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

Gist Healthcare Daily
Friday, September 18, 2026

Gist Healthcare Daily

Play Episode Listen Later Sep 18, 2026 8:21


A federal judge blocks a four-year limit on stays for international students and trainees. Arkansas independent pharmacies sue Express Scripts alleging underpayment. And a not-for-profit Medicare Advantage carrier expands its offerings through a retail partnership. Those stories on today's episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

Anatomy Of Leadership
The Critical Competencies Hospice Leaders Must Build for Value-Based Care Success | Part Two

Anatomy Of Leadership

Play Episode Listen Later Sep 18, 2026 31:26 Transcription Available


Send us Fan MailHospice is changing—and the leaders who prepare now will be positioned to shape what comes next.In Part Two of The Critical Competencies Hospice Leaders Must Build for Value-Based Care Success, host Chris Comeaux continues his conversation with Dr. Jessica Hubbs about what hospice and palliative care organizations need to succeed as healthcare moves toward more integrated, value-based models.What capabilities should hospice organizations build internally—and when should they partner? Dr. Hubbs explores the growing convergence of home-based primary care, palliative care, and hospice, and why a more seamless continuum could give seriously ill patients access to the right services based on need rather than simply a point in time.  The conversation also examines complex care management, Medicare Advantage, dementia and length-of-stay challenges, and how hospice can expand upstream without losing what makes the hospice model so valuable. For leaders preparing their organizations for the next 12–24 months, Dr. Hubbs identifies three essential investments: clinical infrastructure, data, and strategic partnerships.  Highlights — What You'll LearnPreparing hospice for value-based careBuilding the right strategic partnershipsIntegrating primary, palliative, and hospice careBetter serving complex and high-need patientsExpanding care upstream without losing hospice's missionUsing data to improve care and outcomesInvesting in clinical capabilities, data, and partnershipsKeeping patients at the center of changeAbove all, this episode brings the conversation back to the mission: doing right by the patient. In a healthcare environment filled with reimbursement pressure, regulatory change, and uncertainty, patient-centered leadership can remain the compass for innovation and better serious illness care. In this episode discover the competencies hospice leaders should be building today to prepare for the future of value-based care.Subscribe to TCNtalks and Anatomy of Leadership for conversations designed to help healthcare and hospice leaders learn, grow, and lead with greater impact.Guest:  Dr. Jessica Hubbs, Internist and the Chief Clinical Officer at Advanced Care Innovations Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of LeadershipThe Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact.https://www.teleioscn.org/anatomy-of-leadership

Fitt Insider
Fitness Industry Posts Double-Digit Growth, Walmart Enters Medicare, Ritual Targets Perimenopause

Fitt Insider

Play Episode Listen Later Sep 17, 2026 3:16


September 17, 2026: Your daily rundown of health and wellness news, in under 5 minutes. Today's top stories: Global fitness operators post 10.7% median revenue growth in 2025 as physical activity gains Medicare reimbursement and insurance recognition worldwide Walmart partners with SCAN Health Plan to launch co-branded Medicare Advantage plans, connecting insurance to its AI-powered nutrition platform Ritual launches a $39/month hormone-free perimenopause supplement, extending its brand from pregnancy into midlife women's health More from Fitt: Fitt Insider breaks down the convergence of fitness, wellness, and healthcare — and what it means for business, culture, and capital. Subscribe to our newsletter → insider.fitt.co/subscribe Work with our recruiting firm → https://talent.fitt.co/ Follow us on Instagram → https://www.instagram.com/fittinsider/ Follow us on LinkedIn → linkedin.com/company/fittinsider Reach out → insider@fitt.co

Raise the Line
Pioneering A More Humane Cancer Treatment: Dr. Hadiyah-Nicole Green, Founder & President, Ora Lee Smith Cancer Research Foundation

Raise the Line

Play Episode Listen Later Sep 17, 2026 44:11


Limiting the side effects of cancer treatments has been an animating force in the field of oncology for many years, and there's been progress to report on that front, but what if you could target cancer tumors without using radiation or chemotherapy and instead generate heat from inside the tumor to kill cells? That's the quest of our guest today, Dr. Hadiyah-Nicole Green, whose promising research using lasers and nanoparticles to eliminate tumors received Breakthrough Device Designation from the FDA earlier this year. “The laser beam that we're using is low power like a laser pointer, and without activation by the laser, the nanoparticles are harmless. Both are targeted just at the site of the tumor so because we don't use systemic delivery, we avoid all of the systemic side effects,” she explains.Dr. Green is also the founder and president of the Ora Lee Smith Cancer Research Foundation, named for an aunt who raised her and who died of cancer without pursuing curative treatment because of her fear of the side effects. Shortly after, her aunt's husband also died of cancer, opting for treatments that took a heavy toll on his body. “At 22 years old, I saw the horrors of cancer and the horrors of cancer treatment and just felt in my heart that there has to be something better than this,” she tells host Michael Carrese.On this fascinating episode of Raise the Line from Elsevier, we'll explore the science behind Dr. Green's approach, the challenges of raising the millions of dollars needed for human clinical trials, and rethinking the current funding landscape for cancer treatments.Mentioned in this episode:Ora Lee Smith Cancer Research 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

The Bob Harden Show
The DSA's Goals: Conference in Chicago

The Bob Harden Show

Play Episode Listen Later Sep 17, 2026 58:46


Thank you so much for listening to the Bob Harden Show, celebrating 15 years broadcasting on the internet.On Thursday's show, we visit with Florida Citizens Alliance COO Ryan Kennedy about school choice, as well as yesterday's ruling by the Florida Education Commissioner to impose needed guardrails on the use of AI in Public Education. Cato Institute Director of Health Policy Studies Michael Cannon and I discuss how Medicare Advantage programs add significant cost to health insurance and Medicare. CEI Senior Economist Ryan Young and I discuss the Fed's decision to increase interest rates, the health of our economy, and Russian sanctions. We also discuss last week's DSA's Socialism conference in Chicago with Young Voices Content Creator Holly Jean Soto.We have a terrific guest for Friday's show – author and Professor Andrew Joppa.Access this and past shows at your convenience on my web site, social media platforms or podcast platforms.

HerMoney with Jean Chatzky
Ep 545: Getting the Most Out of Medicare: What You Need to Know

HerMoney with Jean Chatzky

Play Episode Listen Later Sep 16, 2026 32:42


Medicare can feel like a maze of parts, plans and deadlines – and getting it wrong can cost you. On this episode of the HerMoney Podcast, sponsored by LIMRA, Jean sits down with mother-daughter Medicare experts Diane Omdahl and Melinda Caughill of 65 Incorporated to break down exactly what you need to know: when to enroll, how to choose between Original Medicare and Medicare Advantage, and what's changing in 2027 that could catch beneficiaries off guard – from Part D drug plan shakeups to insurers pulling back from Medicare Advantage. We cover: The basics of Medicare – who's automatically enrolled and who isn't, and when you should start prepping to make Medicare decisions A quick guide to Parts A, B, C and D, plus where Medigap fits in Original Medicare vs. Medicare Advantage: the key differences and why the choice matters more than you think What to know about switching plans later – and why timing is everything What's changing with Part D and Medicare Advantage in 2027 A tool that can help simplify comparing your options during open enrollment After you've listened, if you're ready to dig in, LIMRA's 5-step guide to planning for healthcare costs in retirement is a great place to start. It will help you get organized, understand your options, and know what to ask your advisor about building a healthcare strategy before you retire. Learn more about your ad choices. Visit megaphone.fm/adchoices

Chicago's Afternoon News with Steve Bertrand
Medicare Alert: Could your Humana plan be affected?

