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4 episodes with Macra
5 episodes with Macra
3 episodes with Macra
3 episodes with Macra
4 episodes with Macra
15 episodes with Macra
3 episodes with Macra
4 episodes with Macra
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Macra, an organisation that represents young people in rural Ireland, have said that young farmers are almost an “endangered species”, but are they really in decline, and what is it that is driving them out?Joining Kieran to discuss is Josephine O'Neill, National President of Macra and Limerick Dairy Farmer, Louise Crowley.
This episode explores the ongoing challenges and potential solutions surrounding Medicare physician payment reform and the sustainability of orthopedic practices. Dr. Robert Orfaly, editor in chief of AAOS Now, is joined by Dr. Adam Bruggeman, Chair of the AAOS Advocacy Council, to discuss the history of payment models from the sustainable growth rate (SGR) to MACRA, the impact of budget neutrality, and the consequences of stagnant reimbursement rates. Dr. Bruggeman shares insights into how these financial pressures are threatening the viability of independent and group practices, driving consolidation, and affecting patient access to care. The conversation highlights current advocacy efforts to secure inflationary updates for physician payments and emphasizes the importance of physician engagement and storytelling in influencing health policy. Host: Robert Orfaly, MD, Editor in Chief, AAOS NowGuest: Adam Bruggeman, MD, Chair, AAOS Advocacy Council
The only shop in the village of Johnstown in Kildare has announced it's to close its doors this week. To discuss this Michael O'Donovan, President of the Vintner's Federation of Ireland, Elaine Houlihan, former President of Macra na Feirme, Seamus Boland from Irish Rural Link & John Cooke visited Clare village Feakle to speak to local residents.
Send us a textSonarMD CEO Beth Houck has more than 25 years of experience in the healthcare industry. Before joining SonarMD, she led customer experience for SA Ignite, a cloud-based healthcare technology company helping provider organizations manage performance and compliance with their MACRA initiatives.00:00 Introduction to Life Science Success Podcast00:35 Meet Beth Houck: CEO of SonarMD01:01 Beth's Journey to Life Sciences02:55 Becoming the CEO of SonarMD04:59 Leadership Insights and Strategy10:04 The Value of an MBA in Health Services15:56 Introduction to SonarMD21:04 How SonarMD Improves Healthcare Outcomes24:29 The Future of Healthcare Technology27:56 Predictive Analytics in Healthcare28:17 Leveraging Claims Data for Predictive Analytics30:05 The Role of Data and Analytics in Healthcare32:30 Challenges in Actuarial Science and Team Management37:39 Future Goals and Expansion Plans for SonarMD41:02 Leadership Insights and Personal Inspirations50:53 Conclusion and Final Thoughts
Rebecca Grady will represent the Clare Macra at this year's Blue Jean Country Queen festival. The festival will take place in Athboy, Co. Meath over the June bank holiday weekend. To find out more, Rebecca Grady from Sixmilebridge, joined Alan Morrissey in-studio. Photo(C): Clare FM
The Doctor's stuck in a surreal 1950s fever dream, UNIT's been rebranded as a life insurance agency, and wish-granting gods are running amok. What is even happening in Wish World?! Pete and Chris dive headfirst into RTD's mind-bending, logic-challenged spectacle that dares to connect the Rani, Poppy, Conrad, and possibly Susan through some extremely wishful thinking. Is this the Doctor's most confusing domestic life yet? Are Mastodon skeletons the new Macra? Is this what happens when RTD binges The Prisoner, WandaVision, and a box of Target novels? This one's more ride than story — but oh, what a ride it is.Subscribe to our YouTube Channel and become a True Companion of the podcast to get new episodes before everyone else!Subscribe to our newsletter at pulltoopen.net for extended notes on our randomized episodes.Support the podcast by becoming a patron of Pull To Open on Patreon.Please review Pull To Open on Apple Podcasts.Follow us on:TikTok: @pulltoopenInstagram: @pulltoopen63Facebook: @pulltoopen63X: @pulltoopen63Threads: @pulltoopen63Bluesky: @pulltoopenPlay Pull To Open Bingo (NEW upgraded card!)Pull To Open: Wish World HOT TAKESeason 6Episode 16Hosts: Pete Pachal and Chris TaylorMusic: Martin West/Thinking Fish©️AnyWho Media LLC 2025Doctor Who ©️BBC 1963
Elaine Houlihan is soon to finish her two-year stint as president of Macra na Feirme, and some 140,000km and copious cups of coffee later, we catch up with Elaine to reflect on her presidency.From the unexpected highs to the lower points, Elaine talks frankly about what the last two years of her life has entailed as head of Macra na Feirme, the organisation that is ‘'started by farmers, continues with friends.'' From monthly visits to Brussels to representing the organisation, to club meetings in rural parishes, she has loved every minute. Elaine discusses what she will miss about the role, and what she looks forward to after she leaves the title to president elect Josephine O'Neill. Hosted on Acast. See acast.com/privacy for more information.
Brenda Donohue captures how the results for the Macra elections unfolded at the Irish Farm Centre in Bluebell.
Joe and Toni are joined by Christine Cherry and Steve Conway to discuss the Adam Impulse and the Wild Wild Web in the Doctor Who episode Gridlock. If you're interested in being a Friend of Rassilon, click here. Download • YouTube • RSS • Patreon • iTunes • Google Play • ESO Network
Joe and Toni are joined by Christine Cherry and Steve Conway to discuss the Adam Impulse and the Wild Wild Web in the Doctor Who episode Gridlock. If you’re interested in being a Friend of Rassilon, click here. Download • YouTube • RSS • Patreon • iTunes • Google Play • ESO Network The post The Watch-A-Thon of Rassilon: Episode 185: Gridlock (Married to the Macra) appeared first on The ESO Network.
