Podcasts about health plans

This episode features Dr. Richard Celko, Chief Dental Officer at UPMC Health Plan who discusses challenges with access to dental care in rural areas, strategies for addressing community needs, and insights on current events shaping the dental industry.

This episode features Richard Greene, President of Clever Care Health Plan, discussing how the organization is growing through a unique model that combines Eastern and Western medicine, invests in culturally tailored community centers, and builds sustainable relationships with providers and members across California.

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Brandon Weber, Co-founder & CEO of Nava Benefits, joined us on The Modern People Leader.We talked about why benefits have become the second-largest company expense — and how HR can “moneyball” their healthcare spend, cut down on benefits-related admin work, and deliver better employee outcomes through the emerging “alt marketplace.”---- Nava Links:

Hometown Radio 10/21/25 5p: A discussion about Medicare health plans

This installment of Health Care Beat continues our series on the intersection of artificial intelligence and health care, focusing on the legal and compliance challenges that come with rapid innovation. Co-hosts Chris DeMeo and Amanda Genovese welcome Seyfarth attorney Caroline Pieper to explore how AI is reshaping health plan administration — particularly with respect to claims administration — and the regulatory, ethical, and fiduciary considerations organizations must navigate when adopting or hiring service providers that use these tools. Read the full transcript of the episode here: https://www.seyfarth.com/dir_docs/podcast_transcripts/HCB_Episode53.pdf

This episode features Dr. Richard Celko, Chief Dental Officer at UPMC Health Plan who discusses challenges with access to dental care in rural areas, strategies for addressing community needs, and insights on current events shaping the dental industry.

This episode features Richard Greene, President of Clever Care Health Plan, discussing how the organization is growing through a unique model that combines Eastern and Western medicine, invests in culturally tailored community centers, and builds sustainable relationships with providers and members across California.

As South Africa grapples with the National Health Insurance (NHI) proposal, one doctor is pioneering a private-sector alternative aimed at the millions who find medical aid too expensive. Dr. Reinder Nauta, founder of the National Healthcare Group , is building a new low-cost model targeting a price point of around R200 per month. Nauta reveals how the system works, using technology like WhatsApp and a nurse panel to triage patients before referring them to a network of 3,000 GPs.

10.7.2025 #RolandMartinUnifltered: Day 7 Shutdown Chaos, Schumer’s Health Plan, Trump Threatens Pay, Bondi Hearing Fire, Kyren Lacy CaseIt's day seven of the government shutdown. Senate Minority Leader Chuck Schumer lays out the Democrats' plan to hold the line for American healthcare.The twice-impeached, criminally convicted felon-in-chief, Donald "The Con" Trump, is saying furloughed federal workers aren't guaranteed back pay, and airports are seeing major delays. California Congresswoman Sydney Kamlager-Dove will join us to talk about all of this. Today, in a heated hearing on Capitol Hill, Attorney General Pam Bondi testified regarding the Department of Justice. We'll show you some of the exchanges she had with Illinois Senator Dick Durbin.The Louisiana NAACP is calling for accountability in the Kyren Lacy case. State police have released body camera footage that may explain why Kyren was blamed for the fatal crash.We'll speak with another candidate who wants to be the next mayor of New Orleans. In our Shop Black Star Network Marketplace segment, we will feature fashionable scrubs specifically for healthcare professionals.#BlackStarNetwork partner: Fanbasehttps://www.startengine.com/offering/fanbaseThis Reg A+ offering is made available through StartEngine Primary, LLC, member FINRA/SIPC. This investment is speculative, illiquid, and involves a high degree of risk, including the possible loss of your entire investment. You should read the Offering Circular (https://bit.ly/3VDPKjD) and Risks (https://bit.ly/3ZQzHl0) related to this offering before investing.Download the Black Star Network app at http://www.blackstarnetwork.com! We're on iOS, AppleTV, Android, AndroidTV, Roku, FireTV, XBox and SamsungTV.The #BlackStarNetwork is a news reporting platform covered under Copyright Disclaimer Under Section 107 of the Copyright Act 1976, allowance is made for "fair use" for purposes such as criticism, comment, news reporting, teaching, scholarship, and research.See omnystudio.com/listener for privacy information.

