Podcasts about health plans

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Best podcasts about health plans

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Latest podcast episodes about health plans

Cybercrime Magazine Podcast
Cybercrime Wire For Mar. 20, 2026. Health Plan Info For 2.6M+ Stolen From Navia. WCYB Digital Radio.

Cybercrime Magazine Podcast

Play Episode Listen Later Mar 20, 2026 1:28


The Cybercrime Wire, hosted by Scott Schober, provides boardroom and C-suite executives, CIOs, CSOs, CISOs, IT executives and cybersecurity professionals with a breaking news story we're following. If there's a cyberattack, hack, or data breach you should know about, then we're on it. Listen to the podcast daily and hear it every hour on WCYB. The Cybercrime Wire is brought to you Cybercrime Magazine, Page ONE for Cybersecurity at https://cybercrimemagazine.com. • For more breaking news, visit https://cybercrimewire.com

Self-Funded With Spencer
How J&Q Codes Are Sabotaging Your Stop-Loss Renewals

Self-Funded With Spencer

Play Episode Listen Later Mar 17, 2026 46:19


"I've got a patient in Washington state. He's traveling 100 miles every other week to receive an infusion. We moved this patient into the home and saved the plan $700,000 on this one patient...on gout treatment."Why are infusion drugs quietly destroying your health plan's budget?This week, my guest is Rob LaHayne, Co-Founder of Leap Health. We pull back the curtain on one of the most overlooked and expensive categories in healthcare: Specialty Infusion Care. Because these drugs are administered by a medical professional, they are billed through the medical plan under "J&Q Codes" - subjecting them to massive hospital markups and "buy-and-bill" margin games.In this episode, Rob explains how Leap Health is solving this by taking over the supply chain, procuring the drugs transparently without margin, and redirecting patients to their own homes or convenient infusion centers. We discuss how these J&Q codes are often the hidden culprit behind breached stop-loss deductibles and skyrocketing renewals, and why shifting the site of care is a win for both the employer's budget and the patient's quality of life.If you're a benefits consultant trying to figure out why your client's medical spend is out of control, or an employer tired of paying massive hospital markups for necessary medications, you need to understand J&Q codes.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com/Spencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: The Hidden Problem of J&Q Codes (00:04:13) Rob's Background & The Genesis of Leap Health (00:08:24) Why Hospital "Buy-and-Bill" Margins Drive Up Costs (00:13:22) How Leap Health Provides Transparent, Zero-Margin Pricing (00:16:31) Shifting Site of Care: The Power of Home Infusions (00:23:44) Overcoming Headwinds: Patient Engagement & Plan Design (00:27:01) Taking Over the Supply Chain to Bypass the "BUCA" PBMs (00:32:51) Stop-Loss Renewals: Why Identifying J&Q Codes is Critical (00:37:04) Saving $700,000 on a Single Gout Patient (00:41:39) The Future: Unbundling the Health Plan & "Point Solution Fatigue" (00:45:41) Closing Thoughts: Why Consultants Must Request J&Q Code DataKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Becker’s Healthcare Podcast
Dawn Maroney, President of Alignment Health and CEO of Alignment Health Plan

Becker’s Healthcare Podcast

Play Episode Listen Later Mar 7, 2026 11:31


In this episode, Dawn Maroney, President of Alignment Health and CEO of Alignment Health Plan, joins the podcast to discuss how payer–provider relationships are evolving amid cost pressures and workforce shortages. She explores common gaps between strategy and execution, the importance of disciplined operational follow-through, and why healthy competition remains essential to driving innovation, value, and improved outcomes across the healthcare landscape.

Everyone Comes From Somewhere
Why Loneliness Can Shorten Your Life (and How to Build a Social Health Plan) - Ken Stern

Everyone Comes From Somewhere

Play Episode Listen Later Mar 5, 2026 59:04


Loneliness isn't just uncomfortable - it's costly. And the scariest part? Most of us are living it without calling it what it is.Dr. Jody talks with Ken Stern (*Healthy to 100*, *Century Lives*) about the loneliness epidemic and the link between social isolation and mortality risk - plus the practical shift that changes everything: building your social life with the same intention you'd bring to nutrition or exercise.They get into what “lonely” actually looks like in real life, why we're spending less time with friends than we did a generation ago, and how proximity, community design, and technology have quietly pulled us apart.This is a call back to connection - with a plan, not just a wish.Links & Resources:ABOUT CENTURY LIVES The Longevity Project: https://www.longevity-project.com/centurylivesHealthy to 100: Secrets from Countries Where Retirees Age Best: https://www.kiplinger.com/retirement/happy-retirement/healthy-to-100-secrets-from-countries-where-retirees-age-bestSocial Relationships and Mortality Risk: A Meta-analytic Review (PLoS Medicine, 2010): https://pmc.ncbi.nlm.nih.gov/articles/PMC2910600/Our Epidemic of Loneliness and Isolation: The U.S. Surgeon Generals Advisory (May 3, 2023): https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf Hosted on Acast. See acast.com/privacy for more information.

Becker’s Payer Issues Podcast
Dawn Maroney, President of Alignment Health and CEO of Alignment Health Plan

Becker’s Payer Issues Podcast

Play Episode Listen Later Mar 4, 2026 11:31


In this episode, Dawn Maroney, President of Alignment Health and CEO of Alignment Health Plan, joins the podcast to discuss how payer–provider relationships are evolving amid cost pressures and workforce shortages. She explores common gaps between strategy and execution, the importance of disciplined operational follow-through, and why healthy competition remains essential to driving innovation, value, and improved outcomes across the healthcare landscape.

Your Medicare Community - MedicareFAQ
Understanding How Medicare Works with Employer Health Plans

Your Medicare Community - MedicareFAQ

Play Episode Listen Later Mar 4, 2026 4:58


Still working or covered by an employer health plan? In this episode, we break down how Medicare coordinates with employer coverage, including who pays first, when Medicare becomes the primary or secondary payer, and the key enrollment timelines you need to know. Learn how understanding these rules, and considering a Medicare Supplement plan, can help protect your healthcare access and your retirement savings. 

Becker’s Healthcare Podcast
Advancing Culturally Competent Medicare Advantage with Karen Walker Johnson of Clever Care Health Plan

Becker’s Healthcare Podcast

Play Episode Listen Later Mar 3, 2026 14:32


In this episode, Karen Walker Johnson, Chief Executive Officer of Clever Care Health Plan, discusses how culturally competent, value based care is reshaping Medicare Advantage. She shares insights on strengthening provider trust, investing in community based engagement, and advocating for quality metrics that recognize cultural competence to improve outcomes and affordability.

Becker’s Healthcare Podcast
Rethinking Employer Health Plans for Affordability with Jeff Bak

Becker’s Healthcare Podcast

Play Episode Listen Later Mar 2, 2026 12:52


In this episode, Jeff Bak, President and Chief Executive Officer of Imagine360, shares how alternative health plan models and reference based pricing can lower employer costs while improving the member experience. He discusses narrowing networks, building provider trust, correcting broker misconceptions, and delivering guaranteed savings in a high pressure cost environment.

