Podcasts about Medicare Advantage

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Best podcasts about Medicare Advantage

Show all podcasts related to medicare advantage

Latest podcast episodes about Medicare Advantage

The Don Lemon Show
LEMON DROP | Making Medicare Simple with Chapter CEO Cobi Blumenfeld-Gantz

The Don Lemon Show

Play Episode Listen Later Nov 1, 2025 24:50


Don sits down with Cobi Blumenfeld-Gantz, Co-Founder and CEO of Chapter, a company dedicated to helping Americans make sense of one of the country's most complicated systems...Medicare. They discuss how Chapter's innovative platform is simplifying the process, empowering people to find the coverage that's right for them, and making healthcare decisions less confusing and more transparent. For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. Learn more about your ad choices. Visit megaphone.fm/adchoices

Politics Done Right
Say no to the Medicare Fraud. Republicans want to starve Americans!

Politics Done Right

Play Episode Listen Later Nov 1, 2025 50:58


It is not hyperbole. If we continue the migration to Medicare Advantage, many will die prematurely. Republicans are willing to starve Americans to keep billionaires happy.Subscribe to our Newsletter:https://politicsdoneright.com/newsletterPurchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make AmericaUtopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And BeFit Now: https://amzn.to/3xiQK3K Tribulations of anAfro-Latino Caribbean man: https://amzn.to/4c09rbE

Egberto Off The Record
Say no to the Medicare Fraud. Republicans want to starve Americans!

Egberto Off The Record

Play Episode Listen Later Nov 1, 2025 50:59


Thank you Marg KJ, Chuck Pennacchio, Christiane mccafferty, Rose Mungaray, and many others for tuning into my live video! Join me for my next live video in the app.* Say no to the Medicare Fraud: It is not hyperbole. If we continue the migration Medicare Advantage, many will die prematurely.* Republicans to Illegally Starve the Poor to Force Dems to Cut Health Insurance: The Trump administ… To hear more, visit egberto.substack.com

Becker’s Healthcare Podcast
Vinay Kulkarni, Chief Information Officer at SCAN Group

Becker’s Healthcare Podcast

Play Episode Listen Later Oct 31, 2025 10:54


In this episode, Vinay Kulkarni, Chief Information Officer at SCAN Group, discusses how AI, automation, and digital tools are transforming Medicare Advantage. He explains how these technologies improve care coordination, reduce administrative burden, and personalize care for seniors while maintaining high-quality, empathetic member experiences.

The Don Lemon Show
HOT TOPICS | Is Donald Trump Trying to Kill Us?! - October 30th, 2025

The Don Lemon Show

Play Episode Listen Later Oct 30, 2025 75:20


Let's be honest, at this point, it's starting to feel like the Trump administration is actively trying to kill us. He wants to resume nuclear testing, SNAP benefits are running out, and healthcare is about to become unaffordable for millions of Americans. The future's looking less “great again” and more post-apocalyptic chic. So what's the plan here? Is Trump just incompetent, or is this all part of the cruelty? Don breaks it all down, the policies, the fallout, and the grim reality of what happens when power meets indifference. America is not okay. This episode is sponsored by Henson Shaving. Go to https://hensonshaving.com/LEMON and enter LEMON at checkout to get a free pack of 100 blades with your purchase. (Note: you must add both the blades and the razor for the discount to apply.) This episode is sponsored by Ollie. Take the guesswork out of your dog's well-being. Go to https://ollie.com/lemon and use code lemon to get 60% off your first box! This episode is brought to you by RadioActive Media. Visit https://RadioActiveMedia.com, or text the word, “PODCAST” to 511511. Start planning for 2026 now to get the lowest rates in Podcast and Radio. RadioActive Media can surpass your current strategies with new and innovative ways that “SOUND” better. Message and Data Rates May Apply. This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/donlemon and get on your way to being your best self. For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. Learn more about your ad choices. Visit megaphone.fm/adchoices

The Everything Medicare Podcast!
Episode 325:Breaking Down Medicare Terminology & How Advertisements Try To Fool You!

The Everything Medicare Podcast!

Play Episode Listen Later Oct 30, 2025 11:42


If you'd like to work with us on your Medicare health plan, we're licensed in 45 states and actively helping clients across the country. Christian and the team at Everything Senior Insurance represent many of the top insurance companies in the Medicare space. We're happy to help—just reach out! ➡️ Visit our site: ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.eseniorinsurance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠✅ Call us: (801) 255-5340

Raise the Line
Expanding the Clinical Toolkit for Better Patient Care: Dr. Lanae Mullane, Head of Clinical Strategy at Joi + Blokes

Raise the Line

Play Episode Listen Later Oct 30, 2025 30:11


“They say it takes a village to raise a child. I really think it takes a village to treat a patient,” says Dr. Lanae Mullane, a naturopathic doctor and clinical strategist who has spent years at the forefront of bridging functional medicine, nutraceutical development, and digital health. In this episode of Raise the Line, host Lindsey Smith explores Dr. Mullane's view that naturopathic medicine complements conventional care by expanding -- not replacing -- the clinical toolkit, and that collaboration should be the future of medicine. “At the end of the day, collaboration and connection create the best outcomes for the people we serve,” she says. Their in-depth conversation also spans the shifting landscape of women's hormone health, including the perimenopausal transition and long-overdue calls for research equity. “We're not just smaller versions of men. We need to have dedicated research for us.” Tune in to learn about the importance of grounding health in sustainable habits, rethinking midlife care for women, and how to help patients take ownership of their health.Mentioned in this episode:Joi + BlokesSuppCoDr. Mullane's Clinical Website If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

The Bob Harden Show
Why Is the Cost of Health Insurance Going Up?

The Bob Harden Show

Play Episode Listen Later Oct 30, 2025 58:36


Thank you so much for listening to the Bob Harden Show, celebrating over 14 years broadcasting on the internet. On Thursday's show, we discuss “Artificial Intelligence” and its implications for public education as well as legislation proposed with the Co-Founder and CEO of the Florida Citizen's Alliance, Keith Flaugh. We visit with Cato Institute's Michael Cannon about the government shutdown, the Democrat demand for Obamacare health insurance subsidies, and the cost of Medicare Advantage plans. We visit CEI Senior Economist Ryan Young about the economy, interest rates cuts, and the impact of the Fed's balance sheet on inflation. We also visit with former Mayor of Naples Bill Barnett about news on the Paradise Coast. We have terrific guests scheduled for Friday's show including Senior Legal Fellow with the Pacific Legal Foundation William Yeatman, Maggie Anders from FEE.org, Landmark Legal Foundation Vice President Michael O'Neill, and Professor Larry Bell. Access this or past shows at your convenience on my web site, social media platforms or podcast platforms.

Becker’s Payer Issues Podcast
Leveraging AI and Digital Transformation to Improve Medicare Advantage with Vinay Kulkarni

Becker’s Payer Issues Podcast

Play Episode Listen Later Oct 30, 2025 10:54


In this episode, Vinay Kulkarni, Chief Information Officer at SCAN Group, discusses how AI, automation, and digital tools are transforming Medicare Advantage. He explains how these technologies improve care coordination, reduce administrative burden, and personalize care for seniors while maintaining high-quality, empathetic member experiences.

UpNorthNews with Pat Kreitlow
Medicare Dis-Advantage (Hour 2)

UpNorthNews with Pat Kreitlow

Play Episode Listen Later Oct 30, 2025 43:55


We'll talk to an expert on so-called Medicare Advantage plans because we're in the open enrollment season for seniors or their caregivers to make important choices on their health insurance plans for 2026. Original Medicare can't match all of the TV ads being run by the private health insurance companies who get to claim their plans have some kind of advantage — when the truth is there are significant restrictions to keep in mind before going down a road that looks a lot like the troubles Americans faced before the Affordable Care Act. Mornings with Pat Kreitlow is powered by UpNorthNews, and it airs on several stations across the Civic Media radio network, Monday through Friday from 6-9 am. Subscribe to the podcast to be sure not to miss out on a single episode! To learn more about the show and all of the programming across the Civic Media network, head over to civicmedia.us/shows to see the entire broadcast line up. Follow the show on Facebook, X, and YouTube. Guest: Ingrid Kundinger

MPR News Update
Minnesota's Caribbean community supporting Hurricane Melissa relief efforts

MPR News Update

Play Episode Listen Later Oct 29, 2025 4:54


Air traffic controllers spoke to travelers at the Minneapolis-St. Paul International Airport Tuesday about going unpaid while working during the federal government shutdown. A St. Paul man is charged with threatening to kill U.S. Attorney General Pam Bondi. Notices filed with the state show Minneapolis-based Target is laying off at least 815 of its corporate employees in the Twin Cities. That includes more than 500 workers at Target's downtown headquarters and nearly 300 workers at its northern campus in Brooklyn Park. Target says the layoffs are set to take effect Jan. 3.Eden Prairie-based UnitedHealth Group reported better-than-expected earnings in its third quarter as it seeks to regain its footing. Last spring, the company suspended its financial outlook for the year amid higher-than-expected medical costs from its customers. UnitedHealth is dropping some of its Medicare Advantage programs next year resulting in about one million fewer customers.Minnesota members of the Caribbean Disaster Relief Fund say they've been working nonstop since before Hurricane Melissa made landfall Tuesday as a Category 5 storm. The hurricane brought destructive winds and flooding rain. A community altar honoring the Mexican Day of the Dead opens this evening at the Weisman Art Museum in Minneapolis. It's part of a larger project connecting art, ancestry and ancient traditions.

