Podcast appearances and mentions of mike schneider

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Best podcasts about mike schneider

Latest podcast episodes about mike schneider

Taste Radio
Is Big Food Catching Up To Startups? And, A Legend Signs Off.

Taste Radio

Play Episode Listen Later Feb 27, 2026 29:10


Is Big Food finally catching up to emerging brands on speed to market? As legacy CPG giants roll out protein- and fiber-forward innovations faster than ever, the team debates whether startups still hold the advantage. Plus, we give a heartfelt sendoff to Jacqui Brugliera as she departs BevNET after 12 years. Show notes: 0:23: Honoring A Legend. More Meetups! Heading West. Speedy Delivery. Creamy Everything. – Ray Latif and co-hosts John Craven and Mike Schneider mark Jacqui Brugliera's final show at BevNET after 12 years, sharing heartfelt praise for her impact as a teammate, friend, and steadying presence. The conversation then shifts to a recap of Taste Radio's recently held Miami meetup as well as an upcoming event in New York City on April 16. The hosts also discuss whether big CPG brands are catching up to entrepreneurial ones as they chase "better-for-you" trends like protein and fiber and whether legacy companies can truly match the credibility and branding agility of smaller players. They also riff on the rise of "creamy condiments" and highlight a new RTD Vietnamese coffee, a decaf sparkling coffee, buttermilk pancake mix, hop-infused cocktails, and a wave of new products from Athletic Brewing. Brands in this episode: Doritos, Smartfood, SunChips, Angie's Boomchickapop, Rebel Roots, Poppi, Fruities, CronchClub, Lasso, Tia Lupita, Bachan's, AleSmith, Athletic Brewing, Guinness, Fuzzee Coffee, North Shore Roasters, Phoenicia Diner

Healthcare Success
How AI Is Changing Patient Behavior on Healthcare Websites

Healthcare Success

Play Episode Listen Later Jan 14, 2026 49:18


New Insights from gSight's 10-year, 400,000-survey dataset on real visitor journeys reveal how AI is changing everything for hospital and health system websites. In this week's podcast, I sit down with my friends Mike Schneider, VP and Co-Founder at Greystone.Net, and Rob Klein, Founder & CEO of Klein & Partners—the co-founders of gSight™, a healthcare website visitor feedback and insights platform.

The Bigspin Podcast
Is Gatekeeping Hurting Fingerboarding? | Mike Schneider Mini Pod

The Bigspin Podcast

Play Episode Listen Later Nov 30, 2025 16:48


I sat down for a quick mini-pod with Mike Schneider to talk about one of the biggest topics in fingerboarding right now.. gatekeeping.. Is it helping the scene, or is it hurting it?Mike's been in the community longer than almost anyone, and with FlatFace, plus now bringing Blistered Fingerboard Wheels and Duck Decks under his wing, he's seen every era of fingerboarding. So he was the perfect person to get some honest insight from.This wasn't a full episode that one's coming early next year and we recorded this on the fly, so the video and audio aren't at the usual Bigspin quality. Thanks for bearing with it!I appreciate everyone who's been supporting the podcast, and I'd love to hear your take on gatekeeping in the comments. And huge thanks to Mike for jumping on and making time for this mini-pod.Support Mike!https://www.flatfacefingerboards.com/Support the show

Healthcare Success
The future of healthcare marketing: AI, SEO shifts, and what's next

Healthcare Success

Play Episode Listen Later Sep 9, 2025 57:44


How is AI transforming healthcare marketing, and what can leaders expect at HCIC 2025? Healthcare marketing is evolving at a breakneck speed. From AI reshaping SEO to new expectations for patient engagement, leaders face both challenges and opportunities. To get a preview of what's ahead, and what the big conversations will be at this year's Healthcare Interactive Conference (HCIC.Net), I spoke with my friends Kathy Divis and Mike Schneider, Presidents of Greystone.Net and producers of HCIC 2025.

touch point podcast
TP450 - Marketing Technology Trends (Hype, Hope, and Hard Truths)

touch point podcast

Play Episode Listen Later Aug 27, 2025 53:12


Healthcare marketers are navigating a landscape where martech is both exploding in scale and under pressure to prove its value. In this episode, hosts Chris Boyer and Reed Smith explore the latest shifts shaping the future of healthcare marketing and technology: The rise of autonomous systems – moving from pilots to practical tools that reshape operations and engagement. Human–machine collaboration – how AI copilots, wearables, and adaptive systems are augmenting—not replacing—marketing teams. Scaling challenges – balancing infrastructure, talent, and regulatory realities in the age of compute-heavy GenAI workloads. Personalization as strategy – why advanced targeting and AI-driven tools remain a growth lever for healthcare organizations. Guest experts Kathy Divis and Mike Schneider from Greystone.net, share insights from their work with health systems across the country, and preview what's ahead at the upcoming Healthcare Internet Conference (HCIC). Give it a listen and learn how marketing leaders can stay ahead of martech trends while preparing for the next wave of innovation. Mentions from the Show: https://www.mckinsey.com/capabilities/mckinsey-digital/our-insights/the-top-trends-in-tech https://www.deloittedigital.com/nl/en/insights/perspective/marketing-trends-2025.html https://thehill.com/policy/technology/5460663-generative-ai-zero-returns-businesses-mit-report/amp/  https://www.williamflaiz.com/blog/marketing-ops-vs-revops-vs-martech-what-s-the-difference Kathy Divis on LinkedIn Mike Schneider on LinkedIn Healthcare Interactive Conference Reed Smith on LinkedIn Chris Boyer on LinkedIn Chris Boyer website Learn more about your ad choices. Visit megaphone.fm/adchoices

Wisconsin Life
From parish festivals to the MLB: Meet Wisconsin polka master Mike Schneider

Wisconsin Life

Play Episode Listen Later Jun 11, 2025


The year was 1984. Prince came out with “Purple Rain.” Bruce Springsteen was touring for “Born in the USA.” And on the south side of Milwaukee, America’s polka king, Frankie Yankovic, performed at the Our Lady Queen of Peace parish festival. In attendance that day was six-year-old Mike Schneider. The Yankovic concert changed his life because it inspired Schneider to pick up the accordion. WPR’s Nick Rommel recently talked with the Wisconsin Polka Hall of Famer at a gig in Eagle.

Strangers on the Internet
Special: Exclusive Interview with "Balloon Guy" Mike Schneider

Strangers on the Internet

Play Episode Listen Later Apr 14, 2025 53:35


On this special episode, Irina and Michelle speak with Portland-based creator Mike Schneider whose balloon art and other works have gone viral. Now with over 800K Instagram followers and a full-time career as an artist inspiring, delighting, and sometimes provoking with quotations displayed in balloon letters on colorful walls or in other formats, Mike shares his thoughts. He talks all things dating, grief, mental health, politics, creative process, and books (the second of which will be published shortly!). Come join us for a heartening conversation with one of social media's top art darlings! Mike Schneider's IGMike's websiteMike's first bookMike's second book"Boxed-Wine Boyfriend" Hosted on Acast. See acast.com/privacy for more information.

The High Flyers Podcast
#198 Max Bausher & Brian Swift: From Twitter, Atlassian & New Relic to Twine - Cracking Product + GTM by Turning Customer Conversations into Action

The High Flyers Podcast

Play Episode Listen Later Mar 18, 2025 76:02


Max Bausher and Brian are the Co-Founders of Twine, bridging product and go-to-market teams by integrating insights across calls, CRM, and roadmaps.Max, Twine's COO, brings expertise from leadership roles at CrowdStrike and New Relic, specialising in technical-business alignment.Brian, Twine's CEO, has led product and GTM teams at SafetyCulture, Atlassian, Dovetail, and Twitter.Together, they are redefining how teams collaborate to deliver exceptional customer experiences.This is their first ever in-depth public interview.Hosted by Vidit Agarwal, Founder of Curiosity Center and The High Flyers Podcast.It's now time to explore your curiosity.    ***Sponsor offers just for you:-> Find out more about Vanta's special offer exclusively for you at https://vanta.com/high and get a special offer of $1,000 off to access your very own compliance superpower for your business today.-> Check out https://remote.com/ and book your demo today and use our exclusive promo code EVREMOTE10 to unlock 10% off their:Employer of Record services on all full-time hires, Contractor Management Plus services and Global Payroll services during your first year with Remote.***If you're keen to discuss sponsorship and partnering with us, email us at vidit@thehighflyerspodcast.com today!Hosted by Vidit Agarwal, Founder of Curiosity Center and The High Flyers Podcast.It's now time to explore your curiosity.    ***CLICK HERE to read show notes from this conversation. Please enjoy!***Follow us on Instagram, LinkedIn or TwitterGet in touch with our Founder and Host, Vidit Agarwal directly hereContact us via our website to discuss sponsorship opportunities, recommend future guests or share feedback, we love hearing how to improve! Thank you for rating / reviewing this podcast on Apple Podcasts and Spotify, it helps others find us and convince guests to come on the show! ***The High Flyers Podcast re-imagines the traditional notion of a "high flyer" and is a premier product of the Curiosity Center. The podcast showcases the journeys of relatable role models from their sunrise (childhood) to today. Listeners love the unique and direct inside access to these relatable role models, companies and industries in every walk of life to help us all be 1% better everyday, together.190+ guests have joined Vidit Agarwal on the show from around the world including Heads of state, Olympians, Business and cultural leaders, Social Advocates, Investors, Entrepreneurs and more. Past guests include: Anil Sabharwal, Mark Suster, Ahmed Fahour, Holly Ransom, Daniel Petre, Paul Bassat, Simon Holmes a Court, Michael Traill, Osher Gunsberg, Ed Cowan, Carol Schwartz, Wyatt Roy, Jack Zhang, Martijn Wilder, Holly Kramer, Dom Price, Sam Kroonenburg, Mike Schneider, Rod Hamilton and more.Our parent company, Curiosity Center is your on-demand intelligence hub for knowledge, connections and growth to achieve your potential, everyday. Join 200,000+ Investors, Founders, Corporate Execs, CEOs and Emerging Leaders. Learn with the world's best and be 1% better everyday at https://curiositycentre.com***

The High Flyers Podcast
#197 Rory San Miguel: 40-Hour Weekends, Building Propeller, Winning Enterprise Deals, Going Global—And the Secret Behind His Relentless Optimism

