Podcasts about medicaid services

Learn more about how the Telephone Consumer Protection Act applies to insurance agents. ⚠️ Spoiler Alert: the TCPA also applies to text messages.   Read the text version  

Get ready to host a Medicare educational event with help from the Agent Survival Guide! We highlight what agents need to know to stay compliant with your carriers and CMS Rules. Read the text version  

The Friday Five for November 21, 2025: Update on Telehealth Prescription Flexibilities Google Calendar Tasks Feature Medigap F, G & J Deductibles for 2026 Medigap K & L Out-of-Pocket Limits for 2026 Medicare Part A & B Premiums & Deductibles + MA, MAPD & Medicare Part D Premium Projections   Get Connected:

Nothing stays the same. Your clients' health needs, financial situations, and the Medicare industry itself can change each year. Learn how to best help your clients switch coverage with these 7 scenarios.    Read the text version   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 4 Reasons Why Ritter Insurance Marketing Should Be Your FMO Insurance Agency 5 Tips to Make the Most of AEP How to Check Medicare Extra Help Eligibility for Your Client Register with Ritter Insurance Marketing The Benefits of Selling D-SNPs The Ritter Blog What to Know When Replacing Existing Med Supp Plans for Clients   References: Emerson, Jakob. “32 Health Systems Dropping Medicare Advantage Plans | 2024 - Becker's Hospital Review | Healthcare News & Analysis.” Beckershospitalreview.Com, Becker's Hospital Review, www.beckershospitalreview.com/finance/15-health-systems-dropping-medicare-advantage-plans-2024/. Accessed 29 Oct. 2025. “2024 Medicare Advantage and Part D Star Ratings.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/2024-medicare-advantage-and-part-d-star-ratings. Accessed 29 Oct. 2025. Pifer, Rebecca. “Humana and CVS Are Downsizing Their Medicare Advantage Plans for 2025. Which Insurers Could Benefit?” Healthcaredive.Com, Healthcare Dive, 10 June 2024, www.healthcaredive.com/news/humana-cvs-medicare-advantage-benefit-plan-cuts-2025-unitedhealth/716764/.   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.

The Friday Five for November 14, 2025: iPhone Pocket Brings Back… Pockets. CMS Rural Health Transformation Program Government Shutdown Update Most-Favored Nation Drug Pricing CMS GENEROUS Model   Get Connected:

Jump in the time machine with us as we travel back circa 2005 for the first Medicare Annual Enrollment Period, the debut of Medicare Advantage, Medicare Part D, two new Med Supp plans, and more!   Read the text version   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 4 Ways PlanEnroll Will Make This Your Best AEP Yet 4 Reasons Why Ritter Insurance Marketing Should Be Your FMO Insurance Agency 5 Medicare Myths Your Clients May Believe 10 Tips to Submitting an Error-Free Medicare Enrollment Application 2026 Medicare Part D Bid Info Likely Means Higher Premiums & Plan Disruption — Here's Why A Review of Integrity's Top Medicare Quoting Tools How Insurance Agents Can Use AI Tools How Storytelling Helps Agents Quickly Connect with Clients ft. Don Connelly IntegrityCONNECT & PlanEnroll FAQs Register with RitterIM.com Risk Adjustment & Finding Value Beyond Coding Changes ft. Dr. Shannon Decker The Future of Medicare Part D: The Push Toward MAPD The Ultimate Agent Resource List Pt. 3: Staying Organized   References: “2005 CMS Statistics.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/research-statistics-data-and-systems/statistics-trends-and-reports/medicaremedicaidstatsupp/downloads/2005_cms_statisticspdf. Accessed 21 Oct. 2025. “2025 Medicare Parts A & B Premiums and Deductibles.” CMS.Gov, Centers for Medicare & Medicaid Services, 8 Nov. 2024, www.cms.gov/newsroom/fact-sheets/2025-medicare-parts-b-premiums-and-deductibles. McManus, Melanie Radzicki. “A Short History of How Netflix Won World Domination in Streaming.” Entertainment.Howstuffworks.Com, HowStuffWorks, 21 Dec. 2018, entertainment.howstuffworks.com/short-history-netflix-world-domination-streaming.htm. “Beneficiaries with Special Needs Can Get Help from Medicare Managed Care Plans.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/beneficiaries-special-needs-can-get-help-medicare-managed-care-plans. Accessed 21 Oct. 2025. Laschober, Mary. “Estimating Medicare Advantage Lock-In Provisions Impact on Vulnerable Medicare Beneficiaries.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/05springpg63pdf. “IPod Shuffle (1st Generation).” Apple.Fandom.Com, Apple Wiki, apple.fandom.com/wiki/IPod_shuffle_(1st_generation). Accessed 21 Oct. 2025. “K & L Out-of-Pocket Limits Announcements.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/medicare/health-drug-plans/medigap/k-l-out-of-pocket-limits-announcements. Accessed 21 Oct. 2025. “Medicare Advantage and Medicare Prescription Drug Programs to Remain Stable as CMS Implements Improvements to the Programs in 2025.” CMS.Gov, Centers for Medicare & Medicaid Services, 27 Sept. 2024, www.cms.gov/newsroom/press-releases/medicare-advantage-and-medicare-prescription-drug-programs-remain-stable-cms-implements-improvements. Freed, Meredith, et al.  “Medicare Advantage 2025 Spotlight: A First Look at Plan Offerings.” KFF.Org, KFF, 9 Aug. 2025, www.kff.org/medicare/medicare-advantage-2025-spotlight-a-first-look-at-plan-offerings/. Freed, Meredith, Jeannie Fugleston Biniek, et al. “Medicare Advantage 2025 Spotlight: A First Look at Plan Premiums and Benefits.” KFF.Org, KFF, 9 Aug. 2025, www.kff.org/medicare/medicare-advantage-2025-spotlight-a-first-look-at-plan-premiums-and-benefits/. “Medicare Part B Immunosuppressive Drug Benefit.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/partbid-provider. Accessed 21 Oct. 2025. “Medicare Demonstration to Transition Enrollment of Low Income Subsidy Beneficiaries .” Cms.Gov, Centers for Medicare & Medicaid Services, 8 June 2006, www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/Downloads/MemoLTCContracting_060806.pdf. “Medicare Part B Income-Related Monthly Adjustment Amount.” Federalregister.Gov, Federal Register, www.federalregister.gov/documents/2006/10/27/E6-17690/medicare-part-b-income-related-monthly-adjustment-amount. Accessed 21 Oct. 2025. Cubanski, Juliette, and Anthony Damico. “Medicare Part D in 2025: A First Look at Prescription Drug Plan Availability, Premiums, and Cost Sharing.” KFF.Org, KFF, 9 Aug. 2025, www.kff.org/medicare/medicare-part-d-in-2025-a-first-look-at-prescription-drug-plan-availability-premiums-and-cost-sharing/. “Medicare Program Description and Legislative History.” Ssa.Gov, Social Security Administration, www.ssa.gov/policy/docs/statcomps/supplement/2006/medicare.html. Accessed 21 Oct. 2025. “Medicare Program; Establishment of the Medicare Advantage Program.” Federalregister.Gov, Federal Register, https://www.federalregister.gov/documents/2005/01/28/05-1322/medicare-program-establishment-of-the-medicare-advantage-program. Accessed 21 Oct. 2025. “Part D / Prescription Drug Benefits.” Medicareadvocacy.Org, Center for Medicare Advocacy, 30 May 2025, medicareadvocacy.org/medicare-info/medicare-part-d/. “Pop Culture in Review for the Year 2005.” Mrpopculture.Com, Mr. Pop Culture , 29 Nov. 2023, mrpopculture.com/pop-culture-in-review-for-the-year-2005/. "The Medicare Advantage program: Availability, benefits, and special needs plans - Chapter 9." Medpac.Gov, Medpac.gov, www.medpac.gov/wp-content/uploads/import_data/scrape_files/docs/default-source/reports/Jun06_Ch09.pdf. Accessed 21 Oct. 2025. Gold, Marsha. “The Landscape of Private Firms Offering Medicare Prescription Drug Coverage in 2006.” Modern.Kff.Org, The Henry J. Kaiser Family Foundation, www.kff.org/wp-content/uploads/2013/01/7474.pdf. Accessed 21 Oct. 2025. “The next Generation of Medicare Beneficiaries - Chapter 2.” Medpac.Gov, Medpac.gov, www.medpac.gov/wp-content/uploads/import_data/scrape_files/docs/default-source/reports/chapter-2-the-next-generation-of-medicare-beneficiaries-june-2015-report-.pdf. Accessed 21 Oct. 2025. Crowder, Courtney. “Throwback: Pop Culture Trends of 2005.” Usatoday.Com, USA Today, 30 July 2015, www.usatoday.com/story/entertainment/2015/07/30/pop-culture-trends/30739417/. “Update to Medicare Deductible, Coinsurance and Premium Rates for 2006.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R31GI.pdf. Accessed 21 Oct. 2025. “Variation and Trends in Medigap Premiums.” Aspe.Hhs.Gov, U.S. Department of Health and Human Services Assistant Secretary for Planning and Evaluation, aspe.hhs.gov/sites/default/files/migrated_legacy_files/43721/index.pdf. Accessed 21 Oct. 2025. Hosch, William L. “YouTube.” Britannica.Com, Encyclopædia Britannica, inc., 19 Oct. 2025, www.britannica.com/topic/YouTube.   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.