The Don Lemon Show
HOT TOPICS | Trump Gets Very Bad TERRIBLE News! - October 29th, 2025

The Don Lemon Show

Play Episode Listen Later Oct 29, 2025 61:21


It's a rough week for Donald Trump, and it's only getting rougher. First, he learns he can't run for a third term (something about it being unconstitutional...who knew?). Then, his so-called “peace deal” is looking anything but peaceful, with strikes continuing overnight. Add in lawmakers and judges pushing back on his tariffs and indictments, and, well… it looks like the “winning” days might be behind him. This morning, Don breaks down the avalanche of bad news hitting Trump from every angle. Because karma, it seems, reads the Constitution. This episode is sponsored by Ollie. Take the guesswork out of your dog's well-being. Go to https://ollie.com/lemon and use code lemon to get 60% off your first box! This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/donlemon and get on your way to being your best self. This episode is brought to you by MSI United States. Go to https://msiunitedstates.org or text “lemon” to five eleven five eleven. Text “lemon” to 511511 and see all the Wonderful services they provide. Text Fees May Apply. This episode is sponsored by Henson Shaving. Go to https://hensonshaving.com/LEMON and enter LEMON at checkout to get a free pack of 100 blades with your purchase. (Note: you must add both the blades and the razor for the discount to apply.) For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. Learn more about your ad choices. Visit megaphone.fm/adchoices

The Don Lemon Show
Lemon LIVE at 5 | Mainstream Media BLOODBATH! - October 29th, 2025

The Don Lemon Show

Play Episode Listen Later Oct 29, 2025 54:37


It's a bloodbath in mainstream media, and the numbers are brutal. CBS News is making sweeping cuts. NBC News is slashing jobs. Reporters, producers, and crews across the country are being shown the door in the name of “restructuring.” So what does this mean for the future of journalism? Is mainstream media dying, or just selling out? Because as outlets pivot toward right-wing narratives and bend the knee to Trump, it's starting to look less like journalism and more like appeasement. This episode is sponsored by Ollie. Take the guesswork out of your dog's well-being. Go to https://ollie.com/lemon and use code lemon to get 60% off your first box! This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/donlemon and get on your way to being your best self. This episode is brought to you by MSI United States. Go to https://msiunitedstates.org or text “lemon” to five eleven five eleven. Text “lemon” to 511511 and see all the Wonderful services they provide. Text Fees May Apply. This episode is sponsored by Henson Shaving. Go to https://hensonshaving.com/LEMON and enter LEMON at checkout to get a free pack of 100 blades with your purchase. (Note: you must add both the blades and the razor for the discount to apply.) For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. Learn more about your ad choices. Visit megaphone.fm/adchoices

Your Finances Untangled with Moise Piram
What is the MEDICARE Annual Enrollment Period?

Your Finances Untangled with Moise Piram

Play Episode Listen Later Oct 29, 2025 25:36


What is the Medicare Annual Enrollment Period?It is the yearly window from October 15 to December 7 when Medicare beneficiaries can review and change coverage. During AEP you can switch from Original Medicare to a Medicare Advantage plan, change Medicare Advantage plans, or join and switch a Part D prescription drug plan. Most changes begin January 1.In this episode, Andrew Nida and Moise Piram from Asset Management Group, Inc. explain what AEP is, who it helps, and how to compare plans with confidence. You will learn the dates, eligibility, and a simple step by step checklist so your coverage matches your health and prescriptions.What you will learn:• What AEP is and why it exists• AEP dates and who is eligible• Original Medicare compared with Medicare Advantage• Part D changes and how formularies work• What to review in your Annual Notice of Change• How plan changes begin on January 1• When the Medicare Advantage Open Enrollment Period applies from January 1 to March 31Follow us onX.com: https://x.com/AMGinc_ATLInstagram: https://www.instagram.com/assetmanagementgroupinc/LinkedIn: https://www.linkedin.com/company/amgincatl/Facebook : https://www.facebook.com/beyondtomorrowpodcastWebsite: https://www.assetmg-inc.com/YouTube: https://www.youtube.com/@assetmanagementgroupincTikTok : https://www.tiktok.com/@assetmanagementgroupincBlog: https://www.assetmg-inc.com/blogDisclosureEducational content only. Not tax, legal, or investment advice. Tax laws can change. Consult your CPA or advisor about your specific situation.Hashtags:#Medicare #OpenEnrollment #AEP #WhatIsAEP #MedicareAdvantage #PartD #Retirement #FinancialPlanning #AndrewNida #MoisePiram #AssetManagementGroupTags and keywords:what is Medicare AEP, Medicare Annual Enrollment Period explained, Medicare Open Enrollment 2025, Medicare AEP dates, Medicare Advantage, Part D, Original Medicare, ANOC, Medicare checklist, coverage effective January 1, Medicare Advantage Open Enrollment Period, retiree health insurance, Asset Management Group, Andrew Nida, Moise Piram

The Don Lemon Show
HOT TOPICS | Dementia Donald Trump's Alarming Decline! - October 28th, 2025

The Don Lemon Show

Play Episode Listen Later Oct 28, 2025 64:58


Donald Trump seems to be crashing out, and fast. After a string of unhinged remarks during a speech to the troops and a bizarre moment where he bragged (again) about passing a dementia test, the question practically asks itself: is Donald Trump okay? What's definitely not okay is the economy. SNAP benefits are set to expire this week, Americans are struggling to afford groceries, healthcare, and basic necessities, and somehow, Trump's still talking about himself and his absurdly unnecessary ballroom. This morning, Don is joined by friend of the show Reecie Colbert to break down Trump's decline, his delusions, and the very real pain everyday Americans are feeling while he plays emperor. This episode is brought to you by MSI United States. Go to https://msiunitedstates.org or text “lemon” to five eleven five eleven. Text “lemon” to 511511 and see all the Wonderful services they provide. Text Fees May Apply. This episode is sponsored by Henson Shaving. Go to https://hensonshaving.com/LEMON and enter LEMON at checkout to get a free pack of 100 blades with your purchase. (Note: you must add both the blades and the razor for the discount to apply.) This episode is sponsored by Ollie. Take the guesswork out of your dog's well-being. Go to https://ollie.com/lemon and use code lemon to get 60% off your first box! This episode is brought to you by RadioActive Media. Visit https://RadioActiveMedia.com, or text the word, “PODCAST” to 511511. Start planning for 2026 now to get the lowest rates in Podcast and Radio. RadioActive Media can surpass your current strategies with new and innovative ways that “SOUND” better. Message and Data Rates May Apply. For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don WE HAVE MERCH!! Purchase here: https://don-lemon-merch-store.myshopify.com/ WATCH & Subscribe on YouTube @TheDonLemonShow! Become a member of our channel here: https://www.youtube.com/channel/UCXs0PlIGUDSXfBaF7j-1euA/join Follow Don on Substack! Listen on Apple, Spotify and iHeart Radio! DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. Learn more about your ad choices. Visit megaphone.fm/adchoices

Raise the Line
The Story Behind the ‘Miracle' of GLP-1 Medications: Dr. John Buse, Chief of Endocrinology at University of North Carolina School of Medicine

Raise the Line

Play Episode Listen Later Oct 28, 2025 31:33


“It's kind of a miracle, frankly,” says Dr. John Buse, a distinguished professor at the University of North Carolina School of Medicine, referring to the effectiveness of GLP-1 receptor agonist medications such as Ozempic in treating type 2 diabetes, promoting significant weight loss, and reducing cardiovascular risk. As a physician scientist for the last three decades at UNC, Dr. Buse has played a key role in ushering in this new era of diabetes care, leading or participating in over 200 clinical studies on this class of drugs and others. “Nothing has impacted diabetes care like the GLP-1 receptor agonists. I have lots of patients whose diabetes was never well controlled who have seen all their metabolic problems essentially resolved.”  In this fascinating conversation with Raise the Line host Lindsey Smith, Dr. Buse not only explains how these drugs work, but also provides a clear-eyed look at side effects, and addresses issues of cost and access. Join us for the remarkable story – including the role played by Gila monsters -- behind one of the biggest developments in medicine over the past several years from a world renowned diabetes researcher and clinician. Mentioned in this episode:UNC School of Medicine If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

The Don Lemon Show
Lemon LIVE at 5 | The Mainstream Media is Going MAGA! - October 27th, 2025