The High Flyers Podcast

Play Episode Listen Later Mar 13, 2025 83:09


Rory San Miguel is the co-founder and CEO of Propeller, a global tech company transforming worksites with drone data. Since 2014, he's scaled Propeller to 300+ employees across Australia and the U.S., secured well known enterprise customers, and raised over $35M from investors like Blackbird and Costanoa Ventures to fuel international growth.This is Rory's first ever in-depth public interview. Hosted by Vidit Agarwal, Founder of Curiosity Center and The High Flyers Podcast.It's now time to explore your curiosity.    ***Sponsor offers just for you:-> Find out more about Vanta's special offer exclusively for you at https://vanta.com/high and get a special offer of $1,000 off to access your very own compliance superpower for your business today.-> Check out https://remote.com/ and book your demo today and use our exclusive promo code EVREMOTE10 to unlock 10% off their:Employer of Record services on all full-time hires, Contractor Management Plus services and Global Payroll services during your first year with Remote.***If you're keen to discuss sponsorship and partnering with us, email us at vidit@thehighflyerspodcast.com today!Hosted by Vidit Agarwal, Founder of Curiosity Center and The High Flyers Podcast.It's now time to explore your curiosity.    ***Rory San Miguel is the co-founder and CEO of Propeller, a global tech company transforming worksites with drone data. Since 2014, he's scaled Propeller to 300+ employees across Australia and the U.S., secured well known enterprise customers, and raised over $35M from investors like Blackbird and Costanoa Ventures to fuel international growth.***CLICK HERE to read show notes from this conversation. Please enjoy!***Follow us on Instagram, LinkedIn or TwitterGet in touch with our Founder and Host, Vidit Agarwal directly hereContact us via our website to discuss sponsorship opportunities, recommend future guests or share feedback, we love hearing how to improve! Thank you for rating / reviewing this podcast on Apple Podcasts and Spotify, it helps others find us and convince guests to come on the show! ***The High Flyers Podcast re-imagines the traditional notion of a "high flyer" and is a premier product of the Curiosity Center. The podcast showcases the journeys of relatable role models from their sunrise (childhood) to today. Listeners love the unique and direct inside access to these relatable role models, companies and industries in every walk of life to help us all be 1% better everyday, together.190+ guests have joined Vidit Agarwal on the show from around the world including Heads of state, Olympians, Business and cultural leaders, Social Advocates, Investors, Entrepreneurs and more. Past guests include: Anil Sabharwal, Mark Suster, Ahmed Fahour, Holly Ransom, Daniel Petre, Paul Bassat, Simon Holmes a Court, Michael Traill, Osher Gunsberg, Ed Cowan, Carol Schwartz, Wyatt Roy, Jack Zhang, Martijn Wilder, Holly Kramer, Dom Price, Sam Kroonenburg, Mike Schneider, Rod Hamilton and more.Our parent company, Curiosity Center is your on-demand intelligence hub for knowledge, connections and growth to achieve your potential, everyday. Join 200,000+ Investors, Founders, Corporate Execs, CEOs and Emerging Leaders. Learn with the world's best and be 1% better everyday at https://curiositycentre.com***

Lost Terminal
18.3 - It's quiet here

Lost Terminal

Play Episode Listen Later Feb 17, 2025 14:49


This week on Lost Terminal: Seth gets some good advice, Nia plays with radio, an old friend checks in, and Lyosha and Maddie make a discovery.Lost Terminal will return next week!  

The Briefing
Bunnings responds: Why 'big is not bad' in the hardware industry

The Briefing

Play Episode Listen Later Jan 30, 2025 15:07


In this morning’s deep dive, we spoke to consumer and money expert Joel Gibson about how Bunnings has monpolised the hardware industry. When we reached out to the hardware chain for comment, they were keen to dispute our assertion that it holds a leading stake in the market and insists big brands don’t equal bad brands. In part two of our look at Bunnings and how it’s managed to become cemented in Australia’s cultural zeitgeist, Sacha Barbour Gatt is joined by the chain’s Managing Director, Mike Schneider.Listen to part one on LiSTNR, Apple or Spotify now. Follow The Briefing: TikTok: @listnrnewsroom Instagram: @listnrnewsroom @thebriefingpodcast YouTube: @LiSTNRnewsroom Facebook: @LiSTNR NewsroomSee omnystudio.com/listener for privacy information.

The Briefing
Is Bunnings' glowing reputation earned, or engineered?

The Briefing

Play Episode Listen Later Jan 30, 2025 22:15


Headlines: Greens to push for 50 cent public transport nationwide, no survivors after Washington plane and helicopter crash, Australians facing long-term homelessness surges 25% in five years and Donald Trump calls for Elon Musk’s Space X to “go get” stranded ISS astronauts. Deep Dive: By all accounts, Bunnings is a true blue Aussie success story. What started in 1907 as a sawmill in WA now boasts more than 300 locations across Australia and New Zealand and reported revenue in 2024 of $19 billion. On top of that, the hardware giant has managed to crack into the cultural zeitgeist. Who doesn’t talk fondly about a weekend snag and peruse of the paint aisle? But amidst its praise and popularity comes quiet criticism about its monopoly over the Australian hardware industry, its mega profits, its sometimes sneaky marketing tactics and its ability to effectively wipe out the competition. So, why do we seem to love Bunnings, despite these things?On today’s special two-part investigation, Sacha Barbour Gatt answers that question with money and consumer expert, Joel Gibson.In part two, in your feed now, we ask Bunnings Managing Director, Mike Schneider, what he thinks of the answer. Listen to part two 'Bunnings Responds' on LiSTNR, Apple or Spotify now. Follow The Briefing: TikTok: @listnrnewsroom Instagram: @listnrnewsroom @thebriefingpodcast YouTube: @LiSTNRnewsroom Facebook: @LiSTNR NewsroomSee omnystudio.com/listener for privacy information.

Fingerspace - A Fingerboarding Podcast
From Basement to Board : The Birth of Flat Face Wheels | Mike Schneider

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Nov 10, 2024 2:42


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

Fingerspace - A Fingerboarding Podcast
Global Rise of Fingerboarding From Parks to Events | Mike Schneider

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Nov 5, 2024 0:35


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

15 Minutes with the Boss
Why Mike Schneider spends so much time in Bunnings stores and why retail wasn't his first career choice

15 Minutes with the Boss

Play Episode Listen Later Nov 4, 2024 19:21


In this week's episode Mike Schneider, the Managing director of Bunnings Group, talks about his journey as an accidental retailer, having a consistent and honest leadership style, his willingness to take risks but accepting when mistakes happen and putting things right. This podcast is sponsored by Aussie Broadband.  See omnystudio.com/listener for privacy information.

Fingerspace - A Fingerboarding Podcast
Understanding Others Why Insults: Reflect Their Inner Struggles | Mike Schneider

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Oct 30, 2024 1:11


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

The Inner Chief
Mini Chief: Zaklina Craig, Chief People Officer of Business NSW, on optimising role design for high performance

The Inner Chief

Play Episode Listen Later Oct 27, 2024 12:22


“Good character is essential because talent isn't enough to navigate through a messy time.”   This is a special episode only available to our podcast subscribers, which we call The Mini Chief. These are short, sharp highlights from our fabulous guests, where you get a 5 to 10 minute snapshot from their full episode. This Mini Chief episode features Zaklina Craig, Executive Director - People, Culture & Workplace of Business NSW. Her full episode is titled Optimising role design for peak performance, managing differences in confidence between men and women, and navigating the decision to fire someone. You can find the full audio and show notes here:

Fingerspace - A Fingerboarding Podcast
Reflecting on 20 Years: Building a Self-Sustaining Company | Mike Schneider

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Oct 25, 2024 0:45


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

touch point podcast
TP406 - Digital Disruption and Changing Expectations of Digital

touch point podcast

Play Episode Listen Later Oct 23, 2024 61:21


In this episode, hosts Reed Smith and Chris Boyer explore the significant disruptions currently transforming the US healthcare system, from innovations reshaping service delivery to changes in how the market operates and how patients receive care. They outline five major disruptive trends and discuss how health systems can build resilience in the face of these changes. This episode also features an insightful interview with Mike Schneider from Greystone, where he shares his perspective on the evolving digital expectations within health systems and offers an exclusive sneak peek of what to expect at HCIC this year.  Mentions from the Show: 2024 healthcare services outlook: Challenges and opportunities The healthcare disruptors expected to make an impact in 2024 Driving growth through consumer centricity in healthcare 2024 Outlook: 'Blurring of the lines' as providers, retailers and payers plotting primary care plays Moody's upgrades healthcare outlook from negative to stable for 2024  Healthcare's next chapter: What's ahead for the US healthcare industry  A tough 2024 is on the horizon. Here's how Deloitte says healthcare leaders should prepare HCIC.net Greystone.net Mike Schneider on LinkedIn Learn more about your ad choices. Visit megaphone.fm/adchoices

Fingerspace - A Fingerboarding Podcast
Skateboard Skills: Turning Class into a Fun Lesson | Mike Schneider

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Oct 20, 2024 1:01


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

Fingerspace - A Fingerboarding Podcast
Celebrating Taylor Rosenbauer: The Fingerboarding Legend | Mike Schneider

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Oct 18, 2024 1:26


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

The Inner Chief
Mini Chief: Mike Schneider, Managing Director of Bunnings on the 4Hs of authentic leadership [Best of Series]

The Inner Chief

Play Episode Listen Later Oct 14, 2024 10:46


“For me, the four H's were a very simple way of outlining what I stood for as a leader.”   This is a special episode only available to our podcast subscribers, which we call The Mini Chief. These are short, sharp highlights from our fabulous guests, where you get a 5 to 10 minute snapshot from their full episode. This Mini Chief episode features Mike Schneider, Managing Director of Bunnings Group. His full episode is titled Career diversity, genuine empathy, and the 4Hs of authenticity. You can find the full audio and show notes here:

The Inner Chief
348. Zaklina Craig, Chief People Officer of Business NSW, on optimising role design for peak performance, managing differences in confidence between men and women, and navigating the decision to fire someone

The Inner Chief

Play Episode Listen Later Oct 8, 2024 65:25


“You're a business leader first, and a HR professional second.”   In this episode of The Inner Chief podcast, I speak to Zaklina Craig of Business NSW, on optimising role design for peak performance, managing differences in confidence between men and women, and navigating the decision to fire someone.

The Inner Chief
347. Mike Schneider, Managing Director of Bunnings on career diversity, genuine empathy, and the 4Hs of authenticity [Best of Series]

The Inner Chief

Play Episode Listen Later Sep 23, 2024 54:24


“The danger for CEOs is to allow yourself to be surrounded by people who tell you how good your ideas are. You actually need a balance of people who tell you when you've got something wrong or if you could have handled something in a different way.”   In this Best of Series episode, we replay a chat we had in 2019 with Mike Schneider, the Managing Director of the Bunnings Group, on career diversity, genuine empathy, and the 4Hs of authenticity. 

What's The Hook with Diane & Andy
SCREENGRAB Reunion with Mike Schneider & Joe Adalian!

What's The Hook with Diane & Andy

Play Episode Listen Later Jun 29, 2024 55:22


Diane catches up with her good pals Variety TV Editor Mike Schneider and Vulture's West Coast TV Editor Joe Adalian. In a wide-ranging chat, topics include the current state of the TV industry including what we're optimistic about and changes we'd like to see, Emmy Award season, and then about the shows we're watching right now and shows we're looking forward to.

