Podcasts about Reimbursement

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Best podcasts about Reimbursement

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Latest podcast episodes about Reimbursement

Rabbi Milstein's DMC'S
Tzedaka & Ma'aser 49 Reimbursement

Rabbi Milstein's DMC'S

Play Episode Listen Later Sep 19, 2022 5:00


Tzedaka & Ma'aser 49 Reimbursement

The MedTech Podcast
#32 Atrial Fibrillation with Gray Fleming, physician reimbursement, electrophysiology, bioelectronic medicine and supply chain

The MedTech Podcast

Play Episode Listen Later Sep 14, 2022 32:59


Gray has over 20 years of experience in the healthcare industry, a large portion of which was at St Jude Medical now Abbott, a company of which I also worked at in early in my regulatory career. During his professional life, he held several commercial leadership positions. Most recently Gray, held the position of Chief Commercial Officer at Carecubes, a company created to provide a temporary and scalable negative pressure isolation technology solution based upon original joint request from the Defense Advanced Research Projects Agency (DARPA) and Centers for Disease Control and Prevention (CDC). He holds a Bachelor of Business Administration degree with a Major in Marketing from Stephen F. Austin State University in Texas and a certificate in Leadership in Excellence and Development (LEAD) Program from the University of Texas at Austin. On this episode he discusses how the idea of PURE EP came to fruition, the prevalence of Atrial fibrillation in the U.S making it one of the most deadliest diseases and how they are trying at BioSig to help detect this condition earlier, the concept of physician reimbursement including its importance in the sales of medical devices, the greatest challengers the industry faces today including how to overcome them and how he started his career from a clinical associate to modern day as CCO of BioSig. Get in touch with Gray Fleminghttps://www.linkedin.com/in/gray-fleming-5882a7b/ or visit his company website https://www.biosig.com/ Get in touch with Karandeep Badwal - https://www.linkedin.com/in/karandeepbadwal/ Follow Karandeep on YouTube - https://www.youtube.com/c/QRAMedical Subscribe to the Podcast

Revenue Cycle Optimized
Evaluating Your Patient Access Process To Improve Reimbursement

Revenue Cycle Optimized

Play Episode Listen Later Sep 13, 2022 12:48


Authorizations, eligibility, and patient payment estimations are all critical to a well-functioning revenue cycle. Learn how to evaluate your patient access processes and identify areas prone to denials, with David Byrd, Infinx VP of Growth & Strategy.

ASC Podcast with John Goehle
Episode 165 - ASC Podcast with John Goehle - News, Ophthalmic Medication, Dental Reimbursement, Hospital ASC Investment, & focus on Interoperability with Lindsay Hanrahan from SIS - September 5, 2022

ASC Podcast with John Goehle

Play Episode Listen Later Sep 8, 2022 68:46


On this Episode of the ASC Podcast with John Goehle, we discuss the latest news including ASORNs Recommended Practice regarding the use of Multi-dose Ophthalmic Medications,  Key Findings in a recent Avanza Study on Hospital ASC Investment, New about CMS increasing Dental Surgery Reimbursement for Hospital Outpatient Surgery Departments and in our focus segment, discuss interoperability in the ambulatory surgery center with Lindsay Hanrahan,  SIS - Vice President of Product Management. .   This episode is sponsored by Surgical Information Systems   Resources from this Episode: SIS - Surgical Information Systems (The Sponsor) ASORN Recommended Practice: Use of Multi-dose Medicationshttps://asorn.org/assets/Use-of-Multi-dose-Medications.pdf Avanza Healthcare Strategies - Avanza Intelligence 2021-22 Hospital Leaders ASC Survey:https://avanzastrategies.com/intelligence-report/avanza-intelligence-2021-2022-hospital-leadership-asc-survey/ CMS issues proposed rule that would improve access to dental surgeries in hospitals - American Dental Associationhttps://www.ada.org/publications/ada-news/2022/july/cms-issues-proposed-rule-that-would-improve-access-to-dental-surgeries-in-hospitals Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and RegionsCMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Upcoming Conferences: ASC Finance, Accounting & Reimbursement Seminar: Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers  Visit the ASC Podcast with John Goehle Website Benefits of Becoming a Patron Member Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.   Become a member today!