In the second instalment of our freshly reconstructed 2019 "lost" recording, we look at the Tenth Doctor's bout of motorway madness, Gridlock. Along the way we consider RTD's use of messianic imagery, coo over some kittens and revisit our initial reactions to that Macra reveal.Watch this episode on YoutubeEmail usFind us on Bluesky & Instagram Hosted on Acast. See acast.com/privacy for more information.
This week we discuss the booming beef trade, Macra's 2025 presidential campaign and the two candidates in the running, cross compliance penalties, grass growth and the Irish wool sector. Hosted on Acast. See acast.com/privacy for more information.
Carlo GiordanoAssessore alla Cultura del Comune di Dronero"Ponte del Dialogo"www.pontedeldialogo.itSi avvicina l'edizione primaverile del festival “Ponte del Dialogo”, che dal 19 al 23 marzo proporrà a Dronero 23 incontri con esponenti di primo piano della scena culturale nazionale e locale. Si comincerà mercoledì 19 marzo con l'atteso intervento di Antonio Scurati, per proseguire con altri ospiti di rilevo nazionale: Domenico Quirico, Jonathan Bazzi, Matteo Bussola, Marco Bosonetto, Giovanni Tesio, Alfonso Femia, Filippo Tantillo, per chiudere domenica 23 marzo con Serena Dandini. Per la prima volta interverranno al festival di Dronero due autrici internazionali, Espérance Hakuzwimana, dal Ruanda, e Pegah Moshir Pour, dall'Iran. I temi portanti del festival saranno il mondo giovanile, la geopolitica e la storia contemporanea, le relazioni all'interno delle comunità e nelle aree interne, il territorio, l'inclusione e la convivenza. Tra le novità dell'edizione primaverile la presentazione del volume “Giallovalle” (Nerosubianco), che raccoglie i dieci racconti selezionati grazie al concorso lanciato nell'edizione autunnale di Ponte del Dialogo, e il potenziamento della sezione “Young”, con iniziative dedicate ai bambini e ai ragazzi, anche al di fuori dell'orario scolastico. Il 30 marzo, inoltre, il festival si sposterà a Macra, in valle Maira, presso l'info-Eco Point dell'Ecomuseo Alta Valle Maira, dove saranno presentati quattro libri dedicati alla montagna e alla valle Maira in particolare.Il festival renderà anche omaggio alla figura di Tancredi Dotta Rosso, festeggerà i 10 anni della rivista “Cozie”, accoglierà come associazione ospite “Blink”, che da anni promuove con grande energia e competenza il mondo della magia e che sarà rappresentata da Mariano Tomatis e Beatrice Condorelli.Tutti gli incontri sono gratuiti, ma quelli con Antonio Scurati, Domenico Quirico, Jonathan Bazzi, Matteo Bussola, Pegah Moshir Pour e Serena Dandini sono su prenotazione, tramite Eventbrite: le prenotazioni apriranno alle ore 9 del 5 marzo.Anche l'Eco-Laboratorio” di sabato 22 marzo con Romina Panero (bambini 3-8 anni) e la passeggiata letteraria di domenica 23 marzo con Cristina Levet (bambini 6-10 anni) sono su prenotazione: per entrambi gli appuntamenti ci si deve prenotare scrivendo a pontedeldialogodronero@gmail.comIl Festival è organizzato dal Comune di Dronero e dall'Agenzia di Sviluppo di AFP in collaborazione con il Centro Studi Cultura e Territorio e con il contributo di Regione Piemonte, Compagnia di San Paolo, Fondazione CRT, Fondazione CRC e Banca di Caraglio. Collaborano all'evento anche le scuole del territorio e numerose associazioni e istituzioni culturali di Dronero, come “Espaci Occitan”,il Museo Mallé, la Biblioteca Civica, “Prometheus”, “Dronero Cult”, “Blink”, “Il Maira”, “Voci del Mondo”, “Rafaela Rinaudo” Officina per la Scena (OPS) e “Il Bottegone” che in ogni edizione del festival omaggia gli autori non piemontesi con una borsa di prodotti locali. Questa edizione vede anche la collaborazione con l'Ecomuseo dell'Alta Valle Maira con l'organizzazione di “Ponte OFF- Verso Maira 2028” domenica 30 marzo.Per informazioni sul programma del Festival si può telefonare la Segreteria organizzativa al numero 329 1365655 – 0171 912013.IL POSTO DELLE PAROLEascoltare fa pensarewww.ilpostodelleparole.itDiventa un supporter di questo podcast: https://www.spreaker.com/podcast/il-posto-delle-parole--1487855/support.
News extra Ep 152 Presented by Ursula HOGAN - Jim Collins spoke to Lisa Quinn, Chair of Clare Macra, who are hoping to get a club reestablished in the East Clare area and are holding a meeting this week to gauge interest in same. Primarily aimed at 17 to 35 year olds, there is something in Macra for everyone. The information evening takes place in Jackos pub in Scariff on Friday 7th of March https://www.facebook.com/claremacranafeirme/
This week on the show Rachel Donovan chats to Josephine O'Neill from Bennettsbridge in Co Kilkenny.Josephine is a home economics and Irish teacher who hails from a beef and tillage farm. She is the second candidate in the Macra presidential race to be interviewed on the Youngstock Podcast. Hosted on Acast. See acast.com/privacy for more information.
This week's Visting Critic is Macra President Elaine Houlihan who we sent out to spend an afternoon with some breds of prey.
Elaine Houlihan is the 39th president of Macra Na Feirme, the Irish voluntary rural youth organisation.
Macra president Elaine Houlihan joins us on this week's Young Stock Podcast to talk farm succession and the potential for a farm retirement scheme. Hosted on Acast. See acast.com/privacy for more information.