Queens of the Round Table
Blowing Hot Air with Michael James Schneider, The Balloon Guy

Queens of the Round Table

Play Episode Listen Later May 1, 2024 42:07


Mike Schneider is a creative powerhouse.  He's known to many as blcksmth, the Balloon Guy, on Instagram. He's made waves with some of his political expressions and posts, and gives all of his devoted followers much to think about with his balloon, flower, and neon murals.  And he now has a new book, Putting Balloons on a Wall Is Not a Book. We were lucky enough to have him with us in The Queens Studio to talk all things creation, process, expression, and dating.  So pop open that Balloon-ini and let's all rise to talk to blksmth!   --- Send in a voice message: https://podcasters.spotify.com/pod/show/qotrt/message

Don't Let It Stu
The Taylor Swift Of Balloons: ARTIST MIKE SCHNEIDER, AKA BLCKSMTH

Don't Let It Stu

Play Episode Listen Later Apr 24, 2024 32:46


Welcome to today's high-flying episode as we chat with Mike Schneider, the mastermind behind the Instagram favorite BLCKSMTH, known for his visually stunning balloon installations paired with influential quotes. Switching gears, join Chef Stu in the candid segment "What's Stu'ing?" as he hilariously recounts his recent adventures with rideshares and shares his take on Taylor Swift's latest album drama—fans, you'll want to tune in! Whether it's the magic of art or the quirks of pop culture, this episode promises laughter, revelations, and a fresh perspective on creativity. Blcksmth: https://www.instagram.com/blcksmth  Pre-order his book: Putting Balloons on a Wall Is Not a Book Chef Stu Social - send your questions for “Kitchen Quick Fix” Instagram: https://www.instagram.com/chefstuartokeeffe/ Facebook: https://www.facebook.com/chefstuartokeeffe Youtube: https://www.youtube.com/chefstuartokeeffe TikTok: https://www.tiktok.com/@chefstuart?lang=en Chef Stu's Cookbooks & Seasoning:  Quick Six Fix - https://amzn.to/49zVeB0 Cook It, Spill It, Throw It: The Not-So-Real Housewives Parody Cookbook - https://amzn.to/49A8UMi Chef Stu Lovely Seasonings - https://amzn.to/49M7Gxc This is another Hurrdat Media Production. Hurrdat Media is a podcast network and digital media production company based in Omaha, NE. Find more podcasts on the Hurrdat Media Network by going to HurrdatMedia.com or Hurrdat Media YouTube channel! Learn more about your ad choices. Visit megaphone.fm/adchoices

Dark Side of Wikipedia | True Crime & Dark History
FBI Arrests "Little Rascals" Trio in Connection with Houston Bank Robbery

Dark Side of Wikipedia | True Crime & Dark History

Play Episode Listen Later Mar 22, 2024 7:22


The FBI has apprehended three minors in connection with a bank robbery that sent shockwaves through Houston, Texas. The suspects, aged 11, 12, and 16, have been dubbed "little rascals" by the agency, reminiscent of the mischievous characters from the 1955 TV series. According to the FBI's announcement on social media, "all three bank robbery suspects known as the 'little rascals' are in custody." The arrest follows allegations that the trio committed a daring robbery at a Wells Fargo bank in Houston on March 14. Details surrounding the identities of the juvenile suspects remain undisclosed, in line with legal protocols governing minors involved in criminal investigations. The Harris County Sheriff's Office, tasked with probing the incident, revealed that the boys entered the bank and presented a threatening note to a teller, as reported by ABC 13. Despite suspicions of carrying a weapon, authorities noted that none was displayed during the robbery. The boys purportedly fled the scene with an undisclosed amount of cash, making their escape on foot. In a bid to aid the investigation, the FBI released photos of the juvenile suspects on social media, appealing to the public for assistance. Remarkably, two of the suspects were identified and turned in by their own parents after the images circulated, underscoring the community's shock and disbelief at the involvement of such young individuals in a serious crime. Reacting to the unprecedented nature of the case, retired juvenile district court judge Mike Schneider expressed astonishment, stating, "The age of the younger two, that's unusual for a bank robbery." Schneider speculated about potential adult influence behind the alleged crime, highlighting a concerning trend where adults exploit minors for criminal activities. The minors have been charged with robbery by threat, according to FBI Houston. However, details regarding their legal proceedings remain unclear, including whether they are being held in a juvenile facility or have obtained legal representation. A criminal defense attorney consulted by ABC 13 outlined potential consequences if the suspects are convicted, indicating possible probation until they reach 18 or detention in a juvenile facility until they turn 19. As investigations continue, authorities are grappling with the complexities of addressing juvenile involvement in serious criminal offenses, raising broader questions about societal influences and the vulnerabilities of impressionable youth. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com

Hidden Killers With Tony Brueski | True Crime News & Commentary
FBI Arrests "Little Rascals" Trio in Connection with Houston Bank Robbery

Hidden Killers With Tony Brueski | True Crime News & Commentary

Play Episode Listen Later Mar 22, 2024 7:22


The FBI has apprehended three minors in connection with a bank robbery that sent shockwaves through Houston, Texas. The suspects, aged 11, 12, and 16, have been dubbed "little rascals" by the agency, reminiscent of the mischievous characters from the 1955 TV series. According to the FBI's announcement on social media, "all three bank robbery suspects known as the 'little rascals' are in custody." The arrest follows allegations that the trio committed a daring robbery at a Wells Fargo bank in Houston on March 14. Details surrounding the identities of the juvenile suspects remain undisclosed, in line with legal protocols governing minors involved in criminal investigations. The Harris County Sheriff's Office, tasked with probing the incident, revealed that the boys entered the bank and presented a threatening note to a teller, as reported by ABC 13. Despite suspicions of carrying a weapon, authorities noted that none was displayed during the robbery. The boys purportedly fled the scene with an undisclosed amount of cash, making their escape on foot. In a bid to aid the investigation, the FBI released photos of the juvenile suspects on social media, appealing to the public for assistance. Remarkably, two of the suspects were identified and turned in by their own parents after the images circulated, underscoring the community's shock and disbelief at the involvement of such young individuals in a serious crime. Reacting to the unprecedented nature of the case, retired juvenile district court judge Mike Schneider expressed astonishment, stating, "The age of the younger two, that's unusual for a bank robbery." Schneider speculated about potential adult influence behind the alleged crime, highlighting a concerning trend where adults exploit minors for criminal activities. The minors have been charged with robbery by threat, according to FBI Houston. However, details regarding their legal proceedings remain unclear, including whether they are being held in a juvenile facility or have obtained legal representation. A criminal defense attorney consulted by ABC 13 outlined potential consequences if the suspects are convicted, indicating possible probation until they reach 18 or detention in a juvenile facility until they turn 19. As investigations continue, authorities are grappling with the complexities of addressing juvenile involvement in serious criminal offenses, raising broader questions about societal influences and the vulnerabilities of impressionable youth. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com

My Crazy Family | A Podcast of Crazy Family Stories
FBI Arrests "Little Rascals" Trio in Connection with Houston Bank Robbery

My Crazy Family | A Podcast of Crazy Family Stories

Play Episode Listen Later Mar 22, 2024 7:22


The FBI has apprehended three minors in connection with a bank robbery that sent shockwaves through Houston, Texas. The suspects, aged 11, 12, and 16, have been dubbed "little rascals" by the agency, reminiscent of the mischievous characters from the 1955 TV series. According to the FBI's announcement on social media, "all three bank robbery suspects known as the 'little rascals' are in custody." The arrest follows allegations that the trio committed a daring robbery at a Wells Fargo bank in Houston on March 14. Details surrounding the identities of the juvenile suspects remain undisclosed, in line with legal protocols governing minors involved in criminal investigations. The Harris County Sheriff's Office, tasked with probing the incident, revealed that the boys entered the bank and presented a threatening note to a teller, as reported by ABC 13. Despite suspicions of carrying a weapon, authorities noted that none was displayed during the robbery. The boys purportedly fled the scene with an undisclosed amount of cash, making their escape on foot. In a bid to aid the investigation, the FBI released photos of the juvenile suspects on social media, appealing to the public for assistance. Remarkably, two of the suspects were identified and turned in by their own parents after the images circulated, underscoring the community's shock and disbelief at the involvement of such young individuals in a serious crime. Reacting to the unprecedented nature of the case, retired juvenile district court judge Mike Schneider expressed astonishment, stating, "The age of the younger two, that's unusual for a bank robbery." Schneider speculated about potential adult influence behind the alleged crime, highlighting a concerning trend where adults exploit minors for criminal activities. The minors have been charged with robbery by threat, according to FBI Houston. However, details regarding their legal proceedings remain unclear, including whether they are being held in a juvenile facility or have obtained legal representation. A criminal defense attorney consulted by ABC 13 outlined potential consequences if the suspects are convicted, indicating possible probation until they reach 18 or detention in a juvenile facility until they turn 19. As investigations continue, authorities are grappling with the complexities of addressing juvenile involvement in serious criminal offenses, raising broader questions about societal influences and the vulnerabilities of impressionable youth. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com

Anti-Social
MICKEY AND THE TEAMSTERS: Author Mike Schneider

Anti-Social

Play Episode Listen Later Jan 13, 2024 38:58


WALT DISNEY WORLD is Florida's largest private employer, but few know that it's also a heavily unionized workforce. Contracts at Disney influence the entire state. Our guest is Mike Schneider, an AP correspondent and author of the book "MICKEY AND THE TEAMSTERS: A fight for fair unions at Disney" which looks at a years-long battle involving the "cast members" who play Mickey, Goofy, and other characters. Plus, our regular discussion of upcoming news in the Key Biscayne Independent. Support the showSubscribe to the Key Biscayne Independent today

Fingerspace - A Fingerboarding Podcast
What Happens When Cops Shut Down Your Event?! | Fingerboard Lessons by Mike Schneider of FlatFace Fingerboards

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Oct 24, 2023 2:42


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) MIKE'S LINKS :Flat Face Website : (https://www.flatfacefingerboards.com/)YouTube Channel : (https://www.youtube.com/mikeschneider)Instagram : (https://www.instagram.com/mikeschneider161/)Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

Fingerspace - A Fingerboarding Podcast
Being Sponsored by Blackriver and Collaborating New Products | Fingerboard Lessons by Mike Schneider of FlatFace Fingerboards

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Oct 22, 2023 4:42


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) MIKE'S LINKS :Flat Face Website : (https://www.flatfacefingerboards.com/)YouTube Channel : (https://www.youtube.com/mikeschneider)Instagram : (https://www.instagram.com/mikeschneider161/)Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

Fingerspace - A Fingerboarding Podcast
Balancing Fingerboarding, Work, School and Life | Fingerboard Lessons by Mike Schneider of FlatFace Fingerboards

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Oct 20, 2023 3:13


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) MIKE'S LINKS :Flat Face Website : (https://www.flatfacefingerboards.com/)YouTube Channel : (https://www.youtube.com/mikeschneider)Instagram : (https://www.instagram.com/mikeschneider161/)Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

Fingerspace - A Fingerboarding Podcast
The Myth, The Man, The Legend Discusses Dealing Haters | Fingerboard Lessons by Mike Schneider | USE CODE FBLIFE FOR 10% OFF FINGERSPACE.CO

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Oct 19, 2023 3:42


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) MIKE'S LINKS :Flat Face Website : (https://www.flatfacefingerboards.com/)YouTube Channel : (https://www.youtube.com/mikeschneider)Instagram : (https://www.instagram.com/mikeschneider161/)Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

Fingerspace - A Fingerboarding Podcast
Stop Closing Your Fingerboard Shop!!! | Fingerboard Lessons by Mike Schneider | FlatFace Fingerboards |

