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

Richard Helppie's Common Bridge
Episode 300- Ten Resolutions For Health System Leaders

Richard Helppie's Common Bridge

Play Episode Listen Later Dec 19, 2025 6:12


The status quo is expensive, exhausting, and unsustainable—so we set out a practical playbook to do better in 2026. Nathan Kaufman shares ten no‑nonsense resolutions for health system leaders who want measurable outcomes, stronger teams, and smarter payer strategies without falling for vendor hype or wishful thinking.We get specific about capital discipline and why “mission” can't justify chronic losses that drain resources from services that actually improve patient care. We talk through what it takes to win the talent war by treating physicians as true partners, then dive into dyad leadership that cuts across supply chain, HR, and IT to remove friction and accelerate results. Culture becomes operational with real-time metrics, fast feedback loops, and leaders spending more time in the field and less time in meetings that signal low trust and unclear decisions.Payment strategy is front and center. We explain how to use 340B responsibly to close funding gaps, why some value-based schemes are a race to the bottom, and how to negotiate Medicare Advantage so contracts yield at least 100% of Medicare after accounting for administrative burden. Affordability demands that we take significant cost out by removing layers, standardizing clinical pathways, and focusing on core services rather than chasing panaceas like provider-owned health plans or sponsored “research” that flatters a product.If you're ready to lead with data, align teams, and make tough calls that protect patient access and quality, this conversation is your roadmap. Subscribe, share with a colleague who needs a dose of operational courage, and leave a review telling us which resolution you'll tackle first.Support the showEngage the conversation on Substack at The Common Bridge!

Raise the Line
Helping People Understand Science Using the Science of Information: Jessica Malaty Rivera, Senior Science Communication Adviser at de Beaumont Foundation

Raise the Line

Play Episode Listen Later Dec 18, 2025 26:57


“People are not looking for a perfect, polished answer. They're looking for a human to speak to them like a human,” says Jessica Malaty Rivera, an infectious disease epidemiologist and one of the most trusted science communicators in the U.S. to emerge from the COVID-19 pandemic. That philosophy explains her relatable, judgement-free approach to communications which aims to make science more human, more accessible and less institutional. In this wide-ranging Raise the Line discussion, host Lindsey Smith taps Rivera's expertise on how to elevate science understanding, build public trust, and equip people to recognize disinformation. She is also keen to help people understand the nuances of misinformation -- which she is careful to define – and the emotional drivers behind it in order to contain the “infodemics” that complicate battling epidemics and other public health threats. It's a thoughtful call to educate the general public about the science of information as well as the science behind medicine. Tune in for Rivera's take on the promise and peril of AI-generated content, why clinicians should see communication as part of their professional responsibility, and how to prepare children to navigate an increasingly complex information ecosystem.Mentioned in this episode:de Beaumont Foundation 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

Medicare For The Lazy Man Podcast
Ep. 891 - As a wise man once wrote: Medicare Advantage is just great until you actually need to use it!...D. B. Jones

Medicare For The Lazy Man Podcast

Play Episode Listen Later Dec 17, 2025 37:54


     MEDICARE ADVANTAGE MINUTE:                                                         Medicare vs. Medicare Advantage: Ill Health often Leads to a Plan Switch                      YOUR MEDICARE BENEFIT 2025:                                                                 Travel Outside the USA  Correspondence from Anita in Fountain Hills, AZ: She has Medicare supplement Plan G but wants to consider switching to High Deductible Plan G. After some thought she... What's the deal with Long Covid anyway? We take a somewhat closer look to see if there is any sign of hope on the horizon. Finally, we close out the episode with a Christmas Quiz!                                                        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.

Talking Real Money
Santa's Little As

Talking Real Money

Play Episode Listen Later Dec 12, 2025 25:26


A holiday-flavored Friday Q&A that covers a lot of ground without selling a single candy cane. Don answers listener questions on Medicare vs. Medicare Advantage (and the IRMAA buzzsaw), how to safely reposition an elderly parent's taxable account, whether to ditch target-date funds for a DIY equity portfolio, how to think about international small-cap ETFs, why teaching kids to pick stocks is a terrible idea, and what to expect when a “free portfolio review” comes from a company whose name literally includes the word annuity. Skeptical, practical, and very on-brand. 0:17 Corny holiday Q&A musical intro and setup 0:33 Friday Q&A format, how questions get on the show, and holiday vibe 2:00 Medicare vs. Medicare Advantage, IRMAA penalties, and why private insurers are exhausting 3:37 Why capital gains can make Medicare shockingly expensive 4:15 The profit motive problem with Medicare Advantage plans 4:37 Question transition and listener call-in reminder 5:43 Managing an 82-year-old's taxable account: safety vs. yield 6:18 Why bond funds like BND diversify interest-rate risk better than savings accounts 7:15 CD ladders: how they work and why discipline matters 7:39 Treasury funds vs. total bond funds for capital preservation 7:47 Closing thoughts on preservation-focused portfolios 8:52 Target-date funds vs. DIY 401(k) portfolios 9:20 Glide paths, rebalancing, and what target-date funds do well 10:35 100% equity risk, volatility, and why down markets help accumulators 10:53 Choosing between AVDV and AVES (international small value vs. emerging markets) 11:47 Why the correct answer is often “both” 12:33 Teaching high school students about investing 13:52 Why stock-picking education reinforces a dangerous myth 14:28 Luck vs. skill and the evidence against beating the market 15:39 Index funds, market efficiency, and investor behavior 16:49 Morningstar vs. other research tools 17:18 Empower's “free portfolio review” and what might be coming next 18:06 Portfolio concentration concerns and tech exposure 19:33 Humor break and annuity skepticism 20:55 What Empower actually is and what that implies 21:16 Empower as an RIA and how to treat their recommendations 21:52 Getting a second opinion from a fee-only advisor 22:58 Thanks, holiday wrap-up, and call for more questions Learn more about your ad choices. Visit megaphone.fm/adchoices

Agent Survival Guide Podcast
Enrollment Stats, Snapshots & Spotlights

Agent Survival Guide Podcast

Play Episode Listen Later Dec 12, 2025 19:04


The Friday Five for December 12, 2025: Wrapping Up AEP 2026 Spotify Wrapped 2025 Pebble Index 01 2026 ACA Enrollment Snapshot #1 KFF 2026 Medicare Advantage Spotlight   Get Connected:

Medicare For The Lazy Man Podcast
Ep. 889 - Will MEDICARE ADVANTAGE continue to be a profitable line of business? Some want to know!

Medicare For The Lazy Man Podcast

Play Episode Listen Later Dec 12, 2025 34:49


     MEDICARE ADVANTAGE MINUTE:                                                                WHY MA CONTRACT NEGOTIATIONS ARE GETTING HEATED      YOUR MEDICARE BENEFITS 2025:                                                       TRACTION EQUIPMENT Close friend Marlene figured out how to send me a lively online discussion regarding the new Medicare experiment with Prior Authorization. She saw my repeated warnings in some of these online comments. Full disclosure mandated that I read an AI generated list of the exact procedures included within this five year trial program. New client Cal had an unusual introduction to MLM enrollment service. The state of Nebraska, an unfamiliar insurance company and some careless errors conspired to create a less than smooth introduction to my normally stellar client service! 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.