Cyclone Dikeledi, a DPP official arrested, a Pre-Budget Consultation Meeting, a MACRA donation stolen, new books, and much more! Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at info@rorshok.com You can also contact us on Instagram @rorshok_malawi or Twitter @RorshokMalawiLike what you hear? Subscribe, share, and tell your buds.Karonga Syndicate Printing Forex At Home: https://www.investigativeplatform-mw.org/show-story/undercover-meet-the-karonga-men-printing-fake-us PAC's Letter To The President: https://heyzine.com/flip-book/cb2634bc78.html#page/4 Cool Places To Explore In Malawi: https://x.com/AfricaFirsts/status/1878046654672064596 We want to get to know you! Please fill in this mini-survey: https://forms.gle/NV3h5jN13cRDp2r66Wanna avoid ads and help us financially? Follow the link: https://bit.ly/rorshok-donate
“Stuck in traffic for ages” may be the most mundane sci-fi concept Doctor Who has ever offered. Yet Gridlock shines through the smog, even though we have to wonder why they don't have smog-free EVs in the year five billion. How did RTD do it? Three words: great artists steal. Even when they're stealing from the galaxy's greatest comic, 2000AD. Join us — no, seriously, join us, we need one more passenger to take the fast lane through the snapping Macra of criticism! Give your own rating for Gridlock on Spotify! Subscribe to our YouTube Channel and become a True Companion of the podcast to get new episodes before everyone else! Subscribe to our newsletter at pulltoopen.net for extended notes on Gridlock. Support the podcast by becoming a patron of Pull To Open on Patreon. Please review Pull To Open on Apple Podcasts. Timeline: Intro 00:00:00 Previously… 00:02:16 Whomoji Challenge 00:06:21 POLL To Open 00:12:32 TL;DW 00:19:08 Commentary: Gridlock 00:21:05 2000AD Corner 00:59:07 Four Questions to Doomsday 01:04:35 What If the Evil Plot Had Succeeded? 01:07:51 Where Is the Clara Splinter? 01:11:39 Final Judgment 01:14:49 Randomizer! 01:19:47 Follow us on: TikTok! @pulltoopen Instagram: @pulltoopen63 Facebook: @pulltoopen63 X: @pulltoopen63 Threads: @pulltoopen63 Bluesky: @pulltoopen Play Pull To Open Bingo (NEW upgraded card!) Story Essentials Series 3, Episode 3 Story number: 184, per the The Pull To Open Codex Writer: Russell T. Davies Director: Richard Clark Showrunner: Russell T. Davies Aired 14 April 2007 Pull To Open: Gridlock Season 5 Episode 38 Hosts: Pete Pachal and Chris Taylor Music: Martin West/Thinking Fish ©️AnyWho Media LLC 2024 --- Support this podcast: https://podcasters.spotify.com/pod/show/pull-to-open/support
A Hamster With a Blunt Penknife - a Doctor Who Commentary podcast
Join Joe, Rod, Mark & Toby as we face devious Daleks, pesky Pirates, the maddest of mad scientists, shiny Cybermen, malicious Macra, misunderstood Chameleons and those dastardly Daleks again!
Web: www.JonesHealthLaw.com Phone: (305)877-5054 Instagram: @JonesHealthLaw Facebook: @JonesHealthLaw YouTube: @JonesHealthLaw The Merit-Based Incentive Payment System (“MIPS”) established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), came into effect on January 1, 2017. The MIPS program was designed to adjust Medicare payments based on clinical performance. MIPS only applies to eligible professionals whose practice caters to Medicare Part B beneficiaries. MIPS evaluates the clinical performance of eligible professionals using a composite performance score, comparing performance on a measure to measure benchmark. The results indicate whether the eligible professional will receive a decrease, an increase, or the same Medicare reimbursement for Part B claims. --- Support this podcast: https://podcasters.spotify.com/pod/show/joneshealthlaw/support
Fáilte ar ais chuig eagrán nua de Ar An Lá Seo ar an 8ú lá de mí na Samhna, liomsa Lauren Ní Loingsigh. I 1968 dúirt Edward McAteer níor dhiúltaigh sé go mbeidh an tír ar fad rialaithe ó Bhéal Feirste ar deireadh. I 1981 fuair teachta dála Frank Sherwin bás ag aois 76. Bhí cuimhne air mar chosantóir de na daoine bochta agus throid sé ar son na cearta do na daoine a bhí faoi mhíbhuntáiste. I 1968 rinneadh banríon de Ann Minihan ó Chill Rois ag Macra na Feirme i dTulach Mhór. Bhí sí an chéad bhean chun an teideal a bhuachaint agus bhí súil uirthi go mbeidh níos mó mná ag glacadh páirt. I 2005 bhí an chontae ag caoineadh báis de thriúir fear i Dúlainn. Bhí na triúir acu i jíp agus thit sé isteach san fharraige ag Doonagore Bay. Sin Westlife le You Raise Me Up – an t-amhrán is cáiliúla an lá seo i 2005. Ag lean ar aghaidh le nuacht ceoil ón lá seo – I 1975 bhí David Bowie ar an teilifís don chéad uair i Meiriceá. Chan sé an t-amhrán 'Fame' ar an chlár teilifís 'Cher' a raibh sí mar óstach den seó ilsiamsa. I 2005 gabhadh ceithre fhear tar éis a rinne na póilíní ruathar ar teach i Londain de chuid Amy Winehouse. Gabhadh iad de bharr cás a bhí Blake Fielder-Civil – fear céile Amy Winehouse. Agus ar deireadh breithlá daoine cáiliúla inniu ná Gordon Ramsay a rugadh in Albain i 1966 – is chef mór le rá é. Agus rugadh SZA – amhránaí R&B i Meirceá ar an lá seo i 1989 agus seo chuid de a amhráin. Beidh mé ar ais libh an tseachtain seo chugainn le eagrán nua de Ar An Lá Seo.
