Podcasts about Providers

Welcome to this episode of The New Warehouse Podcast, where Kevin chats with Rodney Galeano, Founder and CEO of Loki 3PL. Loki 3PL helps importers distribute and fulfill products across the United States, supporting both B2B and e-commerce operations. Since launching the company just a year and a half ago, Rodney has grown the business into a new 100,000-square-foot facility in East Brunswick, New Jersey. In this conversation, he shares down-to-earth lessons from scaling a 3PL, what brands should look for in a logistics partner, and why customer service remains the most important differentiator in a crowded market.Learn more about our sponsor Dexory's Storage Health here. Follow us on LinkedIn and YouTube.Support the show

Dr. Katherine Quesenberry, chief medical officer at the Animal Medical Center, joins us for our "Mistakes Happen" series this week.In this series, we are talking with brave colleagues about the parts of their career stories no one likes to talk about. We hope that this series empowers you to share more openly about your own mistakes— both for your benefit and for the benefit of those around you— and gives you some ideas on how to approach future mistakes more positively based on the stories you hear.Thank you to our podcast partner CareCredit. You can learn more about Veterinary Patient Financing for Providers through CareCredit by visiting: https://www.carecredit.com/providers/animal-healthcare/Remember, we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.org.Follow us on social media @AVMAVets #MyVetLife #MVLPodcast

In this MedAxiom HeartTalk, host Melanie Lawson, MS, sits down with Maureen Knechtel, DMSc, PA-C, academic coordinator and associate professor of physician assistant studies at Milligan University, and Jerry Blackwell, MD, MBA, FACC, president and CEO of MedAxiom. They challenge the idea that onboarding begins and ends with orientation, revealing a gap many organizations don't recognize until it's too late. Their conversation explores what it takes to develop APPs with intention and set them up for long-term success.

#126: The One Marketing Strategy That's Working For Teeth Whitening Providers In 2026 (Do This Now!) Whitening Wednesday; the only podcast dedicated to professional teeth whitening

CMS continues to pull on the levers it has at its disposal to rein in national healthcare spend, including rulemaking around Medicare Advantage. In April, CMS announced the final rate for MA plans for CY2027, after a controversial proposed rule generated animated pushback — and a fair bit of panic — among payers. In this episode, host Abby Burns speaks with Alex Balmes, Vice President of Actuarial Services at Optum, to unpack what did — and didn't — end up in the final rate announcement, and what that signals for the future of the Medicare Advantage program. Together, they explore the components of the final rate that are most important for payers and providers to pay attention to, respectively, and why. Also in the 2027 final announcement, but not discussed in this episode: four measures are being added or updated in Star ratings calculations (Colorectal Cancer Screening; Care for Older Adults – Functional Status Assessment; Concurrent Use of Opioids and Benzodiazepines (COB); Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)) and three are being removed (Care for Older Adults – Pain Assessment, Medication Reconciliation Post-Discharge, Medication Therapy Management (MTM) Program Completion Rate for Comprehensive Medication Review (CMR)) We're here to help: Read the 2027 CMS Announcement | 2027 | CMS Episode | 286: A Medicare Advantage reset — and what comes next Ready-to-Use Slides | Medicare Advantage market outlook Stay informed | Healthcare policy updates Tool | Policy Scenario Impact Calculator Connect with an Optum Advisory expert | Optum Learn more about Advisory Board's 2026 summit series. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

There's a quiet battle taking place, with no field hospitals for the sick and wounded, and no bloodshed.But the stakes are high, and the losses are unforgiving.It's the battle of algorithms.Employed by both payers and providers, the ultimate prize: money, in the form of reimbursement from submitted claims for medical care. Payers deny and recoup. Providers bill as margins shrink.During the next live edition of the ever-popular Talk Ten Tuesdays broadcast, senior healthcare analyst Frank Cohen, himself a veteran of algorithmic warfare, will escort you behind the front lines and into war rooms, so that you will have a better understanding of what is contributing to rising medical costs. Cohen's three-part article series on ICD10monitor.com begins this coming Tuesday.Other well-known subject-matter experts will also join the broadcast with more news to report, including the following:• POV: Penny Jefferson, cohost of Talk Ten Tuesday, will share her point of view (POV) during the broadcast.• CDI Report: Cheryl Ericson will provide an update on all things clinical documentation integrity (CDI).• The Coding Report: Christine Geiger will report on the latest coding news.

In this episode of MSP Business School, host Brian Doyle engages in a dynamic discussion with John Harden, a pioneer in the AI realm within the MSP industry. With an impressive 17-year tenure in the sector, John Harden brings an expert perspective on the rapid evolution of AI technology. As MSPs grapple with AI's practical applications and benefits, Harden provides insights into achieving scalability, responsibility, and repeatability with AI solutions. John also shares his experience of launching Lemhi, a new venture focused on guiding MSPs to effectively harness AI for service improvements and operational excellence. John Harden and Brian Doyle highlight how AI is transforming the landscape for MSPs. Through engaging dialogue, they discuss tooling, responsible deployment, and strategic implementation of AI to boost client relations and service offerings. They emphasize the importance of establishing a repeatable sales motion and developing a robust, manageable AI framework. Harden's Lemhi is positioned to directly address this by providing the necessary resources and expertise to integrate AI into MSP operations effectively, focusing on incremental value creation across all levels of client relationships. Key Takeaways: AI Strategy and Deployment: Successful AI integration requires repeatable, responsible, and scalable strategies, as articulated by John Harden based on his extensive research and experience. MSP Transformation: MSPs have an unprecedented opportunity to evolve into Managed Intelligence Providers, offering AI-driven solutions that enhance service offerings and deepen client engagement. Project vs. Ongoing Engagement: Rather than viewing AI implementations as one-off projects, MSPs can achieve greater value by adopting a continuous, relationship-focused approach that caters to individual job roles within client organizations. Lemhi's Offering: The launch of Lemhi aims to help MSPs initiate a repeatable sales motion around AI, supporting them with tools and frameworks for effective AI rollout and management. Open Engagement Opportunities: John emphasizes building in collaboration with design partners and actively encourages MSPs to engage with Lemhi for better alignment and co-development. Guest Name: John Harden LinkedIn page: https://www.linkedin.com/in/john-harden/ Company: Lemhi Website: https://www.lemhi.com/ Show Website: https://mspbusinessschool.com/ Host Brian Doyle: https://www.linkedin.com/in/briandoylevciotoolbox/ Sponsor vCIOToolbox: https://vciotoolbox.com

Childcare seems to be a constant issue for parents around the country, but while most are focused on the price of care, some parents are finding créche closures becoming increasingly common.Joining Ciara to discuss this is Elaine Dunne, the Chairperson of the Federation of Early Childcare Providers and a parent who has experienced repeated closures…

Post Partum Support InternationalGet HelpCall the PSI HelpLine:1-800-944-4773#1 En Español or #2 EnglishText “Help” to 800-944-4773 (EN)Text en Español: 971-203-7773Key TakeawaysScreening should occur at every touchpoint—first prenatal visit, all trimester visits, postpartum office visits, pediatric appointments, and WIC offices—with the goal of education and normalization rather than diagnosis alone.Providers must have helpline/hotline numbers, discussion tools, magnets, and cards readily available in offices and hospitals; free resources eliminate barriers to referral and support.Birth trauma is common and distinct from postpartum depression; providers should validate patient experiences, apologize for disappointing outcomes, and refer to trained PTSD therapists rather than attempting therapy themselves.Expectant families benefit from fourth trimester education covering visitor management, meal preparation, sleep expectations, and emotional changes; this preparation reduces postpartum shock and improves mental health outcomes.PSI's comprehensive infrastructure—including peer mentors, support groups (50+ in English, 28+ in Spanish), psychiatric consult lines, and specialized coordinators—provides accessible, free support for diverse perinatal mental health needs.Quotable Moments"Screening is only a piece of paper. And what it's really about is education, referral, and treatment.""One in five to seven women and one in 10 men will get depression or anxiety or any of the symptoms that we talked about in podcast one.""I'm so sorry that that turned out that way. We're both sorry. I'm sorry that that happened to you.""You're not alone. You're not to blame. And with the proper treatment, you will be well.""We don't talk about it, right? That's something we prepare for labor and delivery, for pushing and breathing. We don't think one secondbeyond when that baby's born."Show Notes by Barevalue.No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