Chicago's Afternoon News with Steve Bertrand

Play Episode Listen Later Sep 14, 2026


Humana is exiting some Medicare Advantage plans, potentially affecting 600,000 members nationwide. Sandy Leith, SHIP Director (State Health Insurance Assistance Program) from the Illinois Department on Aging, joins The Lisa Dent Show to talk about what Illinois residents should do if their coverage changes. Sandy talks about key Medicare deadlines and where to get trusted […]

The Hartmann Report
Commonwealth Report: Profit-driven Medicare Advantage Cuts

The Hartmann Report

Play Episode Listen Later Sep 10, 2026 8:12


Profit-driven Medicare Advantage cutsWhy single-payer isn't dead$107 oil and soaring ratesArmed ICE at the pollsSupreme Court blocks Missouri mapNavy's Bahrain admissionSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Raise the Line
What's the Actual Value of Common Tests and Procedures?: Dr. Rita Redberg, Cardiologist and Professor of Medicine at UCSF

Raise the Line

Play Episode Listen Later Sep 10, 2026 29:04


"It's really hard to justify a test that has any complications if there isn't any reasonable expectation of benefit," says Dr. Rita Redberg, who has spent her career trying to help fellow clinicians consider the actual value of routine screenings and diagnostic testing in asymptomatic patients. Dr. Redberg -- a cardiologist and professor of medicine at the University of California, San Francisco for more than three decades -- is one of the leading voices advocating for a “high-value care” approach, an uphill fight in a healthcare system that tends to reward action over restraint. Her highest profile effort was launching the instructive “Less is More” series in JAMA Internal Medicine when she served as its editor-in-chief for 14 years. On a related track, her research on the assessment of the safety and effectiveness of medical technology, specifically high-risk cardiovascular devices, has yielded a troubling picture. "We found only 1% of devices enter the market through the FDA's most rigorous approval process. The high-quality evidence to support benefit for these devices that I had assumed was present, wasn't actually there.” Join Raise the Line host Lindsey Smith for an eye-opening exploration of what Dr. Redberg considers to be the overlooked risks and false reassurance of common tests and procedures, and her efforts to put the “do no harm” principle of medicine at the forefront of everyday practice.Mentioned in this episode:UCSF School of MedicineJAMA Internal Medicine's Less is More Series 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

Agent of Wealth
Medicare Explained: How to Navigate Your Coverage Options With Ryan George

Agent of Wealth

Play Episode Listen Later Sep 4, 2026 27:02


In this episode of The Agent of Wealth Podcast, host Marc Bautis is joined by Ryan George, founder of Part ABC, a national Medicare brokerage. Ryan shares why he believes Medicare should be taught, not sold, and breaks down some of the most important decisions individuals face as they approach age 65. From understanding enrollment timelines and comparing Medicare Advantage and Medigap plans to navigating prescription drug coverage and planning for retirement before Medicare eligibility, Ryan provides practical insights to help listeners better understand their options.In this episode, you will learn:Why Medicare decisions should be based on your individual health, finances, location and personal preferences — not someone else's experience.How the Initial Enrollment Period works and why understanding key deadlines is critical to avoiding potential late enrollment penalties.The differences between Medicare Advantage and Medigap plans and how to determine which type of coverage may better fit your needs.Why reviewing your Medicare coverage over time is important as your health, prescriptions, location and plan benefits change.What options are available for individuals who retire before age 65 and need health insurance before becoming eligible for Medicare.And more!Tune in for a practical introduction to navigating the Medicare landscape, understanding your coverage options and preparing for one of retirement's most important healthcare decisions.Resources:Episode Transcript & Blog | needpartabc.com | needpartabc.com/listen | Follow Ryan George on LinkedIn | Bautis Financial: 8 Hillside Ave, Suite LL1 Montclair, New Jersey 07042 (862) 205-5000 | Schedule an Introductory CallWant to be a guest on The Agent of Wealth? Send us a message on PodMatch, here: https://tinyurl.com/mt4z6ywc

Raise the Line
Closing the Information and Generation Gaps in Reproductive Health: Dr. Charis Chambers, Chief Medical Officer at Clue and Founder of The Period Doctor

Raise the Line

Play Episode Listen Later Sep 3, 2026 36:59


For millions of young women and girls, often the first place they turn with questions about their bodies isn't a doctor's office, it's social media which can lead to encountering many misconceptions and outright misinformation. Or, if the right voices show up, it can mean something else entirely. Our guest today, Dr. Charis Chambers, is one of those voices. She's a board-certified OB/GYN with specialty certification in Pediatric & Adolescent Gynecology, and Chief Medical Officer at Clue, a leading period and cycle-tracking app. She's also the founder of The Period Doctor, a platform she launched in 2019 to provide medically accurate reproductive health information and to place more minority physicians in the spaces where patients are already looking for answers. As she tells Raise the Line from Elsevier host Lindsey Smith, Dr. Chambers embraces the role of being a bridge between generations: "I can serve as a medical mediator where I advocate for the child and then educate the parent so that the child's concerns are met." Stay tuned to this important conversation to also learn about: Her new book, The Period and Puberty Parenting Revolution, which tackles many of the same myths she encounters every day in her clinic; Why stubborn myths around periods rarely hold up once you ask where they come from; How she thinks about the responsibility, and limits, of being a trusted medical voice on social media. Mentioned in this episode: Clue The Period Doctor The Period and Puberty Parenting Revolution 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

Money Girl's Quick and Dirty Tips for a Richer Life
Medicare 101: How to avoid pricey mistakes and choose the right plan

Money Girl's Quick and Dirty Tips for a Richer Life

Play Episode Listen Later Sep 2, 2026 14:14


1047. Host Laura Adams cuts through the confusion and explains the basics of Medicare for anyone approaching 65 or helping a relative compare options. You'll learn how parts of Medicare work, which expenses Medicare doesn't cover, how to fill insurance gaps, avoid lifetime penalties, and the truth about costly Medicare myths.Key Takeaways:Medicare Part A covers hospital and inpatient care (premium-free for most), while Part B covers doctor visits and outpatient services for a monthly premium ($202.90 in 2026).Medicare Advantage (Part C) is an all-in-one alternative that bundles Parts A, B, and usually D into a single plan with network restrictions and out-of-pocket caps, often adding basic dental and vision coverage.Original Medicare doesn't cover long-term care such as assisted living or nursing home stays, or routine dental, vision, and hearing care.Medigap protects against out-of-pocket costs, such as deductibles and 20% coinsurance left behind by Original Medicare, but it cannot be combined with Medicare Advantage.Missing your Initial Enrollment Period triggers lifetime penalties unless you have active, creditable employer health coverage. Enrollment isn't automatic unless you already receive Social Security benefits when you turn 65. Discover more from Money Girl!FacebookNewsletterTranscripts available at QuickandDirtyTips.com.Email: Laura@LauraDAdams.com or leave a voicemail: (302) 364-0308. Hosted on Acast. See acast.com/privacy for more information.