The Don Lemon Show

Play Episode Listen Later Oct 27, 2025 84:16


Something strange is happening in the media, and it's not subtle. From silencing progressive voices to hiring outspoken MAGA cheerleaders, the mainstream press seems to be slowly bending the knee to Trump. Networks are playing it safe, executives are terrified of backlash, and reporters are being told what not to say. The result? A media landscape that looks a lot more like a MAGA echo chamber than a free press. Tonight, Don is joined by media reporter Max Tani and journalist LZ Granderson to break down how we got here, who's responsible, and what it means when journalism starts taking marching orders from the man who once called it “the enemy of the people.” This episode is sponsored by Henson Shaving. Go to https://hensonshaving.com/LEMON and enter LEMON at checkout to get a free pack of 100 blades with your purchase. (Note: you must add both the blades and the razor for the discount to apply.) This episode is brought to you by MSI United States. Go to https://msiunitedstates.org or text “lemon” to five eleven five eleven. Text “lemon” to 511511 and see all the Wonderful services they provide. Text Fees May Apply. This episode is sponsored by Ollie. Take the guesswork out of your dog's well-being. Go to https://ollie.com/lemon and use code lemon to get 60% off your first box! This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/donlemon and get on your way to being your best self. For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. Learn more about your ad choices. Visit megaphone.fm/adchoices

FORward Radio program archives
Single Payer Radio | Melissa Lucas & Kay Tillow | Comparing Medicare and Medicare Advantage 10/21/25

FORward Radio program archives

Play Episode Listen Later Oct 27, 2025 59:35


Members of Kentuckians for Single Payer Health Care, Kay Tillow and Dr Melissa Lucas discuss the differences between Traditional Medicare and Medicare Advantage. The primary difference being that under Medicare Advantage your Medicare Parts A, B and D are bundled into one, technically known as Part C. and a for-profit, private insurance company is given by Medicare, a specific amount of money per client to pay the client's medical bills, as well as the authority to determine which payments are made to your providers such as doctors and hospitals and specialists and therapists And which of those payments may be denied. The more claims that are successfully denied, the more profit is made by the insurer.

Agent Survival Guide Podcast
Can Insurance Agents Charge Medicare Consultation Fees?

Agent Survival Guide Podcast

Play Episode Listen Later Oct 25, 2025 7:56


As select Medicare Advantage and Medicare Part D plans go non-commissionable, we've been hearing whispers about consulting fees. Rather than stay silent, we've got some words of caution and solutions for agents to consider.   Read the text version   Contact Us! Email ASGPodcast@Ritterim.com or reach out to Ritter's Sales Team near you!    Resources: 7 Actions You Can Take If Your Medicare Plans Go Non-Commissionable 8 Reasons Why Insurance Agents Should Sell ACA Plans ACA 101: Selling Under-65 Health Insurance A Quick Guide to Cross-Selling Ancillary Insurance with Medicare Products Final Expense Insurance: How Much Can Clients Expect It to Cover? Register with Ritter Insurance Marketing Selling Hospital Indemnity with Medicare Advantage: Is It Worth It?   References: Are Brokers Still in the Crosshairs? Policy and Market Updates for 2026 Medicare Advantage Program Regulations Medicare Part D Communication Requirements AEP Media Toolkit from NABIP   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 Don Lemon Show
Lemon LIVE at 5 | WARNING: Donald Trump is Running For A Third Term?! - October 24th, 2025

The Don Lemon Show

Play Episode Listen Later Oct 24, 2025 80:00


So apparently Steve Bannon announced in an interview that Donald Trump will run for a third term. Because, you know, why start following the Constitution now? We'll break down this latest descent into delusion, and Trump's childlike meltdown over Canada's anti-tariff ad. (Yes, he's mad at Canada again. Cue the tiny violins.) Joining Don tonight is comedian Jay Jurden, who's bringing the laughs as we try to make sense of the nonsense. Because sometimes the only way to deal with this circus is to laugh at it.

Group Practice Tech
Episode 538: Medicare Teletherapy: What's Happening Right Now

Group Practice Tech

Play Episode Listen Later Oct 24, 2025 16:41


Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech. In our latest episode, we have an update for you on what's changed with teletherapy coverage for Medicare clients. We discuss: Our free 90 minute webinar that goes deeper into this topic What is still covered for behavioral/mental health services What has changed for behavioral/mental health services Who is considered an established client or a new client Exceptions to the in-person visit requirement Next steps to take to prepare for this change in your practice Medicare Advantage plans and Medicaid Listen here: https://personcenteredtech.com/group/podcast/ For more, visit our website.

Empowered Patient Podcast
AI Transforming Medicare Advantage Member Engagement with Dr. Saria Saccocio Essence Healthcare TRANSCRIPT

Empowered Patient Podcast

Play Episode Listen Later Oct 24, 2025


Dr. Saria Saccocio, Chief Medical Officer at Essence Healthcare, is using AI to enhance care and services for patients who are enrolled in Medicare Advantage programs. One application is to analyze data related to health equity, care authorization, and to address biases. Their AI agent is being used to interact with patients, offering them the option to access a human. Integration with wearables, such as the Oura Ring, focuses on identifying clinically useful information to prevent physicians from being overwhelmed by data. Saria explains, "Medicare Advantage plans are absolutely that. It's an advantage because of the additional benefits that exist and the opportunity to connect with our members is rather unique. In fact, what I'll share with you and the audience is that AI has been a focus for us and a priority as we continue to expand the focus on quality and engagement with our members so that they have their best quality life possible to them. AI is a major piece of this work to make that happen. I can give you a couple of examples. In fact, when it comes to health equity, CMS has recently required Medicare plans to ensure that we are analyzing our data through a health equity lens. This year, in fact, we're focused on authorizations, authorizations of care. We want to make sure that it is critical to our members and AI. I see an opportunity to recognize any blind spots or implicit bias."   "I think that every human being has a capability for technology. And what's critical is that we meet them where they are, that we understand what they want, what they need out of technology. I think that works as well as providers. As you see all of these AI developers starting up companies and solving problems, the conversation that we're having every day at Lumeris and at Essence Healthcare is what does the patient want? What does that member need for quality of care? And then engage and include the providers in that conversation. What makes their job easier? Because one of the challenges with new technology is that we can also reach a point of technology exhaustion. So I'll give an example of our relationship with Oura ring, the wearable device that tracks for sleep, for health, for heart rate, and a number of different measures."    #EssenceHealthcare #MedicareAdvantage #HealthAI #OuraRing #DigitalHealth essencehealthcare.com Listen to the podcast here

Empowered Patient Podcast
AI Transforming Medicare Advantage Member Engagement with Dr. Saria Saccocio Essence Healthcare

Empowered Patient Podcast

Play Episode Listen Later Oct 24, 2025 19:46


Dr. Saria Saccocio, Chief Medical Officer at Essence Healthcare, is using AI to enhance care and services for patients who are enrolled in Medicare Advantage programs. One application is to analyze data related to health equity, care authorization, and to address biases. Their AI agent is being used to interact with patients, offering them the option to access a human. Integration with wearables, such as the Oura Ring, focuses on identifying clinically useful information to prevent physicians from being overwhelmed by data. Saria explains, "Medicare Advantage plans are absolutely that. It's an advantage because of the additional benefits that exist and the opportunity to connect with our members is rather unique. In fact, what I'll share with you and the audience is that AI has been a focus for us and a priority as we continue to expand the focus on quality and engagement with our members so that they have their best quality life possible to them. AI is a major piece of this work to make that happen. I can give you a couple of examples. In fact, when it comes to health equity, CMS has recently required Medicare plans to ensure that we are analyzing our data through a health equity lens. This year, in fact, we're focused on authorizations, authorizations of care. We want to make sure that it is critical to our members and AI. I see an opportunity to recognize any blind spots or implicit bias."   "I think that every human being has a capability for technology. And what's critical is that we meet them where they are, that we understand what they want, what they need out of technology. I think that works as well as providers. As you see all of these AI developers starting up companies and solving problems, the conversation that we're having every day at Lumeris and at Essence Healthcare is what does the patient want? What does that member need for quality of care? And then engage and include the providers in that conversation. What makes their job easier? Because one of the challenges with new technology is that we can also reach a point of technology exhaustion. So I'll give an example of our relationship with Oura ring, the wearable device that tracks for sleep, for health, for heart rate, and a number of different measures."    #EssenceHealthcare #MedicareAdvantage #HealthAI #OuraRing #DigitalHealth essencehealthcare.com Download the transcript here    

The Everything Medicare Podcast!
Episode 324:5 Huge Things To Watch For When Turning 65 & Getting Onto Medicare!

The Everything Medicare Podcast!