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Oct 18, 2023 3:24


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FBLIFE FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.This clip was pulled from our two part interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy, work life balance of Flatface fingerboarding and much more.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) MIKE'S LINKS :Flat Face Website : (https://www.flatfacefingerboards.com/)YouTube Channel : (https://www.youtube.com/mikeschneider)Instagram : (https://www.instagram.com/mikeschneider161/)Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. ★ Support this podcast ★

touch point podcast
TP351 - The Evolution of Digital Healthcare Consumerism

touch point podcast

Play Episode Listen Later Oct 4, 2023 58:33


Over the last four decades, the rise of digital healthcare consumerism has evolved - in part based on consumer expectations, but also on technology. In this episode, hosts Chris Boyer and Reed Smith discuss the trends that have been driving this rise of consumerism and outline key milestones over the past 40 years. They are then joined by Kathy Divis and Mike Schneider of Greystone, who discuss how they've seen healthcare digital trends change over the years, and how they have developed the Healthcare Internet Conference (HCIC) to reflect these changes.  Mentions from the Show: Consumer adoption of digital health in 2022: Moving at the speed of trust Accenture Digital Health Technology Vision 2022 Kathy Divis on LinkedIn Mike Schneider on LinkedIn Greystone.net Learn more about your ad choices. Visit megaphone.fm/adchoices

Tangent - Proptech & The Future of Cities
Tangent Tank: Housing Crisis | It's Not a Mortgage, It's Not Renting, It's Acre, with Acre Homes CEO & Co-founder Mike Schneider

Tangent - Proptech & The Future of Cities

Play Episode Listen Later Sep 12, 2023 38:14


Mike Schneider is the CEO & Co-founder of Acre Homes. Acre combines the ease of renting with the financial upside of owning. Acre is available in Raleigh-Durham, and will be launching in Atlanta and Nashville soon. Previously, Mike served as the VP of Technology Strategy at RE/MAX, and Co-founded First, a real estate tech company that leveraged machine learning to help agents win more business.(2:12) - Acre: Breaking the Renting or Home Mortgage paradigm(7:13) - Acre's model during variable interest rate environment(8:59) - Opportunity residents & investors(10:19) - Market growth(10:54) - Taking the Tesla approach: 10x better than mortgage(12:48) - Buying a home with a partner(15:28) - Acre Homes price point(16:47) - Feature: Blueprint (17:52) - Rent-to-own, buy before you sell, Home Equity products.(21:41) - Challenges of mortgages & bias in home appraisals(25:07) - Generating returns in Single family homes(25:42) - North Carolina ecosystem: Raleigh-Durham Research Triangle(29:51) - US cities transport options(33:26) - Collaboration Superpower: Steve Jobs(38:57) - Discomfort Zone: Is Built-to-rent overrated?

Millionaire Car Salesman Podcast
EP 7:12 How Mike Schneider Went From Buying Used Cars at Age 12 to Becoming a Dealer Principal in His 30s

Millionaire Car Salesman Podcast

Play Episode Listen Later Mar 28, 2023 76:24


This week on the Millionaire Car Salesman Podcast, Sean V. Bradley and LA Williams interview Mike Schneider, Dealer Principal of Jim Taylor Motors in Fort Benton, MT. How does one become a dealer principal by 30 years old? What nuggets of knowledge has Mike learned in his automotive career? What is it like to be a dealer principal in a small Montana community? Mike Schneider knew from an early age that his goal was to become a dealer principal at a Ford dealership. Mike credits his time as a performance trainer for advancing his understanding of what makes a good, well-rounded manager. He learned that he couldn't expect sales to go up if, as the boss, he didn't put money into advertising, and in that same vein, he can't expect a better performance from a car salesman if, as a manager, he isn't promoting training. The new automotive mindset has moved away from the sink-or-swim mentality to more internal investments and personal investment to build up the sales team as a team. Management is the key skill that many people in the automotive industry struggle with, so listen in to see what lessons Mike Schneider can impart so you can take your automotive career to the next level!   About Mike Schnider Mike Schnider grew up with a dad in that business, and as a kid, Mike worked on his dad's buy-here-pay-here lot in Spokane, Washington. During that time, Mike discovered his life goal to be a dealer principal of a Ford store. He started selling cars for a franchise auto dealer as a summer job in his second year playing college football. From there, Mike worked his way from sales to finance manager to the used care manager to general sales manager. Moving to the corporate side of the business doing performance training with dealerships around the country, the opportunity to purchase my Ford, Chevy, and GMC points became available. In 2019 Mike took over the dealerships and completed the full purchase of the facility and points in 2022, making Mike a first-generation dealer and sole dealer principal.    About Jim Taylor Motors At Jim Taylor Motors, everything we do revolves around you. Our various teams are trained to address your needs from the moment you walk through the door, whether you're in the market for your next vehicle or tuning up your current one. Starting with our selection of new Ford, Chevrolet, and GMC models, our Fort Benton showroom is the place to be if you're in the market for a Ford F-150, Ford Escape, GMC Sierra 1500, Chevrolet Silverado 1500, or Chevrolet Silverado 2500.   Resources Dealer Synergy & Bradley On Demand: The automotive industry's #1 training, tracking, testing, and certification platform and consulting & accountability firm. The Millionaire Car Salesman Podcast: is the #1 resource for automotive sales professionals, managers, and owners.  Also, join The Millionaire Car Salesman Facebook Group today! The Against All Odds Radio Show: Hosting guests that have started from the bottom and rose to the top.  Also, join The Against All Odds Radio Show Guests & Listeners Facebook Group for the podcasted episodes. For more interactivity, join The Millionaire Car Salesman Club on Clubhouse. Win the Game of Googleopoly: Unlocking the secret strategy of search engines.   The Millionaire Car Salesman Podcast is Proudly Sponsored By:  Money Mind Mapp (M3): Visit MoneyMindMapp.com for help in revolutionizing your business to help you sell more cars by tracking, projecting, and forecasting your personal sales goals! Bradley On Demand: Automotive Sales Industry's #1 Interactive Training, Tracking, Testing and Certification Platform. With over 7,500 training modules, our platform has everything you and your dealership needs to sell more cars, more often and more profitably!  

The 10 Minute Entrepreneur
INTERVIEW: Mike Schneider - If You Find Something You Like, Just Do It!

The 10 Minute Entrepreneur

Play Episode Listen Later Feb 9, 2023 11:33


Mike turned a hobby he started at 9 years old into a highly profitable business! He is the founder of flatfacefingerboards.com, the biggest fingerboard company in the USA and 2nd largest in the world!    yt: @mikeschneider ig: mikeschneider161

Fingerspace - A Fingerboarding Podcast
Spreading Joy Thru Fingerboarding | Mike from Flat Face | Part 2 of 2

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Jan 23, 2023 41:04


In part of two of our interview with Mike Schneider, hosted by @Nostalgia_FB, Mike discuss life lessons and his passion for sharing fingerboarding and spreading joy and much more.WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FSPOD FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) MIKE'S LINKS :Flat Face Website : (https://www.flatfacefingerboards.com/)YouTube Channel : (https://www.youtube.com/mikeschneider)Instagram : (https://www.instagram.com/mikeschneider161/)Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coOpinions expressed within this episode or any others episodes are solely the host(s) and guest(s) and do not represent or express the views or opinions of Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. If you want to go the extra mile, you can leave us a rating or review which helps the show with rankings and algorithms on certain platforms. you can leave us a review on Podchaser or Apple Podcasts  ★ Support this podcast ★

Fingerspace - A Fingerboarding Podcast
Exclusive Interview Teaser with THE GREATEST FINGERBOARDER OF ALL TIME

Fingerspace - A Fingerboarding Podcast

Play Episode Listen Later Jan 22, 2023 0:48


WELCOME BACK TO FINGER SPACE PODCAST!  This episode is sponsored by (FINGERSPACE.CO) USE CODE FSPOD FOR 10% OFF ORDERS.( www.fingerspace.co/ ) - the ultimate place for fingerboard and miniature gear for riders of skill levels and budgets.Don't forget to follow our host and guest on Instagram:Fingerspace: ( https://www.instagram.com/fingerspace.co )Nostalgia : ( https://www.instagram.com/nostalgia_fb/ ) MIKE'S LINKS :Flat Face Website : (https://www.flatfacefingerboards.com/)YouTube Channel : (https://www.youtube.com/mikeschneider)Instagram : (https://www.instagram.com/mikeschneider161/)Follow Fingerspace on Social Media:Instagram: ( https://www.instagram.com/fingerspace.co )TikTok : (https://www.tiktok.com/@fingerspace.co)Youtube : (https://www.youtube.com/@fingerspace)Subreddit (MiniHobbies) ( www.reddit.com/r/MiniHobbies )Facebook : ( https://www.facebook.com/Fingerspaceco )Check out our website for more information : ( https://www.fingerspace.co )This podcast is hosted by NostalgiaFB and produced by Fingerspace.coCHECK OUT OUR NEW GEAR     ( https://www.fingerspace.co/ ) Please consider subscribing and sharing this episode if you found it entertaining or informative. If you want to go the extra mile, you can leave us a rating or review which helps the show with rankings and algorithms on certain platforms. you can leave us a review on Podchaser or Apple Podcasts   ★ Support this podcast ★

Everythang Culture Podcast
S4E6 - Child Welfare Series - Judges (Part 2)

Everythang Culture Podcast

Play Episode Listen Later Nov 9, 2022 65:44


Hello All, Part 2 of our conversation with Judge Frank Rynd and Mike Schneider. Thank you so much for listening to part 1! We hope you are enjoying our Child Welfare series and can learn something new. Judge Frank Rynd and Judge Michael Schneider. With an accumulative 26 years of servicing as judges in Harris County. We are privileged to an engaging and insightful conversation from the perspective of family law and juvenile law judges. Judge Rynd served as the Administrative Judge of the 309th Family District Court in Harris County (2008-2010), Associate Judge from 2001-2010, and 257th Family District Court from 1998-2001. The Honorable Frank Rynd is the general counsel for the Archdiocese of Galveston/Houston. Admitted to the Texas Bar in 1979, Judge Rynd is a graduate of the University of Texas at Austin, and University of Texas School of Law. State District Judge in the 315th District Court of Harris County and over seven years with the Harris County Attorney's Office. He became the Deputy Division Chief of the Children's Protective Division of the Harris County Attorney's Office. He was General Counsel to the Children's Assessment Center and the Harris County Attorney's CAC Partnership Team. Judge Schneider is a Texas A&M grad and a South Texas Law grad. He gained experience as a prosecutor from 1999 to 2006 for the Children's Protective Division of the Harris County District Attorney's Office.This is the first half of our conversations and we look forward to our Happy Hour conversations on Sunday's. Please leave a review and share with your family and peers. You can find us at:Www.EverythangCulture.comIG/Facebook/Tiktok/Tumblr: EverythangCulture Twitter: EveryTHGCulture Spotify: https://podcasts.apple.com/us/podcast/everythang-culture/id1455598116?i=1000567850501Apple Podcasts: https://podcasts.apple.com/us/podcast/everythang-culture/id1455598116YouTube: https://youtu.be/aSAzW4Yf0G8Resources: www.myvoiceincourt.orgwww.dfps.state.tx.uswww.childadvocates.orgSupport this podcast at — https://redcircle.com/everythang-culture-podcast/exclusive-content

The Gestalt Education Show
Clinical Savant Series: Michael Schneider, D.C., Primary Spine Practitioner Program (UPitt)

The Gestalt Education Show

Play Episode Listen Later Sep 21, 2022 68:08


Mike Schneider is an associate professor in the Department of Physical Therapy, and the Clinical and Translational Science Institute. He serves as a committee member on the University of Pittsburgh Institutional Review Board (IRB) and is also an Advisory Panel Member of the Patient-Centered Outcomes Research Institute (PCORI). Schneider has designed and implemented several federally funded clinical trials comparing conservative treatments for low back and neck pain. His primary areas of research interest are rehabilitation approaches for spine-related disorders and dissemination and implementation science. He has also been instrumental in creating the Primary Spine Practioner(PSP) at the University of Pittsburgh. We dive into research and why UPitt is the next best thing in Chiropractic education! Show Notes Primary Spine Practioner Program --- Support this podcast: https://anchor.fm/gestalt-education/support

Unstoppable
291 Mike Schneider: Founder of FlatFace Fingerboards

Unstoppable

Play Episode Listen Later Sep 14, 2022 25:44


What do you do when you have an idea to make a product you love better? You create a company of course! Even if you are only 9 years old! Mike Schneider, Founder of FlatFace Fingerboards, wasn't daunted back then by the task of making a category better. And he isn't today either as his company is one the largest in the world in fingerboard manufacturing! Mike has been called the Tony Hawk of Fingerboarding and is not only a professional fingerboarder, and Founder of FlatFace Fingerboards, but also the creator of "Fingerboard Heaven". So much inspiration here! You are going to love hearing about his incredible start-up story and the nuts and bolts around it. You don't want to miss listening to this episode. Today on #TheKaraGoldinShow. Enjoying this episode of #TheKaraGoldinShow? Let me know by clicking on the links below and sending me a quick shout-out on social. Or reach out to me at karagoldin@gmail.com https://www.linkedin.com/in/karagoldin/ https://www.instagram.com/karagoldin/ https://twitter.com/karagoldin https://www.facebook.com/KaraGoldin/ Check out our website to view this episode's show notes: https://karagoldin.com/podcast/291 List of links mentioned in this episode: https://www.instagram.com/mikeschneider161/ https://www.youtube.com/mikeschneider To purchase FlatFace Fingerboard products: https://flatfacefingerboards.com  

Taste Radio
Gen Z Holds All The Cards, But Do They Have Winning Hand?

Taste Radio

Play Episode Listen Later Aug 26, 2022 44:10


Emma Chamberlain is the face of Generation Z. Can the 21-year-old YouTube sensation be its Juan Valdez, too? In this episode of Taste Radio, the hosts discussed Chamberlain's foray into the coffee business as the founder of Chamberlain Coffee, a platform brand of coffee and tea products that recently completed a $7 million funding round.  They also spoke about the surprising news that Haus, a promising brand of low-ABV aperitifs, is shutting down and the launch of Coca-Cola Dreamworld, the latest variant in Coke's “Creations” sub-line, which promises consumers “technicolor tastes and surrealism of the subconscious.” This episode also features the latest installment of The Maxi Minutes, in which investor Maxine Kozler Koven shares insights and expertise with early-stage founders. Show notes: 0:48: A Golden Introduction, Brad Moseys, Mike Gets “Real” – The quartet of BevNET editorial assistant Shauna Golden, reporter Brad Avery and regular hosts Mike Schneider and Ray Latif chatted about what it means to be a “BevNETtter,” strutting vs. moseying and a social app that only Mike seems to understand. They also discussed recent articles about Chamberlain Coffee and Haus, penned by Shauna and Brad, respectively, why none of them are too excited about a “dreamy” cola and notable new products, including an addictive snack and non-alcoholic canned cocktails. 31:33: The Maxi Minutes, Part 6 – Maxine Kozler Koven, the co-founder of L.A.-based investment firm LDR Ventures, shared advice on the information that investors want to see from entrepreneurs in quarterly reports, strategies for working with outside agencies, the value of a management team with industry experience and tips on how to get current investors to join subsequent funding rounds. Brands in this episode: Omsom, Chamberlain Coffee, Haus, Coca-Cola, Figlia, Chunk Nibbles, Nguyen Coffee Supply, Altitude Beverage Co., Willa's 

Relentless Health Value
EP369: What's Up With Specialty Pharmacy Bagging? With Keith Hartman, RPh

Relentless Health Value

Play Episode Listen Later Jun 9, 2022 33:23


Last week's show was an encore episode with Dr. Aaron Mitchell (Encore! EP282), and we talked about buy and bill. To continue our exploration of specialty pharmacy intrigue, let's talk about so-called “bagging.” I wanted to get an overview of all of the different kinds of specialty pharmacy bagging. Bagging is a big deal. If you have anything to do with trying to control pharmacy costs or the clinical outcomes of specialty pharmacy patients, you too are going to want to understand what's going on here with bagging. I was thrilled to have a chance to chat with Keith Hartman, who is my guest in this healthcare podcast. He is the CEO of ContinuumRx. He's a pharmacist by education and has been in the pharmacy space for over 25 years now, touching just about every aspect of pharmacy from retail operations to long-term care and now, most recently, home infusion. This makes him an ideal person to chat with about this topic. And FYI, it was not easy to find someone to do so to clearly see the actions and reactions going on here because that's what this is all about: actions and reactions—how any self-respecting market distortion is going to cause a cascade of equal and opposite market distortions. So, let's cruise through the whole infused/injected specialty pharmacy historical play-by-play, shall we? It's like a “Who's on First?” routine—except very, very not funny. So, here we go. This is, of course, the semi-reductive abridged version; but let's do this thing. Once upon a time, the bagging story starts in ye olden days, meaning more than ten years ago, before specialty pharmacy drugs really became the massive profit centers for any party who can manage to get their fingers in the specialty pharmacy cookie jar. In these ancient and halcyon times, brown bagging was kind of a modus operandi. Don't forget, we're talking about infused or injectable drugs here, especially ones that need to be infused or injected in the provider's office. So, brown bagging means and meant when a specialty pharmacy drug is shipped directly to a patient, or a patient goes and picks up the specialty pharmacy drug at the pharmacy. Doc takes out prescription pad (this is in ye olden days, remember) and writes out the Rx. Patient picks up the drug from the pharmacy, which may be handed to them in a brown bag. Get it? But then they take that “brown bag,” as it were, to their doctor's office. The doctor takes the drug out of the brown bag and infuses or injects it. I say doctor's office because many times, in the olden days, that's where this went down. And this brown bagging had some issues, for sure; but specialty pharmacy drugs really weren't all that big of a thing either dollar-wise or frequency-wise. At some point in our story here, pharma manufacturers start seeing just exactly how much money the market will bear for specialty pharmacy drugs, and the prices of these specialty drugs go through the roof. At the same time, for a bunch of reasons I actually discussed with Dr. Bruce Rector (EP300), a whole bunch of these specialty pharmacy drugs start hitting the market all at once. So, these drugs have skyrocketing prices—and there's lots of them.   At that point, some (certainly not all, but enough) CFOs at provider organizations were like—wowza, epiphany, light bulb moment—there's a lot of money that can be made here because buy and bill. In buy and bill, which I talked about last week with Dr. Aaron Mitchell, provider organizations get reimbursed the cost of the drug plus some percentage when they administer it—meaning the more expensive the drug, the more money a provider can make because a percentage of a bigger number is, of course, a bigger number. Add to that a party-sized container of other provider shenanigans to maximize revenue on specialty pharmacy patients—and that revenue got bigger every single year. A recent report just came out that, on average, for oncology drugs, some providers are making six times the cost of the drug. Six times the cost of a drug that can cost lots of zeros! Just wow—6x! That's real money. This is winning the lottery every single time a patient needing a specialty drug shows up on your doorstep.   Continuing the tale here, this buy and bill health system extreme greed hits employers in their pocketbooks. And, of course, plan sponsors start desperately seeking relief. Who rides up on a white horse? PBMs (pharmacy benefit managers), of course. PBMs say that they will negotiate with drug companies and buy the drugs on behalf of the plan sponsors for much cheaper. Then they will ship the drugs purchased to the provider organizations. Thus, the plan sponsor only needs to pay providers to administer the drug, not that and some crazy markup on the drug itself. Ladies and gentlemen, white bagging has entered the building. White bagging is when the drug is not shipped directly to the patient à la brown bagging. It is when the drug is shipped to the provider. But wait … there's more to the story than a grand PBM gesture of goodwill. They see how much money the employers are used to paying providers for these drugs and realize that the PBM only needs to come in with a price that's less than that, at least at the beginning. So, over the years, weird stuff starts happening with rebates on the specialty drugs. Listen to the show with Scott Haas (EP365) for more on that. But bottom line, white bagging becomes not exactly a mecca of cost savings. PBMs are, as we all know, not known for their ability to moderate their profitability, after all. At this point in our story, let's just pause to say that provider organizations are very, very, very not happy with this whole white bagging intervention. Not only did a piece of the provider's specialty pharmacy cash cow get snatched by the PBMs, but there are also clinical issues with white bagging that we talk about on the show today. And some of these issues are not BS. Do not get me wrong. They are very real, and I do not want to minimize them. And so, provider organizations start to stand up their own hospital specialty pharmacies because then at least they can get some of the white bagging cha-ching. See what I mean? Plan sponsor, health plan mandates that the drug be filled in a pharmacy, hospital owns the pharmacy or part of the pharmacy … and now they have so-called clear bagging. Clear bagging is when one organization owns the pharmacy and the provider who will administer the drug. Clear bagging solves some of the clinical issues with white bagging, and the hospital also gets to take a cut. I'd be remiss not to mention here that some hospitals have worked very hard on their clear-bagging programs and definitely have tried to improve the quality of service here. You're going to have to listen to the show to hear about gold bagging and also the latest developments in this whole war employers and patients and taxpayers are fighting with PBMs and hospitals who are fighting with each other over who gets the money. Also, the continuing trend of brown bagging, especially as “in the patient's home” gets tagged on the end of lots of care delivery like “in bed” gets tagged on the end of lots of fortune cookies. Next week's show will dig into how exactly some providers are managing to get the up to 6x the cost of specialty pharmacy drugs when Medicare Part B at least says that they're only supposed to get ASP [average sales price] + 6% (ish). I just could not figure out how they were managing to get 6x just given that Medicare Part B rule, but yeah, they are—and we'll learn about that next week. You can learn more at continuumrx.com.   Keith P. Hartman, RPh, is chief executive officer of ContinuumRx and an experienced operating entrepreneur and pharmacy business owner spanning two decades. Keith founded and grew a chain of retail pharmacies, a compounding pharmacy, and two specialty pharmacies along with a long-term care pharmacy. All were built and grown under the guise of operational excellence and produced great results. Some were sold, while others he still owns and provides limited strategic guidance as a member of the board of directors. Keith graduated from the University of the Sciences with a degree in pharmacy. Today he is still involved mentoring future pharmacists and pharmacy owners. 08:09 What kinds of patients and/or drugs is the concept of bagging relevant to? 08:53 What is brown bagging, and what are the issues with it? 10:28 What is white bagging, and how is it different from brown bagging? 11:30 Who are the key players in pharma bagging? 12:25 Why does a PBM want a specialty drug to go through them? 12:49 From the physician's perspective, why is buy and bill ideal? 16:46 How does white bagging impact patient clinical care? 22:12 Encore! EP216 with Chris Sloan. 23:05 What are the two main reasons patients might not continue their therapy? 23:29 “We've got to leave some authority with our prescribers to be able to make a clinical decision of what's best for that … patient.” 24:41 What is clear bagging? 26:51 How does a hospital specialty pharmacy get in network with a PBM? 28:57 What is gold bagging? 30:11 “Outlook really needs to be what's best for the patient.” 32:10 EP337 with Olivia Webb.   You can learn more at continuumrx.com.   Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma What kinds of patients and/or drugs is the concept of bagging relevant to? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma What is brown bagging, and what are the issues with it? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma What is white bagging, and how is it different from brown bagging? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma Who are the key players in pharma bagging? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma Why does a PBM want a specialty drug to go through them? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma From the physician's perspective, why is buy and bill ideal? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma How does white bagging impact patient clinical care? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma What are the two main reasons patients might not continue their therapy? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma “We've got to leave some authority with our prescribers to be able to make a clinical decision of what's best for that … patient.” Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma What is clear bagging? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma How does a hospital specialty pharmacy get in network with a PBM? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma What is gold bagging? Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma “Outlook really needs to be what's best for the patient.” Keith Hartman of @continuumrx1 discusses #specialtypharmabagging on our #healthcarepodcast. #healthcare #podcast #pharma #specialtypharma   Recent past interviews: Click a guest's name for their latest RHV episode! Dr Aaron Mitchell (Encore! EP282), Stacey Richter (INBW34), Ashleigh Gunter, Doug Hetherington, Dr Kevin Schulman, Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert, Jeb Dunkelberger (EP360), Dan O'Neill, Dr Wayne Jenkins, Liliana Petrova, Ge Bai, Nikhil Krishnan, Shawn Rhodes, Pramod John (EP353), Pramod John (EP352), Dr Eric Bricker, Katy Talento, Stacey Richter (INBW33), Stacey Richter (INBW32), Dr Steve Schutzer (Encore! EP294), Lisa Trumble, Jeb Dunkelberger, Dr Ian Tong, Mike Schneider  