Raise the Line
Aligning Investment in Family Medicine With Its Impact: Dr. Jen Brull, Board Chair of the American Academy of Family Physicians

Raise the Line

Play Episode Listen Later Dec 11, 2025 19:42


“Delivering a baby one day and holding a patient's hand at the end of life literally the next day...that continuity is very powerful,” says Dr. Jen Brull, board chair of the American Academy of Family Physicians (AAFP). And as she points out, that continuity also builds trust with patients, an increasingly valuable commodity when faith in medicine and science is declining. As you might expect given her role, Dr. Brull believes strengthening family medicine is the key to improving health and healthcare. Exactly how to do that is at the heart of her conversation with host Lindsey Smith on this episode of Raise the Line, which covers ideas for payment reform, reducing administrative burdens, and stronger support for physician well-being. And with a projected shortage of nearly forty thousand primary care physicians, Dr. Brull also shares details on AAFP's “Be There First” initiative which is designed to attract service-minded medical students – whom she describes as family physicians at heart -- early in their educational journey. “I have great hope that increasing the number of these service-first medical students will fill part of this gap.”Tune-in for an informative look at a cornerstone of the healthcare system and what it means to communities of all sizes throughout the nation.  Mentioned in this episode:AAFP 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

Maximizing Medicare with Paul Sheldon
Which companies are selling Medicare Advantage plans?

Maximizing Medicare with Paul Sheldon

Play Episode Listen Later Dec 11, 2025 59:46


Paul has trouble with his hearing and shares a story about earwax.  Which companies are selling Medicare Advantage plans?  Kaiser Workers on strike.  New prescription drug website: TrumpRX.com.  GoodRx and generic drugs.  Real life couple suffers from health issues.  

Maximizing Medicare with Paul Sheldon
The Good & Bad of Medicare

Maximizing Medicare with Paul Sheldon

Play Episode Listen Later Dec 11, 2025 59:46


 The Good & Bad of Medicare.  Client email shares their story about Medicare HMOs and they weren't interested in Medicare Advantage plan feeling it was substandard care.  Advantage plans bring in more money but aren't that good for the client.  Special Enrollment period.  HRA: Health Reimbursement Arrangement.  MFN: Most Favored Nation clause.

Diagnosing Health Care Podcast
The Down-Low on Data for Value-Based Enterprises and Their Participating Providers

Diagnosing Health Care Podcast

Play Episode Listen Later Dec 11, 2025 27:12


Value-based enterprises depend on timely, accurate data, yet the rules that govern how that data moves between the Centers for Medicare & Medicaid Services (CMS), accountable care organizations, payors, and providers remain complex and often inconsistent. On this episode, Epstein Becker Green attorneys Kevin Malone and Karen Mandelbaum unpack the regulatory frameworks shaping data exchange in value-based care. They outline how federal privacy laws, CMS rules, the Health Insurance Portability and Accountability Act (HIPAA), and state requirements intersect; why CMS-sourced data operates under a different regime than Medicare Advantage; and where organizations face the biggest operational hurdles when using, sharing, and governing data across large networks. Key Takeaways: Distinct Legal Frameworks: CMS data is controlled by the Privacy Act, while Medicare Advantage data falls under HIPAA. Disclosure Tracking Requirements: CMS data use agreements demand strict tracking and downstream compliance. Operational Data Challenges: Silos and uneven data quality remain major barriers to effective value-based care. Tune in to learn how today's rules shape data access, data quality, and the real-world mechanics of value-based care. Visit our site for related resources and email contact information: https://www.ebglaw.com/dhc92 Subscribe for email notifications: https://www.ebglaw.com/subscribe. Visit: http://diagnosinghealthcare.com. - This podcast is presented by Epstein Becker & Green, P.C. All rights are reserved. This audio recording includes information about legal issues and legal developments. Such materials are for informational purposes only and may not reflect the most current legal developments. These informational materials are not intended, and should not be taken, as legal advice on any particular set of facts or circumstances, and these materials are not a substitute for the advice of competent counsel. The content reflects the personal views and opinions of the participants. No attorney-client relationship has been created by this audio recording. This audio recording may be considered attorney advertising in some jurisdictions under the applicable law and ethical rules. The determination of the need for legal services and the choice of a lawyer are extremely important decisions and should not be based solely upon advertisements or self-proclaimed expertise. No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.

Portfolio Intelligence
What you need to know about Medicare planning

Portfolio Intelligence

Play Episode Listen Later Dec 10, 2025 17:14


Medicare is a cornerstone of retirement planning, but its complexity can leave many retirees feeling overwhelmed. In this episode, host John Bryson, head of investment consulting, investment data analytics, and education savings at Manulife John Hancock Investments, welcomes Danielle to break down the Medicare essentials you need to know for 2026 and beyond.Danielle, author of the book 10 Costly Medicare Mistakes You Can't Afford to Make, discusses the latest expected changes to Medicare. She emphasizes the importance of early research and understanding the difference between supplemental plans, such as Medicare Advantage plans and Medicare Supplement Insurance (Medigap). She also offers strategies to help avoid higher Income-Related Monthly Adjustment Amount (IRMAA) surcharges.Here's a snippet from the conversation:1 What changes are expected to Medicare in 2026?Danielle: While we don't have some Medicare figures due to the government shutdown, we can expect Part B premiums to increase a bit. Projections suggest they could rise to $206 next year. Another major change stems from the Inflation Reduction Act of 2022, which led several carriers to exit the Part D market. As a result, about 2 million people are likely to lose their Medicare Advantage plans. If you've received a notice that your plan is exiting the market, it's important to shop for a new plan promptly to ensure you have coverage in place for January 1.2 What's IRMAA and how does it affect Medicare costs?Danielle: IRMAA is a surcharge on Medicare Part B and Part D, based on your income. While the base rate in 2025 is $185, an IRMAA surcharge will increase that amount. As a result, Part B premiums for people in really high-income brackets can increase to over $600 per month. So, decisions you make at ages 63 and 64 can affect your Medicare premiums at 65 and 66. It's wise to work with your financial advisor to plan ahead to explore spreading out income or avoiding large distributions that may help prevent higher premiums later.