The White House has struck a deal with two more drugmakers: Eli Lilly and Novo Nordisk. Centers for Medicare and Medicaid Services administrator Dr. Mehmet Oz discusses the administration's plan to make GLP-1s more affordable for Americans. Tesla shareholders voted to approve Elon Musk's $1 trillion pay package, as long as he reaches their lofty goals for the company. Musk biographer Walter Isaacson discusses the plan of milestones and Musk's history of exceeding investor expectations. Plus, U.S. airlines are beginning to cancel flights to manage shutdown-strained staffing of air traffic controllers, and Warren Buffett issued a warning on AI.  Dr. Mehmet Oz - 21:43Walter Isaacson - 38:56 In this episode:Dr. Mehmet Oz, @DrOzJoe Kernen, @JoeSquawk Andrew Ross Sorkin, @andrewrsorkinKatie Kramer, @Kramer_Katie Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

CMS plans to simplify prior authorization for Medicare beneficiaries beginning in 2026. Listen to learn more about changes coming to Medicare Advantage and Original Medicare!   Read the text version  

Have you heard? The definition of Short-Term Limited Duration Insurance has changed. We unpack what it means for insurance agents!   Read the text version  

In this episode we review key CMS regulations agents must follow to stay compliant during Medicare sales. Bonus? These steps also help educate and inform your clients!   Read the text version   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: Fact vs. Fiction: Examining the Medicare Part B Premium Giveback Formularies & Covered Drugs – Knight School Training How to Check Medicare Extra Help Eligibility for Your Client How to Help Clients Avoid Medicare Late Enrollment Penalties How to Help Your Clients Get the Most Out of Their Medicare Advantage Plans Insurance Agents as TPMOs: What CMS Compliance Regulations Mean for You Medicare Grievances & How Insurance Agents Can (Try To) Prevent Them MA & PDP Compliant Sales Checklist PDF Download SNPs: The Secret to Surviving Lock-in The 2026 Medicare Part D Redesign Updates Agents Should Know The Beginner's Guide to C-SNPs The Beginner's Guide to D-SNPs The Difference Between Medicare & Medicaid: What That Means for Insurance Agents What Agents Can't Say During Medicare Sales Appointments What to Know About SOAs in Medicare Health and Prescription Drug Plan Sales   References: “Agent and Broker Training & Testing Guidelines.” CMS.Gov, Centers for Medicare & Medicaid Services, https://www.cms.gov/files/document/cy2025-agent-broker-training-testing-guidelines.pdf. Accessed 14 Oct 2025. “Agent and Broker Training & Testing Guidelines.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/cy2026agentbrokertrainingtestingguidelinespdf.pdf. Accessed 15 Oct. 2025. “Costs.” Medicare, www.medicare.gov/basics/costs/medicare-costs. Accessed 14 Oct. 2025. “Contract Year 2025 Medicare Advantage and Part D Final Rule (CMS-4205-F).” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/contract-year-2025-medicare-advantage-and-part-d-final-rule-cms-4205-f. Accessed 14 Oct. 2025. “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. Accessed 15 Oct. 2025. “Emergency Department Services.” Medicare.Gov, Medicare, www.medicare.gov/coverage/emergency-department-services. Accessed 14 Oct. 2025. “Medicare Communications and Marketing Guidelines (MCMG) Date: 02/09/2022.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/medicare-communications-marketing-guidelines-2-9-2022.pdf. Accessed 14 Oct. 2025. Seladi-Schulman, Jill. “Medicare IRMAA: What Is It and When Does It Apply?” Healthline, Healthline Media, 22 Apr. 2025, www.healthline.com/health/medicare/what-is-irmaa. “Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments.” Federalregister.Gov, Federal Register, www.federalregister.gov/documents/2024/07/31/2024-14828/medicare-and-medicaid-programs-cy-2025-payment-policies-under-the-physician-fee-schedule-and-other. Accessed 14 Oct. 2025. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” FederalRegister.Gov, Federal Register, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare. Accessed 15 Oct. 2025. “Out-of-Pocket Maximum/Limit.” HealthCare.Gov, www.healthcare.gov/glossary/out-of-pocket-maximum-limit/. Accessed 14 Oct. 2025.   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.

There is word today that some staff at the Centers for Medicare and Medicaid Services are coming back to work this week. In this case, we're talking specifically about the employees who process invoices and payments for government contractors. But even if that happens as planned, they'll be facing a big backlog of work, and that's likely to mean payment delays for vendors. A lot to talk about this week with Stephanie Kostro. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

You've worked hard all year to prepare for AEP, but you're not at the finish line yet! Listen to this installment of the Agent Survival Guide Podcast for tips on how to maximize your success this AEP.   Read the text version   Meet your personal AI assistant: Ask Integrity   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 4 Ways PlanEnroll Will Make This Your Best AEP Yet Announcing the Launch of IntegrityCONNECT Ask Integrity Content Library: Mastering Medicare Coverage ft. Jeff Snyder How Insurance Agents Can Use AI Tools How to Better Market Yourself How to Prepare for AEP Like a Pro Secure a Bigger, Better Business with Ancillary Products The Insurance Agent's Guide to Establishing Successful Affinity Partnerships FREE eBook The Survivor's AEP Checklist What Agents Forget to Do When Preparing for Appointments   References: “Medicare + Fraud, Waste, and Abuse (MFWA) Online Course.” AHIP Medicare Training, https://www.ahipmedicaretraining.com/page/login. Accessed 14 Oct. 2025. “Medicare Open Enrollment.” CMS.Gov, Centers for Medicare & Medicaid Services, https://www.cms.gov/priorities/key-initiatives/medicare-open-enrollment-partner-resources. Accessed 13 Oct. 2025.   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.

