chief executive of North Middlesex Hospital, to unpack the NHS's ambitious digital transformation plan. The conversation explores how the NHS can harness data, AI and digital tools to create the most digitally accessible health system in the world. From the promise of the NHS App as a ‘doctor in your pocket' to the challenges of infrastructure, interoperability and staff training, our guests offer candid insights into what's working and where improvements can be made. We also hear from Annie Bliss, senior policy advisor at the NHS Confederation, who delves into government plans to reintroduce performance league tables and what this means for the NHS. Our guests for this episode are: Dr Nnenna Osuji, chief executive of North Middlesex Hospital,Andrea Winders, head of business development for life sciences and healthcare at MIDASAnnie Bliss, senior policy adviser at the NHS ConfederationHealth on the Line is an NHS Confederation podcast, produced by Health Comms Plus Hosted on Acast. See acast.com/privacy for more information.

The Over-50 Fitness & Health Plan The body is always adapting; if you do it right, you will respond great! (1:42) Considerations to take into account when constructing a routine for this avatar. (5:49) The RIGHT Way to Workout & Eat to Get GREAT Results if You're Over 50 Years Old. An effective full-body workout 2 days a week. (8:52) Day 1: Push a sled, incline dumbbell chest press, cable rows, standing dumbbell shoulder press, dumbbell curls, press down, and a plank. (12:02) Day 2: Trap bar deadlift, push-ups, pull-downs, rear flys, hammer curls, closer grip push-ups, cable chop, and standing calf raises. (18:03) Activity: Aim for 8k steps a day, then 10k, and then 12k steps a day. (21:57) Diet: Women eat 30, men eat 45 grams of protein per meal FIRST, eat veggies SECOND, and eat a starch or fruit LAST. (23:40) Sleep: No electronics, take glycine and magnesium before bed, and aim for a 9-hour window. (26:13) Supplements: Multivitamin, 2000IU Vitamin D plus K, and creatine 10 grams a day. (26:57) Related Links/Products Mentioned Visit MASSZYMES by biOptimizers for an exclusive offer for Mind Pump listeners! **Code MINDPUMP10 at checkout for 10% off any order. ** August Special: MAPS 15 50% off! ** Code MUSCLE50 at checkout ** How Do I Choose The Right Weight? (LIFT RESPONSIBLY) – Mind Pump TV Mind Pump TV - YouTube – Search ALL exercises with videos and coaching cues mentioned above. The Active Plank- An 6-Pack Building Powerhouse – YouTube Walking 8,000 steps just 1-2 days a week linked to significant health benefits Mind Pump # 2402: The 5 Reasons Why Walking is King for Fat Loss (Burn More Fat than Running & How to Do it Correctly) Mind Pump # 2650: Top 7 Underrated Supplements Mind Pump # 2497: The Amazing & Weird Side Effects of Creatine Mind Pump Podcast – YouTube Mind Pump Free Resources  

Is the government's 10-Year Health Plan the medicine the NHS needs? We ask two former health secretaries.  In the second of two special episodes, we speak to Alan Milburn about the future of the NHS and his thoughts on the government's 10-Year Health Plan. Alan was Secretary of State for Health from 1999 to 2003, during the Blair governments, with his tenure seeing the development of the NHS Plan (2000) and record levels of investment. As Lead Non-Executive Director at the Department of Health and Social Care, Alan also had a hand in writing and developing the new plan.  In conversation with our Chief Executive Jennifer Dixon, Alan reflects on the key challenges facing the NHS today and why he believes the new plan sets the right direction of travel. But is the plan clear enough about how change will be delivered? How will the plan ensure the health service pulls in one direction across varying objectives and programmes? And will the pace of change be sufficient by the time of the next election?    Show notes The Health Foundation (2020). Glaziers and window breakers. Former health secretaries in their own words. The Health Foundation (2025). Jeremy Hunt on the 10-Year Health Plan.  The Health Foundation (2025). 10-year ‘Plan for Change' or ‘plus ça change'? The Health Foundation (2025). Neighbourhood health is the right ambition – but will the 10-year plan deliver? The Health Foundation (2025). Dazed and confused? Policy ideas behind the 10-Year Health Plan. 

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In this episode, Dawn Maroney, President of Alignment Health and CEO of Alignment Health Plan, shares her experience testifying before Congress on the future of Medicare Advantage and highlights key policy changes needed to protect access, expand rural care, and ensure member choice in a rapidly evolving healthcare landscape.