This is the beginning of our 6th year!!! This week, Diane interviews Jason Dutra with BuddyIns again.   We discuss tax-benefits of worksite LTC insurance and hybrid life/LTC worksite plans. How are these plan offerings different than other group benefits that employers offer? How can employers use group life/LTC plans to show how much they care about their employees? When employees know their employer cares about them and their families, they are more productive.  Everyone is happier, and employee retention is strong. If you are a business owner with at least 3 employees, there are worksite LTC plans available for you to consider.  These plans have guaranteed issue rights, so no medical questions to qualify. If you are an employee and have been declined for LTC, you can ask your employer if they would consider offering this benefit to some or all the people who work there. Schedule some time with me to explore options    

The government's ambitious vision for the health system can only be delivered by changing the behaviour of thousands of different organisations and hundreds of thousands of people working across health and care. To do this, the 10 Year Health Plan proposes some major changes to how funding flows through the system and how providers and individuals are held to account. This includes multi-year budgets, patient feedback linked payments, best practice tariffs, performance related pay for leaders, league tables for providers but fewer overall targets, and earned autonomy for high performers.   How will changes to financial flows help deliver the government's health priorities? What impact will the 10 Year Health Plan have on allocation of resources between different parts of the NHS? And will the new accountability regime incentivise the right behaviours and ways of working?   To discuss these questions and more, we  were joined by an expert panel including: Thomas Cawston, Corporate Affairs Lead at Novartis UK Anita Charlesworth, Senior Economic Adviser at the Health Foundation and acting chair of North-West London NHS Integrated Care Board Sally Gainsbury, Senior Policy Analyst at Nuffield Trust Hardev Virdee, Group Chief Finance Officer at Barts Health NHS Trust This event was chaired by Stuart Hoddinott, Associate 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

On this Ropes & Gray podcast, health care partners Ben Wilson and Mike McGrath discuss the current trends and challenges in health plan mergers and acquisitions, with a focus on the Medicare Advantage market. They explore the factors driving deal activity, such as financial distress among smaller plans and strategic partnerships for growth, as well as evolving federal and state regulatory requirements. The conversation provides practical guidance for health plan leaders on maximizing value, preparing for regulatory approvals, and addressing nonfinancial considerations like star ratings and compliance history when pursuing M&A opportunities.

And - a worker refused entry into a Belfast pub because he was in work clothes.

Mike and Maggie bring the latest Ag news from around Alabama. Also, we introduce a new segment to the AgCast. Mac Higgenbotham brings us the first Field Staff Report. This is what's going on the frontline of agriculture for last week.Visit Alabama Farmers Federation for more on the headlines covered here. Also, subscribe to the Cultivator to get more Ag news from around the state and in our nation.You can also visit Sweet Grown Alabama for information from Mac's report.

Join Lydia Parker and Laura Ferguson, partners in Troutman Pepper Locke's Employee Benefits + Executive Compensation Practice, as they discuss the top five health and welfare updates from 2025 to prepare you for 2026, from significant legislative changes to emerging litigation trends that are reshaping the landscape for plan sponsors. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This week, State Treasurer Brad Briner visited The SEANC View Podcast for an extensive interview covering everything from the status of the State Health Plan to the prospect of cost-of-living adjustments for retirees. In the last few weeks, Briner's office has been on quite a roll. On Tuesday, he announced a significant agreement with CVS Caremark that has ended a long-standing dispute and is expected to bring savings to Plan members. It may also enable the plan to cover GLP-1 drug treatment for weight loss once again. Last week, his office brokered a deal between Duke and Aetna that will allow State Health Plan members to continue to see Duke doctors in-network. We discussed the state retirement system and the need for true COLAs for retirees at length as well. He elaborated on his comments on NC Newsline this week, stating that changes to the system's investing strategy may allow for a raise in 2027. He also discussed fees, in-house management, and the creation of an Investment Authority to oversee the system.

