Podcasts about Providers

A key structural shift identified is the growing governance gap created by AI agents that evade traditional detection and accountability measures. This challenge is exemplified by Meta's Muse and OpenAI agents, which do not self-identify during interactions. As a result, determining agent activity and risk now depends on disclosures by the developer rather than the asset owner or operator, limiting the visibility and control of MSPs and IT service providers.One consequential incident involved an OpenAI agent accessing both public and non-public files in the Australian government's health portal. The breach went unnoticed by government security for 54 days and was discovered during an internal OpenAI review, later reported voluntarily by the company. In retail, Amazon blocked Meta's Muse agent from its platform after it failed to identify itself and due to concerns about credential handling, according to statements cited by GeekWire. These events illustrate growing dependency on agent developers for incident discovery and disclosure.Supporting developments include findings from Akros Labs that current rules are insufficient to distinguish customers, attackers, or bots, due to agents blending in as typical browsers. VentureBeat surveys show a decline in proactive agent isolation and a rise in uncontained incidents, indicating operational drift toward default-permissive security settings. While new standards from NIST for short-lived tokens and upcoming agent identification protocols are developing, enforcement and utility remain incomplete.For MSPs and IT leaders, the immediate implication is the need to revisit client-specific controls. Default reliance on legacy bot rules increases undetected risk, while inaction effectively shifts governance to external agent vendors. Providers must decide whether to block all unauthenticated agent traffic—accepting potential business impact—or allow agents and rely on token expiration and allow-listing signed agents as standards evolve. Continuous monitoring and regular adjustment of controls are necessary to minimize harm when agent anonymity and developer-only surveillance persist.00:00 The Agent That Looks Like Chrome 04:41 Only The Maker Is Watching07:02 The Default Nobody Chose10:07 Why Do We Care?Supported by: Proofpoint GoTo(LogMeIn) NinjaOne On-Demand Webinar: https://go.businessof.tech/p/ninjaone-pod

https://missionprephealthcare.com/locations/california/rancho-palos-verdes-silver-spur-road/When a teen struggles with anxiety or depression, is it really just their treatment plan, or the whole family's? Experts say skipping family sessions could quietly undermine your teen's recovery. Here's why parents are the missing piece. Mission Prep City: San Juan Capistrano Address: 30310 Rancho Viejo Rd. Website: https://missionprephealthcare.com/

The ongoing adoption of AI in managed services is exerting downward pressure on service margins and changing how value is delivered and retained. According to discussion with Dr. Gleb Tsipursky and analysis of case studies such as ImageQuest, even MSPs serving small organizations (as few as 8-50 staff) must address this shift. AI-based automation and process optimization reduce the operational cost of service delivery but also risk eroding the provider's pricing power, forcing firms to reevaluate their growth and retention strategies.The episode details that AI projects frequently fail not due to technology gaps but because of organizational resistance and inadequate alignment with end-user workflows. Dr. Tsipursky cites research indicating that 95% of AI pilots fail to scale, and only a minority deliver measurable ROI . A referenced Stanford study found that companies successfully adopting AI increase headcount 6% faster and revenue 9% faster than their peers, though market share and profitability gains are realized by those able to overcome fear, identity threat, and social stigma among staff.Further examples highlight the risk of margin compression, such as law firms and other service organizations passing AI-generated cost savings directly to clients in the form of fee reductions (8-30%) . For MSPs, especially those on fixed-fee contracts, this competitive dynamic may lead to price-driven client churn unless operational efficiencies can be recaptured as profit or used to accelerate market share gains. The operational challenge is compounded by the need to retrain staff on natural language programming and prevent issues like "AI workslop," where poor-quality outputs from AI waste significant employee time.For MSPs and IT service leaders, the immediate implications are increased pressure to adopt AI for internal gains while managing associated risks to employee engagement, quality, and client retention. Providers must quantify and control the costs and benefits of AI usage, track operational metrics beyond simple time savings (such as deflection percentage and client satisfaction scores), and develop policies to address employee resistance, accountability for errors, and margin dilution. Failing to do so risks loss of market position to more adaptive competitors and exposes firms to both direct and indirect costs associated with ineffective AI integration.Supported by:HaloPSAUSecure

Advisers are increasingly looking beyond headline charges when selecting pension providers. In this episode of the FT Adviser podcast deputy news editor Sonia Rach chats to Amyr Rocha Lima, managing director at Strategic Wealth Partners, and Max Gist, head of business development at The People's Pension, about the latest trends in provider selection.The FTAdviser Podcast is designed to inform regulated UK advisers on a range of topics, covering investments, pensions, regulation and other key issues. Hosted on Acast. See acast.com/privacy for more information.

A growing shift is materializing in the IT services market as software vendors move away from traditional fixed software pricing and towards models based on AI token consumption, effectively redefining the sources of margin and exposing providers to variable cost structures. This transition is embodied by companies such as Flamingo, which has constructed an MSP software suite and prices access at $1 per device per month, including a token allotment, but whose actual profits—and partner costs—are derived from overage on AI token consumption. The fundamental mechanism is that margin is increasingly being earned from metered AI usage rather than the flat software license model that previously dominated the sector.The most consequential development highlighted involves Flamingo's approach: software fees serve primarily as an entry point, while ongoing, uncapped AI token consumption drives real costs for providers. According to Flamingo, most partners use 10 to 20 times their monthly token allocation, with the overage billed at rates that track costs from AI lab providers such as Anthropic and OpenAI. These rates are variable, not transparently published, and fluctuate as AI model costs change. Flamingo claims incremental margin via internal consumption efficiency, particularly as it plans to host its own models and increase token allotments without reducing partner pricing, consolidating margin from lowered costs.Additional evidence is provided by Integris, a private equity-backed MSP that launched a bundled AI service, Core, currently priced per seat or device despite the product's purpose being automation and labor reduction. Integris representatives indicated that no stable, customer-aligned outcome-based pricing model has emerged, a challenge echoed by other large MSPs and exemplified by Salesforce's challenges in usage and outcome-based AI billing. At every level—from the vendor building software on top of AI labs to the MSP implementing services for clients—pricing mechanisms remain unsettled, with risk of misalignment and unpredictability being pushed downstream.For MSPs and technology leaders, these developments introduce new operational risks, chiefly around cost forecasting, pricing transparency, and margin management. The shift to consumption-based and hybrid models increases the burden of monitoring both cost and value delivered from AI-powered services, while lack of clear, measurable outcome units limits the feasibility of outcome-based billing. Providers may find themselves forced to absorb cost variability while delivering fixed-fee services, or to renegotiate contracts and client expectations as variable pricing becomes standard. As AI-related spending rises and billing models remain opaque, effective governance, cost auditing, and risk management become central to sustainable operations. Supported by:GoTo(LogMeIn)ProofpointUSercure

ADHD and eating disorders often overlap in ways that treatment misses. For adults with late-diagnosed ADHD, chronic restriction, binge eating, bulimia, ARFID, food inconsistency, and repeated eating disorder relapse may reflect more than fear of food or resistance to recovery. In this solo episode, Dr. Marianne discusses how ADHD executive dysfunction, time blindness, hyperfocus, decision paralysis, sensory needs, emotional dysregulation, and difficulty recognizing hunger can interfere with eating disorder recovery. Knowing what to do does not always mean your brain can consistently organize and complete the steps required to do it. WHAT YOU'LL LEARN Learn why late-diagnosed ADHD can change how you understand a long-term eating disorder, including years of forgotten meals, accidental restriction, intense nighttime eating, rigid food rules, and difficulty maintaining progress after structured treatment ends. Dr. Marianne explains how missing meals can contribute to the binge-restrict cycle, why eating disorder rules may provide structure for an ADHD brain, and how food can support dopamine seeking, stimulation, comfort, and sensory regulation. She also discusses the grief and relief that may follow an adult ADHD diagnosis after years of being described as unmotivated, inconsistent, or resistant to treatment. ADHD, EXECUTIVE DYSFUNCTION, AND EATING Eating requires many executive-function skills. You must notice hunger, stop another activity, choose food, prepare it, tolerate the sensory experience, eat enough, and remember to repeat the process. ADHD can interrupt this sequence at several points. A person may understand their meal plan and genuinely want recovery but still struggle with task initiation, transitions, food preparation, working memory, or decision fatigue. When clinicians treat these difficulties as psychological resistance, they may overlook the accommodations that could make nourishment more accessible. LATE-DIAGNOSED ADHD AND CHRONIC EATING DISORDERS Many adults with late-diagnosed ADHD spent years compensating through anxiety, perfectionism, overachievement, or rigid routines. Food rules, calorie tracking, repeated meals, restriction, or compulsive movement may have provided organization and urgency when daily life felt chaotic. This does not mean ADHD is the only cause of a chronic eating disorder. Trauma, autism, sensory processing differences, weight stigma, chronic illness, food insecurity, and the effects of malnutrition may also contribute. Recognizing ADHD simply widens the treatment picture and helps explain why insight alone may not create lasting behavioral change. ADHD-AFFIRMING EATING DISORDER RECOVERY Dr. Marianne shares practical ways to reduce the executive-function burden of eating, including accessible convenience foods, visible snacks, grocery delivery, mechanical eating, body doubling, scheduled reminders, sensory accommodations, and low-effort meal options. Recovery does not have to look polished to count. Frozen meals, repeated breakfasts, phone alarms, snack baskets, preferred dishes, or eating with a familiar television show may all support consistent nourishment. The goal is not to make eating look conventional. The goal is to create an eating disorder recovery plan that works with your neurodivergent brain. WHO THIS EPISODE IS FOR This episode is for adults with ADHD and eating disorders, people diagnosed with ADHD later in life, and anyone living with long-term anorexia, bulimia, binge eating disorder, ARFID, or recurring binge-restrict cycles. Providers and loved ones will also benefit from understanding how executive dysfunction can be mistaken for a lack of motivation. RELATED EPISODES ADHD & Bulimia: Dopamine, Impulsivity, & the Hidden Link to Binge Eating With Kirsten Book, PMHNP-BC on Apple and Spotify. Why Eating Feels So Chaotic With ADHD: Binge Eating, Bulimia, & Executive Function Challenges on Apple and Spotify. Eating Disorders & ADHD: Neurodivergent-Affirming Recovery With Taylor Ashley, RP @taylorashleytherapy on Apple and Spotify. WORK WITH DR. MARIANNE Dr. Marianne provides neurodivergent-affirming, trauma-informed, sensory-attuned, and weight-neutral eating disorder therapy for clients in California and Washington, D.C. She specializes in ARFID, binge eating, anorexia, bulimia, ADHD, autism, and long-term eating disorder recovery. Global virtual coaching is also available. Her virtual, self-paced ARFID and Selective Eating course supports adults with ARFID, parents and caregivers, and providers seeking a collaborative, autonomy-affirming approach. Learn more about therapy, coaching, the ARFID course, and other resources at drmariannemiller.com.