Becker’s Payer Issues Podcast
Advancing Culturally Competent Medicare Advantage with Karen Walker Johnson of Clever Care Health Plan

Becker’s Payer Issues Podcast

Play Episode Listen Later Mar 2, 2026 14:32


In this episode, Karen Walker Johnson, Chief Executive Officer of Clever Care Health Plan, discusses how culturally competent, value based care is reshaping Medicare Advantage. She shares insights on strengthening provider trust, investing in community based engagement, and advocating for quality metrics that recognize cultural competence to improve outcomes and affordability.

Becker’s Payer Issues Podcast
Rethinking Employer Health Plans for Affordability with Jeff Bak

Becker’s Payer Issues Podcast

Play Episode Listen Later Mar 1, 2026 12:52


In this episode, Jeff Bak, President and Chief Executive Officer of Imagine360, shares how alternative health plan models and reference based pricing can lower employer costs while improving the member experience. He discusses narrowing networks, building provider trust, correcting broker misconceptions, and delivering guaranteed savings in a high pressure cost environment.

The Darin Olien Show
The No-Hype Health Plan for 2026: What Actually Matters

The Darin Olien Show

Play Episode Listen Later Feb 26, 2026 36:40


What would I actually do if I had to start over? No brand. No supplements to sell. No trends to chase. No social media theatrics. Just me, in 2026, building my health from the ground up. In this stripped-down solo episode, Darin lays out the foundational pillars he would implement immediately if he were starting fresh today. This is not about extremes. It's not about perfection. It's not about viral biohacks. It's about alignment. Infrastructure. Sovereignty. From water filtration and mineral balance to plant-dominant nutrition, strength training, sleep timing, nervous system regulation, purpose, and community, this is the grounded, research-backed roadmap to a Super Life. In This Episode Why reverse osmosis water filtration is step one The importance of remineralizing filtered water Eliminating PFAS, agrochemicals, and heavy metals from daily exposure Why non-toxic cookware is a non-negotiable A plant-dominant, whole-food strategy backed by longevity research Protein distribution and muscle protein synthesis science The truth about B12, the microbiome and supplementation Why algae-based omega-3s may be smarter than fish oil Resistance training as a longevity lever Why sleep timing consistency may matter more than duration Breathwork, meditation and nervous system training Community as biological medicine Limiting social media for mental health Purpose as a predictor of mortality risk Why you need a functional medical practitioner in your corner Nurturing creativity in a productivity-obsessed culture Chapters 00:00:00 – Welcome to SuperLife 00:00:33 – NAD supplement fraud & the importance of verification 00:02:23 – The question: If I started over in 2026, what would I do? 00:04:08 – No trends, no hype, just grounded science 00:05:15 – Step 1: Clean up your water 00:06:28 – PFAS, heavy metals & agrochemical contamination 00:07:59 – Reverse osmosis as the gold standard 00:08:35 – Re-mineralizing filtered water 00:09:40 – Mineral strategy & electrolyte balance 00:10:35 – Eliminating toxic cookware exposure 00:12:52 – Plant-dominant nutrition as foundational strategy 00:14:45 – Protein distribution & muscle protein synthesis 00:17:22 – Longevity Blue Zones & daily legumes 00:18:06 – B12 nuance & microbiome research 00:20:15 – Omega-3s: chia, flax & algae-based oils 00:22:39 – Strength training as the longevity switch 00:23:05 – Resistance training & reduced all-cause mortality 00:24:24 – Sleep timing consistency & mortality research 00:25:40 – Darkness, eye masks & sleep quality 00:26:20 – Nervous system regulation: meditation & somatic work 00:27:05 – Breathwork protocols & inflammation research 00:28:27 – Community as biological medicine 00:29:05 – Limiting social media & reducing depression risk 00:29:24 – Purpose & lower mortality association 00:30:12 – Functional medicine practitioners vs primary care 00:32:21 – Nurturing yourself in a productivity culture 00:34:22 – Closing: Build alignment, not perfection Thank You to Our Sponsors Our Place – Non-toxic cookware that keeps harmful chemicals out of your food. Get 10% off at fromourplace.com with code DARIN. Tru Niagen – Boost NAD+ levels for cellular health and longevity. Get 20% off with code Darin20 at truniagen.com. Key Takeaway If I were starting today, I wouldn't chase perfection. I would build alignment. Clean water. Plant-dominant nutrition. Strength. Sleep consistency. Nervous system regulation. Community. Purpose. And nurturing creativity. No hacks. No drama. Just infrastructure. That's how you build a Super Life. Bibliography/Sources British Journal of Sports Medicine. (2022). Muscle-strengthening activities and risk of cardiovascular disease, cancer, diabetes, and all-cause mortality: a systematic review and meta-analysis of prospective cohort studies. https://bjsm.bmj.com/content/56/13/757 Sleep. (2023). Sleep regularity is a stronger predictor of mortality risk than sleep duration: A prospective cohort study. https://academic.oup.com/sleep/article/47/2/zsad253/7280431 NIH Office of Dietary Supplements. (2024). Vitamin B12 Fact Sheet for Consumers. Provides guidance on necessary B12 sources for those on plant-based diets. https://ods.od.nih.gov/factsheets/VitaminB12-Consumer/ Nutrients. (2019). Dietary Protein and Amino Acids in Vegetarian Diets—A Review. Authored by Mariotti and Gardner, examining protein adequacy in plant-based eating. https://www.mdpi.com/2072-6643/11/11/2661 Circulation. (2021). Effect of omega-3 fatty acids on cardiovascular outcomes: A systematic review and meta-analysis. https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.055656 Journal of Social and Clinical Psychology. (2018). No More FOMO: Limiting Social Media Decreases Loneliness and Depression. A randomized controlled trial on limiting social media use. https://guilfordjournals.com/doi/10.1521/jscp.2018.37.10.751 NHMRC. (2015). NHMRC Statement on Homeopathy. A comprehensive review of the evidence for the effectiveness of homeopathy. https://www.nhmrc.gov.au/about-us/publications/homeopathy

Physician NonClinical Careers
Large Employers and Health Plans Need a CMO Like You Now - A PNC Classic from 2022

Physician NonClinical Careers

Play Episode Listen Later Feb 24, 2026 48:02


If you're a physician with at least 5 years of experience looking for a flexible, non-clinical, part-time medical-legal consulting role… ...Dr. Armin Feldman's Medical Legal Coaching program will guarantee to add $100K in additional income within 12 months without doing any expert witness work. Any doctor in any specialty can do this work. And if you don't reach that number, he'll work with you for free until you do, guaranteed. How can he make such a bold claim? It's simple, he gets results…  Dr. David exceeded his clinical income without sacrificing time in his full-time position. Dr. Anke retired from her practice while generating the same monthly consulting income.  And Dr. Elliott added meaningful consulting work without lowering his clinical income or job satisfaction. So, if you're a physician with 5+ years of experience and you want to find out exactly how to add $100K in additional consulting income in just 12 months, go to arminfeldman.com.                                                          =============== Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs.                                                                                                 =============== Pediatrician and former Navy physician Dr. Laura Clapper shares how a lifelong interest in data, AI, and systems thinking led her from clinical practice into senior leadership roles at major health plans and large self-insured employers. In this classic replay from 2022, she pulls back the curtain on the "black box" of payers and national accounts, explaining what medical directors and CMOs actually do inside insurers, employer health benefits teams, ACOs, and value-based care organizations. She walks through day-to-day work in utilization management, quality, pharmacy, innovation, and employer-facing roles, as well as the credentials and experience you need to be considered for these positions. Dr. Clapper also looks ahead to emerging opportunities in telehealth, data and EHR optimization, startups, women's health, and executive coaching. You'll find links mentioned in the episode at nonclinicalphysicians.com/health-plans-need-a-cmo/