In this episode of the Astonishing Healthcare podcast, we discuss recent health policy news and how to bring greater transparency to health benefits programs with returning guest, Jeff Hogan, President of Upside Health Advisors. Building on our previous discussion with Jeff - How First-Movers are Taking Control of their Health Plans in 2025 - we shed more light on the “PBM boogeyman” narrative, explaining how opaque pricing structures and unhelpful provisions buried in contracts must be discovered. Jeff reviews attempts by states around the country to intervene and halt steering and other practices that negatively impact health plans and their members - from early medical reform efforts to recent PBM-focused legislation. He also notes Medicaid cuts are likely to have some "second-order effects" that impact commercial plans, and the mood in Washington, DC, overall is "dazed and confused," so we can't count on help at the federal level.Highlighting the evolving role of PBMs and Capital Rx's expansion into medical benefit administration, it's apparent that the opportunity to reduce waste and take back control of benefits programs exists; however, "medical is worse," Hogan says. So, what is a plan sponsor or benefits consultant to do? Dig into those contracts - all of them (administrative services, broker, and stop-loss, to name a few) - and look at the provisions you're paying for! "This is where you discover the schemes that are occurring," he adds.Lastly, Jeff notes an interesting trend with health systems and direct contracting that's worth a listen, especially if you liked AH075 - What Health Systems Need [From a PBM]: A Blend of Tech, Transparency, and Understanding, with Lindsey Butler, PharmD, and Chris England.Related ContentCapital Rx Unveils Healthcare's First Unified Pharmacy and Medical Claims Processing PlatformSigns it is time to change your PBM vendor, and how to overcome common hesitations (BenefitsPRO)Replay - Strategic Well-Being: Rethinking Health Benefits to Empower Employees and Drive ImpactTo learn more about Upside Health Advisors, click here, or you can find Jeff on LinkedIn.For more information about Capital Rx and this episode, please visit Capital Rx Insights.

Charles returns to the show, touching on his past as a soccer coach before sharing the realities health plans are facing in California.  Charles also shares with host Gavin Ward about the upcoming fall CAHP conference, including how leaders from health plans, providers, and DHCS will be attending to present as well as network.

In this episode, Dawn Maroney, President of Alignment Health and CEO of Alignment Health Plan, shares her experience testifying before Congress on the future of Medicare Advantage and highlights key policy changes needed to protect access, expand rural care, and ensure member choice in a rapidly evolving healthcare landscape.

Send us a textIn this episode of Talk Sex with Annette, we're diving into the surprising ways sex toys are revolutionizing sexual health—and why more medical professionals are finally taking pleasure seriously.You'll learn:Why vibrators are being recommended by doctors and therapistsThe science behind using pleasure tools to treat conditions like pelvic pain, low libido, and arousal disordersHow integrating toys into your health routine can improve intimacy, confidence, and connectionWhat to look for in a “therapeutic” toy—and where to startWhether you're navigating postpartum sex, menopause, erectile dysfunction, or just want better orgasms—this episode is packed with insight, guidance, and the kind of real talk your doctor should be having.You can find my spicy site here. https://talksexwithannette.com/talk-sex-with-me/My spicy OF handle is @talksexwithannetteMy free spicy handle is @annettetalkssexSubscribe to my e-newsletter: https://she-explores-life.ck.page/e9760c390cAsk a question, Leave a Comment: https://www.speakpipe.com/LockerRoomTalkPodcastMy substack: https://talksexwithannette.substack.com/Use code EXPLORES15 for 15% off all Womanizer Products at Womanizer.com. Get 30% Off Sex Toys & Lube with code EXPLORES30 at thethruster.com: https://bit.ly/3Xsj5wY Get 15% Off The Life Saving, Erection Enhancing Tech Cockring By Firmtech with my code ANNETTE15 at: https://myfirmtech.com/annettebenedetti Get your intimacy questions answered, enjoy erotic audio readings and more.https://talksexwithannette.com/talk-sex-with-me/Support the show Watch on YouTube: https://www.youtube.com/@annettebenedetti Connect with usWe are on all the socials: TikTok: @ LockerRoomTalkPodcast LRT's Insta: @Lockerroomtalkandshots Annette's Insta: @BeingBenedetti SEL Inst: @SheExplores_Life LRT's FB: @LockerRoomTalkandShots SEL FB: @ SheExploresLife Annette's YouTube: Annette Benedetti Check Out More Sexy Content:She Explores Life Website: sheexploreslife.comCheers!