Play Episode Listen Later Oct 23, 2025 12:10


If you'd like to work with us on your Medicare health plan, we're licensed in 45 states and actively helping clients across the country. Christian and the team at Everything Senior Insurance represent many of the top insurance companies in the Medicare space. We're happy to help—just reach out! ➡️ Visit our site: ⁠⁠⁠⁠⁠⁠⁠⁠https://www.eseniorinsurance.com⁠⁠⁠⁠⁠⁠⁠⁠✅ Call us: (801) 255-5340

Raise the Line
A Global Perspective on Reshaping Psychiatric Care: Dr. Nasser Loza, Director of The Behman Hospital and Maadi Psychology Center

Raise the Line

Play Episode Listen Later Oct 23, 2025 29:00


“It wasn't a profession, it was a way of life,” observes internationally respected psychiatrist Dr. Nasser Loza, reflecting on a century-long family legacy in mental health care that began when his grandfather founded The Behman Hospital in Cairo. In this candid Raise the Line conversation with host Michael Carrese, Dr. Loza traces the transformation of psychiatry he's witnessed in his long career as increases in classifications, payment bureaucracy, reliance on pharmaceuticals, and technological disruption have each left their mark. The cumulative costs associated with these changes have, he laments, pushed care out of reach for many and hindered the human connection that is key to the discipline. He describes his prescription for countering these trends as a focus on effective and modest aims. “Rather than saying, come and see me in therapy for five years and I will make a better person out of you, I think focusing on symptom-targeted help is going to be what is needed.”  In this wide-ranging interview, you'll also learn about progress on advancing the rights of mental health patients and lowering stigmas, how to manage the rise of online therapy and use of AI chatbots, and the importance of empathy and transparency in mental health counseling. Don't miss this valuable perspective on a critically important dimension of healthcare that's informed by decades of experience as a clinician, government official and global advocate. Mentioned in this episode:The Behman HospitalMaadi Psychology Center If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Friends Talk Money
The High Cost of Doing Nothing: Medicare Open Enrollment Mistakes to Avoid for 2026

Friends Talk Money

Play Episode Listen Later Oct 22, 2025 55:46


Three-quarters of Medicare beneficiaries say choosing a Medicare plan is confusing, and nearly 7 in 10 (69%) Medicare beneficiaries have not compared their own source of Medicare coverage with other Medicare options offered in their area during past open enrollment periods, according to surveys. These actions can cost you money and limit your medication coverage and pharmacy access. In this episode of Friends Talk Money, we unpack what you need to know about Open Enrollment and your plan options, diving into the pros and cons of Original Medicare plus a supplement and Part D plan versus Medicare Advantage. We explain what's different this year, including the inconsistency around premiums and the discontinuation of Anthem standalone Part D plans. Our special guest is Diane Omdahl, a nationally recognized expert in Medicare. She's the creator of 65incorporated.com, which guides seniors in their Medicare choices, and author of the bestselling book, Medicare For You. She joins us to explain what steps you can take now to ensure your coverage is fully meeting your medical needs and isn't costing you more than you need to spend in 2026. Medicare Beware! A Special Report (Terry Savage) Survey: 75% of Medicare Beneficiaries Say Selecting a Plan Is Confusing Nearly 7 in 10 Medicare Beneficiaries Did Not Compare Plans During Medicare's Open Enrollment Period

Medicare For The Lazy Man Podcast
Ep. 868 - I told you so!!! Big rate increases for Plan G, N but small or 0% for High Deductible Plan G!

Medicare For The Lazy Man Podcast

Play Episode Listen Later Oct 22, 2025 33:31


Medicare Advantage Minute:                                                                                                 The government will allow plan changes due to inaccurate Medicare Advantage network directory listings.  Your Medicare Benefits 2025:                                                                                                 Radiation therapy Humana announcement details year-end Medicare supplement rate increases for supplement plans in several states. Exactly as predicted by this podcaster, High Deductible Plan G proves to be the best deal of all! Samples from the file containing the content curator's favorite category: Correspondence:                                                                                                                     Myrna asked about the cautionary statements on page 21 of "Medicare for the Lazy Man". The source of confusion had to do with the difference between Health Savings Accounts and Flexible Spending Accounts.                                                                                                                                                                                 Joe described "Medicare for the Lazy Man" as being very helpful but he still some reassurance after a "professional" advisor hired by his company made the assertion that "nobody buys High Deductible Plan G"!                                                         That guy gets paid more when people like Joe are forced to spend more. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; SIMPLEST & EASIEST GUIDE EVER!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" "MEDICARE FOR THE LAZY MAN: BARE BONES!" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Radio Advisory
272: How leaders need to rethink their approach to philanthropy

Radio Advisory

Play Episode Listen Later Oct 21, 2025 34:37


To make philanthropy a reliable revenue stream, health systems need more than just generous donors—they need strategy, structure, and sustained investment. In this episode, Abby Burns speaks with Advisory Board philanthropy expert and founder of Twin Point Insights, Erin Lanahan, about how not-for-profit health systems can build high-performing fundraising programs. They explore the “four Cs” of effective philanthropy—clear expectations, consistent resourcing, compelling priorities, and committed allies—and unpack how leaders can apply these principles to boost ROI, strengthen donor relationships, and ensure long-term financial sustainability. We're here to help: Healthcare Campaign Survey #1: Campaign Context 4 imperatives for successful fundraising campaigns [Ongoing research] Twin Point Insights: Healthcare Campaign Survey Series [Roundtable] HOME - Modernizing grateful engagement in a time of healthcare transformation [On-demand webinar] What the future of health system growth means for philanthropy leaders [On-demand webinar] Using market data to inform your philanthropy strategy [On-demand webinar] State of the industry: Exploring the future of healthcare philanthropy Key findings from the Medicare Advantage vision insurance consumer survey Oral oncolytics: Strategies for improving adherence and persistence A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

The Don Lemon Show
HOT TOPICS | This Is A Shutdown Teardown! - October 21st, 2025

The Don Lemon Show

Play Episode Listen Later Oct 21, 2025 61:57


Good morning Lemon Nation. It's a sad sight to see the demolition of the White House's East Wing. When Trump is doing so much damage to the country, in just about every perceivable way, seeing literal destruction of The People's House hits hard. And building a $250 million dollar ballroom during a government shutdown? When hundreds of thousands of government works are furloughed? And millions are struggling to find jobs? It's downright cruel. Join Don at 10am to dive into the next chapter of MAGA cruelty. This episode is brought to you by ZBiotics. Go to https://zbiotics.com/LEMON use LEMON at checkout for 15% off first time orders This episode is sponsored by Ollie. Take the guesswork out of your dog's well-being. Go to https://ollie.com/lemon and use code lemon to get 60% off your first box! This episode is brought to you by Beam. Beam is offering UP TO 40% off their best-selling Dream Powder for my listeners. Go to https://shopbeam.com and use code LEMON at checkout. Limited time offer. This episode is sponsored by Henson Shaving. Go to https://hensonshaving.com/LEMON and enter LEMON at checkout to get a free pack of 100 blades with your purchase. (Note: you must add both the blades and the razor for the discount to apply.) This episode is brought to you by Lean. If you want to lose meaningful weight at a healthy pace and keep it off... Add LEAN to your diet and exercise lifestyle. Get 20% OFF WHEN YOU ENTER LEMON at https://TAKELEAN.com For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. WE HAVE MERCH!! Purchase here: https://don-lemon-merch-store.myshopify.com/ WATCH & Subscribe on YouTube @TheDonLemonShow! Become a member of our channel here: https://www.youtube.com/channel/UCXs0PlIGUDSXfBaF7j-1euA/join Follow Don on Substack! Listen on Apple, Spotify and iHeart Radio! Learn more about your ad choices. Visit megaphone.fm/adchoices

The Everything Medicare Podcast!
Episode 323:Dr. Phil, Piers Morgan, & Dave Ramsey Sell Out Their Medicare Audiences During Open Enrollment! (Shocking)

The Everything Medicare Podcast!

Play Episode Listen Later Oct 21, 2025 15:36


If you'd like to work with us on your Medicare health plan, we're licensed in 45 states and actively helping clients across the country. Christian and the team at Everything Senior Insurance represent many of the top insurance companies in the Medicare space. We're happy to help—just reach out! ➡️ Visit our site: ⁠⁠⁠⁠⁠⁠⁠https://www.eseniorinsurance.com⁠⁠⁠⁠⁠⁠⁠✅ Call us: (801) 255-5340

Raise the Line
Progress in Pediatric Neurodegenerative Diseases: Koenig

Raise the Line

Play Episode Listen Later Oct 21, 2025 27:59


“When I was in medical school, no one had even heard of mitochondrial disease. Today, every student who graduates here knows what it is and has seen a patient with it,” says Dr. Mary Kay Koenig, director of the Center for the Treatment of Pediatric Neurodegenerative Disease at UTHealth Houston McGovern Medical School. That remarkable change in awareness has been accompanied by advances in genetic sequencing, the development of clinical guidelines, and the emergence of potential treatments in some forms of mitochondrial disease. In fact, Dr. Koenig's multidisciplinary team at UTHealth's Mitochondrial Center of Excellence has been a key player in clinical trials that may yield the first FDA-approved treatments for it. As you'll learn in this Year of the Zebra conversation with host Michael Carrese, her work in neurodegenerative diseases also includes tuberous sclerosis, where advanced therapies have replaced the need for repeated surgeries, and Leigh Syndrome, which has seen improvements in diagnoses and supportive therapies leading to better quality of life for patients.  Tune in as Dr. Koenig reflects on an era of progress in the space, the rewards of balancing research, teaching and patient care, and the need for more clinicians to center listening, humility and honesty in their approach to caring for rare disease patients and their  families.Mentioned in this episode:Mitochondrial Center of ExcellenceCenter for the Treatment of Pediatric Neurodegenerative Disease If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Retire With Ryan
Switching Plans and Saving Money During Medicare's Annual Open Enrollment, #276