MoneyWise on Oneplace.com
Medicare Made Simple with Eddie Holland

MoneyWise on Oneplace.com

Play Episode Listen Later Sep 2, 2026 24:57


Medicare may be one of the most important—and confusing—financial decisions you make in retirement. Between enrollment deadlines, late penalties, Medicare Advantage, Medigap, prescription coverage, and income-based premiums, there are plenty of decisions to navigate. And because some choices can have long-term financial consequences, understanding the basics before you enroll is an important part of wise stewardship. Eddie Holland, Senior Private Wealth Advisor and Partner at Blue Trust, as well as a CFP®, CPA, and Certified Kingdom Advisor®, recently joined Faith & Finance to help simplify Medicare and explain some of the most important planning considerations. Understanding Medicare Parts A, B, C, and D A good place to begin is with Medicare's different parts. Medicare Part A primarily covers hospital-related care, including inpatient hospital stays, skilled nursing care, and hospice. For people who have accumulated the required work credits through either their own employment or their spouse's, Part A generally does not require a monthly premium. Medicare Part B covers many medical services outside the hospital, including doctor visits, lab work, and outpatient procedures. Unlike Part A, Part B generally carries a monthly premium, and higher-income retirees may pay more. Medicare Part D covers prescription drugs. Those enrolled in Original Medicare—Parts A and B—can generally purchase a separate Part D prescription drug plan. Medicare Part C, better known as Medicare Advantage, is offered through private insurance companies. These plans combine Parts A and B and often include Part D prescription coverage as well. Some plans may also offer additional benefits such as dental or vision coverage. Another option for those using Original Medicare is a Medicare supplement plan, commonly called Medigap. These private plans are designed to help cover some of the deductibles, copayments, and other expenses that Original Medicare does not pay. Pay Close Attention to Enrollment Timing Timing matters when enrolling in Medicare. Your Initial Enrollment Period generally lasts seven months: the three months before the month you turn 65, your birthday month, and the three months afterward. But turning 65 does not always mean you have to immediately leave employer-sponsored health coverage. If you or your spouse are still working and you have qualifying employer coverage, you may have access to a Special Enrollment Period, allowing you to delay certain portions of Medicare without facing a late enrollment penalty. Holland notes that employer size and the nature of the coverage can affect how Medicare coordinates with the employer plan. That makes it important to speak with your employer's benefits or human resources department before making assumptions about which coverage should come first. Employer Size Can Make a Difference If your employer has 20 or more employees, the employer health plan may generally remain the primary payer while you continue working, potentially allowing you to postpone Part B and its monthly premium. With an employer of fewer than 20 employees, Medicare may become the primary payer once you are eligible. In that situation, failing to enroll in Parts A and B could potentially leave gaps in coverage. You should also verify whether your employer's prescription drug coverage is considered creditable coverage for Medicare purposes. That can be especially important if you plan to delay Part D beyond age 65. The larger lesson is simple: Medicare decisions should rarely be made in isolation. Your employer coverage, retirement date, spouse's coverage, prescription needs, and other factors all need to be considered together. What Is IRMAA? For higher-income retirees, another important acronym to know is IRMAA, or the Income-Related Monthly Adjustment Amount. IRMAA is an additional charge added to Medicare Part B and Part D premiums when modified adjusted gross income exceeds certain thresholds. For 2026, Holland notes that IRMAA begins above $109,000 in modified adjusted gross income for single filers and $218,000 for married couples filing jointly. Medicare generally bases the surcharge on the most recent tax information available, which often means looking back two years. So, for example, 2026 Medicare premiums may be based on income reported on a 2024 tax return. That two-year lookback can surprise people whose financial situation has recently changed. If your income has fallen because of certain qualifying life-changing events, such as retirement, marriage, or widowhood, you may be able to request a reconsideration of the surcharge using Social Security Form SSA-44. Roth Conversions Can Affect Medicare Premiums IRMAA can also become an important consideration when planning Roth conversions. Suppose you retire before age 65 and decide to convert a significant amount of traditional IRA money to a Roth IRA. The conversion increases your taxable income for that year. Because Medicare looks back at previous tax returns when determining IRMAA, a large Roth conversion in the years immediately preceding Medicare enrollment could lead to higher Part B and Part D premiums later. That doesn't necessarily mean you shouldn't complete the conversion. It simply means you should include the potential Medicare impact in the calculation. Tax planning, retirement planning, and Medicare planning are often interconnected. A decision that makes sense in one area can create consequences in another. Be Careful With HSA Contributions Health Savings Accounts require special attention as you approach Medicare eligibility. Once you are enrolled in Medicare, you can no longer contribute to an HSA. If you enroll around age 65, you need to coordinate the end of your HSA contributions with the beginning of your Medicare coverage. The issue becomes even more important for those who enroll after age 65 because Medicare Part A coverage can sometimes be applied retroactively, potentially affecting HSA eligibility for previous months. Holland recommends understanding the retroactive period before enrolling so you don't inadvertently make excess HSA contributions. Social Security can complicate matters further. If you begin receiving Social Security benefits, you may automatically be enrolled in Medicare Part A. Anyone who is still contributing to an HSA should account for that before applying for Social Security. The good news is that money already accumulated in an HSA remains tax-advantaged and can still be used for many qualified medical expenses in retirement, including certain Medicare premiums. Holland notes, however, that HSA funds cannot be used tax-free to pay Medigap premiums. What If One Spouse Reaches Medicare Age First? Married couples can face another challenge when one spouse becomes eligible for Medicare while the other is still several years away. If the older spouse continues working, the employer plan may continue covering both spouses. Some companies also provide retiree benefits that extend coverage to a younger spouse after the older spouse retires. If employer coverage isn't available, COBRA may provide temporary coverage, although it can be expensive. Another possibility is purchasing insurance through the federal or state health insurance marketplace, where the younger spouse may qualify for premium subsidies depending on household circumstances. Whatever option you choose, don't overlook the cost. If one spouse retires several years before the other reaches Medicare eligibility, higher healthcare premiums may need to become a deliberate part of the retirement budget. Make Medicare Part of Your Larger Retirement Plan Medicare isn't simply a healthcare decision. It can affect your taxes, retirement income, Social Security strategy, HSA contributions, and monthly spending. That's why careful planning before age 65 can be so valuable. Understand what each part of Medicare covers. Know your enrollment windows. Talk with your employer before leaving workplace coverage. Consider the impact of your income on Medicare premiums. And coordinate decisions involving HSAs, Roth conversions, Social Security, and your spouse's health coverage. Medicare may be complicated, but you don't have to approach it blindly. Taking the time to understand your options can help you avoid costly mistakes, choose coverage that fits your circumstances, and steward the resources God has entrusted to you with greater wisdom and confidence. On Today's Program, Rob Answers Listener Questions: I have a mortgage and a car loan and am considering consolidating them into one payment. Is that a good idea, and what type of loan would make sense? I received a letter saying my student loans were placed in permanent disability status, but I never applied for that. How can I verify whether it's legitimate and correct the situation if needed? Resources Mentioned: Faithful Steward: FaithFi's Quarterly Magazine (Become a FaithFi Partner) Blue Trust Christian Healthcare Ministries (CHM) | Healthcare.gov AnnualCreditReport.com FaithFi Field Guide: How Much Money is Enough? Our Ultimate Treasure: A 21-Day Journey to Faithful Stewardship by Rob West Wisdom Over Wealth: 12 Lessons from Ecclesiastes on Money Look At The Sparrows: A 21-Day Devotional on Financial Fear and Anxiety Rich Toward God: A Study on the Parable of the Rich Fool Find a Certified Kingdom Advisor® (CKA) FaithFi App Remember, you can call in to ask your questions every weekday at (800) 525-7000. Faith & Finance is also available on Moody Radio Network and American Family Radio. You can also visit FaithFi.com to connect with our online community and partner with us as we help more people live as faithful stewards of God's resources. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The Don Lemon Show
SHOCK VOTE: House Dems Side With Trump!