Is the government's 10-Year Health Plan the medicine the NHS needs? We ask two former health secretaries. In the first of two special episodes, we speak to Jeremy Hunt about the state of the NHS and his reaction to the government's 10-Year Health Plan. Jeremy was Secretary of State for Health and Social Care between 2012 and 2018, in the Cameron and May governments, making him the longest serving health secretary to date. He later served as foreign secretary (2018–2019) and Chancellor of the Exchequer (2022–2024). In conversation with our Chief Executive Jennifer Dixon, Jeremy reflects on his time as health secretary and whether he believes the new plan presents a coherent blueprint for reform. Does the plan strike a positive balance between top-down targets and decentralisation? Will the decision to scrap NHS England and cut the numbers of ICBs help or hinder delivery? And what is the future role of regulation in improving patient safety and care quality? Show notes The Health Foundation (2020). Glaziers and window breakers. Former health secretaries in their own words. Nuffield Trust (2025). Exploring earnings of NHS doctors in England.   The Health Foundation (2025). Taking a chainsaw to NHS England is not the sign of a healthy state. HSJ (2025). Cuts to ICBs and NHSE slammed by ex-health secretary.  HSJ (2025). Patient Safety Watch: Dash Review opens a crucial door.  BMJ (2025). Government's 10 year plan for the NHS in England.

In our update this month:Exploring the workforce implications of waiting lists in children and young people's speech and language therapy services.Response to the 10-year health plan for England.Continued focus on SEND in England and proposals in Northern Ireland.Report from RCSLT Scotland with an experimental analysis of additional numbers of SLTs needed in education. This interview was conducted by Victoria Harris, Head of Learning at The Royal College of Speech and produced and edited by freelance producer Jacques Strauss.Please be aware that the views expressed are those of the guests and not the RCSLT.Please do take a few moments to respond to our podcast survey: uk.surveymonkey.com/r/LG5HC3R

In this episode, Dr. Joe Kimura, Chief Medical Officer at SCAN Health Plan, discusses how SCAN is leading innovation in Medicare Advantage through personalized care, data analytics, and strategic partnerships. He also explores the critical role of technology and member engagement in improving outcomes for a growing senior population.

Do You Have a Health Plan for Midlife and Beyond?You have a business plan. You have a financial plan. But what about a health plan?In this episode of the Menopause Conversations podcast, Angela poses one of the most important — and overlooked — questions midlife women need to ask themselves:Do I have a plan for my health as I age?With honesty and insight, Angela dives into the concept of health span vs. lifespan, and there's a difference you probably haven't considered. Most women begin to experience a noticeable health decline around the age of 63 BUT that doesn't have to be your reality.She explores the everyday symptoms so many women brush off or tolerate — brain fog, fatigue, sleep disturbances, weight gain, aches and pains, hot flushes, rising blood pressure or cholesterol — and explains how these are signals your body is out of balance, not just inevitable signs of aging.You'll also hear:The real reason symptoms only show up once the body is already under stress.What movement does to your brain and hormones (and why you need more of it).How simple, sustainable choices — from better food to fresh air — can help you thrive.An honest question to ask yourself about where you want to be in 6 months, 1 year… or even 5 years?Angela shares her personal story of slipping out of balance earlier this year, how she found her way back through consistency and mindset shifts, and how you can do the same — without overhauling your entire life.This episode is your invitation to stop putting your health last, and start building the future you want to live in.Grab your free guide: Thriving in Menopause

Ty Wang, co-founder and CEO of Angle Health, is working to ensure that anyone can access healthcare in a convenient and efficient way. Tune into this episode of Breaking Health, where host Steve Krupa speaks with Wang about shifting from engineering and government to healthcare and creating a platform that delivers comprehensive healthcare benefits while removing administrative barriers. Wang discusses the value proposition Angle Health is putting forth and what member experience is like on the platform, as well as shares advice for entrepreneurs that are at the early stages of starting their own company.  Conversations between VCs and entrepreneurs typically occur in boardrooms or coffee shops. In the Breaking Health Podcast, you get a seat at the table. Healthcare Chief Executive Officer Stephen Krupa, HealthEdge Software, Inc., brings his more than 20 years' investor experience insight to revealing conversations with the most disruptive CEOs in healthcare. Listen to understand how these leaders are building the companies—and fostering the cultures—that will change everything.  Links from this episode:  HealthEdge  Angle Health   