Self-Funded With Spencer
Why Health Plans Pay $10,000+ For Drugs That Don't Even Work

Self-Funded With Spencer

Play Episode Listen Later Feb 24, 2026 76:37


"Why are we paying $10,000 for a $30 drug?"My guest this week is Pramod John, a former Silicon Valley tech entrepreneur who entered the healthcare space to tackle the largest economic problem in the country: skyrocketing healthcare costs. Pramod quickly realized that healthcare's dysfunction is actually not a technology problem - it is a deeply ingrained problem with economic incentives.In this episode, we dive into the murky waters of Pharmacy Benefit Managers (PBMs) and why the traditional model is designed to drive up costs rather than lower them. We discuss the shocking statistics of drug spend (where 2% of people account for 55% of the costs), why FDA approval doesn't always mean a drug is effective (using the infamous Alzheimer's drug as an example), and the implications of recent fiduciary lawsuits like the one against J&J.Pramod explains how we can bring common sense back to healthcare by treating drugs like any other consumer purchase. By utilizing an "open market" drug management model, he argues that we can effectively replace traditional PBMs with transparent transaction processing software - saving plans 30% to 50% without relying on restrictive formularies or rebate games. Tune in this week for a clear roadmap for how to actually fix the irrational economics of our healthcare system.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Why We Talk About Cost Instead of Quality (00:02:42) From Silicon Valley & Defense Tech to McKesson (00:10:43) Why Healthcare is NOT a Technology Problem (00:15:53) Fiduciary Responsibility & The J&J Lawsuit (00:19:03) The Butter Knife vs. Pareto: The Math of Drug Spend (00:23:54) Building an "Open Market" Alternative to PBMs (00:29:40) Why Doctors Fly Blind on Drug Pricing & Formularies (00:35:42) FDA Approval vs. Real-World Efficacy (00:45:44) How to Actually Fix the Model: The Real-Time "Pause" (00:58:36) Why International Sourcing & PAPs Aren't the Fix (01:11:00) Replacing PBMs with Simple Transaction SoftwareKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

NFP Benefits Compliance Podcast
EP 165: 2026 DOL Enforcement Priorities for Group Health Plans

NFP Benefits Compliance Podcast

Play Episode Listen Later Feb 24, 2026 18:27


In this episode, Chase Cannon and Suzanne Spradley review a recent DOL announcement that outlines the agency's enforcement priorities for group health plans. Chase provides some background on DOL enforcement and the DOL's efforts to increase employee benefit plan compliance, address abusive practices, and protect the rights of participants and beneficiaries. Chase and Suzanne go deeper on four of the priorities, including mental health parity, cybersecurity, abuse of contributory benefit plans, and surprise billing, including important takeaways for employers to consider going forward.

Self-Funded With Spencer
Why Health Plans Pay $10,000+ For Drugs That Don't Even Work

Self-Funded With Spencer

Play Episode Listen Later Feb 24, 2026 76:37


"Why are we paying $10,000 for a $30 drug?"My guest this week is Pramod John, a former Silicon Valley tech entrepreneur who entered the healthcare space to tackle the largest economic problem in the country: skyrocketing healthcare costs. Pramod quickly realized that healthcare's dysfunction is actually not a technology problem - it is a deeply ingrained problem with economic incentives.In this episode, we dive into the murky waters of Pharmacy Benefit Managers (PBMs) and why the traditional model is designed to drive up costs rather than lower them. We discuss the shocking statistics of drug spend (where 2% of people account for 55% of the costs), why FDA approval doesn't always mean a drug is effective (using the infamous Alzheimer's drug as an example), and the implications of recent fiduciary lawsuits like the one against J&J.Pramod explains how we can bring common sense back to healthcare by treating drugs like any other consumer purchase. By utilizing an "open market" drug management model, he argues that we can effectively replace traditional PBMs with transparent transaction processing software - saving plans 30% to 50% without relying on restrictive formularies or rebate games. Tune in this week for a clear roadmap for how to actually fix the irrational economics of our healthcare system.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Why We Talk About Cost Instead of Quality (00:02:42) From Silicon Valley & Defense Tech to McKesson (00:10:43) Why Healthcare is NOT a Technology Problem (00:15:53) Fiduciary Responsibility & The J&J Lawsuit (00:19:03) The Butter Knife vs. Pareto: The Math of Drug Spend (00:23:54) Building an "Open Market" Alternative to PBMs (00:29:40) Why Doctors Fly Blind on Drug Pricing & Formularies (00:35:42) FDA Approval vs. Real-World Efficacy (00:45:44) How to Actually Fix the Model: The Real-Time "Pause" (00:58:36) Why International Sourcing & PAPs Aren't the Fix (01:11:00) Replacing PBMs with Simple Transaction SoftwareKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Becker’s Payer Issues Podcast
Payer Operations, Provider Partnerships and the Future of Health Plans with Sheri Johnson

Becker’s Payer Issues Podcast

Play Episode Listen Later Feb 23, 2026 12:08


In this episode, Sheri Johnson, former Vice President of Member Enrollment and Billing at UCare, shares insights on how payer and provider relationships are evolving under cost and workforce pressure, where strategy and operations often misalign, and why AI is poised to reshape health plan performance in the years ahead.

Becker’s Healthcare Podcast
Rob Andrews on Employer Led Health Care Reform and the Future of Health Plans

Becker’s Healthcare Podcast

Play Episode Listen Later Feb 21, 2026 12:11


In this episode, Rob Andrews, Chief Executive Officer of the Health Transformation Alliance, discusses how employers and providers can work more closely to improve value, reduce middleman costs, and drive better outcomes. He shares perspectives on payer competition, transparency, GLP 1 cost pressures, and how technology and personalized medicine may reshape health plans in the years ahead.

Becker’s Payer Issues Podcast
Building an AI Native Health Plan for Small Employers with Ty Wang, CEO of Angle Health

Becker’s Payer Issues Podcast

Play Episode Listen Later Feb 20, 2026 12:35


In this episode, Ty Wang, Co-Founder and Chief Executive Officer at Angle Health, shares how his team is rethinking health plan infrastructure to move beyond transactional payer provider relationships. He discusses modernizing operations with AI, improving transparency for employers and brokers, and aligning incentives around outcomes, affordability, and member experience.