This podcast explores the best IPv4 leasing providers in 2026. It explains how reputation, pricing, geolocation, flexibility, deployment speed, compliance, testing, and support influence provider selection, helping businesses choose reliable address space for their infrastructure.Discover more about PubConcierge IPv4 Leasing Provider. PubConcierge City: Wilmington Address: 1000 N West St, Wilmington, DE 19801 Website: https://www.pubconcierge.com/ Phone: +1 302 660 0002 Email: marketing@pubconcierge.com

Independent abortion clinics collectively provide 58% of abortions in the United States. After 26 weeks of gestation, abortion clinics provide 100% of abortion care in the country. Yet, independent clinics have faced unrelenting attacks to their funding, resources, and physical wellbeing, especially over the past decade. Nikki Madsen and Erin Grant, Co-Executive Directors at the Abortion Care Network (ACN), sit down to talk with us about the critical, community-based work of independent clinics and the importance of International Safe Abortion Day around the world. The Abortion Care Network is the national organization for independent, community-based abortion clinics, whose programming supports sustainability and professional development for clinics and their staff. Providers are navigating providing care to patients plus those that are arriving from out of state, with low pay, little time, and low support for their mental health and wellbeing. Independent providers, showing up every day to under resourced and threatened clinics, believe in provide the human right of sexual and reproductive health care.For more information, check out Relationscapes: https://www.relationscapes.org/Support the showFollow Us on Social: Twitter: @rePROsFightBack Instagram: @reprosfbFacebook: rePROs Fight Back Bluesky: @reprosfightback.bsky.socialBuy rePROs Merch: Bonfire store Email us: jennie@reprosfightback.comRate and Review on Apple PodcastThanks for listening & keep fighting back!

The episode details a structural shift in the allocation of risk and liability for artificial intelligence within commercial insurance policies, driven by changes in standard policy language published by Verisk's ISO division. Insurance carriers are now able to explicitly exclude claims related to generative AI from general liability coverage using endorsements such as CG 40 47, CG 40 48, and CG 35 08, which attach at policy renewal without formal notification. This trend is not confined to general liability but extends across trade, directors and officers, and cyber policies, with companies like W.R. Berkley filing for broader absolute AI exclusions.Supporting evidence centers on the rising financial exposure associated with AI-related incidents. Chubb's Cyber Claims Report found the average large company claim increased to $4.4 million, doubling year over year, while mid-market claims rose 22%, even as the total number of claims declined. Sophos and OneTrust research indicates that MSPs are increasingly being relied upon as de facto CISOs and that nearly half of organizations have experienced unapproved AI actions within the past year, highlighting the escalating operational and financial risks for service providers.Additional developments reinforce the shift of accountability downstream to service providers. The MSP Alliance has updated its Unified Certification Standard (version 4.0) to explicitly govern AI-enabled services with requirements such as approval, monitoring, and evidence collection. Meanwhile, legislative efforts remain stalled, as the Durbin-Hawley bill to classify AI as a product sits in committee without movement. Simultaneously, cases such as Google's Gemini model interacting with live systems demonstrate gaps in external disclosure and enforceability, leaving service providers with limited recourse.For MSPs and IT leaders, the operational implications are immediate. AI exclusions now often attach silently at policy renewal, making it critical to review insurance documents in detail rather than relying on summaries. Providers must leverage written client acceptance for AI activities, clarify contract scopes, and scrutinize vendor support agreements for clear boundaries of responsibility. Failure to address these areas exposes service providers to uninsured risks, with consequential liability likely to be litigated as a service failure rather than a product defect.00:00 Insurers Are Backing Out 03:38 Why Nobody Upstream Pays06:38 The Bill With No Address09:40 Why Do We Care? Supported by: Guardz HaloPSA

In this episode of the Grow Your Daycare Podcast, Christina shares 3 simple reasons social media matters for home daycare providers and how it can help you attract more local families. You'll learn how social media can help you: * Build trust with parents before they contact you* Increase your visibility in your local community* Show families what makes your home daycare different You do not need thousands of followers or daily posts. The goal is to consistently show parents who you are, what your program offers, and why your daycare may be the right fit for their family. Join My Home Daycare Community Need help knowing what to post? Join my Home Daycare Copy & Post Club for ready-to-use content ideas, marketing support, and simple strategies designed for busy home daycare providers.

The dominant structural shift outlined is an accelerating concentration of market power and operational control within a handful of large technology companies and platforms, exacerbated by aggressive vendor channel consolidation and a move toward marketplace-based service delivery. This concentration is evidenced by recent actions such as Broadcom's decision to cut roughly 90% of VMware's partners and take top-tier accounts direct, as well as the increasing tendency of hyperscalers and major vendors—including Microsoft, AWS, and Google—to funnel services and resources directly through their own marketplaces and forward-deployed engineering teams. Reports discussed, such as the Omdia Global Partner 1000, reinforce the extent to which the industry has pivoted toward highly scaled players at the expense of smaller channel partners and MSPs.Evidence from the Omdia Global Partner 1000 report demonstrates that the top 30 service partners now generate the same amount of revenue as the bottom 970 combined, with the remaining 970 firms outperforming over a million additional smaller providers. The managed services market was noted at $608 billion—1.5 times the size of the global SaaS industry and all hyperscalers—yet smaller MSPs report decreased growth expectations and declining vendor satisfaction; for example, satisfaction in the UK and Ireland dropped from 37% to 19%. Further, partner programs for generative AI remain underdeveloped, with over 90% at only “maturity 3 of 10,” while 82% of MSPs acknowledge they are not prepared to scale as rapidly as customer demand for AI-driven outcomes will require.Additional developments deepening this concentration include widespread launches of vendor-controlled marketplaces and the growth of token-based consumption models. Companies such as SuperOps, ManageEngine, and Pax8 are positioning their platforms as marketplaces for MSP-delivered AI and SaaS, while Microsoft and AWS continue to expand both their direct-to-customer strategy and investments in pre-sale technical resources. Analysts project that the shift toward token-based billing and variable consumption will disrupt traditional per-user pricing, limiting future margin opportunities and accelerating direct transactional relationships between vendors and end-customers.For MSPs and service providers, these shifts increase dependency on large vendor platforms, raise the risk of abrupt contract changes, and intensify pricing and margin pressure. Traditional models relying on single-source vendor relationships and predictable per-user or per-device billing are likely to be replaced by variable, consumption-based contracts governed by token usage and direct marketplace transactions. Providers must prepare for heightened governance requirements, increased operational complexity in managing multi-vendor and multi-marketplace integrations, and potential threats to their role as strategic intermediaries in client accounts.Supported by: ProofpointGuardzUSecure

Howie and Harlan are joined by Omar Lateef, CEO of Chicago's Rush University System for Health, to discuss balancing the financial pressures facing hospitals with commitments to patient care, community health, and research—and why healthcare leaders will need to rethink traditional models of care. Howie examines how proposed changes to student and exchange visitor visas could affect international researchers and physicians; Harlan discusses proposed changes to Medicare payment for remote patient monitoring. Show notes: Visa Rules "Judge blocks Trump administration plans to limit visa length for grad students, postdocs" NAFSA: Duration of Status Rule "AAMC Statement on Duration of Status Final Rule" "What does the new duration of status rule mean for international students and workers?" Memorandum and Order on Motion for Preliminary Injunction Omar Lateef Rush University Medical Center Stat Status List 2025: Omar Lateef "Modern Healthcare Again Lists Rush CEO Among Most Influential" Rush Remains Among Nation's Best in Vizient Quality Rankings" "Corporate Finance Institute: Debt Covenants "Bond Covenants Demystified: What You Need to Know" "Health Equity as a System Strategy: The Rush University Medical Center Framework" "A Community Anchor for Health Equity" Fillmore Center Laundry Linen "Rush Signs on as First Partner for Local Laundry Service" "Key Facts About Hospitals": Profit Margins "Despite sectorwide financial recovery, not all are hospitals are finding their footing" "Hospital Margins Rebounded in 2023, But Rural Hospitals and Those With High Medicaid Shares Were Struggling More Than Others" Payments for Remote Monitoring Remote Patient Monitoring "Billing for Remote Patient Monitoring in Medicare" "States are betting millions on remote monitoring. Providers, tech groups say proposed Medicare policy could undercut it" "CMS Proposes Transformational Medicare Reforms to Expand Accountable Care, Modernize Physician Payment, and Shift from Sick Care to Healthcare" CMS: "Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program" "Telemonitoring in Patients with Heart Failure" CMS: ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model In the Yale School of Management's MBA for Executives program, you'll get a full MBA education in 22 months while applying new skills to your organization in real time. Yale's Executive Master of Public Health offers a rigorous public health education for working professionals, with the flexibility of evening online classes alongside three on-campus trainings. Email Howie and Harlan comments or questions.