Bright Spots in Healthcare Podcast
How CareFirst, Blue Shield CA and Vori Health Drive Success in the New MA Ratings Era

Bright Spots in Healthcare Podcast

Play Episode Listen Later Dec 10, 2025 60:29


In this Bright Spots in Healthcare episode, host Eric Glazer brings together Medicare Advantage leaders who are rethinking how digital first and whole person strategies can meet rising Stars expectations. The conversation explores how plans are simplifying engagement, strengthening provider alignment, and integrating specialty and virtual care models to improve quality, experience, and overall performance in the new ratings era. Our guests include: Lisa Franklin, Director of Medicare Business, Product, and Marketing, Strategic Growth and Government Programs, Carefirst Christine McKinney, Vice President Customer Experience and Digital Transformation Blue Shield of California Mary O'Connor, MD, Chief Medical Officer & Co-Founder, Vori Health Together, they explore: How CareFirst reduced member friction by consolidating 175 touchpoints a year into a coordinated digital first experience built around scrolling content cards, real time click behavior, and simplified onboarding. How Vori Health is integrating whole person MSK care with payers through value based arrangements that support coaching, nutrition, behavioral health screening, and earlier risk identification. How Blue Shield of California built a continuous CAHPS simulation program to uncover pain points and used those insights to create the Care Navigation Desk for real time access help. How digital tools like online scheduling, integrated member health records, and proactive pharmacy cost transparency are reducing friction and helping seniors navigate the ecosystem more independently. How plans are using AI and preference based engagement to support new Medicare members, improve medication adherence, and scale outreach during market disruptions. Panelist Bios: https://www.brightspotsinhealthcare.com/events/falling-stars-rising-standards-how-digital-first-whole-person-care-is-fueling-success-in-the-new-ratings-era/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. https://www.brightspotsinhealthcare.com/wp-content/uploads/2025/12/Episode_Guide_120425_Vori-Falling-Stars-Rising-Standards.docx.pdf Key Insights Summary: Find key insights from the discussion, guest takeaways, and detailed moderator notes captured by Eric during the conversation. https://www.brightspotsinhealthcare.com/wp-content/uploads/2025/12/Key-Takeaways-Erics-Notes-Falling-Stars-Rising-Standards.docx.pdf Resources:  Report: How Physician Led MSK Care Supports Stars Improvement and Whole Person Outcomes This companion report highlights how Vori Health's physician-led, virtual first musculoskeletal care model helps Medicare Advantage plans strengthen performance in the new ratings environment. It includes data and real member stories showing how hybrid specialty access, early gap closure, and whole person support improve outcomes, reduce unnecessary MSK spend, and enhance member experience. Inside you will find insights on Improving access through forty eight hour specialty appointments Reducing opioid use and unnecessary surgeries Supporting preventive screenings and chronic condition management Elevating member satisfaction across measures tied to the 2026 Stars program To request your copy, email nroberts@brightspotsventures.com. Buyer's Guide: The Comprehensive Guide to MSK Care for Health Plans This companion report gives health plans a clear framework for improving MSK strategy, highlighting how fragmented, high cost pathways drive unnecessary imaging, procedures, and surgeries without resolving pain. It outlines four MSK care models and the key elements of a high value program such as physician led care, holistic support, non opioid management, strong engagement, and real claims based ROI. It also shows how solutions like Vori Health bring these components together through coordinated, hybrid access and measurable improvements in outcomes and cost. Inside you will find insights on Improving MSK access and coordination across care models Designing physician led, whole person programs that address root causes of pain Reducing unnecessary imaging, procedures, and surgeries Driving stronger engagement, better outcomes, and meaningful cost savings To request your copy, email nroberts@brightspotsventures.com. Thank You to Our Episode Partner, Vori Health: Vori Health is a physician-led musculoskeletal care practice that delivers fast, evidence-based hybrid care for back, neck, and joint pain. Their whole person approach improves outcomes, reduces unnecessary MSK costs, and supports stronger Medicare Advantage Star Ratings. Learn more at vorihealth.com. Schedule a Meeting with a Dr. Mary O'Connor of Vori Health: To explore how Vori Health can help your organization strengthen whole person MSK care and support better Stars performance, reach out to nroberts@brightspotsventures.com to schedule a meeting with Dr. Mary O'Connor, CMO and Co-founder, Vori Health. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation.   We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.  

Industry Matters - Powered by VGM
Navigating the Evolving Payer Landscape: Key Insights for DMEs

Industry Matters - Powered by VGM

Play Episode Listen Later Dec 10, 2025 12:04


In this episode of the Industry Matters podcast, hosts Tyler Coulander and Alan Morris explore the rapidly changing payer landscape and its impact on the Durable Medical Equipment (DME) industry. Get the latest insights on Medicare Advantage, private insurance, and Medicaid, and learn how these shifts could affect your business strategy.What you'll learn in this episode:The latest trends in Medicare Advantage enrollment and projectionsHow payer decisions are influencing DME providersThe importance of understanding and adapting your payer mixActionable steps for building strong relationships with key payers and referral partnersWhat to watch for in the DME industry in the coming yearsWhether you're a DME provider, healthcare professional, or industry stakeholder, this episode of Industry Matters delivers valuable information and practical takeaways to help you stay ahead in a dynamic market.If you found this episode helpful, please like, share, and subscribe for more insights from Industry Matters!

Outcomes Rocket
Fixing Care Breakdowns Through Data, Behavioral Science, and Human Touch with Kempton Presley, Chief Executive Officer of AdhereHealth

Outcomes Rocket

Play Episode Listen Later Dec 9, 2025 19:24


This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com What if the most powerful force in healthcare isn't a new drug or device, but the ability to change patient behavior at scale? In this episode, Kempton Presley, Chief Executive Officer of AdhereHealth, discusses how the company enhances medication adherence and closes care gaps for high-risk populations through data-driven, science-informed behavioral interventions. He explains how AdhereHealth partners with Medicare Advantage plans, providers, and pharmacies to identify care gaps and influence positive patient behavior change, backed by an at-risk financial model tied to measurable outcomes. Presley also reflects on the challenges in the healthcare economy, shares his personal lessons on navigating career stagnation, and emphasizes the importance of aligning head and heart to create momentum. He highlights AI, automation, and advancements in genetic sequencing as key forces shaping the future of healthcare. Tune in to hear how AdhereHealth is reshaping behavior change at scale and driving sustainable health outcomes! Resources Connect with and follow Kempton Presley on LinkedIn. Follow AdhereHealth on LinkedIn and discover their website!