Health Made Simple Show Podcast
How to create your health plan in 2026. Overcoming confusion & massive amounts of data | Ep. 280

Health Made Simple Show Podcast

Play Episode Listen Later Feb 19, 2026 13:02


Are you overwhelmed by all the health information in 2026? Wearables… at-home labs… AI tools… fast acting drugs… We've never had more data, yet why do so many of us feel more confused than ever when it comes to health and longevity? In this episode of The Health Made Simple Show, Dr. Bart tackles an escalating conversation he's seeing in his clinic and answers questions like:  Why more data doesn't automatically mean better health How overwhelm leads to inaction Why having a clear health philosophy changes everything The hidden limitation of AI-driven lab analysis How nervous system regulation impacts long-term healing Why you need a "health quarterback" to coordinate your plan Health and longevity doesn't have to feel chaotic, but it does require coordination. And if you're ready to build a personalized strategy instead of chasing trends:

Bright Spots in Healthcare Podcast
How Highmark, Independent Health, Johns Hopkins Health Plan and MedOrion Are Rebuilding Member Engagement in Medicare Advantage

Bright Spots in Healthcare Podcast

Play Episode Listen Later Feb 17, 2026 59:52


In this Bright Spots in Healthcare episode, Medicare Advantage leaders confront a hard truth: high activity does not guarantee high impact. As Stars cut points rise and margins tighten, traditional segmentation and broad outreach strategies are no longer sufficient. This discussion explores how leading plans are shifting from static stratification to dynamic signal monitoring, identifying which members are realistically movable, and embedding behavioral intelligence directly into operational workflows. The focus is not on doing more. It is on doing what measurably drives lift. Our guests include: Amin Serehali, Chief Data and Analytics Officer, Independent Health Mike Leiper, Director of Government Quality Programs, Highmark Brendan Generelli, Director of Medicare Stars and Quality, Johns Hopkins Health Plans David Burianek, Chief Strategy Officer for Health Plans, MedOrion Together, they explore: How plans are distinguishing between theoretical risk and practical movability, concentrating outreach on members whose behavior can realistically change within a defined window. How leading organizations are integrating claims, pharmacy, grievance, complaint, and social drivers data with behavioral science modeling to move beyond rules based campaigns. Why simultaneous pressure across HEDIS, CAHPS, and Part D often reflects fragmentation in engagement strategy rather than isolated measure failures. How targeted pilots within defined populations create clarity before scaling enterprise wide changes. Why timing is emerging as a strategic lever, with continuous signal monitoring replacing annual segmentation refresh cycles. How embedding intelligence into frontline workflows improves alignment between engagement effort and measurable Stars influence. Panelist Bios: https://www.brightspotsinhealthcare.com/events/beyond-segmentation-how-medicare-advantage-engagement-is-being-rebuilt/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/02/Updated-Episode-Guide-Beyond-Segmentation.docx.pdf  Key Insights Summary: Find the top six strategic insights from the discussion, including detailed speaker takeaways and moderator notes. https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/02/Key-Takeaways-Beyond-Segmentation-2.12.26.docx.pdf    Resources: Companion Brief: From Segmentation to Signals This companion brief expands on the behavioral intelligence framework discussed in the episode, outlining how health plans can identify movable phenotypes, align engagement timing with readiness signals, and measure causal lift against specific Stars drivers. Inside you will find insights on: Shifting from annual risk stratification to continuous behavioral signal monitoring Identifying members whose behavior is realistically influenceable within a defined measurement window Reducing wasted outreach and improving ROI through precision targeting Embedding intelligence into operational workflows rather than post hoc reporting To request your copy, email nroberts@brightspotsventures.com. Thank You to Our Episode Partner, MedOrion: Medorion partners with Medicare Advantage plans to integrate behavioral science and advanced analytics into engagement strategy. By layering behavioral phenotyping onto clinical and utilization data, Medorion helps plans identify which members are movable, optimize outreach timing, and improve measurable Stars performance. Learn more at https://medorion.com/. Schedule a Conversation with MedOrion: To explore how behavioral intelligence can strengthen your engagement strategy and improve measurable lift across HEDIS, CAHPS, and Part D, reach out to nroberts@brightspotsventures.com  to schedule a discussion with David Burianek and the Medorion team. About Bright Spots Ventures: Bright Spots Ventures helps healthcare leaders separate signal from noise and accelerate the adoption of what works. We bring health plan, provider, and innovation leaders together through curated content and high-trust convenings to build meaningful relationships and turn insight into action. Explore our podcast at www.brightspotsinhealthcare.com.

Becker’s Payer Issues Podcast
Rob Andrews on Employer Led Health Care Reform and the Future of Health Plans

Becker’s Payer Issues Podcast

Play Episode Listen Later Feb 17, 2026 12:11


In this episode, Rob Andrews, Chief Executive Officer of the Health Transformation Alliance, discusses how employers and providers can work more closely to improve value, reduce middleman costs, and drive better outcomes. He shares perspectives on payer competition, transparency, GLP 1 cost pressures, and how technology and personalized medicine may reshape health plans in the years ahead.

Becker’s Healthcare Podcast
Affordability and the Role of Regional Nonprofit Health Plans at Point32Health with Patrick Gilligan

Becker’s Healthcare Podcast

Play Episode Listen Later Feb 15, 2026 16:12


In this episode, Patrick Gilligan, President and CEO of Point32Health, shares how the New England based nonprofit is confronting rising medical and pharmacy costs while staying focused on members and employers as its true shareholders. He discusses the affordability crisis, aligning incentives with providers, and why redesigning care around the patient experience is essential to lowering costs and improving outcomes.

BJSM
Building a Sleep Health Plan for Athletes with Dr. Jesse Cook. EP#581

BJSM

Play Episode Listen Later Feb 13, 2026 24:44


On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Jesse Cook, PhD, to discuss Building a Sleep Health Plan for Athletes. In this conversation, which was recorded during the 2025 AMSSM Annual Meeting, Dr. Cook shares more information on his main stage lecture of the same name, which focused on best practices and essential principles. Dr. Cook is a postdoctoral fellow with a doctoral degree in Clinical Psychology from the University of Wisconsin-Madison. His research focuses on the intersection of sleep and mental health, with his primary program of research purposed to advance the classification, assessment, and treatment of unexplained hypersomnolence. He has additional research interests related to the strengths, limitations, and overall utility of wearable sleep tracking technology for research and clinical purposes, as well as the roles of sleep and circadian health in the performance and well-being of athletes. Clinically, he embraces an integrative orientation, drawing principally from CBT and third-wave therapy approaches (i.e., ACT and DBT). Registration is now open for the 2026 AMSSM Annual Meeting. Visit the conference website to learn more: annualmeeting.amssm.org/

AMSSM Sports Medcasts
Building a Sleep Health Plan for Athletes with Dr. Jesse Cook

AMSSM Sports Medcasts

Play Episode Listen Later Feb 13, 2026 24:44


On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD, is joined by Dr. Jesse Cook, PhD, to discuss Building a Sleep Health Plan for Athletes. In this conversation, which was recorded during the 2025 AMSSM Annual Meeting, Dr. Cook shares more information on his main stage lecture of the same name, which focused on best practices and essential principles. Dr. Cook is a postdoctoral fellow with a doctoral degree in Clinical Psychology from the University of Wisconsin-Madison. His research focuses on the intersection of sleep and mental health, with his primary program of research purposed to advance the classification, assessment, and treatment of unexplained hypersomnolence. He has additional research interests related to the strengths, limitations, and overall utility of wearable sleep tracking technology for research and clinical purposes, as well as the roles of sleep and circadian health in the performance and well-being of athletes. Clinically, he embraces an integrative orientation, drawing principally from CBT and third-wave therapy approaches (i.e., ACT and DBT).   Registration is now open for the 2026 AMSSM Annual Meeting! Visit the conference website to learn more: annualmeeting.amssm.org/

HIMSSCast
HIMSSCast: The challenges for Medicare Advantage health plans in 2026

HIMSSCast

Play Episode Listen Later Feb 13, 2026 10:14


Low reimbursement, high utilization, star ratings and risk adjustment have formed a perfect storm.