The Don Lemon Show

Play Episode Listen Later Sep 2, 2026 70:35


Yesterday, eight democrats voted with all of the house republicans to adopt a measure to "condemn socialism." This vote was warned by Leader Hakeem Jeffries as a "MAGA effort to rig the midterm elections," because the socialism aspect was merely a way to get democrats to vote for a version of the SAVE act. Join Don and guest Rep. Kamlager-Dove to break this down.

MoneyWise Live
Medicare Made Simple

MoneyWise Live

Play Episode Listen Later Sep 2, 2026 41:57 Transcription Available


From enrollment deadlines and late penalties to Medigap, Medicare Advantage, and income-based premiums, the choices for Medicare can feel overwhelming. On the next Faith & Finance Live, Rob West and Eddie Holland explain our options so we can make wise, faithful stewardship decisions. Then, it’s on to calls. That’s Faith and Finance Live . . . biblical wisdom for your financial decisions. That’s weekdays at 4pm Eastern/3pm Central on Moody Radio. Faith & Finance Live is a listener supported program on Moody Radio. To join our team of supporters, click here.To support the ministry of FaithFi, click here.To learn more about Rob West, click here.To learn more about Faith & Finance Live, click here.See omnystudio.com/listener for privacy information.

Consumer Tech Update
Insurance denied? AI appeals it

Consumer Tech Update

Play Episode Listen Later Sep 2, 2026 10:08


Two out of three Medicare Advantage denials get reversed on appeal. Yet less than 1% of people ever try. An AI prompt drafts a formal appeal letter in seconds. Plus, we help Joy use chatbots to fight back on a 97% insurance rate increase.   Learn more about your ad choices. Visit megaphone.fm/adchoices

Agent Survival Guide Podcast
The Ideal Client for Medicare Advantage Plans

Agent Survival Guide Podcast

Play Episode Listen Later Sep 2, 2026 6:07


So you want to start selling Medicare Advantage plans, but you aren't sure what kind of clients to look for? No problem. In our newest episode, we break down some of the characteristics of what one of your ideal clients may look like.     Get Connected:

A Health Podyssey
Dhruv Khullar on Public Health, Pandemic Preparedness & the Future of Healthcare

A Health Podyssey

Play Episode Listen Later Sep 1, 2026 25:06 Transcription Available


Are we ready for the next public health emergency? Rob Lott speaks with physician, researcher, and New Yorker writer Dhruv Khullar about the state of U.S. public health preparedness, the growing challenges facing infectious disease surveillance, and the connection between chronic and infectious disease. The conversation also explores Khullar's work as a clinician, health policy researcher, and journalist, including his research on health care consolidation, Medicare Advantage, and the commercialization of medicine.Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

The Seven Figures Or Bust Podcast!
Episode 268 - Breaking Down The Medicare Advantage Enrollment Cap Proposal

The Seven Figures Or Bust Podcast!

Play Episode Listen Later Aug 31, 2026 32:02


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The Seven Figures Or Bust Podcast!
Episode 267 - The Future Of Med Supp & The Truth About $0 Premium Plans

The Seven Figures Or Bust Podcast!

Play Episode Listen Later Aug 28, 2026 46:05


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Agent Survival Guide Podcast
Ritter & Integrity Solutions for Industry Disruption in 2027

Agent Survival Guide Podcast

Play Episode Listen Later Aug 28, 2026 13:23


The Friday Five for August 28, 2026: Still time to register for Ritter Insurance Marketing Summits Medicare & ACA certification update for August 28, 2026 There's more to gastrointestinal distress recovery than BRAT Ritter & Integrity Solutions for Industry Disruption in 2027 IntegrityCONNECT Now Quotes Medicare Supplement   Ways to Connect:

Raise the Line
Who Was Medicine Designed For?: Dr. Joel Bervell, Internal Medicine Resident and “The Medical Mythbuster”

Raise the Line

Play Episode Listen Later Aug 27, 2026 30:42


"I'd already finished my cardiovascular unit. I'd finished my pulmonary unit. I had never heard about this in any of my classes." That was Dr. Joel Bervell's reaction to discovering that a device used every day in hospitals -- the pulse oximeter -- reads less accurately on darker skin tones. He posted a 30-second video about this consequential discrepancy that, to his utter surprise, gained over 500,000 views by the next morning. That video launched Dr. Bervell into orbit as a social media presence and created his identity as The Medical Mythbuster. In just a few years, he's built a following of two million people, earned a Peabody Award and was named to the inaugural Time 100 Creators list, all while finishing his residency.  On this episode of Raise the Line, host Lindsey Smith welcomes Dr. Bervell to explore the roots of this kind of bias and the real world impact of drawing attention to it. “The most impactful biases in medicine exist because no one stops to ask who was included in the original data and who was left out,” Dr. Bervell explains. Stay tuned to also learn about: His YouTube animated series The Doctor is In which helps kids understand how their bodies work, as well as providing medical role models; How to build trust with marginalized communities; His forthcoming book, The Default Body which examines who medicine was actually designed for. Mentioned in this episode:Dr. Bervell on InstagramTikTok ChannelFacebook"The Doctor Is In" Show If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

The Don Lemon Show
Nolan Wells' Family Adds New Attorney

The Don Lemon Show

Play Episode Listen Later Aug 26, 2026 58:35


We are almost at two months since the tragic death of Nolan Wells. Ben Crump has been representing the family since early on, along with his team of attorneys. Now, a Jackson County defense attorney named Ahmad Smith has joined. Join Don to break down this story and everything else going on today.

The Everything Medicare Podcast!
Episode 340 - Medicare Advantage Is Changing A Lot! Here Is Why

The Everything Medicare Podcast!

Play Episode Listen Later Aug 26, 2026 33:49


If you'd like to work with us on your Medicare health plan, we're licensed in 50 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 Website: ⁠https://www.eseniorinsurance.com ⁠

Becker’s Healthcare Podcast
Neil Machhar on Scaling High-Touch Primary Care for Medicare Advantage

Becker’s Healthcare Podcast

Play Episode Listen Later Aug 25, 2026 12:46 Transcription Available


In this episode, Neil Machhar, Chief Executive Officer, Greenbrook Medical, discusses Greenbrook's high-touch primary care model for seniors, its growing partnership with Tampa General Hospital, and plans for expansion. He also shares insights on Medicare Advantage headwinds, sustainable growth, and building a team-first culture.

A Health Podyssey
Hospital-Owned Medicare Advantage Plans: A Look at Pricing Patterns

A Health Podyssey

Play Episode Listen Later Aug 25, 2026 20:59 Transcription Available


Health Affairs Publishing's Rob Lott speaks to Grace Mackleby of the University of Southern California about her recent paper that explores how vertically integrated Medicare Advantage plans and hospital systems set prices, finding that most affiliated and unaffiliated plans pay similar rates, with notable variation in certain markets. Order the August 2026 issue of Health Affairs.Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Bright Spots in Healthcare Podcast
One Member, Five Open Gaps: How Leading Medicare Advantage Plans Are Coordinating Member Action

Bright Spots in Healthcare Podcast

Play Episode Listen Later Aug 25, 2026 61:23


In this episode of Bright Spots in Healthcare, host Eric Glazer brings together Medicare Advantage leaders from Drips, Johns Hopkins Health Plans, MMM Holdings, myPlace Health, and Independent Health to tackle a challenge every plan knows well: what happens when the same member has multiple open needs, and who decides what should happen first? The conversation moves beyond measure-by-measure outreach to explore how plans can coordinate action around the whole member. Panelists discuss how to weigh Stars, claims cost, risk adjustment, member context, social barriers, provider workflows, and likelihood to act when determining the next best action. Through practical examples, the group examines how plans are building shared views of the member, connecting plan and provider teams, using technology to recognize moments of influence, and giving frontline teams more room to listen and respond to what members actually need. Our guests include: Kathleen Faulk, Chief Strategy Officer, Drips Brendan Generelli, Director, Medicare Stars & Quality, Johns Hopkins Health Plans Nilda González, Vice President, Quality Management & Stars, MMM Holdings, LLC Rob Schreiber, MD, Vice President and National Medical Director of Care Model Strategy, myPlace Health, part of SCAN Group Amin Serehali, SVP, Chief Data and Analytics Officer, Independent Health   Together, they explore: How plans can prioritize when one member has multiple legitimate care, quality, pharmacy, and risk needs Why enterprise impact, including claims cost and risk adjustment, can change which gap deserves attention first How member barriers and personal priorities should shape the next best action How MMM Holdings uses INNOV-A MD, Smart Profile, and its Office Advantage Quality Program to connect plan and provider workflows How Independent Health built Member 360 to bring fragmented clinical, pharmacy, utilization, and member information into one actionable view How plans can use real-time "moments of influence" to reprioritize outreach when a member is most ready to act Why frontline listening can sometimes create more value than completing every item on a checklist How more deliberate targeting can improve results while using outreach resources more efficiently   Whether you lead Stars, quality, risk adjustment, analytics, care management, member engagement, or Medicare strategy, this episode offers practical ideas for closing more gaps without creating more noise for members. Panelist Bios: https://www.brightspotsinhealthcare.com/events/one-member-five-open-gaps-how-leading-medicare-advantage-plans-are-coordinating-member-action/ Download the Episode Guide: Get key takeaways and expert highlights to help you apply lessons from the episode. Download guide: https://docs.google.com/document/d/1pZErXDEfncqTI-1yoB3yJAv7_Ox-JiqNJsmKep2OK4o/edit?tab=t.0 Key Insights Summary: Find key insights from the discussion, guest takeaways, and detailed moderator notes captured by Eric during the conversation, https://docs.google.com/document/d/1V4mxERrmHf_IEWcUWzfPKwuRlY2dVV21/edit Thank You to Our Episode Partner, Drips: Drips helps Medicare Advantage and Medicaid plans turn member conversations into completed actions across annual wellness visits, care gaps, medication adherence, and other priority programs. By helping plans connect outreach across programs, respond to member context in real time, and focus on the next action a member is most ready to take, Drips supports a more coordinated member journey with fewer disconnected touchpoints and greater follow-through. Schedule a Meeting with a Senior Leader at Drips: Interested in learning how health plans are coordinating outreach around the member and turning conversations into completed actions? To connect with Kathleen Faulk or another member of the Drips leadership team, contact show producer Jessica Tenzer at jtenzer@brightspotsventures.com to schedule a conversation. 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.  

Politics Done Right
The Reality Check 2026-04-15 (Medicare Trap, Trump Gimmicks & Democrats' Reality Check)

Politics Done Right

Play Episode Listen Later Aug 25, 2026 72:02


Medicare Advantage traps, Trump's “no tax on tips” gimmick, and timid Democrats collide as The Reality Check exposes who profits—and why working people need bold progressive change. 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

Parenting UP! Caregiving adventures with comedian J Smiles
CAREGIVER STRESS & CAREGIVER RELIEF; THE HIDDEN CRISIS IN DEMENTIA CARE

Parenting UP! Caregiving adventures with comedian J Smiles

Play Episode Listen Later Aug 24, 2026 52:12 Transcription Available


Caregiving can feel like a private struggle, but the numbers and the lived reality say it's a hidden crisis. We sit down with Diane, a nurse with 53 years of experience and the founder of CaregiverRelief.com, to talk about what dementia caregiving really does to families and why so many caregivers feel like they're carrying the whole load alone.Diane traces her “why” back to her grandmother's Alzheimer's journey and the kind of moment every family hopes for: connection that still breaks through the fog. From there, we get honest about the long arc of caregiving, including how early grief and responsibility shape a caregiver's life, why burnout is more than “being tired,” and how relationships can wither when your world becomes meds, meals, safety, and constant vigilance.Then we go straight at the system. Diane explains the gaps she sees in dementia care support, why navigating hospitals, rehab, and long-term care can overwhelm anyone without a medical background, and what scares her about cost-sharing and Medicare Advantage co-pays tied to skilled nursing and rehab. Most importantly, she gives practical tools you can use right now: build a caregiver relief group, assign people to check on the caregiver, and put a family caregiver contract in place so time off and support are clear and fair.If you're caring for a parent with Alzheimer's or supporting someone who is, hit play, share this with your village, and then subscribe, leave a review, and tell us what kind of help would actually make your week easier.Make sure to visit caregivingrelief.com to learn more about Diane and listen to her podcast. Exec. Producer/Host: J Smiles Comedy Producer: Mia Hall Editor: Annelise Udoye Support the show"Alzheimer's is heavy but we ain't gotta be!"IG: https://www.instagram.com/parentingupFB: https://www.facebook.com/parentingupYT: https://www.youtube.com/@parentingupTEXT  'PODCAST"  to  +1 404 737 1449  - to give J topic ideas, feedback, say hi!Be sure to leave us a review! 

LTC University Podcast
Stop Chasing the Number — Start Telling the Patient's Full Story

LTC University Podcast

Play Episode Listen Later Aug 24, 2026 37:28


There's a number attached to every patient's chart that quietly shapes the resources they receive, the care they're offered, and whether their health conditions are fully seen — and most providers don't fully understand it. In this episode, Jamie sits down with Ericka Bauman, Director of Quality Assurance at Your Health, to break down the Risk Adjustment Factor — better known as the RAF score. Ericka has spent years traveling across Georgia and South Carolina, walking into provider offices, sitting with care teams, and doing the work of turning confusing data into meaningful patient outcomes. What you'll hear in this episode: What the RAF score actually is — explained the way Erica explains it to every team she visits, from providers to front desk staff Why most RAF scores are too low — and how underdocumenting a patient's conditions leaves them exposed to missed care, hospitalizations, and unmet needs The biggest misconception providers have about RAF (hint: it's not another box to check) How RAF and quality measurement are really asking the same question from two different angles — and why treating them separately is a mistake What changes for patients when care teams show up prepared, proactive, and looking at the whole person — not just the reason for today's visit The numbers will follow when you take care of the patient. This episode will show you how. www.YourHealth.Org

Medicare For The Lazy Man Podcast
Ep.988 - MEDICARE ADVANTAGE FRAUD PREVENTION AUDITS WILL BE STEPPED UP.

Medicare For The Lazy Man Podcast

Play Episode Listen Later Aug 24, 2026 42:20


MEDICARE ADVANTAGE MINUTE:                                                                    CMS (THE FEDERAL GOVERNMENT) EXPANDS AUDITS TO CRACK DOWN ON MEDICARE OVERPAYMENTS.                                                                          IDENTIFYING FRAUDULENT ACTIVITY IS THE GOAL OF THIS EXERCISE.  WHAT DOES MEDICARE NOT COVER?                                                                HERE IS A LIST OF EIGHT THINGS (MORE OR LESS). RANDY IS SENT TO THE DOG HOUSE BY MRS RANDY WHEN HE PICKED A MEDICARE SUPPLEMENT PLAN SHE DIDN'T LIKE.                                FORTUNATELY, HIS AGENT RODE TO THE RESCUE AND SAVED THE DAY! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!" "MEDICARE ENROLLMENT GUIDE" - DOWNLOAD FREE "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" ....AND A PODCAST! @ DBJ@M4TLM.com W medicareforthelazyman.com T (630) 878-5055   Review Us On Google  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.

La Trinchera con Christian Sobrino
BSB #102: De directorios, expectativas poderosas y la tavesía fiscal de Medicare Advantage

La Trinchera con Christian Sobrino

Play Episode Listen Later Aug 22, 2026 110:50


En este centésimo segundo episodio del ¡Bipartidismo Strikes Back! (una producción del #PodcastLaTrinchera), Christian Sobrino y Luis Balbino discuten lo más reciente del escándalos de Power Expectations, el rol y el efecto mediático sobre la figura pública del Lcdo. Osvaldo Carlo, el fin del breve kumbaya en el Partido Nuevo Progresista por la citación a una reunión del Directorio, los retos fiscales en Estados Unidos y su posible desenlace contra Medicare Advantage y mucho más.Este episodio es presentado a ustedes por:- San Juan Lincoln, donde encontrarán una exclusiva colección de vehículos de lujo diseñados para satisfacer todas sus expectativas. Pueden visitarlos en la Avenida Kennedy en San Juan para explorar lo que una SUV de lujo debe ser. Su equipo está listo para ofrecerles una experiencia inigualable. Para más información u orientación, llamen al 787-331-5023.- La Tigre,  el primer destino en Puerto Rico para encontrar una progresiva selección de moda Italiana, orientada a una nueva generación de profesionales que reconocen que una imagen bien curada puede aportar a nuestro progreso profesional. Visiten la boutique de La Tigre ubicada en Ciudadela en Santurce o síganlos en Instagram en @shoplatigre.Por favor suscribirse a La Trinchera con Christian Sobrino en su plataforma favorita de podcasts y compartan este episodio con sus amistades.Para contactar a Christian Sobrino y #PodcastLaTrinchera, nada mejor que mediante las siguientes plataformas:Facebook: @PodcastLaTrincheraTwitter: @zobrinovichInstagram: zobrinovichTikTok: @podcastlatrincheraYouTube: @PodcastLaTrinchera

Anderson Business Advisors Podcast
What Is The Biggest Social Security Surprise For Retirees?

Anderson Business Advisors Podcast

Play Episode Listen Later Aug 21, 2026 33:44


What are the biggest Social Security and retirement mistakes retirees make? Toby Mathis and Erin Moriarity break down when to claim Social Security, Social Security taxes, Roth conversions, Medicare and IRMAA surcharges, the 4% rule, retirement income strategies, long-term care costs, and how to avoid running out of money in retirement.  Learn how smarter Social Security planning, Medicare planning, tax strategies, and retirement withdrawal decisions can help you build a more secure retirement.  Check out Erin's Channel

Becker’s Healthcare Podcast
Jakob Emerson on Medicare Advantage Pullbacks and SCAN's Costco Partnership

Becker’s Healthcare Podcast

Play Episode Listen Later Aug 21, 2026 13:34 Transcription Available


In this episode, Jakob Emerson, Associate News Director, Becker's Healthcare, discusses the latest Medicare Advantage trends, including SCAN's new partnership with Costco, insurer market exits, tighter margins, and fewer plan options for seniors. He also explores how changes to Part D subsidies could influence Medicare Advantage enrollment.

Health Affairs This Week
Medicare Advantage's $16 Billion Quality Bonus Program: Litigation, Reform, and Rising Costs

Health Affairs This Week

Play Episode Listen Later Aug 21, 2026 18:20 Transcription Available


Health Affairs Publishing's Jeff Byers welcomes Erica Socker of Georgetown University to the pod to discuss her recent Forefront article that explores how the Medicare Advantage quality bonus program is working in the wake of a Clover Health-CMS lawsuit over star ratings. They discuss the court's ruling, CMS's policy response, and why the case could become a catalyst for broader reforms to a program that now distributes billions of dollars annually. Related Links:Medicare Advantage Quality Bonus Program: Court Decisions Spotlight Flaws (Health Affairs Forefront)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

The Seven Figures Or Bust Podcast!
Episode 265 - Since When Did Medicare Agents Get So Soft?

The Seven Figures Or Bust Podcast!

Play Episode Listen Later Aug 21, 2026 51:55


With AEP approaching, the noise around non-commissionable plans, plan terminations, carrier exits, and Medicare Advantage commissions is getting louder. But is the Medicare business actually collapsing—or are we watching a correction that could create a major opportunity for agents who stay in the game? In this solo episode of the Seven Figures Or Bust Podcast, Christian breaks down the public data, carrier strategy, plan reductions, record Medicare Advantage terminations, commission trends, and why he believes the current environment is creating less competition and more opportunity for serious agents. He also explains why some agents are reacting emotionally, why non-commissionable plans may not be the long-term future, and what agents can do if their market has been hit particularly hard. The bigger question isn't whether the Medicare market is changing. It's whether you're going to panic—or position yourself to win while everyone else is running for the exits. 

va soft medicare medicare advantage christian brindle christian brindle insurance services
Agent Survival Guide Podcast
MyChart Medicare Kit Scam

Agent Survival Guide Podcast

Play Episode Listen Later Aug 21, 2026 15:54


The Friday Five for August 21, 2026: Register to Attend Ritter Summits Apple Devices Rumored for Fall 2026 Spotify Announces PlayList Notes Journaling for Personal Development MyChart Medicare Kit Scam   Get Connected:

Alliance University Product PRODcast
Product Call - Advantage Plus Elite Hospital Indemnity Training for AEP - 08/20/2026

Alliance University Product PRODcast

Play Episode Listen Later Aug 21, 2026 65:18


Advantage Plus Elite Hospital Indemnity Training for AEP | Benefits, Riders, Underwriting & Cross-Sell Tips (GTL) Zach Parker, national account manager at GTL, delivers an AEP-focused training on GTL's hospital indemnity product, Advantage Plus Elite, designed to complement Medicare Advantage by covering hospitalization copays and related gaps with affordable premiums. He introduces GTL's background (founded 1936, mutual company, AM Best A, licensed in all states except New York), explains why to sell hospital indemnity, and details plan availability, expanded guarantee-issue ages (most states 64.5–79), benefit design using two Medicare Advantage summary-of-benefits questions, coverage triggers (including observation stays), restoration after 60 days, and key base benefits. He reviews major riders (ambulance, lump-sum cancer, critical accident, skilled nursing facility, outpatient surgery, lump-sum hospital, outpatient therapy, and guaranteed purchase option with wellness benefit), underwriting and application processes, signature methods, compliance, cross-selling scripts and marketing tools, and answers state and product Q&A.

Tim Conway Jr. on Demand
Tim Finds a Voicemail from His Dad

Tim Conway Jr. on Demand

Play Episode Listen Later Aug 20, 2026 30:59 Transcription Available


Hour 4 (8.19) Tim finds a saved voicemail from his dad, Tim Conway, plus Costco getting into the Medicare business and a very big night for a very underfunded candidate in Florida. The hour opens on the City Council's 10-3 vote to remove 12 designated enforcement zones under the city's 41.18 anti-camping law — supporters say it lets the city focus on outreach and housing; opponents warn about public safety and quality of life. Crozier offers his own L.A. housing history: he slept on a branch in a tree when he first moved here. Then Conway on going to Agua Caliente with his dad and everything that track gave racing — the Pick 6, which started there as the "5-10," along with the starting gate and safety helmets, and Anna Lee Aldred, the first American woman licensed to ride, who got that license at Caliente. Plus, the Coast Guard on pulling a jet skier out of the ocean. Then the Florida Democratic Senate primary, where progressive state Rep. Angie Nixon upset former National Security Council aide Alex Vindman, and what that would have paid on Poly-market and Kalshi. And to close it out: Costco and nonprofit insurer SCAN Health Plan are partnering on Medicare Advantage products in two states and a Medicare supplement in a third, pending regulatory approval — the retailer's first entry into the Medicare market — and then Tim, going through his phone, finds his father's voice waiting on it. See omnystudio.com/listener for privacy information.

Tim Conway Jr. on Demand
16 Hours in the Ocean, Found Alive

Tim Conway Jr. on Demand

Play Episode Listen Later Aug 20, 2026 35:51 Transcription Available


Hour 3 (8.19) A Long Beach man spends the night alone in the ocean and lives, four 40-story towers for seniors are headed for Warner Center, and Tim finds a saved voicemail from his dad. The hour opens on prediction markets and what the Florida upset would have paid out, then Costco and nonprofit insurer SCAN Health Plan partnering on Medicare Advantage products in two states and a Medicare supplement in a third, pending regulatory approval — the retailer's first entry into the Medicare market. Then Tim, scrolling his phone, finds his father's voice still on it. From there: Paul Carbullido Jr., 53, was found 16 hours after he was reported missing — a husband and father of four on a personal watercraft for the first time in his life. He can't swim. Coast Guard crews found him floating nearly three miles south of the Seal Beach Pier around 10:45 a.m., body temperature down to 86 degrees, and he says his life vest is what let him paddle all night. Plus the Viva project headed for Warner Center: four towers, roughly 40 floors, more than 3,000 units of affordable senior housing, part of a much wider redevelopment. Councilmember Bob Blumenfield calls it the future of senior housing — "kind of like Golden Girls on steroids." And the crew closes out on Harry and Meghan, their post-royal business record, and whether the American public has moved on. See omnystudio.com/listener for privacy information.

Raise the Line
Building A Nursing Workforce That Reflects The Patients It Serves: Dr. Ernest Grant, Vice Dean for Diversity, Equity, Inclusion, and Belonging at Duke University School of Nursing

Raise the Line

Play Episode Listen Later Aug 20, 2026 32:06


Despite gains in recent years, Black, Hispanic, and Asian communities are still under-represented in the U.S. nursing workforce. We're going to explore that gap and how to close it on this episode of Raise the Line from Elsevier with Dr. Ernest Grant, Vice Dean for Diversity, Equity, Inclusion and Belonging at the Duke University School of Nursing. "You get a patient who is more compliant when they see someone who looks like them, who is from their culture and who can advocate on their behalf," he tells host Lindsey Smith.  Dr. Grant bases that and other insights on a rich professional background that includes 50 years in nursing, being a leading advocate for his profession and breaking down barriers himself as a male nurse of color and the first man elected president of the American Nurses Association.  In this thoughtful conversation, Dr. Grant reflects on what it took to earn credibility in leadership roles, how he's navigating the political climate on DEI initiatives, and the causes and solutions to the persistent shortage in nursing faculty, among other pressing issues. Tune in for a uniquely-informed look at what it will take to build a stronger, more representative nursing profession. Mentioned in this episode: Duke University School of Nursing American Nurses Association 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 Tom and Curley Show
Hour 2: Costco to Launch its own Medicare Advantage Plan

The Tom and Curley Show

Play Episode Listen Later Aug 19, 2026 33:00


Costco to launch its own Medicare Advantage plan. E-bike and e-scooter injuries keep climbing, Harborview says. Jim with innovations in helmet technology. Seattle’s “No Right on Red” Revolution // Nikola Tesla STEM High near Redmond in Top 10 in U.S. News ranking. These kids are learning without technology in Seattle Public Schools // Portland’s bus-riding goats go national, get their own TriMet merch

The Tom and Curley Show
Hour 4: E-Bike and E-Scooter Injuries Keep Climbing

The Tom and Curley Show

Play Episode Listen Later Aug 19, 2026 33:00


Costco to launch its own Medicare Advantage plan. E-bike and e-scooter injuries keep climbing, Harborview says. Jim with innovations in helmet technology. Seattle’s “No Right on Red” Revolution // Nikola Tesla STEM High near Redmond in Top 10 in U.S. News ranking. These kids are learning without technology in Seattle Public Schools // Portland’s bus-riding goats go national, get their own TriMet merch 

The Don Lemon Show
Nolan Wells' Birthday & Katie Phang Is Winning DOJ Epstein Lawsuits

The Don Lemon Show

Play Episode Listen Later Aug 19, 2026 72:35


Today we celebrate the life of Nolan Wells on what would have been his 19th birthday. The National Action Network held a virtual prayer vigil today and a separate celebration of his life will be held tonight at 7pm in Biloxi. Also, journalist, lawyer, and friend of the show Katie Phang has been successfully suing the DOJ to release more Epstein files. She joins us to discuss this process.

The Healthcare Policy Podcast ®  Produced by David Introcaso
John McDonough Discusses His Just-Published Book, “America's Wrong Turn, US Health Care in the Neoliberal Era” (350th Interview)

The Healthcare Policy Podcast ® Produced by David Introcaso

Play Episode Listen Later Aug 19, 2026 45:27


Beginning in the 1970s and 1980s (think, e.g., Hayek, Friedman, Reagan, Stockman and Clinton), US policymakers decided healthcare should be defined like any other commercial or market commodity. It's not, think: Ken Arrow. Therefore, national policymakers under the mantra of the financialization of everything or privatization included healthcare (think: Medicare Advantage); largely per Robert Bork's book, “The Anti-Trust Paradox” policymakers freed healthcare of anti trust enforcement and increasingly deregulated healthcare (think: the employer-sponsored insurance (EIS) system). Today, US healthcare is arguably the largest industry in the world's largest economy, with a ~$7.5 trillion market cap, and is highly concentrated. As Prof McDonough cites, “America's health care crisis is,” per Phil Longman, “brought to you by monopoly.” Think: UNH that controls approximately 2,700 global subsidiaries and affiliates. We know the results. In his introduction Professor McDonough appropriately cites Maya Angelou's observation, “if you don't know where you've come from, you don't know where you are going.” Possibly more optimistic, James Baldwin phrased the idea as, “If you know whence you came, there is really no limit to where you can go." One can hope. Information regarding “America's Wrong Turn” is at: https://www.press.jhu.edu/books/title/53872/americas-wrong-turn?srsltid=AfmBOoqNV4mGGs9z2P9ym233e-Bsp4EBV3SAAvJKYm2RTAKtcuAk1afm. Prof McDonough's Harvard Chan School of Public Health website page is at: https://hsph.harvard.edu/profile/john-e-mcdonough/. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

WSJ Minute Briefing
Paramount Wants $1.88 Billion Bond From States, Writers

WSJ Minute Briefing

Play Episode Listen Later Aug 18, 2026 2:06


Plus: BHP annual profit rises on record copper prices. And a tech selloff that began on Wall Street Monday, gathers steam. Luke Vargas hosts. Sign up for WSJ's free What's News newsletter. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Politics Done Right
Democrats Must Win—But Jeffries, GOP Extremism, and Medicare Advantage Demand Accountability

Politics Done Right

Play Episode Listen Later Aug 17, 2026 58:00


Democrats must defeat MAGA without abandoning Medicare for All, as Jeremy Faison warns of GOP extremism and Medicare Advantage insurers drop plans that seniors depend on. 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

My DPC Story
DPC and HSAs: The $150 Rule and How to Opt Out of Medicare | Dr. Phil Eskew

My DPC Story

Play Episode Listen Later Aug 16, 2026 74:55


Direct Primary Care no longer disqualifies patients from HSA eligibility. As of January 1, 2026, DPC membership fees are a qualified HSA expense at or below $150 per month for one person and $300 for a family. Above $150 you are not in violation. You are in the same gray zone DPC lived in for a decade, and the tax position belongs to the patient and their accountant, not to you.Dr. Phil Eskew (DO, JD, MBA) of DPC Frontier joins Dr. Maryal Concepcion to break down what changed and what it means for your practice, then walks through the Medicare opt-out calendar most physicians discover too late.KEY NUMBERS AND DATES $150/month per person, $300 family. Effective January 1, 2026. Opt-outs take effect only on January 1, April 1, July 1, October 1. Affidavit must be filed at least 30 days before the effective date. File by roughly December 1, 2026 to be opted out January 1, 2027. 90-day reversal window, but you must refund every membership dollar collected.QUESTIONS ANSWEREDCan patients use an HSA to pay for direct primary care? Yes, as of January 2026. Both old IRS objections were fixed: whether the fee is a medical expense, and whether membership disqualifies HSA contributions.Should I put "HSA eligible" on my website? No. Write "We accept HSA cards." Promising eligibility in your marketing or agreement takes on a tax position on your patient's behalf.How do I get under $150 without losing revenue? Enrollment fees are not compensation for care. Blood draws, injections, EKGs, and dispensed medications can price separately.What does the rule exclude? Prescription drugs other than vaccines, and lab services not typically done in an ambulatory primary care setting.If I opt out, can I still order labs and referrals? Yes. Opting out is not disenrollment. You stay credentialed and Medicare pays for labs, imaging, referrals, DME, and prescriptions you order.Where can I still work while opted out? VA, Indian Health Service, corrections, and hospice administrative work. Precepting usually requires participation. TRICARE requires Medicare participation. Medicaid uses ORP/OPR status, prohibited in Kentucky and Colorado.Does opt-out apply to Medicare Advantage? Yes. Opt-out applies to all Medicare programs nationwide. You cannot opt out selectively.MENTIONED DPC Frontier · McCarran-Ferguson Act (1945) · ACA primary care carve-out · bronze and catastrophic plans as HSA-compatible · capacity vs. competency · durable power of attorney · prior authorization escalation strategyHAVE A QUESTION? WE ANSWER THEM ON AIR. Leave a voicemail at mydpcstory.com/contact with your name, state, and question.NEXT EPISODE: ILLINOIS, timed to the Illinois DPC Summit, October 2 and 3, NIU Naperville. Subscribe to the My DPC Story newsletter at mydpcstory.com to know when it drops.Educational only. Not legal or tax advice. Dr. Eskew is not your attorney.Stand With Dr. Nyasha Spears and the Future of Patient-Centered Healthcare. Get the MEDICARE & MEDICARE ADVANTAGE OPEN ENROLLMENT SURVIVAL GUIDE at mydpcstory.com/shop! Get your copy of the Physician Owner's Planner today at mydpcstory.com/library Start using the done-for-you patient emails, scripts etc. in our 2027 Edition of the MEDICARE & MEDICARE ADVANTAGE OPEN ENROLLMENT SURVIVAL GUIDE at mydpcstory.com/shop!Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Becker’s Healthcare Podcast
Jakob Emerson on Payer Trends, AI ROI and UnitedHealth's Expanding Financial Business

Becker’s Healthcare Podcast

Play Episode Listen Later Aug 14, 2026 11:42 Transcription Available


In this episode, Jakob Emerson, Associate News Director, Becker's Healthcare, discusses UnitedHealth's $3 billion acquisition of Allegis, the evolving Medicare Advantage and Medicaid landscape, and how insurers are approaching AI investments. He also explores the growing focus on measurable AI returns, proprietary data and the challenges of using AI in healthcare.

The Daily Beans
Slush Fund Standoff

The Daily Beans

Play Episode Listen Later Jul 29, 2026 52:28


Wednesday, July 29, 2026 Today, Senator Cornyn says he won't vote to advance Todd Blanche's nomination without a written rescission of the Slush Fund and tax immunity; Governor Beshear has written another letter to Mitch McConnell demanding he prove he's fit to serve or resign;  the Knight Institute and American Oversight have filed reply briefs with the 11th Circuit in the case of Volume II of Jack Smith's final report; Rep. Max Miller has been credibly accused of assaulting his ex-wife and holding a gun to her head; the Trump administration is trying to get a hold of our personal emergency room medical records while simultaneously ending Medicare drug plan subsidies; new polling shows people don't like Trump's tax bill; Senate Democrats are pressing Todd Blanche on the New York Times subpoenas; newly uncovered grand jury testimony in the Davey Hearn case has led to his legal team demanding the grand jury materials; plus Allison delivers your Good News. Thank You, Upwork.com Visit Upwork.com right now and post your job for free. The Trump Epstein Memorial Bookmobile The Daily Beans is proud to partner with Miles Taylor and our friends at DEFIANCE.org For a limited time, members of the Daily Beans community can receive a FREE 3-month full membership to DEFIANCE.org and gain access to one of the fastest-growing pro-democracy movements in America. Join here: https://www.defiance.org/beans Join The Daily Beans and give a gift today to ensure The Trevor Project can continue its crucial work in the face of continued challenges. Donate to The Trevor Project - Daily Beans Podcast The Latest Breakdown→ DOJ Must Hand Over Internal Emails About NYT Subpoenas StoriesTalarico leads Paxton by 5 points in new poll of Texas' U.S. Senate race | Texas Tribune Blanche vote could be postponed, Cornyn says - Live Updates | POLITICO Senate Democrats Press Blanche on Times Subpoenas | NYT Backlash surges over Trump judge's order to hide secret DOJ files | Alternet.org Kentucky governor tells Mitch McConnell: Prove you can serve or ‘resign' | NBC News MAGA Rep. Allegedly Assaulted Wife, Put Gun to Her Head. Republicans Don't Care | Rolling Stone Trump administration demands hospitals share emergency room records | CNN Trump Administration to End Medicare Drug Plan Subsidy | Wall Street Journal Poll: Even Trump voters aren't very impressed by the GOP's tax overhaul | POLITICO Witness in Reflecting Pool case conceded damage before canoeist touched water | NBC News Good TroubleImpeach Vought Good Trouble - Gov. 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