Matt Lund (Chief Contracting Officer, UW Medicine) walks us through the models behind how we get paid at UW Medicine. He delineates the CMS (Centers for Medicare and Medicaid Services) methodologies for determining reimbursement amounts for different hospitals, clinics, and providers. Factors considered include the amount of medical education conducted, the amount of uncompensated care provided, complexity of procedures, and locality of the hospital among others. Matt explains the intricacies behind why we don't always get reimbursed at the amount for which we bill, adding examples of how providers can ensure we receive the best reimbursement for any care given. Finally, he considers fee-for-service and value-based care as we continuously move towards our financial and mission-driven goals. Music by Kevin MacLeod (https://incompetech.com/)

We're discussing Raising the Bar in Value Based Primary Care Payment! Faisel and Dan are joined by Purva Rawal, PhD, Former Chief Strategy Officer, CMS Innovation Center at Centers for Medicare & Medicaid Services.Our conversation revolves around navigating changing healthcare policies, unlearning fee for service as the default, and leveraging community relationships within alternative care models.

Dr. Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services, joins Meet the Press NOW to talk about the Affordable Care Act and says President Trump has a plan to replace it. Rep. Adam Smith (D-Wash.), the ranking member on the House Armed Services Committee, reacts to the canceled meeting between President Trump and Russian President Vladimir Putin in Budapest. NBC News Senior Homeland Security Correspondent Julia Ainsley reports on new ICE agent recruits who were placed into the agency's training program without full vetting.  Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The Centers for Medicare & Medicaid Services appears to be quietly considering Palantir to support its yearslong efforts to build a national provider directory for health care providers and patients across the country. Federal spending records show Palantir to be one of four recipients to receive awards from the Department of Health and Human Services and CMS containing the phrase “national provider directory” and “proof of concept.” The four separate contracts, made public Sept. 30, award $1 to each company and are set to expire Nov. 13. Two sources familiar with the efforts told FedScoop these contracts are for a prototype product with CMS. One source confirmed the prototype is for the agency's national provider directory, an effort the agency has been exploring for years. CMS has suggested the directory could serve as a centralized data hub for health care provider and facility information nationwide. The move marks the latest sign of civilian agencies' growing interest in Palantir, which offers extensive data integration and analytics capabilities. The Department of Energy is requesting proposals for the buildout and maintenance of AI data centers and energy generation infrastructure in and around Oak Ridge National Laboratory. In an RFP published last week, the national lab's site and environmental management offices said they are seeking proposals from entities interested in entering into long-term leases in Oak Ridge, Tenn. The work on those DOE sites would include “designing, financing, permitting, developing, constructing, installing, owning, maintaining, operating, and decommissioning AI data center and/or energy generation infrastructure,” per the posting. For those sites, Oak Ridge is specifically seeking construction of data center facilities with specialized computing equipment, cooling facilities, infrastructure for energy supply, transmission and storage, and other related equipment and facilities. The DOE said entities responding to the RFP could be private-sector companies with experience in the development and operation of AI data centers, advanced computing facilities or energy storage. The Daily Scoop Podcast is available every Monday-Friday afternoon. If you want to hear more of the latest from Washington, subscribe to The Daily Scoop Podcast  on Apple Podcasts, Soundcloud, Spotify and YouTube.

Dr. Mehmet Oz, the administrator of the Centers for Medicare and Medicaid Services, joins Lisa Dent to discuss the Medicare enrollment process. Dr. Oz shares that the deadline for Medicare enrollment is December 7th. He encourages families to get involved in the enrollment process for the older people in their life. 69 million Americans over 65 […]

In a few months, Washingtonians on Medicare could see additional hurdles when it comes to getting approval for their procedures and care. . That’s because the Trump Administration is exploring the use of prior authorizations to assess whether medical services are necessary for a patient. If it isn’t, the procedures may not be covered. Prior authorization is a common practice in the insurance industry but not in Medicare. The U.S. Centers for Medicare and Medicaid Services says the tool will help weed out waste and fraud. And it says it will use AI to help make eligibility decisions. Washington is one of six states that will pilot the program, starting in January. GUEST: Darius Tahir - Correspondent for KFF News RELATED LINKS: AI Will Soon Have a Say in Approving or Denying Medicare Treatments Health Care AI reviews rolling out for Medicare in WA for some procedures WISeR (Wasteful and Inappropriate Service Reduction) Model Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.

Amy talks with American television presenter, physician, author, educator, and government official serving as the 17th administrator of the Centers for Medicare & Medicaid Services Dr. Oz.

Though ICE, the Department of Homeland Security, and the Centers for Medicare and Medicaid Services denied their Freedom of Information Act requests, these journalists aren't giving up without a fight—not until they get their hands on a document that outlines how much information Medicaid is sharing with ICE. Guest: Joseph Cox, cofounder of 404 Media.  Want more What Next TBD? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Podcast production by Evan Campbell, and Patrick Fort. Learn more about your ad choices. Visit megaphone.fm/adchoices

Though ICE, the Department of Homeland Security, and the Centers for Medicare and Medicaid Services denied their Freedom of Information Act requests, these journalists aren't giving up without a fight—not until they get their hands on a document that outlines how much information Medicaid is sharing with ICE. Guest: Joseph Cox, cofounder of 404 Media.  Want more What Next TBD? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Podcast production by Evan Campbell, and Patrick Fort. Learn more about your ad choices. Visit megaphone.fm/adchoices

Though ICE, the Department of Homeland Security, and the Centers for Medicare and Medicaid Services denied their Freedom of Information Act requests, these journalists aren't giving up without a fight—not until they get their hands on a document that outlines how much information Medicaid is sharing with ICE. Guest: Joseph Cox, cofounder of 404 Media.  Want more What Next TBD? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Podcast production by Evan Campbell, and Patrick Fort. Learn more about your ad choices. Visit megaphone.fm/adchoices

Though ICE, the Department of Homeland Security, and the Centers for Medicare and Medicaid Services denied their Freedom of Information Act requests, these journalists aren't giving up without a fight—not until they get their hands on a document that outlines how much information Medicaid is sharing with ICE. Guest: Joseph Cox, cofounder of 404 Media.  Want more What Next TBD? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Podcast production by Evan Campbell, and Patrick Fort. Learn more about your ad choices. Visit megaphone.fm/adchoices