Many current utilization management processes lack the transparency, speed and interoperability needed to meet current requirements — and the stakes for health plans are rising as CMS-0057 deadlines loom.This podcast breaks down new national research on UM practices across payer organizations, offering a clear-eyed view of what's working, what's not and where change is most needed.Leaders will also explore how AI-assisted technologies could help health plans get ahead of future interoperability challenges, including those tied to CMS-0057.Key insights include:Where UM processes are breaking down across health plans and care settingsHow AI-assisted tools could reduce delays and improve alignment now and in the futureReal-world takeaways to improve speed, transparency and readiness ahead of CMS-0057

In this episode, Dr. Joe Kimura, Chief Medical Officer at SCAN Health Plan, discusses how SCAN is leading innovation in Medicare Advantage through personalized care, data analytics, and strategic partnerships. He also explores the critical role of technology and member engagement in improving outcomes for a growing senior population.

On this week's episode of Top in Tech, Megan Stagman, Director, UK TMT, is joined by Charlie Norell, Senior Associate in GC's Health & Life Sciences practice, to unpack the UK's recently published 10-Year Health Plan and what it means for the future of healthcare innovation. They explore how the Plan aims to reshape the NHS, with a focus on the government's desired shift from analogue to digital and harnessing the latest technologies. They reflect on next steps for the proposed Single Patient Record, the expanded role of the NHS App, new "Global Institutes" and regional innovation zones, and dig into the political drivers and fiscal considerations behind the Plan. The discussion covers the opportunities this creates for MedTech, life sciences, and digital health, alongside key challenges such as funding gaps and structural reform. Hosted on Acast. See acast.com/privacy for more information.

May is National Arthritis A...May is National Arthritis Awareness Month AND National Osteoporosis Awareness and Prevention Month.  Anyone over age 50 has an increased risk for arthritis AND osteoporosis!  According to the CDC, 1 in 4 adults has osteoarthritis, the most common joint disorder in America, and the International Osteoporosis Foundation reports that 1 in 3 women and 1 in 5 men over age 50 will experience an osteoporosis-related fracture.THE COMPLETE BONE AND JOINT HEALTH PLAN is a complete, science-backed lifestyle plan for stronger bones, healthier joints, and lifelong mobility— co-authored by an orthopedic surgeon and a registered dietitian!Many books cover bone health…or joint health….or nutrition….or exercise. This is the first book to address all those aspects seamlessly in a simple, unified program.Become a supporter of this podcast: https://www.spreaker.com/podcast/arroe-collins-unplugged-totally-uncut--994165/support.

 In this episode of ShiftShapers, host David A. Saltzman welcomes Dave Chase, co-founder of Health Rosetta, a movement that has become a national force in transforming employer-sponsored healthcare.Dave shares the deeply personal story that drove him to create Health Rosetta and the powerful framework that emerged—one focused on transparency, outcomes, and economic sustainability.The conversation explores how Health Rosetta empowers benefit advisors and employers to break free from the traditional health plan model, the crucial role of data access, and the open-source tools now available through Nautilus Health Institute. Dave also unveils the evolution of RosettaFest from an internal network event into the premier gathering for high-performance health plan innovators across the country.

After months of waiting, the government's 10 Year Health Plan is finally here. But with a health and care system at breaking point, does the government's plan offer hope to staff, patients, and the public that things will get better? In this first episode in a new podcast series from The King's Fund, Siva Anandaciva, Charlotte Wickens and Sarah Arnold discuss what's in the government's 10 Year Health Plan, what it hopes to achieve and what we can expect to see in the coming weeks and months. You might also be interested in:  Truly fit for the future? The 10 Year Health Plan Explained (long read) 10 Year Health Plan - what bold choices and actions are needed to deliver transformational change? (event)  The King's Fund's response to the 10 Year Health Plan (press statement) This episode was edited by Bespoken Media. 