Becker’s Payer Issues Podcast
Affordability and the Role of Regional Nonprofit Health Plans at Point32Health with Patrick Gilligan

Becker’s Payer Issues Podcast

Play Episode Listen Later Feb 13, 2026 16:12


In this episode, Patrick Gilligan, President and CEO of Point32Health, shares how the New England based nonprofit is confronting rising medical and pharmacy costs while staying focused on members and employers as its true shareholders. He discusses the affordability crisis, aligning incentives with providers, and why redesigning care around the patient experience is essential to lowering costs and improving outcomes.

Becker’s Healthcare Podcast
Value Based Care, Data Gaps, and Cost Pressures in Health Plans with Howard Brill

Becker’s Healthcare Podcast

Play Episode Listen Later Feb 2, 2026 18:47


In this episode, Howard Brill, Senior Vice President of Population Health and Quality at Monroe Plan for Medical Care, shares insights on value based contracting, rising cost pressures, and the persistent gap between strategy and execution in population health. He also discusses the role of data integration, AI, and regulatory practices in shaping affordability, access, and health plan performance in 2026.

Becker’s Payer Issues Podcast
Value Based Care, Data Gaps, and Cost Pressures in Health Plans with Howard Brill

Becker’s Payer Issues Podcast

Play Episode Listen Later Feb 2, 2026 18:47


In this episode, Howard Brill, Senior Vice President of Population Health and Quality at Monroe Plan for Medical Care, shares insights on value based contracting, rising cost pressures, and the persistent gap between strategy and execution in population health. He also discusses the role of data integration, AI, and regulatory practices in shaping affordability, access, and health plan performance in 2026.

Becker’s Healthcare Podcast
Dr. Ria Paul, Clinical Associate Professor, Stanford University School of Medicine; Chief Medical Officer, Santa Clara Family Health Plan

Becker’s Healthcare Podcast

Play Episode Listen Later Feb 1, 2026 17:01


In this episode, Dr. Ria Paul, Clinical Associate Professor, Stanford University School of Medicine; Chief Medical Officer, Santa Clara Family Health Plan discusses how the organization has strengthened Medicaid and Medicare Advantage quality scores through closer collaboration with providers, targeted incentives, and better data flow. She also shares priorities for 2026, including regulatory readiness, member retention, and using AI to enhance engagement and care coordination.

Healthcare IT Today Interviews
Why OntarioMD Rejects a One-Size-Fits-All Digital Health Plan

Healthcare IT Today Interviews

Play Episode Listen Later Jan 30, 2026 15:49


Every clinic wants a simple recipe for digital health adoption. The problem is that most recipes fall apart the moment real-world workflows enter the picture.In this conversation, Dr. Chandi Chandrasena, Chief Medical Officer at OntarioMD, lays out why the province is shifting toward a flexible digital health toolkit instead of a rigid playbook. She explains why “technology is an enabler to the problems you have,” why standardization still matters, and why uniformity misses the mark.She also digs into AI scribes, the rise of AI inbox tools, how bandwidth gaps drive inequity, and why digital literacy needs to start long before medical school.What do you think clinics need most right now: structure, flexibility, or better guardrails? Drop your thoughts in the comments.

Doxcost - The Ultimate Guide To Health Insurance
What Is An Association Health Plan And What Can It Do For Me?

Doxcost - The Ultimate Guide To Health Insurance

Play Episode Listen Later Jan 21, 2026 24:42


040 What Is An Association Health Plan And What Can It Do For Me explains what kinds of associations can offer group health plans if Congress can pass along the same exemption from state insurance laws to associations that it already provides to employer, union and federal government groups through ERISA.Association Health Plans eliminate the problem of job-lock for people who wish o change jobs but cannot afford to lose their insurance. Association Health Plans align incentives to receive better care from associations and affinity groups that exist to serve them - not shareholders or corporate administrators.Association Health Plans offer an extremely wide variety of choices for people to seek health plans that best serve them at the price they can afford.Association Health Plans drive down prices due to fierce competition among a huge increase in available plans and from a huge increase in the number of suppliers.

congress health plans erisa association health plans
Institute for Government
How can changes to NHS structures help deliver the 10 Year Health Plan?

Institute for Government

Play Episode Listen Later Jan 20, 2026 59:57


The government is making major changes to the structure of the NHS. NHS England is being abolished, with its functions merged into the Department of Health and Social Care (DHSC). At the same time, the number of Integrated Care Boards (ICBs) is set to be reduced, with many expected to merge. Changes proposed by the 10 Year Health Plan, including contracts for single and multi-neighbourhood providers, will also create changes in local delivery structures. How can the government ensure that the new national structure works effectively? Should any current NHSE functions remain independent of DHSC? How should the reformed DHSC work regionally, and with ICBs, strategic authorities and trusts? How can the government make a success of the emerging ICB structure? How should local delivery structures be reformed? To discuss these questions and more, we were joined by an expert panel including: Dr Penelope Dash, Chair of NHS England Dame Patricia Hewitt, former Secretary of State for Health and author of the Hewitt Review of ICSs Samantha Jones, Permanent Secretary at the Department of Health and Social Care Johan Kahlström, President and Managing Director, UK and Ireland at Novartis Pharmaceuticals UK This event was chaired by Nick Davies, Programme Director at the Institute for Government. We would like to thank Novartis Pharmaceuticals UK for kindly supporting this event.

IfG LIVE – Discussions with the Institute for Government
How can changes to NHS structures help deliver the 10 Year Health Plan?

IfG LIVE – Discussions with the Institute for Government

Play Episode Listen Later Jan 20, 2026 59:57


The government is making major changes to the structure of the NHS. NHS England is being abolished, with its functions merged into the Department of Health and Social Care (DHSC). At the same time, the number of Integrated Care Boards (ICBs) is set to be reduced, with many expected to merge. Changes proposed by the 10 Year Health Plan, including contracts for single and multi-neighbourhood providers, will also create changes in local delivery structures. How can the government ensure that the new national structure works effectively? Should any current NHSE functions remain independent of DHSC? How should the reformed DHSC work regionally, and with ICBs, strategic authorities and trusts? How can the government make a success of the emerging ICB structure? How should local delivery structures be reformed? To discuss these questions and more, we were joined by an expert panel including: Dr Penelope Dash, Chair of NHS England Dame Patricia Hewitt, former Secretary of State for Health and author of the Hewitt Review of ICSs Samantha Jones, Permanent Secretary at the Department of Health and Social Care Johan Kahlström, President and Managing Director, UK and Ireland at Novartis Pharmaceuticals UK This event was chaired by Nick Davies, Programme Director at the Institute for Government. We would like to thank Novartis Pharmaceuticals UK for kindly supporting this event. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Jordan Is My Lawyer
January 15, 2026: ICE Agents Have Absolute Immunity. True or False? PLUS State Dept. Suspends Visa Issuances, Clintons Refuse to Testify in Epstein Probe, Trump Announces New Health Plan, and More.