Retire With Ryan

Play Episode Listen Later Oct 21, 2025 13:28


Every year, Medicare Open Enrollment presents an important opportunity for retirees and individuals enrolled in Medicare to review, update, and make changes to their health and prescription drug coverage. If you're on Medicare or approaching retirement, understanding the enrollment period and your options is crucial to ensuring comprehensive and cost-effective health care. I'm sharing the seven essential things you need to know to make the most of this important window. Whether you're already enrolled in Medicare or want to stay ahead of your retirement planning, I explain key dates, your options for switching plans, how to review or update your prescription drug coverage, and what to do if your health or coverage needs have changed.  Tune in to learn about navigating Medicare Advantage, Medigap, and everything you should consider before December 7th to keep your health and finances on track as you plan your ideal retirement. You will want to hear this episode if you are interested in... [01:56] Seven key things to know about Medicare open enrollment. [03:04] Making changes to your Medicare supplemental coverage. [04:30] Prescription drug plan options. [05:21] How to evaluate and change Medicare Advantage plans. 07:30] Switching from a Medicare Advantage plan to a Medigap plan. [12:17] Effective dates for making Medicare Changes. What Is Medicare Open Enrollment? Medicare Open Enrollment occurs annually from October 15th to December 7th. During this time, anyone currently enrolled in Medicare has the chance to make changes to their coverage. This window allows you to switch plans, sign up for supplemental coverage, or alter your prescription drug benefits, flexibility that's vital as your health needs or financial circumstances shift. It's important to note that this period is only for those already enrolled in Medicare, not for newly eligible individuals. This annual period matters for anyone with existing Medicare coverage. If you're new to Medicare, say, your 65th birthday is coming up, your initial enrollment period is separate, and open enrollment won't apply until the following year. Retirees and older people who have already navigated their initial sign-up should take advantage of open enrollment to ensure their health plan continues to meet their needs. Your Medicare Options Medicare coverage comes in several forms: Original Medicare (Parts A & B): Provides hospital and medical insurance. Medicare Advantage: All-in-one alternatives to Original Medicare, often with additional benefits and lower out-of-pocket costs. Medigap (Medicare Supplement): Offers extra coverage to help pay healthcare costs not covered by Original Medicare. Open enrollment is your chance to change from one type to another, such as moving from a Medicare Advantage plan to a Medigap policy or vice versa. Switching plans can bring savings or better coverage, depending on your health situation, but there are specific rules, like the six-month initial enrollment for Medigap and state-specific regulations, that you must navigate. Prescription Drug Plans: Reviewing and Updating Part D Prescription needs often change, and so do the offerings of Part D drug plans. This period lets you join, drop, or switch your drug coverage. If your current plan is discontinuing a medication you rely on or raising costs, research alternatives in your area. Lack of creditable drug coverage carries penalties, making it important to have either Part D or a Medicare Advantage plan with drug benefits. Switching Medicare Advantage Plans Medicare Advantage plans differ in costs, networks, and coverage options, and these can change each year. If your doctors are no longer covered or prescription benefits shift unfavorably, open enrollment is the time to shop for a better-fitting plan. Changes due to pricing or plan termination also allow you to choose a new plan that better fits your situation for the upcoming year. Understanding Medigap Eligibility and State Rules Switching from Medicare Advantage to Medigap isn't always straightforward, especially after your initial six-month enrollment window. Some states, including Connecticut, New York, and Massachusetts, offer more flexibility, letting you change plans without penalties for pre-existing conditions. Outside of these areas and time frames, you may face higher premiums or coverage denial unless a “guaranteed issue period” applies, such as following a plan termination or a move to a different state. Timing and Next Steps Any changes you make during Medicare Open Enrollment become effective January 1st of the following year. It's important to act before the December 7th deadline, so plan ahead, review notices, research alternatives, and consult with trusted advisors if you're unsure. Keeping up annually ensures your coverage fits your evolving health needs and budget. Medicare Open Enrollment can feel overwhelming, but it's a vital tool for retirees aiming for optimal care and cost efficiency. Stay informed, review your options, and take charge of your retirement health plan this open enrollment season. Resources Mentioned Retirement Readiness Review Subscribe to the Retire with Ryan YouTube Channel Download my entire book for FREE  Avoid These Seven Medicare Enrollment Mistakes and Protect Your Finances, #271  Connect With Morrissey Wealth Management  www.MorrisseyWealthManagement.com/contact   Subscribe to Retire With Ryan

Compliance Perspectives
Josh Drew on What's New with the False Claims Act [Podcast]

Compliance Perspectives

Play Episode Listen Later Oct 21, 2025 11:55


By Adam Turteltaub Despite being a Civil War era statute, the False Claims Act (FCA) always has something new going on.  To find out what's hot these days, we spoke with Joshua Drew (LinkedIn), a former federal prosecutor and chief compliance officer and currently a Member at Miller & Chevalier. Lately, he explains, there has been a steady stream of activity. May:  The Civil Rights Fraud Initiative was announced by the administration and proposes to use the FCA against any federal funding recipient that it believes are operating DEI initiatives that violate antidiscrimination laws. July:  A new working group was created between the DOJ and HHS to focus on healthcare and life sciences.  It encouraged whistleblowers to file action in areas such as Medicare Advantage, drug device and biologics pricing and barriers to patient access, amongst others. August:  A trade task force was created to encourage whistleblowing against tariff violators. All of this occurs against a backdrop of activity by the Administration to identify and fight waste, fraud and abuse. Listen in to learn more about where the Administration is focusing and what compliance teams can learn from recent actions.

Intelligent Medicine
Intelligent Medicine Radio for October 18, Part 2: Conquering Inflammation

Intelligent Medicine

Play Episode Listen Later Oct 20, 2025 44:18


The Don Lemon Show
Lemon LIVE at 5 | Trump Destroys Everything! - October 20th, 2025

The Don Lemon Show

Play Episode Listen Later Oct 20, 2025 70:33


Hi Lemon Nation. Have you seen these recent photos from the White House? After saying that construction would not "interfere" with existing white house structure, Trump has begun to tear down part of the East Wing in order to build his new "ballroom." Is there a better metaphor for what he is doing to this country than literally tearing down parts of the White House? Also, yet ANOTHER GOP n*zi scandal?! Is anyone surprised? Join Don at 5pm to break all of this craziness down. This episode is brought to you by ZBiotics. Go to https://zbiotics.com/LEMON use LEMON at checkout for 15% off first time orders This episode is sponsored by Ollie. Take the guesswork out of your dog's well-being. Go to https://ollie.com/lemon and use code lemon to get 60% off your first box! This episode is brought to you by Beam. Beam is offering UP TO 40% off their best-selling Dream Powder for my listeners. Go to https://shopbeam.com and use code LEMON at checkout. Limited time offer. This episode is sponsored by Henson Shaving. Go to https://hensonshaving.com/LEMON and enter LEMON at checkout to get a free pack of 100 blades with your purchase. (Note: you must add both the blades and the razor for the discount to apply.) This episode is brought to you by Lean. If you want to lose meaningful weight at a healthy pace and keep it off... Add LEAN to your diet and exercise lifestyle. Get 20% OFF WHEN YOU ENTER LEMON at https://TAKELEAN.com For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. WE HAVE MERCH!! Purchase here: https://don-lemon-merch-store.myshopify.com/ WATCH & Subscribe on YouTube @TheDonLemonShow! Become a member of our channel here: https://www.youtube.com/channel/UCXs0PlIGUDSXfBaF7j-1euA/join Follow Don on Substack! Listen on Apple, Spotify and iHeart Radio! Learn more about your ad choices. Visit megaphone.fm/adchoices

The Don Lemon Show
HOT TOPICS | Donald Trump $h!ts On America! - October 20th, 2025

The Don Lemon Show

Play Episode Listen Later Oct 20, 2025 59:55


Good morning Lemon Nation! What a weekend we had! No Kings day protests were HUGE! They were also lively, peaceful, energetic, and near 7 MILLION people showed up. This large show of patriotic outcry was enough to scare Trump into posting an absurd AI video of himself, in a fighter jet, dropping $h!t on top of protesters. I think we got to him... Join Don at 10am EST to break down this historic weekend! This episode is brought to you by ZBiotics. Go to https://zbiotics.com/LEMON use LEMON at checkout for 15% off first time orders This episode is sponsored by Ollie. Take the guesswork out of your dog's well-being. Go to https://ollie.com/lemon and use code lemon to get 60% off your first box! This episode is brought to you by Beam. Beam is offering UP TO 40% off their best-selling Dream Powder for my listeners. Go to https://shopbeam.com and use code LEMON at checkout. Limited time offer. This episode is sponsored by Henson Shaving. Go to https://hensonshaving.com/LEMON and enter LEMON at checkout to get a free pack of 100 blades with your purchase. (Note: you must add both the blades and the razor for the discount to apply.) This episode is brought to you by Lean. If you want to lose meaningful weight at a healthy pace and keep it off... Add LEAN to your diet and exercise lifestyle. Get 20% OFF WHEN YOU ENTER LEMON at https://TAKELEAN.com For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. WE HAVE MERCH!! Purchase here: https://don-lemon-merch-store.myshopify.com/ WATCH & Subscribe on YouTube @TheDonLemonShow! Become a member of our channel here: https://www.youtube.com/channel/UCXs0PlIGUDSXfBaF7j-1euA/join Follow Don on Substack! Listen on Apple, Spotify and iHeart Radio! Learn more about your ad choices. Visit megaphone.fm/adchoices

Minnesota Now
State agency 'very concerned' Minnesotans will be without full Medicare coverage

Minnesota Now

Play Episode Listen Later Oct 20, 2025 9:36


About 158,000 Minnesotans are looking for new options for Medicare now that the local company UCare is dropping their Medicare Advantage plan. The insurance company isn't the only one to no longer offer Medicare Advantage— it's not as financially beneficial as it once was. Enrollment opened last week, and this shift is causing people to scramble for new affordable options for medical insurance. Kelli Jo Greiner is a health care policy analyst for the Minnesota Board on Aging and the Minnesota Department of Human Services. She joined Minnesota Now host Nina Moini to explain coverage options.