In this live round-table episode of the Smarter Not Harder Podcast, Boomer Anderson sits down with Dr. Scott Sherr, Dr. Ted Achacoso, Jodi Duval, and Dr. Allen Bookatz to explore how syncing your biology with circadian rhythms may be more powerful than any 3-day fast. From defining ultradian and infradian rhythms to tackling jet lag, hormone timing, and shift work, the team shares clinical stories and practical tactics you can use to reset your internal clock and optimize recovery, metabolism, and mood. Join us as we delve into: Why circadian rhythm alignment may be more effective than prolonged fasting The science of sleep anchoring, Zeitgebers, and peripheral clocks How your sleep, hormones, and hunger cues are dictated by light and food timing Simple tools to reset your rhythms—even after sleep debt or night shifts This episode is for you if: You're struggling with brain fog, low energy, or poor sleep despite “getting 8 hours” You want to learn practical tools for syncing your biology to light and food You're a night shift worker, traveler, or new parent trying to reset your rhythm You believe that healthspan starts with consistent daily habits—not heroic interventions You can also find this episode on… YouTube: https://youtu.be/AC_j9ZLHUnM Find more from Smarter Not Harder: Website: https://troscriptions.com/blogs/podcast | https://homehope.org Instagram: @troscriptions | @homehopeorg Get 10% Off your purchase of the Metabolomics Module by using PODCAST10 at homehope.org Get 10% Off your Troscriptions order by using POD10 at troscriptions.com Get daily insights from the hosts by following @troscriptions on Instagram.

This week, we are joined by State Health Plan Executive Administrator Thomas Friedman for an in-depth look at the challenges facing the Plan and its 750,000-plus members. We discuss the ongoing negotiations with CVS Caremark and the expected premium increases for next year.  Also, we touch on the pressing issues of high healthcare costs and the need for transparency, and Friedman shares the plan's strategies to make healthcare more affordable for state employees and retirees.

In this episode of the ACAP Coffee Break podcast, ACAP CEO Meg Murray speaks with Theresa Rodriguez Scepanski, CEO of Community First Health Plans. Tune in as Theresa shares her unique path to the health plan's C-suite, beginning with her early career in the hospitality industry. She also reflects on her 30 years of experience at the Safety Net Health Plan, its growing membership, deep roots in the community, and how it continues to serve as a trusted health plan for every generation.

Exploring the Complexities of Pharma Rebates with Ann Lewandowski In this Summer Short episode of Relentless Health Value, host Stacey Richter converses again with Ann Lewandowski about the intricate dynamics of pharmaceutical rebates, or as Lewandowski prefers, post-sale concessions.  The discussion delves into the nuances of these rebates, the impact they have on drug costs, and the hidden consequences for patients and plan sponsors.  They highlight articles and insights by Austin Chelko and Peter Hayes, touching on how rebates can disadvantage the pursuit of lower-cost generics and biosimilars, and can obstruct pharmacogenetic testing that ensures drug efficacy and safety.  The conversation also critiques the opacity of rebates, deemed trade secrets by pharma and PBM companies, and underscores the ethical and financial dilemmas posed by the current rebate-driven system. === LINKS ===

In this Trending Health series, Vynamic team members will highlight how different sectors of the health industry are evolving to meet the demands of today's ever-changing healthcare landscape through value creation and strategic transformations.In this episode, Mindy McGrath, Saurabh Raman, and Ryan Hummel dive into how payers are shifting from short-term cost cutting to long-term strategic transformation as a result of rising costs, policy upheaval, and evolving consumer demands.To learn more about how we can help your team navigate these strategic decisions, reach out to Saurabh.Raman@vynamic.com and Ryan.Hummel@vynamic.com. Podcast Tags: healthcare, health plan, healthcare strategy, health innovation, strategic transformation Source Links:Medical cost trend: Behind the numbers 2025 UnitedHealth reports highest medical costs since COVID-19 pandemic's start New Evernorth program to cap out-of-pocket costs for Wegovy, Zepbound at $200 Spending growth on GLP-1s outpaces specialty drugs: Evernorth study Elevance Health Reports First Quarter 2024 Results Panel – Mindy McGrath, Saurabh Raman, Ryan Hummel Research & Production – Julia Morrison, Saurabh Raman, Ryan Hummel, Everly PetruzzelliRecording & Editing – Mike Liberto, Rachel SkoneckiFor additional discussion, please contact us at TrendingHealth.com. 