Could you imagine working in a rural location where access is truly a lifeline for people? Today's guest is April Erickson, DNP, CRNA, an ​Alaska ​based ​nurse ​anesthesiologist ​and ​anesthesia ​medical ​director ​with ​more ​than ​15 ​years ​of ​experience ​in ​rural ​independent ​practice. Sharon and guest host Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN, sit down with April to discuss frontier medicine, independent practice, leadership, and what it truly means to provide care where access is critical but not guaranteed. Here's some of what you'll hear in this episode:

Forest Service officials say the Birch Bay wildfire burning a few miles northwest of Ely is now 30 percent contained.The Minnesota Department of Human Services has disenrolled sixty percent of providers from 14 high-risk Medicaid programs.Those stories and more in today's evening update from MPR News. Hosted by Emily Reese. Music by Gary Meister.

Dr. Jim Orsini, an associate professor of surgery at the University of Pennsylvania and co-editor of Equine Emergencies and Comparative Veterinary Anatomy: A Clinical Approach, for our "Mistakes Happen" series this week.In this series, we are talking with brave colleagues about the parts of their career stories no one likes to talk about. We hope that this series empowers you to share more openly about your own mistakes— both for your benefit and for the benefit of those around you— and gives you some ideas on how to approach future mistakes more positively based on the stories you hear.Thank you to our podcast partner CareCredit. You can learn more about Veterinary Patient Financing for Providers through CareCredit by visiting: https://www.carecredit.com/providers/animal-healthcare/Remember, we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.org.Follow us on social media @AVMAVets #MyVetLife #MVLPodcast

Multiple Minnesota disability and addiction recovery services providers are scrambling to figure out what's next after they received notice on Monday they were removed from 14 high-risk Medicaid programs.The removal came from a state Department of Human Services process to revalidate 5,000 providers by May 31. DHS was required to do so through an agreement between the state and the federal government's Center for Medicaid Services, which was part of the Trump Administration's campaign to address fraud in Minnesota.Jordan Hansen, CEO of YourPath, an addiction recovery services provider and Cari McCann, executive director of Great River Homes, which provides care to individuals with disabilities, say their organizations were kicked off of the Medicaid programs. They joined MPR News host Nina Moini to talk about what comes next.Read more at MPRnews.org.

Myths and misconceptions related to the surgical risks of deep brain stimulation (DBS) procedures remain common despite many years of evidence demonstrating its relative safety. This leads to both patient and provider fear in referring eligible patients for consideration of a potentially life-altering therapy for symptom management in many movement disorders. Dr. Mitra Afshari speaks to functional neurosurgeon, Dr. Chengyuan Wu, about a recent large retrospective study he conducted comparing risks of DBS surgery to other common elective surgeries. They also bring in the perspective of DBS specialist, Dr. Delaram Safarpour, who recently published expert consensus recommendations for referral of Parkinson's disease patients for DBS. Listen in on the lively discussion of how we can reframe this conversation with our patients and colleagues. Read the article.

#123 Whitening Wednesday Podcast- The only teeth whitening podcast | Clinical Series Can Teeth Whitening Providers Really Be Marketed as "Organic" or "Holistic"? Compare science and truth on what whitening gels are really made of in the North American market. Read Full article here Sponsor: Fern Whitening Supplies Find the top rated teeth whitening prep steps in the Prep collection Work With Me: Ready to level up your whitening business? Ask me a question! The Whitening Hotline is now open: here

CMS Hospice & Home Health Moratorium: What CHAP Knows So Far – CHAP is updating this page as frequently as possible based on official CMS guidance and publicly available information.We break down the May 13, 2026 National Home Health and Hospice Enrollment Moratorium and what it means for Medicare-certified providers trying to enroll, expand, or change ownership. We also share what we expect CMS and state agencies to scrutinize next and how strong compliance and quality programs keep you ready. • why the moratorium timing feels sudden but predictable amid fraud and abuse enforcement • what “received before May 13” means for CMS-855A applications, branches, and practice locations • how nationwide coverage prevents providers from relocating to bypass restrictions • what still moves forward, including certain address changes and ownership changes that do not trigger initial enrollment • why the 36-month rule and CMS denial authority still create risk even for pre-May 13 submissions • how long the moratorium lasts, how extensions happen, and why history suggests planning for renewals • what CMS says about beneficiary access and how that may shape next steps • how states may respond on Medicaid and CHIP, including early state-level action • why licensure is separate from Medicare certification and what market-entry alternatives may exist • how existing providers can use the pause to strengthen compliance, quality metrics, and differentiation We will at CHAP will be keeping you updated via our new webpage that's dedicated to the Home Health and Hospice Moratoria. Make sure that you stay tuned not only to special email blasts and information that's posted on the page, but to our compliance monitor.Visit our websiteConnect with us - LinkedIn, Twitter, YouTube, FacebookMake Lives Better

Artificial intelligence is changing the way we work, learn, create, communicate, and do business.In this episode, Ashley explores why human connection, discernment, trust, touch, and lived experience may become some of the most valuable assets in the coming decades. Drawing from nearly 20 years as a licensed aesthetician, educator, mentor, and business owner, she shares a nuanced perspective on the future of aesthetics, entrepreneurship, and human-centered work in an increasingly digital world.A conversation about why the providers who learn to leverage technology while remaining deeply human may be uniquely positioned to thrive.Research & Studies ReferencedHarvard Study of Adult DevelopmentOne of the longest-running studies on human wellbeing, happiness, and longevity. Researchers found that strong relationships are among the most significant predictors of long-term health and life satisfaction.https://adultdevelopmentstudy.orgThe U.S. Surgeon General's Advisory on Loneliness and Social ConnectionFormer Surgeon General Vivek Murthy's report examining loneliness as a public health challenge and the importance of meaningful human connection.https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdfJulianne Holt-Lunstad's Research on Social Connection and MortalityResearch demonstrating that social isolation and loneliness are associated with increased risk of premature mortality and adverse health outcomes.https://pubmed.ncbi.nlm.nih.gov/25910392/Touch Research InstitutePioneering research examining the effects of touch on stress reduction, mood, cortisol levels, immune function, and overall wellbeing.https://med.miami.edu/touch-researchOxytocin and Human Bonding ResearchOverview of research examining oxytocin's role in trust, social bonding, connection, and emotional regulation.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183515/Therapeutic Alliance and Health OutcomesResearch showing that the quality of the provider-patient relationship can significantly influence treatment adherence, patient satisfaction, and health outcomes.https://jamanetwork.com/journals/jama/article-abstract/2769474Polyvagal Theory and Nervous System RegulationStephen Porges' work exploring how safety, connection, and co-regulation influence the autonomic nervous system.https://www.polyvagalinstitute.orgThe Experience EconomyThe groundbreaking work by B. Joseph Pine II and James H. Gilmore explaining why consumers increasingly value experiences, personalization, transformation, and human connection.https://www.hbs.edu/faculty/Pages/item.aspx?num=30784Mentioned in This EpisodeSlow Flow + Sculpt WorkshopAshley's signature hands-on facial massage training designed to help providers elevate their touch, treatment flow, client experience, and results.Virtual MentorshipAvailable as single strategy sessions or ongoing mentorship for licensed aestheticians seeking support with treatment development, client experience, business strategy, branding, pricing, and growth.Golden Touch WorkshopAshley's invite-only, immersive two-day experience focused on treatment design, protocol development, client experience, menu creation, marketing, partnerships, and business growth.Connect with AshleyInstagram: @agelessashleyIf this episode resonated with you, please share it with a fellow aesthetician, educator, healer, or entrepreneur.Private Hands-On Advanced Facial Training & Virtual MentorshipJune 14th 2026 Slow Flow & Sculpt 1 Day Workshop in Orange County, CA // Registration Closes May 15th 20262-Day Intensive Golden Touch Workshop ApplicationWorkshop & Retreat WaitlistFree Golden Experience Guide Monthly Publication

There is a particular kind of authority that comes only from having been inside something for fifty years — from having seen it at its best, trained its practitioners, published its science, and then watched it hollow itself out from within.Dr. Peter Kowey has that authority. He holds the William Wickoff Smith Chair in Cardiovascular Research at the Lankenau Institute for Medical Research, is a professor of medicine and clinical pharmacology at Thomas Jefferson University, and spent years as chief of cardiovascular diseases at the Lankenau Heart Institute. He has published more than 450 scientific papers, trained hundreds of cardiology fellows, and served on FDA advisory panels. He has also, in the past several years, become someone who cannot stay quiet.His new book, Failure to Treat: How a Broken Healthcare System Puts Patients and Providers at Risk, is built from twenty short stories — each a fusion of real composite cases, each naming a different fracture in American medicine. Fragmented care with no coordinating physician. An electronic medical record redesigned to serve billing rather than patients. Defensive medicine that orders unnecessary tests because the malpractice system makes not ordering them dangerous. Private equity that purchases hospitals to strip and sell them. Primary care physicians asked to address four chronic conditions, review a medication list, conduct an exam, and dictate a note — in ten minutes.The book was born from a charge. Kowey's mentor was Dr. Bernard Lown: Nobel Peace Prize laureate, inventor of the defibrillator, one of the most morally serious physicians of the twentieth century. When Lown himself became a patient near the end of his long life, he encountered fragmented care, indifferent nurses, and cavalier doctors. He lived to 99, but not easily. In the years before his death, he told Kowey: "I'm really relying on you to try to do something about this."In this conversation, Kowey does not soften the diagnosis. The current administration, he says, has taken a broken system and made it exponentially worse: NIH funding running at half last year's levels, the CDC's expert panels cleared of independent scientists, vaccine skepticism in positions of authority, and cuts to Medicaid, Medicare, and veterans' healthcare that will take years to repair even if reversed tomorrow. He is blunt about what the fix requires: universal coverage, a salaried physician model, restored professional status for nurses, and loan relief tied to primary care service.He also holds out something harder to sustain than outrage: genuine hope. The people who go into medicine still go into it to help. That instinct, he believes, will outlast the systems that are trying to exploit it.The book is available on Amazon and wherever books are sold.Website:peterkoweyauthor.comIn this episode:Why fragmentation of care is the single most dangerous feature of modern American medicineHow the electronic medical record became an instrument of billing rather than careDefensive medicine, malpractice reform, and the billions they costPrivate equity in healthcare and the creation of hospital desertsThe ten-minute primary care visit and why physicians are leaving the fieldDirect-to-consumer drug advertising: the United States and New Zealand against the worldNIH, CDC, vaccines, and the public health erosion under the current administrationThe case for universal healthcare — and what getting there actually requires

SummaryIn this episode of The Compliance Guy, Sean Weiss and Terry Fletcher discuss various compliance issues related to audits, medical necessity, and the importance of thorough documentation in healthcare. They engage in a role play to illustrate common pitfalls in audits, emphasizing the need for physicians to conduct appropriate examinations and maintain accurate records. The conversation also touches on the impact of electronic medical records (EMR) and artificial intelligence (AI) on healthcare practices, highlighting the risks of relying on outdated or incorrect information. The episode concludes with a call for healthcare providers to take responsibility for their documentation and patient care.TakeawaysAudits often reveal common sense oversights in healthcare practices.Physicians must understand the difference between hospital-based and private practice standards.Medical necessity is crucial for justifying patient evaluations and management services.Technicalities in documentation should not overshadow clinical responsibilities.Inaccurate or outdated information in EMRs can lead to significant risks in patient care.Providers should not rely on loopholes in guidelines to justify their actions.The importance of a medically appropriate history and examination cannot be overstated.Documentation should reflect current patient status, not historical data.AI and EMR systems can exacerbate existing documentation issues if not managed properly.Healthcare providers must prioritize accuracy and thoroughness in patient evaluations.

Dr. Courtney Campbell, a board-certified small animal surgeon, practice owner, author, and media correspondent, opens the personal stories for our "Mistakes Happen" series this week.In this series, we are talking with brave colleagues about the parts of their career stories no one likes to talk about. We hope that this series empowers you to share more openly about your own mistakes— both for your benefit and for the benefit of those around you— and gives you some ideas on how to approach future mistakes more positively based on the stories you hear.Thank you to our podcast partner CareCredit. You can learn more about Veterinary Patient Financing for Providers through CareCredit by visiting: https://www.carecredit.com/providers/animal-healthcare/Remember, we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.org.Follow us on social media @AVMAVets #MyVetLife #MVLPodcast

In this episode of the ABA Business Leaders Podcast, April Smith speaks with Melanie Thurston and Amanda Williamson, BCBA, about one of the most important factors in successful ABA therapy: strong parent-provider relationships. The conversation explores how ABA providers can communicate more effectively with families, build trust with parents navigating an autism diagnosis, and better understand what families truly want from therapy. Melanie and Amanda share practical insights for BCBAs, clinic owners, and ABA professionals looking to create more compassionate, collaborative care experiences. How can ABA providers build trust with parents? ABA providers can build trust with parents through transparent communication, empathy, and understanding. Families want to feel heard, respected, and included in the treatment process. Each family is different, and considering these differences is crucial for maintaining a strong working relationship with families.  Why is parent communication important in ABA therapy? Strong communication helps ensure consistency between therapy sessions and home life, improves caregiver confidence, and creates stronger long-term outcomes for children receiving ABA services. What questions should BCBAs ask families? BCBAs should ask families about their priorities, concerns, routines, stressors, and long-term goals. At the same time, not starting immediately with goals can avoid initial overwhelm, when a family is coming to terms with a diagnosis. About the ABA Business Leaders Podcast The ABA Business Leaders Podcast is hosted by April Smith and Stephen Smith of 3 Pie Squared, experienced ABA entrepreneurs who built, scaled, and exited a seven-figure ABA practice. The podcast helps ABA business owners and clinicians grow sustainable organizations, improve operations, and deliver high-quality care. Resources & Links Business Essentials List https://www.3piesquared.com/blog/the-essential-list-for-a-successful-business_24 ABA Business Leaders Support Group https://forms.office.com/r/LLpAHCXUN8 Schedule a Consultation with Stephen https://3piesquared.com/stephen-booking-page Free ABA Business Readiness Assessment https://3piesquared.com/aba-business-readiness-assessment ABA Billing Tips Guide https://3piesquared.com/productDetails/ABA_Billing_Tips ABA Business Leaders Podcast CEUs https://3piesquared.com/productDetails/ABA_Business_Leaders_Podcast_CEUs Have a question for Stephen and April? Call the ABA Business Leaders Hotline: (737) 330-1432 This podcast was produced by Max McLellan of MKM Audio. Want to start or grow a podcast for your business or brand? Reach out here: https://www.mkmaudio.com/contact 

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The episode details a tightening regulatory environment driven by new enforcement timelines for Cybersecurity Maturity Model Certification (CMMC), altering how MSPs and IT service providers are expected to deliver both compliance and operational services for U.S. defense contractors. Structural pressure stems from the Department of Defense making CMMC Level 2 compliance a contractual mandate for approximately 300,000 defense contractors, shifting risk and accountability towards providers who manage compliance workflows, technical environments, and client behaviors. C3 Integrated Solutions and their dual CMMC Level 2 certifications exemplify this transition, with clear implications for co-ownership of compliance outcomes and increased scrutiny on provider practices. The most consequential development is the substantial gap between compliance requirements and the current readiness of the defense contractor base. As of early 2026, only around 8% of contractors have obtained CMMC Level 2 certification, despite enforcement being implemented in contracts starting in November of the same year, according to Dave and Jason. Challenges arise from cost, organizational bandwidth, and complexity, with MSPs serving as pivotal partners to small subcontractors lacking in-house resources for process documentation and change management. Assessment scheduling bottlenecks and insufficient documentation are delaying certifications, increasing risk that many contractors and their service partners will miss the rapidly approaching deadlines. Related developments reinforce the central issue of operational risk and governance complexity. Jason Tierney illustrates the difference between technical compliance and true assessment readiness, citing real-world examples where insufficient evidence and poor understanding of process details lead to significant assessment delays. The rise of compliance-as-a-service offerings, enclave computing environments, and specialized governance tooling are attempts to address those gaps, but also introduce new layers of pricing, platform selection, and accountability concerns, especially when third-party tools fail to meet strict requirements such as FedRAMP moderate for handling sensitive data. For MSPs and IT leaders, the shift imposes higher barriers to entry, increased legal and contractual exposure, more rigorous documentation and process controls, and the need for customized delivery models that support both technical defenses and organizational behavior change. Providers must navigate conflicting requirements between specialized regulatory environments and multi-tenant tooling, manage escalating costs for both themselves and clients, and clarify responsibility boundaries in shared compliance scenarios. The requirement for human oversight—particularly in automated or AI-assisted compliance tooling—remains non-negotiable, reflecting the ongoing gap between technical implementation and credible assessment outcomes. Supported by:CometBackupMoovilaHaloPSA

Earlier this month, regulatory commissions in North and South Carolina approved a merger between the two energy monopolies that dominate electricity production and distribution in our state: Duke Energy Carolinas and Duke Energy Progress. The merger comes at a time of rapid consolidation in the energy industry. Indeed, even as the merger of the two Duke entities is moving forward, Florida-based NextEra announced that it is acquiring Dominion Energy, which serves part or northeastern North Carolina. So, what does all of this mean? What do the companies say about why it's taking place? What are the potential benefits? What are the potential concerns – both for residential consumers and the wellbeing of our environment as the effects of climate change grow ever-more concerning? Recently, to get a handle on these questions and some others of importance, Newsline had an extended conversation with the Director of Energy and Climate Policy at the Nicholas Institute for Energy, Environment & Sustainability at Duke University, Dr. Jackson Ewing. Click here to listen to the full interview with Dr. Jackson Ewing, Director of Energy and Climate Policy at the Nicholas Institute for Energy, Environment & Sustainability at Duke University.

Although Epic is a large, expensive product historically used by institutions with deep pockets, it is increasingly also the choice of community health centers, tribal health facilities, and other ambulatory practices. In our recent interview with two health IT leaders from Med Tech Solutions: Kaitlyn Nelson, Director, Strategic Accounts, and Imran Siddiqui, Chief Client Officer, we explore the process of adopting Epic even at these relatively smaller organizations.Learn more about Med Tech Solutions: https://medtechsolutions.com/Healthcare IT Community: https://www.healthcareittoday.com/

*TRIGGER WARNING* Chainsaw noise Chin calmness Jemma's cold Kids with colds Tourettes? Positive mood At home this week! Tess and Vernon  Life after kids Identity quest Providers anxiety Devil wears Prada Feminist film club  Successful ar*eholes? Special recording  Watch looking No encore! Busy Jemma  Eurovision  Aria awards Clothes shopping fail bwtbpod@gmail.com *This podcast contains NOSE BLOWING!!!! Learn more about your ad choices. Visit megaphone.fm/adchoices

The structural shift outlined in this episode is the rapid evolution of search and productivity interfaces from static query tools to agentic platforms capable of autonomous action, oversight, and automation. Companies such as Google are redesigning search at the interface level, integrating multimodal input and agentic workflows powered by AI models like Gemini 3.5 Flash. The dynamic is not competition at the model level, but rather a pivot toward which provider can offer policy enforcement, cost controls, compliance, and documented governance over increasingly complex agent-driven environments. The most consequential development is Google's redesign of its search box for the first time in 25 years, transitioning to an AI-powered, chatbot-style interaction that can process longer prompts, images, files, and monitor tasks directly within the browser. According to New York Times and Channel Life New Zealand, this change embeds AI agents as defaults in the workflow, underpinned by Google's commercial growth—ad clicks up by 6%, cost per click up 7%, with profits over $132 billion since 2022. The shift is visible in adoption data as well: ChannelDive reports Anthropic's Claude overtook OpenAI's GPT suite for business usage, while Gartner forecasts $2.59 trillion total AI spending in the year, but only $33 billion is model-specific. Supporting developments reinforce risk and operational complexity as AI transitions into core business processes. Channel-focused reports note that vendors are offering managed agent services, operational sandboxes, and white-label security operations to simplify agent deployment and lower entry barriers. OpenAI pitching “buy before you try” guarantees, and launches like Acronis Cyber Freight — promised as “predictable” and “protected by default” — reflect client demand for reliability over raw capability. Across these moves, partners and IT providers are being drawn into defining, monitoring, and governing the new automation layers, with increasing requirements for documentation, provenance, and workflow auditing. For MSPs and technology leaders, the operational implications are direct and substantive. The work now centers on defining governance frameworks—inventorying systems that can act autonomously, classifying authority and registration requirements, building audit trails, and delineating contractual boundaries for automation responsibility. Providers who approach this as standard support risk carrying unpriced operational and compliance burdens, especially in environments where unauthorized automations or unregistered connectors proliferate. The emergent requirement is to treat agent governance as a managed service, pricing it separately, and establishing clear evidence and escalation protocols to avoid absorbing blame and liability for automation-driven incidents. 00:00 Beyond Blue Links  04:30 Predictability Wins 06:39 Govern or Absorb 09:19 Why Do We Care?  Supported by:  Moovila ScalePad

What happens when anesthesia providers from around the world come together in one place? In this special recap episode of Beyond the Mask, Sharon is joined by Erin Foley, DNAP, MSNA, CRNA, FAANA, and TxANA Vice President Jennifer Andersen, MSNA, CRNA to look back on their experience attending the International Federation of Nurse Anesthetists (IFNA) Congress in Australia. Find out what we learned, what surprised us, and why these meetings matter so much to our profession. Here's some of what you'll hear in this episode:

Dr. Jen Brandt, AVMA's Director of Wellbeing, provides a research-based foundation for our exciting new series, "Mistakes Happen," on this week's show. She explores the neuroscience behind mistakes, explaining how our brains are wired to perceive errors as threats and how that impacts learning, resilience, and performance. Through personal stories and practical strategies, she helps us move beyond blame and toward meaningful improvement.For additional resources, browse the following titles on AVMA Axon:Self-Compassion for Veterinary ProfessionalsPsychological Safety: Heart of Successful TeamsRebuilding Self-Belief in Veterinary ProfessionalsAnd on Journey for Teams: What to Do When You Say the Wrong ThingSelf-AwarenessThank you to our podcast partner CareCredit. You can learn more about Veterinary Patient Financing for Providers through CareCredit by visiting: https://www.carecredit.com/providers/animal-healthcare/Remember, we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.org.Follow us on social media @AVMAVets #MyVetLife #MVLPodcast

As healthcare costs continue to rise, more patients are finding themselves navigating not just illness, but the growing complexity of paying for treatment. Specialty pharmacy sits right at the center of that challenge—often out of sight, but increasingly essential to how modern care actually works. These high-cost, high-touch therapies now make up more than half of total U.S. drug spending, despite representing only a small share of prescriptions, a shift that's reshaping how patients access and stay on treatment.Why has specialty pharmacy become the linchpin between access, affordability, and outcomes in modern healthcare?On this episode of I Don't Care, host Dr. Kevin Stevenson sits down with Grant Knowles, SVP of Clinical Services and Payer Strategy at Senderra Specialty Pharmacy, to unpack the evolving role of specialty pharmacy in improving patient outcomes. Together, they explore how clinical oversight, financial navigation, and emerging technologies are reshaping how patients access and adhere to life-changing therapies.Top insights from the talk…Specialty pharmacy goes beyond dispensing medication, serving as a central coordinator across fragmented healthcare stakeholders to manage complex therapies and patient needs.Financial toxicity remains one of the biggest barriers to adherence, with 23–25% of patients delaying or abandoning treatment due to cost pressures.Technology and AI are transforming patient engagement, shifting communication from phone calls to digital-first experiences while maintaining critical human touchpoints.Grant Knowles is a healthcare executive with over 15 years of experience across specialty pharmacy, managed care, and pharmaceutical operations, with expertise in business development, contracting, and supply chain strategy. He has held senior leadership roles, including SVP of Clinical Services and Payer Strategy at Senderra Specialty Pharmacy and executive positions at Ardon Health, where he led growth, operations, and industry partnerships. A managed care residency-trained pharmacist, Knowles is recognized for driving innovation, improving patient experience, and delivering sustainable growth in highly competitive healthcare markets.

The dominant structural shift highlighted in this episode is the migration of AI from experimental tools into directly embedded workflows within widely used small business platforms. Vendors like Anthropic, with its Claude for Small Business connectors to QuickBooks, HubSpot, Canva, Google Workspace, and Microsoft 365, are abstracting away technical complexity by offering concrete, prebuilt automations that address specific business processes. This embedding moves operational risk and ambiguity from model selection to the permissions layer, where control, oversight, and accountability become central concerns for providers supporting these environments. A key supporting development is Anthropic's rapid market penetration, with the VentureBeat-cited Ramp AI Index reporting 34.4% business adoption of Claude in the US—outpacing OpenAI's 32.3%. The implication, reinforced by research from the Global Technology Industry Association, is that AI service revenue is rising sharply, but only 30% of IT service providers in the UK and Ireland report fully integrating AI into their models. Simultaneously, governance gaps are being exposed: The Register notes user data may be employed for model training unless privacy settings are proactively changed, leaving operational risk exposed through default configurations. Additional developments reinforce the risk and accountability shift. OpenAI has established a subsidiary focused on direct deployments and implementation, seeking to guarantee quality and consistency in enterprise integration. CIO Dive references Palo Alto Networks research indicating 77% of CIOs claim AI risk management confidence, yet only 30% have real usage visibility, and 62% cite rogue agent concerns. The discussion connects these risks back to routine SMB operations, where AI-enabled workflows can act on core business data, increasing MSP proximity to liability and making explicit who controls connectors, permissions, and incident response documentation. For MSPs and IT service firms, the operational consequence is that supporting AI-enabled platforms now obligates them to establish and document governance, inventory, data access, and approval processes. Risk shifts from abstract model performance to concrete operational exposure, especially as AI systems interconnect with finance, identity, communication, and other high-stakes subsystems. Providers lacking scoped service definitions and contractual clarity face unpriced liability, while those that implement billable AI governance frameworks—such as audit templates, privacy reviews, and incident-ready contracts—are positioned to address demand from clients, auditors, and insurers. Neglecting these steps is likely to result in exposure to vendor-driven terms and diminished operational standing.   00:00 Workflow Takeover   04:20 Readiness Crisis 06:24 Govern or Expose 11:13 Why Do We Care?    Supported by:  NerdioScalePad 

In this episode of the IRH Clinician's Corner, we're presenting a special panel discussion from our recent Clinical Success Showcase event in January. With perimenopause and menopause becoming increasingly talked about—both in the clinic and in popular media—we've gathered a team of expert practitioners to share their best strategies for supporting women through these complex hormonal transitions. You'll hear from Master Restorative Health Practitioners Ellen Lovelace, Paige Reagan, and Ishbel Cavaleri, who bring decades of clinical experience and a deep understanding of foundational health. Together with moderator Kristin Whitaker, they'll dive into what makes perimenopause and menopause challenging to assess, practical frameworks for case assessment, key testing strategies, and how non-prescribers fit into collaborative hormone care. In this interview, we discuss:   How perimenopause and menopause symptoms are often amplified by things like blood sugar imbalance, gut dysfunction, inflammation, stress, poor sleep, and more. Why it's critical to address core lifestyle and physiological foundations first. How hormones fluctuate significantly during perimenopause, making symptoms, patterns, and clinical context just as important as test results. How symptoms like brain fog, anxiety, rage, body pain, sleep disruption, and heart palpitations are often dismissed as "normal aging" but deserve attention and support. How non-prescribing practitioners play an important role through education, lifestyle support, and collaboration with qualified medical providers. How to reframe menopause as a normal life transition that can be navigated with empowerment, education, and compassion. The Clinician's Corner is brought to you by the Institute of Restorative Health. Follow us: https://www.instagram.com/instituteofrestorativehealth/   This episode is brought to you by the Clinical Success Showcase, happening June 1–4 from the Institute of Restorative Health.  Join practitioners from across the industry for four free days of real clinical case studies, expert panels, and practical conversations designed to help you think more systematically and confidently in practice. From pediatric eczema and mood concerns to male hormones, complex chronic cases, and optimizing outcomes for clients on GLP-1 therapies, each session is built around real-world application you can actually use with clients. The Clinical Success Showcase is proudly brought to you by LeadCalculators, Evexia Diagnostics, MRT: A Superior Approach to Managing Diet-Induced Inflammation, and BetterBloodTest.com.  Register free and save your spot today. Timestamps:  00:00 Preview of Clinical Success Showcase 07:17 Meet the IRH leadership team 13:00 Understanding hormone imbalance challenges 18:55 Deciding when to test hormones 21:47 Discussing hormone fundamentals 27:37 Understanding hormone treatment challenges 33:55 Effects of menopause on the body 40:01 Creating support for menopause 45:15 Embracing self-care during perimenopause 49:20 Managing menopause symptoms 59:45 Discussing menopausal symptom management 01:01:42 Behind the scenes with practitioners 01:10:04 Hormone testing methods comparison 01:15:52 Understanding perimenopause and menopause 01:21:29 Integrating gut and hormone testing 01:23:31 Finding menopause practitioners 01:29:15 Importance of hormonal education Speaker bios:  Ellen Lovelace, MPH, FNTP, MRHP is a Master Restorative Health Practitioner and faculty member at the Institute of Restorative Health who brings nearly 20 years of experience in public health and functional nutrition. Paige Reagan, MRHP, FNTP is a Master Restorative Health Practitioner and faculty member at the Institute of Restorative Health who blends a background in clinical research and medical writing with expertise in functional nutrition.  Ishbel Cavaleri, MRHP, FNTP is a Master Restorative Health Practitioner and faculty member at the Institute of Restorative Health who specializes in hormone health through a gut-first approach.  Keywords:  perimenopause, menopause, hormone testing, HRT, bioidentical hormones, hormone imbalances, blood sugar, cortisol, adrenal health, GI map, Dutch test, functional health, root cause, liver detoxification, inflammation, nutrient deficiency, gut health, stress management, sleep disturbances, hot flashes, night sweats, joint pain, weight gain, PCOS, endometriosis, vaginal health, bone health, osteoporosis, estrogen dominance, progesterone Disclaimer: The views expressed in the IRH Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of the Institute of Restorative Health, LLC. The Institute of Restorative Health, LLC does not specifically endorse or approve of any of the information or opinions expressed in the IRH Clinician's Corner series. The information and opinions expressed in the IRH Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. The Institute of Restorative Health, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the IRH Clinician's Corner series. By viewing or listening to this information, you agree to hold the Institute of Restorative Health, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