Medicare For The Lazy Man Podcast
Ep. 867 - Is the Medicare Advantage market "collapsing"? One state official thinks so.

Medicare For The Lazy Man Podcast

Play Episode Listen Later Oct 20, 2025 35:54


Medicare Advantage Minute:                                                                                               A New Hampshire state official issues a dire assessment of the state of the Medicare Advantage market in his area of responsibility.  Your Medicare Benefits 2025:                                                                                                Pulmonary Rehabilitation Programs                                                                       Hey MOE is a new subscription service that wants help you identify the very best Part D prescription drug plan available in your area. As often happens when two massive behemoths encounter each other, some negotiations are in order. However, we are close to agreeing on a guest appearance on this very podcast.  If you take expensive drugs and would like to scan reputable Canadian pharmacies to find out if you can save money, send a message. I will be happy to share my short list of websites that you can use for this purpose. Finally, many congressmen are as opposed as we are to the government's proposed plan to add limited prior authorization regulations to Original Medicare. So far, nobody thinks this will be a good idea!             Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; SIMPLEST & EASIEST GUIDE EVER!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" "MEDICARE FOR THE LAZY MAN: BARE BONES!" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

The Cash-Based Practice Podcast
CBP 286: Lesser-Known Rules on Medicare and Cash Pay PT

The Cash-Based Practice Podcast

Play Episode Listen Later Oct 18, 2025 6:51


If you treat (or plan to treat) Medicare beneficiaries in a Cash-Based model, this week's short but crucial podcast episode is for you. There's a lot of confusion about  about the topic as a whole, and even more confusion when it comes to allowing or not allowing self-claims in the scenarios of:  “Medicare as a secondary”  Medicare as primary, but having a private insurance as a secondary”  and “Medicare Advantage plans”  In this episode, I walk through real-world scenarios and answer the questions I get most often inside the Mastermind about how to safely handle self-claims and cash-pay situations in the above scenarios, as well as when a beneficiary has Medicare Part A only (not Part B). What You're Getting Today: The key Medicare scenarios every cash-based PT should understand When self-claims are allowed (and when they absolutely aren't) A free Medicare and Cash-Pay PT Quick Start Guide to help you avoid costly compliance mistakes For all the details on this topic, make sure to download the free Quick Start Guide HERE. USEFUL INFORMATION: Check out our course: Cash-Based Practice Mastermind

The Don Lemon Show
HOT TOPICS | BREAKING LIVE: John Bolton Indicted! - October 17th, 2025

The Don Lemon Show

Play Episode Listen Later Oct 17, 2025 61:52


Trump has gone after another political enemy. This time its his own former national security advisor John Bolton, who has been indicted for "handling of classified material." Bolton's house was raided by the FBI in August which was said to be part of a broader investigation into his alleged wrongdoing. Join Don at 10 am EST to break down another act of vengeance from Donald Trump. This episode is sponsored by ZBiotics. Go to https://zbiotics.com/LEMON use LEMON at checkout for 15% off first time orders. This episode is brought to you by Graza. Take your food to the next level with Graza Olive Oil. Visit https://graza.co and stock up during our sitewide sale! This episode is sponsored by RadioActive Media. Visit https://RadioActiveMedia.com, or text the word, “PODCAST” to 511511. Start planning for 2026 now to get the lowest rates in Podcast and Radio. RadioActive Media can surpass your current strategies with new and innovative ways that “SOUND” better. Message and Data Rates May Apply. This episode is brought to you by Lean. If you want to lose meaningful weight at a healthy pace and keep it off... Add LEAN to your diet and exercise lifestyle. Get 20% OFF WHEN YOU ENTER LEMON at https://TAKELEAN.com This episode is sponsored by BetterHelp. Give online therapy a try at https://betterhelp.com/donlemon and get on your way to being your best self. For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. WE HAVE MERCH!! Purchase here: https://don-lemon-merch-store.myshopify.com/ WATCH & Subscribe on YouTube @TheDonLemonShow! Become a member of our channel here: https://www.youtube.com/channel/UCXs0PlIGUDSXfBaF7j-1euA/join Follow Don on Substack! Listen on Apple, Spotify and iHeart Radio! Learn more about your ad choices. Visit megaphone.fm/adchoices

The Don Lemon Show
Lemon LIVE at 5 | Ice Agent Arrested! - October 17th, 2025

The Don Lemon Show

Play Episode Listen Later Oct 17, 2025 75:48


Good evening Lemon Nation. A man who claimed to be an ICE officer was arrested in Florida for driving under the influence and reckless child endangerment. During his arrest the man racially profiled one officer asking, "are you Haitian?" Sure sounds like an ICE officer. Join Don at 5pm EST to break down this story and more. This episode is sponsored by ZBiotics. Go to https://zbiotics.com/LEMON use LEMON at checkout for 15% off first time orders. This episode is brought to you by Graza. Take your food to the next level with Graza Olive Oil. Visit https://graza.co and stock up during our sitewide sale! This episode is sponsored by RadioActive Media. Visit https://RadioActiveMedia.com, or text the word, “PODCAST” to 511511. Start planning for 2026 now to get the lowest rates in Podcast and Radio. RadioActive Media can surpass your current strategies with new and innovative ways that “SOUND” better. Message and Data Rates May Apply. This episode is brought to you by Lean. If you want to lose meaningful weight at a healthy pace and keep it off... Add LEAN to your diet and exercise lifestyle. Get 20% OFF WHEN YOU ENTER LEMON at https://TAKELEAN.com This episode is sponsored by BetterHelp. Give online therapy a try at https://betterhelp.com/donlemon and get on your way to being your best self. For free and unbiased Medicare help, dial 212-931-0855 to speak with my trusted partner, Chapter, or go to https://askchapter.org/don DISCLAIMER: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Average potential savings are based on realized premium, co-pay, and out of pocket savings estimates self-reported by consumers that worked with Chapter Advisory LLC to enroll in a Medicare Supplement, Medicare Advantage, and/or Part D Prescription Drug Plan. The average is limited to consumers that chose to self-report. Savings information is subject to periodic updates and corrections. There is no guarantee of savings and any savings may vary by policy type, state, or other factors. WE HAVE MERCH!! Purchase here: https://don-lemon-merch-store.myshopify.com/ WATCH & Subscribe on YouTube @TheDonLemonShow! Become a member of our channel here: https://www.youtube.com/channel/UCXs0PlIGUDSXfBaF7j-1euA/join Follow Don on Substack! Listen on Apple, Spotify and iHeart Radio! Learn more about your ad choices. Visit megaphone.fm/adchoices

Lance Roberts' Real Investment Hour
10-17-25 Six Crucial Steps to Medicare Open Enrollment

Lance Roberts' Real Investment Hour

Play Episode Listen Later Oct 17, 2025 46:33


Medicare's Fall Open Enrollment runs from October 15 through December 7, and this is your chance to review, compare, and adjust your coverage for 2026. Richard Rosso & Jonathan McCarty review six crucial steps to help you make smarter Medicare choices — from evaluating plan changes and comparing drug coverage to avoiding common enrollment mistakes. Whether you're already on Medicare Advantage or reviewing Part D drug plans, understanding how to navigate this annual window could save you thousands in healthcare costs next year. 1:34 - Dealing w Medicare Open Enrollment 3:59 - Jonathan's Baby & Diaper Service 9:10 - Prescription Drug Formularies & Changes 12:11 - Shopping Around for Medicare Advantage Plans 17:56 - Recommended Alphabet Formula 21:15 - What Medicare Advantage is NOT 24:55 - Medicare Part-G Open Architecture 26:52 - Where to Start - ID Verification Woes 30:17 - The Medicare Plan Finder 34:34 - The RIA Medicare Screening Tool 43:34 - How and Where to Start Hosted by RIA Advisors Director of Financial Planning, Richard Rosso, CFP, w Senior Investment Advisor, Jonathan McCarty, CFP Produced by Brent Clanton, Executive Producer ------- Watch Today's Full Video on our YouTube Channel: http://bit.ly/3KSVvYg ------- The latest installment of our new feature, Before the Bell, "Markets Reclaim 20-DMA — Can It Hold?" is here: http://bit.ly/46WMYfq ------- Our Previous Show, "Capitalism: The Real Path to Wealth & Happiness" is here: https://www.youtube.com/watch?v=2zw3gGV13x0&list=PLVT8LcWPeAugpcGzM8hHyEP11lE87RYPe&index=1&t=3s ------- Get more info & commentary: https://realinvestm entadvice.com/newsletter/ -------- SUBSCRIBE to The Real Investment Show here: http://www.youtube.com/c/TheRealInvestmentShow -------- Visit our Site: https://www.realinvestmentadvice.com Contact Us: 1-855-RIA-PLAN -------- Subscribe to SimpleVisor: https://www.simplevisor.com/register-new -------- Connect with us on social: https://twitter.com/RealInvAdvice https://twitter.com/LanceRoberts https://www.facebook.com/RealInvestmentAdvice/ https://www.linkedin.com/in/realinvestmentadvice/ #MedicareOpenEnrollment #RetirementPlanning #MedicareAdvantage #FinancialEducation #HealthcareCosts

The Real Investment Show Podcast
10-17-25 Six Crucial Steps to Medicare Open Enrollment

The Real Investment Show Podcast

Play Episode Listen Later Oct 17, 2025 46:34


Medicare's Fall Open Enrollment runs from October 15 through December 7, and this is your chance to review, compare, and adjust your coverage for 2026. Richard Rosso & Jonathan McCarty review six crucial steps to help you make smarter Medicare choices — from evaluating plan changes and comparing drug coverage to avoiding common enrollment mistakes. Whether you're already on Medicare Advantage or reviewing Part D drug plans, understanding how to navigate this annual window could save you thousands in healthcare costs next year. 1:34 - Dealing w Medicare Open Enrollment 3:59 - Jonathan's Baby & Diaper Service 9:10 - Prescription Drug Formularies & Changes 12:11 - Shopping Around for Medicare Advantage Plans 17:56 - Recommended Alphabet Formula 21:15 - What Medicare Advantage is NOT 24:55 - Medicare Part-G Open Architecture 26:52 - Where to Start - ID Verification Woes 30:17 - The Medicare Plan Finder 34:34 - The RIA Medicare Screening Tool 43:34 - How and Where to Start Hosted by RIA Advisors Director of Financial Planning, Richard Rosso, CFP, w Senior Investment Advisor, Jonathan McCarty, CFP  Produced by Brent Clanton, Executive Producer ------- Watch Today's Full Video on our YouTube Channel: http://bit.ly/3KSVvYg ------- The latest installment of our new feature, Before the Bell, "Markets Reclaim 20-DMA — Can It Hold?" is here:  http://bit.ly/46WMYfq ------- Our Previous Show, "Capitalism: The Real Path to Wealth & Happiness" is here: https://www.youtube.com/watch?v=2zw3gGV13x0&list=PLVT8LcWPeAugpcGzM8hHyEP11lE87RYPe&index=1&t=3s ------- Get more info & commentary:  https://realinvestm entadvice.com/newsletter/ -------- SUBSCRIBE to The Real Investment Show here: http://www.youtube.com/c/TheRealInvestmentShow -------- Visit our Site: https://www.realinvestmentadvice.com Contact Us: 1-855-RIA-PLAN -------- Subscribe to SimpleVisor: https://www.simplevisor.com/register-new -------- Connect with us on social: https://twitter.com/RealInvAdvice https://twitter.com/LanceRoberts https://www.facebook.com/RealInvestmentAdvice/ https://www.linkedin.com/in/realinvestmentadvice/ #MedicareOpenEnrollment #RetirementPlanning #MedicareAdvantage #FinancialEducation #HealthcareCosts

Relentless Health Value
EP489: MARGIN! Margin That Creates a Path to Mission at a Multispecialty Group, With Dan Greenleaf

Relentless Health Value

Play Episode Listen Later Oct 16, 2025 26:15


Ben Schwartz, MD, MBA, wrote an article recently, and yeah, he makes a really compelling point. Dr. Schwartz wrote, “Ultimately, the most successful care models are those that create value inherently. The goal isn't simply cost arbitrage; it's creating a sustainable system that makes value attainable. Care delivery innovation is about more than optimizing for VC [venture capital] returns or maximizing operational efficiency.” For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. That mention of value and how to achieve it for real—like, actually create a care model that delivers value inherently—is a great segue to introduce the show this week. It's a continuation of our mission/margin theme, and this week, we're talking about the margin part of the “no margin, no mission” cliché. So, taking this from the top, last week—and go back and listen to that show if you have not yet (and you can listen to both of these parts in no particular order; you do you)—but last week, we talked mission. That part about value and creating value inherently? The tie-in here to mission and margin could be a value equation, really. Like, mission divided by margin is how you calculate the value delivered (less carrier spread), but that's a whole other show with Cynthia Fisher (EP457). So, let me introduce my guest this week, who was also my guest last week: Dan Greenleaf, CEO of Duly, which is a multispecialty group in Chicago. So, last week Dan and I talked mission, as I said; but today we're talking margin, which is, again, gonna be the denominator of so many value equations. Last week in that mission show, quick review (or spoiler alert, depending on the order in which you may be listening to these shows), but last week, Dan Greenleaf broke mission, Duly's mission, into four quadrants. The four quadrants of mission being affordability, access, consumer experience, and quality. In this conversation today, the margin conversation, Dan Greenleaf emphasizes that achieving these four quadrants reduces friction for patients and clinicians that leads to not only better care outcomes but also financial sustainability (ie, margin). Margin can therefore be a function of mission. And again, as Dr. Ben Schwartz put it, “Ultimately, the most successful care models are those that create value inherently.” So, here we go. To be noted with one big fat fluorescent highlighter marker, a big part of this mission that comes up over and over again last week, it's about making prices reasonable and predictable and transparent for patients. Financial toxicity is a thing. Financial toxicity not only is clinical toxicity when so many people are delaying needed care. And look, I don't often quote Marjorie Taylor Greene, but recently she was in the New York Times and was quoted as saying, “The cost of health care is killing people.” This is what we should be focusing on. I just read the other day that one-third of adults in this country are currently delaying or forgoing care due to cost. One-third! Not one-third of low income or something like that. One-third of adults in this country are delaying or forgoing care due to fear of cost. In today's world, affordability and price transparency is part of what customer experience means—not just, like, lemon water in the waiting room. This is what struck me the most about the conversation from last week. But wait. Does affordable for patients spell trouble when it comes to the margin part of the operation? Will an affordability mission wreak havoc on margin? Is this business model doomed? Is there even a successful care model that creates value inherently that is sustainable? Such a good question, which is why I ask it to Dan Greenleaf right out of the gate. So, just to sum this all up in the conversation that follows, Dan Greenleaf gets into the challenges and the strategies involved in balancing mission-driven healthcare with financial realities. Duly's approach to being fiscally solid includes, well, I'm just gonna say many of the same types of efficiency things to maintain and retain margin that other more mainstream health systems might deploy. But I'd say there's a really striking difference in the why and the how. And the impact of this why and how is striking when you look at Duly's prices and the impact it has on its overall community. So, even though it's using similar types of strategies, maybe, as big consolidated health systems or other organizations, the impact and what it all adds up to is, again, very, very different. This is what I mean. At health systems, and maybe my head is just lost in a couple of anecdotal bits of evidence right now, but I just had two conversations in the past two days with physician leaders at big health systems (different ones), but both of these individuals said variations of the same theme. And if you wanna picture the scene, picture the saddest expressions, and one of them had a martini and the other one had a big-boy glass of wine. And both of them said, Look, my organization has lost sight of patient care, but also my organization has lost sight of, like, financial goals in most parts of the organization. All I seem to do all day is play politics with a whole lot of middle managers or even senior leaders jockeying for position and having turf wars within these sprawling bureaucracies. These are just great people who are trying so hard to do the right thing and are just struggling to find the foothold to do so within their own organizations. So, let's just say it was refreshing to hear Dan Greenleaf talk about an alignment of incentives and hook the margin up with the mission train in a really tight way throughout the entire organization. And to do this really well—achieve that mission/margin alignment across the whole entire organization—Dan underscores the value of clinician involvement in leadership and having, as I just said, aligned incentives with clinical teams. Keep in mind, this is the margin show, where clinical leadership came up and the number of doctors on their board and the level of physician ownership in the organization. I'm highlighting that this is the margin show here because usually so-called dyad leadership with physicians in leadership roles only comes up in mission conversations, right? Like, in situations where somebody wants the doctor to be the defender of mission and the battle to keep the MBAs in check. And I say this as the comic book stereotype, obviously. But yeah, it's true often enough. But then we have Dan, who is thinking about clinicians who have, again, aligned incentives across the organization so you don't have your physician leaders day drinking while I'm sitting across from them finding myself quoting Sun Tzu The Art of War and helping them craft the perfect PowerPoint slide to weaponize a reorg. Honestly, in my experience, there's no better way to waste metric assloads of money than in an organization where personal power grabs start to supersede anything that smells vaguely like an organizational imperative. And again, these just big bureaucracies at many health systems … yeah, too big not to fail at this is often the way of it. Then lastly, I grilled Dan Greenleaf about capital partners and how to manage to achieve private equity (PE) funding, where there's support for a model that delivers inherent value—a model that benefits both patients and providers as well as investors. And I'm saying this, keeping all of the things that Yashaswini Singh, PhD, said in that episode (EP474) about private equity a few weeks ago. Go back and listen to that. And by the way, Dan Greenleaf in this show has roughly the same ideas as Tom X. Lee, MD (EP445), founder of One Medical and Galileo told me, and also Rushika Fernandopulle, MD (EP460), founder of Iora. Great minds think alike. So, should figuring out how to work with PE be a topic of interest, there you go. Listen to my conversation today with Dan Greenleaf and then go back and listen to those other two shows. Dan Greenleaf, CEO of Duly, my guest today, has been in healthcare for 30 years. He's a six-time CEO: three public companies and has also run three companies backed by private equity and thus very aware of the many different funding mechanisms that exist in the marketplace. This podcast is sponsored by Aventria Health Group, but I do just wanna mention that Duly offered Relentless Health Value some financial support, which we truly appreciate. So, call this episode not only sponsored by Aventria but also Duly. And with that, here is my conversation with Dan Greenleaf. Also mentioned in this episode are Duly Health and Care; Benjamin Schwartz, MD, MBA; Cynthia Fisher; Cristin Dickerson, MD; Yashaswini Singh, PhD; Tom X. Lee, MD; Galileo; Rushika Fernandopulle, MD; Vivian Ho, PhD; Scott Conard, MD; Stanley Schwartz, MD; Vivek Garg, MD, MBA; and Dave Chase. You can learn more at Duly Health and Care and follow Dan on LinkedIn. You can also email Dan at dan.greenleaf@duly.com.   Daniel E. Greenleaf is the chief executive officer of Duly Health and Care, one of the largest independent, multispecialty medical groups in the nation. Duly employs more than 1700 clinicians while serving 1.5 million patients in over 190 locations in the greater Chicago area and across the Midwest. The Duly Health and Care brand encompasses four entities—DuPage Medical Group, Quincy Medical Group, The South Bend Clinic, and a value-based care organization. Its scaled ancillary services include 6 Ambulatory Surgery Centers, 30 lab sites, 16 imaging sites, 39 physical therapy locations, and 100 infusion chairs. Its value-based care service line provides integrated care for 290,000 partial-risk and 100,000 full-risk lives (Medicare Advantage and ACO Reach). Dan has nearly 30 years of experience leading healthcare services organizations. He is a six-time healthcare CEO, including prior roles as president and CEO of Modivcare; president and CEO of BioScrip, Inc.; chairman and CEO of Home Solutions Infusion Services; and president and CEO of Coram Specialty Services. Dan graduated from Denison University with a bachelor of arts degree in economics (where he received the Alumni Citation—the highest honor bestowed upon a Denisonian) and holds an MBA in health administration from the University of Miami. A military veteran, he was a captain and navigator in the United States Air Force and served in Operation Desert Storm.   09:56 How does Dan achieve his mission given the realities of margin? 14:49 How Duly Health's approach and incentives differ from other health systems. 16:04 EP466 with Vivian Ho, PhD. 16:28 EP462 with Scott Conard, MD. 16:31 Summer Shorts episode with Stan Schwartz, MD. 17:27 EP460 with Rushika Fernandopulle, MD. 17:29 EP445 with Tom X. Lee, MD. 17:30 EP407 with Vivek Garg, MD, MBA. 18:50 How having physicians on the hospital board greatly improves margin and mission. 20:04 How Dan explains his approach to his capital partners. 22:23 Fee for service vs. institutional care.   You can learn more at Duly Health and Care and follow Dan on LinkedIn. You can also email Dan at dan.greenleaf@duly.com.   @d_greenleaf of @dulyhealth_care discusses #margin creating a path to #mission in #multispecialtycare on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Dan Greenleaf (Part 1), Mark Cuban and Cora Opsahl, Kevin Lyons (Part 2), Kevin Lyons (Part 1), Dr Stan Schwartz (EP486), Dr Cristin Dickerson, Elizabeth Mitchell (Take Two: EP436), Dave Chase, Jonathan Baran (Part 2), Jonathan Baran (Part 1), Jonathan Baran (Bonus Episode)  