We're so tired…Join Damla & Elliott this week as they discuss Macra, their series 4 ranking, cruel jokes and Captain Twink.NOTES & LINKSOur NEW podcast, Serving Cinema links:Instagram: https://www.instagram.com/servingcinemapodcast?igsh=MTI0N2FqYnI4bGwwbQ==Tiktok: https://www.tiktok.com/@servingcinemapodcast?_t=8qAIy2SWFxQ&_r=1Thank you to our amazing patrons: Jason, Bekah Judson-Smith, David Cummings, Lucy, Felicity Skilton-Riley, Anna Planičková, , Bumping_Earnie, Lucy, Joe Dawson, Becks, Michele Whitney, Iain French, Suzi Williams, Beth McLeod, Ruth Weld, Lottie Smith, Ezra Kowo, Mark Krause, Olivia Jordon, Rhys Clark, junojames, Northerly Keebler, Annie Rose and Karolina AdamskaBuy us a coffee: http://ko-fi.com/comealongpondpodcastSupport us on Patreon for ad-free listening and visuals: https://www.patreon.com/comealongpondCheck out our Tiktok: https://www.tiktok.com/@comealongpondpodcastFollow us on Instagram: @comealongpondpodcastEmail us: comealongpondpod@gmail.comStream the podcast on Acast, Apple Podcasts, Spotify, and Amazon Music.Rate us 5 stars on those platforms!Satellite 5 theme provided by JackTheme tune composed by Evan, follow him here: https://instagram.com/evanbevisknowles?igshid=YmMyMTA2M2Y=Podcast edited by DamlaProduced by ElliottStay safe everyone x Hosted on Acast. See acast.com/privacy for more information.
This episode, Time Ram takes Matt Smith's 'Hide' and does a Troughton on it - which may or not be a euphemism. And so the sixties crew visit haunted Caliban House which is not a happy mansion and where postmen need to really check the signs. Meanwhile, Dandy Nichols shows some unexpected talents and Innes Lloyd deals with his Donald Pleasence problem. But we really can't get Macra into this. Or can we?
A Hamster With a Blunt Penknife - a Doctor Who Commentary podcast
Join us as we battle Judoon, Macra, Lazarus, the Family of Blood, the Weeping Angels, the Master and a host of controversial opinions as Rod, Joe, Paul & Dylan put series three under the microscope.
Catriona Power who is a member of Clare Macra na Feirme will represent Clare Macra at the Queen of the Castle Festival during this August Bank Holiday weekend. To discuss her participation and to tell us more about the festival, Caitriona Power joined Alan Morrissey in-studio. Picture (c): Queen of the Castle Festival via Eventbrite
Labor Day, ESCOM's new company, the tobacco market, MACRA's survey, a new political party, and more! Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at malawi@rorshok.com Like what you hear? Subscribe, share, and tell your buds.Jetu New Music Video: Jetu - Chakwaza ( Official Music Video ) (youtube.com) We want to get to know you! Please fill in this mini survey:https://forms.gle/NV3h5jN13cRDp2r66Wanna avoid ads and help us financially? Follow the link:https://bit.ly/rorshok-donateOops! It looks like we made a mistake. In 5:27 the reader should have said "her."Sorry for the inconvenience!
A key event in the calendar for many people living in rural Ireland, is the Mr Personality Festival organised by Kilkenny Macra. This week, we have a special Young Stock Podcast as Sarah McIntosh and Martin Merrick take us behind the scenes as they judge this year's competition. Taking place in Clonmel, from the 5 to 7 April, a weekend full of events saw 25 contestants from Macra clubs across the country battle it out in order to be named Mr Personality 2024. From making the judges ham and cheese sandwiches, to milking a cow on stage, this year's contestants didn't make it an easy task to pick a winner with a high calibre of talent's displayed during the on-stage interviews.Last year's winner Andrew Dunne speaks to us about what he has been up to since winning the title in 2023, and the impact it has had on his life.We also managed to catch up with a few of the contestants during the weekend to find out why they wanted to enter the competition and how they found the experience. The event wouldn't be possible without the hard work of the organising committee, we spoke to Christine O'Neill chairperson on the work that goes on behind the scenes.Taking home the Mr Personality 2024 title was Mark Riordan from Kenmare, Co Kerry. Speaking to us the day after he won, Mark emphasises the importance of staying together during the tough challenges young farmers are currently facing. “We talk about silage; we talk about breeding and we talk about all the challenges with farming but there is a lot happening on farm and there is a lot happening in farmers heads that we don't talk about enough. Its not easy out there at the moment and if you look at the weather for the next week especially, it's probably disheartening but I think as a community, as Macra we have to be there for each other, were all in the same boat and this will pass,” says Mark. Hosted on Acast. See acast.com/privacy for more information.
Mark Riordan has had a hell of a few days. He's been named the 17th Mr Personality by Macra and he joined Dave to chat about how the competition was judged.But, he's not the only one to win a prestigious award. We heard of the best awards and prizes from around the country.
Dennis Keyes will represent Clare at the 17th Annual Mr. Personality Festival, which is being organised by Kilkenny County Macra. The festival will take place on April 5th and 6th at the Talbot Hotel in Clonmel. To find out more about the festival, Alan Morrissey was joined by Dennis Keyes.
The CEO of Macra, Mick Curran has called for the taxation of holiday homes after it has been revealed that they are putting houses in scenic areas beyond the reach of locals Fine Gael Senator Tim Lombard's Cork South West constituency is one of the areas most affected by holiday homes and he spoke to Newstalk Breakfast this morning.
On this week's show, Keith spoke to James McDonald, a Financial Specialist with Teagasc, Caroline Whelan from the Galway Pumpkin Patch and Niamh Farrell on the upcoming Macra na Feirme event.
Traditionally, farms were left to the sons but what about the daughters? Well, The Department of Agriculture has a new plan to promote and normalise female succession in farming. Sean was joined by Elaine Houlihan, Macra na Feirme national president...