Our guests this week are two accomplished sexuality professionals – Ms. Sue Goldstein and Dr. Irwin Goldstein. Ms. Sue Goldstein, a graduate of Brown University, is Sexuality Educator and Clinical Research Manager at San Diego Sexual Medicine (SDSM), responsible for sexual medicine educational programming and clinical research. She works with the SDSM team to develop clinical research projects, write protocols and oversee clinical trials. Ms. Goldstein co-authored When Sex Isn't Good to provide education and empowerment to women with sexual dysfunction. She is an associate editor of Textbook of Female Sexual Function and Dysfunction, and Female Sexual Pain Disorders, and author of multiple peer reviewed papers. Ms. Goldstein is past president of the International Society for the Study of Women's Sexual Health (ISSWSH). She served on committees in the International Society for Sexual Medicine (ISSM) and Sexual Medicine Society of North America (SMSNA). She is also a member of the American Association of Sex Educators, Counselors and Therapists (AASECT), the Association of Clinical Research Professionals (ACRP) and the International Society for Medical Shockwave Therapy. Ms. Goldstein, an ISSWSH Fellow, received the Distinguished Service Award from ISSWSH in 2017 as well as from SMSNA in 2017, and along with her husband, the Transformatory Team Award from ISSM in 2024. Dr. Irwin Goldstein has been involved with sexual dysfunction research since the late 1970s. He has authored more than 380 publications as well as multiple book chapters and edited 7 textbooks in the field. His interests include surgery for dyspareunia, sexual health management post cancer treatment, persistent genital arousal disorder/genital dysesthesia, physiologic investigation of sexual function, and diagnosis and treatment of sexual dysfunction in all genders. Dr. Goldstein is Director of Sexual Medicine at University of California San Diego East Campus, and sees patients in his private practice, San Diego Sexual Medicine. He is a Clinical Professor of Urology and Voluntary Clinical Professor of Obstetrics, Gynecology, & Reproductive Sciences at University of California San Diego. He is past Editor-in-Chief of the International Journal of Impotence Research, The Journal of Sexual Medicine, and Sexual Medicine Reviews. He is Past President of the International Society for the Study of Women's Sexual Health (ISSWSH) and the Sexual Medicine Society of North America (SMSNA). He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein in 2009 in recognition of his lifelong contributions to the field, in 2012 he received the ISSWSH Award for Distinguished Service in Women's Sexual Health, in 2013 he received the Lifetime Achievement Award from the SMSNA, and in 2014 he received the Lifetime Achievement Award from the International Society for Sexual Medicine (ISSM). He is happily married to his college sweetheart Sue, and together they have three children and five grandchildren. Sue and Irwin Goldstein have been titans in the field of sexology for some time now; they were there on May 14, 1998 when the first article on sildenafil (Viagra) was published with Irwin Goldstein as the first author. Listeners, if you would like to reach out to Ms. Sue Goldstein and/or Dr. Irwin Goldstein, check out the San Diego Sexual Medicine website! If you want to catch up on other shows, just visit our website and please subscribe! We love our listeners and welcome your feedback, so if you love Our Better Half, please give us a 5-star rating and follow us on Facebook and Instagram. It really helps support our show! As always, thanks for listening!  

The episode highlights a structural transition from software systems that record tasks to platforms that actively participate in business decisions, particularly through agentic AI in procurement. This shift is anchored in the adoption of AI-driven SaaS solutions by mid-market organizations, as seen with Procurify, which reports managing over $100 billion in organizational spend. The mechanism moves beyond basic automation, assigning software agents responsibilities that were traditionally human—such as flagging compliance breaches or routing approvals—directly within operational workflows. According to Chad Gaydos, current deployments of such agentic AI commonly automate tasks like invoice detail verification, policy enforcement, and contract compliance. These developments are most prominent in mid-market environments, where limited staffing—sometimes with no dedicated procurement analysts—drives greater reliance on platforms to perform core operational functions. The focus is not on completely replacing personnel but on supplementing constrained teams and ensuring repeatable enforcement of controls, with organizations leveraging these systems to gain efficiency in both cost and process governance. Additional points discussed reinforce the central shift, such as the distinctive pace of adoption among mid-market firms compared to enterprises. He identifies that smaller organizations often approach these technologies with greater agility and willingness to accept risk, while also displaying heightened dependency on system trust and governance frameworks. The episode also references "frontier firms" co-defined by Microsoft and Procurify, characterized by their forward-leaning adoption of AI and structured standards for technological governance. Variability in governance, auditability, and trust across different organization sizes underlines the operational diversity in adopting agentic platforms. For MSPs and IT leaders, these shifts raise practical concerns around governance design, accountability for software-driven actions, and operational dependency on vendor platforms. Effective risk mitigation requires establishing audit trails, clear standards for automation versus human oversight, and robust compliance controls. Providers supporting mid-market clients should anticipate requests for prescriptive guidance on data and process governance, while also preparing for greater operational reliance on systems that automate, not merely record, business decisions.

Medication abortions now comprise up to an estimated two-thirds of all abortions in the U.S., and about a quarter of the mifepristone-misoprostol combination are prescribed via telehealth. Medication abortions are safe and effective when used within the first 12 weeks of pregnancy. Forty percent of all abortions occur at 6 weeks or less, another 38% between 7 - 9 weeks, and 14% between 10 - 13 weeks, according to the Guttmacher Institute.    Not having to visit a doctor in person to get the medication can make all the difference for access, particularly for those who are low-income or live in rural areas. Telehealth access to mifepristone was briefly paused after the state of Louisiana sued the FDA, saying its rules violated its total abortion ban.  On May 1, the 5th Circuit Court of Appeals granted Louisiana's request for a stay, which meant doctors could not prescribe the drugs via telehealth. But the U.S. Supreme Court blocked that stay, restoring the FDA’s rules while the Louisiana lawsuit continues.    Sara Kennedy the CEO of Planned Parenthood Columbia Willadrmette and an OBGYN, and Amy Handler is the CEO of Planned Parenthood of Southwestern Oregon. They join us to discuss the implications of this case—and the impact of the law signed this week by Gov. Tina Kotek to restore Planned Parenthood’s medicaid funding.

The core structural shift described in this episode is the integration of AI as an active workflow actor within managed service environments, not simply as an isolated tool. This mechanism alters the governance and accountability requirements for MSPs, as AI now interacts directly with core business platforms and operational data. Companies like Microsoft are embedding AI features—such as Copilot and a legal AI agent—across productivity and security environments, while reports from Axios Future of Cybersecurity and The Register highlight that AI activity is increasingly touching managed identity, email, data, and security infrastructures. The episode's primary evidence centers on the adoption of AI-driven productivity and legal tools within Microsoft 365, with broad rollout timelines targeting early June. Microsoft's deployment of legal AI agents in Word—as outlined by The Register and Thoreau—demonstrates that AI is being implemented to review contracts, draft language, and check citations, embedding itself into sensitive business workflows. Additionally, Proofpoint's formation of an MSP business unit around 365 security further reflects this shift, consolidating risk and workflow management where client data, identity, and security converge. Supporting developments reinforce this trend of workflow centralization and accountability ambiguity. Vendors are introducing dashboards—such as Anthropic's Claude code agent view—that offer improved visibility into AI-driven processes; however, as noted, visibility alone does not constitute governance. The emergence of platforms like Halo PSA and features from JumpCloud exemplify the market response, where vendors and MSPs are being forced to tighten control and monitoring around AI-driven work, including automation, ticketing, and remediation workflows. The episode notes that unmanaged automation creates governance risks that operators must close. The practical implication for MSPs is a set of new operational burdens: rising margin pressure from unpriced AI governance work, contract risk if responsibilities for AI-generated actions remain undefined, and new demands for auditability, evidence retention, and workflow documentation. Providers must build inventories not only of AI tools but also the workflows they touch, define explicit service scope, and establish pricing models for governance functions. The operational tradeoff is an increasing need for infrastructure and process maturity, as the expectation of transparent, accountable AI-driven work is now a baseline for client trust and risk management. 00:00 Managed AI Risk  03:50 Scope or Absorb 06:03 Four MSP Pressures 08:35 Why Do We Care?  Supported by:  MoovilaHaloPSA JumpCloud 

If you're making AI decisions, you have to understand where you're getting your intel from.

Dr. Mark Penning, Vice President of Animals, Science, and Environment at Disney Experiences, is our guest this week and the speaker for the 2026 AVMA Convention keynote, hosted by Hill's Pet Nutrition and AVMA PLIT and AVMA LIFE. Dr. Penning shares how a non-linear career path led him from veterinary practice in South Africa to overseeing animal care and conservation efforts across Disney Experiences. He reflects on leadership, teamwork, and the importance of creating a culture rooted in purpose and trust. He also offers a preview of the message he'll bring to the AVMA Convention keynote: that the skills veterinarians develop can open doors to extraordinary opportunities and meaningful impact.Thank you to our podcast partner CareCredit. You can learn more about Veterinary Patient Financing for Providers through CareCredit by visiting: https://www.carecredit.com/providers/animal-healthcare/Remember, we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.org.Follow us on social media @AVMAVets #MyVetLife #MVLPodcast

The central structural shift identified is the acceleration and scaling of cyber risks due to artificial intelligence, which turns formerly expert-driven security processes into repeatable, rapid workflows. Major threat intelligence units, including Google's Threat Intelligence group, are now documenting the use of AI in both identifying and weaponizing software vulnerabilities. The landscape is further shaped by the proliferation of AI-generated and AI-assisted online content, contributing to an environment where traditional verification and control mechanisms are less reliable. The episode presents concrete evidence: Google reported criminal hackers leveraging AI models—explicitly noting the use of non-Google technology—to discover a previously unknown zero day, while The Verge and Wired highlighted AI-assisted attempts to bypass multi-factor authentication and the impact of synthetic content even within cybercrime forums. Research covered by 404 Media documented that by mid-2025, a third of newly published websites were AI-influenced. These observed changes drive threat intelligence teams to treat AI as a working hypothesis in live investigations. Additional supporting developments reinforce the broadening security and operational impact. Tools such as Proofpoint's Prism Investigator and OpenAI's Daybreak show the push toward automated threat detection, investigation, and reasoning pipelines, altering expectations from detection to defensible reconstruction and evidence generation. Analysis of supply chain compromises—such as tampered software installers and malware leveraging already-exposed cloud systems—demonstrates how automation reduces defender response windows while increasing operational pressure on providers. Reports from Small Biz Trends and channel Life show significant implementation gaps, with only a minority of small businesses deploying password managers, and a wide disparity between optimism and readiness for AI-powered security. For MSPs and IT leaders, these trends tighten operational accountability. The tradeoff shifts from focusing on technology stacks to delivering concrete evidence of patch application, identity verification, data retention, and audit support. Providers face increasing pressure to standardize verification workflows, reduce patch validation cycles, and make evidence retention a default process. The operational complexity intensifies—either the MSP develops controls to govern automation and evidentiary rigor, or becomes the default risk absorber for ambiguous, fast-moving attack paths shaped by both client and attacker use of automation.   00:00 Zero-Day  04:06 Speed Gap 06:25 Prove It 10:27 Why Do We Care?  Supported by:  Moovila Zero Networks   

The episode reveals a structural shift in the technology landscape: artificial intelligence is becoming a new layer of managed consumption, with measurable impact on infrastructure, contract terms, and operational accountability. This shift is illustrated by leading technology platforms explicitly metering AI usage through compute tokens, storage footprints, and local model deployments. Companies such as Alphabet, Amazon, Microsoft, and Google are integrating AI not only as features but as quantifiable workload layers, leading to economic and governance questions regarding who controls consumption and who assumes the risk of overage or misuse. The most consequential development discussed is the rapid, capital-intensive scaling of AI infrastructure by leading hyperscalers. Alphabet raised its 2026 capital expenditure guidance to a possible $190 billion; Amazon's AWS revenues rose 28% year-over-year to $37.6 billion, with quarterly capital expenditures reaching $44.2 billion— both moves directly tied to AI infrastructure investments. At the same time, endpoint and storage vendors, such as Apple and Backblaze, are experiencing elevated demand from AI workloads. On the software side, companies like Anthropic are explicitly raising API rate limits and deploying features to formalize the measurement and orchestration of AI-driven processes. Supporting developments include the migration of management and control functions into enterprise platforms and endpoint environments. Microsoft Agent 365 is now broadly available, offering admins centralized policy controls over AI agents across cloud and local machines, with integration into Intune for granular restriction and monitoring. Google's Chrome browser now automatically downloads 4GB Gemini Nano models to support local AI functions, raising new operational considerations around storage, policy management, and user approval. These developments anchor the thesis that AI is no longer a passive toolset but a consumption and policy domain that requires active oversight. Operationally, MSPs and IT service providers face heightened exposure to contract and governance risk. The presence of invisible AI consumption— in the form of storage expansion, token overages, unauthorized agent actions, or degraded endpoint performance— requires explicit clauses in client agreements and new monitoring capabilities. Providers unable to demonstrate control over AI usage, policy enforcement, and exception handling may inherit both support burdens and unresolved liability. The practical implication is clear: future margins and contract viability will increasingly depend on the ability to meter, document, and govern AI-related activities, rather than simply enabling client access. 00:00 AI Infrastructure Surge  04:17 Control Layer Wins 06:41 MSP Liability Shift 10:50 Why Do We Care?  Supported by:  ScalePad CometBackup Moovila 

There's a lot happening right now in family child care. TK, CCPU union, low enrollment, transitions, burnout & side hustles. Providers  are trying to figure out what's next. Join me and my guess Family child care providers Tashina owner of Tiny Toes Learning Center and Katrina Williams owner of Baby on Wheels Family Child Care as we unpack it all. 

Leukemia expert Dr. Maximilian Stahl speaks with Dr. Eric Winer about all things leukemia including genetic disposition, environmental factors and what new research is revealing. Yale Cancer Center Visit: https://medicine.yale.edu/cancer/ Email: canceranswers@yale.edu Call 203-785-4095

The episode highlights a structural shift from traditional software licensing towards consumption-based AI billing, transforming AI adoption into a source of direct financial exposure and accountability. This mechanism is illustrated by Microsoft's new administrative controls for Copilot in Windows 11 and platform-wide integration efforts from vendors such as Apple and Amazon. The primary concern is no longer simply enabling access to AI tools, but managing their consumption, controlling costs, and clarifying responsibility for both outputs and consequences. The most consequential development centers around rapidly escalating AI costs and the difficulty organizations face in quantifying usage. According to reporting from The Information, companies such as Uber exhausted their 2026 AI budgets within months, with some daily usage costs reaching approximately $1,000 per user. Simultaneously, The Register cites a survey indicating that a majority of U.S. employees are skeptical about their employers adopting Microsoft's AI bundles, and many believe alternative tools suffice. Additionally, Apple's acceptance of a $250 million settlement regarding misleading AI claims signifies a shift from reputational to monetary accountability. Supporting developments further expose operational and governance challenges. Microsoft's 2026 Work Trend Index, cited by CNET and GeekWire, identifies a disconnect between employee pressure to use AI and leadership's lack of defined, standardized practices. Apple's movement toward a third-party extensions model and Amazon's integration of managed agents into Bedrock are designed to address platform coherence, yet they introduce dynamic complexity in model choice and cost accountability. Gartner's projections of rising IT spend tied to data center investments further reinforce the infrastructure burden associated with widespread AI adoption. For MSPs and IT service providers, these developments underscore the risks of treating AI as a standard application rather than a managed operational layer. Legacy service agreements rarely specify how AI-driven costs, data exposure, or automation errors are governed. Providers now face new expectations to separate access and licensing from governance, usage auditing, and policy enforcement. Those who adapt by offering discrete AI management services—covering monitoring, cost controls, workflow approvals, and incident review—can align compensation with responsibility, while others risk absorbing escalating vendor complexity and unreimbursed accountability within flat-rate agreements. 00:00 AI Bill Due  03:31 Culture Blocks AI 05:49 AI Accountability Gap 09:16 Why Do We Care?  Supported by:  Moovila HaloPSA 