Agent Survival Guide Podcast
Things to Think About Post-AEP

Agent Survival Guide Podcast

Play Episode Listen Later Dec 9, 2025 9:57


In this episode we're highlighting some important things to think about while AEP is still fresh in your mind. Read the text version  

Vital Signs
Ep 65: CMMI Leaders on ACCESS Model Launch, Drug Pricing Strategy, and the Future of Technology Enabled Care

Vital Signs

Play Episode Listen Later Dec 8, 2025 56:54


This episode announces the launch of CMS's ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) model - a groundbreaking payment innovation that enables technology-enabled care organizations to treat Medicare fee-for-service patients with chronic conditions through outcome-aligned payments rather than traditional fee-for-service. Abe Sutton (Director of CMMI) and Jacob Shiff (Chief AI & Technology Officer at CMMI) explain how the model addresses a fundamental gap in healthcare: while commercial and Medicare Advantage patients have access to digital therapeutics and technology-enabled chronic disease management, original Medicare beneficiaries have been left behind. ACCESS changes this by paying providers monthly fees for managing conditions like diabetes, hypertension, obesity, behavioral health issues, and musculoskeletal pain - but only when patients achieve measurable clinical improvements. The model is designed to be deflationary rather than inflationary, encourages innovation by simplifying go-to-market for digital health startups, integrates with existing risk-bearing models like ACOs, and represents a broader CMMI strategy to shift from activity-based to outcome-based payments while leveraging new AI capabilities to democratize high-quality care. (0:00) Intro(0:57) The ACCESS Model: Advancing Chronic Care(4:35) Outcome-Aligned Payments and Technology(7:40) Encouraging Innovation and Investment(09:23) Practical Implementation and Examples(24:28) Evaluating Success and Future Goals(26:18) Connecting the Dots: Broader CMMI Initiatives(28:40) Generous and Its Impact on Drug Pricing(30:11) Challenges and Benefits of Prior Authorization(35:19) The Role of Technology in Healthcare(37:59) AI and Technology-Enabled Care(40:26) Reflections on Value-Based Care Models(43:51) Encouraging Competition in the Healthcare Market(48:24) Quickfire Out-Of-Pocket: https://www.outofpocket.health/

The Gateway
Friday, Dec. 5 - Making sense of rate agreements and insurance plans

The Gateway

Play Episode Listen Later Dec 5, 2025 16:52


Ameren Missouri's new rates for data centers are now in effect. But a consumer advocacy group is asking for a redo. St. Louis Public Radio's Kate Grumke explains the case and the latest updates. Plus, Midwest seniors have two options for Medicare coverage– traditional Medicare through the government, or a private Medicare Advantage plan. While Advantage plans cost less up front, experts say seniors could pay the price with their health.

#StillServing: The VFW Podcast
Mimecast and Callbots and Over-Prescriptions

#StillServing: The VFW Podcast

Play Episode Listen Later Dec 5, 2025 74:30


Host Rob Couture and co-host Brittany Dymond Murray sit down with Kristina Keenan, Ryan Gallucci, and Glenn Umberger, VFW Junior Vice Commander-in-Chief, to break down the key legislative and administrative issues currently affecting America's veterans. Keenan recaps her recent congressional testimony, highlighting concerns about VA proposals tied to Medicare Advantage, as well as the growing problem of predatory companies misguiding veterans seeking disability benefits. Gallucci expands on the VFW's efforts to protect the VA Home Loan program and discusses challenges veterans face when navigating VA's digital systems, including recent outages and access barriers. Offering a national leadership perspective, Umberger underscores how these issues impact veterans at the Post and Department levels and emphasizes the importance of informed advocacy throughout the organization. Links referenced in the episode: Firms that help military vets with their disability claims can charge exorbitant fees Why Clark Griswold may be one of the most perfect veterans in film Join the VFW's Action Corps network Episode Highlights: 0:00 – Intro and Roll Call 4:20 – Keenan's congressional testimony and key legislative priorities 7:05 – VA cost recovery proposals and Medicare Advantage concerns 11:30 – Predatory claims companies and protecting veterans from exploitation 15:42 – Trajectory Medical and the fight against misleading "consultant" models 19:08 – Preserving the VA Home Loan program and preventing misuse of the funding fee 23:55 – Digital access challenges: website bottlenecks, outdated systems, and broadband gaps 28:10 – VA system outages, bot-driven traffic surges, and VFW escalation 32:15 – Navigating VA.gov and securing essential veterans' records 36:42 – Grassroots reporting and the importance of accurate field intelligence 40:58 – National leadership perspective with Glenn Umberger 45:22 – Legislative and administrative priorities for 2024–2025 1:04:30 – Good of the Order – closing reflections   For more information or to continue the conversation, please visit: Veterans of Foreign Wars Website VFW Podcast Page @VFWHQ on Twitter VFW on Facebook @RobCoutureVFW on Facebook Call 1-888-JOIN-VFW Today's VFW — Share Your #StillServing Story Sports Clips Help A Hero — Text HERO to 71777 to donate online

News & Features | NET Radio
Dec. 5 | Tyson impacts cattle market, Medicare choices

News & Features | NET Radio

Play Episode Listen Later Dec 5, 2025 11:10


Your Nebraska Update headlines for today, Dec. 5, include: Tyson's Lexington plant closure set to shift cattle operations across Nebraska, Nebraskans weigh traditional Medicare against Medicare Advantage, Rep. Don Bacon criticizes recent military actions, professional indoor football returns to Grand Island next year.

Agent Survival Guide Podcast
5 Takeaways from the CMS 2027 MA and Part D Proposed Rule

Agent Survival Guide Podcast

Play Episode Listen Later Dec 5, 2025 12:15


CMS recently published their 2027 Medicare Advantage and Part D Proposed Rule. In this week's Friday Five episode, we talk initial takeaways and the impact on agents and beneficiaries.   Get Connected:

Agent Boost Marketing Podcast
Episode 110: Proposed 2027 CMS Call Letter

Agent Boost Marketing Podcast

Play Episode Listen Later Dec 5, 2025 61:38


Medicare Annual Enrollment Period - Trends, Challenges, and OpportunitiesWe dive into the chaos and hustle surrounding the last few days of Medicare's Annual Enrollment Period (AEP). Mike and Dan Hardle discuss the never-ending busy season, the dynamics of telemarketing laws, and the varying attitudes of agents during AEP. Expect insightful commentary on the evolving field of Medicare insurance, trends in agent behavior, and the potential impact of recent regulatory changes. Plus, they break down the latest CMS proposals for 2027, offering a glimmer of hope for a more streamlined, efficient future in the Medicare Advantage ecosystem. Whether you're an industry expert or just curious about the state of Medicare, you won't want to miss this episode!

RISE Radio
Episode 28: Inside the 2027 MA and Part D Proposed Rule: Star ratings, equity, and what plans must do next

RISE Radio

Play Episode Listen Later Dec 5, 2025 57:36


In this hour-long episode of RISE Radio, Editorial Director Ilene MacDonald sits down with industry experts to break down the changes in CMS' 2027 Medicare Advantage and Part D proposed rule, why removing 12 measures and bringing back the reward factor is a true Stars redesign, and how plans can pivot from operational wins to outcome performance. We also explore the new depression screening measure and the new SEP when providers exit networks, with clear steps to protect quality and retention.Our guests are Ana Handshuh, principal of CAT5 Strategies, Melissa Smith, founder and senior advisor of the Newton Smith Group, and Rex Wallace, founder & principal of Rex Wallace Consulting. For more on these changes, join us at The RISE Star Ratings Master Class, December 16-18 in Frisco, Texas or RISE National 2026, March 23-25 in Orlando, Fla. 