Though ICE, the Department of Homeland Security, and the Centers for Medicare and Medicaid Services denied their Freedom of Information Act requests, these journalists aren't giving up without a fight—not until they get their hands on a document that outlines how much information Medicaid is sharing with ICE. Guest: Joseph Cox, cofounder of 404 Media.  Want more What Next TBD? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Podcast production by Evan Campbell, and Patrick Fort. Learn more about your ad choices. Visit megaphone.fm/adchoices

Episode Description:  Listen as Kim Beer, Senior Vice President of Policy and External Affairs with the National Health Council, and Dermatologist, Dr. Jeffrey Cohen discuss the 2025 Medicare changes in relation to psoriatic disease and what's to come in 2026 with Jason Harris, Vice President of Government Relations and Advocacy at NPF.  Join this discussion about what changes occurred with Medicare in 2025 that impact psoriatic disease care, outcomes to date, what's to come in 2026, and what you should consider when choosing health care plans during open enrollment with Kim Beer, Senior Vice President of Policy and External Affairs with the National Health Council, Dermatologist, Dr. Jeffrey Cohen, Director of the Psoriasis Treatment Program at Yale University School of Medicine, and Jason Harris, Vice President of Government Relations and Advocacy at NPF.  The intent of this episode is to increase knowledge of the 2025 Medicare changes, what's to come, and how such changes impact psoriatic disease from coverage of prescriptions to overall health care. This episode is sponsored by Novartis. Timestamps:   (0:24) Intro to Psoriasis Uncovered and guest welcome Kim Beer, Senior Vice President of Policy   and External Affairs with the National Health Council, and Dermatologist, Dr. Jeffrey Cohen, Director of the Psoriasis Treatment Program at Yale School of Medicine. (2:25) Perspectives on current health care coverage in Medicare.    (5:14) Biggest changes to Medicare in 2025. (6:36) What is the Medicare Prescription Payment Plan and price negotiation for specific medications. (8:22) Challenges associated with the 2025 Medicare changes from a physician's perspective. (13:10) Price negotiation process via CMS  (Centers for Medicare and Medicaid Services) with the first 10 drugs price effective in 2026.   (17:52) Plan ahead and what to anticipate when choosing the right Medicare plan. (20:04) What the National Health Council and other patient advocacy organizations are doing to assess the impact of the CMS changes and identify steps for moving forward. (21:49) Medicare changes for 2026 that affect deductibles for health care services, prescription drug coverage, and vaccinations. (28:38) Potential assistance options for people who have Medicare insurance. (31:32) The role of patients in providing feedback on policy changes. (33:45) Changing from a commercial insurance plan to a Medicare Plan and what to think about when viewing plan options during the open enrollment period. (37:07) Be part of the process – let your voice be heard by sharing your experiences to help effect change. 3 Key Takeaways: ·       There are four key parts to Medicare health insurance (Part A, B, C and D) which underwent changes in 2025 including a payment cap for prescriptions and availability of a 12 month Prescription Payment Plan to opt in for medications. Additional changes are coming in 2026 including enactment of a price negotiated list of 10 medications. ·       The impact of such changes are both positive (better predictability and affordability) yet also reactionary. Such changes and potential impact should be considered when identifying plan coverage for health care and prescriptions during the open enrollment Medicare period of October 15 to December 7th.   ·       Be involved by telling your story about the impact of Medicare changes and find a trusted health care provider who is willing to work with you to identify an effective treatment plan that aligns with your health care needs and coverage. Guest Bios:   Dermatologist Jeffrey Cohen, M.D., MPH, is the Director of the Psoriasis Treatment Program and the Director of Safety with the Department of Dermatology at Yale University School of Medicine where he is also an Associate Professor of Dermatology and Biomedical Informatics and Data Science. Dr. Cohen treats a variety of skin conditions with a special interest in diseases of the immune system such as psoriasis and eczema tailoring treatments for each individual. He is the author of over 150 peer-reviewed articles on psoriasis and other topics in dermatology. Dr. Cohen serves on the Editorial Board of the Journal of the American Academy of Dermatology, is a Senior Editor for NPF's professional journal for health care providers Journal of Psoriasis and Psoriatic Arthritis, is a Councilor of the International Psoriasis Council, and serves on the Medical Board of the National Psoriasis Foundation.  Kimberly (Kim) Beer is Senior Vice President of Policy and External Affairs at the National Health Council (NHC) of which the National Psoriasis Foundation is a member. Kim leads strategic policy initiative and advocacy efforts to improve the lives of individuals with chronic conditions and disabilities. As a member of the NHC's executive leadership team, she helps to ensure access to high-quality, affordable healthcare for all Americans which includes advocating for policy and health care benefits within Medicare. Resources: For more reources and information about Medicare Contact the Patient Navigation Center to learn more about Medicare, find a health care provider, learn about treatments, or programs that may lower costs.   

Discusses the Centers for Medicare & Medicaid Services' proposed rule for the 2026 hospital outpatient prospective payment system and ambulatory surgical centers. Our guest today is Eric Tower, a partner at the law firm Blank Rome. Eric serves as a trusted advisor to healthcare clients on a wide range of corporate transactional and operational matters. He is well-versed in handling mergers and acquisitions, joint ventures, fraud and abuse compliance, physician practice acquisitions, financing, litigation, and corporate governance matters. Additional resources: CMS fact sheet: https://www.cms.gov/newsroom/fact-sheets/calendar-year-2026-hospital-outpatient-prospective-payment-system-opps-and-ambulatory-surgical Impact of Recent CMS Rule on Site Neutrality and 340B Programs—Implications for Oncology Services: https://www.blankrome.com/publications/impact-recent-cms-rule-site-neutrality-and-340b-programs-implications-oncologyCITI Program's course catalog: https://about.citiprogram.org/course-catalog  

Recently, a federal court vacated the Centers for Medicare & Medicaid Services 2023 Risk Adjustment Data Validation (RADV) Final Rule.This action is reshaping the landscape for Medicare Advantage compliance. The rule had authorized contract-level extrapolation and eliminated the longstanding fee-for-service (FFS) adjuster — two changes that dramatically increased the potential scale of overpayment recoveries.Reporting this developing story during the next live edition of Monitor Monday will be senior healthcare analyst Frank Cohen,The weekly broadcast will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Adam Brenman, senior legislative affairs analyst for Zelis, will report on the news happening at the intersection of healthcare and congressional action.

Several high-profile cases are on the docket as the supreme court returns from summer recess, many of which will provide a definitive ruling on whether President Trump overstepped the boundaries of his executive powers by ordering wide-ranging tariffs. FOX News Senior National Correspondent Rich Edson joins the Rundown to break down what those cases are, from the legality of President Trump's tariff policies to birthright citizenship being called into question for the first time in over a century. Later, Medicare director at the Centers for Medicare and Medicaid Services, Chris Klomp breaks down President Trump's deal with Pfizer, and what it means for patients across the country. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Several high-profile cases are on the docket as the supreme court returns from summer recess, many of which will provide a definitive ruling on whether President Trump overstepped the boundaries of his executive powers by ordering wide-ranging tariffs. FOX News Senior National Correspondent Rich Edson joins the Rundown to break down what those cases are, from the legality of President Trump's tariff policies to birthright citizenship being called into question for the first time in over a century. Later, Medicare director at the Centers for Medicare and Medicaid Services, Chris Klomp breaks down President Trump's deal with Pfizer, and what it means for patients across the country. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Several high-profile cases are on the docket as the supreme court returns from summer recess, many of which will provide a definitive ruling on whether President Trump overstepped the boundaries of his executive powers by ordering wide-ranging tariffs. FOX News Senior National Correspondent Rich Edson joins the Rundown to break down what those cases are, from the legality of President Trump's tariff policies to birthright citizenship being called into question for the first time in over a century. Later, Medicare director at the Centers for Medicare and Medicaid Services, Chris Klomp breaks down President Trump's deal with Pfizer, and what it means for patients across the country. Learn more about your ad choices. Visit podcastchoices.com/adchoices

President Trump and Pfizer have agreed to lower prescription drug prices for Medicaid by adopting “most-favored-nation” pricing, matching the lowest prices in peer countries. Chris Klomp, Medicare director at the Centers for Medicare and Medicaid Services joins the Rundown to explore what this deal means for patients, the role of tariffs and domestic manufacturing, and the administration's plan to empower consumers with price transparency. On Tuesday, Secretary of War Pete Hegseth addressed top U.S. commanders at the Marine Base in Quantico, Virginia, calling for a renewed focus on discipline and elevated standards in basic training. Retired U.S. Army Lieutenant Colonel Bob Maginnis joins the Rundown to discuss his insights on the urgency of restoring military standards, the reactions from the military's top brass, and the broader global challenges facing America's armed forces today. Plus, commentary from Comfortably Smug, co-host of the "Ruthless" podcast.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

President Trump and Pfizer have agreed to lower prescription drug prices for Medicaid by adopting “most-favored-nation” pricing, matching the lowest prices in peer countries. Chris Klomp, Medicare director at the Centers for Medicare and Medicaid Services joins the Rundown to explore what this deal means for patients, the role of tariffs and domestic manufacturing, and the administration's plan to empower consumers with price transparency. On Tuesday, Secretary of War Pete Hegseth addressed top U.S. commanders at the Marine Base in Quantico, Virginia, calling for a renewed focus on discipline and elevated standards in basic training. Retired U.S. Army Lieutenant Colonel Bob Maginnis joins the Rundown to discuss his insights on the urgency of restoring military standards, the reactions from the military's top brass, and the broader global challenges facing America's armed forces today. Plus, commentary from Comfortably Smug, co-host of the "Ruthless" podcast.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

President Trump and Pfizer have agreed to lower prescription drug prices for Medicaid by adopting “most-favored-nation” pricing, matching the lowest prices in peer countries. Chris Klomp, Medicare director at the Centers for Medicare and Medicaid Services joins the Rundown to explore what this deal means for patients, the role of tariffs and domestic manufacturing, and the administration's plan to empower consumers with price transparency. On Tuesday, Secretary of War Pete Hegseth addressed top U.S. commanders at the Marine Base in Quantico, Virginia, calling for a renewed focus on discipline and elevated standards in basic training. Retired U.S. Army Lieutenant Colonel Bob Maginnis joins the Rundown to discuss his insights on the urgency of restoring military standards, the reactions from the military's top brass, and the broader global challenges facing America's armed forces today. Plus, commentary from Comfortably Smug, co-host of the "Ruthless" podcast.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week, we spoke with the Administrator of the Centers for Medicare & Medicaid Services, Dr. Mehmet Oz, about the White House's plans to tackle autism. Dr. Oz outlined all the actions the White House is taking to reverse the alarming increases in diagnoses the country has seen over the last several decades. He also weighed in on the controversy surrounding the president's warning pregnant women they shouldn't be taking acetaminophen, the active ingredient in Tylenol, citing research showing a link to autism. We often have to cut interviews short during the week, but we thought you might want to hear the full interview. Today on Fox News Rundown Extra, we will share our entire interview with Dr. Oz, allowing you to hear even more of his insights into what may be behind the autism epidemic and what can be done to address it. Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week, we spoke with the Administrator of the Centers for Medicare & Medicaid Services, Dr. Mehmet Oz, about the White House's plans to tackle autism. Dr. Oz outlined all the actions the White House is taking to reverse the alarming increases in diagnoses the country has seen over the last several decades. He also weighed in on the controversy surrounding the president's warning pregnant women they shouldn't be taking acetaminophen, the active ingredient in Tylenol, citing research showing a link to autism. We often have to cut interviews short during the week, but we thought you might want to hear the full interview. Today on Fox News Rundown Extra, we will share our entire interview with Dr. Oz, allowing you to hear even more of his insights into what may be behind the autism epidemic and what can be done to address it. Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week, we spoke with the Administrator of the Centers for Medicare & Medicaid Services, Dr. Mehmet Oz, about the White House's plans to tackle autism. Dr. Oz outlined all the actions the White House is taking to reverse the alarming increases in diagnoses the country has seen over the last several decades. He also weighed in on the controversy surrounding the president's warning pregnant women they shouldn't be taking acetaminophen, the active ingredient in Tylenol, citing research showing a link to autism. We often have to cut interviews short during the week, but we thought you might want to hear the full interview. Today on Fox News Rundown Extra, we will share our entire interview with Dr. Oz, allowing you to hear even more of his insights into what may be behind the autism epidemic and what can be done to address it. Learn more about your ad choices. Visit podcastchoices.com/adchoices

As part of the Trump administration's plan to fight and treat autism, the President says pregnant women should avoid taking acetaminophen because of research that suggests a link between the painkiller and autism. The announcement has received some pushback, as some in the medical community say there are studies that prove there's no link at all. Dr. Mehmet Oz, Administrator for the Centers for Medicare & Medicaid Services, joins the Rundown to break down the science behind the announcement, the potential litigation that may arise from it, and why the administration is hopeful they can curb the 'autism epidemic.'On Tuesday, President Trump addressed the United Nations General Assembly, criticizing the UN's effectiveness in resolving global conflicts and urging the organization to take stronger action. Former Secretary of State and FOX News Contributor Michael Pompeo joins the Rundown to react to the President's historic speech, including his criticism of America's European allies for recognizing a Palestinian state.  Plus, Commentary from the host of “Tomi Lahren is Fearless" on Outkick, Tomi Lahren   Learn more about your ad choices. Visit podcastchoices.com/adchoices

As part of the Trump administration's plan to fight and treat autism, the President says pregnant women should avoid taking acetaminophen because of research that suggests a link between the painkiller and autism. The announcement has received some pushback, as some in the medical community say there are studies that prove there's no link at all. Dr. Mehmet Oz, Administrator for the Centers for Medicare & Medicaid Services, joins the Rundown to break down the science behind the announcement, the potential litigation that may arise from it, and why the administration is hopeful they can curb the 'autism epidemic.'On Tuesday, President Trump addressed the United Nations General Assembly, criticizing the UN's effectiveness in resolving global conflicts and urging the organization to take stronger action. Former Secretary of State and FOX News Contributor Michael Pompeo joins the Rundown to react to the President's historic speech, including his criticism of America's European allies for recognizing a Palestinian state.  Plus, Commentary from the host of “Tomi Lahren is Fearless" on Outkick, Tomi Lahren   Learn more about your ad choices. Visit podcastchoices.com/adchoices

As part of the Trump administration's plan to fight and treat autism, the President says pregnant women should avoid taking acetaminophen because of research that suggests a link between the painkiller and autism. The announcement has received some pushback, as some in the medical community say there are studies that prove there's no link at all. Dr. Mehmet Oz, Administrator for the Centers for Medicare & Medicaid Services, joins the Rundown to break down the science behind the announcement, the potential litigation that may arise from it, and why the administration is hopeful they can curb the 'autism epidemic.'On Tuesday, President Trump addressed the United Nations General Assembly, criticizing the UN's effectiveness in resolving global conflicts and urging the organization to take stronger action. Former Secretary of State and FOX News Contributor Michael Pompeo joins the Rundown to react to the President's historic speech, including his criticism of America's European allies for recognizing a Palestinian state.  Plus, Commentary from the host of “Tomi Lahren is Fearless" on Outkick, Tomi Lahren   Learn more about your ad choices. Visit podcastchoices.com/adchoices

In the 8 AM hour, Larry O'Connor & Patrice Onwuka discussed: WMAL GUEST: JOE CONCHA (Washington Examiner Columnist & Fox News Contributor) on Kimmel's Return WMAL GUEST: MEHMET OZ (Administrator, Centers for Medicare & Medicaid Services) on Tylenol and Autism ROLLING STONE: Kamala Harris Hails Jimmy Kimmel’s Return: ‘We Saw the Power of the People’ Where to find more about WMAL's morning show: Follow Podcasts on Apple, Audible and Spotify Follow WMAL's "O'Connor and Company" on X: @WMALDC, @LarryOConnor, @JGunlock, @PatricePinkfile, and @HeatherHunterDC Facebook: WMALDC and Larry O'Connor Instagram: WMALDC Website: WMAL.com/OConnor-Company Episode: Tuesday, September 23, 2025 / 8 AM HourSee omnystudio.com/listener for privacy information.

“As ONS continues to look ahead, its commitment to shaping the future of oncology nursing remains unwavering. ONS is proactively developing the tools, capabilities, and strategies needed to support oncology nurses in a rapidly evolving healthcare landscape. ONS will continue to set the standard, ensuring that oncology nurses are equipped with clinical expertise, collaborative skills, technology proficiency, and mentorship necessary to thrive,” Diane Barber, PhD, APRN, ANP-BC, AOCNP®, FAANP, FAAN, member of the ONS 50th anniversary committee, said regarding the continuously changing roles of oncology nurses. Barber spoke with ONS members Danelle Johnston, MSN, RN, HON-ONN-CG, OCN®, RuthAnn Gordon, MSN, RN, FNP-BC, OCN®, Tamika Turner, DNP, NP-C, AOCNP®, and Bertie Fields, MS, RN, about their experience in nursing roles in navigation, clinical trials, advanced practice, and the pharmaceutical industry and how these roles have evolved and may change in the future. The advertising messages in this episode are paid for by Natera. ONS is solely responsible for the criteria, objectives, content, quality, and scientific integrity of its programs and publications. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Episode Notes  This episode is not eligible for NCPD. ONS Podcast™ episodes: ONS 50th anniversary series Episode 331: DNP and PhD Collaboration Strategies to Help Advance Oncology Care Episode 312: Virtual Nursing in Health Care Episode 304: Nursing Roles in FDA: The Drug Labeling and Package Insert Process Episode 302: Patient Navigation Eliminates Disparities in Cancer Care Episode 284: How AI Is Influencing Cancer Care and Oncology Nursing Episode 119: What Will the Future of Cancer Care Look Like in 2029? ONS Voice articles: Leadership Is the Foundational Competency for Oncology Nursing in 2029 New Technology Tools Help Oncology APRNs Improve Patient Outcomes Oncology Nurses Drive Discovery in Cancer Clinical Research The Oncology Nurse's Role in Interprofessional Collaboration in Clinical Research What the New CMS Reimbursement for Principal Illness Navigation Means for Oncology Nurses ONS books: Manual for Clinical Trials Nursing (third edition) Oncology Nurse Navigation: Delivering Patient-Centered Care Across the Continuum (third edition) ONS competencies: Oncology Clinical Nurse Specialist Competencies Oncology Clinical Research Nurse Competencies Oncology Nurse Generalist Competencies Oncology Nurse Navigator Competencies Oncology Nurse Practitioner Competencies ONS course: Professional Practice for the Advanced Practice Registered Nurse Clinical Journal of Oncology Nursing articles: How Do I Evolve as a Research Nurse Practitioner? Incorporating Nurse Navigation to Improve Cancer Survivorship Care Plan Delivery Oncology Nurse Practitioner Competencies: Defining Best Practices in the Oncology Setting ONS Learning Libraries: Clinical Trials Nurse Navigation Connie Henke Yarbro Oncology Nursing History Center American Cancer Society National Navigation Roundtable To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode Johnston: “In the early years, navigation programs varied widely. We had minimal technology, no standardized training, and often tracked our work on spreadsheets and narrative notes. The broader healthcare team didn't always understand navigation, so educating colleagues in defining our role was essential. Today, navigation is becoming a well-established specialty. It's recognized by the Commission on Cancer, supported by [Centers for Medicare and Medicaid Services] reimbursement codes, and integrated across diverse care settings. It's backed by evidence, standardized training, and emerging technologies that improve both patient care and program sustainability. I'm proud to have witnessed and contributed to the incredible evolution, and I'm excited for what's next in advancing navigation to better support patients and families.” TS 6:20 Gordon: “When I was first introduced to the [clinical trial nurse] role, there weren't published competencies in order to learn the role or any real standardization of the role. And so when you worked in clinical trials, you kind of picked up things from the providers, from the other investigators on how you should operationalize the role. We've seen that evolve. We've seen ONS develop competencies, ONS come out with the clinical trial nursing manual. And our organization has been able to use those tools to standardize the practice of the clinical trial nurse across our institution. So we take those competencies, and they are the foundation of our program. And we've been able to build our program over the last decade, mostly by the use of the tools that ONS has and the ability to share knowledge.” TS 14:22 Fields: “For nurses, many of my colleagues are going on to get master's in things other than nursing. They're getting master's in public health. They're getting master's in business. I have a colleague who is in [information technology], and so we should not limit ourselves. We should expand ourselves. And the more varied degrees that we have, we are more viable candidates for positions. I was never a clinical nurse specialist, even though that was my goal, but I have done above and beyond what I ever anticipated that I would do. And there are so many more new degrees for us to make us viable in this changing environment.” TS 28:30 Turner: “It is vital that the current generation of oncology nurse practitioners take the lead to mentor the next generation. The next generation needs to be educated regarding the importance of oncology nurse practitioners, filling those critical gaps in health care by caring for patients in rural areas and those areas where healthcare resources are scarce. Technology should be utilized to bring oncology care—for example, office visits, imaging, and treatments—closer to those areas where patients live further away or have difficulty accessing transportation and health care. This will provide continuity of care.” TS 32:42

The Centers for Medicare & Medicaid Services has opened applications for the $50 billion Rural Health Transformation Program. Health Secretary Robert F. Kennedy Jr. has appointed new members to a key CDC vaccine advisory panel. Plus, a new report reveals just 5% of plastic medical waste is currently recycled. These stories and more coming up on today's episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

The Friday Five for September 12, 2025: Ritter Summit Takeaways Part 2 Are Brokers Still in the Crosshairs? Policy and Market Updates for 2026 2026 Medicare & You Handbook Release Date for iOS, iPadOS, MacOS, and WatchOS 26 CMS & HHS Expand ACA Catastrophic Coverage Enrollment   Ritter Summit Takeaways Part 2: Register for Ritter Insurance Marketing Summits   Are Brokers Still in the Crosshairs? Policy and Market Updates for 2026: Watch the Webinar   2026 Medicare & You Handbook: Download Your Copy   Release Date for iOS, iPadOS, MacOS, and WatchOS 26: Peters, Jay. “iOS 26 Is out on September 15th.” Theverge.Com, The Verge, 9 Sept. 2025, www.theverge.com/news/770784/apple-ios-26-release-date-liquid-glass. McAuliffe, Zachary. “I Was Right Yet Again: iOS 26 Is Coming Monday, Sept. 15.” Cnet.Com, CNET, 9 Sept. 2025, www.cnet.com/tech/services-and-software/i-was-right-yet-again-ios-26-is-coming-monday-sept-15/. Perry, Alex. “Apple iOS 26 Release Date: When You Can Download It.” Mashable.Com, Mashable, 9 Sept. 2025, mashable.com/article/apple-ios-26-release-date-how-to-download. Diaz, Maria. “iOS 26 Update Is Coming Soon - How to Download It (and Which iPhones Support It).” Zdnet.Com, ZDNET, 10 Sept. 2025, www.zdnet.com/article/ios-26-update-is-coming-soon-how-to-download-it-and-which-iphones-support-it/. Teague, Katie. “iOS 26: What to Know about the Free iPhone Software Update Arriving September 15.” Engadget.Com, Engadget, 11 Sept. 2025, www.engadget.com/mobile/ios-26-what-to-know-about-the-free-iphone-software-update-arriving-september-15-135749658.html.   CMS & HHS Expand ACA Catastrophic Coverage Enrollment: August 22, 2025 Friday Five: Judge Vacates HHS MA Commissions Lawsuit “By the Numbers: House Bill Takes Health Coverage Away From Millions of People and Raises Families' Health Care Costs.” Cbpp.Org, Center on Budget and Policy Priorities, www.cbpp.org/research/health/by-the-numbers-house-bill-takes-health-coverage-away-from-millions-of-people-and. Accessed 11 Sept. 2025. “CMS Broadens Access to Catastrophic Exchange Plans.” Modernhealthcare.Com, Modern Healthcare, 4 Sept. 2025, www.modernhealthcare.com/politics-regulation/mh-catastrophic-health-plans-open-enrollment-2026/. “Entities Approved to Use Enhanced Direct Enrollment.” CMS.Gov, Centers for Medicare & Medicaid Services, 9 Aug. 2024, www.cms.gov/files/document/ede-approved-partner.pdf. Reed, Tina. “Exclusive: HHS to Expand Eligibility for Catastrophic Plans.” Axios.Com, Axios, 4 Sept. 2025, www.axios.com/2025/09/04/trump-hhs-expand-catastrophic-plan-eligibility. “Expanding Access to Health Insurance: Consumers to Gain Access to ‘Catastrophic' Health Insurance Plans in 2026 Plan Year.” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Sept. 2025, www.cms.gov/newsroom/fact-sheets/expanding-access-health-insurance-consumers-gain-access-catastrophic-health-insurance-plans-2026. “Guidance on Hardship Exemptions for Individuals Ineligible for Advance Payment of the Premium Tax Credit or Cost-Sharing Reductions Due to Income, and Streamlining Exemption Pathways to Coverage.” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Sept. 2025, www.cms.gov/files/document/guidance-hardship-exemptions.pdf. “HHS Expands Access to Affordable Health Insurance.” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Sept. 2025, www.cms.gov/newsroom/press-releases/hhs-expands-access-affordable-health-insurance. “HHS Expands Access to Affordable Health Insurance.” HHS.Gov, U.S. Department of Health and Human Services, 4 Sept. 2025, www.hhs.gov/press-room/hhs-expands-access-affordable-catastrophic-health-coverage.html. Ortaliza, Jared, Matt McGough, Kaitlyn Vu, et al. “How Much and Why ACA Marketplace Premiums Are Going up in 2026.” Healthsystemtracker.Org, KFF, 6 Aug. 2025, www.healthsystemtracker.org/brief/how-much-and-why-aca-marketplace-premiums-are-going-up-in-2026/. Minemyer, Paige. “Trump Administration Expands Access to ACA Catastrophic Plans.” Fiercehealthcare.Com, Fierce Healthcare, 4 Sept. 2025, www.fiercehealthcare.com/regulatory/trump-administration-expands-access-aca-catastrophic-plans.   Resources: 2026 ACA & Medicare Cost Projections 3 Benefits of Selling ACA Insurance Plans 5 Medicare Myths Your Clients May Believe 2026 ACA Exchange & FFM Certification Info Judge Grants Stay on Many 2025 ACA Final Rule Provisions The ICHRA Opportunity for Agents ft. Lisa Marzolino & Danica Stover The Survivor's AEP Checklist   Get Connected:

AEP 2026 will be here before you know it. We've broken down the path to a successful Annual Enrollment Period in 5 steps, tap that play button to find out what they are!   Read the text version   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: Certification Center on Ritter Docs Compliance Posts on the Ritter Blog Compliance Tab in Ritter Docs Get Registered with Ritter Insurance Marketing Integrity Technology Training Schedule Meet Your Sales Team at Ritter Insurance Marketing Miramar:Agent Pinpoint Global Ritter Events Calendar The Complete Guide on How to Sell Medicare Advantage Plans The Complete Guide on How to Sell Prescription Drug Plans The Ritter Agent Compliance Handbook   References: “CMS 2025 Medicare Advantage and Part D Final Rule.” Federalregister.Gov, Centers for Medicare & Medicaid Services, www.federalregister.gov/documents/2024/04/23/2024-07105/medicare-program-changes-to-the-medicare-advantage-and-the-medicare-prescription-drug-benefit. Accessed 28 Aug. 2025. “Medicare Advantage Communication Requirements.” Federalregister.Gov, Centers for Medicare & Medicaid Services, www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-422/subpart-V. Accessed 28 Aug. 2025. “Medicare Marketing Guidelines.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/medicare/health-drug-plans/managed-care-marketing/medicare-guidelines. Accessed 28 Aug. 2025. “Part D Communication Requirements.” Federalregister.Gov, Centers for Medicare & Medicaid Services, www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-423/subpart-V. Accessed 28 Aug. 2025.   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.

Senator Bill Cassidy urges the Centers for Disease Control and Prevention to delay an upcoming advisory panel meeting following leadership changes at the agency. The Centers for Medicare and Medicaid Services reports that accountable care organizations generated more than $2 billion in savings for Medicare last year. And Cigna's Evernorth announces a major investment in a former Walgreens-owned company. Those stories—and more—on today's episode of the Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

CMS (Centers for Medicare & Medicaid Services) has released the Fiscal Year 2026 Final Rule for hospital and long-term care payments, and it brings important updates for quality reporting, interoperability, and compliance.Learn what's changing, from the end of the low wage index hospital policy to adjustments in reporting programs, and new expectations under the Promoting Interoperability Program. We'll also highlight why the Security Risk Analysis is taking on an even more central role.Whether you're directly affected or just want to understand where policy is headed, this episode offers a clear look at the changes and how hospitals can prepare.Learn more about Medcurity here: https://medcurity.com#Healthcare #Cybersecurity #Compliance #HIPAA #SecurityRiskAnalysis #Medicare #Medicaid #CMS 

Selling Affordable Care Act Insurance plans can be a lucrative addition to your business!   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: 6 Ways to Generate ACA Leads 2026 ACA Exchange & FFM Certification Info ACA Enrollment Periods Explained Agent Requirements for ACA Sales Everything Agents Need to Know About Selling in State-Based Marketplaces How to Become Certified for ACA Marketplace Sales with Federally Facilitated Marketplace (FFM) Training Operating From a People-First Mentality ft. Scott Zimmerman The Complete Guide to Selling Affordable Care Act Plans – FREE eBook Download What is the Health Insurance Marketplace?   References: “5 Steps to Start Selling Marketplace Health & Dental Plans.” HealthCare.Gov, https://www.healthcare.gov/agent-broker-quick-start/. Accessed 5 Aug. 2025. “Low Cost Marketplace Health Care, Qualifying Income Levels.” HealthCare.Gov, https://www.healthcare.gov/lower-costs/. Accessed 5 Aug. 2025. “Marketplace Enrollment, 2014-2025.” KFF, 8 July 2025, https://www.kff.org/affordable-care-act/state-indicator/marketplace-enrollment/. “New Agents' and Brokers' Guide to Plan Year 2025 Marketplace Registration and Training.” Centers for Medicare & Medicaid Services, https://www.cms.gov/files/document/new-agents-and-brokers-guide-marketplace-registration-and-training.pdf. Accessed 5 Aug. 2025. “Over 24 Million Consumers Selected Affordable Health Coverage in ACA Marketplace for 2025.” CMS.Gov, https://www.cms.gov/newsroom/press-releases/over-24-million-consumers-selected-affordable-health-coverage-aca-marketplace-2025. Accessed 5 Aug. 2025. “Registration and Training for Marketplace Agents and Brokers.” CMS.Gov, https://www.cms.gov/marketplace/agents-brokers/registration-training. Accessed 5 Aug. 2025.   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.

In a lively conversation, House Minority Leader Rep. Hakeem Jeffries (D-New York) discusses the future of the Democratic Party, Zohran Mamdani's role in it, and strategies to make America more affordable. Centers for Medicare and Medicaid Services administrator Dr. Mehmet Oz discusses the Trump administration's plans for the American health care system, including prior authorization requirements for Medicare. President Trump is weighing up to 11 potential Fed Chair nominees while pushing for lower interest rates from the central bank. Plus, Chinese AI company DeepSeek has reportedly run into issues using Huawei chips and investor Mario Gabelli is suing Shari Redstone's National Amusements. Rep. Hakeem Jeffries - 22:02Dr. Mehmet Oz - 38:47 In this episode:Hakeem Jeffries, @RepJeffriesDr. Mehmet Oz, @DrOzJoe Kernen, @JoeSquawk Andrew Ross Sorkin, @andrewrsorkinKatie Kramer, @Kramer_Katie

Meet my friends, Clay Travis and Buck Sexton! If you love Verdict, the Clay Travis and Buck Sexton Show might also be in your audio wheelhouse. Politics, news analysis, and some pop culture and comedy thrown in too. Here’s a sample episode recapping four Thursday takeaways. Give the guys a listen and then follow and subscribe wherever you get your podcasts. New C&B Steak Bet! Kamala Harris announced she will not run for California governor in 2026. Clay and Buck analyze her new book, 107 Days, and preview her upcoming appearance on The Late Show with Stephen Colbert—her first major interview since her 2024 presidential campaign defeat. Clay and Buck make a new steak bet about Kamala Harris’s political future. They engage in a spirited discussion over whether Harris will run for president in 2028. Clay argues she will, citing her age, lack of alternative pursuits, and her unique position as a Black female candidate with strong name recognition. Buck counters that Harris is politically finished, suggesting she’s more likely to take a ceremonial role at a university or think tank. The conversation touches on Democratic Party strategy, the importance of the South Carolina primary, and the influence of figures like James Clyburn. Mayor Mamdani? The conversation shifts to New York City politics, where the hosts critique mayoral candidate Zohran Mamdani for his past support of defunding the police and his proposal for city-run grocery stores. They warn that his policies could lead to economic and public safety disasters, drawing comparisons to failed socialist models. The segment includes a broader critique of progressive governance and its effects on urban housing, crime, and affordability. Dr. Oz on the Future of Healthcare Dr. Oz, now serving as Administrator of the Centers for Medicare and Medicaid Services under the Trump administration, outlines the administration’s ambitious healthcare agenda. He addresses the skyrocketing cost of healthcare in America, the chronic disease epidemic, and the mental health crisis, emphasizing the role of loneliness as a key driver of poor health outcomes. Dr. Oz also highlights a recent White House event where major tech and healthcare companies pledged to return control of medical records to patients and modernize healthcare through digital innovation. A major focus is the “big beautiful bill” that introduced work requirements for Medicaid recipients, aiming to restore dignity and autonomy to able-bodied Americans while preserving the program’s integrity. Dr. Oz defends the policy as a moral and economic imperative, drawing parallels to President Clinton’s welfare reform. The conversation shifts to prescription drug pricing, where Dr. Oz announces a new “most favored nation” pricing policy to combat global freeloading and reduce U.S. drug costs. He compares this initiative to NATO’s cost-sharing model, asserting that America should no longer bear the financial burden of global pharmaceutical R&D alone. Technology’s transformative role in healthcare is another key theme. Dr. Oz discusses how AI, robotics, and automation will streamline care, reduce administrative waste, and combat fraud—highlighting a recent $15 billion DOJ takedown of a multinational criminal network exploiting Medicare. FTC Commissioner Melissa Holyoak FTC Commissioner Melissa Holyoak joins the show to discuss the agency’s efforts to protect consumers from sophisticated scams, including AI-driven voice cloning fraud. She outlines the FTC’s enforcement mechanisms, collaboration with the DOJ, and focus on anti-competitive mergers in the fast-evolving tech sector. Holyoak also promotes the FTC’s “Made in USA” labeling enforcement, encouraging businesses and consumers to report violations. Make sure you never miss a second of the show by subscribing to the Clay Travis & Buck Sexton show podcast wherever you get your podcasts! ihr.fm/3InlkL8 For the latest updates from Clay and Buck: https://www.clayandbuck.com/ Connect with Clay Travis and Buck Sexton on Social Media: X - https://x.com/clayandbuck FB - https://www.facebook.com/ClayandBuck/ IG - https://www.instagram.com/clayandbuck/ YouTube - https://www.youtube.com/c/clayandbuck Rumble - https://rumble.com/c/ClayandBuck TikTok - https://www.tiktok.com/@clayandbuck YouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.