Crunchbase News reported that a new fintech is offering startups a way to finance customer acquisition costs as an alternative to venture debt. Existing lenders like Clearco and Wayflyer fund e-commerce brands with repayments tied to future sales, while Capchase, Pipe, and Arc advance cash against SaaS recurring revenue. Newer CAC financing models underwrite cohorts, lifetime value to CAC ratios, and margins, then align repayments to expected cash flows and ad spend. Pricing can be a revenue share with a fixed cap or a flat fee, and covenants tend to be lighter than venture debt. Providers typically connect to Stripe, Shopify, and accounting systems for data and require reliable attribution. Founders and boards often target CAC payback within 12 to 18 months before adding non-dilutive growth capital, and they monitor channel concentration and churn to manage risk.Learn more on this news by visiting us at: https://greyjournal.net/news/ Hosted on Acast. See acast.com/privacy for more information.

AI tools are already showing up in hospice operations whether organizations have formal policies for them or not—and the compliance and liability questions are emerging just as quickly. In this two-part series, Husch Blackwell's Bryan Nowicki and Taylor Crossley break down what the legal exposure looks like across clinical documentation, vendor relationships, and billing, and they take hospice leaders through concrete steps for building AI governance to stay ahead of associated risks.

By Doug Green “The global ITAD market dynamics have been changing.” In this special Technology Reseller News and ITAD Association podcast, I spoke with Tom Park of Korea ITAD, a new member of the ITAD Association, about the company's role in South Korea and why Park believes the global IT asset disposition market is creating new opportunities for mid-sized and specialized providers. Korea ITAD has operated in the Korean market for 16 years, providing a full range of ITAD services including reuse, refurbishment, recycling, data sanitization, asset auditing, parts harvesting and data center decommissioning. The company operates two facilities near the Seoul metropolitan area totaling more than 32,000 square feet and works primarily with multinational organizations that have operations in Korea. Park says the company's role is often to provide the trusted local component of a global ITAD program. Large multinational enterprises frequently engage global IT service and asset disposition providers, which then need qualified partners capable of delivering services locally while meeting international compliance requirements. “They are looking for local ITAD service providers which are very reliable and follow compliance in a global standard,” Park explains. Korea ITAD handles a broad range of technology assets, from laptops, desktops and servers to networking equipment, phones, displays and other electronics found in enterprise environments. Park's own path into ITAD combines two disciplines that are central to the industry. His family business was in logistics, while his academic background was in IT. IT asset disposition offered an opportunity to bring those two areas together. That combination is increasingly important as ITAD becomes a global logistics, data security, sustainability and lifecycle-management business rather than simply an equipment disposal function. Park also discusses why Korea ITAD joined the ITAD Association. He believes the structure of the global market is changing. “The market has been led by large ITAD players' domination,” Park says. “But currently, I am seeing that kind of trend moving towards the mid-size or niche service sector providers.” For Korea ITAD, membership creates an opportunity to build relationships with more ITAD providers around the world and participate in a community focused specifically on IT asset disposition services. Park also points to the Association's emphasis on ethics, service integrity and industry standards as an important reason for joining. In the podcast, we discuss Korea ITAD's capabilities, the role of trusted regional partners in global ITAD programs, the changing competitive landscape and the value of building an international network of qualified service providers. Learn more at itad.kr.

New York City has launched its new 2-K program as the first major step toward universal childcare. But some providers started the school year without city funding they were counting on, leaving some to borrow money or dip into their own savings to cover payroll, rent and supplies. WNYC's Karen Yi explains why payment and contracting delays keep happening and what they could mean for the city's plans to expand free childcare.Got any questions, comments or story ideas? Send us a message at NYCNow@WNYC.org.Photo: Kara McCurdy / Mayoral Photography Office COVID hospitalizations are on the rise in NYC. Here's how to protect yourself.Gov. Hochul expected to send rebate checks to New Yorkers shortly before Election DayAs NYC's free 2-K begins, childcare providers say they're still waiting to get paid Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What happens when doing the responsible thing becomes a competitive disadvantage? In this episode of The Valley Current®, host Jack Russo examines whether frontier AI companies can realistically regulate themselves while racing for market share, talent, capital, and technological dominance. Anthropic's costly safety controls suggest that voluntary restraint can have real teeth, but the economics of the AI race create a dangerous problem: if one competitor ships faster, everyone else has an incentive to follow. Jack explores the emerging liability landscape, the lessons Silicon Valley can draw from the nuclear industry, and a provocative insurance-based framework designed to make safety financially rational. For founders, investors, and IP lawyers, the stakes go well beyond compliance, raising a much bigger question: as innovation outpaces the law, who ultimately bears the risk? Jack Russo MBA/JD/LLM NITA Master Trial Advocate Certified Appellate Specialist 

“The value is in the conversation, not the call.” In this Technology Reseller News podcast recorded at Alianza Navigate 2026, independent analyst Jon Arnold of J Arnold & Associates discusses the launch of Alianza Crux, the event's broader AI message and what the platform could mean for service providers trying to move beyond traditional telecom. Arnold describes analysts as the people who step back from individual products and look at the larger market: what is changing, why it matters and where the business opportunity may be heading. At Navigate, much of that discussion centered on Crux, Alianza's new platform and strategy for helping service providers bridge the gap between legacy voice services and intelligent communications. Arnold says the challenge is significant because many carriers remain closely tied to PSTN-era technologies and business models while their customers are increasingly looking for AI-enabled, integrated communications. “The value is in the conversation, not the call,” Arnold says. Crux is designed to help service providers move in that direction by orchestrating new communications capabilities and bringing in what Alianza calls experience providers—voice AI and conversational AI companies building applications that carriers may not want to integrate themselves. That could allow service providers to offer more turnkey AI-powered services without having to build, test and manage every application independently. Arnold also sees trust as a central part of the strategy. For carriers, adopting AI and new communications models means trusting that the underlying platform can help them modernize without forcing them to abandon the customer relationships and infrastructure they already have. The opportunity, Arnold says, is not simply technological. Providers also need to find new revenue streams. “If you stay status quo, it's not going to end well,” he says. Arnold says Navigate ultimately presented a model for migration: helping traditional communications providers move toward AI-enabled services while maintaining the reliability, identity and trust that have always been central to telecom. Visit JArnoldAssociates.com to learn more.  

In this episode of Primo Perspective, we talk about Medicare and You. Open enrollment is coming soon for Medicare and there is quite a bit of info for Providers and Patients, so we cover it all. Listen in to learn more about Medicare for 2027. #PrimoPerspective #HIPcast with Kristen and Lorie.Primo Perspective is brought to you by AirMap

2026 has been a rough year for early childhood education providers in Louisiana. We'll go over the challenges they're facing and what it means for parents and kids with Heather Cope, Chief of Research & Policy at the Louisiana Policy Institute for Children.

The episode highlights a pronounced governance gap in how small and mid-sized businesses (SMBs) are adopting artificial intelligence (AI) tools and services. New research from GTIA, discussed by Sharon Florentine, identifies that while AI use has become nearly universal among SMB end customers of IT service providers, most lack formal policies, leadership, and budgeting structure around their deployment of AI. This reflects a foundational misalignment between AI adoption rates and organizational preparedness.According to the GTIA study, 97–98% of surveyed SMBs are already using AI to some extent, yet only 20–25% do so strategically. Strategic usage is defined by having AI under a leadership role, with established policies and procedures. In addition, only around one-quarter of respondents reported having a dedicated AI budget. This suggests that despite broad AI integration, most spending is ad hoc or drawn from unrelated IT priorities. The research surveyed 520 SMBs across 11 verticals, reinforcing the generalizability of the findings.Supporting discussions emphasized that this misalignment is both an opportunity and a risk for MSPs and ITSPs. Unaddressed gaps in governance, budgeting, and cybersecurity may undermine value delivery and create liability issues. Practical challenges—such as unclear funding sources, lack of proactive customer engagement, and potential cybersecurity risks tied to unmanaged AI use—were described as persistent pain points. It was also noted that shifting to a proactive approach is essential for building trust and effective client partnerships.For MSPs and IT leaders, the operational implications center on the need to address governance and budget planning for AI while maintaining a focus on established IT infrastructure. Relying solely on existing processes may introduce unmanaged risk, particularly as customers expand AI use without adequate oversight. Providers are advised to prepare by developing frameworks for AI budgeting, security controls, and policy development, rather than diverting focus from foundational IT services. Neglecting core infrastructure and data practices in pursuit of unstructured AI integration was identified as a critical operational miscalculation. Supported by: Pax8 ScalePad

Childcare advocates warn that the new changes coming to the state's subsidy program will devastate families and daycare providers.  And many shared passionate opinions during an advisory committee meeting yesterday. KSL NewsRadio's Heather Peterson was there... and she joins me now live.

Nine psychiatric medications. Eight prescribed in a three-week span. Telehealth-only appointments with a psychiatrist who never met her patient in person. No coordinated care plan. And a healthcare system that, according to two separate civil lawsuits, failed to diagnose a mother spiraling into postpartum psychosis.Patrick Clancy filed a wrongful death suit in January 2026. Lindsay Clancy filed a medical malpractice complaint two days later. Both name the same providers — Dr. Jennifer Tufts, nurse practitioners Rebecca Jollotta and Julie Paul, therapist Lateisha Dukes, Aster Mental Health, and South Shore Health.The criminal trial at Plymouth Superior Court produced five weeks of testimony and ended in a mistrial after the jury deadlocked eleven to one. Clancy had pleaded not guilty to three counts of first-degree murder in the deaths of Cora, 5, Dawson, 3, and Callan, 8 months. Prosecutors alleged deliberate action. The defense argued postpartum psychosis and overmedication.The prosecution's psychiatric experts and the defense's psychiatric experts gave the jury contradictory assessments of Clancy's mental state. The jury could not resolve the disagreement.With the criminal case suspended, the civil lawsuits are now the only proceedings actively examining the treatment decisions that preceded the killings. Bob Motta of Defense Diaries examines what the providers face, whether the mistrial changes their exposure, and why the medical accountability fight may outlast the criminal one.Listen Anywhere You Get Podcasts: https://pod.link/1655749292Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod?sub_confirmation=1Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#LindsayClancy #LindsayClancyTrial #BobMotta #MedicalMalpractice #PostpartumPsychosis #PatrickClancy #TrueCrime #HiddenKillers #DefenseDiaries #TrueCrimeToday

The criminal trial ended in a mistrial. The civil lawsuits are just beginning. Patrick Clancy and Lindsay Clancy have both filed suit against the medical providers who treated Lindsay before the January 2023 deaths of their children Cora, 5, Dawson, 3, and Callan, 8 months. Both lawsuits name the same defendants — psychiatrist Dr. Jennifer Tufts, nurse practitioners Rebecca Jollotta and Julie Paul, Aster Mental Health, and South Shore Health.Patrick's wrongful death complaint alleges his ex-wife was prescribed eight psychiatric medications in a three-week span. Lindsay's malpractice suit alleges undiagnosed Bipolar I disorder with postpartum onset and a course of uncoordinated polypharmacy that triggered a psychotic break.The criminal trial at Plymouth Superior Court produced five weeks of conflicting psychiatric expert testimony. The jury deadlocked eleven to one and could not resolve the competing diagnoses.Bob Motta of Defense Diaries examines the providers' exposure, what the mistrial does to the civil cases, and why the only courtroom likely to examine the medication timeline under oath may now be the civil one.Listen Anywhere You Get Podcasts: https://pod.link/1655749292Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod?sub_confirmation=1Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#LindsayClancy #LindsayClancyTrial #BobMotta #MedicalMalpractice #PostpartumPsychosis #PatrickClancy #TrueCrime #HiddenKillers #DefenseDiaries #TrueCrimeToday

A central structural shift discussed is the acceleration of security risk and remediation cycles driven by AI-powered tooling available to both attackers and defenders. The episode highlights that the difference between offensive and defensive capabilities now depends less on underlying technology and more on access controls and permission settings, as demonstrated by offerings and incidents involving Anthropic, OpenAI, Cloudflare, and tool vulnerabilities in products from Connectwise and Enable.Primary evidence of this shift includes the use of advanced AI models and agent frameworks, which have enabled attackers to compress the timeline for successful ransomware intrusions to under 10 hours, according to Unit 42 and The Register. On the defense side, Cloudflare and OpenAI announced an early access service leveraging Daybreak models (including GPT 5.6 Cyber) for vulnerability detection and suggested patching, subject to human review. Meanwhile, Microsoft implemented a policy throttling unpatched Exchange servers until remediation occurs, rather than relying on voluntary patching, marking a move towards enforced maintenance in vendor ecosystems.Supporting developments underline the blurred line between offense and defense: Anthropic's simultaneous release of two AI models (Claude Fable 5.1 and Claude Mythos 5.1) with identical capabilities but different access restrictions based on user vetting, and OpenAI's promotion of its GPT-6 Astra model's security testing performance, while applying safeguard layers to limit exploit generation. Reports from Hack the Box and Red Sift, citing increased enterprise adoption of AI for both security assessment and attack surface discovery, reinforce that automation now exposes vulnerabilities faster than traditional remediation processes can keep pace.The operational implication for MSPs and IT service providers is that speed of decision-making—particularly client approval for emergency remediation—has become a critical risk control point. The analysis underscores that technical controls and cyber insurance arrangements are frequently untrusted or unused, leaving actual exposure governed by change management logistics. Providers are advised to formalize rapid approval clauses and escalation contacts in contracts, shifting from hypothetical scenarios to incorporating real vendor disclosures as triggers. This adjustment is positioned as a necessary response to a landscape in which exploits and mitigations move at comparable velocity, and traditional maintenance rhythms no longer align with risk movement.00:00 The Intruder Left A Report 04:17 Same Model, Different Door06:44 Configured, Never Turned On09:47 Why Do We Care?Supported by: Proofpoint Guardz

A Waiheke Island-based health trust is one of several organisations that's been told its home and community support contracts won't be renewed. It comes as Te Whatu Ora Health New Zealand moves to bulk fund services in Auckland and Northland, with long-standing providers finding out their contracts won't be renewed. One operator says the changes contradict recent advice for improving services. Erin Johnson reports.

In this episode of HFS Unfiltered, Rohan Kulkarni, Executive Research Leader for Healthcare and Life Sciences at HFS Research, joins Titus Leo, SVP of Sagility Provider Solutions, to discuss the HFS Horizons HCP Provider Services 2026 study and explore how healthcare providers can respond to growing financial pressure, rising costs, and changing reimbursement models.What you'll hear:Why traditional healthcare operating and reimbursement models are becoming unsustainable Three bold ideas: direct-to-employer capitation, smarter self-pay strategies, and AI-enabled proactive care Why healthcare services are shifting from FTE-based to outcome-based models How clinical RCM, agentic AI, and patient engagement can improve financial and operational performance How Sagility is advancing these capabilities through Synchrony, AI/GenAI, and Birch AIKey takeaways:Providers need new revenue and care models to build resilience amid continued margin pressure. AI can move healthcare from reactive treatment toward proactive disease prevention and management. Outcome-based partnerships will increasingly require service providers to deliver measurable business and clinical impact. The convergence of services-as-software, RCM, and agentic AI is creating new opportunities to transform healthcare operations.Learn more about the associated reports here: HFS Horizons: HCP Service Providers, 2026 - https://www.hfsresearch.com/research/hfs-horizons-hcp-service-providers-2026/Point of View: Financial duress will be the forcing function for purposeful AI in US healthcare - https://www.hfsresearch.com/research/financial-duress-us-healthcare/Point of View: The patient is the new payer, and self-pay must anchor the provider's survival - https://www.hfsresearch.com/research/patient-payer-self-pay-survival/#Healthcare #RevenueCycle #RCM #ValueBasedCare #HealthcareAI #AgenticAI #PatientEngagement #Sagility #HFSResearch #HealthcareProviders

Send us Fan MailIn this episode, Dr. Tara Scott and Mark Newman join host Dr. Jaclyn Smeaton to explore hormone misinformation, the differences between hormone testing methods, and the hormonal drivers often missed by single-point testing. Their conversation also covers: The benefits and risks of using AI to interpret hormone labs What single-point testing can miss when it comes to cortisol testing and cycle mapping The importance of baseline and follow-up hormone testing versus the conventional symptom to prescription pipeline How common symptoms like fatigue, weight gain, and anxiety can have overlapping hormonal drivers that may not be noticeable in single-marker testing The increase in virtual care and how patients in underserved areas are gaining access to specialized hormone care Show Notes Learn more about Dr. Tara Scott and personalized hormone care through Forum Health.Follow Forum Health on Instagram @forum_health and on YouTube.Explore easy at-home collection for patients with DUTCH Direct. Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.

“Another Lindsay Clancy.” You've seen it in your feed. Maybe you've typed it yourself. Three words that feel like understanding — and replace every specific thing about a woman's crisis with a woman you already have opinions about.Clancy's case had its own medications, its own doctors, its own clinical decisions. Every subsequent case has entirely different specifics. Postpartum depression and postpartum psychosis are completely different conditions with different treatments and different failure points. But the phrase “another Lindsay Clancy” collapses every distinction into a single shorthand.Providers saw these women's symptoms, documented the deterioration, and moved on to the next patient. Then we decided the women didn't warn us and didn't try hard enough. Studies found that four in ten new mothers with depression had thoughts about harming their child. The doctors treating them didn't realize how prevalent those thoughts were. The system was built around a blind spot it didn't know it had.“Reach out, talk to someone” — that's the message after every one of these stories. These women did reach out. Tony argues the comparison isn't a description of what went wrong — it's the same failure, repeated by different people in a different room.Listen Anywhere You Get Podcasts: https://pod.link/1655749292Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod?sub_confirmation=1Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Instagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#LindsayClancy #AnotherLindsayClancy #PostpartumPsychosis #TrueCrimeToday #TrueCrime #HiddenKillers #MaternalMentalHealth #PostpartumDepression #AndreaYates #MentalHealthAwareness

A structural shift in regulatory accountability now places incident notification and liability directly on the operators or deployers of AI-powered and software tools, rather than on technology vendors or model developers. This mechanism is made explicit by the requirements of the EU's Cyber Resilience Act (CRA), Digital Services Act (DSA), and the upcoming Machinery Regulation. Incidents such as the Cursor AI coding agent breach at a Belgian chemical company underline that compliance timelines and regulatory scrutiny target the entity deploying the technology.CrowdStrike and Okta both reported that increased enterprise security spending is being driven by heightened AI-generated attacks, according to their quarterly results. Gartner forecasts AI security spending will reach $4.8 billion by 2027, up 68.7% from this year, with usage control as the most dynamic segment. A public letter signed by over 100 vendors—including OpenAI, Anthropic, AWS, and Microsoft—warns of urgent defensive needs but does not shift responsibility to software suppliers.Recent breaches and vulnerabilities illustrate how accountability remains with the service provider or end-user implementer. The Cursor breach assigned notification duties to AnySphere (the product vendor) and the breached organization, not to upstream model providers. Likewise, after N-able's Passportal bug, MSPs were accountable for client-facing remediation. In each case, the “accountability line” lands on the party deploying the tool.For MSPs and IT service providers, these trends require updating agreements, operations, and client communications. Service structures must prioritize regulatory response timelines, documentation, and clear reporting obligations. Providers serving EU clients, or those linked to global supply chains, will encounter business risk if they do not proactively address these regulatory demands before mandated deadlines.00:00 Prevention Got A New Price 03:25 The Half That Doesn't Move05:50 Where The Call Lands09:27 Why Do We Care? Supported by: Proofpoint GoTo(LogMeIn)

Send us Fan MailGuest Bio Dr. Robert Hall | Medical Director, Optum Workers' Comp and Auto No-Fault12 years leading medical direction and formulary oversight at OptumPhysical medicine and rehabilitation (PM&R) specialist maintaining active clinical practice one day per week with injured workersStrategic voice on PBM industry trends, emerging drug therapies, and AI's role in claims prioritizationOur Conversation We explore pharmacy spending trends, compensability questions around new medications like GLP-1s and migraine medications, and how AI can help claims professionals prioritize without replacing judgment. Our conversation builds on CompPharma's 20th Annual Survey released earlier this year. Dr. Hall provided context from his unique PBM perspective.See the CompPharma 2025 Prescription Drug Management in Workers' Compensation SurveyKey Discussion PointsScript Volume Down, Per-Script Costs Up Prescriptions filled decreased 4%, yet per-script costs rose over 4%. Fewer generic opioids are available, causing providers to transition patients to more expensive alternatives. When lower-cost options aren't working, switching to higher-cost versions becomes the default.Opioid Decline Slowing Opioid spend dropped 7%—slower than the 13% annual declines of prior years. While fewer people are on opioids overall, those taking them can face additional complications such as opioid-induced hyperalgesia, where the pain medication itself makes pain worse. Providers unknowingly increase doses thinking pain is worsening, creating a spiral that drives costs and complexity.Efficiency Remains the Industry's Biggest Gap According to Dr. Hall, despite much progress, feedback from injured workers and treating providers is consistent: speed remains a big issue. Authorization turnarounds, surgery approvals, and medication approvals all lag. Efficiency directly impacts outcomes.GLP-1s: Compensability Questions Without Clear Answers GLP-1 medications (weight loss drugs) are appropriate when weight loss is necessary for surgery or when catastrophic injuries cause weight gain. But with 30-40% of adults overweight or obese, there's a strong incentive to route these expensive drugs through workers' comp claims instead of out-of-pocket. The core tension: just because a drug is medically effective doesn't make it work-related. Clear frameworks are needed to distinguish compensable uses from general health expenses.A parallel exists with migraine medications—highly effective for a common condition (10% of the population), creating similar pressure to tie them to workers' comp when they may not be compensable.Important caveat: GLP-1s carry real risks. Severe nausea, vomiting, diarrhea, pancreatitis, and hospitalizations have occurred. When complications arise, they become part of the claim, adding complexity and cost.PBMs Score Highest on Customer Service PBMs earned their strongest-ever customer service grades in this year's CompPharma survey. Relationships matter as much as technology. Speed, communication, and partnership mindset drive loyalty.AI Adoption Rising—But De-skilling Risk Is Real About one-third of respondents now use AI tools. The cautionary tale: radiologists improved cancer detection with AI, but their standalone diagnostic ability declined after using it. For workers' comp, AI's highest value is prioritization—flagging the 2 catastrophic claims out of 100 that need immediate attention. The goal is to free human judgment for complex decisions, not replace it. We need to keep using and challenging our brains. Early Identification of Catastrophic Claims AI could synthesize accident type, injury location, physician findings, diagnostic studies, and functional capacity to identify claims spiraling toward permanent total or catastrophic status before they explode in cost. Early intervention changes trajectory.The risk: "creeping catastrophic" claims. Injuries that seem manageable but don't close gradually become complex and expensive. Opioid dosing spirals, high-cost alternatives accumulate, and routine claims become catastrophic without anyone realizing when the shift happened.State Variations as a Learning OpportunityFor folks newer to workers' comp, Dr. Hall suggests the 50 different state regulatory frameworks aren't just learning obstacles—they're live experiments in how to approach injury treatment. Professionals entering the industry should embrace this complexity and diversity to build deeper medical and operational knowledge.The Motorcycle Pivot Dr. Hall learned to ride a motorcycle last year after walking away from the idea a decade ago (when a bike cost as much as new kitchen cabinets). He's now ridden 1,000 miles on quiet Sunday afternoons. ¡Muchas Gracias! Thank you for listening. We would appreciate you sharing our podcast with your friends on social media. Find Yvonne and Rafael on Linked In or follow us on Twitter @deconstructcomp 

As a hot NY Summer comes to a close, and students of all ages are getting back to school next week, the City's educators are facing unexpected challenges. Expanding the city's Pre-K and 3-K programs has been one of Zohran Mamdani's signature issues since he first ran for mayor. However, the non-profit organizations that are the backbone of the city's early childhood education system are scrambling to stay afloat as the city has yet to deliver the advance payments required by law that make it possible for them to cover their initial operating expenses. We'll speak with Fariha Rahman, the City&State reporter who broke the story and the heads of two pre-K schools that are scrambling to get ready for the new school year.

In this episode of Marrow Masters, we talk with Lori Eberly, a licensed social worker at OHSU Knight Cancer Institute, about the emotional and social realities of living with chronic Graft-Versus-Host Disease. Finishing cancer treatment does not always bring the relief survivors expect. Many people feel grateful that the cancer is gone while also fearing relapse and managing continuing symptoms, pain, appointments, and medication. It can feel as though one diagnosis has been exchanged for another. We address the psychological distress that can accompany chronic GVHD. Depression, anxiety, loneliness, and social withdrawal can be overlooked when appointments focus mainly on physical symptoms. Survivors should treat changes in mood and relationships as legitimate medical concerns. Providers can help by asking simple questions about coping and connecting patients with social workers, counselors, psychiatrists, and other members of the care team. Chronic GVHD can also affect identity. Survivors may question who they are after transplant and what parts of their former lives remain. Journaling, counseling, and honest conversations can help us identify what has not changed at our core. We also need space to acknowledge losses that others may not recognize. A friend or caregiver does not always need to solve the problem. Listening without interrupting or immediately offering advice can help a survivor feel heard and less alone. Financial pressure is another important concern. Reduced work hours, disability, retirement, frequent appointments, transportation expenses, and medical costs can create significant stress. Oncology social workers may be able to identify grants or other forms of assistance. Relationships can change as well. A spouse, parent, sibling, or friend may move into a caregiver role, creating a different balance of responsibilities. Honest communication can help patients and caregivers find new ways to contribute and remain interdependent. We also talk about defining quality of life personally. Joy may come from family, pets, gardening, music, nature, spirituality, or quiet time alone. These connections can help regulate the nervous system and restore a sense of safety. Gratitude and mindfulness may be useful, but they should not become toxic positivity. Survivors need permission to admit when they feel exhausted, lonely, angry, or discouraged. Coping strategies should be personal and manageable. We can begin by writing down what helps on ordinary days and what helps on the hardest days. Instead of attempting several major changes at once, we can choose one small action and see how it works. A meaningful activity may also be adapted. Someone who no longer has the energy to bake or preserve food alone might do it with a partner and gain both practical help and connection. Caregivers need support and respite too. Ignoring their own needs can lead to exhaustion and resentment. Patients and caregivers can strengthen their relationships by naming what they miss, acknowledging shared losses, and finding modified ways to enjoy life together. Across the episode, the central message is that survivors are more likely to thrive when they advocate for themselves, use the full multidisciplinary care team, maintain meaningful connections, and continue making room for joy. Thank you to our Season 21 Sponsors: Incyte: https://incyte.com/ Sanofi: https://www.sanofi.com/ (00:00) Intro (01:16) Cancer-free after transplant: Now what? (02:57) Depression, anxiety, and psychological distress (04:32) Making emotional health part of medical care (05:15) How chronic GVHD affects identity (07:40) Acknowledging grief and bearing witness (08:56) Work, finances, and changing relationships (12:36) Gratitude without toxic positivity (14:23) Defining quality of life personally (15:33) Connecting with self, others, nature, and spirit (18:52) “Name it to tame it” and acknowledging loss (20:31) Coping strategies and peer-support resources (21:49) Assessing what helps on difficult days (24:30) Adapting meaningful activities (25:42) Nervous-system regulation strategies (29:17) Using the multidisciplinary GVHD care team (31:22) Isolation and the loneliness of rare disease (34:38) Supporting long-term caregivers (36:42) Naming losses within relationships (39:33) Survivor stories of purpose and connection (42:38) Closing thoughts (42:59) Outro and podcast resources National Bone Marrow Transplant Link - (800) LINK-BMT, or (800) 546-5268.nbmtLINK Website: https://www.nbmtlink.org/Check out our valued nbmtLINK resource books, some for sale, some free as downloadable, https://www.nbmtlink.org/shop/nbmtLINK Facebook Page: https://www.facebook.com/nbmtLINKFollow the nbmtLINK on Instagram! https://www.instagram.com/nbmtlink/The nbmtLINK YouTube Page can be found by clicking here.This content is provided for informational purposes only and is not intended to substitute for professional medical advice, diagnosis, or treatment. It is crucial to consult directly with a qualified healthcare professional regarding any medical conditions, treatment options, or other health concerns.The views and opinions expressed by the speakers are their own and do not necessarily reflect the official policy or position of the nbmtLINK. Unless otherwise stated in an official policy, the nbmtLINK does not endorse any specific treatments, products, or services mentioned by the speakers. Reliance on any information provided is solely at your own risk.The Marrow Masters Podcast is produced by JAG Podcast Productions: https://jagpodcastproductions.com/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Protecting provider margins has never been easy. But today's combination of policy shifts, reimbursement changes, labor pressures, and evolving care models is forcing health systems to rethink where margin comes from and how to sustain it. In this episode, Abby Burns sits down with Optum Advisory's Samantha Wyld and Jess Garber to explore how both sweeping policy changes and smaller regulatory updates are reshaping margin management. Through real-world examples, they unpack three areas of opportunity: pricing strategy, clinical documentation and coding, and capturing economies of scale many organizations have yet to realize. Together, they explain why yesterday's margin playbook is no longer enough and what it takes to take a more strategic approach to financial performance. We're here to help: Expert Insight | 5 assumptions executives make about revenue cycle (and what to do instead)a>Expert Insight | 6 strategies to improve your operating margins and financial resiliencea>Ready-to-Use Resource | Mapping AI's real role in the revenue cyclea>E-book | 5 Provider Strategies to Help Improve Your Margins | Optuma>Podcast | 303: The hard truths behind the fight for commercial volumesa>Podcast | [Encore] How data savvy strategic planners will define the next era of health system growth Get in Touch | Optum Advisory: Healthcare Consulting Services Sponsor link: Quick Guide | Rethinking iodine contrast use: A stewardship maturity model A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

A structural transfer of liability and risk is reshaping industry engagement models, with outcome-based contracting increasing across service agreements. This shift is being driven by buyer demands for accountability in technology solutions, notably in artificial intelligence deployments, and is illustrated by recent unpublished but credible reports that OpenAI is quietly allowing select large enterprise customers to pay only when AI tasks are successfully completed. Supporting research from Gartner and CIO Dive highlights a growing disparity: while 19% of service buyers seek outcome-based payment models, only 13% of agreements from sellers currently accommodate them. The core development spotlighted is the disconnect between expectations for measurable AI-driven business outcomes and the lack of empirical evidence that such technologies are delivering on those promises at the organizational level. A large-scale survey by the National Bureau of Economic Research, encompassing nearly 6,000 senior executives across four countries, found that over 89% reported no observable improvement in employment or labor productivity from AI investments during the past three years, despite substantial organizational changes and budget reallocations. Additionally, research by Thomson Reuters found that 91% of 1,800 professionals reported their organizations were not realizing expected AI value, identifying a gap in demonstrable returns even while the technology is being deployed. Supporting data from Techaisle reveals partner capability thins dramatically as customers progress into advanced AI adoption stages. Most channel providers retain capacity only for basic "estate" work, with capability dropping to near zero for the most advanced client needs. Forrester has also identified persistent barriers to reliable measurement, such as fragmented and inconsistent data baselines, as well as dependencies on customer-side decisions. These factors magnify contract risk and reinforce the liability shift toward providers, who become responsible for defining, measuring, and underwriting outcomes without always possessing necessary levers or data. The operational implication for MSPs and IT service providers is heightened exposure to contractual and financial risk when agreeing to outcome-based terms, especially without mechanisms to price or control every relevant input. Providers are often unable to flow contract risk upstream to vendors or technology manufacturers, as their own agreements typically exclude outcomes. The episode concludes that early engagement and proactive definition of acceptable, controllable outcomes is essential, as outcome-based demands are likely to appear pre-baked in future client agreements, shifting bargaining power away from providers unprepared to quantify their exposure. Using data from their own worst-performing months, documenting client dependencies as contract conditions, and piloting outcome-based lines in otherwise standard agreements are outlined as practical tactics to mitigate downside risk before broader market adoption. 00:00 Four Numbers, One Cause 03:45 What You Ask For When You Can't Tell 06:45 Nobody Underneath You 10:20 Why Do We Care? Supported by: Guardz ScalePad

Amy Cowan is a Certified Professional Dog Trainer (CPDT-KA) and the founder of DigUp, the premier directory connecting NYC pet parents with trustworthy, high-quality care. After spending the first decade of her career in finance and tech, Amy's path shifted when she adopted her rescue dog, Theo, whose early struggles with fear and reactivity led her to discover the power of force-free, positive reinforcement training.That experience inspired her to leave the tech world, learn more about dog behavior and the pet care industry, and earn her professional certification. Frustrated by how unregulated and confusing the pet care industry can be, Amy founded DigUp to bring transparency and accountability to the search for quality care. Today, Amy splits her time between working directly with clients and their dogs and building DigUp into NYC's most trusted resource for pet care.Legal Disclaimer: This podcast is intended for educational purposes only and does not constitute advice or professional services by either the host or any of the guests. Website: digup.nycInstagram: @digupnycThank you for listening to the Enlightened Pet Behavior Podcast. I hope that you and your beloved pets have found valuable insights for a more harmonious life together. Please remember that this podcast provides educational information only and is not a substitute for professional veterinary or behavioral advice. If you need personalized support, please don't hesitate to contact me to explore how we can work together to achieve your pet behavior goals. You can reach me at www.enlightenedpetbehavior.com or via email at susan@enlightenedpetbehavior.com. Special thanks to Mac Light for composing the podcast's music; you can find him at www.maclightsongwriter.comIf you find the show helpful and enjoyable, please consider showing your support! Subscribing, following, rating, reviewing, and sharing with friends takes just a moment but significantly boosts the show's visibility, helping more pet parents discover it. Thank you for your support! 

Send us Fan MailThis podcast is a DNP project recording on provider education on the 2026-2027 flu vaccine.  Alexanda Barrow, a DNP student at the University of Florida, and her faculty mentor, Michael Maymi, DNP, discuss evidence-based education about this year's vaccine.  Below is the reference list used to provide the education.                                                                    ReferencesAmerican Academy of Pediatrics Committee on Infectious Diseases. (2025). Recommendations for prevention and control of influenza in children, 2025–2026: Policy statement. Pediatrics, 156(6), e2025073620. https://doi.org/10.1542/peds.2025-073620Çeri, A., Sancak, E., & Sayan, E. (2025). Navigating challenging family dynamics in pediatric practice: Strategies for effective communication and collaboration. Pediatrics in Review,46(10), 535–544. https://doi.org/10.1542/pir.2025-006760Food and Drug Administration. (2026). Influenza vaccine composition for the 2026–2027 U.S. influenza season. https://www.fda.gov/vaccines-blood-biologics/vaccines/influenza-vaccine-composition-2026-2027-us-influenza-seasonGarzon, D. L., Dirks, M., Driessnack, M., Duderstadt, K. G., & Gaylord, N. M. (Eds.). (2025). Burn's pediatric primary care (8th ed.). Elsevier. Jacobson, R. M., St Sauver, J. L., Griffin, J. M., MacLaughlin, K. L., & Finney Rutten, L. J. (2020). How health care providers should address vaccine hesitancy in the clinical setting: Evidence for presumptive language in making a strong recommendation. Human Vaccines & Immunotherapeutics, 16(9), 2131–2135. https://doi.org/10.1080/21645515.2020.1735226Kaiser Family Foundation. (2025). Child flu vaccination rates by age. https://www.kff.org/state-health-policy-data/state-indicator/child-flu-vaccination-rates-by-age/Reinhart, K., Huang, S., Kniss, K., Reed, C., & Budd, A. (2025). Influenza-associated pediatric deaths—United States, 2024–25 influenza season. MMWR. Morbidity and Mortality Weekly Report, 74, 565–569. https://doi.org/10.15585/mmwr.mm7436a2Sakleshpur, S., & Steed, A. L. (2022). Influenza: Toward understanding the immune response in the young. Frontiers in Pediatrics, 10, 953150. https://doi.org/10.3389/fped.2022.953150Trombetta, C. M., Kistner, O., Montomoli, E., Viviani, S., & Marchi, S. (2022). Influenza viruses and vaccines: The role of vaccine effectiveness studies for evaluation of the benefits of influenza vaccines. Vaccines, 10(5), 714.https://doi.org/10.3390/vaccines10050714Vidyasagar, N., Bernstein, K., & Alcocer Alkureishi, M. (2026). Motivational interviewing: A tool for pediatricians. Pediatrics in Review, 47(1), 59–63.https://doi.org/10.1542/pir.2024-006685

Medicaid payment suspensions are one of the most powerful tools the government has in the health care enforcement space, and the current administration has taken a robust approach to their use. Sarah Hall, Partner, Epstein Becker & Green PC, speaks with Clifford Barnes, Managing Partner, Clifford E. Barnes Esq. & Associates LLC, and Tom Barnard, Shareholder, Baker Donelson Bearman Caldwell & Berkowitz PC, about the rise of Medicaid payment suspensions targeting behavioral health providers in Washington, DC.  They discuss the mechanics of a Medicaid payment suspension, the specific trends they have recently seen regarding DC Medicaid, and what Medicaid providers can do to prevent suspension.Watch this episode: https://www.youtube.com/watch?v=E-qoKEEiMeQEssential Legal Updates, Now in AudioAHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.Stay At the Forefront of Health Legal EducationLearn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

The central structural shift discussed is the repricing and erosion of the MSP business model as artificial intelligence (AI) and automation impact service delivery, pricing models, and margin structures. Analysis referenced recent polling and reporting, including the Omnia poll of 22,000 MSP partners and Service Leadership's financial benchmarking. The integration of AI is reducing direct labor requirements and shifting traditional cost structures—posing both short-term increases in service margins for top-tier MSPs and complex, longer-term risks to the per-user pricing paradigm. Vendors, such as ConnectWise and RapidScale, are central to these developments, as their platforms, pricing models, and reporting mechanisms increasingly determine downstream MSP economics. Supporting evidence from Service Leadership's recent profitability report shows top quartile MSPs achieved a service multiple of wages (SMW) of 3.01—a level reached previously only during periods of wage collapse. The report also highlights that this margin growth is isolated: while the best-in-class are realizing sharply higher service margins, the median and bottom quartile remain flat. Reporting and analysis attributed this phenomenon to the earliest and most effective adopters of automation, particularly service desk automation aligned with AI, according to theories discussed with Service Leadership and ConnectWise representatives. However, there is a notable lack of definitive causation, as Service Leadership states the link between AI adoption and observed margin increases remains a working theory pending further data. Additional developments reinforce the risk environment. Nearly 43% of surveyed MSPs are actively considering alternatives to per-user pricing, with another 17% acknowledging a need to change their pricing but lacking a defined direction. Industry analysis notes that consumption-based models—such as token-based or outcome-based pricing—present challenges, including unpredictable vendor cost structures and difficulties in measuring actual results achieved. Meanwhile, the risk of vendor-driven reenactment of break-fix economics and cost volatility increases, with some vendors already raising prices significantly to offset their own AI-related costs, pointing toward future margin compression downstream. For MSPs and IT service providers, the operational implications are immediate and material. Providers face growing exposure to pricing and margin risk, especially as clients begin to recognize and challenge efficiency gains achieved by automation. Structurally, there is rising accountability for justifying service costs and delivering new forms of value outside commoditized support. Continued reliance on legacy pricing models without adaptation to AI-driven changes increases the risk of eroded margins or adverse contract negotiations. The most resilient operators will need to stabilize internal cost structures, reconsider client contracts, monitor vendor behavior closely, and prepare for increased customer scrutiny on both cost and deliverables. Supported by: GuardzScalePad

In this episode, Katherine Forrest and Scott Caravello break down how AI companies are embedding invisible watermarks and provenance signals into the content their models generate. They also walk through AI regulation in both Europe and California that is shaping how synthetic content gets labeled and tracked. For the sources referenced in this episode, please see the links below: Anthropic: How Claude's text watermark works California State Legislature: California AI Transparency Act EU AI ACT, Article 50: Transparency Obligations for Providers and Deployers of Certain AI Systems European Commission: Code of Practice on Transparency of AI-generated Content ## Learn More About Paul, Weiss's Artificial Intelligence practice: https://www.paulweiss.com/industries/artificial-intelligence

A persistent governance gap is evident in current IT operations, as credential management and authorization checks fail to keep pace with increased automation and AI integration. This is visible in incidents involving major vendors such as N-able (through Passportal), Anthropic's Claude, AI-based retail management at Andon Labs, and legacy industrial controllers monitored by agencies like the NSA, CISA, and FBI. The episode highlights how systems are increasingly reliant on automated actors and credentialed assistants, while foundational questions of access rights and accountability remain unresolved. The most consequential case centers on a vulnerability in N-able's Passportal browser extension, disclosed by security researcher James Arnott. The flaw allowed any website—or embedded ad—to request and obtain session tokens, enabling decryption of entire password vaults. This affected approximately 2,500 MSPs and 165,000 SMBs, with each stolen token remaining valid for 100 days. N-able patched the issue quickly, but Dave Sobel emphasizes that the responsibility for checking permitted actions within such systems is often misattributed or left unaddressed. Supporting developments reinforce this governance gap. An AI assistant exploited poor authorization in an Australian gym reservation system, canceling another user's booking without hacking or unauthorized login. Similar risks persist in industrial environments, where controllers for energy, water, and agriculture often lack basic authentication—exposing them to AI-generated exploitation scripts, according to joint agency warnings. Additionally, retail automation at Andon Labs revealed AI-driven policy lapses, where systems cannot reliably document or enforce their own rules, highlighting operational weaknesses. Operationally, MSPs face increased risk from both their own service infrastructure and client environments. The practical recommendation is to issue discrete, revocable credentials tailored to each system agent, limiting their scope and ensuring traceable accountability. Providers are advised to formally define and document their responsibility boundaries regarding access and permissions in third-party applications. These steps shift the focus from attempting to control every client-side variable to clear documentation and compartmentalization, reducing dispute risk and speeding incident investigations. 00:00 The Gym Class and the Vault 03:39 The Check Was Always a Person  06:37 Your Tools Ask the Wrong Question 10:27 Why Do We Care?    Supported by:  GoTo(LogMeIn)Proofpoint 

Regional Tourism NZ say they have been blindsided over an apparent political flip flop on a bed levy. The National Party has now ruled out any kind of accommodation levy for visitors. That is despite Christopher Luxon speaking about the possibility of one just a fortnight ago. Any levy was intended to help fund infrastructure in the face of growing tourist numbers. General manager of Destination Marlborough and Trustee of Regional Tourism NZ, Tracey Green spoke to Lisa Owen.

The episode highlights the structural shift toward platform consolidation in security services, illustrated by Coro's unified security platform and its positioning for lean IT teams and MSPs. The mechanism involves the bundling of diverse security tools—email protection, endpoint detection and response (EDR), DLP, security awareness, backup, and cloud app integrations—into a single, managed service. This reduces the operational overhead associated with managing multiple vendors, products, and contracts, a trend now pursued by both established enterprise providers and emergent channel-focused companies. The most significant development cited is Coro's integration of AI and automation within its platform, claiming, according to the company, that 92% to 96% of alert tickets generated by security modules are closed automatically by machine intelligence, depending on the month. The conversational AI integrations such as ChatGPT and Claude are presented as front-end layers through which practitioners can execute mundane security tasks—ticket management, host isolation, incident correlation—without direct console interaction. The claim of offloading 95% of workloads to automation is specified as relating to ticket processing volume, as clarified in the discussion. Supporting evidence centers on the operational layering of AI, with commentary on new risk profiles introduced by integrating large language models (LLMs) into security workflows. Concerns raised include rising exposure to prompt injection, shadow AI (untracked AI usage by end users), and unmanaged cost escalation linked to token-based billing models for third-party AI platforms. Coro's approach distinguishes between AI-related costs incurred internally (absorbed by the vendor) and those incurred when practitioners interact with external AI tools (borne by the MSP or their clients). The need for visibility into AI usage and structured user training is highlighted as a risk mitigation measure. Operationally, MSPs and IT providers face both increased efficiency and new complexity. Vendor dependency consolidates, reducing contract sprawl and administrative burden but raising questions about single-point-of-failure and stack lock-in. Billing risk shifts with AI consumption models, introducing liability for unexpected operational cost surges if token limits are not enforced. The requirement for effective governance intensifies as traditional security controls are extended by AI-managed processes and the detection of unauthorized AI activity becomes part of standard oversight. Providers are advised to scrutinize stack overlap, evaluate whether platform consolidation minimizes genuine operational friction, and remain cautious about over-relying on automated outcomes without maintaining direct accountability. Supported by: Pax8Proofpoint  

The dominant structural shift explored is the erosion of document-based differentiation for MSPs and IT service providers, driven by advances in generative AI, regulatory mandates, and automation of AI detection and content creation processes. Regulatory requirements such as the EU AI Act are compelling vendors like Anthropic and Google to introduce invisible watermarks on machine-generated content, while vendors including OpenAI have yet to standardize this practice. At the same time, third-party entities such as BlazeHive are automating the production and humanization of AI-generated output, raising concerns about the long-term viability of artifacts as proof of human oversight or competency. Evidence cited includes Anthropic's implementation of invisible watermarks on content produced by its Claude model, fulfilling regulatory obligations and planning to release detection tools to third parties. The durability of these watermarks is limited: "light editing probably won't strip the mark, but a complete rewrite... will" according to Anthropic's own guidance. Market analysis by Ramp shows a ceiling on enterprise spend for premium AI models like Anthropic's Fable 5, with adoption of high-end models remaining restricted in practice, and cost pressures pushing organizations towards locally-run, unmetered models such as Alibaba's recent release. Additional developments reinforce the structural gap in process and talent. Channel Dive and Information Week report that IT providers face increasing difficulty deploying the AI tools they sell, not because the tools are unavailable, but due to a lack of engineering skill and process clarity. Gartner's research, as reported by Information Week, identifies that failures in deploying AI agents stem from breakdowns in business process definition, not deficiencies in the technology. These trends illustrate that service providers' core asset is not tooling but an explicit, transparent process with clear review and accountability—something that automation and documentation alone cannot supply. For MSPs and IT service providers, these trends create risks around vendor substitution, diminished artifact value, and increased client scrutiny. The implication is a need to codify review standards and accountability practices for deliverables, as automated AI output can no longer serve as a market differentiator, and clients now have both the suspicion and means to probe the origins of documents. Differentiation will shift toward the ability to transparently describe, defend, and consistently execute meaningful human review and oversight—not merely the ability to generate professional-looking outputs. Providers who cannot articulate and document their review process may find themselves commoditized or excluded from competitive evaluations. 00:00 The Mark Arrives Everywhere  03:11 A Test That Can't Come Back No 06:38 Nobody Can Answer With the File 09:24 Why Do We Care?    Supported by:  OpenText Guardz 

Lindsay Clancy's nurse practitioner did not know her patient had seen a psychiatrist fourteen times in four months. The psychiatrist did not know Clancy had checked herself into a locked psychiatric ward on New Year's Eve. No one provider had a complete picture of how fast she was deteriorating.Jennifer Coffindaffer, a retired FBI Special Agent, joins Tony Brueski to cover testimony from three weeks of trial at Plymouth Superior Court. The evidence has revealed what the medical system around Lindsay Clancy looked like before she killed Cora, five, Dawson, three, and eight-month-old Callan on January 24, 2023.Clancy told providers she was experiencing intrusive thoughts she had never had before. She described herself as completely hopeless. She searched her phone for information about hallucinations and the word "intrusive" in the days before the killings. The postpartum treatment program she tried to enter refused her because she was already on too many medications.The prosecution alleges Clancy acted deliberately and rationally. The defense argues she was suffering from postpartum psychosis — a condition occurring in roughly one of every thousand births that carries a documented four percent rate of infanticide. Her suicide attempt left her permanently paralyzed from the waist down.Coffindaffer covers whether the provider coordination failures matter in a case where three children are dead and what the clinical research says about psychosis and planning coexisting. She examines how the jury weighs a system that let a mother fall through every available safety net.Lindsay Clancy has pleaded not guilty. She is presumed innocent.Tony Brueski and retired FBI Special Agent Jennifer Coffindaffer.Listen Anywhere You Get Podcasts: https://pod.link/1655749292Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@UC8-vxmbhTxxG10sO1izODJgJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#LindsayClancy #PatrickClancy #HiddenKillers #JenniferCoffindaffer #PostpartumPsychosis #PlymouthSuperiorCourt #TrueCrime #InsanityDefense #MentalHealth #CriminalJustice

(This episode originally aired on February 3, 2026. Stay tuned towards the end of the conversation for an update on the state of pediatric hospitals midway through 2026.) Pediatric hospitals are one of the most important segments in the industry to watch right now. Although children's hospitals make up only 5% of total hospital market share, more than 40% of U.S. children rely on Medicaid, leaving pediatric organizations disproportionately exposed as the Medicaid-related provisions of the One Big Beautiful Bill Act take effect. The pressures inside pediatric care were mounting even before this moment. After years of outperforming adult hospitals, children's hospitals have seen margins fall from double digits to just 1% last year. Rising bad debt, higher supply and labor costs, a rapid shift toward lower margin outpatient care, and emerging challenges like declining birth rates and vaccine policy upheaval have created a perfect financial storm. While some of these dynamics are unique to pediatrics, the sector also offers an early warning signal for the rest of healthcare — and an opportunity to translate lessons across both worlds. In this episode, host Abby Burns and Advisory Board expert Vidal Seegobin break down why pediatric leaders must simultaneously manage immediate-term margin pressure, prepare for a more ambulatory-dominant model, and futureproof their organizations amid shifting demographics. Vidal also shares actionable steps leaders can take now, along with the critical lessons pediatric hospitals offer the wider healthcare ecosystem. We're here to help: 5 insights on the state of pediatric hospitals today 12 things CEOs need to know in 2026 The State of the Healthcare Industry in 2026 Read Advisory Board's 2026 research agenda 3 trends shaping healthcare in 2026 (and how to respond) 278: Dr. Emily Oster on fighting misinformation and rebuilding trust in healthcare 277: Patient distrust is costing you. Here's how to rebuild it. Learn how outpatient shifts can impact your organization by using Advisory Board's Market Scenario Planner tool. Sponsor link: Q&A: How e-prescribing for vaccines may help close patient care gaps A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

Today on the CodeCast Podcast, Terry discusses a topic that comes up in auditing conversations frequently: “that an auditor needs to specialize in a certain specialty before they can audit E/M services for that specialty.” That is not necessarily true. I understand where that thought comes from. It can absolutely help for an auditor to be familiar with the anatomy, medications, terminology, and common treatment plans within a specific specialty. That knowledge can make the note easier to follow. It may also help the auditor know when they need to ask a question or do additional research. But does it also create a bias? Let's chat about this today on the CodeCast. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post E/M Auditing Specialty Providers appeared first on Terry Fletcher Consulting, Inc..

Not one of the four providers treating Lindsay Clancy before January 24, 2023, ever contacted another to compare notes on her care. Her psychiatrist saw her fourteen times. Her nurse practitioner had no record of those visits. When Clancy admitted herself to a locked psychiatric ward, her outpatient providers were not informed.Retired FBI Special Agent Jennifer Coffindaffer joins Tony Brueski on Hidden Killers Live to cover what the trial testimony at Plymouth Superior Court has shown about a fractured mental health system and a mother who fell through it.Clancy messaged her treatment team about thoughts she had never experienced before. She searched for "hallucinations" on her phone. Published research puts postpartum psychosis at one in a thousand births and documents a four percent infanticide rate within that population. Her defense argues she was psychotic when she killed Cora, five, Dawson, three, and Callan, eight months.She attempted to take her own life immediately after. She jumped from a window, broke her spine, and is permanently paralyzed. She cut her own neck and wrists. Her blood pressure dropped in the ICU and she went into cardiac arrest.The prosecution says she planned it. Coffindaffer examines whether planning and psychosis can exist in the same person at the same time, and what thirteen psychiatric medications, four disconnected providers, and a treatment program refusal tell an investigator.Lindsay Clancy has pleaded not guilty. She is presumed innocent.Tony Brueski and retired FBI Special Agent Jennifer Coffindaffer.Listen Anywhere You Get Podcasts: https://pod.link/1655749292Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@UC8-vxmbhTxxG10sO1izODJgJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#LindsayClancy #PatrickClancy #HiddenKillersLive #JenniferCoffindaffer #PostpartumPsychosis #PlymouthSuperiorCourt #TrueCrime #InsanityDefense #MentalHealth #CriminalJustice

The episode details a structural shift within the managed services market toward increased operational automation and integration, framed by vendor-led consolidation of core service platforms with embedded AI-driven workflows. ConnectWise has combined previously separate systems—PSA, RMM, ScreenConnect, and others—into a unified platform powered by agent-based automation ("agentic AI") under the "Predictive IT" model. The associated risk for service providers is growing reliance on consolidated vendor ecosystems for both service delivery operations and automation capabilities, blurring the distinction between core service expertise and contextual tooling. A consequential data point highlighted is from Service Leadership benchmarking, which shows sustained 19% EBITDA over six years for MSPs, with the most profitable—in what ConnectWise identifies as "best-in-class"—gaining advantage through higher investment in automation and agent-driven workflows. According to ConnectWise, production test data show that deploying agentic automations has produced a 30–60% reduction in tickets requiring direct human involvement, along with 45% reductions in handling times and claimed margin improvements of 5–12 percentage points. Importantly, labor cost pressures and technician burnout persist, positioning automation as a response to both expense management and workforce availability challenges. Supporting developments clarify that best-in-class or larger MSPs often experiment with building their own automation tools, but many report variable outcomes, including cases where internally built solutions fail to deliver anticipated efficiency or escalate costs—a result ConnectWise attributes to confusion over what constitutes "core" versus "contextual" investment. ConnectWise now positions its integrated approach as a way for smaller and mid-size MSPs to access operational automation without standing up custom software projects or incurring the risks and overhead of internal development. The episode also surfaces channel-wide conversation about the tension between per-user, per-workflow, and consumption-based pricing, highlighting the risk of variable costs being introduced into previously fixed-fee MSP engagement models. For service providers, the practical implications are increased dependency on platform vendors for operational tooling, with a shift away from internally built processes toward outsourced automation and dashboard-driven performance tracking. This creates new pricing models—metered by user, workflow, or consumption—which can introduce variability and contract risk when compared against flat-fee client agreements. Providers need to monitor the alignment between vendor billing structures and their own client contracts, assess the operational impact of vendor stack consolidation, and maintain transparency around efficiency gains versus workload transfers. Oversight mechanisms must be updated to account for reliance on agent-run workflows and to mitigate associated accountability and governance risks. Supported by: WebPros (CometBackUp)Pax8

Lindsay Clancy messaged her providers almost every day, begging them to change what wasn't working. Defense attorney and former prosecutor Eric Faddis joins Tony Brueski to break down a defense case built less on a single moment and more on months of documented desperation. Thirteen psychiatric medications. Daily messages asking for adjustments. Journal entries describing intrusive thoughts and brain fog in the weeks before her children died. Not one provider diagnosed postpartum psychosis before that day — every doctor and nurse practitioner who saw her documented anxiety and depression instead. The psychosis diagnosis came later, from a forensic psychiatrist retained by the defense, a timing detail Faddis says both sides know matters more than almost anything else in the record. Faddis explains why Kevin Reddington has spent three weeks dismantling the providers who treated Lindsay, including her psychiatrist, who admitted under cross-examination that she never once met Lindsay in person across fourteen telehealth sessions, didn't have her complete medical record, and didn't know Lindsay had called a suicide hotline twice. On the other side, prosecutors are leaning on what Lindsay did that morning — sending her husband out for takeout, timing his errand, and a specific search on her phone beforehand. Faddis walks through why the state considers that detail central, and why the defense conceded from day one that Lindsay killed her children, choosing instead to fight over whether she was herself when it happened. What Massachusetts law requires the state to prove beyond a reasonable doubt is where this case now turns, and Faddis makes the case for why the providers on both witness lists may end up mattering as much as anything said in closing arguments. LINKS, DISCLAIMER & HASHTAGS Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/ Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1 Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/TrueCrimePod This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice. #LindsayClancy #EricFaddis #HiddenKillers #JenniferTufts #KevinReddington #PostpartumPsychosis #ClancyTrial #TrueCrime #CriminalResponsibility #DuxburyMassachusetts