The Insurance Buzz
393. Medicare Advantage vs. Medicare Supplement — Everything You Need to Know

The Insurance Buzz

Play Episode Listen Later Oct 16, 2025 46:23


The Future of Insurance Sales is HEREhttps://agencycoachai.com We're now LIVE with a select group of agents.This is the first and only 24/7 AI-powered sales coaching platform built exclusively for insurance professionals.With real-time call grading, on-demand role-plays, and personalized coaching after every conversation, it helps producers close more and gives agents their time back.

Raise the Line
How Immersive Technology Is Changing Medical Education: Sean Moloney, CEO and Founder of EmbodyXR

Raise the Line

Play Episode Listen Later Oct 16, 2025 33:39


“Giving learners options gives them a better learning experience. It's more holistic and more comprehensive,” says Sean Moloney, CEO and founder of EmbodyXR, an extended reality platform focused on the use of immersive technologies in medical education. In this eye-opening Raise the Line conversation, Moloney explains how AI-powered extended reality (XR) --which integrates augmented, virtual, and simulation-based environments -- allows learners to interact with patients, explore multiple diagnostic choices, and experience varied outcomes based on their decisions. The result, he notes, is not only stronger engagement in learning, but a measurable improvement in understanding. Despite these gains, Moloney is quick to point out that he sees these technologies as complements to traditional training, not substitutes for it. “We'll never replace in-person teaching,” he says, “but we can make learners even better.” Beyond training future clinicians, the EmbodyXR platform is also offering new modes of patient and caregiver education, such as augmented reality guidance for using medical devices at home. Join host Lindsey Smith as she explores how EmbodyXR achieves and maintains clinical accuracy, the connectivity it offers between headsets, personal computers and mobile devices, and other capabilities that are shaping the future of how healthcare professionals and patients will learn. Mentioned in this episode:EmbodyXR If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Politics Done Right
The Truth About Medicare Advantage: A Corporate Scam Disguised as Choice

Politics Done Right

Play Episode Listen Later Oct 15, 2025 32:46


A Houston retirees forum reveals how Medicare Advantage privatizes healthcare and drains public trust. Choose Traditional Medicare as we fight for Medicare for All.Subscribe to our Newsletter:https://politicsdoneright.com/newsletterPurchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make AmericaUtopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And BeFit Now: https://amzn.to/3xiQK3K Tribulations of anAfro-Latino Caribbean man: https://amzn.to/4c09rbE

Politics Done Right
Trump's Economic Cruelty Meets Medicare Greed: The Real Threat to America's Future

Politics Done Right

Play Episode Listen Later Oct 15, 2025 59:36


The People's Price Index shows how Trump's tariffs fuel inflation, while Medicare Advantage drains seniors—join the fight for democracy, healthcare justice, and working-class survival.Subscribe to our Newsletter:https://politicsdoneright.com/newsletterPurchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make AmericaUtopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And BeFit Now: https://amzn.to/3xiQK3K Tribulations of anAfro-Latino Caribbean man: https://amzn.to/4c09rbE

Raise the Line
Centering Harm Reduction in Addiction Treatment: Dr. Melody Glenn, Associate Professor of Addiction and Emergency Medicine at University of Arizona College of Medicine-Tucson

Raise the Line

Play Episode Listen Later Oct 14, 2025 27:02


Why has America struggled so much to effectively manage the opioid use crisis? One of the answers, as you'll learn in this eye-opening episode of Raise the Line, is rooted in laws and attitudes from the early 20th century that removed addiction from the realm of medicine and defined it as a moral failing.  “The federal Harrison Act of 1914 forbade any physician from prescribing opioids to people with addiction, so it became more the purview of law enforcement or behavioral health or religion,” says Dr. Melody Glenn, who regularly confronts the consequences of this history during shifts in the emergency department at Banner-University Medical Center in Tucson, Arizona. And as Glenn explains to host Caleb Furnas, the resulting stigma associated with addiction has extended to the treatments for it as well, especially methadone, despite its effectiveness. Drawing on her dual expertise in emergency and addiction medicine, Glenn dispels misconceptions that medication-assisted treatment merely replaces one addiction with another, and emphasizes that harm reduction is critical to saving lives. Her desire to break prevailing stigmas led her to discover the story of Dr. Marie Nyswander, who pioneered methadone maintenance therapy in the 1960s and is featured in Dr. Glenn's new book, Mother of Methadone: A Doctor's Quest, a Forgotten History, and a Modern-Day Crisis. You'll leave this instructive interview understanding the roots of our flawed approach to addiction treatment, meeting an overlooked pioneer in the field, and admiring a devoted and compassionate physician who is following in her footsteps.  Mentioned in this episode:Banner-University Medical CenterMother of Methadone book If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast