Podcasts about health plans

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

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-like-it-s-live--4113802/support.

In this episode of Friday Fiduciary Five, Eric Dyson talks about the Cunningham vs. Cornell Supreme Court decision and its implications for ERISA plans and the potential implications for Health Plans based on the Consolidated Appropriations Act (“CAA”). He emphasizes that the decision does not change how fiduciaries should operate but highlights guidance that is already in place. Eric explains prohibited transactions in ERISA plans, the necessity of ERISA 408(b)(2) disclosures, and the importance of reasonable fees. He also extends these requirements to health plans under the Consolidated Appropriations Act, advising plan sponsors to ensure proper fee disclosures and fiduciary processes for both retirement and health plans.Use the keyword “90north”: https://www.fiduciaryinabox.com/ 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.

The Friday Five for May 9, 2025: Rite Aid Files for Chapter 11 Bankruptcy Again Apple WWDC 2025 Dates & Rumors Discount Medicare Insurance Scam Alert Rueppel Recommends Books & Streaming Picks May 2025 Aetna Health Plans to Exit ACA Marketplace for CY 2026   Rite Aid Files for 2nd Chapter 11 Bankruptcy: Download the “Rite Aid Letter to Customers - May 5, 2025.” Restructuring.Ra.Kroll.Com, Kroll Restructuring Administration, restructuring.ra.kroll.com/RiteAid/Home-DownloadPDF?id1=MzM0MTA2Mg%3D%3D&id2=0. Accessed 6 May 2025. Grothaus, Michael. “Rite Aid Bankruptcy: What to Know about Store Closings, Prescription Transfers, Layoffs, Gift Cards, and More.” Fastcompany.Com, Fast Company, 6 May 2025, www.fastcompany.com/91329223/rite-aid-bankruptcy-2025-stores-closing-prescription-transfers-gift-cards. Arias, Pilar. “Rite Aid Files for Bankruptcy for Second Time in Less than 2 Years.” Foxbusiness.Com, Fox Business, 6 May 2025, www.foxbusiness.com/economy/rite-aid-files-bankruptcy-second-time-less-than-2-years. Powel, James. “Rite Aid Files for Chapter 11 Bankruptcy, Promises ‘smooth Transfer' of Prescriptions.” Usatoday.Com, Gannett Satellite Information Network, 6 May 2025, www.usatoday.com/story/money/retail/2025/05/05/rite-aid-chapter-11-bankruptcy/83467189007/. “Rite Aid Store Locater.” Riteaid.Com, Rite Aid, www.riteaid.com/locations/. Accessed 6 May 2025. Urie, Daniel. “Rite Aid Tells Vendors It ‘Has Generally Stopped Purchasing Goods and Services.'” Pennlive.Com, PennLive, 5 May 2025, www.pennlive.com/business/2025/05/rite-aid-tells-vendors-it-has-generally-stopped-purchasing-goods-and-services.html. Mills, Sean I. “What to Do with Your Prescriptions Now That Rite Aid Is Closing All Stores.” Romesentinel.Com, Daily Sentinel, 6 May 2025, www.romesentinel.com/news/rome-new-hartford-rite-aid-store-closings/article_98f2300b-600c-4937-b8d0-686ece8d36e9.html.   Apple WWDC 2025 Dates & Rumors: Lovejoy, Ben. “90% of People Shouldn't Buy the iPhone 17 Air, per Apple.” 9to5mac.Com, 9to5Mac, 6 May 2025, 9to5mac.com/2025/05/06/90-of-people-shouldnt-buy-the-iphone-17-air-per-apple/. Schroeder, Stan. “Apple Is Planning a New iPhone Launch Schedule, Report Claims.” Mashable, Mashable, 5 May 2025, mashable.com/article/apple-iphone-launch-schedule. “iOS 7 vs iOS 6 Side-by-Side Visual Comparisons.” Osxdaily.Com, OS X Daily, osxdaily.com/2013/06/11/ios-7-vs-ios-6-visual-comparison/. Accessed 6 May 2025. Christoffel, Ryan. “iOS 19: Three New Features Are Being Announced next Month.” 9to5mac.Com, 9to5Mac, 5 May 2025, 9to5mac.com/2025/05/05/ios-19-three-new-features-are-being-announced-next-month/. Clover, Juli. “iOS 19: Everything We Know.” Macrumors.Com, MacRumors, 5 May 2025, www.macrumors.com/roundup/ios-19/.   Discount Medicare Insurance Scam Alert: “Emerging Discount Medical Insurance Scams.” Ic3.Gov, Internet Crime Complaint Center (IC3), 30 Apr. 2025, www.ic3.gov/PSA/2025/PSA250430. Dimuro, Claudia. “FBI Alerts Public in Pa., beyond to Emerging Scam: Here's What to Know.” Pennlive.Com, PennLive, 5 May 2025, www.pennlive.com/life/2025/05/fbi-alerts-public-in-pa-beyond-to-emerging-scam-heres-what-to-know.html. Burman, Theo. “FBI Issues New Warning Over Health Insurance Scams.” Newsweek.Com, Newsweek, 6 May 2025, www.newsweek.com/fbi-issues-new-warning-over-health-insurance-scams-2068626.   Rueppel Recommends: Wynn-Williams, Sarah. “Careless People: A Cautionary Tale of Power, Greed, and Lost Idealism.” Spotify, Flatiron Books, open.spotify.com/show/279JRLPYDjvmsS81C7SOzg?si=215e5504c3ea4510. Accessed 6 May 2025. Ridgely, Charlie. “Everything Coming to Netflix, Max, Disney+ & Other Streaming Services in May 2025.” ComicBook.Com, ComicBook, 30 Apr. 2025, comicbook.com/tv-shows/news/new-streaming-movies-tv-shows-may-2025-netflix-disney-max/. Bet-David, Patrick. “Your Next Five Moves: Master the Art of Business Strategy.” Spotify, Gallery Books, https://open.spotify.com/show/1mCTkhoZxUOH6iA9b8Dx2y?si=b11263c88e3a43ff. Accessed 6 May 2025. Bet-David, Patrick. Your Next Five Moves, Gallery Books, www.yournextfivemoves.com/. Accessed 6 May 2025.   Aetna Health Plans to Exit ACA Marketplace for CY 2026: Minemyer, Paige. “Aetna to Exit the ACA Exchanges in 2026.” Fiercehealthcare.Com, Fierce Healthcare, 1 May 2025, www.fiercehealthcare.com/payers/aetna-exit-aca-exchanges-2026. Pifer, Rebecca. “CVS Plans to Exit ACA Individual Exchanges, Strikes Wegovy Deal with Novo Nordisk.” Healthcaredive.Com, Healthcare Dive, 1 May 2025, www.healthcaredive.com/news/cvs-aetna-exit-aca-novo-nordisk-wegovy-deal/746833/. Japsen, Bruce. “CVS Plans To Exit Obamacare In 2026, Affecting 1 Million Aetna Members.” Forbes.Com, Forbes Magazine, 1 May 2025, www.forbes.com/sites/brucejapsen/2025/05/01/cvs-plans-to-exit-obamacare-in-2026-impacting-1-million-aetna-members/. How Plan Crosswalks Work in the ACA Marketplace: https://lnk.to/ASG664   Resources: 5 Myths About Selling ACA Health Insurance Plans: https://lnk.to/asg660  5 Things from the CMS 2026 MA and Part D Final Rule: https://lnk.to/asgf20250502  Agent Requirements for ACA Sales: https://lnk.to/ASG662 Learn How to Sell ACA Products During the Off-Season ft. Danica Stover: https://lnk.to/asg661  Leveling Up: From Chill Mode to Growth Mode ft. Christian Brindle: https://lnk.to/brindle2025   Follow Us on Social!  Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency. Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.