This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Sufian Chowdhury, Chief Executive Officer of Kinetik. Sufian discusses how Kinetik is transforming non-emergency medical transportation (NEMT) through real-time data, interoperability, and plan-owned infrastructure to improve compliance, reduce fraud, and enhance member experience.This episode is sponsored by Kinetik.

In this episode of Friday Fiduciary Five, Eric Dyson discusses the implications of the Cunningham v Cornell Supreme Court decision for health plans, emphasizing the need for 408(b)(2) disclosures under the Consolidated Appropriations Act. He explains that health plans subject to ERISA must now disclose fees and services provided by vendors, such as third-party administrators and pharmacy benefit managers. Eric advises plan committee members to establish a process similar to retirement plans, including fiduciary committees and charters, to ensure compliance.Connect with Eric Dyson: Website: https://90northllc.com/Phone: 940-248-4800Email: contact@90northllc.com LinkedIn: https://www.linkedin.com/in/401kguy/ The information contained herein is general in nature and is provided solely for educational and informational purposes.It is not intended to provide a specific recommendation of any type of product or service discussed in this presentation or to provide any warranties, financial advice, or legal advice.The specific facts and circumstances of all qualified plans can vary, and the information contained in this podcast may or may not apply to your individual circumstances or to your plan or client plan specific circumstances.

This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Dr. Aisha Rahim, Medical Director and Co-Lead, AI Governance Council, Johns Hopkins Health Plans (JHHP). Dr. Rahim discusses how JHHP is leveraging artificial intelligence to manage costs, close care gaps, advance health equity, and enhance member engagement across a diverse population.

This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Dr. Aisha Rahim, Medical Director and Co-Lead, AI Governance Council, Johns Hopkins Health Plans (JHHP). Dr. Rahim discusses how JHHP is leveraging artificial intelligence to manage costs, close care gaps, advance health equity, and enhance member engagement across a diverse population.

Dr. Mary Andrus, Co-Director of the Art Therapy Program at Lewis & Clark Graduate School of Education and Counseling joins the Exchange.

In Part 2 of our powerful conversation with David Contorno, president and founder of ePowered Benefits, we go beyond the strategies and structures of health plan design—diving into the real-life struggles that are shaping smarter, more compassionate solutions.Host David A. Saltzman and David Contorno discuss the realities of scaling direct primary care, creative ways to bridge care gaps, and the challenges of educating employers and advisors about fiduciary responsibility. But the heart of this episode is personal: David shares how his own battles with chronic pain and mental health have transformed his perspective—and the way he builds health plans.The conversation uncovers the hidden crisis of mental health in the workforce, the need for more accessible and innovative care models, and the legacy that disruption can leave when leaders dare to do things differently.If you missed Part 1, catch it now for the story of smart plan solutions and shifting structures.  

In this episode we're talking to Chelsea Ryckis, President of Ethos Benefits on what it means to view your health plan through the eyes of a fiduciary and how that perspective could lead to savings and improved benefits for your employees. Chelsea presented on this topic at the 2024 International Society of Certified Employee Benefit Specialists Symposium. Hear many other great presentations like hers at this year's Symposium! https://www.iscebs.org/symposium Check out Chelsea's own podcast from Ethos Benefits: https://businessofbenefitspodcast.com/ Don't forget - if you manage an ERISA plan, you're legally required to think (and act!) like a fiduciary. The International Foundation has your back with everything you need to know about your fiduciary duties in one easy-to-understand e-learning course. It's a great option to learn about your duties for the first time or brush up on them: https://www.ifebp.org/education---events/virtual-education-and-webcasts/e-learning-course/e-learning-courses/fiduciary-responsibility-for-erisa-plans

In the latest episode of The Beat Podcast, host Sandy Vance discusses the transformative role of artificial intelligence (AI) in healthcare with Anmol Medan, CEO of RadiantGraph. They talk about how AI and Intelligent Personalization can improve the member experience with health plans. Their conversation also highlights the ongoing challenges in consumer engagement within the healthcare sector. RadiantGraph aims to bridge the gap by utilizing AI and machine learning to enhance consumer engagement for large healthcare organizations, particularly in the realm of health plans. If you have any questions about RadiantGraph, reach out to Anmol via LinkedIn or email him at anmolmedan@radiantgraph.com. In this episode, they talk about:❤️‍

What does “smart” health plan design look like in an industry packed with legacy thinking and rising costs? In Part 1 of a special two-part ShiftShapers interview, host David A. Saltzman welcomes back David Contorno, president and founder of ePower Benefits—and one of the industry's most well-known disruptors.David pulls back the curtain on his journey from traditional insurance to innovative plan design, explaining why “business as usual” can't fix the healthcare system. He discusses creative strategies like reference-based pricing, direct provider contracting, and the evolution of self-funded health plans. Through stories, data, and first-hand insights, David lays out the “shifting structures” that are changing how employers, brokers, and providers think about benefits.