Becker’s Healthcare Podcast
Jakob Emerson on Medicare Advantage Changes, GLP-1 Access and Shifts in the Payer Landscape

Becker’s Healthcare Podcast

Play Episode Listen Later Dec 4, 2025 11:11


In this episode, Jakob Emerson, Associate News Director at Becker's Healthcare, breaks down CMS' proposed 2027 Medicare Advantage rule, challenges facing smaller MA plans, and the shrinking access to GLP-1 medications on ACA marketplaces. He also highlights the evolving dynamics between payers, providers and consumers as policy and costs rapidly shift.

Raise the Line
Reimagining Public Health: Dr. Deb Houry, Former Chief Medical Officer at Centers for Disease Control and Prevention

Raise the Line

Play Episode Listen Later Dec 4, 2025 16:27


“This is a time to reimagine public health and public health/healthcare system integration,” says Dr. Deb Houry, the former chief medical officer for the US Centers for Disease Control and Prevention. In this thoughtful Raise the Line conversation, Dr. Houry reflects on unprecedented federal action in vaccine guidance and other issues since her noteworthy resignation from the CDC in August, and sees a more decentralized landscape emerging where states and localities play a larger role in providing public health recommendations. And while she acknowledges upsides to this shift, she's also concerned what the absence of a national consensus on health standards could mean. “Diseases don't recognize borders, and it's also important that people have equitable access to preventative services, vaccines, and other things,” she tells host Lindsey Smith. Tune in for Dr. Houry's seasoned perspective on this consequential moment in public health, and her encouraging message for learners and early career providers considering a career in the sector.Mentioned in this episode:DH Leadership & Strategy Solutions 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
Artificial Intelligence and the Treatment of Inflammatory Disease

The Bob Harden Show

Play Episode Listen Later Dec 4, 2025 59:20


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 legislative developments on “Artificial Intelligence” and its implications for public education with the Co-Founder and CEO of the Florida Citizen's Alliance, Keith Flaugh. We visit with Cato Institute Health Policy Director Michael Cannon about Medicare Advantage programs, Obamacare subsidies and alternatives for reducing healthcare costs. We visit with Orthopedic Surgeon Dr, George Markovich, about the use of Artificial Intelligence in the treatment of inflammatory disease. We also visit with the former Mayor of Naples Bill Barnett. We have terrific guests scheduled for Friday's show including Senior Legal Fellow with the Pacific Legal Foundation William Yeatman, CEI Senior Economist Ryan Young, 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.

Gist Healthcare Daily
Wednesday, December 3, 2025

Gist Healthcare Daily

Play Episode Listen Later Dec 3, 2025 7:40


The Centers for Medicare and Medicaid Services is considering updates to how it calculates Medicare Advantage star ratings. The United States and the United Kingdom have agreed to a zero percent pharmaceutical tariff. The House passes legislation to extend the hospital-at-home waiver. Hear more on today's episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

Bright Spots in Healthcare Podcast
AMA & Health2047: Warren Templeton on Transforming Healthcare Through Venture Innovation

Bright Spots in Healthcare Podcast

Play Episode Listen Later Dec 3, 2025 24:45


Recorded live at HLTH, this episode of Bright Spots in Healthcare takes you inside Health2047, the venture studio founded by the American Medical Association to tackle some of healthcare's gnarliest problems. Host Eric Glazer sits down with Warren Templeton, Managing Director at Health2047, to explore how the AMA is backing founders at the earliest stages to reshape physician workflows, chronic disease management, and data liquidity. Warren shares how Health2047 partners with science- and clinician-led startups at the pre-seed and seed stages, wrapping founders with commercial strategy, clinical and billing expertise, and an evergreen capital model that matches healthcare's longer time horizons. He also unpacks why humility and conviction are the two non-negotiable traits he looks for in founders. You'll hear real-world examples from Health2047's portfolio, including: Zing Health – a Medicare Advantage plan built for underserved communities, rooted in social determinants of health and community-based design Phenomics Health – an obesity phenotyping company born from a "failed" diabetes prevention bet, now helping match patients to the right GLP-1s, procedures, and care pathways ScholarRx – a global medical education platform partnering with the WHO to enable high-quality "tertiary care in the wild" for clinicians around the world Warren and Eric also dig into: Why traditional 5–7 year VC timelines often clash with healthcare reality How to balance breakthrough science with practical workflow integration and commercial viability The impact KPIs Health2047 tracks beyond IRR, including lives and care teams impacted If you're a founder, investor, or healthcare leader trying to build something that actually works in the real world—not just on a pitch deck—this conversation offers a candid look at what it takes to design, fund, and scale the next generation of healthcare companies. Bio: https://health2047.com/leadership/warrentempleton/ References: Health2047's portfolio companies mentioned in the episode: Zing Health - https://www.myzinghealth.com/ Phenomics Health - https://www.phenomicshealth.com/ ScholarRx - https://scholarrx.com/ Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com. Visit our website:  www.brightspotsinhealthcare.com. Follow Bright Spots in Healthcare: https://www.linkedin.com/company/shared-purpose-connect/

Home Health Revealed
Home Health Revealed Episode 100: Conversations That Changed the Game

Home Health Revealed

Play Episode Listen Later Dec 3, 2025 12:49


Join us for a milestone celebration of Home Health Revealed by HealthRev Partners—our 100th episode! Reflect on four transformative years in home health: nationwide HHVBP rollout since 2022, PDGM-driven reimbursement cuts, climbing aide turnover near 35%, and the shift to value-based care and Medicare Advantage. We've covered it all—from staffing crises to AI tools and CMS final rules. Whether you're tackling AR aging, clinician burnout, or payer mix shifts, this retrospective delivers actionable takeaways from 100 episodes of industry truth. A HUGE thank you to our guests, our listeners, and our partners. Here's to the next 100 episodes! Chapters (00:00:02) - Home Health Revealed: Turning 100 Episodes(00:01:19) - A Thanksgiving Special: Thank You(00:03:24) - Home Health Care: The Last Four Years(00:05:48) - Home Health Revealed: A 100-Episode Podcast(00:10:44) - Home Health Revealed: The Next 100 Episodes

Ditch the Suits - Financial, Investment, & Retirement Planning
Retiring? Demystifying Health Coverage - EP. 196

Ditch the Suits - Financial, Investment, & Retirement Planning

Play Episode Listen Later Dec 2, 2025 27:33


Health insurance and Medicare often feel like a black box, especially for retirees, entrepreneurs, and anyone facing a major life transition. In this episode, Travis Maus (CEO of S.E.E.D. Planning Group) welcomes Cole Craven, founder and Head of Growth at Move Health, to shine a light on the complexities of healthcare coverage and empower listeners with practical, actionable knowledge. Whether you're planning for retirement, launching a business, or simply trying to make sense of your options, this conversation breaks down common myths, uncovers industry realities, and offers insights to help you make informed decisions about your health coverage. Cole shares his personal journey into the healthcare space, the founding story of Move Health, and why education is the key to overcoming uncertainty and fear around health insurance. Listeners will learn how Move Health helps advisors and clients navigate the maze of coverage options, why understanding your unique health and financial situation matters, and how to avoid common pitfalls, like choosing plans based solely on price or following advice that isn't tailored to your needs. Key Takeaways: Why health insurance is a top concern for retirees and entrepreneurs The importance of education and healthcare literacy How Move Health empowers advisors and clients with real data and objective advice The difference between Medicare Advantage and Medicare Supplement plans Why working with a trusted, objective partner is crucial Call to Action: Don't let health insurance be a source of stress or confusion. Seek out education, ask questions, and make sure you're working with someone who puts your best interests first. If you're unsure about your coverage, get informed and don't be afraid to ask for help.