The transformation of healthcare is a seemingly insurmountable challenge, yet overcoming any obstacle in the journey begins with the belief that it is possible to win! It's not about the magnitude of the task; it is about the collective will to prioritize the wellbeing of every person we serve in our population. Perhaps when approached with the audacity to imagine a healthier and more equitable future for all, we'll actually get there. And that is just what the Physicians of Southwest Washington (PSW) is realizing as they navigate a successful transition from volume to value. Our guest on the Race to Value this week is Melanie Matthews, the dynamic, creative, and innovative CEO of PSW. She leads a population health company that has been around for three decades. Melanie is not only leading their ACO and managing their progression in the adoption of full-risk Medicare Advantage delegation; she has become a nationally recognized voice for value-based health policy. In listening to this interview, you will hear from a leader that has a real personal capacity for leadership and a clear focus on excellence. If you want to hear from someone that is at the absolute forefront of risk-based contracting and innovation, who understands the issues at a granular level, this episode with Melanie is a must-listen! Episode Bookmarks: 01:30 Introduction to Melanie Matthews and the Physicians of Southwest Washington (PSW) 04:30 PSW has evolved over the last three decades from an IPA to a diverse business that includes a national leading ACO and risk-bearing entity for MA. 06:00 "PSW is a story of independent physicians who, in a time of market consolidation, want to remain independent and focus on the patient relationship." 06:45 Achieving success in delegated risk and taking accountability for both quality and total cost of care. 07:00 The impact of MACRA on the long-term value-based care strategy of PSW. 08:30 Building an infrastructure and developing capabilities to move a value-based agenda. 09:00 Developing a business model for agility in responding to new rules ("a kayak in a sea of cruise ships") and engaging all types of physicians in the landscape. 09:30 "The value-based movement is important as the fee-for-service chassis is not realistic, has poor quality and outcomes, and rising costs." 10:00 Taking risk with physician partners and providing them with MSO services, leveraging a technical infrastructure and population health platform. 10:45 The glacial pace of scaling payment model transformation at CMS and CMMI's bold goal for 2030. 12:00 The increasing shift to home-based care delivery and the use of generative AI in reshaping care delivery. 13:00 How the flawed economic design of the fee-for-service system creates industry inertia. 14:00 Diverting to the known (i.e. fee-for-service care delivery) in times of stress is an unsustainable path forward. 15:00 Convincing the Board room on the tenets of VBC when it hasn't historically delivered on its promises. 16:00 Trends in consumer cost-shifting and the challenges of private insurers cross-subsidizing provider losses from public payers. 16:30 Unsustainable economics in employer-based healthcare and the looming insolvency of Medicare. 17:00 What does the CMMI 2030 Goal mean for future of the value movement? 18:30 An overview of the extensive services offered by PSW that empowers success in VBC. 19:30 The explosive growth of strategic transactions of physician groups and how mass consolidation is impacting the landscape. 21:00 Aligned incentives and access to a population health platform as keys to VBC success. 22:00 PE investment impacts on competition in an independent physician ecosystem. 23:00 Generational differences in the approach to the business of practicing medicine. 23:30 "Organizations that are convened with independent physicians are able to show better costs of care." (vs. employed or vertically integrated systems)
We have a broken healthcare system. Too often, individuals today experience care that is fragmented, duplicative, wasteful, and confusing. Through value-based care, we can improve the health care experience by coordinating care, creating care teams that communicate with one another, and supporting individuals in their care journey with services that address their medical and non-medical needs. Accountable for Health is a nonpartisan national advocacy and policy analysis organization accelerating the adoption of effective accountable care. Their members are advocating for value-based care on Capitol Hill so policymakers can understand how best to move American healthcare towards a model that achieves better outcomes, improved care experiences, increased access, and lower costs. Joining us on the podcast this week is Mara McDermott, the Chief Executive Officer for Accountable for Health. She is an accomplished healthcare executive with deep expertise in federal healthcare law and policy, including delivery system reform, physician payment and payment models. Take this opportunity to learn from a leading expert on accountable care as she translates the truth in building a bridge towards a more broad-based understanding of health value. And make sure to tune in to Mara's special announcement about Health Care Value Week at the end of the interview so you don't miss out on important educational events occurring January 29th thru February 2nd. Episode Bookmarks: 01:30 The need for accountable care policies that create better health outcomes and patient experiences. 02:00 Introduction to Accountable for Health (A4H) and its Founder/CEO Mara McDermott, JD, MPH 03:00 Interview topics discussed (e.g. the meaning of VBC, MSSP vs. MA, MACRA 2.0, advanced APMs, integrated specialty care, Medicaid transformation, and the upcoming Health Care Value Week event). 06:00 How A4H is translating thought leadership to action in the advocacy arena. 06:30 Accountable care as the solution to fragmented, uncoordinated care. 07:00 Political turnover in D.C. has made VBC a "new" health policy solution. 07:30 Educating the Hill comes down to conveying enthusiasm for health care transformation. 08:00 Accountable for Health Members are shaping the national conversation for payment and delivery system reform. 09:00 The health policy controversy of the Global and Professional Direct Contracting model (the precursor to ACO REACH). 11:30 If Direct Contracting was the natural evolution of a series of advanced ACO options, why was there such strong criticism? 12:00 The need to overcome misunderstandings about what ACOs are trying to achieve. 13:00 Providing education to dispel the myth that ACOs can actually limit services. 14:00 How uninformed policy decisions could potentially create a catastrophic blow to the value movement. 14:45 "Accountable care is integral to care delivery system reform." 15:45 Confusion with the term "value-based care" and why it will fail unless people understand the truest aims of the movement. 17:00 The need for effective storytelling to advance care delivery transformation. 18:00 Prioritizing care experience over cost reforms (delivery innovation will address costs!) 20:00 The topline takeaways from CMS model evaluations and whether or not programs should be expanded. 21:00 What do most people think when they hear the word "value"? (the need to reframe the conversation with more precise language) 22:00 The MSSP and the Medicare Advantage programs as two distinct approaches to healthcare delivery and reimbursement. 24:00 Mara provides a brief comparison between MSSP and MA (e.g. beneficiary assignment, risk adjustment, benchmarking). 25:30 How strong relationships between MA plans and provider networks (underpinned by capitation) drive value. 26:30 Understanding provider compensation in MA value-based payment and the synergies between managing MSSP and MA populations.