This episode, recorded live at the Becker's 3rd Annual Spring Payer Issues Roundtable, features Jarrod McNaughton, CEO of Inland Empire Health Plan. Jarrod shares how IEHP is aligning mission, culture, and bold innovation to drive health equity, improve quality through performance-based partnerships, and enhance member satisfaction with community-centered programs.

In this episode of The Business of Healthcare Podcast, Becky Greenfield, a healthcare attorney and a partner at boutique law firm Wolfe Pincavage, joins host Dan Karnuta for a discussion about the complexities and risks associated with alternative health plans that are not mandated by the Affordable Care Act. Plans like healthcare sharing ministries, limited benefit plans and short-term insurance can appear similar to conventional healthcare insurance but they lack essential consumer protections like coverage for pre-existing conditions, essential health benefits, and balance-billing safeguards. Although these plans are attractive due to their lower costs, they can can result in significant out-of-pocket expenses and limited provider networks. The conversation also highlights the challenges the hospitals face when treating patients with these plans, including confusion over payment responsibilities and financial risk due to underpayment or denials. Karnuta is an associate professor in the Naveen Jindal School of Management's Organizations, Strategy and International Management Area as well as director of its Professional Program in Healthcare Management.

Show Notes: Ami Parekh discusses the business model and services of Included Health, a company that provides personalized healthcare. Included Health partners with self-insured employers and health plans to improve the way working Americans and their families receive healthcare.  Included Health Services  About a third of Fortune, 100 companies, and 10 million Americans have access to Included Health's services. The company focuses on providing access answers and advocacy as people engage in the healthcare system. The company has nearly 3000 people, including 1000 clinicians across the country, including primary care doctors, specialists, nurse practitioners, and therapists. Additionally, hundreds of care advocates help patients understand the ins and outs of the healthcare system. Many patients come to Included Health because they can't get access to primary care and behavioral health, which can take one to two months across most of the country. The company aims to address this supply problem. Navigating the Healthcare System Ami talks about the role of Included Health in helping patients navigate the healthcare system, focusing on personalized and best-for-the-patient approach. She explains how it can help patients navigate their insurance and coverage options. She also covers the use of data and data science to match patients with the highest quality healthcare professionals for specific requirements, such as orthopedic surgeons or specialists. Ami emphasizes that Included Health are not plans or payers, but providers who work with a wide field of providers, and their job is to help patients achieve the best outcomes within the current healthcare system. Accessing Quality Data in Healthcare The conversation turns to the concept of quality data in healthcare, how it is crucial to consider the quality of care and the likelihood of repeat surgeries, and the issue of inappropriate prescribing behavior, such as the use of opiates and benzodiazepines, which can be addictive. Ami explains how Included Health accesses and uses data, and how collected sanctioned data can help determine if a provider is safe for family members to see. Ami emphasizes that data is never perfect, and in the worst case scenario, patients can consult with clinicians to find the right doctor. The data can help inform conversations about who to see, and Included Health offers support in finding publicly available data sources and the right practitioner. She highlights the need for better data and collaboration between healthcare providers and patients to improve patient outcomes and overall healthcare quality. Improving Healthcare Pricing and Cost Employers typically pay for Included Health as a layer on top of their health plan, as they want their employees to be healthy, productive, and engaged members of their workforce. They also want healthcare costs to remain low so that they can pay their employees a living wage and invest in other benefits. Healthcare is often the number two cost after supplies in America, and employers want their employees to be healthy, productive, and engaged. Included Health offers a way to give healthy days back to employees by reducing the number of days they are unable to be healthy due to mental or physical health reasons. This results in increased productivity, better work performance, and overall cost savings. There are two dimensions to using included health services: first-time care and saving time. First, employees get the right care the first time, which can lead to cost savings. Second, health plans are incentivized to offer support to their patient population, as they are paying for it. Third, Included Health helps find providers quickly, saving employees time and freeing them up to focus on the healing process and family. Furthermore, Included Health provides access to primary care doctors, which is crucial for