Jordan Is My Lawyer

Play Episode Listen Later Jan 15, 2026 50:18


SUBSCRIBE TO JORDAN'S ⁠SUBSTACK⁠. Get the facts, without the spin. UNBIASED offers a clear, impartial recap of US news, including politics, elections, legal news, and more. Hosted by lawyer Jordan Berman, each episode provides a recap of current political events plus breakdowns of complex concepts—like constitutional rights, recent Supreme Court rulings, and new legislation—in an easy-to-understand way. No personal opinions, just the facts you need to stay informed on the daily news that matters. If you miss how journalism used to be, you're in the right place. In today's episode: Judges React to Arguments in Transgender Athlete Cases; What Their Reactions Tell Us About a Potential Ruling (0:38) State Dept. Suspends Visa Issuances for Nationals from 75 Countries (11:19) Minneapolis Updates: Do ICE Agents Have Absolute Immunity? Who Has Jurisdiction Over the Investigation? FBI or State Law Enforcement? What Role Did Renee Good Play in ICE Monitoring Efforts? DHS Claims Agent Suffered Internal Bleeding (~17:24) Clintons Refuse to Testify in Congressional Epstein Probe (~29:16) Trump Unveils New Health Plan, Calls on Congress to Act (~37:00) Quick Hitters: Trump Signs Bill Allowing Whole Milk in Schools, Secret Service Agent Put on Leave After Revealing Sensitive Info to Undercover Journalist, ACLU Sues ICE and CBP, Mortgage Rates Hit Low, Trump Threatens to Invoke Insurrection Act (~44:04) Rumor Has It: Did Trump Refer to Himself as Acting President of Venezuela? Did Vance Say ICE Would Go Door-to-Door? Did the FBI Search the Home of a Washington Post Reporter? (~48:21) Critical Thinking Segment (~51:32) SUBSCRIBE TO JORDAN'S ⁠FREE NEWSLETTER⁠. ⁠Watch⁠ this episode on YouTube. Follow Jordan on ⁠Instagram⁠ and ⁠TikTok⁠. All sources for this episode can be found ⁠here.⁠  Learn more about your ad choices. Visit podcastchoices.com/adchoices

The Texas Insurance Podcast
Check your health plan, you might find hidden benefits

The Texas Insurance Podcast

Play Episode Listen Later Jan 15, 2026 7:36


Find out about lesser-known benefits, learn where to get coverage details, and connect with trusted resources for more help.What are some health plan benefits people don't know about? Some health plans offer wellness programs, gym membership discounts, smoking cessation programs, and certain diabetes equipment.Will my plan pay for online doctor's visits? It's common for health plans to offer coverage for online doctor appointments. This service is often called telemedicine or telehealth. It just means you can get health care in a place other than the doctor's physical location, like through your computer or phone.Can I get free annual wellness checkups? Many health plans offer free annual screenings for prostate cancer, breast cancer, cervical cancer, and certain cardiovascular screenings if you have a family history of cardiovascular issues or certain artery problems.How do I find out what my health plan offers?Health plans must cover certain mandated benefits described in your coverage documents. Get answers about what your health plan covers by reading your policy and evidence of coverage documents. They explain what's covered and what isn't.If you still have questions, contact your health plan's customer service or the insurance agent who helped you sign up.Who can help me with a surprise medical bill?Explore resources on TDI's website - https://www.tdi.texas.gov/ - or call our Consumer Help Line at 800-252-3439. A representative can answer your questions and help you file a complaint, if needed. We answer calls from 8 a.m. to 5 p.m. Central time, Monday through Friday.00:00 Do you know everything your health plan offers? 00:40 What services does your health plan have to offer? 01:24 What other services does your health plan offer? 02:23 What free services does your health plan offer?04:26 What extra services does your health plan offer?05:31 What kind of vaccinations does your health plan offer?06:09 How can you find out all the services your health plan offers?07:29 For more info on health insurance visit our website or call 800-252-3439

Connect My Brain
181. Genomic Testing: Building a Health Plan Based on YOUR Unique Blueprint | Truth Bombs

Connect My Brain

Play Episode Listen Later Jan 8, 2026 4:57


Your Money Matters with Jon Hansen
Get Covered Illinois is helping people find, compare, and enroll in affordable health plans

Your Money Matters with Jon Hansen

Play Episode Listen Later Jan 7, 2026


Director at Get Covered Illinois Morgan Winters joins Jon Hansen on Your Money Matters to discuss how and when people can get health coverage. January 15th is the end of open enrollment and Morgan talks about the cost, information that you’ll need for the website, and financial assistance.

White Coat Investor Podcast
MtoM #256: Internist Pays Off $300,000 of Student Loans in 7 Years and Financial Boot Camp: High Deductible Health Plans vs PPO

White Coat Investor Podcast

Play Episode Listen Later Jan 5, 2026 27:02


Today we are talking to an internal medicine doc with a great story. She started her medical school journey later in life when she and her husband decided to do whatever it took to help her fulfill her dream of becoming a doctor. Her husband quit his job to stay home and care for their 4 children and she went to medical school. Today we are celebrating her paying off $300,000 of student loans. She has worked hard to pay down debt alongside saving and buying a nice home for her family. Her tips for success are to ground yourself, have a plan and do not let your emotions make your decisions for you. Today's sponsor, Black Swan Real Estate, offers accredited investors access to private multifamily real estate investments with an investor-first model. Unlike most firms, Black Swan collects no GP-level fees and takes no profit until investors receive a full return of capital. Their physician-led team brings a hands-on approach to managing their $375M portfolio, ensuring every asset is optimized for cash flow, appreciation, and tax advantages. With a track record of meeting and exceeding return targets, Black Swan Real Estate provides stability and growth for long-term wealth building. Discover more at https://www.whitecoatinvestor.com/blackswan The White Coat Investor has been helping doctors, dentists, and other high-income professionals with their money since 2011. Our free personal finance resource covers an array of topics including how to use your retirement accounts, getting a doctor mortgage loan, how to manage your student loans, buying physician disability and malpractice insurance, asset allocation & asset location, how to invest in real estate, and so much more. We will help you learn how to manage your finances like a pro so you can stop worrying about money and start living your best life. If you're a high-income professional and ready to get a "fair shake" on Wall Street, The White Coat Investor is for you! Have you achieved a Milestone? You can be on the Milestones to Millionaire Podcast too! Apply here: https://whitecoatinvestor.com/milestones  Find 1000's of written articles on the blog: https://www.whitecoatinvestor.com  Our YouTube channel if you prefer watching videos to learn: https://www.whitecoatinvestor.com/youtube  Student Loan Advice for all your student loan needs: https://studentloanadvice.com  Join the community on Facebook: https://www.facebook.com/thewhitecoatinvestor  Join the community on Twitter: https://twitter.com/WCInvestor  Join the community on Instagram: https://www.instagram.com/thewhitecoatinvestor  Join the community on Reddit: https://www.reddit.com/r/whitecoatinvestor  Learn faster with our Online Courses: https://whitecoatinvestor.teachable.com  Sign up for our Newsletter here: https://www.whitecoatinvestor.com/free-monthly-newsletter  00:00 MtoM Podcast #256 02:16 Internist Pays Off $300,000 of Student Loans in 7 Years 18:07 Advice For Others 21:18 High Deductible Health Plans vs PPO

Managed Care Cast
2026 Health Care Predictions: AI, GLP-1s, MAHA, DEI: Sachin H. Jain, MD, MBA

Managed Care Cast

Play Episode Listen Later Jan 1, 2026 16:58


On today's episode, AJMC® spoke with Dr. Sachin Jain, president and CEO of SCAN Group and Health Plan, about his 10 predictions for the health care industry in 2026. Jain breaks down his predictions and what they could mean in both the short and long term for Americans and how they may shape access, affordability, and accountability across the US health care system.

INTENTIONAL PRODUCTIVITY PODCAST
My Fitness & Health Plan for 2026 + Reflecting on How I Lost 15 Pounds 2025

INTENTIONAL PRODUCTIVITY PODCAST

Play Episode Listen Later Dec 29, 2025 32:33


In this episode, I'm taking you behind the scenes of my 2025 fitness journey — the wins, the pivots, and what I learned by really paying attention to my own body. I tracked a lot this past year (not just weight), and looking back has given me so much clarity heading into 2026. I'm sharing: The biggest takeaways from my year of cardio, and why it's become a non-negotiable How intermittent fasting worked for me (and what I'd tweak moving forward) Why tracking my own evidence was a game-changer How I'm balancing strength, mobility, and endurance — without burning out My personal fitness goals for 2026 and how I'm setting myself up to actually stick to them If you're reflecting on your own routines or craving a more aligned approach to movement and health this year, I hope this episode feels like a permission slip to do what works for you.

Health Made Simple Show Podcast
Making your Health plans for 2026. How to asses your overall health. Strengths and weaknesses | Ep. 275

Health Made Simple Show Podcast

Play Episode Listen Later Dec 26, 2025 26:03


If your New Year's goals sound anything along the lines of having more energy, forming better habits, or achieving a healthier body, this Health Made Simple episode is for you. Dr. Bart will encourage you to ask yourself: What is the real reason your health goals feel roadblocked?  He shares a simple, grounded way to assess your health honestly before making any plans for 2026 so you're not guessing or starting over yet again. We're not talking extreme resolutions or all-or-nothing thinking.  Instead, this conversation focuses on awareness and understanding of where you're strong, where you're struggling, and what actually deserves your attention next. This episode is especially helpful if you: Want 2026 to feel different, not just look different Feel like you've "tried before" but never sustained results Are overwhelmed by conflicting health advice Want a practical way to identify what matters most right now Are ready to stop guessing and start building momentum Your body is always communicating. Progress starts when you learn how to listen. Want Dr. Bart's 1:1 help moving, eating, and thinking better this year?

Relentless Health Value
Encore! EP450: When Your Health Plan Is $9 Million in the Hole, Who Are You Going to Call? A CPA. And Tell Them to Bring Their Spreadsheets, With Marilyn Bartlett, CPA, CMA, CFM, CGMA

Relentless Health Value

Play Episode Listen Later Dec 18, 2025 35:04


In this encore episode of 'Relentlessly Seeking Value,' host Stacey Richter revisits an inspiring conversation with Marilyn Bartlett, a CPA who transformed the State of Montana's employee health plan from a $9 million deficit to a $112 million surplus within three years.  Known for her fiscal discipline and patient-first approach, Marilyn shares her strategic steps, from identifying waste in the system and securing quick wins to negotiating better deals with hospitals and ensuring long-term success. She emphasizes the importance of assembling a strong team, maintaining transparency, and staying focused on the ultimate goal of creating real health value. This episode is a must-listen for anyone looking to drive meaningful change in the healthcare industry. === LINKS ===

The Blindboy Podcast
A Mental Health plan for Christmas

The Blindboy Podcast

Play Episode Listen Later Dec 17, 2025 61:53


A diatribe on the emotion of shame as it presents during the festive period Hosted on Acast. See acast.com/privacy for more information.

FIVE MINUTE NEWS
Millions Face Higher Premiums as GOP Unveils Last-Minute Health Plan that Excludes ACA Subsidies.

FIVE MINUTE NEWS

Play Episode Listen Later Dec 14, 2025 9:46


With enhanced Affordable Care Act (ACA) subsidies set to expire at the end of the year, House Speaker Mike Johnson has introduced a late-stage Republican healthcare package that notably does not extend the ACA tax credits created during the Covid-19 pandemic. Those subsidies have been critical to stabilizing enrollment and keeping coverage affordable for lower- and middle-income families. SPONSOR: AURA Frames: Exclusive $35 off Carver Mat at https://on.auraframes.com/FIVEMIN. Promo Code FIVEMIN Independent media has never been more important. Please support this channel by subscribing here: https://www.youtube.com/channel/UCkbwLFZhawBqK2b9gW08z3g?sub_confirmation=1 Join this channel with a membership for exclusive early access and bonus content: https://www.youtube.com/channel/UCkbwLFZhawBqK2b9gW08z3g/join Buy Anthony's microphone: https://kellards.com/products/electro-voice-re20-broadcast-announcer-microphone-black-bundle-with-mic-shockmount-broadcast-arm Buy Anthony's black t'shirt: https://www.uniqlo.com/us/en/products/E455365-000/00?colorDisplayCode=09 Five Minute News is an Evergreen Podcast, covering politics, inequality, health and climate - delivering independent, unbiased and essential news for the US and across the world. Visit us online at http://www.fiveminute.news Follow us on Bluesky https://bsky.app/profile/fiveminutenews.bsky.social Follow us on Instagram http://instagram.com/fiveminnews Support us on Patreon http://www.patreon.com/fiveminutenews You can subscribe to Five Minute News with your preferred podcast app, ask your smart speaker, or enable Five Minute News as your Amazon Alexa Flash Briefing skill. CONTENT DISCLAIMER The views and opinions expressed on this channel are those of the guests and authors and do not necessarily reflect the official policy or position of Anthony Davis or Five Minute News LLC. Any content provided by our hosts, guests or authors are of their opinion and are not intended to malign any religion, ethnic group, club, organization, company, individual or anyone or anything, in line with the First Amendment right to free and protected speech. Learn more about your ad choices. Visit megaphone.fm/adchoices

Inside Politics
Senate Tackles Dueling Health Plans 

Inside Politics

Play Episode Listen Later Dec 11, 2025 35:11


As today's show begins, the Senate is voting on competing health plans from Democrats and Republicans. But don't hold your breath for a Christmas miracle, as both plans were expected to fail, which means in just 20 days, 24 million Americans who rely on Obamacare subsidies will face crippling health care costs unless something dramatically changes.    Learn more about your ad choices. Visit podcastchoices.com/adchoices

The Mark Thompson Show
Mike Johnson Trashes Subsidies Betting on a Trump Health Plan that Doesn't Exist 12/10/25