Relentless Health Value
Encore! EP282: Do You Know How Much Cancer Centers Get Paid to Put Patients on Drugs? With Aaron Mitchell, MD, MPH

Relentless Health Value

Play Episode Listen Later Jun 2, 2022 33:21


After that recent episode with Scott Haas (EP365), where we talked about the real deal with PBM contracting, I kicked into high gear trying to untangle this whole apocalyptic honky-tonk we call benefits for prescription drugs. Notice I did not say prescription drug benefits because that would imply that pharmaceuticals are only charged for under the umbrella of pharmacy benefits. Ha ha, that would be just too easy. No, some pharma drugs are charged as part of patients' medical benefits. An amazing primer for what that looks like in the real world follows.   Just pointing out that any self-respecting healthcare market distortion deserves another, and if anything qualifies as a market distortion, it's buy and bill—what I talk about with Dr. Mitchell in this healthcare podcast. In the following weeks, we'll chat about how the market has responded to this buy and bill market distortion that we talk about in this episode. So, next week, we're gonna get into all the different kinds of bagging: the so-called brown bagging, the white bagging, the clear bagging … and what is this newfangled gold bagging? Spoiler alert there. Tune in next week. And here's another spoiler alert: While in this show today we chat about how provider organizations tend to make somewhere between 4.5% and 20% additional over drug costs, there was a recent study claiming that 4.5% to 20% is chump change. Some provider organizations are, in fact, making four times to six times the cost of the drug—a very expensive drug, mind you (lots of zeros here)—in profit. In the show in two weeks, I'm speaking with April Yongchu and Erik Davis from USI about exactly and specifically how provider organizations can manage to perform this “let's make hundreds of thousands of dollars today” magic trick. So, with that, here's your encore. In the April [2020] issue of Value-Based Cancer Care (that's a journal), there's an article talking about a keynote presentation and a study highlighting a big problem for patients with cancer: toxicity. It's a fact that some chemo agents are pretty toxic, but in this healthcare podcast I am talking about financial toxicity. The financial burden of cancer care has a seriously negative influence on patients' quality of life. This keynote speaker quoted in the Value-Based Cancer Care article implored his fellow oncologists: “Think twice before ordering costly interventions that may have little impact on the clinical course,” he said. This might be difficult for a number of reasons, and one of them is that oncology centers make money, a whole lot of money, sometimes the most money, from infusing cancer medications. It's this little payment paradigm called “buy and bill.” The cancer center buys the meds and then gets paid an additional fee to infuse the drug. This fee is a percentage of the drug cost. You've probably heard a lot lately about the skyrocketing costs of some of these cancer agents. Realize that if you're an oncology center, the higher the drug costs, the higher your revenue. Now consider the patient suffering under the weight of increased cost sharing and employers and taxpayers who are funding this strange payment model. In this healthcare podcast, I dig into this so-called “buy and bill” payment model with Aaron Mitchell, MD, MPH. Dr. Mitchell is an oncologist and health services researcher over at Memorial Sloan Kettering. You can learn more at drugpricinglab.org. You can also connect with Dr. Mitchell on Twitter at @TheWonkologist.   Aaron Mitchell, MD, MPH, is a practicing medical oncologist and health services researcher. He is an assistant attending at Memorial Sloan Kettering Cancer Center in the department of epidemiology and biostatistics. His research focuses on understanding how the financial incentives in the healthcare system affect physician practice patterns and care delivery to cancer patients. He cares for patients with prostate and bladder cancer.   04:34 Following the drug and following the dollar. 04:56 The “buy and bill” system. 05:43 The perverse and problematic incentives of the system. 08:38 “It creates the incentive for us to gravitate toward the more expensive drug.” 08:42 The hesitancy to address the financial toxicity of drugs for patients. 09:53 Why the only person losing in this situation is the patient. 10:51 The financial impact from the patient perspective. 13:57 Are patients realizing this impact? 14:42 Solving the problem of oncology drug choice. 16:45 Reimbursement reform. 18:24 Capitated systems and incrementalist impacts to reimbursement reform, and what these look like. 23:30 Are we at a tipping point? 23:51 “The current system … works too well for too many people.” 25:01 Who isn't well served by the current system. 25:32 Who has to lead the charge for change. 28:28 Large oncology providers vs small oncology providers in the buy and bill system.   You can learn more at drugpricinglab.org. You can also connect with Dr. Mitchell on Twitter at @TheWonkologist.   Check out our #healthcarepodcast with @TheWonkologist of @sloan_kettering as he discusses #oncology #drugpricing and #reimbursement. #healthcare #podcast #digitalhealth Following the drug and following the dollar. @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth The “buy and bill” system. @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth The perverse and problematic incentives of the system. @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth “It creates the incentive for us to gravitate toward the more expensive drug.” @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth Why is there hesitancy to address the financial toxicity of drug pricing for patients? @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth Why the patient is the only one that loses. @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth What's the financial impact from the patient perspective? @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth Are patients realizing this financial impact? @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth Solving the problem of oncology drug choice. @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth What should reimbursement reform look like? @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth “The current system … works too well for too many people.” @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth Who has to lead the charge for change? @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth Large oncology providers vs small oncology providers in the buy and bill system. @TheWonkologist of @sloan_kettering discusses #oncology #drugpricing and #reimbursement. #healthcarepodcast #healthcare #podcast #digitalhealth   Recent past interviews: Click a guest's name for their latest RHV episode! Stacey Richter (INBW34), Ashleigh Gunter, Doug Hetherington, Dr Kevin Schulman, Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert, Jeb Dunkelberger (EP360), Dan O'Neill, Dr Wayne Jenkins, Liliana Petrova, Ge Bai, Nikhil Krishnan, Shawn Rhodes, Pramod John (EP353), Pramod John (EP352), Dr Eric Bricker, Katy Talento, Stacey Richter (INBW33), Stacey Richter (INBW32), Dr Steve Schutzer (Encore! EP294), Lisa Trumble, Jeb Dunkelberger, Dr Ian Tong, Mike Schneider, Peter Hayes  

Relentless Health Value
INBW34: The Absence of Collaboration Between Healthcare Stakeholders: What It Means

Relentless Health Value

Play Episode Listen Later May 26, 2022 19:15


In INBW32, I talked about telehealth. In this episode, I'm talking about collaboration between healthcare stakeholders or the lack thereof. My grandfather suffered from heart failure. This was many years ago now. But when I say suffered, I mean it. As many of you know, when heart failure is uncontrolled, it is painful to go through or even watch a loved one go through. There was that one time when I accompanied my grandfather (and my grandma was there, too) on a trip to the emergency room, you know, because he was drowning in his own lung fluid and could barely breathe. And when we arrived, they were going to wheel him into one of the exam rooms. But my grandmother put her foot down. She did not want to go into that one exam room because the TV was broken in there. Yes, the two of them had been in the ER so many times that they were familiar with the pros and cons of the various exam rooms. The end of my grandfather's life was almost unbearable, and I can't even begin to estimate the hundreds of thousands of dollars racked up in ER visits and inpatient stays. He was in the ER once a month at a minimum, and he would come home disoriented and confused. Now, as everybody listening to this show knows, this anecdote is also a data point that is, dare I say, all too common. But to that end, let me just talk about heart failure data for a second. Patients with heart failure generate a third of Medicare spending and 40% of Medicare fee-for-service deaths. They are also responsible for 55% of Medicare readmissions. You'd think that if there were any chronic condition that we'd be looking to improve outcomes on, it'd be this one. So, everybody's on it, right? Oh, wait … heart failure readmissions have actually gone up in recent years.   I just want to point out that in between ER visits and inpatient stays, my grandfather received effectively no education, no PCP or cardiology follow-ups, no community support. He did not get a case manager. He got no coaching. He got 25 pages of tiny, printed instructions just before the door hit him in the butt on his way out to the parking lot. Obvious point here, but to do any of this in-between stuff would have required collaboration between the hospital and others. And it was conspicuous in its absence. Look, this is sad and I'm not telling the story because I think it's unique. If I asked who else has a story like this one where a family member or a loved one got lost in the gaps between their care, I am suspecting that everyone would raise their hands—even those of you who have medical degrees. No matter how much any of us know or care or try to help, stories like my grandfather's are painfully and unequivocally common in this country today. OK, so how to improve care, especially for chronic care patients. At its core, and I am not telling anyone listening something that you probably have not already thought about at great length, but there are two important contributors to patient outcomes. Not the only contributors for absolutely sure, but here are two important ones: Nonfragmented patient journeys that adhere to evidence-based best-practice care. My grandfather and anyone with a chronic condition requires a patient journey that isn't a game of whack-a-mole. Carly Eckert, MD, says this so well in EP361. Steering patients to the best care setting, which is required to get the highest-value best-practice care and also reduce financial toxicity. Short but important sidebar: We know that financial toxicity is clinical toxicity. There was just a study that came out that said in 2030, a leading cause of death will be noncompliance to treatment due to patients abandoning care because it costs too much. Wayne Jenkins, MD, from Centivo (EP358) talks about other implications of financial toxicity for a half-hour. Also, there's another paper that, again, is just more on this point. At this juncture, it is not arguable. Financial toxicity is clinical toxicity. So, we need to get patients, people, customers to the next place that is the highest value for them. Doing either or both of these things—nonfragmenting the patient journey and making sure patients get to the next care setting—it requires collaboration. Let me quote Dr. Steve Klasko, who, until recently, was president and CEO over at Jefferson Health in Philly. He said—and this is an adaptation of an old Steve Jobs mantra—but Steve Klasko said that for hospitals, our old math was inpatient revenue, outpatient revenue, and in-person tuition and funding. The new math is going to be strategic partnerships around this healthcare at any address model. Right? But good collaborations don't just improve patient outcomes. Here's another benefit: They also make happier clinicians or employees. If every outside interaction is a friction point, where employees, clinicians, doctors, nurses are rubbed raw because every interaction becomes a battle, if that's the ecosystem that any given party has created for themselves, patients aren't happy and clinicians aren't happy. And since everything in healthcare spirals around that one relationship, the one between the patient and their clinicians, this could not be more vital. There's that famous Richard Branson quote, which I'll paraphrase: If you want to keep the customers happy, keep the employees happy. How anyone thinks that patients are going to get amazing care when those providing the care are miserable is just the very definition of magical thinking. All right … so, let's get into the hard thing about hard things: why with the lack of collaboration across the industry there are a lot of excuses for why parties cannot collaborate. For example, interoperability, HIPAA, legal, cyber, bureaucracy … Also, people are busy, COVID response, being overworked and burned out is a big deal. And I'm not saying that some of these are not valid, but the elephant in the room is this: In healthcare today, most (if not all) big organizations for sure and a lot of small ones have a business model that is built on revenue maximization. Look, when I'm referring to organizations as revenue maximizers, maybe I'm not talking specifically about specific departments and people working hard in those departments within any given organization. Organizations are not one-celled organisms, after all. But what I am saying is that, as a whole, healthcare organizations—the vast majority and certainly every so-called incumbent payer and health system—when you factor in the actions of the CFO, the actions of the billing department, the group that sets premiums, the one that sets prices, the group that incentivizes brokers, the group that sells to employers, the group that lobbies politicians, the group that writes the contract terms … if you factor in the whole organization, what you get is an organization who acts to maximize outcomes—financial outcomes, that is. As per my normal MO, I'm gonna say the quiet part out loud here. One big reason why parties do not collaborate is because they are thinking they are going to maximize their revenue by info blocking to prevent network leakage, or not sharing data with an employer because then the employer might steer the employee to an infusion center for their chemo, or drugs will get switched from the profitable one to the not profitable one. I just saw another article the other day, entitled “The Many Barriers to Payer-Provider Alignment on Value-based Care.” Two entities vital for a nonfragmented frictionless patient journey cannot figure out how to align incentives, share data, or even figure out what good looks like. Speaking industry-wide here, but if patient outcomes were the top of either the payer or the provider's organizational lists of priorities, I do not think that this would be the case decades later. Listen to the show with Kevin Schulman, MD (EP366); Scott Haas (EP365); or an upcoming one with Autumn Yongchu and Erik Davis coming out in a few weeks that just drives this point home.   So, can you do well by doing good? Yes, you can. I have a degree from a business school, after all; but there is a line that gets crossed when maximizing revenue harms patients. And I'll tell you how you can tell if you're over the line. And again, I'm talking organizations here who have power and control in their local markets. I would say that a lack of collaboration is a symptom. If we all agree that collaboration is essential and some organization is not doing it, maybe it is a sign. It is an actionable bit of information that I hope, if relevant, gets contemplated. For example, back to my grandfather for a sec, it's pretty well known how to reduce heart failure revisits. There are more than a few care models that have definitely been shown to work. Here is one of them, and this was talked about in Dr. William Bestermann's Substacks. There was a nurse in the Carolinas—and I talked about this before—but there was a nurse in the Carolinas who decreased heart failure readmissions markedly by simply calling up heart failure patients and making sure they were doing OK and that they understood how to take care of themselves. She was caring, and she had relationships with these patients. That's all she did.   So, hospital collaborates with a payer case manager or a CBO (community-based organization) or an MSO (management services organization), or maybe the hospital has pop health capabilities internally. I mean, we can manage to transplant important organs in this country, and most healthcare organizations cannot figure out how to work together well enough that a nurse calls up a bunch of patients? Is this some arcane or highly complex thing to do? No, it's not. But most are not doing anything even close to this because revenue maximization is the goal of one or more of the entities who would need to be a party to this, and everything else is just an excuse. If anyone is thinking interoperability right now, I've heard Don Lee say on The #HCBiz Show! often enough that there's lots of evidence at this point that interoperability has been solved from a technical standpoint. It's been solved for years. The problem is a business case problem. No one wants to be interoperable because … revenue maximization All right … aspirationally here, despite all of this, great collaborations happen every single day—collaborations that are bright spots and that definitely improve patient outcomes and reduce financial burdens short-term and long-term. Let me give you some examples: what 32BJ is doing in New York City (upcoming episode with Cora Opsahl talking about the cool things that they are doing with Mount Sinai); CINs (clinically integrated networks), like Lisa Trumble, who talks about SoNE HEALTH in EP349.   There are MSOs that work with ACOs (accountable care organizations) and others. Listen to Shawn Rhodes (EP354); also what Nicole Bradberry and Kelly Conroy are doing in Florida (EP324).   In an upcoming episode, Dave Chase from Health Rosetta: He's got one great story after another about how employers these days are teaming up with provider organizations, pharmacies, and their communities to put a serious dent in costs while raising patient outcomes and satisfaction. Doug Hetherington's episode (EP367) talks about direct contracting with hospitals. Katy Talento (EP350) talks about this also. Steve Schutzer, MD, talks about collaborating with other local orthopedic surgeons to stand up a now nationally recognized center of excellence in Connecticut (EP294). We also have some pharma companies who are developing some pretty great disease-centric resources for providers. Some pharma companies and some internal teams at those companies can actually be fair and good community players. Mike Levitt and the work that he has done on the Accountable Care Learning Collaborative, which is headed up by Dr. Eric Weaver, who has been on the show (EP277); or I'm sure after this show airs, I'm gonna hear about more. Please send them my way.   Now, look … let's get real here. These collaborations may have been initiated with, let's just say, other beneficial side effects; but they all improve care and reduce costs. If I were gonna list some common and appealing side effects that could motivate some prospective collaborators to come to the table, some of the usual suspects are proposing that the collaboration will, for example, improve HCAHPS scores, quality metrics, star ratings; improve predictable spend; reduce shock claims; avenge your common competitor and steal their market share; gang up against a payer or some consolidated health system; improve OR utilization; or improve efficiency in some way. What I would say, though, is that if leveling up patient care happens and costs do not rise as a result, that's the shared priority I'd focus on. If someone gets some beneficial side action, this is kind of the definition of doing well by doing good. All right, so let's talk about the different kinds of collaboration just briefly. I'm gonna say that there's three kinds of collaboration: Collaboration along the patient journey by multiple parties who are all along the patient journey Collaboration by parties who can help inform the patient journey, but they're not necessarily on the patient journey themselves Collaboration by parties who can help navigate the patient journey I am mentioning these three because there's often sort of this insinuation that collaborators should have equal stature in the care journey or have similar roles, that if you're not actually on the clinical journey, then you don't have any responsibility or accountability for the clinical journey and, therefore, are not a worthy collaborator. That is limiting if you are trying to figure out who you might be able to collaborate with to help you. The patient journey is not like a movie showing all the minutes a patient spends in clinic, and then all the gaps in between visits are edited out. Care can be improved at the population level, at the community level. Care can be improved at the disease or the condition level when clinicians get needed insights or information or tools. I mean, frankly, to my mind, it shouldn't be considered a plus when a pharma company or a payer actually does something in the service of improving patient outcomes. It should almost be a requirement that they do. I don't mean by delivering care in any way. And for the record, most prior auth programs are the opposite of collaborative. Payers can collaborate by supplying data, as just one example. Heck, external collaborations are great, but we also could think about collaborating internally, like invite the CFO or maybe the gang rewarding brokers with sales competitions. I don't know. I'd consider ethically dubious: Invite them to come to some meeting where oncology patients are choosing to die rather than bankrupt their families. Communication is the first step to collaboration, after all. That's a place to start. Or life science types: They can supply knowledge and expertise about specific diseases or conditions with the purpose of improving patient outcomes. Informing the patient journey could be a collaboration with some of these amazing patient efficacy organizations or CBOs that are out in the community. Now, I think one barrier to collaboration that we all need to get over is the whole, I call it, stakeholder prejudice thing. Here's what Colton Ortolf wrote on Twitter the other day. He tweeted, “Hospitals are the Lance Armstrong of healthcare. Pissed [off] at all the [crappy] things they do economically, but also grateful for all the lives they save.” If we're gonna eliminate everybody in healthcare who has revenue maximization as their organizational goal, as aforementioned, there is going to be basically no one left standing. As Ge Bai, PhD, CPA, said in EP356, there's no angels and no demons in healthcare. Everybody is both.   If we're talking about stakeholder prejudice, though, I would be remiss not to single out Pharma. When I mentioned them a sec ago, I bet some of your eyebrows went up. Here's my take on it. Consider Pharma's potential role in leveling up disease-/condition-specific outcomes. I mean, there are thousands, millions probably, of diseases and conditions and health problems out there that any given doctor or clinician has to be familiar with. Pharma has huge infrastructures and physicians and smart people who focused on, like, six of them. They know more about those six than anybody else. We pay a ton also for their drugs. It's my view that people along the patient journey should ask for what they want and need relative to the expertise that Pharma possesses. It should be about helping those providing care on the patient journey to level up the standard of care. Frankly, I'd expect collaboration from some of these entities. Ask for it on your own terms, and if all you get back is a sales pitch, you deserve better than that. Find somebody higher up on the food chain to talk to. And also, outcomes-based contracts … yeah, we need to figure out how to operationalize them so that really good drugs that actually produce outcomes like overall survival get paid for and those that do not do not. Point of note must be said: Colluding and conflict of interest is not cost neutral. If someone is getting things bought for them and then thinking, falsely, that it does not impact prescribing, that is not collaboration. Any of these revenue-maximizing hookups are not included in my definition of collaboration. So, in sum, ultimately, what we're talking about here is our legacy. As David Muhlestein, PhD, JD, talks about really well in EP364, we got to ask ourselves, What do we want to leave behind to our children and our grandchildren? Some of this is generational change, for sure. But seriously, talking about today, I mean, who wants to sign their family member up for what my grandfather went through? Right now, across the country, there are heart failure patients going through exactly what he did; and there are other patients with care journeys so dysfunctional that lives are shattered.   Chronic care patients, oncology patients … and this isn't going to change unless we contemplate, first of all, what we can do today—right now. Even little things can matter a lot, but then also to really consider what we want healthcare to look like in 20 or 25 years and then start working back from that vision and collaborating today so that, slowly and surely, we reach a place with better care that is not financially toxic. Check out the 8-Step Collaboration Roadmap for more resources to operationalize a collaboration. For more information, go to aventriahealth.com.   Each week on Relentless Health Value, Stacey uses her voice and thought leadership to provide insights for healthcare industry decision makers trying to do the right thing. Each show features expert guests who break down the twists and tricks in the medical field to help improve outcomes and lower costs across the care continuum. Relentless Health Value is a top 100 podcast on iTunes in the medicine category and reaches tens of thousands of engaged listeners across the healthcare industry. In addition to hosting Relentless Health Value, Stacey is co-president of QC-Health, a benefit corporation finding cost-effective ways to improve the health of Americans. She is also co-president of Aventria Health Group, a consultancy working with clients who endeavor to form collaborations with payers, providers, Pharma, employer organizations, or patient advocacy groups. 03:07 How do we improve care, especially for chronic care patients? 03:18 What are two important contributors to patient outcomes? 03:40 EP361 with Carly Eckert, MD. 03:56 “We know that financial toxicity is clinical toxicity.” 04:09 EP358 with Wayne Jenkins, MD. 06:05 Why can't parties across the healthcare industry seem to collaborate? 08:05 EP366 with Kevin Schulman, MD. 08:07 EP365 with Scott Haas. 08:10 Upcoming episode with Autumn Yongchu and Erik Davis. 08:34 “I would say that a lack of collaboration is a symptom.” 10:10 There's lots of evidence that interoperability has been solved. It's been solved for years. 10:37 Upcoming episode with Cora Opsahl. 10:46 EP349 with Lisa Trumble. 10:53 EP354 with Shawn Rhodes. 10:57 EP324 with Nicole Bradberry and Kelly Conroy. 11:04 Upcoming episode with Dave Chase. 11:19 EP367 with Doug Hetherington. 11:25 EP350 with Katy Talento. 11:28 EP294 with Steve Schutzer, MD. 11:50 EP277 with Eric Weaver, DHA, MHA. 13:00 What are the three kinds of collaboration in healthcare? 13:23 Do collaborators need to have equal status in a collaboration? 13:57 “Care can be improved at the population level, at the community level … at the disease or the condition level.” 15:10 How is stakeholder prejudice holding healthcare back? 15:42 EP356 with Ge Bai, PhD, CPA. 16:55 “Outcomes-based contracts … we need to figure out how to operationalize them.” 17:08 “Colluding and conflict of interest is not cost neutral.” 17:30 EP364 with David Muhlestein, PhD, JD.   For more information, go to aventriahealth.com.   Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab How do we improve care, especially for chronic care patients? Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab What are two important contributors to patient outcomes? Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab “We know that financial toxicity is clinical toxicity.” Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab Why can't parties across the healthcare industry seem to collaborate? Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab “I would say that a lack of collaboration is a symptom.” Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab There's lots of evidence that interoperability has been solved. It's been solved for years. Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab What are the three kinds of collaboration in healthcare? Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab Do collaborators need to have equal status in a collaboration? Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab “Care can be improved at the population level, at the community level … at the disease or the condition level.” Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab How is stakeholder prejudice holding healthcare back? Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab “Outcomes-based contracts … we need to figure out how to operationalize them.” Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab “Colluding and conflict of interest is not cost neutral.” Stacey discusses #healthcarecollaboration on our #healthcarepodcast. #healthcare #podcast #healthcollab Recent past interviews: Click a guest's name for their latest RHV episode! Ashleigh Gunter, Doug Hetherington, Dr Kevin Schulman, Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert, Jeb Dunkelberger (EP360), Dan O'Neill, Dr Wayne Jenkins, Liliana Petrova, Ge Bai, Nikhil Krishnan, Shawn Rhodes, Pramod John (EP353), Pramod John (EP352), Dr Eric Bricker, Katy Talento, Stacey Richter (INBW33), Stacey Richter (INBW32), Dr Steve Schutzer (Encore! EP294), Lisa Trumble, Jeb Dunkelberger, Dr Ian Tong, Mike Schneider, Peter Hayes, Paul Simms  