long-term cost savings and better health. How Included Health Works Included Health has about 1500 clinicians available for virtual appointments, including behavioral health providers. The app allows users to schedule appointments within a week, ensuring choice and quick access to healthcare services. Technology has brought about broader trends in the industry, such as value-based care and making things easier to access. The cost of healthcare is increasing by seven to 10% year over year, making it unsustainable for the American population. Employers, who are often the purchasers of healthcare, are seeking better solutions to control healthcare costs. They are trying to do this through products and services, creating new networks, and focusing on wellness. The trend is driven by employers and the government, as well as insurance companies. Included Health fits into this trend by reducing total care costs and prioritizing the member experience. By being a one-stop shop for patients and members, employers can experiment with different services without disrupting the member experience. This allows them to work with the growing trend of cost-cutting and value-based care in the healthcare industry. Included Health's Clients and Pricing Structure  The pricing structure for the company is custom, client-by-client, and depends on the population being served. The company does not have a per-head pricing structure, but rather on a population level. Performance guarantees are part of the pricing model, which includes up-operation and delivery of savings.The company has started participating in shared savings models with CalPERS, which allows California employees and their dependents access to their services. Payers see the company as a provider for their members, and they believe that these models are helping them achieve better outcomes for patients. Included Health mostly focuses on larger enterprise and jumbo clients, with 33 of the Fortune 100 companies being clients. Smaller clients also receive good results from the company. The Role of AI in Healthcare Ami discusses the use of Telehealth in healthcare. She mentions her parents as an example of how they could do more virtually than they are today. Ami also discusses the role of AI in healthcare, stating that, by providing tools that can help healthcare workers it is a beneficial tool.  AI has been used in healthcare for therapy, diagnosis, and diagnosis, with 20% of conversations being healthcare-related. She is excited about the potential of AI in healthcare. Member-facing AI can answer basic health insurance questions and provide guidance on insurance deductibles and costs. Included Health ensures all of their AI services are supported by humans, whether on the clinical side or on the care team side, to ensure a human is available to the customer when needed.  Ami believes that AI will be a tool that supports the human workforce in healthcare, making their jobs easier and allowing them to do more for the members. Over the next year or two, AI will play a significant role in healthcare, with AI helping navigate systems, schedule calls, and provide better access to care for patients. Timestamps: 01:22 Included Health's Services and Impact 03:22: Navigating the Healthcare System  07:20: Challenges and Solutions in Healthcare Data  14:29: Employer and Health Plan Perspectives  21:33: Value-Based Care and Pricing Structure  27:21: Health Plan and TPA Relationships  32:41: Role of AI in Healthcare  Link:  https://includedhealth.com/   Unleashed is produced by Umbrex, which has a mission of connecting independent management consultants with one another, creating opportunities for members to meet, build relationships, and share lessons learned. Learn more at www.umbrex.com.

Meidas Health is on a roll! Continuing its series of incisive interviews with the nation's top healthcare leaders, Chiquita Brooks-LaSure — head of the Centers for Medicare and Medicaid Services under President Biden — joins host Dr. Vin Gupta for a hard-hitting discussion on prescription drug pricing in the United States. In light of President Trump's executive order yesterday — which was light on specifics — what's actually having an impact on lowering costs for patients nationwide? Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Karen Love, president of Cook Children's Health Plan, joins Jakob Emerson to discuss Texas' Medicaid contract shakeup, why her organization is challenging the state's decision to exclude children's hospital-affiliated plans, and the legislative and legal efforts underway to protect coverage for 125,000 children in North Texas.

In this powerful episode, Dr. Erin Faules sits down with two inspiring Wild Health patients, Julie and Susan, to unpack their transformative journeys toward optimal health. Both busy professionals and mothers, they share how personalized data, wearable tech, and a relentless drive for better health have helped them take control of their well-being, even after life-altering diagnoses and family health tragedies. From overcoming chronic joint pain to battling MS, these women reveal how prioritizing health today—not tomorrow—creates a ripple effect of vitality, resilience, and longevity. If you're feeling overwhelmed or unsure where to start, this conversation offers actionable insights, relatable stories, and plenty of motivation to start building your health portfolio.