The Mark Thompson Show

Play Episode Listen Later Dec 10, 2025 125:15 Transcription Available


It appears that GOP leaders in Congress are turning away from extending tax credits that would help more than 20 million Americans pay for Affordable Care Act health insurance. They're following President Donald Trump's lead. He told Politico he would not endorse extending subsidies that are set to expire, despite billing himself as the affordability president. So far, Trump's only plan for healthcare is to give people $2k to pay for it without offering details of how that would work. We welcome presidential historian and political analyst John Rothmann to discuss this and more. The Mark Thompson Show 12/10/25Patreon subscribers are the backbone of the show! If you'd like to help, here's our Patreon Link:https://www.patreon.com/themarkthompsonshowMaybe you're more into PayPal.  https://www.paypal.com/donate/?hosted_button_id=PVBS3R7KJXV24And you'll find everything on our website: https://www.themarkthompsonshow.com

Kernels with Ohio Corn & Wheat
Ep 109: Understanding The Ohio Farm Bureau Health Plan

Kernels with Ohio Corn & Wheat

Play Episode Listen Later Dec 9, 2025 16:23


When you're planning this winter, health care costs should be just as important as your fertilizer or other input costs. With the farm economy in the state it's in and healthcare prices only going up without stability, there need to be a solution.   That's why we're thankful for our friends at teh Ohio Farm Bureau who've established health care solutions to fit you and your family's needs. In this episode of Kernels, Tadd Nicholson talks with Trevor Kirkpatrick, Director of Health Services at OFB, to talk about the options and get some answers.  Members of the Ohio Farm Bureau can apply today to more affordable health care options at https://ofbf.org/hcs/    Links: Join the Ohio Corn & Wheat Growers Association: https://ohiocornandwheat.org/about-us/growers-association/ Learn more about the Ohio Farm Bureau Health Plans: https://ofbf.org/hcs/    About Ohio Corn & Wheat Ohio Corn & Wheat works to create opportunities for long-term Ohio corn and small grain grower profitability. It is a strategic alliance of two checkoffs and one membership-based organization. The Ohio Corn Checkoff and Ohio Small Grains Checkoff work to develop and expand markets, fund research and provide education about corn and wheat, respectively. The Ohio Corn & Wheat Growers Association is a membership organization advocating for supportive public policy on behalf of its farmer members.  For more information, please visit www.ohiocornandwheat.org. 

What the Health?
The GOP Still Can't Agree on a Health Plan

What the Health?

Play Episode Listen Later Dec 4, 2025 44:43


Senate Democrats were promised a vote by mid-December on extending the enhanced subsidies for the Affordable Care Act, but Republicans still can't decide whether they want to put forward their own alternative or what that might include. Meanwhile, both the Centers for Disease Control and Prevention and the Food and Drug Administration are roiled by debates over vaccines. Alice Miranda Ollstein of Politico, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Paige Winfield Cunningham of The Washington Post join KFF Health News' Julie Rovner to discuss those stories and more. Also this week, Rovner interviews KFF Health News' Aneri Pattani about her project tracking the distribution of $50 billion in opioid legal-settlement payments.  Plus, for “extra credit” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: The New York Times' “These Hospitals Figured Out How To Slash C-Section Rates,” by Sarah Kliff and Bianca Pallaro.  Joanne Kenen: Wired's “A Fentanyl Vaccine Is About To Get Its First Major Test,” by Emily Mullin.  Paige Winfield Cunningham: The New York Times' “A Smartphone Before Age 12 Could Carry Health Risks, Study Says,” by Catherine Pearson.  Alice Miranda Ollstein: The Independent's “Miscarriages, Infections, Neglect: The Pregnant Women Detained by ICE,” by Kelly Rissman.  

What the Health?
Trump Almost Unveils a Health Plan

What the Health?

Play Episode Listen Later Nov 25, 2025 42:54


Just weeks before some tax credits for Affordable Care Act premiums expire, the Trump administration floated a plan to extend the enhanced aid — but it was met with immediate GOP pushback. Meanwhile, health secretary Robert F. Kennedy Jr. says he ordered the Centers for Disease Control and Prevention to revise its website to suggest childhood vaccines might be linked to autism. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News' Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Joanne Kenen and Joshua Sharfstein about their new book, “Information Sick: How Journalism's Decline and Misinformation's Rise Are Harming Our Health — And What We Can Do About It.” Visit our website for a transcript of this episode.Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: The New Yorker's “A Battle With My Blood,” by Tatiana Schlossberg.  Alice Miranda Ollstein: CNBC's “Meta Halted Research Suggesting Social Media Harm, Court Filing Alleges,” by Jonathan Vanian.  Sarah Karlin-Smith: The Guardian's “Influencers Made Millions Pushing ‘Wild' Births — Now the Free Birth Society Is Linked To Baby Deaths Around the World,” by Sirin Kale and Lucy Osborne.  Sandhya Raman: KFF Health News' “Kids and Teens Go Full Throttle for E-Bikes as Federal Oversight Stalls,” by Kate Ruder.  

The Stacking Benjamins Show
Should You Actually Use a Catastrophic Health Plan? (& more questions from YOU!) SB1762

The Stacking Benjamins Show

Play Episode Listen Later Nov 17, 2025 74:22


Pop quiz: If your health insurance premiums keep climbing, should you just go catastrophic and pocket the savings? Joe Saul-Sehy, OG, and CFP Anna Allem tackle that exact question, along with a handful of other money decisions that keep Stackers up at night. From navigating healthcare coverage gaps to figuring out when (and how) to withdraw from a 529, this Monday mailbag episode is packed with the practical advice you need, served with the basement humor you've come to expect. The health insurance conversation gets real: what catastrophic plans actually cover (spoiler: less than you think), how to plan for the gaps, and whether gambling on your health is ever a smart financial move. Then Anna breaks down the 529 withdrawal strategy that saves you headaches at tax time, and the crew tackles a listener who's spooked by market volatility and wondering if it's time to bail. But it wouldn't be Monday without some chaos—Joe's cat decided to add drama to the morning, Doug brings trivia about counterfeit currency (because of course), and the gang updates you on the charity challenge where Stackers can support financial literacy and maybe win some prizes in the process. Plus: OG delivers movie reviews to help you figure out what's actually worth your streaming time this week. What You'll Walk Away With: • The truth about catastrophic health plans—when they make sense and when they'll leave you exposed • How to handle healthcare coverage gaps without gambling your financial future • The smart way to withdraw from a 529 so you don't accidentally trigger taxes or penalties • Why market volatility isn't a reason to panic—and what to do instead of bailing on your portfolio • How diversification and rebalancing keep you sane when the headlines get scary • A reminder that financial planning (like cat wrangling) rarely goes exactly as planned This Episode Is For You If: • You're staring at rising health insurance premiums and wondering if there's a better way • You've got a 529 but aren't sure how to actually use it without screwing up • Market dips make you nervous and you want to know if you should be doing something • You're tired of generic financial advice and want real answers to your specific questions • You believe learning about money should involve at least a few laughs (and maybe some cat stories) Got a Question for the Basement? Drop it in the comments or send it our way—you might just hear Joe Saul-Sehy, OG, and Anna tackle it in an upcoming mailbag episode. And if you want to support financial literacy while competing for prizes, check out the charity challenge details in the show. Deeper dives with curated links, topics, and discussions are in our newsletter, The 201, available at https://www.stackingbenjamins.com/201 Enjoy! Learn more about your ad choices. Visit podcastchoices.com/adchoices