Relentless Health Value
EP368: How to Successfully Roll Out New Benefit Designs to Employees and New Care Delivery Models at a Provider Organization, With Ashleigh Gunter

Relentless Health Value

Play Episode Listen Later May 19, 2022 30:48


People are averse to change. It's a thing. It's a thing that affects even those of us who consider ourselves highly educated and/or very smart. Nobody likes disruption or, even worse, the prospect of disruption and the uncertainty that goes along with that. Nobody likes to feel like the rug just got pulled out from under them or that they've lost control of something, especially something important like their health benefits or how they care for patients. Changes to health insurance and healthcare, from any angle, are fraught with stress. A big reason for this is because health and healthcare are filled with so-called “one-way-door” types of decisions and decision points. If I cannot get the care I need today, or if the care I want to provide today to a patient does not go as desired, I feel like the door is one-way: Once I make a decision, I cannot go back. I can't click “undo” on that and go back through the door and arrive at yesterday. Health decisions, therefore, have a very “you got one shot at this” kind of feel. And it's that, right there, that just upped the ante considerably in the stress department for employees and then also for any clinician who is working with patients. It's life or death, and this is why making changes either to the insurance side or the care side of the equation feels like they will be so disruptive. It's a big reason why some self-insured employers or even fully insured employers won't mess with the status quo benefit designs or switch up their EBC (employee benefit consultant) or their ASO/TPA (Administrative Services Only/Third-Party Administrator), even if everybody in the entire company is currently complaining about the price and complexity of said status quo (it's kind of like the devil that you know) and even if it's possible to offer employees overall better-quality care at lower prices, meaning that everybody in the company could get a raise funded by the sometimes massive savings that could be had. I just heard a union leader the other day, and she said that every worker would have an extra $5000 in their pocket if their healthcare costs were what they should be. So, for many employers, the prospect of disruption is just too much. It's not in the CHRO's (chief human resources officer's) job description to open that Pandora's box. Nobody gets fired for doing what they did last year—I guess, until they do (one straw or another is gonna break the camel's back, after all). But in the meantime, we have this fear-induced festering inertia. Let me just point out one thing: Implicit in everything that I just said is the notion that one day everyone will have their familiar insurance card snugly tucked in their wallet, and then the next day, it will be ripped from their bloody fingers in a violent and unexpected fashion. Or, let's talk about provider organizations now. Say one's trying to move from the world of fee for service to the world of value-based payment structures with downstream risk, or direct contracts with employers. To do this well, let's chat about one aspect of this that health systems seem to struggle with that's been a topic of some conversation lately. There's an article cautioning that “practicing at the top of one's license” and its attendant need for team-based care is a giant fail and/or a money grab, or it could be. And it could be both of these things, don't get me wrong. Team-based care isn't a homogeneous construct. It would be like saying that all movies are bad because Super Baby Geniuses 2 was such a dog.   I mean, team-based care—pretty much like team-based anything—if it's not implemented well, nobody on the team knows what they're supposed to be doing and nobody is accountable. There's no infrastructure supporting it. There was no testing or iteration or discussion about the intent. No one actually on the proposed teams was even consulted about the whole idea. And so, everyone starts to suspect, maybe rightfully or maybe not, that it's all financially driven and a cost-cutting exercise. On the show today, my guest, Ashleigh Gunter, warns about all of these exact things. You switch something up without going through the proper steps and stages, everybody gets very suspicious. And, nothing for nothing, their suspicion could be the least of the leader's problems. The initiative's ensuing failure maybe should be their biggest concern. Which is a shame if something was done in the spirit of better patient care, for example, because there's tons of research on the immense power of well-functioning teams as just continuing this one example. And there's just as much research and well-proven case studies showing that innovative benefit designs can be a 365-degree win when they cut out wasteful spending and navigate employees and plan members to high-value care. For all of these reasons and more, I wanted to get Ashleigh Gunter, who is an expert in change management, on the show to talk about how to succeed when you want to change something as touchy as healthcare and health insurance. This all really goes back to the show with Matt Anderson, MD, MBA (EP266) and what Robert Pearl, MD, writes about all the time. It's a skill we all need to learn to lead change. Many of us had to learn this the hard way because we see our vision so clearly and we want to make it a reality as fast as possible, but the result of our enthusiasm might be that we skip implementation steps that are really not optional.   As Thomas Edison said (and I love this), “Having a vision for what you want is not enough. Vision without execution is hallucination.” So, to transform anything effectively, we have to put as much effort into the implementation as we do into the strategy. If we don't do that, then sadly, despite all of the best intentions, whatever we're trying to do is not gonna work and it might be labeled disruptive. So, I couldn't be more pleased to have learned a thing or two from Ashleigh Gunter about change management that avoids this disruption label. Ashleigh Gunter is president of Translucent Healthcare Consulting. She also is an expert in change management as aforementioned and how to help align employees and staff so that an organization can move forward together. According to Ashleigh, there's five steps to effective change management that will ensure success: Having great leadership Creating a case for the change Finding champions, engaging people who have to change so that they can contribute and be supportive Overcommunicating Measuring how things are going and also celebrating small triumphs You can learn more at translucenthc.com.  Ashleigh Gunter, president of Translucent Healthcare Consulting, combines her experience, an understanding of organizational culture, and a practical mindset to meet her clients' needs. With over 30 years of management consulting experience, Ashleigh has deep expertise in advising in the dramatically changing healthcare market. Ashleigh specializes in helping her clients drive change within their health plans, resulting in increased employee engagement, improved human resources experience, and reduced cost for both the employer and the employee. She believes in challenging the status quo by creating direct relationships between employers and providers. Ashleigh has been a key contributor to several community-owned health plans in states from Washington to Virginia and has been credited with being key to employee participation and support of the plans. In working for Andersen Consulting/Accenture, Deloitte Consulting, and The Gunter Group, Ashleigh has provided advice and consulting support to Fortune 100 C-suite executives over her career. She has an MBA with a focus in strategic management and organizational change from the University of Texas at Austin and a bachelor's degree in business administration from the University of Denver with a concentration in finance. 07:46 How does change management go wrong in healthcare? 08:27 “Communication [of change] in and of itself isn't change management.” 10:03 What is change management? 11:06 What does great leadership look like in change management? 12:29 “Leadership sets the tone.” 12:38 What makes change management so hard? 13:27 “What's the company reason to make this change happen?” 15:57 What are change champions, and why do you need to create them when changing your benefit plan? 19:18 Why is it important to overcommunicate change? 22:46 Why is it important to measure your successes and communicate those after a change? 24:14 How does change management work on the provider organization side? 28:53 “You want to ensure you are educating the operational folks.” You can learn more at translucenthc.com.  Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast How does change management go wrong in healthcare? Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast “Communication [of change] in and of itself isn't change management.” Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast What is change management? Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast What does great leadership look like in change management? Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast “Leadership sets the tone.” Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast What makes change management so hard? Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast “What's the company reason to make this change happen?” Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast What are change champions, and why do you need to create them when changing your benefit plan? Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast Why is it important to overcommunicate change? Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast Why is it important to measure your successes and communicate those after a change? Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast How does change management work on the provider organization side? Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast “You want to ensure you are educating the operational folks.” Ashleigh Gunter of Translucent Healthcare Consulting discusses #benefitdesign and #deliverymodels on our #healthcarepodcast. #healthcare #podcast   Recent past interviews: Click a guest's name for their latest RHV episode! Doug Hetherington, Dr Kevin Schulman, Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert, Jeb Dunkelberger (EP360), Dan O'Neill, Dr Wayne Jenkins, Liliana Petrova, Ge Bai, Nikhil Krishnan, Shawn Rhodes, Pramod John (EP353), Pramod John (EP352), Dr Eric Bricker, Katy Talento, Stacey Richter (INBW33), Stacey Richter (INBW32), Dr Steve Schutzer (Encore! EP294), Lisa Trumble, Jeb Dunkelberger, Dr Ian Tong, Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby