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US equity markets advanced as investors digested a cooler-than-expected inflation report that revived hopes of interest rate cuts later this year - Dow fell -270-points or -0.64%. UnitedHealth Group Inc slumped -17.79%, alone wiping ~410-points off the 30-stock index after the insurance giant withdrew its full-year outlook and announced the surprise exit of Chief Executive Officer (CEO) Andrew Witty after four years in the role. The withdrawal of the 2025 outlook comes less than a month after the company slashed its 2025 guidance, saying costs rose as Medicare Advantage care activity had increased at twice the expected rate. Nvidia Corp rallied +5.63% and climbed back above the US$3 trillion level in market capitalisation terms for the first time since February, buoyed by a Bloomberg report that President Trump is planning to unveil a deal that would afford Saudi Arabia more access to advanced chips manufactured by the company and the likes of Advanced Micro Devices (AMD) Inc (+4.01%). To deal with the U.S.'s national security concerns, the U.S. and Saudi governments have reportedly discussed creating data embassies, where data centres will fall under foreign regulations rather than local laws around data protection. Meanwhile, Nvidia Chief Executive Jensen Huang announced a deal to deploy 18,000 chips with newly launched Saudi AI firm Humain for a data centre that is expected to reach 500 megawatts. AMD also announced a US$10B partnership with the artificial intelligence (AI) company to build out its AI infrastructure over the next five years. Boeing Co rose +2.46% following reports that China had lifted its ban on deliveries of US-made aircraft.
Moment of Clarity - Backstage of Redacted Tonight with Lee Camp
Lee gets into the attack on Israel's airport that is turning Israel into a no-fly zone. Plus, why both India and Pakistan want war. AND much more!Lee Camp livestreams 3 days a week, and Unredacted Tonight comes out on Thursdays at 7pm ET. Make sure you don't miss an episode!Today's Sponsor: To get FREE help navigating Medicare and Medicare Advantage, call 757-349-8232 or go to AskChapter.org/Camp*Chapter: 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 standalone 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 option.*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.
Join Dr. Damon Arnold, retired U.S. Army combat medic and host of America's Heroes Group, as he speaks with Susan Jaffe, a contributing writer for KFF Health News and the DC Correspondent for The Lancet. In this compelling discussion, they delve into Jaffe's recent article, "When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get to Leave Too," published on April 28, 2025. Learn about the complex dynamics behind hospitals opting out of Medicare Advantage plans, the impact on beneficiaries, and the special enrollment periods that can provide relief.Topics:Overview of Medicare and Medicare Advantage PlansWhy Hospitals Leave Medicare Advantage NetworksThe Impact on Patients and ProvidersSpecial Enrollment Periods and Patient RightsDifferences Between Urban and Rural Access to CareHow to Navigate Medicare Advantage Plan ChangesLegislative Responses and Consumer AdvocacyResources for Affected Patients and Families
Moment of Clarity - Backstage of Redacted Tonight with Lee Camp
Lee Camp & Eleanor Goldfield reveal the truth behind Trump's new UNHINGED federal budget PLUS India's attack on Pakistan, the police again go after Columbia students, and US contractors being used WHERE?! All that and more!To get FREE help to navigate Medicare and Medicare Advantage, call 757-349-8232 or go to AskChapter.org/Camp*Chapter: 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 standalone 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 option.*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.
Editor's Summary by Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, and Anne R. Cappola, MD, ScM, Senior Editor at JAMA, for articles published from May 3-9, 2025.
A possible solution for menopause/post-menopause vaginal atrophyMedicare vs. medicare advantageMy doctor has me on three different blood pressure meds making me very tired every afternoon. Any suggestions?Wearable device heart rate zones
In this episode, Jakob Emerson, Associate News Director at Becker's Healthcare, joins Scott Becker to discuss surprising Q1 trends in the insurance market, including the rise of niche health plans and challenges facing major players like UnitedHealth and Aetna. They also dive into a DOJ lawsuit against major insurers over alleged Medicare Advantage kickback schemes.
If you would like to work with Christian on your Medicare Health Plan, we currently work with people in 45 states. Those are the states we currently are licensed in. Christian and Christian Brindle Insurance Services represents many of the top insurance companies in the Medicare industry. Contact us for more information:➡️Our Site: https://https://www.christianbrindleinsuranceservices.com/ ✅Call (801)-255-5340.
In the "Medicare Advantage Minute" segment, our article of the day has a headline that reads: "The Decline of PPO in Medicare Advantage". When times are tight, MA plans reduce the number of plans with the greatest freedoms. This leads to a discussion of the greatest Medicare supplement plan ever created: High Deductible Plan G. A combination of the finest health insurance protection with the most cost-effective premium rates. Almost everyone who sees it ends up buying one! How about "Your Medicare Benefits 2024"? In that article we find out how glaucoma screenings are covered by Medicare! 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!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.