Emer de Bhailís, Macra na Feirme ag labhairt faoi méid a bhíonn ar bun acu.
Hikes in civil servant salaries, repatriating Burundian refugees, MACRA to authorize Facebook and YouTube monetization, abortion statistics soaring, the controversial MBC Entertainer of the Year Awards, and much more! Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at malawi@rorshok.com Like what you hear? Subscribe, share, and tell your buds."School Days" Movie https://youtu.be/FKAwxnNtuFo?feature=shared "The Hunters" Short Movie https://youtu.be/cEMBWzOQB6Y?si=woL8vN5pbfBR6wre Wanna avoid ads and help us financially? Follow the link:https://bit.ly/rorshok-donateOops! It looks like we made a mistake. In 4:13, the reader should have said "public," and in 5:10, she should have said "President's." In 5:43, she should have said "does," and in 7:10 she should have said "the move." In 8:07, the reader should have said "Women's," and in 8:35 she should have said "at." In 10:26, she should have said "customer."Sorry for the inconvenience!
Are there enough protections for farmers to keep them safe on their land? Young farmer Louise Crowley and Rob Lally Northwest VP of Macra na Feirme joined Adrian Kennedy on Lunchtime Live to discuss...
On Thursday's Morning Focus, Alan Morrissey was joined by Jennifer Rafferty from Sixmilebridge who is a member of Kilmurry Macra. Jennifer is getting ready to represent Clare Macra at this year's Queen of the Land festival. The annual event, taking place in the County Arms Hotel in Birr, County Offaly will run from Friday 10th until Sunday 13th of November.
Host Jim Tate talks to Jay Fisher, a subject matter expert on the MACRA/MIPS program. He provides insights into potential audits, the Cost Category, unintended consequences, and more. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
The Centers for Medicare & Medicaid Services is trying to cut physician Medicare payment yet again. Jennifer Hananoki, JD, assistant director on the AMA Federal Affairs team, joins to address the proposed 2024 Medicare physician pay schedule. She breaks down the 3.36% cut to physician reimbursement, plus what the MIPS scores for 2022 and Oct. 9 deadline to file an appeal mean for physicians. American Medical Association CXO Todd Unger hosts.
The Macra Terror"Production JJMarch 11 - April 1, 1967 The TARDIS travels to a future Earth colony that is like a holiday camp, but it holds a sinister secret. Podcaster John S. Drew and writer/editor Jim Beard join forces once again to become the masters of time and space as they watch and review every single episode of the Classic Doctor Who series. In this episode, they discuss emergence of Jamie, the swinging personality of the Doctor and the ways one gets multiple Macra out of one. Please make sure you are subscribed to our podcast via any of the major popular podcasting apps. You can write and comment or ask questions of us via email at thedoctorsbeardpodcast@gmail.com or by joining our Facebook community. Join our Patreon community where your sponsorship earns you early access to new episodes as well as exclusive content. Click on the link here to take you to the Patreon page.
MACRA-MultiChoice tariff dispute resolved, First Merchant Bank most capitalized company on Stock Exchange, price hikes in electricity tariffs, a new airline, a graduation gown to go to work, and much more.Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at malawi@rorshok.com Like what you hear? Subscribe, share, and tell your buds.Wanna avoid ads and help us financially? Follow the link:https://bit.ly/rorshok-donateOops! It looks like we made a mistake.In 3:59, the reader said "situations" instead of "stations" and in 5:53 he forgot to say "and."Sorry for the inconvenience!
TNM's loans, agreement between Malawi and Zambia on internet connection, MACRA and MultiChoice's debacle, political activist Bon Kalindo arrested, local artists to headline Sand Music Festival, and much more.Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at malawi@rorshok.com Like what you hear? Subscribe, share, and tell your buds.Wanna avoid ads and help us financially? Follow the link:https://bit.ly/rorshok-donateTNM Mpamba Launches Low-Interest Loans: https://web.facebook.com/Times360Malawi/posts/pfbid02r4TjEa5SLSADpxoj97J3stYuLcutUgTU6wAPx2TXVHECtKMytoiT3Bh41ua8HLuJlLucius Banda Song, Chingoni Cha Makolo: https://www.youtube.com/watch?v=ovop4lukNi0
MultiChoice Malawi and MACRA's conflict, fuel shortage, JCE and PSLCE exam results, new Auditor General for the National Audit Office, Kell Kay to bring Ayra Starr to Malawi, Mzuzu and Civo stadiums in bad conditions, and much more.Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at malawi@rorshok.com Like what you hear? Subscribe, share, and tell your buds.Wanna avoid ads and help us financially? Follow the link:https://bit.ly/rorshok-donateVideo - Bingu National Stadium Stripped of Toilet Sinks: https://twitter.com/mcbrams/status/1688592729347964951
Joe MagRaollaigh, Agriculture Correspondent, on a march by Macra na Feirme to raise awareness of issues facing young people in rural communities.
Passing the family farm down to the generations was often a cause for rift and division if not handled properly, but what if there isn't anyone to pass the farm on to anymore? Fewer than 6 per cent of farmers in Ireland are under 35, and with the closure of shops, pubs and post offices in villages all over Ireland, it seems that rural life is declining faster than ever. Elaine Houlihan is the President Elect of Macra NaFeirme, she's one of 30 people who'll walk overnight tonight from Athy in Co Kildare to Government Buildings to highlight the issues facing rural Ireland and to seek more support. She joined Sean to discuss…
In this episode:Mike and Ed discuss how to pronounce “Madam Macabre”. Is she a villain or just a Giant-Man competitor? Can we trust Giant-Man on this? How fast will growing/shrinking technology proliferate? And why is everyone with a superpower a hero or a villain? Why not just use your abilities to save some money or become an entrepreneur?Behind the issue:This is the first and only appearance (so far) of Madam Macabre. Part two of this issue is a Hulk feature, which is not covered in the podcast. The only public fact of the Hulk feature is that Bruce Banner is in the Soviet Union, and it is unclear if he is defecting or kidnapped again.In this issue:Giant-Man and the Wasp storyMadam Macabre is able to use technology to shrink inanimate objects. She is envious of Giant-Man's ability to shrink himself. And so she sets up a meeting with Giant-Man. She explains at the meeting that she was mentored and tutored by the supervillain the Mandarin. She then makes the pitch for Giant-Man to quit the Avengers and to partner with her in some vague plan to take over the world. Being the hero that he is, Giant-Man rejects the offer. She returns to her lair and schemes to defeat the Giant-Man. The step in this scheme is to kidnap the Wasp, which lures Giant-Man to her lair. He is trapped in a shrinking room, but the Wasp breaks free and rescues him. The Wasp then successfully defeats Madam Macabre and frees Giant-Man.Hulk storyThe Hulk is trapped in the Soviet Union. A kindhearted Soviet scientist helps him out, but he is killed. This causes the Hulk to become very angry. He goes on a rampage at the Soviet base, where he is stuck for a while, and eventually escapes.Assumed before the next episode:People are starting to wonder about all of the superheroes and supervillains with similar powers.This episode takes place:After Madam Macabre has been soundly defeated.Full transcript:Edward: Mike first there was giant man, then there was the wasp, and now is there. There is mad. Mc, oh my gosh. I can't even say the word. You can't say it, eh, I can't say it. Madam Mc mc macur mebrak. Madam. I can't, I can read the word Mike. I just can't say it out loud.Micheal: I think you need to start watching some old films. Macra describes like some old classic film noir, if I'm thinking of it correctly, but certainly it's a word. MaccaEdward: Mac. But here's The Thing. You should do so. So say the. First person who can shrink ant man, first person that can grow. Giant man. Very descriptive names. The wasp also like descriptive as in small animal. You'd think that Spider-Man could also shrink, but no, he doesn't. But this new person who has the ability to grow and shrink things, Madam Mak, uh, has nothing to do with, with changing size. Like what type of name?Micheal: Well, it's not descriptive, but, I would award points for originality. I think the intention behind calling yourself Madam Mac is that you're suggesting some malhi days. You know, you're suggesting some mallin, some malicious intent. Right. And, certainly some, darkness to her. And she was according to giant man, she was, Villain who could shrink. Just like him, right?Edward: And according to giant man, she was like stealing something that, like a art gallery or something. She was breaking in and stealing stuff and they caught her. To be fair though, we only have giant man's word on that. We have No, I don't, I dunno if there's any evidence that she was actually doing that other than giant man say so.Micheal: Other than name, other than the word of an unknown vigilant, master vigilante who happens to have captured someone with the exact same power set as him. It seems, if I was being cynical, I would say that I would question whether a giant man is trying to take out the competition. But we know he is, he's been a hero. It's just that, that he's also human, I think, and so maybe he just felt threatened by having somebody with the same power. Being out in society?Edward: I would think so. You can look at the timeline of it, right? So the timeline was Madam Mebrak. I'll look at that. I can say it now. Thank, thank, thank you for this education. Madam Macabre, she becomes semi-famous. So she's in the papers. Mm-hmm. , she has this special ability, she's not committing crimes. She's just advertising her ability to say, Hey, I figured out this technology. I too have the ability to grow and shrink. And then shortly afterwards, giant Man comes out and. . Yeah, but she needs to go to jail cuz she's a criminal. So the timing is a little bit suspicious in terms of him shutting her.Micheal: Yeah, it is. And the adventures have all had, they've recently had some issues that we've observed when they appear to be acting in their own interests after a few years of acting heroically. So we just don't know what to make of it. And I would assume people will find out more at the criminal trial, but much like any trial you need to have, you need. Evidence for witnesses who could be identified. And so Thank you. I would imagine she go, she might go, she might go free, you know, like, cuz it's just the word of a vigilante. So an Avenger's,Edward: an official, he's an official vigilante though. He's working for somebody. We're not exactly sure who, but he's working for somebody. We think he's like at least semi-official. I think what, to me, what's interesting about this is two things. One is that, sooner or later this technology is going to get out, right? We know, we've seen from other evidence that giant man's powers don't come from the fact that he was experimented on or some sort of magic radiation, it's some sort of pills that he was taking, and so mm-hmm. , it's a technology that he has that's able to go and do this. And we know from the past that once someone has the technology, it gets spread, right? Like the Americans were the only ones with the nuclear bomb in 1945. And like by 1950 there was at least four or five countries with the nuclear bombs. And so, it feels like this technology is gonna get out there. Once we know it exists, someone's gonna be able to d.Micheal: But I don't think there's any evidence that, Madam MCC Abra had got the technology. You know what I mean? It's more. I wonder if it's just it's more the idea that gets out there.Edward: That's right. That's right.Micheal: Where she learns that somebody can shrink through some kind of process and so she creates it or duplicates it in her own way because there's historical precedent for that as well. At least when it comes to people, meeting challenges and surpassing.Edward: Yeah, I'm not claiming that she stole his abilities. And as far as I know, giant man isn't even claiming that she stole his abilities. And so, no, he has reason to claim that she is and he's not. So it suggests that no, she came up with it independently. But we've seen that happen again and again in different technological situations like both in scientific theory and in technology, right? So, like Isaac Newton is credited with inventing the theory of gravity and calculus, but if he hadn't, there was, there were a number of other people that were waiting in the wings who would be publishing the same things soon afterwards. It's very rare that a scientist is doing it, and if they weren't around that nobody would've ever come up. .Micheal: And it suggested inevitability to the scientific process, but also even just with respect to humanity and people. Remember that people thought the four minute not be run and then as soon as Roger's Banister, broke that record, ran the four minute mile, what was it a month and a half later, someone beat that record and then people thereafter continued beating that record, just suggests that as soon as people could see that it was possible, it became possible for.Edward: That's right. It was Landy or something. It was 46 days after Banister broke the four minute mile. It was, John Landy came out and beat it. Mm-hmm. and, and, and, and, and banister just barely beat it. Like he was point happened to be half a second faster than the four minute mile. And then Landy came in and like blew past him, was Two seconds faster, like a few days later. And since then a number of people have break broken the four minute mile. I think it's interesting before Banister did it, doctors were saying that anybody who's going to be able to break, anyone who attempts to break the four minute mile will die. I think that was the quote. They will die. It is so hard on the human body. If you ever run that fast, you will die. And now we've no, absolutely not true. And other people are training for it, and they know that it's possible. They know that it's something that you can achieve. And now we know shrinking the human body down to the size of an ad is something that we can achieve.Micheal: That's it. And I think that's the take home message really. And the question lends itself to whether other superpowers are gonna be, duplicated and we're gonna start seeing more. But you gotta wonder sometimes, have we. I don't think we have, but have we hit maximum powers? You know, we have people that can grow large, they can grow small, they can get strong, they can uh, theyEdward: can fly. We talked about Thor last week. He'd fly really fast.Micheal: They can fly really fast. And I are we gonna see a lot of different powers, you know what I mean? Or is this just that we've hit the max powers and our, we're gonna see versions of it come out, with more shrinking and whatever.Edward: Could be, could be, I dunno. But it feels like we're still seeing a significant amount of variety happening, right? It wasn't that long ago that Sandman popped up and he's, the ability to turn into sand like that seems pretty unique and different from everybody else. Spider-Man's power different than other people. I guess some things, like he being really strong or flying seems to be common, but we're also getting we're still seeing lots of variety. Just because we have somebody else shrinking doesn't mean that this is it. It's not the end of, it's not the end of the beginning, Mike. This is just not even the beginning of the end.Micheal: We're continuing on. Here's the other question that I had though I have to admit, it's been bothering me. So, you know, when you, when youEdward: tell me your therapist today,Micheal: my therapy session, so Dr. Ed, here's what's been on my mind, and it might just be because it's unreported, but it seems that when people developed a technology or developed powers, they go one of two ways in quite a binary sense. They either become superpowered Adventurers or they become criminals, and you know what, I'm just like, well, wait a minute, isn't there like a third path where let's say for instance, I was inspired to develop technology, to learn how to grow taller or shrink Maybe I wouldn't decide to quit my job as a lawyer and become an adventurer, or certainly become a criminal. I just decide well, I gotta reach that can, on the top shelf in my kitchen, I'm just gonna grow. Instead of grabbing, going in the step ladder or I, I move in, I decide like, you know what? I wanna maybe downsize a little bit. Literally, I get a smaller apartment in New York and I can fiddle up more furniture, or I can get around more easily in my own apartment. It just fiddle. I don't know.Edward: It's like that you have like a very spacious apartment. All of a sudden. Your television is enormous. You have the biggest screen television in the whole world.Micheal: You know, or maybe I wanna save on food and maybe, I dunno if this is how it works, but I shrink cuz I, I could just order small portions everywhere, and just like nibble away for like a week on something. You know, this loaf of bread, one loaf of bread fills me up. Maybe eating a lot of bread isn't a good idea, but you know what I mean? , and so, but I just gotta wonder. And there's not just, there's other technologies. Like if I had the power to turn Invisible again, would I join a super team or break into a bank or would I more likely turn Invisible so I can, when I'm walking home in the evening, I don't want to pop,Edward: I don't wanna hear who you're spying on. Mike, I don't want to hear, I don't want, this is not time replace . Hey, I think, I think you're coming onto something right? Of like, Hey, you have these, if you had these abilities, if this technology was out there, you don't have to go and fight criminals and you don't have the best way to help society is not necessarily to go and help criminals. Maybe if you had this power to grow and shrink instead of stealing art, you could just start a moving. Imagine how efficient your moving company would be. They could just, you go to someone's house, you're like, no problem. We'll just shrink your whole house down. Bang, we'll throw it into an envelope. We'll ship it to the new place and then we'll just grow it again. And we can be the most efficient, fastest, we can charge a much lower rate and make much higher margins. And like all of a sudden we have a nice little business going.Micheal: Yeah, exactly. Or what if I could be like a Human Torch, I could just, save money on my heating bill every month.Edward: so like, here's The, Thing, . Every time you get a power, you're looking for a way to, to save some sense. I think the better look for growth opportunities. Look for ways to increase your revenue. Don't just cut your cost. You can't shrink yourself into success, Mike.Micheal: You know what? That's a good point. And this is why we're buddies. So this is, I'll bring the pessimism. You bring the optimism . This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.superserious616.com
This week Jim chats with Ryan Shay, the Director of Government Relations and Regulatory Affairs at Faegre Drinker, about current events on the Hill. Ryan Shay is a Capitol Hill veteran and former legislative director with the policy experience, political insight, and relationships in the legislative and executive branches to advance clients' legislative and regulatory goals. For more than seven years, he served on active legislative teams in both the U.S. Senate and U.S. House of Representatives and successfully led the policy development, legislative strategy and advocacy execution to secure multiple legislative provisions into federal law to improve our nation's health care policies. After working in three different state delegations, Ryan has a strong track record of delivering meaningful health policy results even as Congress responded to opioid/heroin epidemic, the Zika outbreak, MACRA implementation, efforts to repeal the Affordable Care Act (ACA), prescription drug debates and the unprecedented policy challenges of the COVID-19 pandemic. Help us grow! Leave us a rating and review - it's the best way to bring new listeners to the show. Don't forget to subscribe! Follow The Political Life on Facebook, Instagram, LinkedIn and Twitter for weekly updates.
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