Crosstalk America
The Quest for Medical Freedom & Privacy

Crosstalk America

Play Episode Listen Later Dec 2, 2025 53:28


Twila Brase is president and co-founder of Citizens' Council for Health Freedom, a national patient-centered, privacy-focused, free-market policy organization to support health care choices, individualized patient care and medical and genetic privacy. Twila is a certified public health nurse and author of the eight-time award-winning book, Big Brother in the Exam Room: The Dangerous Truth About Electronic Health Records. She's the speaker on the daily Health Freedom Minute heard on stations across the nation. Twila returned to Crosstalk with an important update as it relates to your health care and privacy concerns. You'll want to review this broadcast as she discussed the following: Was the Affordable Care Act about health care accessibility and affordability or was it perhaps a transfer of wealth and a move toward socialized medicine? What you need to know concerning the Obamacare subsidies that highlighted the debate during the recent government shutdown. The problems with Medicare Advantage vs. regular Medicare. Real I.D.--Twila explains why it's far more than just a driver's license and what it means in terms of your privacy.

HLTH Matters
From Fragmentation to Flow: Ben Forrest on How Olio Is Reimagining Care Coordination Across the Continuum

HLTH Matters

Play Episode Listen Later Dec 1, 2025 14:47


About Ben Forrest:Ben Forrest is the CEO of Olio, a care coordination technology company focused on improving collaboration among payers, health systems, and post-acute providers for the most complex patients. With a 14-year background in the medical device industry, Ben saw firsthand how fragmented workflows and siloed care settings created barriers to quality and efficiency—an insight that led him to build Olio. Under his leadership, the platform now enables real-time engagement across hundreds of care sites, helping organizations reduce administrative burden, improve outcomes, and better manage medical spend. Ben is dedicated to bringing modern software, thoughtful workflows, and emerging AI capabilities to one of healthcare's most persistent challenges: truly connected care.Things You'll Learn:Care coordination is deeply fragmented, especially for complex patients moving across hospitals, skilled nursing, home health, behavioral health, and other community settings.Olio's platform connects payers, health systems, and post-acute providers in one shared workflow, enabling daily engagement and reducing administrative burden.Better downstream provider engagement directly improves outcomes and lowers costs, especially in Medicare Advantage, Medicaid, ACO, and bundled payment environments.Scaling coordination statewide requires more than EMRs; it requires workflow technology that ensures transparency, accountability, and consistent communication across 100+ care sites.Economics drive engagement: care coordination intensity increases where organizations hold risk or face pressure to manage total medical spend.The future of AI in care coordination is still emerging, and smart companies will focus on doing one operational problem exceptionally well before expanding.Payers will face mounting pressure to reduce medical spend, making true care coordination, not just better authorization practices, a strategic necessity.Olio was born from the realization that healthcare excels at delivering care in silos but struggles when patients move between settings, especially under value-based models.Resources:Connect with and follow Ben Forrest on LinkedIn.Follow Olio on LinkedIn and discover their website. 

Agent Survival Guide Podcast
What Agents Can't Say During Medicare Sales Appointments

Agent Survival Guide Podcast

Play Episode Listen Later Dec 1, 2025 13:15


Serve your clients and stay CMS compliant. That's your priority as an insurance agent. Here at Ritter, we're happy to help! Check out this episode for a refresher on what you can't say during Medicare sales appointments and why. Read the text version  

Medicare For The Lazy Man Podcast
Ep. 884 - Need life insurance? MedicareForTheLazyMan.com links to a simple D-I-Y selection process made especially for you!

Medicare For The Lazy Man Podcast

Play Episode Listen Later Dec 1, 2025 35:39


     MEDICARE ADVANTAGE MINUTE:                                                         Informed consent: The key to preventing big Medicare Advantage mistakes!      YOUR MEDICARE BENEFITS 2025:                                                            Surgical Dressings Enjoy some correspondence from clients or wannabe clients:      Ken & Mrs. Ken sent their heartfelt thanks for the help with various insurance products, including Medicare supplement and life insurance which they shopped for effortlessly and without being irritated by me or any other annoying insurance agent.      A new client, under 65 on SSDI, wrote to request Medicare supplement quotes. Fortunately for her, the rates in her state are quite reasonable.      ANON sent a lengthy message entitled: Two Complaints and Some Serious Foot-Stomping (or words to that effect);      ANON II sent a short, invective-laden complaint.  Finally, we held a short review of a list of the most frequently prescribed drugs in America.      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.

Agent Survival Guide Podcast
FAQs & Guidelines on Compliant Medicare Marketing Materials

Agent Survival Guide Podcast

Play Episode Listen Later Nov 29, 2025 16:16


Marketing is a vital part of any business. But when it comes to marketing your services as an agent selling Medicare, there are specific rules and regulations. To help you out, we've compiled a list of FAQs around compliant Medicare marketing. Press play to get started!   Read the text version  

Medicare For The Lazy Man Podcast
Ep. 882 - Quiz question: what does Medicare Advantage limit access to that original Medicare dies not?

Medicare For The Lazy Man Podcast

Play Episode Listen Later Nov 27, 2025 32:54


     MEDICARE ADVANTAGE MINUTE:                                                                  MA enrollees have access to only about half of the physicians that would be available to traditional Medicare participants                                                     (those in Original Medicare with a Medicare supplement)      YOUR MEDICARE BENEFITS 2025:                                                           Supplies Article: "Challenges of Choice in Medicare"                                                                  Many people struggle with the Medicare decisions the must make. Finally, a prospective client has four questions for which he seeks answers. 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.