(This episode originally aired on October 22, 2024.) For years, the best word to describe Medicare Advantage (MA) was “untouchable.” Hugely popular among seniors, profitable for health plans—the hybrid public-private payment model grew to the point that it now covers more seniors than traditional Medicare. But in the past few years, the tide has started to change. And if you've been paying attention in recent months, you'll have seen headlines announcing that payers that are scaling back their MA offerings and providers are exiting MA contracts. The MA market has gone from “untouchable” to “volatile.” The question is: why is this happening, and what does it mean for payers, providers, and seniors moving forward? In this episode, hosts Rachel (Rae) Woods and Abby Burns invite health plan experts Max Hakanson and Chelsea Needham to dissect what is going on in MA and how plans and providers are—or should be—navigating the changing tide. Links: Ep. 203: Value series: Is the future of VBC in specialty care? Zing Health & Strive Health say yes. Ep. 149: Senior Care (Part 1): Specialized primary care for an aging population Ep. 150: Senior Care (Part 2): The rapid growth of Medicare Advantage 3 traits health plans want in a provider partner 4 traits providers want in a health plan partner Around the nation: CMS releases Medicare Advantage Star Ratings Q&A: Cardiologist Navin Kapur discusses the future of complex PCI
Samaritan helps individuals navigate the complex process of finding housing by providing financial assistance for basic needs like groceries, transportation, and access to housing navigators. In this episode, Ashish Pamula, Growth Lead at Samaritan, shares how his organization is tackling homelessness and housing insecurity by partnering with Medicaid and Medicare Advantage plans, as well as health systems, to provide critical resources and support. He discusses Samaritan's mission to drive systemic change in healthcare by addressing the social determinants of health, emphasizing the need to target root causes rather than temporary fixes. Highlighting the unique challenges faced by vulnerable populations, Ashish advocates for a holistic, long-term approach. He also shares his enthusiasm for Samaritan's ambitious goal of serving 100,000 unhoused residents over the next five years by expanding partnerships and reaching underserved rural communities. Tune in to learn how Samaritan is making a tangible difference in the lives of unhoused residents and driving meaningful change in the healthcare landscape! Resources: Connect with and follow Ashish Pamula on LinkedIn. Learn more about Samaritan on their LinkedIn and website. Email Ashish directly here.
Moment of Clarity - Backstage of Redacted Tonight with Lee Camp
Lee Camp digs into the hidden side of the day's news. Israel is on fire for a hidden reason. Trump wants to reopen Alcatraz, and here's why that's insane. Plus much more!To get FREE help to navigate Medicare and Medicare Advantage, call 757-349-8232 or go to AskChapter.org/Camp*Chapter: 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 option.*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.
Once again, the venerable 340B Drug Pricing Program finds itself in the crosshairs of critics – this time, from the U.S. Congress.Recently, Sen. Bill Cassidy (R-La.), ranking member of the Senate Health, Education, Labor, and Pensions (HELP) Committee, released a report outlining his office's investigation into the program.During the next live edition of Monitor Mondays, 340B Health CEO Maureen Testoni will return to the broadcast to offer her response to the senator's investigation.The long-running broadcast will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Cate Brantley, senior healthcare government affairs analyst for Zelis, will report on the news at the intersection of healthcare and congressional action.
Lee Camp digs into the hidden side of the day's news. Israel is on fire for a hidden reason. Trump wants to reopen Alcatraz, and here's why that's insane. Plus much more!To get FREE help to navigate Medicare and Medicare Advantage, call 757-349-8232 or go to AskChapter.org/Camp*Chapter: 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 option.*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.
In this episode, Dr. Jerilyn Morrissey, Chief Medical Officer at CorroHealth, shares her unique insights from practicing medicine, working with payers, and leading innovation in the clinical revenue cycle. She discusses the rising friction in the payer-provider relationship, Medicare Advantage challenges, and how thoughtful technology adoption can transform hospital operations.
Join Sarah as she dives back into CMS regulations! This week, she highlights 5 regulations from the 2026 Medicare Advantage and Part D Final Rule. Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail. Resources: 5 Things About the 2026 CMS MA and Part D Rate Announcement: https://lnk.to/asgf20250411 CMS 2025 Marketplace Integrity & Affordability Proposed Rule: https://lnk.to/asgf20250314 CMS Updates to MA and Part D for CY 2026: https://lnk.to/asgf20250425 Expanded Medicare Telehealth Benefits Extended Through September 2025: https://ritterim.com/blog/expanded-medicare-telehealth-benefits-extended-through-september-2025/ Recent ACA Coverage Changes Reversed with 2025 Marketplace Proposed Rule: https://ritterim.com/blog/recent-aca-changes-reversed-with-2026-marketplace-proposed-rule/ References: “CMS Finalizes 2026 Payment Policy Updates for Medicare Advantage and Part D Programs.” CMS.Gov, Centers for Medicare and Medicaid Services, 7 Apr. 2025, www.cms.gov/newsroom/press-releases/cms-finalizes-2026-payment-policy-updates-medicare-advantage-and-part-d-programs. “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, 4 Apr. 2025, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” Federalregister.Gov, Federal Register, 15 Apr. 2025, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare. 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.
Lots of chat about Dr. Oz and his plans for the future of the Centers for Medicare & Medicaid Services. Unfortunately, the articles I prepared fell into what might be a bottomless pit. In the Medicare Advantage Minute, Democrats sent a nasty letter to Dr. Oz questioning his support for Medicare Advantage and criticizing his substantial holdings in the biggest MA slut: United HealthCare. From the pages of "Your Medicare Benefits 2024" we learn the short story of how Medicare covers flu shots. CMS (the Federal Government) in a magnificent return to sanity ordered that questions catering to Binary, non-Binary and other confused individuals be stricken from Medicare Advantage applications. Finally, a listener whose wife must have badgered him mercilessly, asked whether gym memberships were an included freebie with their Medicare supplement plan. My answer was that a competing product had the benefit they seek but there would be an endless amount of paperwork and insurance foolishness to deal with. He decided to shine it on and hope that his wife forgets the whole thing. We'll see! 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!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.
We're honored to continue our global tour of medical education today with Professor Katarzyna Taran, MD, PhD, a pioneering interdisciplinary researcher of tumor cell biology, an award winning educator noted for her focus on student engagement, and -- in a first for a Raise the Line guest -- a shooting sports certified coach and referee. As Professor Taran explains to host Michael Carrese, these seemingly disparate professional activities require the same underlying attributes: patience, the ability to overcome barriers, openness and adaptation. She believes those last qualities are especially important for today's medical students to acquire given the accelerated pace of change in healthcare. “They need to be equipped with the ability for critical thinking, to analyze and synthesize, and to search for unconventional solutions.” Professor Taran tries to impart these skills, in addition to the medical and scientific knowledge students must know, through a high level of engagement. “Teaching is relational, so try to be familiar with students' concerns. Talk to them, listen to them and you will become someone they trust.” In this wide-ranging and engaging conversation, Professor Taran also discusses her work as the head of the Laboratory of Isotopic Fractionation in Pathological Processes in Chair of Oncology, the use of neurodidactics in teaching, and the connection between the science of pathology and the future of humans in space. Mentioned in this episode:Medical University of Lodz 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/raisethelinepodcast
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One-hundred days into the second Trump administration, Quality Matters host Andy Reynolds welcomes Eric Musser, Vice President of Federal Affairs at NCQA, for an insightful discussion about NCQA's recommendations to the Trump administration for improving health care quality.Eric shares ideas to shape a strong quality future for value-based care, digital health infrastructure and behavioral health.The conversation focuses on value-based care models that prioritize care integration to prevent or alleviate chronic illness. Eric identifies fragmentation's threats to care delivery and data management—problems NCQA's recommendations aim to address.Specific suggestions include:Expanding the commitment the first Trump administration made to getting all Medicare beneficiaries in value-based care arrangements by 2030. This ambitious goal requires big changes in policy and practice, but could lead to better outcomes and more efficient care delivery.Creating innovative care models that leverage technology and dynamic care plans. These models would use advanced technologies like AI to integrate patient data more quickly and effectively. Dynamic care plans would allow for real-time updates based on patient data from various sources, including remote monitoring.Prioritizing patient-generated data and patient-reported outcomes. This approach focuses on incorporating patients' experiences and goals into their care plans. The aim is to improve patient engagement and ensure care matches what matters to patients, particularly those with chronic conditions.Promoting standardized data exchange in Medicare Advantage programs. This recommendation addresses the need for better data sharing between plans, providers and patients. This would mean dismantling data silos and creating more comprehensive, real-time views of patient populations.There is tremendous potential for the Trump administration to improve health care quality. Listen to this episode to find out how.Key Quote:“ We know the Trump administration has a patients first agenda. They put the consumer first in the way they think about quality and payment. There is a desire in the measurement space to have more measures centered around patients' goals. That's a person-reported outcome or a patient-centered outcome, as we call it here at NCQA. You want to make sure that the patient gets that strong clinical care. But the experience to ensure that they want to come back for that clinical care is also extremely important. So person-reported outcomes are about enhancing the experience of patients as they work with their care team. This is important for folks with chronic conditions, behavioral health. Having those goals that are patient-centric–like walking down the stairs, getting to church–are all ways which improve health and then get that buy-in to the care plan that we're seeking to support.”-Eric MusserTime Stamps:(01:22) Opportunities in the First 100 Days of a New Administration(05:30) Deep Dive: Value-Based Care and Care Integration (07:12) Fixing Two Kinds of Fragmentation(10:49) Four Operational How-Tos Links:NCQA's Recommendations to the Trump AdministrationListen to Eric's Episode on Data SharingConnect with Eric
Ocurrió lo inevitable: se retiró el nombramiento de Verónica Ferraiouli. ¿Y ahora qué?- 2. Próximo nombramiento en la agenda: Janet Parra, secretaria de Justicia 3. Retiran nombramiento del jefe de informática 4. Alegadamente por razones políticas le revocan movida de personal a Joseph González, el comisionado de la Policía 5. Por ahí vienen las barcazas para generar electricidad 6. Y vienen más recortes en Medicare Advantage 7. Fortaleza devuelve al Senado controversial proyecto de afirmación de género. Secretario de Salud pide importantes enmiendas. 8. DEPORTES ZONA-5, Tiempo Xtra, con Federico López, con el auspicio de la Cooperativa de Seguros MúltiplesSee omnystudio.com/listener for privacy information.
Dr. Ali Khan has spent his career at the intersection of medicine, public policy, and value-based care. He's also been at the forefront of some of the country's most innovative care delivery models—from Iora Health and CareMore to Oak Street Health and now Aetna, where he serves as Chief Medical Officer of Medicare at Aetna, a CVS Health company. In this episode, Keith Figlioli sits down with Dr. Khan for a conversation about Medicare's future—and what it will take to make the promise of better, more affordable healthcare a reality. A general internist by training, Dr. Khan's path into healthcare began with a deep curiosity about the broader systems shaping people's health. That curiosity took him from Harvard Kennedy School to the exam room to health plans and startups focused on reimagining the primary care experience for complex, underserved populations. Throughout his career, he's gravitated toward organizations trying to solve public-sector problems with private-sector solutions—building care models that prioritize trust, access, and long-term outcomes. Now at the helm of a Medicare Advantage program serving 4.2 million members, Dr. Khan brings a unique vantage point. In this conversation, he shares hard-earned lessons on care model design, what payers and providers need from each other, and why Medicare is at an inflection point. He makes a compelling case for a renewed focus on the fundamentals—not just risk adjustment or benefit design, but operational follow-through, last-mile care coordination, and culturally grounded team-based models that scale. Dr. Khan and Keith discuss: Building care models that hold up under pressure. From Iora to Oak Street, Dr. Khan has seen firsthand that delivering better outcomes at scale requires more than mission—it takes structural rigor. He unpacks four key dimensions—cultural, clinical, operational, and technological—and explains why lasting impact depends on aligning all of them. Whether it's equipping care teams to deliver in complex communities or building systems that can flex and scale, success hinges on getting the foundation right. Why affordability isn't enough—and where Medicare Advantage must go next. With over half of Medicare beneficiaries now enrolled in MA plans, Dr. Khan argues it's time to move beyond the value prop of supplemental benefits and zero-dollar premiums. The next chapter is about proving clinical excellence at scale. That means prioritizing follow-through over features—removing last-mile barriers, improving care coordination, and designing experiences people actually trust. From transactional to transformative: the evolving role of health plans. Plans have long relied on contractual structures to drive change, but Dr. Khan believes that era is fading. To deliver on the promise of value-based care, plans must shift from passive administrators to proactive partners—investing in infrastructure, surfacing actionable insights, and enabling providers to succeed across Medicare, Medicaid, and commercial populations alike. Where AI meets care delivery. Dr. Khan reflects on the potential of AI to reduce clinical variation, improve medication management, and drive better follow-up for patients—especially those with chronic conditions. But he cautions that technology alone won't move the needle. To truly unlock AI's value in Medicare, plans and providers must embed it within human-centered systems, coordinate care in real time, and ensure new tools support—not replace—the relationships that matter most. As Dr. Khan notes, we're entering a “put up or shut up” era for Medicare Advantage, where scrutiny is high and proof points matter. Yet within that pressure lies opportunity—particularly for those willing to do the unglamorous work of identifying barriers, building connective tissue, and supporting clinical teams in the trenches.
During the prelude to our "Medicare Advantage Minute" segment, I erred in identifying the surgeon given credit for the first heart transplant, which was performed in South Africa. Eventually, our subject centered an article with the headline: "Insurers Brace for Continued Medicare Advantage Medical Costs" which was abandoned due to being out of date. In the "Your Medicare Benefits 2024" we learn about Federally Qualified Health Center Services. The final subject centered on an article listing "The 8 Things That Medicare Does Not Cover" which included a surprising number of items demonstrating trouble with Medicare Advantage plans. Poetic justice! 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!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.
In a new Smart Planning segment, a registered investment advisor tackles retirement goals and savings questions with a listener. How can you gift savings bonds? When is it time to stop saving for retirement early? Hosts Sean Pyles and Elizabeth Ayoola offer tips for “spring cleaning” your finances, including refreshing your budget, resetting your financial goals, updating your insurance and estate plans, and getting back on track if emotional spending crept up earlier this year. Then, they debut Smart Planning, a new segment where a registered financial advisor helps a listener tackle real-life money questions. In this session, Certified Financial Planner Barbara Ginty, host of the Future Rich podcast, talks with listener Kay about navigating the transition from saving to spending. They dive into how to know when you've saved enough to scale back at work, how to plan for rising medical costs in retirement, and how to gift savings bonds the right way. If you've ever wondered what financial freedom could look like after decades of diligent saving, this conversation is packed with insight. Inspired to navigate your finances with an advisor? Use NerdWallet Advisors Match to find vetted professionals today at https://www.nerdwalletadvisors.com/match Track your budget and credit score on the NerdWallet app, and let the Nerds guide you toward your financial goals: https://www.nerdwallet.com/p/mobile-app In their conversation, the Nerds discuss: updating financial goals, savings bonds, how to gift savings bonds, budgeting tools, emotional spending, estate planning checklist, updating beneficiaries, Roth IRA contributions, SEP IRA contributions, dollar-cost averaging investing, semi-retirement planning, when to stop saving for retirement, how much to save for retirement by 55, Medicare vs Medicare Advantage, retirement healthcare costs, setting up travel insurance, travel insurance for seniors, Roth vs traditional IRA in retirement, retirement income planning, safe withdrawal rate, 4% rule retirement, and required minimum distributions.. To send the Nerds your money questions, call or text the Nerd hotline at 901-730-6373 or email podcast@nerdwallet.com. Like what you hear? Please leave us a review and tell a friend.
Gain access to Everything Senior Insurance: https://eseniorinsurance.com/In Episode 93 of Seven Figures or Bust, we delve into the evolving landscape of Medicare Advantage plans, focusing on recent adjustments by Anthem, a subsidiary of Elevance Health. As insurers, including Anthem, respond to industry-wide shifts, many are reevaluating their plan offerings, which may impact the availability and structure of non-Dual Special Needs Plans (non-DSNPs).These changes are part of broader modifications in the Medicare Advantage sector, where benefits like dental and vision coverage are being trimmed, and out-of-pocket costs are increasing for many enrollees.Gets Leads from Lead heroes here: https://leadheroes.com/Learn more about getting your own VA with Hire Heroes here: https://app.hireheroes.com/signup?fpr=christian43Join our free private Facebook group for insurance agents: https://www.facebook.com/groups/551409828919739/Get access now to 7 Figure Medicare University: Lifetime access:https://sevenfigureu.com/ Welcome to the Christian Brindle channel brought to you by Christian Brindle & Christian Brindle Insurance Services. This channel is here for the sole purpose of bringing training, tips, success stories, and personal development from Christian Brindle. Christian is a published author, hosts the ever popular Everything Medicare Podcast, and made six figures in the Medicare business by the time he was 25 years old.
Nearly every day, on any news service, images of people being quickly led away is chilling as the current Administration continues its sweep of rounding up and deporting suspected illegal immigrants.Thus, in this current climate of increased audits, investigations and scrutiny on immigration, it is essential that healthcare organizations sponsoring foreign nationals for employment, ensure that documentation, policies, and practices are updated and fully compliant.During the next live edition of the venerable Monitor Mondays live Internet radio broadcast, seasoned immigration attorney Matthew Webster will walk you through such essential issues as H-1B visas, L-1 visas and employment-based green cards. Webster is also expected to report on requirements from the Department of Labor (DOL) and the United States Citizenship and Immigration Services (USCIS).Webster, senior immigration attorney at the law firm of Fredrikson & Byron, will discuss the impact of material changes when H-1B amendments are required.The long-running broadcast will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Matthew Albright, chief legislative affairs analyst for Zelis, will report on congressional action taking place in Washington, D.C.
In this episode, Jakob Emerson, Associate News Director at Becker's Healthcare, joins Scott Becker to break down why Elevance Health outperformed expectations while UnitedHealth stumbled in Q1.
The Friday Five for April 25, 2025: Dr. Oz shares MAHA vision as CMS admin CY 2026 Part D Coverage Cost Breakdown CY 2026 Selected Drug Subsidy Cost Breakdown Provisions Not Finalized in 2026 MA and Part D Final Rule Impact of Non-Finalized Provisions on Agents Dr. Oz shares MAHA vision as CMS admin: Simmons-Duffin, Selena. “5 Things to Know as Dr. Oz Prepares to Lead Medicare and Medicaid.” NPR.Org, NPR, 3 Apr. 2025, www.npr.org/sections/shots-health-news/2025/03/25/g-s1-55766/dr-mehmet-oz-medicare-medicaid-cms-trump. “Dr. Mehmet Oz Shares Vision for CMS.” CMS.Gov, Centers for Medicare & Medicaid Services, 25 Apr. 2025, www.cms.gov/newsroom/press-releases/dr-mehmet-oz-shares-vision-cms. Olsen, Emily. “Dr. Oz Sworn in as CMS Administrator.” Healthcaredive.Com, Healthcare Dive, 21 Apr. 2025, www.healthcaredive.com/news/dr-mehmet-oz-sworn-in-cms-administrator/745880/. CY 2026 Part D Coverage Cost Breakdown: “Final CY 2026 Part D Redesign Program Instructions.” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/final-cy-2026-part-d-redesign-program-instructions. Accessed 23 Apr. 2025. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” Federalregister.Gov, Federal Register, 15 Apr. 2025, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare. CY 2026 Selected Drug Subsidy Cost Breakdown: John, Stephnie A., and Abdie Santiago. “The IRA in 2025: The Future of Medicare Part D.” Mintz.Com, Mintz, 13 Feb. 2025, www.mintz.com/insights-center/viewpoints/2146/2025-02-13-ira-2025-future-medicare-part-d. “Medicare Prescription Drug Benefit Manual – Chapter 5.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/chapter-5-benefits-and-beneficiary-protection-v92011.pdf. Accessed 23 Apr. 2025. “Factsheet: Medicare Drug Price Negotiation Program.” Cms.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/files/document/fact-sheet-medicare-selected-drug-negotiation-list-ipay-2026.pdf. Accessed 23 Apr. 2025. Provisions Not Finalized in 2026 MA and Part D Final Rule: “Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (CMS-4208-F).” CMS.Gov, Centers for Medicare & Medicaid Services, www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final. Accessed 24 Apr. 2025. Tong, Noah. “Medicare Advantage Final Rule Excludes Anti-Obesity Drug Coverage under Medicare, Medicaid.” Fiercehealthcare.Com, Fierce Healthcare, 4 Apr. 2025, www.fiercehealthcare.com/payers/medicare-advantage-final-rule-excludes-anti-obesity-drug-coverage-under-medicare-medicaid. “Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly.” Federalregister.Gov, Federal Register, www.federalregister.gov/documents/2025/04/15/2025-06008/medicare-and-medicaid-programs-contract-year-2026-policy-and-technical-changes-to-the-medicare. Accessed 24 Apr. 2025. “Medicare Coverage of Anti-Obesity Medications.” Aspe.Hhs.Gov, Assistant Secretary for Planning and Evaluation, 26 Nov. 2024, aspe.hhs.gov/sites/default/files/documents/127bd5b3347b34be31ac5c6b5ed30e6a/medicare-coverage-anti-obesity-meds.pdf. Resources: 2025 Maximum Broker Commissions for Medicare Advantage & Medicare Part D: https://ritterim.com/blog/2025-maximum-broker-commissions-for-medicare-advantage-and-medicare-part-d/ 3 Additional Effective Techniques for Closing Insurance Sales: https://lnk.to/asg656 4 Effective Techniques for Closing Insurance Sales: https://lnk.to/asg655 5 Things About the 2026 CMS MA and Part D Rate Announcement: https://lnk.to/asgf20250411 CMS Updates, Content Library, & More! https://lnk.to/asgf20250328 Recent ACA Coverage Changes Reversed with 2025 Marketplace Proposed Rule: https://ritterim.com/blog/recent-aca-changes-reversed-with-2026-marketplace-proposed-rule/ Subscribe to the Ritter Blog: https://ritterim.com/blog/ The Best Appointment Schedulers for Insurance Agents: https://lnk.to/asg657 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. Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.
Amy Bassano is a Managing Director at Health Management Associates and a nationally recognized Medicare policy expert. In this episode of Vital Viewpoints on Healthcare, we unpack the complexities of Medicare innovation and examine where the program is headed next. Drawing on decades of experience—including her leadership at the Center for Medicare and Medicaid Innovation—Amy breaks down what makes value-based care so complex, why scaling successful models is harder than it sounds, and how Medicare Advantage continues to reshape the healthcare landscape. She also discusses how financial incentives, regulatory constraints, and the urgent need for system-wide efficiency are shaping the next chapter of Medicare policy. This conversation offers practical insights for policymakers, providers, and advocates navigating the future of one of the nation's most essential programs.
A leaked document shows the extent of proposed cuts coming to the Department of Health and Human Services. UnitedHealth Group had its worst day on the market in decade after it announced disappointing first quarter results. And, Cone Health has purchased Novant Health's ownership interest in their joint Medicare Advantage business. We get those stories and more coming up on today's episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.
Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. Watch Jill & James' story: https://www.youtube.com/watch?v=PuK94jLJxNk News sources for this episode: Leighton Ku, et. al, “How Potential Federal Cuts to Medicaid and SNAP Could Trigger the Loss of a Million-Plus Jobs, Reduced Economic Activity, and Less State Revenue,” March 25, 2025, https://www.commonwealthfund.org/publications/issue-briefs/2025/mar/how-cuts-medicaid-snap-could-trigger-job-loss-state-revenue; The Commonwealth Fund. American Hospital Association, “The Growing Impact of Medicare Advantage on Rural Hospitals Across America,” April 17, 2025, https://www.aha.org/system/files/media/file/2025/02/growing-impact-of-medicare-advantage-on-rural-hospitals.pdf. Arielle Zionts, “Some Rural Hospitals Ditch Medicare Advantage,” April 11, 2025, https://kffhealthnews.org/news/article/the-week-in-brief-rural-medicare-advantage-pushback/ Alexa McKinley Abel, “The top 5 policies to transform rural health,” January 23, 2025, https://www.ruralhealth.us/blogs/2025/01/top-5-policies-to-transform-rural-health, National Rural Health Association. Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com
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Medicare Rulemaking Updates and Insights with Grace Totman | Agent Boost PodcastWelcome to another exciting episode of the Agent Boost Podcast!
The fiscal year (FY) 2026 Inpatient Prospective Payment System (IPPS) proposed rule introduces significant reforms to hospital reimbursement, risk adjustment, and performance measurement.Key changes include the Centers for Medicare & Medicaid Services (CMS) transition to HCC Version 28, the use of the Community Deprivation Index (CDI) for socioeconomic risk adjustment and expanded inclusion of Medicare Advantage data in quality metrics.Launching in 2026, the proposed rule mandates episode-based payments with enhanced pricing accuracy. Hospitals must adapt by updating financial models, realigning quality strategies, and fostering cross-departmental collaboration. These changes emphasize equity, accountability, and transparency, all of which is designed to help in the positioning hospitals to lead in a value-driven healthcare environment.Strategic readiness is critical to thrive under IPPS 2026. Reporting this story, during the next live edition of Monitor Mondays, will be the broadcast's special guest Penny Jefferson.The long-running broadcast will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Legislative Update: Folana Houston, senior government affairs liaison for Zelis, will report on congressional action taking place in Washington, D.C.• News Update: Dr. Drew Update will have an update to his recent reporting on transgender treatment practices.
In this episode, Jakob Emerson, Associate News Director at Becker's Healthcare, joins Scott Becker to unpack UnitedHealth's steep stock drop, rising medical loss ratios, and the ripple effects of Medicare Advantage pressures on the payer industry.
In Episode 472, Stacey Richter speaks with Dr. Eric Bricker about the impactful strategies hospital systems use to maximize revenue from high-cost patients. They explore the financial complexities and contracting tactics that enable hospitals to profit significantly from a small percentage of high-cost claimants. Key points include the negotiation of provider stop-loss contract provisions, strategic adjustment of charge masters, and the intentional steerage of patients to high-revenue service lines. This episode highlights the intricacies of hospital finance and the hidden mechanisms that drive healthcare costs for self-insured employers and other plan sponsors. We could have 0.5% to 1% of total plan members costing upwards of 40% of total plan dollars. And I bring this up just to highlight the magnitude of the money here. In that show from last week, we take the issue of high-cost claimants from the standpoint of the plan sponsor. Today, however, we're gonna be looking at this from the standpoint of the hospital system. If we were to come up with a motto for the show today with Dr. Eric Bricker, it's that all costs are somebody else's revenue. And when it's revenue and profit of the magnitude that we're talking about with many high-cost claimants, it starts to be less of an accidental “Oh, wow! How did that CABG patient wind up in our clinic? What are the odds?” and more of a “Whoever is not steering patients is letting someone else with a big profit incentive lock down that steerage in deeply embedded ways.” === LINKS ===
We like to think of Osmosis from Elsevier as a global community of millions of learners, connected by a desire to serve humanity and an inclination to use a diverse mix of educational resources to help them become excellent healthcare practitioners. On today's episode of Raise the Line, we're going to learn how Osmosis has created an opportunity for hundreds of those students from sixty countries to actually solidify those connections through the Osmosis Health Leadership Initiative (OHLI). Our guide to this effort is Osmosis Community Specialist Alfred Collins, who brings a keen interest in developing tech solutions to power the future of human communication to his work with OHLI.“Technology collapses barriers to communication and to understanding the nuances behind culture, behind global perspectives,” he tells host Lindsey Smith. One example he cites is how OHLI members learn about variations in the way different cultures approach collaboration, an important insight to gain as they head into team-based healthcare environments. OHLI members convene regularly over video sessions to hear from leaders in healthcare and learn about hosting successful on-campus events, among other enriching content. They also have an opportunity to provide feedback on improving the Osmosis learning platform, and this year they're participating in a “hackathon” aimed at improving the future of healthcare. Tune in to find out more about what the OHLI program offers, how to apply, and how Alfred thinks virtual reality and AI technologies will impact the future of community building. Mentioned in this episode:Osmosis Health Leadership Initiative 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/raisethelinepodcast
The biggest laggard of the morning is UnitedHealth (UNH), which fell as much as 20% following its earnings. Jenny Horne points out several factors behind the red arrows, from its earnings miss to slashed outlook over "heightened care activity indications" in its Medicare Advantage business. TSMC (TSM) muscled gains for the A.I. supply chain after posting an earnings beat and positive guidance despite the current tariff environment.======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about
Medicare Advantage Minute: MA stocks soared following the 2024 election. The implication is that the new administration is more friendly to the evil Medicare Advantage plans. I am not convinced that is true and I have faith that Medicare supplement plans will remain available for responsible, discriminating Medicare participants! DME: Durable Medical Equipment is paid for by Medicare under certain circumstances. Very important: make sure the supplier is enrolled in Medicare! Tragedy strikes Medicare for the Lazy Man: Alert reader Dominick Regina noticed that all of the many customer reviews earned by MLM 2024 were missing from MLM 2025. He thought it was a mistake until I explained. Every year the book starts out with no reviews at all. I then hope and pray that the first bunch of readers are inclined to tell others about their beneficial experience via customer reviews! Which are the best and worst states when it comes to childrens' health? Typical of our experience with WalletHub surveys, those in conservative states take it in the shorts! Two of the many reasons one is likely to be very happy with a Plan HDG purchase over a Plan G: 1) The insured will only pay the low, low HDG premium, socking away the savings in case they are needed! 2) Future rate increases are likely to be smaller and less frequent if historic trends hold true. 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!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.
In this conversation, Eric Malzone speaks with Dr. Gloria Winters, the Chief Health Officer of the YMCA, about the organization's historical significance and its role in promoting health and wellness. They discuss the challenges of the current healthcare system, the importance of preventative health, and the potential for innovative strategies to improve community health. Dr. Winters emphasizes the need for a shift from traditional sick care to a more holistic approach that integrates behavioral, physical, and socioeconomic factors. The conversation also touches on the impact of digital transformation on health and wellness, the barriers to data integration, and the future of preventative health in relation to insurance. In this conversation, Gloria Winters discusses the evolving landscape of healthcare and fitness, particularly focusing on the integration of Medicare Advantage plans and fitness benefits. She emphasizes the importance of practitioners in promoting health and wellness, the innovative business models being developed at the YMCA, and the need for research to validate the effectiveness of fitness programs. The conversation also touches on the integration of healthcare services within fitness facilities and the potential for policy changes to enhance health outcomes. Collaboration and teamwork are highlighted as essential for driving innovation in the health and fitness industry. Takeaways YMCA has a rich history and significant impact on community health. The healthcare system is fragmented and costly, requiring innovative solutions. Whole person health encompasses behavioral, physical, and socioeconomic factors. Digital transformation is reshaping how health data is collected and utilized. Membership utilization can be a key metric for health outcomes. Building relationships is crucial for effective health interventions. The integration of health and wellness data with sick care data is essential. Chronic diseases account for a large portion of healthcare costs. Preventative health strategies can reduce the burden on the healthcare system. The future of health may involve prescriptions for fitness and wellness activities. Medicare Advantage plans are increasingly offering fitness benefits. The aging population presents a significant opportunity for fitness businesses. Health plans prioritize member satisfaction and retention through fitness benefits. Practitioners need to be educated and equipped to address holistic health. YMCA is developing innovative business models to expand access to health services. Research is crucial to demonstrate the effectiveness of fitness programs. Integrating healthcare services within fitness facilities can enhance patient care. Policy changes at local and national levels can impact health outcomes. Collaboration among health professionals is essential for innovation. The YMCA aims to serve all community members, regardless of insurance status. LINKS >> https://ai.futureoffitness.co/ https://goteamup.com/
Health insurance has a Net Promoter Score of around 0-10 industry-wide, one of the lowest ratings of any industry. This is exactly why the founders of Oscar Health, with no background in healthcare and a distaste for the industry, started the company in 2012. Since then, Oscar has grown to 1.7 million members, gone public, and achieved profitability—all while receiving an NPS significantly higher than the industry average.In this episode, we talk with Mario Schlosser, co-founder and CTO of Oscar Health, about building a tech-first health insurance company in an industry notorious for poor customer experiences.We cover:
Gain access to Everything Senior Insurance: https://eseniorinsurance.com/On this episode of the Seven Figures Or Bust podcast, we dive into CMS's decision to raise Medicare Advantage payments in 2026.
Broadcast from KSQD, Santa Cruz on 4-10-2025: Dr. Dawn responds to an email about difficult-to-control asthma, recommending quercetin and inhaled cromolyn as mast cell stabilizers, and suggesting Montelukast to address leukotrienes while investigating possible mold exposure as an underlying cause. She discusses groundbreaking research on age-related bone deterioration, explaining how osteocytes undergo structural changes with age, and exploring the concept of cellular senescence including potential treatments like quercetin/dasatinib combination therapy, fisetin, and metformin. A frequent caller with a history of sepsis, osteomyelitis and eye infections describes newly developed high blood pressure, with Dr. Dawn explaining how oxidative stress from infection can damage endothelial cells, reducing nitric oxide production and suggesting L-arginine, beet consumption, and proper blood pressure measurement techniques. Responding to an email about preventing cartilage loss, Dr. Dawn evaluates glucosamine sulfate research, noting key differences between effective and ineffective studies, while emphasizing the importance of achieving healthy body weight as a primary factor in preventing osteoarthritis progression. Dr. Dawn provides guidance to an email question about choosing a primary care physician before retirement, recommending selecting doctors established in their practice for 3-4 years and warning against Medicare Advantage plans that limit provider options. She addresses an email from someone experiencing persistent fatigue following Epstein-Barr virus reactivation, suggesting additional testing to confirm viral load through PCR rather than relying solely on antibody levels, while exploring alternative causes including long COVID, mold exposure, or autoimmune issues.
In this episode, Jakob Emerson, Associate News Director at Becker's Healthcare, joins Scott Becker to break down developments in the payer world, including Centene's CEO firing amid blackmail allegations and the Medicare Advantage rate hike under new CMS Administrator Dr. Mehmet Oz.
In this episode, Scott Becker discusses the concept of “Make America Healthy Again” (MAHA), Medicare Advantage, tariffs, market uncertainty, and political reactions.
In this episode, Scott Becker breaks down three key stories: a Medicare Advantage rate hike lifting health insurers, ongoing struggles in the cannabis market, and Apple's recent stock decline
In this episode, Scott Becker shares seven top healthcare headlines, including rising Medicare Advantage payments, Ascension's Michigan market exit, the growing trend of CFOs becoming CEOs, and more.
In this episode, Laura Dyrda, Editor-in-Chief at Becker's Healthcare, shares insights into how new tariffs and political uncertainty are affecting hospital supply chains and M&A activity. She also shares the latest CMS updates on Medicare Advantage payments and what it all means for health system strategy.
In this episode I share one of the more difficult days in the OR—when a routine cataract surgery didn't go according to plan. I walk through the moment everything shifted, how I kept my cool, and what came after—both technically and emotionally. If you've ever wondered what it feels like to be a surgeon in that moment, this episode is a rare, honest window into it. Takeaways: Sometimes, Even “Routine” Surgeries Aren't: Dr. Flanary opens up about a recent case that didn't go as expected—and why even years into practice, there are still moments that test every skill you've got. Staying Calm When Things Go Sideways: When a complication unfolds in real time, there's no time to panic. Dr. Flanary shares how he handled a challenging situation, and what surgeons learn to do when instincts and training have to carry the moment. Confidence Doesn't Mean Perfection: Through a powerful metaphor, Dr. Flanary reflects on how surgical confidence evolves—not as certainty that nothing will go wrong, but as the ability to keep moving when it does. Conversations After Complications Matter: How do you talk to a patient—and their family—when the procedure didn't go exactly as planned? Dr. Flanary talks about how he approaches these moments with honesty and trust. The Policies Behind the Pressure: In a classic healthcare rant, Dr. Flanary traces how systems like Medicare Advantage add stress behind the scenes—and why real reform, especially around PBMs, can't come soon enough. — We have an active survey going. Hope you participate here: http://glaucomflecken.com/survey To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: Anatomy Warehouse Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Today's episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit aka.ms/knockknockhi. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
Death Penalty Pursued in Killing of UnitedHealthcare CEO The gunman who shot down one of the most powerful healthcare executives in America may now face the death penalty. Luigi Mangione, the 26-year-old accused of murdering UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel last December, is now the target of a federal death penalty case. U.S. Attorney General Pam Bondi has formally authorized federal prosecutors to pursue the death sentence—escalating the already high-stakes case into one of the most serious federal prosecutions in recent history. Mangione is currently facing both state and federal charges. The state case, being prosecuted in New York, includes murder and terrorism charges, but those come with a maximum sentence of life in prison—New York doesn't have the death penalty. That's where the federal case steps in. Federal prosecutors have charged Mangione with murder through the use of a firearm, which is a capital-eligible offense. According to Bondi, this wasn't just a murder — it was a public execution. “Luigi Mangione's murder of Brian Thompson — an innocent man and father of two young children — was a premeditated, cold-blooded assassination that shocked America,” she said in a statement. She cited the public nature of the killing, the alleged ideological motive, and the potential danger to others nearby as key reasons for pursuing the death penalty. The attack was chilling in its precision. Just before dawn on December 4th, Thompson left his Midtown hotel and began walking toward the Hilton across the street, where UnitedHealthcare was hosting its annual investor conference. He didn't make it far. Authorities say Mangione, wearing a mask and waiting in ambush, approached and opened fire — in the middle of Manhattan, with commuters and conference attendees all around. When investigators later recovered ammunition allegedly used in the shooting, they discovered something disturbing: each bullet was etched with the words “deny,” “defend,” and “depose.” Those phrases aren't random — they've long been used by critics of the insurance industry to describe how claims are delayed, disputed, and dismantled. Prosecutors say the shooting was more than just personal — it was political. Thompson wasn't just any executive. He had spent over two decades at Minnetonka-based UnitedHealthcare, serving as CEO for more than three years. The company covers over 49 million Americans and brought in more than $281 billion in revenue last year. It's the largest provider of Medicare Advantage plans and manages healthcare for both public and private sectors. Thompson was a major figure in a system both relied on and resented by millions. The murder rocked the business world, but the chaos didn't stop there. Back in Maple Grove, Minnesota — where Thompson lived with his wife and two sons — police responded to bomb threats at homes connected to the family within hours of the killing. Authorities believe the threats were hoaxes, but they sent a clear message: this wasn't over. Mangione fled New York after the shooting, kicking off a multi-state manhunt. It ended five days later in Altoona, Pennsylvania, where he was arrested at a McDonald's. Investigators say he was carrying a backpack with a gun matching the murder weapon and a notebook filled with writings critical of the health insurance industry. He was extradited to New York and has remained in custody at the Metropolitan Detention Center in Brooklyn ever since. Since his arrest, Mangione has pleaded not guilty to all state charges. He hasn't yet been arraigned on the federal indictment, but he's agreed to a preliminary hearing under the Speedy Trial Act, which is set for April 18. While the legal case plays out, the killing has already sparked political and cultural ripples. In California, a group has launched what's called the "Luigi Mangione Initiative," a campaign aimed at banning so-called “delay, deny, defend” tactics by insurers. The group condemns violence but says the case has brought overdue attention to insurance industry abuses. As for Mangione, he now stands at the center of a rare and highly scrutinized federal death penalty case, one that's still unfolding in real time. #LuigiMangione #BrianThompson #FederalDeathPenalty #HealthcareIndustry Want to listen to ALL of our podcasts AD-FREE? 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