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 episode of Side Affects, host Kenzie McEvily and guest co-host, EVP of MB Columbus, Kevin Grabeman sit down with Dr. David Lee, President of the OhioHealthy Medical Plan, to explore innovative alternatives to traditional health insurance. OhioHealthy, backed by the trusted OhioHealth system, is reshaping the benefits landscape with a focus on simplicity, value-based care and better outcomes for employers and their teams. Dr. Lee shares how OhioHealthy balances affordability with personalized support, coordinated care, and transparent pricing. Tune in to learn how this nontraditional solution could be a game-changer for your organization's health plan strategy.

In this episode of the Becker's Payer Issues Podcast, Erika Spicer Mason speaks with Dr. Jenna Glover, Chief Clinical Officer at Headspace, about how health plans can better address mental health challenges by moving away from one-size-fits-all models. Jenna shares how smart triage, proactive care, and precision-based strategies can lead to better outcomes, reduced costs, and more equitable access to support. Tune in to hear how health plans can take a leading role in reshaping mental healthcare delivery for the future.This is episode is sponsored by Headspace.

“We exist to solve prior authorization so patients can get the care they deserve,” says Dr. Jeremy Friese, founder and CEO of Humata Health. Friese joins Bloomberg Intelligence health-care analyst Jonathan Palmer to discuss how Humata’s AI-driven technology is transforming one of health care’s most notorious administrative headaches. They cover how Humata connects deeply into medical records, helps both providers and payers streamline approvals and is expanding into specialty pharmacy. Friese also shares his journey from Mayo Clinic radiologist to serial entrepreneur — and why he believes solving back-office burdens can unlock better patient care.See omnystudio.com/listener for privacy information.

In this episode of the Becker's Payer Issues Podcast, Lukas Voss speaks with Whitney Eubanks, VP of Product Management at PointClickCare, about the sharp decline in Star Ratings across major health plans and what it means for the future of value-based care. Whitney unpacks the financial, operational, and patient care implications of slipping scores—and shares how real-time data and smarter care coordination can help plans close gaps, meet critical benchmarks, and regain their edge. Tune in for a candid conversation on what it really takes to reverse the trend and boost plan performance in a competitive landscape.Sponsored by PointClickCare.

Who wants to do things the easy way? I DO! I have a lot of things to do, places to go warriors, and when it comes to wellness and best life practices, I want to do the simplest, most efficient things to get me the results I want. Today I bring you eight of those simple, game changing things. Choose one and you'll notice big differences! And yes, this episode comes after the one I did last month on  perimenopause and menopause truths. So many of you reached out saying, “Okay, but what do I do?” You're not alone—this phase of life can feel confusing and frustrating. Well today I take the confusion out, and offer 8 things you can start or stop that will lead to big results.   ❌Stop wasting your time on things that won't make big changes. ❌ You've got a full life - things to do! Listen in!  In today's episode, I'm breaking it all down. We're talking about simple, doable shifts that will support your body, your brain, and your energy levels—without overwhelm. If you've been feeling tired, foggy, or just off and wondering if it's your hormones, this episode is for you. I'm sharing practical steps to help you feel stronger, clearer, and more in control of your health. You don't have to settle for feeling “blah” in midlife—let's get you back to feeling great! If you liked this show, you'll like this one: 5 Questions for a Quick Life Audit [HAPPINESS SERIES] on Apple Podcast https://podcasts.apple.com/au/podcast/5-questions-for-a-quick-life-audit-happiness-series/id1434429161?i=1000625340692 5 Questions for a Quick Life Audit [HAPPINESS SERIES] on Spotify https://open.spotify.com/episode/4mUd7OQEWJ0Xvl1opfGQco?si=8d01b79569 To read more and peruse the full show notes, go here

Health plans are under mounting pressure to comply with federal price transparency regulations. But compliance isn't easy due to vast and complex data sets. In this episode of Healthcare Insider, Heather Cox, president of Insights and Empowerment at Zelis, breaks down the top challenges health plans are facing and offers insightful strategies for achieving compliance. Cox also explores how transparency requirements can be more than a regulatory requirement, but a catalyst to improve member engagement and experience.

In this episode of The Dish on Health IT, host Tony Schueth and payer interoperability expert Kendra Obrist sit down with Rob Alger, SVP of Health Plan Technology at Kaiser Permanente, for a candid and sweeping conversation about payer interoperability, AI, FHIR, and the realities of health IT innovation at scale.Rob kicks things off by discussing Kaiser Permanente's unique care and coverage model, highlighting how it streamlines internal coordination and shapes investment priorities. He notes that, unlike many other health plans, Kaiser's vertically integrated structure allows for fewer administrative hurdles, particularly in areas like prior authorization.The conversation then turns to CMS-0057. While Rob acknowledges Kaiser must comply like everyone else, the regulation presents less of a lift for them due to their internal alignment. That said, both he and Kendra agree: the success of any interoperability initiative hinges on provider adoption, and that remains uncertain.Looking ahead to 2025, Rob shares Kaiser's strategic focus on simplifying healthcare experiences, especially by leveraging AI to remove friction from both clinical and administrative processes. One standout example is their ambient listening tool from Abridge, now rolled out across 40 hospitals and 600 medical offices, which is allowing clinicians to focus more on patients than keyboards. It's one of the fastest clinical tech adoptions Rob's ever seen.Naturally, the discussion shifts to FHIR. Rob puts it plainly: “FHIR is non-negotiable.” Regulatory mandates have solidified its role, but he wonders whether the industry will eventually want to use FHIR or continue reacting to policy. Kendra and Tony weigh in, noting signs of growing pull once organizations recognize the potential. They agree that multi-stakeholder efforts like Da Vinci Project and FHIR at Scale Taskforce (FAST) are helping to build real-world traction by solving for shared use cases.When asked why Kaiser stays engaged in these initiatives, Rob makes it clear it's about shaping standards early, staying ahead of the curve, and making smarter, future-proof decisions, especially when it comes to vendor selection.The episode then revisits AI, with Rob outlining Kaiser's guiding principles: human in the loop, bias mitigation, and responsible governance. He explains that while Kaiser isn't trying to build every tool themselves, they aim to be excellent adopters, using AI to free up clinicians and call center reps to operate at the top of their license. It's less about chatbots and more about smarter workflows, ambient data capture, and preserving session context across modalities.Data quality surfaces as a recurring theme. Kendra highlights increasing payer interest in tackling inconsistency and fragmentation. Rob acknowledges Kaiser has an edge due to its standardized EHR system, but insists no one is immune to the challenges, especially when AI is in the mix. As he puts it, “If your data's not clean, you're not going anywhere.”As a member of the Council for Affordable Quality Healthcare (CAQH) board, Rob brings a unique perspective on industry-wide infrastructure and collaboration. He explains that CAQH, originally formed by major health plans to tackle non-competitive operational challenges, has evolved into a key player in both standards development and practical solutions like coordination of benefits and provider directories. That dual focus—advocacy and action—resonates throughout the conversation, especially as Rob underscores the importance of shared investments in foundational infrastructure that lift the entire industry.The discussion then touches more specifically on directories and the potential of shared infrastructure for non-competitive areas of healthcare. Rob emphasizes that while payers care deeply about directory accuracy, the solution likely involves more human accountability than tech alone.In closing, the trio shares their perspectives on under-discussed industry challenges. Rob flags cybersecurity as a growing threat, especially in light of recent ransomware attacks. Kendra and Tony shine a light on consent and pharmacy interoperability, two areas that, while not headline-grabbing, could unlock major gains in care coordination and equity.Rob's parting call to action? It's time for the industry to align on clinical policy. Competing on utilization rules isn't sustainable, and getting consensus on what's appropriate care could help streamline prior auth and improve patient trust.Kendra wraps by urging payers to suspend disbelief and start planning for a world where APIs and data exchange work as intended. Dream a little, and then build accordingly. 

In the latest episode of the ACAP Coffee Break Podcast, ACAP CEO Meg Murray speaks with Patrick Curran, CEO of the Health Plan of San Mateo (HPSM).Listen in as Pat shares the professional journey that led him to HPSM and what he's learned from his mentors about the importance of team building in leadership. He also discusses what lies ahead at HPSM.Want to read what ACAP's plan leaders are reading? Check out our Goodreads bookshelf at https://bit.ly/3dWnSRs.

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.

Guest: Dietician Orla Walsh

In this episode, Steve Tringale, President of Mass General Brigham Health Plan, discusses the evolving landscape of healthcare, the challenges and opportunities brought by change, and how the organization is leveraging AI and integrated care to improve member outcomes and experiences. He also shares insights into leadership in a time of rapid industry transformation.

In this episode, Steve Tringale, President of Mass General Brigham Health Plan, discusses the evolving landscape of healthcare, the challenges and opportunities brought by change, and how the organization is leveraging AI and integrated care to improve member outcomes and experiences. He also shares insights into leadership in a time of rapid industry transformation.

Brian Hardin and Russ Durrance, both with the External Affairs division, speak with Rep. David Faulkner, the Alabama House sponsor or the Alfa Health Plan legislation. In the wrap-up, Morgan Desselle recaps the hearing that took place and gives a glimpse of all the legislation Alabama Farmers Federation is working with.Find your elected representatives here.Visit the Alabama Farmers Federation website to sign up for the Capitol Connection.Find out more about our sponsor, Alabama Ag Credit, and also about Alabama Farmers Federation.

In this episode, Senthu Arumugam, Chief Commercial Officer at SCAN Health Plan, discusses the evolving Medicare Advantage landscape, the impact of market disruptions, and how technology and stability-driven strategies can improve member experiences.

In this episode, Senthu Arumugam, Chief Commercial Officer at SCAN Health Plan, discusses the evolving Medicare Advantage landscape, the impact of market disruptions, and how technology and stability-driven strategies can improve member experiences.

Now that the new year new you messages have faded I thought it would be fun to share my personal health plan for 2025. Listen on to discover the crazy things I'm working on.   RESOURCES Going deep on a few teachers instead of shallow on LOTS of things.Gentle by Courtney Carver: https://bemorewithless.com/gentle-announcement/Think and Grow Rich by Napoleon HillWim Hoff Fundamentals Cource + Power of the Mind,Get Rich Lucky Bitch by Denise Duffield ThomasJoyful Marketing Course by Simone Grace Seol: https://www.simonegraceseol.com/No podcasts apart from Deeper Shades of House.Habit Tracking App – Tally the Everything Tracker.Bullet Journal Method by Ryder CarrollFREE Recipe App: 3+ Ingredient Healthy Magic MealsHealth Coaching: The Naturally Healthy ClubJoyful Eating Produced by John Duncan. TINY STEPGive yourself permission to rest.

Dr. Darin Ingels presents a comprehensive 5-part plan to combat Lyme disease. Learn how to address the inflammatory autoimmune response and achieve better health through naturopathic solutions. #LymeDisease #AutoimmuneHealth #NaturopathicCare

Today on the Digging in Podcast. We are bringing another portion of the Legislative Briefing held recently at the Home Office. This week we feature the Legislative panel. Talking points during the discussion include WOTUS, Health Plans, Eminent Domain, and Missouri infrastructure. Subscribe wherever you listen to podcasts to have every release of Digging In sent directly to your smart device! Host: Janet Adkison, Missouri Farm Bureau Director of Public Affairs Guests: Garrett Hawkins, Missouri Farm Bureau President Senator Jason Bean, Senator Kurtis Gregory, Representative Brad Pollitt, & Representative Doyle Justus Producer: Jacob King, Missouri Farm Bureau Video & Audio Media Specialist

In this episode, Dr. Dirk Slaker, Chief Medical Officer at Sonder Health Plans, discusses the evolving Medicare Advantage landscape. He shares insights on addressing rising healthcare costs, improving care coordination, supporting caregivers, and how Sonder's partnership with Clio aims to enhance patient outcomes.

On this episode of the Astonishing Healthcare podcast, Bloomberg Intelligence's Jonathan Palmer (Sr. Equity Analyst & Team Lead, Healthcare) joins us in the studio for a discussion about the work his team does and the evolving landscape of health tech. Palmer notes interest in Hinge Health's potential IPO and how the market's receptivity to tech-enabled healthcare companies has improved recently. While these companies face pressure to demonstrate profitability amid evolving market dynamics, there's optimism about innovation on several fronts. He also explains the impact of health policy uncertainty and questions about what the FDA, FTC, DOJ, and CMS will do on investors' ability to place bets: ambiguity causes market hesitation, and investors gravitate toward safe havens.The discussion also covers areas of focus for 2025, including:Palmer's favorite Vanguards of Healthcare podcast episodes and why he enjoys speaking with private company CEOs and venture capital leadersBiopharma Innovation, including GLP-1s, oncology readoutsMedTech Advancements like surgical robotics, cardioablation, and evolving insulin delivery systemsCapital Spending Concerns as US providers and China's healthcare sector are under scrutinyHealthcare Services: online pharmacy growth and Medicare Advantage trendsReference Materials Courtesy of Bloomberg IntelligenceNorth America Managed-Care Policy OutlookN.A. Health-Care Tech, Distribution: 2025 OutlookRelated ContentVanguards of Health Care: How Capital Rx is Fixing America's Broken Drug PricingAH057 - How First-Movers are Taking Control of their Health Plans in 2025, with Jeff HoganAH047 - What Project 2025, RFK Jr., and Dr. Oz Could Mean for the Business of Healthcare Under TrumpAH046 - What's Hot In and Around the Pharmacy Supply Chain, with RSM's Tom EveganFor more information about Capital Rx and this episode, please visit Capital Rx Insights.

In this episode of the Becker's Healthcare Podcast, Jakob Emerson is joined by Rob Duffy, CTO at HealthEdge, to discuss the evolving role of platform-based technology in healthcare. They explore how interoperability, regulatory changes, and change management strategies are shaping the future of health plans. Tune in for expert insights on overcoming technological silos, preparing for innovation, and navigating the complexities of the healthcare ecosystem.This episode is sponsored by HealthEdge.

Send us a textEver feel stuck in a health routine that just isn't working? The problem might not be what you're doing—it's how you're approaching it. In this episode, I'm sharing five powerful ways to shift your mindset and reach your health goals with an adventurist approach. Because let's be honest, wellness isn't about perfection—it's about exploring, discovering, and finding what truly works for you.Tune in to learn:How to ditch all-or-nothing thinking and make wellness sustainableWhy curiosity is the key to long-term health successHow to turn workouts, nutrition, and self-care into experiences—not choresThe secret to staying motivated and actually enjoying the processIf you're ready to break free from rigid health plans and start treating your wellness journey like an adventure, this episode is for you!

"Our business is predicated on two things: consolidating things that would otherwise be disparate, and then using that as a trusted chassis to communicate and engage effectively." - Ryan CoplonRyan Coplon, co-founder of HealthWallet, joined me to discuss why improving member engagement actually reduces health plan expenses, how we get members to understand their healthcare, and what the “perfect” employer health plan would look like. In my opinion, solutions like HealthWallet are something of a no-brainer if you're an employer; you can implement amazing, cost-containing point solutions, but if your employees don't know how to access them, they aren't going to when they access care. Ryan and I talk about the importance of accessibility and empowering consumers to make the right choices with their care.Tune in this week to learn how to simplify the way employees access their healthcare!Chapters:00:00:00 Fixing The Way Employees Access Healthcare with Ryan Coplon00:14:26 Re-bundling Disparate Services To Improve Member Experience00:19:50 Enhancing Member Engagement00:21:28 Integrated Healthcare Reduces Expenses00:31:50 Healthcare Simplification00:46:45 Transitioning to Digital Member IDs00:52:49 Building the Perfect Health PlanKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen 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/Key Words: Member Experience, Health Wallet, Health Plans, Member Access, Accessing Healthcare, Digital ID, Direct Primary Care, Emergency Care Navigation, Care Navigation, podcast, healthcare, health insurance, self funded, self funding, self funded health insurance, self funded insurance#MemberExperience #HealthWallet #HealthPlans #MemberAccess #AccessingHealthcare #DigitalID #DirectPrimaryCare #EmergencyCareNavigation #CareNavigation #podcast #healthcare #healthinsurance #selffunded #selffunding #selffundedhealthinsurance #selffundedinsurance

"Our business is predicated on two things: consolidating things that would otherwise be disparate, and then using that as a trusted chassis to communicate and engage effectively." - Ryan CoplonRyan Coplon, co-founder of HealthWallet, joined me to discuss why improving member engagement actually reduces health plan expenses, how we get members to understand their healthcare, and what the “perfect” employer health plan would look like. In my opinion, solutions like HealthWallet are something of a no-brainer if you're an employer; you can implement amazing, cost-containing point solutions, but if your employees don't know how to access them, they aren't going to when they access care. Ryan and I talk about the importance of accessibility and empowering consumers to make the right choices with their care.Tune in this week to learn how to simplify the way employees access their healthcare!Chapters:00:00:00 Fixing The Way Employees Access Healthcare with Ryan Coplon00:14:26 Re-bundling Disparate Services To Improve Member Experience00:19:50 Enhancing Member Engagement00:21:28 Integrated Healthcare Reduces Expenses00:31:50 Healthcare Simplification00:46:45 Transitioning to Digital Member IDs00:52:49 Building the Perfect Health PlanKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen 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/Key Words: Member Experience, Health Wallet, Health Plans, Member Access, Accessing Healthcare, Digital ID, Direct Primary Care, Emergency Care Navigation, Care Navigation, podcast, healthcare, health insurance, self funded, self funding, self funded health insurance, self funded insurance#MemberExperience #HealthWallet #HealthPlans #MemberAccess #AccessingHealthcare #DigitalID #DirectPrimaryCare #EmergencyCareNavigation #CareNavigation #podcast #healthcare #healthinsurance #selffunded #selffunding #selffundedhealthinsurance #selffundedinsurance

In this episode, we're diving deep into the difference between health insurance and true health planning. Let's talk about how health insurance is great for those “oh no!” moments but doesn't really cover your everyday health maintenance. I'm sharing some real talk on how a more preventative approach—like functional and integrative medicine—can actually give you the tools to avoid future health problems before they even start. If you're ready to think differently about your health, this one's for you! Grab a seat and let's chat! #healthinsurance #preventativehealth #selfcare   KEY TAKEAWAYS: 00:00 Finding the Right Doc for You 00:37 Welcome to Boss Bitch Radio! 01:15 My Unpopular Health & Fitness Opinions 02:59 Health Insurance vs. Taking an Integrative Approach 07:25 Why Preventative Health is a Game Changer 14:33 Functional Medicine vs. Integrative Medicine 22:24 Real Talk: Beating Diabetes 28:59 Mind & Body Therapies That Work 33:48 How to Do a Self-Health Check-In 44:24 Show Some Love: Share & Support the Podcast!   Connect with Diane: Website: https://www.bossbitchradio.com/  Instagram: https://www.instagram.com/dianeflores_ifbb_pro  YouTube: https://www.youtube.com/@dianeflores_ifbb_pro  Join the Boss Bitch Besties Fitness Community: https://www.facebook.com/groups/dianefloresifbbpro    Freebies: Lower Body Blueprint: https://www.bossbitchradio.com/lower-body-blueprint  Protein Snack List: https://www.bossbitchradio.com/protein-snack-guide  Full Body Training Program: https://www.bossbitchradio.com/full-body-gym-program  Fit Girl Gift Guide: https://www.bossbitchradio.com/fit-girl-gift-guide  My Favorite Supplements: https://www.bossbitchradio.com/myfavoritesupplements   

About PV SubbaRao:PV SubbaRao is a global technology leader with 25+ years of experience, currently serving as Senior Vice President of Global Healthcare and Life Sciences at Rackspace Technology. He leads a $500M+ portfolio, driving growth and operations across the Americas, with a specific focus on Health IT, Providers, Health Plans, and Life Sciences. PV champions an integrated solutions approach, leveraging Rackspace's full range of cloud services for the healthcare industry. Prior to Rackspace, he held leadership roles at Dell Services/NTT DATA Services, growing the Healthcare Provider business significantly. Based in Orange County, California, PV holds an MBA from Emory University and a graduate degree from IIT Mumbai.Things You'll Learn:Rackspace offers a unique approach to cloud solutions, positioning itself as a single point of contact for healthcare organizations looking to integrate strategy and execution. By offering a "do-with" rather than a "do-for" model, Rackspace acts as an extension of a healthcare organization's existing team, enabling easier integration and collaboration. AI and machine learning are poised to revolutionize healthcare by unlocking the potential of vast datasets and improving decision-making. Quantum computing holds promise for personalized medicine through drug discovery and individualized care protocols driven by genome profiling. Adopting Rackspace's cloud solutions and managed services can potentially achieve significant cost savings, between 18% and 25%, for healthcare organizations. These savings can be reinvested into driving transformation and innovation within the organization.Resources:Connect with and follow PV SubbaRao on LinkedIn.Learn more about Rackspace Technology on their LinkedIn and website.

In this episode, Troy Shaffer, VP of Contact Center Operations at SCAN Health Plan, discusses the evolving healthcare landscape. He shares insights on leveraging technology for member engagement, balancing investments, and maintaining a personalized service approach while driving operational efficiency.

Bone Coach™ Osteoporosis & Osteopenia - Joining us today is celebrity chef James Barry, who is on a mission to help children, parents, and grandparents get more of nature's multivitamins to heal their bodies and restore their health. =>>FREE Stronger Bones Masterclass (Gain Access Now!)=>>FREE 7-Day Osteoporosis Kickstart=>>Apply to join the Stronger Bones Solution Program w/ the Bone Coach™ Team***Topics Covered0:00 - Episode start 2:10 - Introducing today's guest, James Barry3:09 - His journey from private chef for celebrities to launching Pluck, an organ-based seasoning designed to help people incorporate nutrient-dense foods into their diets6:29 - The downside of hustle culture and the importance of health7:41 - Why most people wait until illness strikes before making lifestyle changes9:53 - What Pluck is, how it's made, and why it's an easy way to get the benefits of organ meats19:27 - How organ meats provide vital nutrients like vitamin K2, collagen, and minerals that support bone density22:18 - The ancestral approach to eating for health and longevity31:11 - Creative ways to add Pluck seasoning to meals34:50 - Debunking the misconception that the liver "stores toxins" 38:23 - Where to find James and learn more about Pluck 39:12 - Why eating vs. swallowing nutrients matters***Resources MentionedFind all resources mentioned and show notes @=>> https://bonecoach.com/blogs/podcast/james-barry-celebrity-chef-pluck-seasoning-nature-multivitamin ***What can you do to support your bone health and this podcast?1. Hit the “Subscribe” Button. 2. Leave a review. Thank you!

On Episode 57 of the Astonishing Healthcare podcast, host Justin Venneri welcomes Jeff Hogan, President of Upside Health Advisors, back to the show to discuss the major trends he observed in healthcare procurement and plan management in 2024 and areas of focus in 2025. Jeff highlights the evolving role of employer fiduciaries under the Consolidated Appropriations Act of 2021 (CAA), building on Episode 30 and re-emphasizing the necessity of real-time data access and process-driven strategic decision-making. He explains how employers must take greater accountability for healthcare spending, moving beyond reliance on traditional insurance networks (BUCAHs) and considering alternative care delivery models; and adds that provider organizations must adapt to align care delivery with consumer needs or risk obsolescence.The discussion also covers the increasing use of analytics - including platforms like HOMA Health - or outside resources, like Nick Welle explained on Episode 52, to help plan employer plan sponsors manage costs and their vendor contracts, PBM reform, and point solution fatigue. Finally, Jeff outlines key priorities for 2025, including fiduciary compliance, confirming the removal of gag clauses from contracts, and greater transparency in broker compensation to ensure better alignment between healthcare purchasers and providers.Related ContentReplay - Strategic Well-Being: Rethinking Health Benefits to Empower Employees and Drive ImpactAH030 - Plan Sponsors Need a Source of Truth; Get Your Data Now & Find It, with Jeff HoganBest of '24! AH041 - ERISA Litigation Outlook and Meeting CAA Requirements, What Can Plan Fiduciaries Do?Signs it is time to change your PBM vendor, and how to overcome common hesitationsTo learn more about Upside Health Advisors, click here, or you can find Jeff on LinkedIn.Resources MentionedVizient - 2025 Trends Report: Strategy is (finally) back in the driver's seatPeterson Health Tech Institute - Virtual Musculoskeletal Solutions (June 2024)ICER - Peterson Health Tech Institute: Assessment Framework for Digital Health Technologies (Sept. 2023)Peterson Health Tech Institute - Digital Diabetes Management Solutions (March 2024)For more information about Capital Rx and this episode, please visit Capital Rx Insights.

“We decided to come to the table with a health-plan model that enables what we like to call radical affordability,” said Ashok Subramanian, CEO and co-founder of Centivo, in this episode of the Vanguards of Health Care podcast. Subramanian joins Bloomberg Intelligence analyst Jonathan Palmer to discuss how Centivo’s approach to self-funded employer plans focuses on reducing costs without sacrificing quality. By leveraging direct-provider partnerships and emphasizing primary care, the company aims to keep 75% of members’ out-of-pocket costs below $200 per year. The conversation covers how Centivo differentiates itself from traditional insurers, its expansion into new markets, and how it helps employers navigate high-cost treatments like GLP-1 drugs while maintaining sustainable benefits for workers. See omnystudio.com/listener for privacy information.

Gut health can feel confusing with so much conflicting advice online — from cutting out carbs to expensive functional medicine tests and aggressive “killing protocols.” In this episode, gut health expert Steve Wright joins me to break down the essential functions your digestive system needs to work properly, and how simple, foundational steps can restore gut health without extreme diets or unnecessary testing.We'll cover practical strategies for improving digestion, reducing bloating, supporting stomach acid, and understanding the root causes of gut dysfunction. Whether you struggle with food intolerances, inflammation, or digestive discomfort, this conversation gives you a clear starting point to heal your gut naturally.Topics Discussed:How diet impacts gut healthSigns of low stomach acid and how to fix itWhen to use digestive enzymesThe truth about probiotics and gut testingH. pylori, inflammation, and food intoleranceTransitioning off restrictive diets like Carnivore & KetoSimple habits for better digestionSponsored By: Viva RaysGo to vivarays.com & use code: YOGI to save 15%Bon ChargeClick here & use code for SARAHKLEINER for 15% off storewide.Curativa BayEvolving Wellness listeners can get 10% off at www.curativabay.com using code SARAHK at checkout. GUT HEALTH:  Healthy Gut Supplements- discount automatically applied:Holozyme Link: https://healthygut.com/holozyme-now/?rstr=811&coupon_code=Sarah15HCL Guard Link: https://healthygut.com/hcl-guard-now/?rstr=811&coupon_code=Sarah15Tributyrin X: https://healthygut.com/tributyrin-x-now/?rstr=811&coupon_code=Sarah15Magnesium: https://healthygut.com/magnesiumhp-now/?rstr=811&coupon_code=Sarah15Holoimmune: https://healthygut.com/holoimmune-now/?rstr=811&coupon_code=Sarah15Beserene: https://healthygut.com/beserene-bundle/?rstr=811&coupon_code=Sarah15Further LIstening: Gut Health With Steve Wright Playlist Timestamps: 00:00:00 - Introduction00:05:12 - The impact of different diets on gut health00:08:54 - Real-life gut health testimonials00:12:46 - How stomach issues and inflammation are connected00:14:55 - Protein's role in digestive health00:17:20 - Should you do gut testing or follow protocols?00:22:35 - H. pylori and natural treatment methods00:28:14 - Why gut issues develop and how to address them00:30:47 - The power of mindful eating00:32:12 - How HCL Guard supports digestion & nervous system00:34:56 - Transitioning off Carnivore & KETO for gut health00:37:28 - When is it the right time to use digestive enzymes?00:43:59 - Decoding food intolerances00:48:51 - Step-by-step guide to healing your gut00:52:01 - The hidden dangers of probiotics00:54:30 - Where to start on your gut health journeyCheck Out Steve:Tik TokInstagramFacebook This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) -  https://www.sarahkleinerwellness.com/coursesSign up for my newsletter to get special offers in the future! -https://www.sarahkleinerwellness.com/contactFree Guide to Building your perfect quantum day (start here) -https://www.sarahkleinerwellness.com/opt-in-9d5f6918-77a8-40d7-bedf-93ca2ec8387fMy free product guide with all product recommendations and discount codes:https://www.sarahkleinerwellness.com/resource_redirect/downloads/file-uploads/sites/2147573344/themes/2150788813/downloads/84c82fa-f201-42eb-5466-0524b41f6b18_2024_SKW_Affiliate_Guide_1_.pdfMy Circadian App - AppleMy Circadian App - AndroidMy Circadian App - Youtube

"Reversing obesity, reversing diabetes is possible. You don't just have to manage a chronic condition." - Steve HastingsSteve Hastings, Leader of Health Plans at Virta Health, joined me to share Virta's strategy to help members reverse type 2 diabetes, prediabetes, and obesity. He also shared their findings on just how important food is to our overall health and the power it has as medicine.If you've listened to pretty much any episode of Self-Funded with Spencer, you've heard my thoughts on the importance of healthy nutrition and eating, and how so many of America's chronic health problems are due to what we eat. Steve shared how they put together effective plans that actually work to help people lose weight, and keep it off, without using GLP-1s or other drugs. And, if a member needs GLP-1s, they work to create a strategy to make sure the drug is effective and they can maintain that weight loss.Join us on Self-Funded this week to learn how it's possible to reverse diabetes and obesity!Chapters:00:00:00 Meet Steve Hastings00:02:53 Food As Medicine00:07:47 Membership-based Primary Care 00:15:29 Nutrition-Based Reversal of Diabetes and Obesity00:17:35 America's Obesity Health Crisis00:20:03 Long-term Health Goal Support00:27:42 Tailored Nutrition Plans To Reverse Diabetes00:35:55 Mental Health Improvement From Weight Loss00:49:00 Optimizing Health Outcomes Through FoodKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen 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/Key Words: Nutrition, Primary Care, Reversing Diabetes, Reversing Obesity, Diabetes, Obesity, Obesity In America, Behavior Change, Individualized Nutrition, GLP1s, GLPs, Ozempic, semiglutides, Food As Medicine, Wellness, podcast, healthcare, health insurance, self funded, self funding, self funded health insurance, self funded insurance#Nutrition #PrimaryCare #ReversingDiabetes #ReversingObesity #Diabetes #Obesity #ObesityInAmerica #BehaviorChange #IndividualizedNutrition #GLP1s #GLPs #Ozempic #semiglutides #FoodAsMedicine  #Wellness #podcast #healthcare #healthinsurance #selffunded #selffunding #selffundedhealthinsurance #selffundedinsurance

In this episode of Coffee with Your Retirement Coach, the focus shifts from conventional financial and tax planning to the vital aspect of a health plan. Our guest Kim Roberto, an expert in holistic health, shares her journey and the impact of natural health practices on her life. Randy and Kim discuss the five essentials of health: chiropractic care, nutrition, mindset, exercise, and avoiding toxins. Understand what constitutes real health, learn about the dangers of the modern food supply, and come away with things you can do right now to live a longer, healthier, and more fulfilling life.   00:00 Introduction: Do You Have a Health Plan? 00:37 Meet Kim Roberto: A Journey in Natural Health 03:33 The Five Essentials of Health 06:02 Nutrition: Eat to Live vs. Live to Eat 11:48 The Impact of Inflammation and Healthy Fats 16:13 Eating Out: Making Healthier Choices 17:51 The Cost of Eating Healthy 18:15 Portion Sizes and Eating Habits 18:54 God's Food vs. Man's Food 19:54 The Importance of Gut Health 22:38 Physical Exercise for Longevity 29:43 The Impact of Toxins on Health 32:11 Final Thoughts and Takeaways   Have a question for the coach? Send it in to connect@yourretirementcoach.com Connect with us on Facebook: https://www.facebook.com/profile.php?id=100063585099972 Your Retirement Coach is a registered investment adviser. Information presented is for educational purposes only and does not intend to make an offer or solicitation for the sale or purchase of any specific securities, investments, or investment strategies. Investments involve risk and, unless otherwise stated, are not guaranteed. Be sure to first consult with a qualified financial adviser and/or tax professional before implementing any strategy discussed herein. Past performance is not indicative of future performance.

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What if the perfect plan doesn't exist? In this episode, we're diving into where science and spirituality meet—because true health isn't just about research and rules, it's about learning to trust yourself. We'll talk about letting go of control (especially the things you can't control),where intuitive eating and movement come into play, and why tuning into your body's wisdom matters just as much as the scientific research. If you're tired of chasing the ‘right' way to do things, this one's for you. Stay connected! Join me on Instagram: @coachcar_ https://www.instagram.com/coachcar_/ Mindful Eating Bundle: https://www.creative-wholistics.com/mindful-eating-bundle On Demand Mobility classes: https://www.zumba.com/p/coachcar222 Web: https://www.creative-wholistics.com/ Free Resources: https://www.creative-wholistics.com/resources Book a Session: https://my.practicebetter.io/#/5fb53e672a98231248274b2f/bookings?step=services

In this episode, Leanne Berge, CEO of Community Health Plan of Washington and Chair of the Association of Community-Affiliated Health Plans, discusses the critical role of safety net health plans. She shares insights on expanding healthcare access, addressing health equity, and integrating behavioral health services to better serve vulnerable populations.

In this episode, Our guest is MARC RYAN, who has extensive leadership experience across the healthcare industry. Most recently, he was a founding executive and President of MedHOK (MHK, acquired by Hearst Health). He has launched and operated multiple health plans. Marc served in senior policy roles in state and federal government, including as state management secretary of Connecticut and helping build Medicare Part D's relationship with state drug assistance programs in 2006. He created Connecticut's Medicaid and children's health managed care programs and its long-term care continuum. Marc is the author of The Healthcare Labyrinth: A Guide To Navigating Health Plans and Fixing American Health Insurance and the host of the Healthcare Labyrinth Podcast.Topics covered:(1) What are the trends in drug spending and the impact on all types of insurance products -- Medicare, Medicaid, commercial/employer -- cost trends for medical and retail(2) What is driving the major increases in drug costs/spending?(3) How are GLP-1s treated across various products? And will coverage change?(4) American drug prices compared with others?  Can you discuss how we compare vs. other developed countries and why (more than twice -- in many cases 3, 4, and 5 times more -- impacts on employer, Medicare, etc. -- rising percentage of healthcare as well as employer) (5) Medicare drug price negotiations -- what it is and what has happened so far? where do you stand?(6) A lot is occurring in plans on PA, formularies, benefit design, PBM reform -- a very hot topic -can you tell us more about this and what you predict? (7) Can you explain the traditional PBMs vs. transparent ones? FTC lawsuit against PBMs and drug supply channel issues(8) There have been major changes to Part D and it is impacting Medicare Advantage and Part D -- what is happening for 2025 benefits as well as can you tell us a little on a study that questioned the value of Part D?(9a) Medication Adherence in the Star program for MA and Part D plans -- key.  Can you tell us more here? 9(b) How could pharmacists in the community support medication adherence etc -- Will discuss trends from health plans about recognizing the best way to ensure medication reconciliation and adherence is teaming up with pharmacists. Guest - Marc RyanHost - Hillary Blackburn, PharmD, MBAwww.hillaryblackburn.comhttps://www.linkedin.com/in/hillary-blackburn-67a92421/ @talktoyourpharmacist for Instagram and Facebook ★ Support this podcast on Patreon ★

Dr. Darin Ingels presents a comprehensive 5-part plan to combat Lyme disease. Learn how to address the inflammatory autoimmune response and achieve better health through naturopathic solutions. #LymeDisease #AutoimmuneHealth #NaturopathicCare

How well is the U.S. health care system working, and what is being done to address its biggest challenges? In this episode, Dr. Liz Fowler, former Deputy Administrator and Director of the Innovation Center at the Centers for Medicare & Medicaid Services, discusses the progress and challenges of U.S. healthcare reform, emphasizing the impact of the ACA, the shift to value-based care, and the need for systemic innovation to improve access, affordability, and quality. While the ACA has expanded coverage and improved access for individuals with pre-existing conditions, high out-of-pocket costs, care denials, and inefficiencies persist. Dr. Fowler emphasizes the need for mandatory value-based payment models to drive systemic change, focusing on team-based care, predictive analytics, and home-based interventions. She notes that while CMS has the scale to implement reforms, Medicaid innovation remains complex due to state-by-state variations. Driven by real patient experiences, Dr. Fowler remains committed to improving health care access, affordability, and quality through government-led innovation. Tune in as Dr. Liz Fowler shares firsthand insights on the evolution of health care reform, the shift to value-based care, and the ongoing innovations shaping the future of Medicare and Medicaid! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

Hey Friend, Have you been doing everything right—eating healthy, working out, counting calories—yet the scale won't budge? You're not alone. So many women in perimenopause feel completely stuck when it comes to weight loss. And if you're feeling frustrated, exhausted, or like your body is fighting against you… I want you to hear this:

A diverse ramble about cormorants, the cailleach and external aproval Hosted on Acast. See acast.com/privacy for more information.

In part two of this live Synkd Live conversation, Dr. Frank Holleman dives into the keys to effective exercise and stress reduction, sharing practical strategies to help lawn care pros stay fit, focused, and energized for success. Connect with Paul: Click Here Upcoming Events: Lawn Care Life Conference: Get Your Tickets Here Save 50% off Equip Exposition Tickets Paul's Recommended Professionals: Get a Professional Website - Footbridge Media The Landscaping Bookkeeper Call Rail Paul's Books: How to Build a Thriving Lawn Care Business Cut That Grass and Make That Cash Paul's Business Building Resources: Price Increase Letter Template Contract Templates Know Your Numbers

This week, we are joined by special guest Jason Sheffield, the National Director of Compliance at The Baldwin Group, Inc. Join us as we discuss best practices in cybersecurity and updates on recent events.