Egberto Off The Record
Wendell Potter on Medicare Theft, Rural Care at Risk, Trump's Blueprint, CDC Lies Revealed

Egberto Off The Record

Play Episode Listen Later Nov 27, 2025 58:00


Thank you to everyone who tuned into my live video! Join me for my next live video in the app.* The Medicare Advantage Scam Wendell Potter Reveals How Insurers Drain Public Funds: Whistleblower Wendell Potter reveals how Medicare Advantage denies care, inflates costs, and enriches Wall Street while draining the Medicare trust fund.… To hear more, visit egberto.substack.com

Arista Wealth Podcast
Guest Edition: Beyond the Basics, A Clear Guide to Medicare With Taylor Cole

Arista Wealth Podcast

Play Episode Listen Later Nov 26, 2025 14:42


This episode of the Arista Wealth Management Podcast, host Paul L. Moffat is joined by former Major League Baseball pitcher and Medicare specialist Taylor Cole for a practical and easy-to-understand conversation on navigating Medicare. Whether you are turning sixty-five, already enrolled, or helping a family member through the process, this episode breaks down what Medicare covers, how the different parts work, and the choices that matter most when evaluating your options.Paul and Taylor explain how Parts A, B, D, Medicare Advantage, and Medicare supplement plans fit together, what costs to expect, and how recent rule changes affect retirees. They also discuss common misconceptions, including why Medicare is not completely free and when penalties can apply. With clear guidance on plan design, out-of-pocket costs, drug coverage, and doctor networks, listeners will walk away with the confidence to make informed healthcare decisions in retirement.In this episode: ● What Medicare Parts A and B cover, how enrollment works, and what it costs ● The differences between Medicare Advantage and Medicare supplement plans ● How drug coverage and the new out-of-pocket caps function ● When a zero-premium plan makes sense and when a supplement plan may be the better fit ● How networks, referrals, and access to specialists vary by plan type ● Why plan selection should be based on both medical and financial needs ● When underwriting applies and why timing your decision mattersIf you have any questions, call the Arista Wealth Management office located in Las Vegas, NV at 702-309-9970Connect with Arista Wealth:Website: https://www.aristawealth.comEmail: support@aristawealth.comThe opinions expressed in this podcast are for general purposes only and are not intended to provide specific advice or recommendations for any individual or on any specific security. It is only intended to provide education about the financial industry. It is not intended to provide tax or legal advice. To determine which investments may be appropriate for you, consult your financial advisor prior to investing. Any past performance discussed during this program is no guarantee of future results. Any indices referenced for comparison are unmanaged and cannot be invested into directly. As always please remember investing involves risk and possible loss of principal capital: please seek advice from a licensed professional.Arista Wealth Management is a registered investment adviser. Advisory services are only offered to clients or prospective clients where our firm and its representatives are properly licensed or exempt from licensure. No advice may be rendered by Arista Wealth Management unless a client service agreement is in place.

Politics Done Right
The Medicare Advantage Scam: Wendell Potter Reveals How Insurers Drain Public Funds

Politics Done Right

Play Episode Listen Later Nov 26, 2025 26:11


Whistleblower Wendell Potter reveals how Medicare Advantage denies care, inflates costs, and enriches Wall Street while draining the Medicare trust fund.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

Progressive Voices
Code Wack - Love your Medicare Advantage plan? It does NOT love you back

Progressive Voices

Play Episode Listen Later Nov 26, 2025 18:00


This time on Code WACK! Will Humana and UnitedHealth Group be found by the courts to have prematurely denied or cut off physician-ordered post-acute care for Medicare Advantage members using AI models with error rates as high as 90%? And could these same AI tools, which over 60% of doctors allege systematically deny patients necessary care, be used in Traditional Medicare as well? The answer is YES, depending on where you live. To learn more, we spoke with Jeremy White, author of InHumana: An American Healthcare Story, published recently by White Lines Press. Jeremy and his wife, Edie, founded the award-winning satirical publication Red Shtick Magazine and its online version, The Red Shtick. They live in Baton Rouge, Louisiana. This is the second episode of a two-part series with Jeremy about his new book. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation.

The Everything Medicare Podcast!
Episode 330:These Are The Top 5 Most Popular Medicare Plans In 2026

The Everything Medicare Podcast!

Play Episode Listen Later Nov 25, 2025 26:33


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

Inspiring Women with Laurie McGraw
How a Physician CMO Transformed Her Leadership by Unlearning Medicine's Biggest Lie || EP.225

Inspiring Women with Laurie McGraw

Play Episode Listen Later Nov 25, 2025 31:29


"As a physician in training, we have been trained to believe that we are the leaders of every team. That we should know more than anyone in the room, or we must not be a good doctor. Throw that out." Dr. Saria Saccocio spent months during COVID not sleeping, trying to solve every problem herself while managing care for 1.3 million people. She was drowning under the weight of leadership until she had an epiphany that would fundamentally change how she leads: "Maybe I don't have to have all the answers myself. Perhaps I'm not the only one who comes up with solutions." That realization—that her medical training had actually taught her the wrong leadership model—became the foundation of her approach as Chief Medical Officer of Essence Healthcare. Five years later, she describes watching her team shift "from a brain drain to a recharge," becoming one of the most creative and innovative teams she's ever led. Dr. Saccocio's leadership philosophy centers on what she calls "let go and lead"—a mantra she returns to whenever anxiety creeps in. "Leading is not always directing," she explains. "Leading is inspiring, empowering and enabling everyone to sit at the table, speak up, show up, and do things. Build everyone else's confidence." After a year with Essence, she's most proud not of her own decisions but of "the work that they do, the creativity that they have now that they're working across swim lanes and doing things together." This approach hasn't just prevented burnout—it's unlocked innovation. From eliminating prior authorizations through physician collaboration to providing Oura rings to Medicare Advantage seniors, Essence Healthcare's solutions emerge from empowered teams, not top-down mandates. What makes Dr. Saccocio's perspective particularly powerful is her refusal to abandon clinical practice. After two decades as a family physician, she still sees patients at a free clinic, maintaining what she calls "a sacred relationship" that keeps her grounded in the vulnerability patients experience. Her closing advice to women leaders is deceptively simple but hard-won: "Don't forget to be you. Let's stop trying to be someone else. You are at that table because you are you. Bring your whole self to work. Bring your whole self wherever you go." Key Insights: Why physician training teaches the wrong leadership model—and how to unlearn it How "let go and lead" prevents burnout while unlocking team creativity Why continuing clinical practice makes you a better executive leader The shift from brain drain to recharge: building teams that energize each other How to lead without directing: inspiring, empowering, and enabling others Why bringing your whole self to work is the most revolutionary leadership act The connection between seeing whole people as patients and leading whole people as teams About the Guest: Dr. Saria Saccocio is Chief Medical Officer at Essence Healthcare, a 21-year-old regional Medicare Advantage plan with consistently high star ratings. A practicing family physician for over two decades, she previously held leadership roles at CareMore Health, Elance Health, Securas, Carilion Health, and LifePoint Hospitals. She continues seeing patients at Greenville Free Medical Clinic. Recorded live at Nashville Sessions conference. Health Podcast Network Chapters 00:00 - Redefining Physician Leadership 01:11 - Why ESSENCE Healthcare 04:04 - Navigating Medicare Advantage Disruption 12:35 - Why She Still Practices Medicine 18:33 - OURA Rings and Digital Health Literacy 24:28 - Leadership Evolution: The COVID Moment 29:33 - Bring Your Whole Self to Work Guest & Host Links Connect with Laurie McGraw on LinkedIn Connect with Saria Saccocio on LinkedIn Connect with Inspiring Women Browse Episodes | LinkedIn | Instagram | Apple | Spotify

Politics Done Right
Mamdani Exposes Trump, MTG Melts Down, Tapper Slams GOP & Medicare Truths You Must Hear

Politics Done Right

Play Episode Listen Later Nov 25, 2025 59:53


Mamdani exposes Trump's weakness, MTG implodes, Tapper confronts the GOP, and Medicare Advantage gets the scrutiny it deserves—one show tying today's political fractures to real-life consequences. 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

The Heart of Healthcare with Halle Tecco
Fixing Rural Healthcare Before It Collapses | Homeward Co-founder & CEO Dr. Jennifer Schneider

The Heart of Healthcare with Halle Tecco

Play Episode Listen Later Nov 24, 2025 34:55


As millions of Americans hit the road to visit family for Thanksgiving, many will pass through, or return to, rural communities. Nearly 60 million Americans live in these areas, yet many struggle to access even basic healthcare as rural hospitals close at record rates.Dr. Jennifer Schneider, co-founder and CEO of Homeward Health, is tackling this crisis head-on by reimagining how care is delivered to Medicare Advantage members in rural America. Drawing on her experiences as a physician, a patient with Type 1 diabetes, and the former president of Livongo, Jenny shares why rural healthcare is both a massive challenge and an untapped opportunity.We cover:

Code WACK!
Love your Medicare Advantage plan? It does NOT love you back

Code WACK!

Play Episode Listen Later Nov 24, 2025 18:01


This time on Code WACK! Will Humana and UnitedHealth Group be found by the courts to have prematurely denied or cut off physician-ordered post-acute care for Medicare Advantage members using AI models with error rates as high as 90%? And could these same AI tools, which over 60% of doctors allege systematically deny patients necessary care, be used in Traditional Medicare as well? The answer is YES, depending on where you live.  To learn more, we spoke with Jeremy White, author of InHumana: An American Healthcare Story, published recently by White Lines Press. Jeremy and his wife, Edie, founded the award-winning satirical publication Red Shtick Magazine and its online version, The Red Shtick. They live in Baton Rouge, Louisiana. This is the second episode of a two-part series with Jeremy about his new book. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation.

Agent Survival Guide Podcast
7 Actions You Can Take If Your Medicare Plans Go Non-Commissionable

Agent Survival Guide Podcast

Play Episode Listen Later Nov 24, 2025 15:47


Frustrated by Medicare plans going non-commissionable? We get it, and we've got some actionable tips for insurance agents navigating these changes.   Read the text version  

The Everything Medicare Podcast!
Episode 329:High Deductible Plan G Review & Breakdown!

The Everything Medicare Podcast!

Play Episode Listen Later Nov 20, 2025 10:07


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
The Power of Empathy in Science Communication: Dr. Jess Steier, Founder of Unbiased Science

Raise the Line

Play Episode Listen Later Nov 20, 2025 20:03


“My most powerful content is when I lead with my voice as a mom because I have the same concerns about keeping my kids safe as my audience does. It's a powerful and effective way to find common ground with people,” says Dr. Jess Steier, a popular public health scientist and science communicator seeking to bridge divides and foster trust through empathetic, evidence-based communication. Dr. Steier has several platforms from which to do this work, including  Unbiased Science --  a communication hub that uses multiple social media platforms and other communications channels to share validated health and science information -- and as executive director of the Science Literacy Lab, a nonprofit organization dedicated to reaching a diverse audience seeking clarity and reliable information on scientific topics. “The science is less than half the battle,” she explains. “It's about how to communicate with empathy.”Join Raise the Line host Lindsey Smith for a valuable conversation that explores:What sources Dr. Steier relies on to validate informationHow she uses “escape room” exercises to train clinicians on empathetic communicationWhy tailored, story-driven messages reach audiences more effectively than facts.Mentioned in this episode:Unbiased Science 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 Clark Howard Podcast
11.19.25 Save More On Thanksgiving / The Clark Smart Way To Shop Online

The Clark Howard Podcast

Play Episode Listen Later Nov 19, 2025 29:50


Thanksgiving is upon us and the expense can get crazy. Clark shares ways to spend less on the family feast. Later - you may be charged more when purchasing online because of the WAY you shop, among other factors. How do you know you're getting the best price?  Clark explains “surveillance pricing”  and money saving tricks of the trade. Plus, at the very end of the podcast Clark has an important tip for Medicare Advantage plan holders. Save On Thanksgiving Dinner: Segment 1 Ask Clark: Segment 2 Savvy Shopping Online: Segment 3 Ask Clark: Segment 4 Mentioned on the show: Aldi's Thanksgiving dinner is just $4 per person The Best Deals of Aldi's Middle Aisle in November #1 Way To Protect Yourself From Credit Card Skimmers Is a HELOC a Good Idea? The Simple Answer How To Get the Best Price Possible Shopping Online How To Use Camelcamelcamel Clark Deals - Laptops Booking a Cruise? Here Are 5 Ways To Do It for Less Don't miss out on the early Christmas gift from your Insurance Company when your Medicare Advantage (MA) plan gets canceled.Clark.com resources: Episode transcripts Community.Clark.com  /  Ask Clark Clark.com daily money newsletter Consumer Action Center Free Helpline: 636-492-5275 Learn more about your ad choices: megaphone.fm/adchoices Learn more about your ad choices. Visit megaphone.fm/adchoices

Becker’s Healthcare Podcast
Scott Becker - 10 Healthcare News Stories We Are Following Today 11-19-25

Becker’s Healthcare Podcast

Play Episode Listen Later Nov 19, 2025 4:01


In this episode, Scott Becker highlights ten major developments in healthcare, including hospital closures, job cuts, systems dropping Medicare Advantage, leadership changes, and more.

The Don Lemon Show
Lemon LIVE at 5 | Are Donald Trump & Pam Bondi Trying to Stop the Release of the Epstein Files?!

The Don Lemon Show

Play Episode Listen Later Nov 19, 2025 72:51


Tonight we're diving into Pam Bondi's absolutely disastrous press conference where she dodged and danced around every question, somehow managing to say nothing at all. It was a mess, and it raised even bigger questions about what the Trump administration is planning next. Are they preparing to block the release of the Epstein files? Are they trying to limit what the public gets to see? We'll break down her evasive answers, the political signals she tried (and failed) to send, and what all of this might mean for transparency, accountability, and the fight to get these files released. This episode is brought to you by Graza. Take your food to the next level with Graza Olive Oil. Visit https://graza.co/DON and use promo code DON today for 20% off your first order! This episode is sponsored by MSI. Donate now to help millions of women get access to care — and to hope. You can Text LEMON to five eleven five eleven, or go to https://MSIUnited States.org. This episode is brought to you 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 sponsored by Beam. Go to https://shopbeam.com/LEMON, use code LEMON, and get up to 50% off during Beam's Cyber Sale. You can grab Dream for just $32.50—But here's the catch—Dream is only available at this price until it sells out. 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