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May was the most decisive month of state level NEMT modernization this year. Colorado passed HB 26 1328, Wisconsin selected Verita as its new Medicaid NEMT vendor, and Massachusetts committed $15.66 million for 131 wheelchair accessible vans. On the federal side, CMS deferred $1.3 billion in Medicaid payments to California, HHS OIG launched reviews of every state Medicaid Fraud Control Unit, and 15 people were charged in a $90 million Minnesota Medicaid fraud case.Inside the Lamp, we published a new case study on 360 Quality Care in Saint Louis, and this month's product release brings faster invoicing, an 837P billing fix, and Lightning Assign updates.Chapters:00:00 Welcome and what mattered in May00:20 Three state moves: Colorado, Wisconsin, Massachusetts00:30 Colorado HB 26 1328 passes State Senate01:03 Industry response: Tyler Bors O'Leary, MedRide01:38 Wisconsin selects Verita as new Medicaid NEMT vendor02:11 Fourth major broker change of 202602:31 Massachusetts $15.66M Community Transit Program funding03:28 Federal compliance push hits a new gear03:43 $1.3 billion California Medicaid deferral03:57 HHS OIG launches MFCU reviews04:14 Minnesota: 15 charged in $90M Medicaid fraud case04:41 Rising compliance baseline for Medicaid providers05:05 NEMTAC CSO Instructor Bridge course launches05:41 Inside the Lamp: 360 Quality Care case study06:31 Product release: invoice speed, 837P billing fix, Lightning Assign07:05 Wrap up and what it all means
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete NCPD/ILNA information, and to apply for credit, please visit us at PeerView.com/FJB865. NCPD/ILNA credit will be available until May 25, 2027.“Off-the-Shelf” Choices in RRMM: Oncology Nurse Guidance on Delivering Quality Care With BCMA and Non-BCMA Immunotherapy In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete NCPD/ILNA information, and to apply for credit, please visit us at PeerView.com/FJB865. NCPD/ILNA credit will be available until May 25, 2027.“Off-the-Shelf” Choices in RRMM: Oncology Nurse Guidance on Delivering Quality Care With BCMA and Non-BCMA Immunotherapy In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete NCPD/ILNA information, and to apply for credit, please visit us at PeerView.com/FJB865. NCPD/ILNA credit will be available until May 25, 2027.“Off-the-Shelf” Choices in RRMM: Oncology Nurse Guidance on Delivering Quality Care With BCMA and Non-BCMA Immunotherapy In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete NCPD/ILNA information, and to apply for credit, please visit us at PeerView.com/FJB865. NCPD/ILNA credit will be available until May 25, 2027.“Off-the-Shelf” Choices in RRMM: Oncology Nurse Guidance on Delivering Quality Care With BCMA and Non-BCMA Immunotherapy In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
Send us Fan MailWhat does the future of hospice care really look like—and who's shaping it?In Part Two of this compelling conversation, healthcare leaders Tom Koutsoumpas and Carole Fisher join Chris Comeaux and Cordt Kassner to discuss the future of hospice reform, Medicare modernization, quality care standards, and the challenges facing nonprofit hospice providers across America.From fraud prevention and workforce shortages to Medicare Advantage and innovative disease-specific care models, this episode delivers an inside look at the policy, leadership, and operational decisions shaping the future of end-of-life care.Whether you're a healthcare executive, hospice professional, nonprofit leader, policymaker, or business leader, this discussion provides valuable insight into how hospice organizations can remain relevant, sustainable, and mission-driven in a rapidly evolving healthcare environment.⸻Episode Highlights✔️ Why hospice quality reporting and transparency matter more than ever✔️ The growing impact of Medicare Advantage on hospice care✔️ Challenges facing nonprofit hospice organizations✔️ Innovation in palliative care and disease-specific support models✔️ How NPHI is advocating for hospice reform and accountability✔️ The workforce and financial pressures affecting hospice providers✔️ The truth about the hospice carve-in debate and what the data shows✔️ Why leadership and mission remain critical in end-of-life care⸻Key Quote From The Episode“The future of hospice and palliative care is making sure we are staying relevant, necessary, and sustainable.” — Carole Fisher⸻About This EpisodeThis episode explores the intersection of healthcare leadership, hospice advocacy, Medicare reform, patient-centered care, and operational sustainability. The conversation emphasizes the importance of preserving the mission of hospice while adapting to changing healthcare systems and patient expectations. Featured Guests
What does the future of hospice care really look like—and who's shaping it?In Part Two of this compelling conversation, healthcare leaders Tom Koutsoumpas, Founder & CEO of NPHI and Carole Fisher, President of NPHI, join Chris Comeaux and Cordt Kassner to discuss the future of hospice reform, Medicare modernization, quality care standards, and the challenges facing nonprofit hospice providers across America.From fraud prevention and workforce shortages to Medicare Advantage and innovative disease-specific care models, this episode delivers an inside look at the policy, leadership, and operational decisions shaping the future of end-of-life care.Whether you're a healthcare executive, hospice professional, nonprofit leader, policymaker, or business leader, this discussion provides valuable insight into how hospice organizations can remain relevant, sustainable, and mission-driven in a rapidly evolving healthcare environment.⸻Episode Highlights✔️ Why hospice quality reporting and transparency matter more than ever✔️ The growing impact of Medicare Advantage on hospice care✔️ Challenges facing nonprofit hospice organizations✔️ Innovation in palliative care and disease-specific support models✔️ How NPHI is advocating for hospice reform and accountability✔️ The workforce and financial pressures affecting hospice providers✔️ The truth about the hospice carve-in debate and what the data shows✔️ Why leadership and mission remain critical in end-of-life care⸻Key Quote From The Episode“The future of hospice and palliative care is making sure we are staying relevant, necessary, and sustainable.” — Carole Fisher⸻About This EpisodeThis episode explores the intersection of healthcare leadership, hospice advocacy, Medicare reform, patient-centered care, and operational sustainability. The conversation emphasizes the importance of preserving the mission of hospice while adapting to changing healthcare systems and patient expectations. Featured Guests
Send us Fan MailIn Part One of Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care, Chris Comeaux sits down with nationally respected healthcare leaders Tom Koutsoumpas, Founder & CEO of NPHI and Carole Fisher, President of NPHI to explore the evolving future of hospice, palliative care, Medicare oversight, and the growing demand for quality-driven, compassionate healthcare leadership. Together, they unpack the growing challenges facing end-of-life care — from fraud and benefit manipulation to the urgent need for quality transparency and authentic patient-centered care. Drawing on decades of leadership experience, the guests explore how nonprofit hospice organizations are redefining quality while advocating for compassion, integrity, and trust across the healthcare continuum. The discussion also dives into the emotional and cultural barriers surrounding hospice conversations, the importance of introducing palliative care earlier in serious illness, and why communication remains one of the most powerful tools in healthcare leadership. Through personal stories, policy insights, and candid reflections, Tom and Carole reveal how mission-driven organizations are creating calm and clarity for patients and families during life's most vulnerable moments. This episode offers healthcare leaders, hospice professionals, and nonprofit executives a timely and inspiring look at where serious illness care is headed — and what it will take to protect its future. Key TakeawaysHospice leaders are pushing back against fraud, abuse, and “benefit manipulation” that prioritize profits over patient care. Earlier integration of palliative care can build trust with patients and families before hospice services are needed. One of hospice care's greatest challenges remains overcoming public fear and misunderstanding surrounding death and end-of-life conversations. Nonprofit hospice organizations continue to lead in quality outcomes, staffing, patient support services, and community-based care. Quality transparency, collaboration, and meaningful data sharing are becoming essential for the future of healthcare and hospice reimbursement.
In Part One of Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care, Chris Comeaux sits down with nationally respected healthcare leaders Tom Koutsoumpas, Founder & CEO of NPHI and Carole Fisher, President of NPHI to explore the evolving future of hospice, palliative care, Medicare oversight, and the growing demand for quality-driven, compassionate healthcare leadership. Together, they unpack the growing challenges facing end-of-life care — from fraud and benefit manipulation to the urgent need for quality transparency and authentic patient-centered care. Drawing on decades of leadership experience, the guests explore how nonprofit hospice organizations are redefining quality while advocating for compassion, integrity, and trust across the healthcare continuum. The discussion also dives into the emotional and cultural barriers surrounding hospice conversations, the importance of introducing palliative care earlier in serious illness, and why communication remains one of the most powerful tools in healthcare leadership. Through personal stories, policy insights, and candid reflections, Tom and Carole reveal how mission-driven organizations are creating calm and clarity for patients and families during life's most vulnerable moments. This episode offers healthcare leaders, hospice professionals, and nonprofit executives a timely and inspiring look at where serious illness care is headed — and what it will take to protect its future. Key TakeawaysHospice leaders are pushing back against fraud, abuse, and “benefit manipulation” that prioritize profits over patient care. Earlier integration of palliative care can build trust with patients and families before hospice services are needed. One of hospice care's greatest challenges remains overcoming public fear and misunderstanding surrounding death and end-of-life conversations. Nonprofit hospice organizations continue to lead in quality outcomes, staffing, patient support services, and community-based care. Quality transparency, collaboration, and meaningful data sharing are becoming essential for the future of healthcare and hospice reimbursement.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/CPE/IPCE information, and to apply for credit, please visit us at PeerView.com/KCA865. CME/CPE/IPCE credit will be available until April 30, 2027.Dispensing High-Quality Care for Myelofibrosis: Pharmacist Leadership in Delivering Effective JAKi Therapy In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/CPE/IPCE information, and to apply for credit, please visit us at PeerView.com/KCA865. CME/CPE/IPCE credit will be available until April 30, 2027.Dispensing High-Quality Care for Myelofibrosis: Pharmacist Leadership in Delivering Effective JAKi Therapy In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/CPE/IPCE information, and to apply for credit, please visit us at PeerView.com/KCA865. CME/CPE/IPCE credit will be available until April 30, 2027.Dispensing High-Quality Care for Myelofibrosis: Pharmacist Leadership in Delivering Effective JAKi Therapy In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/CPE/IPCE information, and to apply for credit, please visit us at PeerView.com/KCA865. CME/CPE/IPCE credit will be available until April 30, 2027.Dispensing High-Quality Care for Myelofibrosis: Pharmacist Leadership in Delivering Effective JAKi Therapy In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis educational activity is supported by an independent medical education grant from GSK.Disclosure information is available at the beginning of the video presentation.
When it comes to high-quality care, technology accelerates possibility—and people determine impact. In this episode, our guests explore the skills that leaders need to bring out the best of a tech-enabled world, and help make sure that the future of care in Canada is both high-tech and high-quality. Guests: Dr. Jennifer Zelmer, President and CEO, Healthcare Excellence Canada Dr. Kendall Ho, Professor of Emergency Medicine, University of British Columbia, & Medical Director, HealthlinkBC 811 Virtual Physician Service Learn More: Healthcare Excellence Canada HealthLinkBC 811 Virtual Physician Service Summary: 00:00 Welcome and Introductions 04:31 Defining Quality Care 08:13 Safety Sets the Pace 10:23 Analogies for Guardrails 14:52 Co Design With Patients 15:48 Fixing Human Problems 16:41 High Performing Systems 21:59 Leader Playbook for Change 27:06 Developing Trust Based Leaders 32:00 Digital Health in One Word Music: RetroFuture Clean and Breakdown, by Kevin MacLeod. Used under Creative Commons.
Most providers interrupt their patients within 18 seconds. What if the next few minutes of silence could tell you more than the next hour of testing? In Part 2 of the Your Health Values Series, Jamie sits down again with members of the Your Health Experience Team — Rebecca, Jennifer, Whitney, and Carlos — to go beneath the surface of "patient-centered care" and look at what empathy really demands in the pressured, everyday moments of healthcare. This isn't a conversation about being nice. It's a conversation about seeing people — patients, families, and colleagues — for everything they're carrying, even when they're hiding it behind a smile. In this episode: Why empathy is officially non-negotiable at Your Health — and what that looks like in practice The difference between emotional empathy and "empathetic sternness" (and why both save lives) How to recognize when a patient or colleague is carrying something deeper than their symptoms The real threat of empathy fatigue — and how to keep giving without burning out The two "holy times" in healthcare where empathy matters most What patients actually say when they feel truly seen If you've ever wondered whether the extra 60 seconds is worth it, this episode will show you why it's everything. Press play — and then try it on your very next interaction. www.YourHealth.Org
The American Radicals Podcast talks about a battle inside the DOJ, Big Tech eroding families, and schools closing for the NFL draft. Check us out on Spotify! https://open.spotify.com/show/09AZ2WuYnWbZ2941wsb6jW?si=76c005605dc64dc1 https://archive.ph/ZMzKU https://uncoverdc.com/2026/04/06/covid-amnesty-or-amnesia https://x.com/amuse/status/2041183982671319288 https://www.businesswire.com/news/home/20260309898627/en/Sesame-IVI-RMA-and-Costco-Transform-Fertility-Care-for-Costco-Members-with-New-Partnership-Offering-Expanded-Access-to-Quality-Care-and-80-Medication-Savings https://www.npr.org/2026/04/06/nx-s1-5773372/medication-abortion-jama-safety-mifepristone-misoprostol https://www.washingtonpost.com/opinions/2026/04/06/nfl-draft-pittsburgh-schools/ https://www.washingtonpost.com/education/2026/04/06/classic-learning-test/
Priscilla Weigel is joined by CICC colleagues, Brenda Lowe and Jacy Nylander to discuss coaching that supports the key components of quality care for our youngest children. In Part 1 of this two-part series, they discuss safety, attachment, and the importance of routines.
Priscilla Weigel is joined by CICC colleagues, Brenda Lowe and Jacy Nylander to discuss coaching that supports the key components of quality care for our youngest children. In Part 2 of this two-part series, they discuss the fact that individualization and honoring the uniqueness of each child is essential in the infant and toddler child care space. They also emphasize the need for open communication to foster successful partnerships with a family, and with colleagues, creating a safe foundation for infants and toddlers to learn and grow.
message me: what did you take away from this episode? Ep 109 (http://ibit.ly/Re5V) Jacqueline Dunkley-Bent on championing equity of quality care from the ward to the world#PhDMidwives #research #midwifery #forcedmigration #maternal #inequities #globalmidwifery #worldmidwives #ICM #maternalsafety #helplineresearch link t.ly/B_NgqSome careers trace a tidy line; Jacqueline Dunkley-Bent's draws a map. From cycling between neonatal units and community visits in Hackney to advising ministers and shaping WHO-backed guidance, she shows how a midwife's craft scales from bedside to policy without losing its heart. The through-line is simple and hard: women deserve to be heard, understood, and supported by confident, competent midwives who have time to build trust.We unpack the formative years in London's melting pot, where culture, church and family shaped everything from pain expression to antenatal priorities. Jacqueline explains why continuity of care is more than a model; it's the context that makes advice land and reduces unnecessary intervention. Her teaching era ran in parallel with hands-on births and multidisciplinary training, proving that credible education starts in the room where it matters most. A master's in public health sharpened her prevention mindset and introduced epigenetics as a practical tool: every conversation on diet, sleep, breastfeeding and safety ripples across generations.Her professional doctorate emerged from a ringing labour ward phone. Studying health-seeking behaviour on a maternity helpline, she found that careful listening and evidence-based reassurance keep many women safely at home longer, lower system pressure, and improve confidence. Those lessons later guided her as England's chief midwife during COVID: pre-vaccine fear, staff shortages, and unequal risk demanded clear triage, protection for women facing domestic violence in lockdown, and targeted support for Black and Asian women disproportionately affected. Looking outward, she champions three landmark documents on midwife models of care from WHO and partners, calling them the blueprint for cutting preventable maternal and perinatal deaths if leaders choose to act.Come for the story of a midwife who never left the bedside behind; stay for a clear, actionable case for midwife-led care that puts safety, dignity and public health first. If this conversation resonates, follow the show, share it with a colleague, and leave a review telling us where midwifery can make the biggest difference next. Support the showDo you know someone who should tell their story?email me - thruthepodcast@gmail.comThe aim is for this to be a fortnightly podcast with extra episodes thrown inThis podcast can be found on various socials as @thruthepinardd and our website -https://thruthepinardpodcast.buzzsprout.com/ or ibit.ly/Re5V
Send us a textNutrition plays a crucial role in early care settings by supporting children's growth, development, and ability to learn. Establishing healthy eating habits during these formative years sets the foundation for lifelong wellness and academic success. We recently welcomed back to DECAL Monica Griffin, our new Nutrition Education and Physical Activity Supervisor. Monica brings over 15 years of experience as a registered dietitian, supporting early care and education programs throughout Georgia. She was with us before as Nutrition Education Manager, then went to work for Children's Healthcare of Atlanta and Quality Care for Children. Catch up with Monica on this week's podcast.Support the show
What does quality care really look like—and how does Waves make sure it's happening every day? On this episode of Waves of Awareness, the hosts sit down with Waves' Quality Assurance Advisor for a behind-the-scenes look at how quality assurance supports meaningful, person-centered services for individuals with intellectual and developmental disabilities. From what goes into evaluating programs to why quality matters beyond the paperwork, this conversation sheds light on the systems—and heart—behind great care. You'll also hear about exciting ways Waves is continuing to strengthen quality across its programs. Recorded live in Fairview, this episode brings high energy and plenty of personality. Waves CEO Staci Davis is joined by co-hosts Adam, Jimmy, and Stephanie from the Fairview Day Program, who share what they're looking forward to in 2026, reflect on recent holiday highlights, and add their own insights (and laughs) along the way. Thoughtful, fast-moving, and full of genuine moments, this episode blends real talk, big-picture vision, and plenty of fun. If you're curious about how quality care comes to life at Waves—or just want an engaging, feel-good listen—this one's for you.
Send us a textToday, we're diving into highlights of the annual Media Symposium hosted by the Georgia Partnership for Excellence in Education, held on January 9, 2026. One of the standout sessions was a dynamic panel focused on early learning, featuring Dr. Bentley Ponder, Deputy Commissioner for Quality Innovations and Partnerships, Kristen Bernhard with Primrose Schools, Shawnell Johnson with Promise All Atlanta Children Thrive, and Ellyn Cochran from Quality Care for Children.Support the show
Leader 2 Leader Series:Join Chamber President and CEO, Susan Spears on a journey as she interviews some of the top community leaders in this series. Susan and her guests will share their insight and wisdom on making teams more effective, leveling up your communication skills, and building the courage to lead during difficult times. The Leader2Leader series is about making the most of it all —with insights, research, advice, practical tips, and expertise to help you become the leader you desire to be.Today's Guest: Thomas Magrino, Associate Vice President of Quality, Patient Safety, and Clinical Analytics at Mary Washington Healthcare
Dr. Monty Pal and Dr. Fumiko Chino discuss several of the top abstracts presented at the 2025 ASCO Quality Care Symposium, including research on federally funded clinical trials and financial reimbursement for trial participation. TRANSCRIPT Dr. Monty Pal: Hello, and welcome to the ASCO Daily News Podcast. I am your host, Dr. Monty Pal. I am a medical oncologist, professor, and vice chair of academic affairs at the City of Hope Comprehensive Cancer Center in Los Angeles. Today, we are highlighting key abstracts that were presented at the 2025 ASCO Quality Care Symposium. I am delighted to be joined today by the chair of this year's meeting, Dr. Fumiko Chino. Dr. Chino is an associate professor in radiation oncology at MD Anderson Cancer Center with a research focus on access, affordability, and equity. She is also a consultant editor of JCO Oncology Practice and the host of the Put into Practice podcast. I have got to listen to that. Dr. Chino, welcome, and thanks so much for being on the podcast today. Dr. Fumiko Chino: I am overjoyed to be here, and absolutely, you should take a listen. Dr. Monty Pal: Definitely. And FYI for listeners, our full disclosures are all available in the transcript of this episode, so do have a look if you are inclined. Now, we have really seen some fantastic advances in health services and quality and supportive care, digital health, and beyond. There are some great abstracts that were presented at this year's meeting. I have actually picked a couple that I am particularly interested in and that I believe you share my interest in as well. So, the first is an abstract actually from my friends at SWOG (Abstract 94). So, this was a terrific abstract from Joe Unger and Michael LeBlanc and Dawn Hershman. And this, I think, really hits on a very, very key issue right now, which is the benefit of federally funded trials. Do you mind just kind of spelling out some of the observations from what I think is a really brilliant piece of work? Dr. Fumiko Chino: Absolutely, and I think Dr. Unger's work is really important for our current funding environment. I think that this research is really essential to do to show the role of federal sponsorship in the design and conduct of clinical trials. Because what they did was really look at a landscape analysis over the last 20 years looking at funding and were able to show quite clearly that federal funding really matters for advancing the science in cancer care. So what they showed was that the federal funding was more commonly essential for early-stage clinical trials, so those phase 1, phase 2 trials that really help advance the science. And that federal funding was really essential for multimodality drug combinations, combinations with drug and surgery, combinations with drug and radiation. Those trials were much more likely to be federal funded. And then the last thing is that they showed that the patients that are, I think, the largest at risk for gaps in care who really need the advancements in science that keep U.S. health care amazing and wonderful and world-leading, so the kids, the pediatric patients, the patients with rare cancers, and the patients actually that could benefit from de-escalation or right-sizing of treatment, they were also all more likely to have federal funding. So I think this research that was presented really shows that if, unfortunately, current status of restricted federal funding continues, that we are going to lose out in terms of the next generation of cancer cures, cancer de-escalations, and the type of combination treatments that make advancements in science. Dr. Monty Pal: Indeed. You know, I always point to Joe Unger's paper, and I think it is in JAMA Oncology, right, that showed life-years gained from NCI trials. It is such an important piece of work. I think this is a really nice complement to that, isn't it, to show the specific areas that otherwise would be, am I right in saying, kind of largely untouched? Dr. Fumiko Chino: I think you are right in that what we know from what industry will sponsor versus what the federal government will sponsor, that the federal government really helps make up the gap to really make those advancements that save lives, that lead to more birthdays, that advance our knowledge and our capacity for providing more cures and more successful futures for our patients. I always like pointing to the de-escalation research, which is, and this is not to dig pharma, but no pharmaceutical company is going to run a trial that says you can give less of their drug, right? It just does not make sense for the business end of the science. And so, thinking about how to right-size treatments, how to do more with less, that really is the purview of the federal government. Dr. Monty Pal: Absolutely. Absolutely. I am going to shift gears here and bring up another abstract that I found to be quite intriguing, and this relates to reimbursement of expenses, et cetera, for clinical trials. This is an abstract from Courtney Williams and team. It brings to mind the importance, I think, of recognizing the hardships that patients take on by clinical trials, but I also would love for you to comment on that sort of fine line between reimbursement for expenses and then, you know, sort of undue enticement. It is a challenging balance there. But give me your reflections on this abstract. Dr. Fumiko Chino: Absolutely. You are speaking about Dr. Williams' Abstract 93 from the Alabama group, and Alabama actually has this incredible group of health services researchers which is, are doing really important work in this space. What this trial shows is that, you know, it is a small pilot study, it is 30-something patients that received some support primarily for their travel and additional expenses related to their clinical trial participation for breast cancer. It showed that the money helps, and I think what we all know is that it is expensive to participate in clinical trials. It requires additional visits. It often requires some significant travel burden for our patients, and I do not feel that money reimbursement for clinical trial expenses is an inducement. Nobody participates in a clinical trial to get the money for their gas, right? We know that our patients are making some pretty significant sacrifices in order to participate in clinical trials, and what this type of program does is just actually reimburse them for their outlaying of funds. And I loved this trial because the patients were actually given $1,000 a month for the first 4 months of their trial participation, and what the study showed is that the patients were using it for things like travel-related food, for things like transportation, caregiver expenses, or even some of their out-of-pocket medical expenses like cost sharing or prescriptions. And that they said that overall, the reimbursement really made a difference in terms of their capacity for staying on the clinical trial. Because we know our clinical trials really are not able to enroll the full diversity of patients that often have a disease, and that the patients that are at biggest risk for a health care disparity or a gap in care are also the least likely to enroll in a clinical trial. Programs like this are an essential part of showing how financial toxicity can be overcome with pretty straightforward assistance to patients to help reimburse them for the things that they are already taking out of their pocket, for parking costs, for that $10 soup that they buy at the cancer center, for those additional expenses that we are, unfortunately, putting on them. Dr. Monty Pal: Very well said. And you know, I have started to dabble in clinical trials looking at CAR T-cell therapies for kidney cancer, and I have to tell you, it is just insane the amount of cost that a patient would have to take on to comply with the stipulations for some of these novel therapies. We require that they stay within 30 minutes of the facility for 28 days, and unless we are compensating for some of that, I mean, how can one afford a hotel stay that is that long? I mean, it is just, it is unprecedented, and it would certainly provide a huge barrier to many patients who would otherwise enroll. Really well said. I also wanted to bring up another financially driven topic, and treating renal cell, again, I would say the vast majority, 90% plus of my patients in clinic are on oral drug therapies. And I cannot tell you how often a patient will show up in my practice and say, "Doc, I have got 15 days out of this 30-day prescription left. What do I do with it?" You know, or some come with pill bottles from a deceased loved one. And it is so frustrating to say, "Take it to the pharmacy and they will just get rid of it for you." But sounds like there is an abstract from Dr. Mackler, Abstract 102, that seems to address this topic quite well. Am I right? Dr. Fumiko Chino: Absolutely. This presentation, I was the most excited about seeing because this group, which helps run a cancer drug repository, theirs is called YesRx, presented their data from the last approximately two years of running this repository, and they were able to show incredible benefit for their patients in Michigan. And it is a really straightforward program. It is run by pharmacists. It has support from the legislation in Michigan. And what they were able to show is that they repurposed medications that would otherwise have been discarded. They delivered them directly to the oncologist, which then actually dispersed them to the patients. They helped 1,000 patients in less than two years. They saved them millions of dollars, over $15 million presented in the abstract. And it is just a win-win-win because I know that patients actually, and sometimes patient caregivers, they feel very sad to have spent a lot of money out of pocket for their medication, and then if they have a dose reduction or, obviously, you know, if the surviving spouse then has to get rid of their medication, just dispose of them, it is very disheartening. And this is a way of kind of reclaiming power for patients. So they were able to accept donations from all over the state of Michigan and then also help over 1,000 patients. And so, it is a phenomenal program. Dr. Monty Pal: Just wild when I came across the dollar amounts, right, that they were saving. It just, it seems like a place that, you know, we just have to look, as cancer centers, right, and really take this on. Just brilliant. On that same theme of cost savings and so forth, you know, I think there has been a lot of focus on what recent policies have done in the context of us having access to therapies and so forth. And one of the topics that has come up is the Inflation Reduction Act and how changes pertaining to the IRA have really played a role in one's ability to take on some of these expensive prescriptions. And I believe John Lin and colleagues tackled that issue in Abstract 97. Could you comment on that, Fumiko? Dr. Fumiko Chino: Absolutely. Dr. Lin is one of my colleagues here at MD Anderson, so I know him very well, and he has been doing really phenomenal work over the last several years with looking at drug affordability and access. And what his analysis shows is that for patients, after the Inflation Reduction Act's cap on out-of-pocket expenses, is that it really did show that out-of-pocket expenses decreased. So what the Inflation Reduction Act did is that it eliminated the 5% co-insurance and placed this $2,000 cap on out-of-pocket expenses. And what that led to for these patients that were not able to have the low-income subsidy is that there were lower costs, and that there was a lower rate of drug abandonment, meaning that the prescription was not refilled. There was also a lower rate of unfilled prescriptions as well. And I think that it shows that health policy really can improve access to care. I think the flip side of the fact that the IRA, this policy, really did seem to help people is that what his research showed is that actually, even with the benefits of this cap, is that actually it is still really high in terms of the rate of people who are not able to fill their prescriptions or that completely abandon them over time. And that unfortunately, even with this change, that over half of people without the low-income subsidy were potentially not getting the full benefit of their medications because they were not able to afford them. And so I think it really kind of highlights that we still need to do more work about making drugs affordable. Dr. Monty Pal: Indeed, indeed. And I mean, in a setting like this, I mean, I think it is important to recognize that $2,000 is a lot, it is a big chunk of change, right, for a lot of families in the U.S. What do you think of the prospect of, like, decreasing that cap? Is that something that from a policy standpoint you would be supportive of? Dr. Fumiko Chino: Well, so something that is a real option for patients on Medicare is there is something called the Medicare Prescription Payment Plan, and what it allows you to do is actually prorate the $2,000 over the whole year. And so instead of having to pay $2,000 as soon as you fill your prescription, because you are going to have, if you have an expensive medication, it is essentially you have to pay the $2,000 in January, right? It allows you to prorate it, so essentially $170 a month, and that comes to you as like a regular bill. And I think that as rolled out as part of the IRA is a really lovely way of thinking about how do we make these payments more stable over time, so it is not a huge hit sort of at the beginning of the year. And I think that alone actually can make a difference in terms of trying to help make sure that people can actually get their medications. Dr. Monty Pal: That is an excellent tip. Excellent tip. We are going to shift gears entirely. We have been talking a lot about the dollars and cents of things and talk about an abstract from Sophia Smith and colleagues. So this is Abstract 550 at your meeting. And this hinged on a program of sorts to deal with post-traumatic stress disorder. We do not often think about PTSD in the vernacular for oncology patients, but indeed, I mean, it is something that they must face, especially in the context of long-term survivorship. Can you talk a little bit about Dr. Smith's abstract? Dr. Fumiko Chino: Absolutely. I love this work from Dr. Smith, who is at Duke. She worked with Dr. Applebaum, who was my old colleague at Memorial Sloan Kettering. And this group of researchers really is trying to figure out how to best support people into survivorship so that they can actually thrive. And their patient population for this work was actually people who received stem cell transplant, and they focused on people who had PTSD symptoms. And what they were able to show through this SMART design, which is essentially this serial, multiple randomized trial, so everyone got randomized upfront to either usual care or this app, so this digital app that actually helped coach people through cancer distress. And then for the people who were non-responders, they were then additionally randomized to either the app plus coaching or a therapist versus the cognitive behavioral therapy or CBT. And what they were able to show is that, number one, anyone who had the app seemed like they did better than those who did not start the path with the app. But then the additional help of either the therapist or the coach or the CBT made additional benefit over time. And so, I think this shows a really nice stepped care, which is you can potentially have some right-sizing of treatments cost saving, if we sort of give everyone the app, which is, I think, overall pretty low cost. And that for the people who do not get the full benefit from the app, then you can think about these maybe more tailored approaches, the therapist, the coach, the CBT, but that some people actually just respond to the app. And I think it allows us to, again, right-size the care for our patients. And I think it is really innovative to think about how technology can help improve access to care in the setting of something like PTSD. Dr. Monty Pal: Brilliant summary. Brilliant summary. Gosh, it looks like such an exciting meeting this year. Congratulations on a terrific program for the ASCO Quality Care Symposium. I know you played a huge role in developing it, and thanks for sharing your insights on the ASCO Daily News Podcast. Dr. Fumiko Chino: No, I really appreciate you having me. ASCO Quality is my favorite meeting of the year. You know, it is really a phenomenal meeting, and I am so excited for next year in Boston in 2026. Dr. Monty Pal: Awesome. And thanks to our listeners too. You are going to find links to all the abstracts that we discussed today in the transcript of this episode. Finally, if you value the insights that you heard today on the ASCO Daily News Podcast, please rate, review, and subscribe wherever you get your podcasts. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity or therapy should not be construed as an ASCO endorsement. More on today's speakers: Dr. Sumanta (Monty) Pal @montypal Dr. Fumiko Chino @fumikochino Follow ASCO on social media: @ASCO on Twitter ASCO on Bluesky ASCO on Facebook ASCO on LinkedIn Disclosures of Potential Conflicts of Interest: Dr. Monty Pal: Speakers' Bureau: MJH Life Sciences, IntrisiQ, Peerview Research Funding (Inst.): Exelixis, Merck, Osel, Genentech, Crispr Therapeutics, Adicet Bio, ArsenalBio, Xencor, Miyarsian Pharmaceutical Travel, Accommodations, Expenses: Crispr Therapeutics, Ipsen, Exelixis Dr. Fumiko Chino: Consulting or Advisory Role: Institute for Value Based Medicine Research Funding: Merck
Clinical psychologist, Dr. Sarah Adler, joins the show this week to talk about why “AI Therapy” doesn't exist, but is bullish on what AI can help therapists achieve.Dr. Adler is a clinical psychologist and CEO of Wave. She's building AI tools for mental healthcare, which makes her position clear—what's being sold as "AI therapy" right now is dangerous.Chatbots are optimized to keep conversations going. Therapy is designed to build skills within bounded timeframes. Engagement is not therapy. Instead, Dr. Adler sees AI as a powerful recommendation engine and measurement tool, not as a therapist.George K and George A talk to Dr. Adler about what Ethical AI looks like, the model architecture for personalized care, who bears responsibility and liability, and more.The goal isn't replacing human therapists. It's precision routing—matching people to the right care pathway at the right time. But proving this works requires years of rigorous study. Controlled trials, multiple populations, long-term tracking. That research hasn't been done.Dr. Adler also provides considerations and litmus tests you can use to discern snake oil from real care.Mental healthcare needs innovation. But you cannot move fast and break things when it comes to human lives.Mentioned:A Theory of Zoom FatigueKashmir Hill's detailed reporting on Adam Raine's death and the part played by ChatGPT (Warning: detailed discussion of suicide)Colorado parents sue Character AI over daughter's suicideSewell Setzer's parents sue Character AIDeloitte to pay money back after caught using AI in $440,000 report
This episode features Viren Shetty, Vice Chairman of Narayana Health, discussing how his father founded a cardiac surgery hospital in India 25 years ago that revolutionized healthcare delivery by applying manufacturing efficiency principles to drastically reduce costs while maintaining quality. The conversation explores how Narayana Health scaled from one cardiac center to 19 multi-specialty hospitals across India and one in the Cayman Islands by implementing supply chain optimization, standardization of care, physician specialization, and high-volume operations—enabling them to perform cardiac surgeries at a fraction of Western costs. Shetty discusses the challenges and opportunities of operating in India's largely out-of-pocket healthcare market, the hospital's expansion into insurance and primary care to become a fully integrated provider, their measured approach to AI adoption, and why their high-volume, efficiency-driven model wouldn't directly translate to the US healthcare system despite offering valuable lessons in operational excellence and cost reduction. (0:00) Intro(1:20) Founding and Growth of Narayana Health(2:48) Cost Reduction Strategies in Indian Healthcare(6:04) Challenges and Cultural Shifts in Standardization(8:16) Scaling and Expansion Bottlenecks(14:10) Impact of COVID-19 on Narayana Health(19:15) Medical Tourism and the Cayman Islands(23:03) High Patient Volume in Indian Hospitals(24:29) Exploring Healthcare Ecosystems(25:25) Automating Healthcare Administration(26:39) Challenges in US Healthcare(28:18) Innovative Healthcare Models(30:28) AI in Medicine(33:22) Driving Efficiency in Hospitals(37:48) Opportunities in Indian Healthcare(40:34) Quickfire With your co-hosts: @jacobeffron - Partner at Redpoint, Former PM Flatiron Health @patrickachase - Partner at Redpoint, Former ML Engineer LinkedIn @ericabrescia - Former COO Github, Founder Bitnami (acq'd by VMWare) @jordan_segall - Partner at Redpoint
Will the 1000 year flood in Southeast Wisconsin finally convince policymakers that the climate crisis is already impacting Wisconsin? The appropriate response would be to quickly enact the Climate Accountability Act, which requires Wisconsin for the first time to adopt an accountable climate action plan that cuts greenhouse gas emissions in half by 2030 and maximizes the economic benefits especially for people in urban and rural areas currently locked out of economic opportunities. We encourage our listeners to contact their state legislators and urge them to support the new Climate Accountability Act We get into the weeds of the scandalous news that Ascension Wisconsin will outsource its ICU Doctors, further imperiling care for patents. This is what happens when you put big profit-maximizing monopolies in charge of health care with virtually no oversight. Robert tells us about developing state legislation to re-regulate the hospital industry in the public interest. Fair maps advocates are rightly appalled by the national gerrymandering fight instigated by President Trump and apparently matched by California Governor Gavin Newsom. But, is it realistic to ask Democrats to unilaterally disarm in the face of attempted authoritarian consolidation? Robert tells us that Ruth Conniff makes a strong case for holding onto the principle, but can progressives hold onto abstract norms in the face of the shredding of democratic norms by a would-be authoritarian movement? Robert argues that outcomes have moral consequences, and that pro-democracy forces must find a way to uphold the principles of democracy while being effective in preventing Trump and his MAGA allies from rigging the 2026 election. We close with an honest conversation about the short-sighted state budget, which leaves a structural deficit for the next two year budget, potentially forcing cuts to critical services even if the Democrats win a trifecta, unless they are willing to reverse decades of regressive tax cuts dolled out to corporations and the wealthy.
Driven by purpose, this dental team delivers personalized, quality care, driven by metrics. Hear how Rachel has supported success with her practice and dental hygiene team.
In this episode of the PQS by Innovaccer Quality Corner Show, host Stephanie Hale spoke with Katherine Weiss, Certified Pharmacy Technician, Lead Pharmacy Technician, and Manager at Kashat Pharmacy, about how their independent community pharmacy in Michigan prioritizes quality care through the strategic use of tools like EQUIPP.Katherine explains how the pharmacy integrates EQUIPP into their daily workflow and specifies which programs are the most helpful. She provides helpful tips in using EQUIPP including how to maintain focus during busy seasons.
Your life insurance policy might be a valuable financial tool you can leverage now, not just in the future? Discover the surprising potential of life insurance as a current asset. For those navigating the financial realities of dementia care or planning for aging in place, the often-overlooked value within a life insurance policy could offer unexpected solutions. We'll explore how accessing this value could help fund crucial long-term care needs. Perhaps you need to make essential home modifications for independent living. Learn why the 90% of life insurance policies are surrendered; representing a missed opportunity for many. Discover a different perspective on your life insurance and how it could provide financial flexibility you might not have realized was possible. Our Guest: Rob Haynie - Settlements.com Rob has significantly shaped the life settlement industry. For instance, he's directly negotiated thousands of settlements. Currently, he serves on the Board of Directors of LISA. Furthermore, he's a charter member of LISA's PPC committee. This committee focuses on the industry's regulations and laws. +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Related Episodes: Long-term Care - Low Cost Options Home Dementia Care Alarm: Crisis in Long-term Care ++++++++++++++++++++++++++++++++++++++++ Sign Up for more Advice & Wisdom - email newsletter. Please help us keep our show going by supporting our sponsors. Thank you. ++++++++++++++++++++++++++++++++++++++++ Make Your Brain Span Match Your LifeSpan Relevate from NeuroReserve With Relevate nutritional supplement, you get science-backed nutrition to help protect your brain power today and for years to come. You deserve a brain span that lasts as long as your lifespan. ++++++++++++++++++++++++++++++++++++++++ Feeling overwhelmed? HelpTexts can be your pocket therapist. Going through a tough time? HelpTexts offers confidential support delivered straight to your phone via text message. Whether you're dealing with grief, caregiving stress, or just need a mental health boost, their expert-guided texts provide personalized tips and advice. Sign up for a year of support and get: Daily or twice-weekly texts tailored to your situation Actionable strategies to cope and move forward Support for those who care about you (optional) HelpTexts makes getting help easy and convenient. ++++++++++++++++++++++++++++++++++++++++ List of the Top 20 Alzheimer's Podcasts via FeedSpot! See where we rank. Join Fading Memories On Social Media! If you've enjoyed this episode, please share this podcast with other caregivers! You'll find us on social media at the following links. Instagram LinkedIn Facebook Contact Jen at hello@fadingmemoriespodcast.com Or learn more at Our Website
IBD Drive Time: Corey Siegel, MD, on Quality Care for IBD by Gastroenterology Learning Network
Wine, sugar, shopping, scrolling, chips, porn, and even exercise — these aren't just habits. For many over 40, they become coping mechanisms to deal with unprocessed emotional pain. In this powerful and eye-opening episode, Dr. Jannine Krause sits down with Rachel Graham, CEO and Co-founder of Healing Springs Ranch, in Tioga, Texas, to explore the often overlooked world of process addictions — and why they commonly emerge or worsen in midlife. You'll learn: ✅ What process addictions actually are — and how they differ from substance abuse ✅ Why midlife events like divorce, empty nesting, and hormone shifts (hello, estradiol and testosterone crashes) can spike addictive behaviors ✅ Why sugar cravings aren't just about willpower — and why even health pros like Dr. Krause aren't immune ✅ The crucial role of family involvement in the healing process ✅ Why treating addictions separately often fails — and what it takes to heal the root cause: emotional pain ✅ How to stop feeling ashamed — and start getting curious about your behavior Dr. Krause shares her own story of feeling out of control with chips and chocolate — and what she learned about the real drivers of compulsive habits. If you've ever felt like you're “better than this” but still find yourself reaching for things to numb or distract — this episode is for you.
Community organizations in Lincoln are hosting mental health support groups in both English and Spanish. The sessions are meant to provide a service otherwise inaccessible for some of the state's populations.
How do you know if you're caring TOO MUCH for others?In this episode, we have Dr. Laura Brenner—a seasoned dentist and insightful career coach—to dive deep into the pressing issue of burnout in dentistry. Laura brings a wealth of experience to the table, having navigated her own burnout journey. She candidly shares the nuanced challenges that dentists face and outlines how setting firm boundaries can be the key to preserving well-being. Listening to Laura, you'll uncover the pivotal role self-awareness plays in managing stress and preventing burnout, and how dentists—who are often in service to others—must learn to prioritize their health too.Laura doesn't just highlight problems; she offers actionable solutions. By encouraging dentists to dismiss troublesome patients, she advocates for a proactive approach to mental well-being. This episode also stresses the importance of reflecting on personal feelings and engaging in open dialogues with both dental teams and patients. By the end, you'll be equipped with practical tools to take control of your professional life and preserve your passion for dentistry.What You'll Learn in This Episode:How to address and prevent dentist burnout through strategic boundary setting.The power of dismissing troublesome patients for mental well-being.The importance of self-reflection in managing professional stress.Strategies for open communication with your team and patients.Techniques to protect personal time and energy effectively.Laura's personal journey through burnout and the lessons learned.Why personal development is crucial for career longevity in dentistry.Take a break and join us for this insightful chat—it could change your perspective!Sponsors:CallRail: Call tracking + AI that turns calls into campaigns that convert, quality patients, and cost savings. Click our link to start a free trial today! callrail.com/dentalmarketerClick here for a special offer!Guest: Dr. Laura BrennerBusiness Name: Lolabees Career CoachingCheck out Laura's Media:Website: lolabeescareercoaching.comInstagram: instagram.com/drlolabeesFacebook Group: facebook.com/groups/dentistsidegigsLove the Podcast? Let Us Know How We're Doing on Apple Podcasts!Host: Michael AriasWebsite: The Dental Marketer For more helpful tips, strategies, ideas, and marketing advice, join my weekly newsletter here.Join this podcast's Facebook Group: The Dental Marketer Societyp.s. Some links are affiliate links, which means that if you choose to make a purchase, I will earn a commission. This commission comes at no additional cost to you. Please understand that we have experience with these products/companies, and I recommend them because they are helpful and useful, not because of the small commissions we make if you decide to buy something. Please do not spend any money unless you feel you need them or that they will help you with your goals.
In alignment with the World Health Day 2025 theme—Healthy Beginnings, Hopeful Futures—our new podcast episode, Healthy Beginnings, Hopeful Futures: Ending Preventable Maternal and Newborn Deaths, is now live! Tune in as we spotlight the urgent need for governments and the global health community to intensify efforts to end preventable maternal and newborn deaths while prioritising women's long-term health and well-being.
Jeff is joined by Garrett and Angel from Country Meadows Retirement Communities for an important conversation about senior living—how providing a personalized approach to care and a comfortable home environment can make all the difference, and how it all starts with a passion for serving seniors. Their discussion offers a valuable perspective on what to look for and how to spot it when assessing retirement communities. Visit https://www.countrymeadows.com/ or call (717) 741-5118 and ask for Garrett or Angel to learn more or schedule a tour. WHAT YOU NEED TO KNOW (00:00) Episode introduction. (04:10) Country Meadows is home to seniors, a place where they receive help with everyday tasks and activities. (05:04) Angel started with the organization 18 years ago as their memory care nurse. Garrett started as a 16-year-old working in the dining room while still in high school. He fell in love with the residents, and it prompted him to pursue senior care as his career. (08:06) Family members don't always have the knowledge or capacity to provide care for a senior at home. (10:24) There are tremendous health benefits to the social aspects and opportunities in community living. (12:32) Country Meadows offers multiple levels of care—supported independent living, 24-hour personal care, secured memory care, a restorative care neighborhood, and more. (15:06) The organization is proud of its team of nurses, which is accountable to the Director of Nursing. Every level of care also has a Program Manager who helps to coordinate custom care based on individual needs. (16:57) Country Meadows is family owned and operated. The organization prides itself on the dedication and longevity of its team members. (22:04) When looking for a senior community, you can learn a lot by observing the care team. Do they appear to be well trained and happy? Do they interact well with each other and the residents? ABOUT BELLOMO & ASSOCIATES Jeffrey R. Bellomo, the founder of Bellomo & Associates, is a licensed and certified elder law attorney with a master's degree in taxation and a certificate in estate planning. He explains complex legal and financial topics in easy-to-understand language. Bellomo & Associates is committed to providing education so that what happened to the Bellomo family doesn't happen to your family. We conduct free workshops on estate planning, crisis planning, Medicaid planning, special needs planning, probate administration, and trust administration. Visit our website (https://bellomoassociates.com/) to learn more. LINKS AND RESOURCES MENTIONED Bellomo & Associates workshops:https://bellomoassociates.com/workshops/ Life Care Planning The Three Secrets of Estate Planning Nuts & Bolts of Medicaid For more information, call us at (717) 845-5390. Connect with Bellomo & Associates on Social Media Tune in Saturdays at 7:30 a.m. Eastern to WSBA radio: https://www.newstalkwsba.com/ X (formerlyTwitter):https://twitter.com/bellomoassoc YouTube: https://www.youtube.com/user/BellomoAssociates Facebook:https://www.facebook.com/bellomoassociates Instagram:https://www.instagram.com/bellomoassociates/ LinkedIn:https://www.linkedin.com/in/bellomoandassociates WAYS TO WORK WITH JEFFREY BELLOMO Contact Us:https://bellomoassociates.com/contact/ Practice areas:https://bellomoassociates.com/practice-areas/
This conversation delves into the intricacies of auto detailing, focusing on common challenges faced by detailers, pricing strategies, and the importance of real-world experience over online content. The hosts discuss effective tire shine techniques, the profitability of detailing services, and explore alternative income streams within the industry. They also touch on the role of tools like gorilla tape in the detailing process, emphasizing the need for practical knowledge and understanding of the business. In this conversation, Nick and Marshall delve into various aspects of car detailing, including the challenges of using duct tape, the unpredictability of carbon fiber repairs, and the importance of setting customer expectations. They discuss the mindset required for successful detailing, the rise of DIY car care, and the critical distinction between sales and marketing in business. The conversation emphasizes the need for detailers to genuinely believe in the products they use and the importance of commitment to quality care for vehicles.TakeawaysDetailing challenges often arise from unexpected spills and messes.Knowing how to charge for services is crucial for success.Understanding your costs and pricing is essential for profitability.Different tire shine products yield varying results and application methods.Content creation is valuable but should not replace real-world learning.The most profitable aspect of detailing is providing the service itself.Alternative income streams can supplement detailing work.Practical experience is more beneficial than online tutorials.Gorilla tape and similar products can be useful in detailing.Detailing is a cyclical industry with many entering and leaving. Duct tape should not be used on most vehicles.Carbon fiber repairs can be unpredictable and risky.Setting clear customer expectations is crucial in detailing.Mindset plays a significant role in how detailers approach their work.DIY car care is on the rise as people cut costs.Sales and marketing are distinct but both are essential for business success.Believing in the products you sell is key to effective marketing.Detailers should regularly use and test the products they recommend.Commitment to quality care is essential for customer satisfaction.Understanding the risks involved in detailing jobs is important. Chapters00:00 Introduction to Detailing Challenges03:05 Pricing Strategies in Detailing05:53 Tire Shine Techniques and Products08:56 Content Creation vs. Real-World Experience12:01 Profitability in Auto Detailing15:06 Exploring Alternative Income Streams18:02 The Role of Gorilla Tape in Detailing31:12 The Duct Tape Dilemma32:36 Navigating Carbon Fiber Repairs34:59 Understanding Customer Expectations35:48 The Importance of Mindset in Detailing36:11 The Weekend Warrior's Detailing Routine39:37 The Rise of DIY Car Care42:00 Sales vs. Marketing in Business46:37 Believing in Your Products55:20 Commitment to Quality Care
In EPISODE 197 OF GROWING OLDER LIVING YOUNGER, Dr. Gillian Lockitch and Dr. Joe Sherman discuss the challenges faced by both healthcare providers and patients in modern healthcare systems. Dr. Sherman, a board-certified pediatrician with 35 years of experience, shares his journey from treating medically complex children in the USA, Uganda and Bolivia to becoming a physician coach. He is a Master Certified Physician Development Coach through the Physician Coaching Institute, and a trained facilitator with the Center for Courage and Renewal. His services include individual coaching, medical team support, physician retreats and workshops. He has helped over 200 physicians and other health professionals through the journey of examining their own life experiences, discovering their core values, and using self-awareness to inform their future career choices. He highlights the systemic issues contributing to physician burnout, including administrative burdens and societal expectations, and advises us, as patients, to advocate for more quality care and to foster better relationships through empathy towards their healthcare providers. Episode Timeline: 0:01 Introduction to the podcast theme of systemic healthcare issues effect on both providers and patients 5:40 Dr.Joe Sherman's career as a paediatrician and work in Uganda, Bolivia and the US 27:47 Navigating Career Challenges and Preventing Burnout in Modern Healthcare 35:42 How Patients can Advocate for Quality Care 40:29 Conclusions and Takeaways Learn about Dr. Sherman's work www.linkedin.com/in/joeshermanmd Action Steps: Access Your Free E-book Guide from Dr. Gillian Lockitch Guide to Mind and Memory Boosting Strategies Schedule a complimentary CALL with Dr. Gillian Lockitch. Join the GOLY Community: https://www.facebook.com/groups/growingolderlivingyounger
This series aims to demystify Medicaid, starting with insights from federal and state agencies, FQHCs, and managed care organizations, before exploring successful founders' strategies. Readour primers on the key players and innovations here, and stay tuned for upcoming posts featuring interviews with key opinion leaders, purchasers, and startup founders.Cityblock Health is a value-based healthcare provider focused on the complex clinical, behavioral health, and social needs of dually eligible and Medicaid recipients. Cityblock offers the only fully integrated and multi-modal solution that directly delivers clinical care to one of the most at-risk and hardest-to-reach populations. Powered by advanced technology that provides its care team with a data-driven understanding of member needs and risks, Cityblock has demonstrated industry-leading engagement, member retention, meaningful reductions in avoidable hospital readmissions, and reduced total cost of care.Founded in 2017, spun off by Sidewalk Labs, and based in New York, Cityblock has raised nearly $900M to date from investors such as SoftBank, Tiger Global, Maverick Ventures, General Catalyst, Thrive Capital and 8VC, among others. It is now valued at $5.7B. Cityblock currently serves more than 100,000 members, and partners with four national Medicaid health plans and several health systems in 15 cities across seven states.Mike's career has spanned both legal and healthcare leadership roles, starting as a commercial litigator before joining UnitedHealth Group as National Vice President of Medicaid Policy and Product. He went on to serve as CEO of UnitedHealthcare Community Plan of Ohio, then as Chief Transformation Officer and President of Government Programs for Optum BH Solutions, and later as Chief Growth Officer and SVP of Growth and Product at UnitedHealth Community and State. In 2024, he joined Cityblock as President to help drive the company's next phase of growth.Mike holds an undergraduate degree from the University of Notre Dame, a JD from Notre Dame Law School, and attended an Executive Education Program at Stanford Graduate School of Business.In this episode, we learn about how health plans evaluate startups, the complexities of improving access for Medicaid and dual-eligible populations, and Cityblock's innovative approach to building trust and engagement.
Send us a textIn this episode we welcome Dr. Na Tosha Gatson, Director of Neuro-Oncology & Professor of Neurology and Medicine at IU Health. A leader in the field, Dr. Gatson shares insights on advancements in neuro-oncology, the impact of brain tumors on women's health, addressing health disparities, and the importance of quality-of-life care. Support the show
In this episode of IDD Health Matters, Dr. Craig Escudé welcomes Sharon Parker Love, a nurse with 56 years of experience, to discuss her journey in the field of intellectual and developmental disabilities (IDD) nursing. Recorded at the Illinois Developmental Disabilities Nurses Association Conference, Sharon shares her remarkable career—from starting with a state grant program to dedicating over three decades to Trinity Services, where she has helped individuals with dual diagnoses and complex medical needs. Sharon dives into her work in crisis prevention, recounting heartbreaking and inspiring stories of individuals in need, including an individual who spent eight months in an emergency room before receiving proper care. She emphasizes the importance of observation skills, direct care staff training, and a detective-like approach to uncovering hidden medical conditions that often manifest as behavioral challenges. Tune in for invaluable insights into the evolving role of nurses in IDD care and the crucial need for more professionals in this field.
"I think I'd say our patients deserve better. Our Americans who are encountering the healthcare system deserve better." - Binu Samuel Binu Samuel, Director of Commercial Partnerships at Carrum Health, joined me for the first podcast of 2025 to discuss how we lower healthcare costs for self-funded employers. Binu, and Carrum's, mission is to make healthcare easier for the employers, employees, and physicians, which includes focusing on making healthcare cost nothing out of pocket to employees. That also typically increases the amount of proactive care that members engage with, which is key to catching huge health problems before they happen. Join us this week to learn how to save money for employers and employees! Chapters: 00:00:00 Meet Binu Samuel 00:04:42 Outcome-Driven Healthcare 00:05:12 Value-Based Care 00:10:55 Cost-saving Strategies For Employers 00:20:01 Enhanced Healthcare Cost Savings 00:25:51 Carrum's Mission 00:29:51 Predictive Member Care Outreach for Procedures 00:34:20 The Benefits Of Proactive Healthcare Key Links for Social: @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02 Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286 Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/ Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/ Key Words: Value Based Care, Patient Experience, network, Employers, Cancer Treatment, Cost Savings, Proactive Care, Warranty System, Healthcare Innovation, Quality Care, Transparent Healthcare, fixing healthcare, podcast, benefits, health, healthcare, health insurance, self funded, self funding #ValueBasedCare #PatientExperience #network #Employers #CancerTreatment #CostSavings #ProactiveCare #WarrantySystem #HealthcareInnovation #QualityCare #TransparentHealthcare #fixinghealthcare #podcast #benefits #health #healthcare #healthinsurance #selffunded #selffunding
Enhancing Pediatric Practices with Technology: Security, Efficiency, and AI IntegrationThis episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore." Please visit their website and support our sponsors. In this episode, we meet with Dr. Igor Trogan, a physician executive leader, to discuss technology that enhances medical practice quality, maximizes profits, and prevents physician burnout. Dr. Trogan shares insights into using security systems like Ring to monitor office activities, integrating electronic door locks, and employing virtual medical assistants (VMAs) from the Philippines for cost-effective staffing. The conversation also covers the usage of AI medical scribes like Freed AI to reduce documentation burdens, improve workflow efficiency, and various technology solutions like voice-over IP for better communication and patient care.00:00 Introduction and Guest Welcome00:23 Importance of Technology in Medical Practices01:56 Security Systems in Medical Offices05:45 Managing Multiple Office Locations13:52 Vaccine Storage and Monitoring21:05 Text-Enabled Communication Systems29:37 AI Medical Scribes: A Game Changer30:36 The Benefits of Voice Over IP in Medical Practices34:16 Efficient Call Center Operations38:38 Leveraging Virtual Medical Assistants49:54 Implementing AI for Documentation01:02:51 Conclusion and Final ThoughtsSupport the show
In the second part of this insightful series, Dr. Brett Beckman, a board-certified veterinary dentist, continues his conversation with Annie Mills, LVT, VTS (Dentistry). They discuss actionable steps for building or improving a dental service in general veterinary practices, even when resources and equipment are still in development. The focus remains on education, team building, and fostering a quality-over-quantity approach for exceptional patient care. Guest Information: Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Guest: Annie Mills, LVT, VTS (Dentistry) Veterinary Technician Specialist with extensive expertise in dental care. Educator offering live, virtual, and on-demand courses tailored for veterinarians and technicians. Main Talking Points: 1. Building a Dental Practice Without Full Resources: Education First: Encourage staff to attend seminars (live, virtual, and online) to build a strong foundation of knowledge. Form a Dedicated Dental Team: Identify passionate team members (ideally 2-3 technicians and 2 veterinarians). Invest in continuing education for this small, focused team. Prepare for Equipment Integration: Train on key skills like dental x-rays, pathology recognition, and nerve blocks in advance. 2. Recruiting and Retaining Skilled Staff: Utilize the VTS Network: Leverage the growing community of Veterinary Technician Specialists (VTS) in Dentistry. Access resources through the Academy of Veterinary Dental Technicians (ABDT.us) to find qualified candidates. Promote Specialized Credentials: Highlight VTS expertise in marketing to demonstrate advanced care. 3. Learning from Experience: Key Lesson: Dental x-rays are indispensable for comprehensive care. Early pathology detection prevents unnecessary suffering and improves outcomes. Cautionary Tale: Practices operating without dental x-rays often miss critical issues, resulting in poor patient quality of life. 4. Overcoming Challenges in Dentistry Services: Quality Over Quantity: Start with no more than 2-3 patients per day to ensure thorough assessment and treatment. Patient Scheduling Tips: Avoid scheduling multiple periodontal cases in one day. Gradually scale up as team efficiency improves. Practice-wide Buy-In: Have conversations with managers and owners to ensure proper time allocation and support for dentistry cases. 5. Encouragement for General Practices: Take the pressure off by focusing on providing quality care. Recognize that building a successful dentistry service is a gradual process that requires dedication and teamwork. Key Quotes: "Dentistry is one of those services that just can't be rushed." – Annie Mills "It's about quality, not quantity. Three patients a day is a great starting point." – Annie Mills "Without dental x-rays, we're leaving patients to suffer in silence." – Annie Mills Episode Timeline: 00:00-04:00: Preparing for dentistry services with limited resources. 04:00-08:00: Identifying and training the dental team. 08:00-12:00: Recruiting VTS-trained technicians and their impact. 12:00-18:00: Lessons learned and the value of dental x-rays. 18:00-22:00: Addressing challenges and adopting a quality-first mindset. 22:00-28:00: Encouragement and actionable advice for general practices. Key Takeaways: Education: Prioritize staff training before investing in equipment. Team Focus: Build a small, passionate dental team for maximum efficiency. X-Ray Integration: Use dental x-rays to detect early pathology and improve care. Gradual Scaling: Start with a manageable caseload and grow as skills improve. Practice Support: Secure management and owner buy-in for proper time allocation. Learn More: Explore the Veterinary Dental Practitioners Program: https://ivdi.org/inv Keywords: Veterinary dentistry education, Building a dental team, Veterinary x-ray importance, VTS dental technicians, Quality dental care tips.
Join the Hui Deal Pipeline Club and secure a personal one-on-one call with Lane!https://thewealthelevator.com/clubIn this episode, we diverge from our usual topics of taxes and real estate to focus on a crucial aspect of personal finance: healthcare. Joined by Dr. Vedat, author of 'The Roadmap to Hospital Care,' we delve into patient advocacy, navigating health emergencies, and the importance of preventative care. Learn about the intricacies of the U.S. healthcare system, the role of primary and functional medicine, and how to prepare for unexpected medical costs. Dr. Vedat shares her personal experiences and offers practical advice on how to ensure you receive the best care possible. Whether you're dealing with a health crisis now or planning for the future, this episode provides valuable insights into safeguarding your health and finances.00:00 Introduction to Today's Unique Podcast03:20 Meet Dr. Vedat: A Passionate Advocate for Patient Care04:20 The Importance of Health Over Wealth06:31 Preventative Care and Integrative Medicine08:34 Navigating the Healthcare System10:55 The Role of Functional Medicine16:00 Planning and Preparing for Health Emergencies24:51 The Importance of Patient Advocacy29:44 Conclusion and Final ThoughtsConnect with me:LinkedIn: https://www.linkedin.com/in/lanekawaoka/Facebook: https://www.facebook.com/TheWealthElevatorInstagram: https://www.instagram.com/TheWealthElevatorLane Kawaoka is a developer and multi-family syndicator who owns 10,000+ rental units and is the leader of “Hui Deal Pipeline Club” which has acquired over $2.1 Billion AUM of real estate by syndicating over $200 Million Dollars of private equity and most importantly distributed more than $45M back to our investors since 2016. Check out our Top-50 Investing Podcast, The Wealth Elevator. Hosted on Acast. See acast.com/privacy for more information.
We're discussing Pursuing Equitable Access to High Quality Care! Faisel and Dan are joined by Dr. Mark Gwynne, President of the University of North Carolina Health Alliance.Our conversation revolves around the core principles of providing holistic value based care, the high quality outcomes from collaborative care, and the potential to transform access to care for better population health.
Aligning financial incentives with high-quality patient outcomes is essential for transforming healthcare economics and improving both cost-effectiveness and quality. In this episode, Nick Reber, founder and CEO of Garner Health, talks about how his company is revolutionizing healthcare economics by aligning incentives to improve provider performance and patient outcomes. Garner Health works primarily with employers, offering incentives to encourage the use of high-quality doctors while maintaining existing networks. Nick points out the challenges faced during COVID-19 when healthcare costs dropped, and interest in their services waned, but they remained committed to their long-term goals. He also warns of rising healthcare inflation trends and stresses the need for solutions to manage escalating costs effectively. Tune in to find out how Garner Health is changing the game in healthcare by making sure costs match the quality of care in our chat with CEO Nick Reber! Resources: Connect with and follow Nick Reber on LinkedIn. Follow Garner Health on LinkedIn and explore their website.
In this episode, Piyush Khanna, Vice President of Clinical Services at CareFirst BlueCross BlueShield, joins the podcast to discuss the importance of timely data from provider networks. He shares insights on quality reporting requirements, operational challenges, and how advancements in data exchange are shaping the future of healthcare delivery.