The dominant structural shift addressed is the move of platform vendors away from competing on feature sets toward controlling the governance and billing layer that underpins managed services. This is evident in moves by Microsoft, AWS, and Kaseya, specifically with Microsoft's new licensing tier combining per-seat fees with consumption-based AI add-ons, AWS redefining managed services around agents, and Kaseya introducing action-based pricing for IT management. Analysts noted that these developments collectively place a consumption meter on previously flat-rate services, reconfiguring how MSPs and IT providers will be billed and held accountable. Primary evidence for this shift includes data from Omdia's channel media report and tracked M&A activity within the MSP sector. The report counted 169 MSP acquisitions in 2025, mirroring prior years' activity, yet identified that one acquirer—Evergreen Services Group—accounted for 47 deals, illustrating a concentration in acquisition strategies. Notably, 69% of publicly announced deals involved private equity, with the remainder pursued by independent operators. The North American channel media landscape saw significant contraction, with titles dropping from 29 to 18, despite stability in the global outlet count—attributed to both industry consolidation and AI-driven changes in content discovery. Supporting developments include growing use of AI in content production, leading to declining traffic for B2B publications as audiences increasingly access information through automated tools rather than direct visits. The rise of engagement-focused business models and shifts in acquisition criteria—such as Evergreen targeting founder-led MSPs—underscore evolving buyer strategies. Additionally, platform vendors are restructuring their product and pricing models around agent-driven and action-based billing, while shifting their external positioning to emphasize AI, intelligence, and cyber resilience. Operationally, MSPs and IT leaders face increased pricing and margin variability driven by emerging consumption-based licensing and AI service models. The historical per-user, per-month bundle is at risk as vendors experiment with new billing constructs, exposing providers to cost unpredictability and complicating client contracts. Providers lacking internal engineering or acquisition frameworks may be especially exposed, while consolidation and vendor dependency raise governance and accountability stakes. MSPs pursuing higher margin services, such as compliance or cyber resilience offerings, must prepare for new cost structures and intensifying pressure from both customers and vendors regarding efficiency, pricing, and service outcomes.Supported by:  Zero Networks Moovila   Upcoming event:  The Pivotal Point of IT: Building Services for the AI-First Era Date: May 13 at 1p.m. EDT Register: https://go.acronis.com/davesobelaiera

Dr. Rosemarie Rossetti, an expert in disability inclusion, universal design, and accessibility, is our guest on this week's episode. Building from last week's introduction to Journey for Teams 3.0, Dr. Rossetti gives us a preview of some of the principles and key takeaways from her THRIVE session, Championing Universal Design. She shares real-world challenges pet owners with disabilities face and outlines practical design changes that can make clinics more inclusive and easier to navigate, improving both patient care and the overall success of a practice.Visit https://www.journeyforteams.org/thrive/ to start your journey with the THRIVE sessions!Thank you to our podcast partner CareCredit. You can learn more about Veterinary Patient Financing for Providers through CareCredit by visiting: https://www.carecredit.com/providers/animal-healthcare/Remember, we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.org.Follow us on social media @AVMAVets #MyVetLife #MVLPodcast

Reporter, Sheila Naughton visits Bud's Meals on Wheels in Kerry to understand the struggles Meals on Wheels providers are currently experiencing.

The episode identifies a structural shift in how AI adoption is being managed within IT environments: control and accountability are now central concerns, overtaking simple discussions of AI usage or feature deployment. Shadow AI—unmanaged or improperly governed AI agents—has emerged as a tangible risk vector. Government entities, such as the White House, and technology vendors including Microsoft, Cisco, and OpenAI are framing AI not only as a productivity tool but increasingly as a source of operational and security liabilities that demand more robust oversight. A key example comes from an incident reported by TechRepublic in which an AI agent within a coding workflow deleted both a production database and its backups, resulting in a prolonged, business-impacting recovery from a three-month-old backup. In parallel, the Hacker News highlighted findings from scans of one million exposed AI services, characterizing the market's current AI security posture as lacking, with many endpoints widely reachable unintentionally. Microsoft's public transition of Agent365 from preview to release was directly tied to fears over the risks associated with shadow AI, indicating industry recognition of autonomous agents as a new attack surface requiring governance. Supporting developments further validate this trend. Cisco's open sourcing of AI Bill of Materials (BOMs) tools, Wiz's tracking of non-human identities tied to AI workloads, and OpenAI's rollout of advanced account security all signal a growing industry emphasis on making AI deployments auditable and restrictable. Practices such as phishing-resistant authentication—driven by token theft campaigns analyzed by Microsoft—and continuous permission monitoring, as advocated by Material Security, are now increasingly viewed as necessary safeguards rather than optional enhancements. Providers like Enforcer and products such as Copilot Manager are explicitly focused on surfacing shadow AI usage and enforcing credential discipline, underlining the growing demand for proof-of-controls. MSPs and IT service providers now face greater operational complexity and contract risk tied to AI automation. Client expectations are shifting from baseline AI access to demonstrable governance—requiring non-human identity inventories, documented permission boundaries, and validated recovery frameworks for AI-powered workflows. Token harvesting and persistent OAuth grants increase the likelihood that MSPs will be held responsible not just for prevention, but for rapid containment, rollback, and producing evidence during security incidents. Failure to meet tightened SLAs around backup immutability, authentication protections, and agent visibility could soon become a material contract exposure. 00:00 Agents Gone Rogue 03:50 Govern the Agent 06:24 MSP at Risk 09:54 Why Do We Care?  Supported by:  CometBackup ScalePad  Upcoming event:  The Pivotal Point of IT: Building Services for the AI-First Era Date: May 13 at 1p.m. EDT Register: https://go.acronis.com/davesobelaiera

"FAA's New Per-Pound Space Launch Fees." GUEST: Bob Zimmerman Bob Zimmerman explains new FAAregulations charging launch providers twenty-five cents per pound, funding the agency's expanding role in supervising orbital and beyond-Earth space traffic.

Dr. Latonia Craig, AVMA's Chief of Veterinary Engagement and Belonging, is our guest on this week's episode. She introduces us to the THRIVE Sessions, the latest installment of Journey for Teams, focused on transforming workplace culture in veterinary medicine. She shares how teams can move beyond awareness to address systemic disruptors, improve inclusion, and build a true culture of care. Learn practical, case-based strategies to create healthier, more engaged teams that benefit all of our veterinary lives.Visit https://www.journeyforteams.org/thrive/ to start your journey with the THRIVE sessions!Thank you to our podcast partner CareCredit. You can learn more about Veterinary Patient Financing for Providers through CareCredit by visiting: https://www.carecredit.com/providers/animal-healthcare/Remember, we want to hear from you! Please be sure to subscribe to our feed on Apple Podcasts and leave us a rating and review. You can also contact us at MVLpodcast@avma.org.Follow us on social media @AVMAVets #MyVetLife #MVLPodcast