As insurers nationwide scale back participation in Medicare Advantage, Sentara Health Plans will discontinue several of its plans next year — a change that will contribute to the layoff of hundreds of workers.

As the leaves change, your health plan should, too. Episode 167 is a solo conversation and Dr. Anthony Balduzzi shares a practical framework for adapting your routines to the realities of fall—colder weather, shorter days, and a busier social calendar. Expect simple moves you can apply immediately to keep progress steady. We cover cold-weather training options and how to build indoor contingencies you'll actually use. You'll also learn why less daylight can impact mood, sleep, and consistency—and what to do about it with smart light exposure and Vitamin D updates. On the nutrition front, Dr. A makes fall eating easy: warming crock-pot meals, seasonal produce swaps (hello, squash and pomegranate), and a straightforward holiday strategy that lets you enjoy the feast without losing momentum. Finally, we zoom out: seasonal planning is about rhythm, not perfection. With a few proactive adjustments, you can stay grounded through fall, glide into winter, and keep stacking wins week after week. Plus—live event invites for 2026 if you want to take the next step in person. Key TakeawaysBuild a seasonal plan: what worked in summer may not work in fall. Create indoor training contingencies (space, equipment, time block). Protect mood/sleep as daylight drops: morning light or full-spectrum lamp. Vitamin D: consider testing and/or increasing D3 + K2 during low-sun months. Use warming, one-pot meals (stews, slow-cooker) for easy adherence. Seasonal swaps: squash, root veg, pomegranate for micronutrients & fiber. Holiday strategy: small protein snack pre-event; protein/veg first; dessert last. Leverage calories: strength train the day after big meals or add a light fast. Guard your circadian rhythm: earlier wind-down as evenings get darker. If travel ramps up, prep a portable routine and default meals. Think in systems (routines + environment) rather than willpower. Consider in-person events for accountability and momentum spikes. Alitura: For Great Skin Care ProductsAlitura makes 100% natural, toxin-free products with ingredients like grass-fed colostrum, CoQ10, and plant stem cells. Visit https://alitura.com/ and use FITFAMILY at checkout for 10% off your first order.Featured Events & LinksFit Father / Fit Mother LIVE 2026 — August 7–9, 2026 Super Early Bird pricing now through Dec. 1. Click here and plan to join us!Sedona Retreats — Fit Mother Retreat March 2026. Fit Father Retreat April 2026. Belize Service Trip — June 6-12, 2026. See what it's about here.Want To Change Your Life? Check Out Foundations!Foundations is a simple, sustainable, and specific weight loss program designed especially for busy women over 40. With short metabolic training workouts, an easy-to-follow meal plan, and an accountability team there for you every step of the way, Foundations can help you lose weight, regain energy and vitality, and live life to the fullest.

As the leaves change, your health plan should, too. Episode 258 is a solo conversation and Dr. Anthony Balduzzi shares a practical framework for adapting your routines to the realities of fall—colder weather, shorter days, and a busier social calendar. Expect simple moves you can apply immediately to keep progress steady. We cover cold-weather training options and how to build indoor contingencies you'll actually use. You'll also learn why less daylight can impact mood, sleep, and consistency—and what to do about it with smart light exposure and Vitamin D updates. On the nutrition front, Dr. A makes fall eating easy: warming crock-pot meals, seasonal produce swaps (hello, squash and pomegranate), and a straightforward holiday strategy that lets you enjoy the feast without losing momentum. Finally, we zoom out: seasonal planning is about rhythm, not perfection. With a few proactive adjustments, you can stay grounded through fall, glide into winter, and keep stacking wins week after week. Plus—live event invites for 2026 if you want to take the next step in person. Key TakeawaysBuild a seasonal plan: what worked in summer may not work in fall. Create indoor training contingencies (space, equipment, time block). Protect mood/sleep as daylight drops: morning light or full-spectrum lamp. Vitamin D: consider testing and/or increasing D3 + K2 during low-sun months. Use warming, one-pot meals (stews, slow-cooker) for easy adherence. Seasonal swaps: squash, root veg, pomegranate for micronutrients & fiber. Holiday strategy: small protein snack pre-event; protein/veg first; dessert last. Leverage calories: strength train the day after big meals or add a light fast. Guard your circadian rhythm: earlier wind-down as evenings get darker. If travel ramps up, prep a portable routine and default meals. Think in systems (routines + environment) rather than willpower. Consider in-person events for accountability and momentum spikes. Save With a Troscriptions TrialIf you're on a mission to simplify and accelerate your path to health optimization and feel better now, Troscriptions is where to start. Give it a try at troscriptions.com/FITFAMILY or enter FITFAMILY at checkout for 10% off your first order.Featured Events & LinksFit Father / Fit Mother LIVE 2026 — August 7–9, 2026 Super Early Bird pricing now through Dec. 1. Click here and plan to join us!Sedona Retreats — Fit Mother Retreat March 2026. Fit Father Retreat April 2026. Belize Service Trip — June 6-12, 2026. For information please write belize@fitfatherproject.comWant To Change Your Life? Check Out Foundations!Foundations is a simple, sustainable, and specific weight loss program designed especially for busy men over 40. With short metabolic training workouts, an easy-to-follow meal plan, and an accountability team there for you every step of the way, Foundations can help you lose weight, regain energy and vitality, and live life to the fullest. Click here to see everything you get when you...

We're talking about the tax credits that help people buy health insurance through state and federal health insurance exchanges. David W. Johnson and Julie Murchinson tell us who wins and who loses in the shutdown showdown on, “Erasing Enhanced Premium Tax Credits for ACA Health Plans,” the new episode of the 4sight Health Roundup podcast, moderated by David Burda.

This comprehensive, easy-to-follow guide is the first resource to consider bone and joint health together. Learn which nutrients the body needs in what amounts, which anti-inflammatory ingredients to keep in your kitchen, and what exercises can help improve bone health. The great-tasting recipes are for everyone, from omnivores to vegans.

In this episode we learn how NICE is helping to deliver the government's 10 year health plan. Our guests are the senior responsible officers looking after the three NICE projects. They are: associate director for planning and operations Jenna Dilkes; deputy director for HealthTech Sarah Byron; anddeputy director for medicines evaluation Jac Bouvy.

Rising clashes between hospitals and insurers are exposing outdated fee-for-service infrastructure. As payer–provider clashes surge, healthcare infrastructure is under pressure. We unpack what's fueling these disputes, how they impact patients, and why flexible platforms may be the key to moving forward.

Bridging Home, Family, and Health Plans: Avanlee Christine on Caregiver-First Health Innovation StartUp Health community member Avanlee Christine, CEO & Co-founder of Avanlee Care, joins Unity Stoakes on StartUp Health NOW to share how a pivot from fundraising to customer development unlocked product traction, investor interest, and partnerships with innovative health plans. From Billings, Montana, Avanlee explains why integrating unpaid family caregivers into care workflows improves outcomes, raises satisfaction, and helps Medicare Advantage plans do more with less. In this episode: How shifting focus from pitching to building sparked inbound VC interest, including the first venture investor Why 60% of Medicare Advantage members rely on informal caregivers, and how formalizing that communication closes gaps Practical ways caregiver engagement boosts stars, adherence, annual wellness visits, and CAHPS Lessons from scaling a health tech company in Montana, with support from mentors and investors like Esther Dyson Real talk on resilience, motherhood, team building, and staying alive through tough cycles What health plan leaders, quality and risk teams, and investor partners should know about Avanlee Care right now Listen for: Simple, structured steps health plans can take to bring caregivers into the loop A founder's playbook for surviving early years, finding product-market fit, and creating momentum outside traditional tech hubs     Are you ready to tell YOUR story? Members of our Health Moonshot Communities are leading startups with breakthrough technology-driven solutions for the world's biggest health challenges. Exposure in StartUp Health Media to our global audience of investors and partners – including our podcast, newsletters, magazine, and YouTube channel – is a benefit of our Health Moonshot PRO Membership. To schedule a call and see if you qualify to join and increase brand awareness through our multi-media storytelling efforts, submit our three-minute application. If you're mission-driven, collaborative, and ready to contribute as much as you gain, you might be the perfect fit. » Learn more and apply today. Want more content like this? Sign up for StartUp Health Insider™ to get funding insights, news, and special updates delivered to your inbox.

Small business have a few different options for offering coverage to their employees Learn about these 3 options and how your role as an agent fits in.   Read the text version   Register with Ritter Insurance Marketing   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: ACA 101: Selling Under-65 Health Insurance ACA Enrollment Periods Explained Contract & Get Appointed to Sell with Health Insurance Companies Community-Based Marketing for Insurance Agents Meet Your Sales Team Simplify Marketplace Enrollment with HealthSherpa Six Ways to Generate ACA Leads Social Media Marketing for Insurance Agents FREE eBook DOWNLOAD The Insurance Agent's Guide to Generating Referrals FREE eBook DOWNLOAD The ICHRA Opportunity for Agents ft. Lisa Marzolino & Danica Stover   References: “Agents & Brokers: How to Register to Sell Shop Insurance.” HealthCare.Gov, www.healthcare.gov/small-businesses/agents-and-brokers/. Accessed 25 Aug. 2025. Author: Louise Norris | Date Posted: October 11. “Can Small Businesses Use the ACA's Health Insurance Marketplaces (Exchanges)?” Healthinsurance.Org, 2 May 2025, www.healthinsurance.org/faqs/ive-heard-a-lot-about-health-insurance-exchanges-but-what-are-shop-exchanges/. “Find Local Help.” Local Assistance for Health Insurance Application, www.healthcare.gov/find-local-help/. Accessed 25 Aug. 2025. “Individual Coverage Health Reimbursement Arrangements (HRAS).” HealthCare.Gov, www.healthcare.gov/small-businesses/learn-more/individual-coverage-hra/. Accessed 25 Aug. 2025. “Nexben.Com.” Nexben, 22 May 2024, www.nexben.com/. “Promoting Healthcare Choice and Competition Across the United States.” Federal Register, 17 Oct. 2017, www.federalregister.gov/documents/2017/10/17/2017-22677/promoting-healthcare-choice-and-competition-across-the-united-states. “What Is a QSEHRA?” Healthinsurance.Org, 7 July 2025, www.healthinsurance.org/glossary/qualified-small-employer-health-reimbursement-arrangement/.   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.

Creating a plan is one thing. Implementing it is another. What are the realities of putting the 10 Year Health plan into action? As implementation of the 10 Year Health Plan continues at pace, Andrew McCracken, Danielle Jefferies and Sarah Arnold discuss the challenges of putting the plan into action, the latest step in the creation of the government's neighbourhood health service and the introduction of new NHS trust league tables. You might be interested in: What does it mean to have 'good' and 'bad' hospitals? (blog) A prevention revolution – or another missed opportunity? (blog) The King's Fund Annual conference 2025: courage, honesty and the future (event) This episode was edited by Bespoken media.

In this episode of Bright Spots in Healthcare, we explore The Next Frontier in Self-Funded Benefits. Don Antonucci, CEO of Providence Health Plan and Ali Diab, CEO of Collective Health share how their new partnership is reshaping the employer-sponsored benefits landscape. The conversation dives into: Why aligning provider and member needs is essential for a truly seamless healthcare experience How transparency and simplicity can unlock smarter healthcare decisions The role of innovation and technology in reducing complexity for both employers and employees How strategic partnerships can accelerate growth and deliver more affordable, high-quality care This discussion offers practical insights for health plans, employers, and healthcare leaders looking to design benefits that drive satisfaction, savings, and long-term success. Panelist Bios: https://www.brightspotsinhealthcare.com/events/the-next-frontier-in-self-funded-benefits-inside-providence-health-plans-new-partnership-with-collective-health/ Resources & References Start with Why by Simon Sinek (Book) - https://simonsinek.com/books/start-with-why/  How Great Leaders Inspire Action – TED Talk by Simon Sinek - https://www.ted.com/talks/simon_sinek_how_great_leaders_inspire_action Healthcare Models to Explore: Kaiser Permanente (U.S.) – cited as effective at integrating coverage and care into one user experience Israel – highlighted as having a national health service with user-friendly, electronic front doors for care and transparency in costs Japan – also noted for its efficient, transparent national health service with easy access and clear financial responsibility for patients Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com  About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.

How can changes to NHS incentives help deliver the 10 Year Health Plan by Institute for Government

In this episode, Zack Myers, National General Manager at SCAN Health Plan, discusses the organization's expansion into new markets, its nonprofit approach to provider partnerships, and how innovative models like iSNPs are improving care and independence for seniors.

The state of public health in the United States has never been more fragmented or less trusted. We need a whole systems approach, paired with personal health initiatives, which is why we're calling for a new way. This is the People's Health Plan, in 10 Pillars. To read more about this, you can head over to jeffkrasno.substack.com - and I'd love to hear what you think about this plan. Let me know at jeff@onecommune.com or on Substack.

Trying to figure out which health plan is best for you? In this episode, we break down the key differences between copay-based plans and high-deductible health plans (HDHPs), and explain how provider networks can impact your choices. Whether you're comparing premiums, thinking about out-of-pocket costs, or wondering which plan fits your lifestyle, we'll give you the tools to make a smarter, more confident decision this enrollment season.

Entrevista com o Dr. Diego Dorim.

In this episode, Zack Myers, National General Manager at SCAN Health Plan, discusses the organization's expansion into new markets, its nonprofit approach to provider partnerships, and how innovative models like iSNPs are improving care and independence for seniors.

The news to know for Wednesday, September 10, 2025! We're discussing how the war in the Middle East might have expanded with an unprecedented attack.  Also, new health advice for American children that's being called “historic.” And why experts believe an increasing number of American high schoolers lack basic reading and math skills (hint: it's not just the pandemic).  Plus: data indicating the job market might be struggling more than we realized, Apple's latest releases—including the skinniest iPhone ever—and this year's new Girl Scout cookie inspired by ice cream.   Those stories and even more news to know in about 10 minutes!    Join us every Mon-Fri for more daily news roundups!  See sources: https://www.theNewsWorthy.com/shownotes Become an INSIDER to get AD-FREE episodes here: https://www.theNewsWorthy.com/insider Sign-up for our Friday EMAIL here: https://www.theNewsWorthy.com/email Get The NewsWorthy MERCH here: https://thenewsworthy.dashery.com/ Sponsors: Go to https://www.cookunity.com/newsworthyfree for Free Premium Meals for Life. Thanks to CookUnity for supporting the show! Save 20% off Honeylove by going to honeylove.com/NEWSWORTHY! #honeylovepod To advertise on our podcast, please reach out to ad-sales@libsyn.com

In any version of self-funding, you'll need to know your premium equivalent rates—what to budget for, what to deduct from employees, and how to keep your health plan sustainable. That's where a skilled, independent actuary comes in.To unpack this crucial role, I'm joined by my friend and insurance expert Nick Allen, a career actuary and the Founder/CEO of Blue Raven. Together, we kick off a 2-part series that dives into:The value actuaries bring to employers & HR teamsHow premium equivalent rates are calculated Why independence matters in actuarial workHow actuaries fit into the larger ecosystem of health plansThis series will give you the clarity and confidence to make smarter, data-driven decisions about your benefits. Don't miss it!About the Show:The H.I.T. Podcast (Powered by Montage Insurance Solutions): A thought leader in the space, curating the top news and information to deliver a brief, high impact overview designed specifically for the Human Resources professional, business person, and company executive.

#230 in this week's solo episode, i'm breaking down some of my favorite mental health frameworks to improve your mental health. one of the biggest mental health challenges is figuring out exactly where to start and what steps to take when you're really struggling. this episode will be your guide to figuring out what order of operations you can use to get out of a crisis and stabilize your mental health.i'll cover topics including:• why we need an order of operations for our mental health• my troubled teen industry experience (order of operations gone wrong)• how maslow's hierarchy of needs applies to your life• a sailboat model for your mental health needs• the dbt house of treatment model & how it works• ways that your biology and environment contribute to your mental health• a checklist you need to cover for your mental wellbeing• the importance of mastery for your mental healthmentioned:• angela duckworth episode• grit lab episode• maslow's hierarchy of needs• sailboat metaphor• dbt house of treatment• biopsychosocial model☕giveaway! want coffee on me? every month, i gift one listener a starbucks gift card to enter:1. leave a review on apple or spotify2. dm me a screenshot on instagram

In this inspiring episode, I sit down with Veronica Blanco, Director of Human Resources, from Innovative Produce to talk about growth, leadership, and the power of community in the ag industry. From being the first in her family to graduate college to stepping into leadership roles, Veronica reflects on the importance of mentorship, staying positive, and telling the real story of agriculture. She opens up about the challenges of stepping outside her comfort zone and the value of connecting with like-minded professionals through industry forums and programs. She also talks about how organizations like United Ag, programs like the Ambassador Program, and the supportive culture at Innovative Produce have allowed her to explore critical issues like access to care, mental health, and employee wellbeing — all while developing as a leader.Veronica opens up about the powerful role models in her life, beginning with her mother, whose positivity, work ethic, and belief in education laid the foundation for Veronica's success. She also speaks deeply about the impact of colleagues like Amy Wolfe, who have offered not only support but also constructive challenge — helping her shift perspectives, make hard decisions, and grow stronger in the face of transition.These relationships have built a sense of purpose and belonging, and Veronica has been intentional about passing on what she's learned. She reflects on the responsibility to share ag's story more clearly, especially the good that often goes unseen. Whether working behind the scenes or stepping up to public-facing roles, Veronica emphasizes the importance of staying positive, focusing on what's within your control, and surrounding yourself with people who believe in doing good work for good people.Whether you're in ag or any other industry, this conversation is a reminder that great people and strong values can shape your path in powerful ways.Innovative Produce: https://innovativeproduce.com/Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgUnitedAg Health and Wellness Centers - https://www.unitedag.org/health-benefits/united-agricultural-benefit-trust/health-centers/Episode Contributors - Veronica Blanco, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us

“Are you tired of being told your labs look normal and your symptoms are normal, even though you don't feel normal at all?”In this episode of the Empowered in Health Podcast, we delve into the truth about women's health, the distinction between optimal and normal and how embracing holistic practices and working with your female physiology can profoundly transform your wellness journey!Whether you're feeling stuck, struggling with fatigue, anxiety, or burnout, Erin shares how bio-individual health coaching and functional wellness strategies can help you recalibrate your energy, build resilience and thrive in midlife and beyond.If you're ready to join in and work with me as your coach - enrollment is now open for my fall programming options.Visit my website here for best options and to get enrolled: https://www.erintrier.com/coaching (enrollment closes 9/12/25 at 11:59PM MST).Unsure if this is the right fit? No problem! Join me for my free virtual event on 9/10/25 at 6:00PM MST. We'll be discussing the topic - "Midlife Health: Everything Feels Different? Now What?"Click here to enroll for info to join: https://forms.gle/izUKxudTQTpDKD7o7If this episode resonated with you, please subscribe and leave a review on your favorite podcast platform. Sharing this episode with a friend can also help us reach more incredible women on their journey to better health.Thank you for being a part of our community and investing in your wellness journey!To stay connected, here's where you can find me online:Podcast IG: https://www.instagram.com/empoweredinhealth Coaching Business IG: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/erinktrier Book Free Coaching Call Here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.erintrier.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠...Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.erintrier.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠...

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

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

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

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

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

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

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

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

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

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