Relentless Health Value
EP378: The Status of Telehealth Reimbursement and Other Telehealth Policy Updates, With Josh LaRosa, MPP

Relentless Health Value

Play Episode Listen Later Sep 8, 2022 33:16


Okay, so … telehealth for Medicare patients. Currently, there's payment parity, meaning a clinician gets paid the same amount for a Medicare patient visit regardless of whether that patient comes in the office or has a telehealth encounter. Right? Or did that end already? And if it didn't end, how much longer will payment parity continue? Also, is it the same for commercial and Medicaid patients? Congress makes rules for Medicare patients, but is it Congress that makes the rules for commercial and/or Medicaid telehealth reimbursement rates? Or how do those reimbursement decisions get made? What about the doing telehealth across state lines thing … the idea that if I'm a doc in New York, I can take a telehealth appointment with a patient in Arizona even though I am technically not licensed in Arizona? And who's in charge of that? Yeah, I went into today's conversation with Josh LaRosa, VP at Wynne Health Group, with a lot of questions. As you may suspect, this program is about telehealth. But just to level set on what we're not talking about, this interview does not dissect the “should we use the telehealth or should we not” question; and it does not get into best practices or equity concerns. For that info, listen to the show with Christian Milaster (EP320) or Liliana Petrova (EP357) or Ali Ucar (EP362) or Ian Tong, MD (EP347).  Also, we are not talking about the politics, per se, of who's for telehealth and who's against it. We also aren't drilling too far into the telehealth fraud cases that are coming to light right now, but of course we cannot resist talking about them a little bit. So, let me tell you what Josh LaRosa and I are, in fact, talking about in this healthcare podcast. We're specifically discussing the near-term future of CMS reimbursement for telehealth and the allowed so-called “flexibilities” for telehealth. We talk about a few of the why's behind why are policy makers doing some of the stuff that they are doing. And then we chat about the when, how long some of the new flexibilities and reimbursements that were permitted originally during the pandemic will continue. We touch on the Cerebral incident (I guess maybe you'd call it) and the potential DEA or legislative actions that may result from that as well. An interesting point that we dig into for a couple minutes is this one: Do not forget that the whole telehealth reimbursement debate (do I wanna call it?)—Should we cover it? Should we not cover it? And for how much?—this whole debate is part of a bigger debate. A much bigger debate, actually: the fee-for-service vs the not-fee-for-service debate. That's the larger context of all of this, and I think it's often overlooked. Nobody anywhere is limiting how often a practice who wants to use telehealth as part of some kind of risk-based or capitated thing can use telehealth. Why? Because in a capitated or bundle arrangement, from a Medicare trust fund perspective at least, telehealth visits are not equivalent to additional spend or additional volume. In a non-FFS environment, there's little chance of fraud also, really. Also, patient safety—arguably, probably—becomes much more of a practice concern. It gets a lot less rewarding to do unsafe things over telehealth when you don't get automatically paid to do them … and also paid to fix the problems that resulted from the unsafe things, which is the perverse beauty of FFS that we're all so familiar with. Acronym alert! PHE stands for public health emergency. A public health emergency is the thing the government declares, for example, during a pandemic. You can learn more at wynnehealth.com or by following on Twitter and LinkedIn.   Josh LaRosa, MPP, is a vice president at Wynne Health Group, focusing primarily on regulatory affairs with a focus on the US Food & Drug Administration (FDA) and Centers for Medicare & Medicaid Services (CMS). His interests lie in delivery reform and innovations in payment and care delivery models. Josh also supports the firm's Public Option Institute, which studies the emergence of public option programs at the state level. Prior to Wynne Health Group, Josh consulted for the CMS Innovation Center, where he worked to implement, monitor, and spread learning garnered from the center's high-profile demonstration projects, most recently including the national primary care redesign effort, Comprehensive Primary Care Plus (CPC+). Josh holds a Master of Public Policy from the University of Virginia's Frank Batten School of Leadership and Public Policy. He also completed his undergraduate studies at the University of Virginia, graduating cum laude with a BA in political philosophy, policy, and law. 04:09 What is the story with telehealth policy right now? 06:08 What kind of flexibilities did HHS allow with telehealth after the pandemic? 09:46 Are we still under these pandemic flexibilities for telehealth? 12:15 Why isn't the government just making greater access to telehealth permanent? 18:24 How does telehealth lend itself to the risk of overspending when dealing with an FFS model? 21:13 Does telehealth fit into the new CMS fee schedule? 22:55 How do states factor into the future of telehealth? 24:40 What is Arizona doing specifically to improve and ensure the future of telehealth? 30:56 What's next in store for telehealth at the congressional level? You can learn more at wynnehealth.com or by following on Twitter and LinkedIn.   @josh_larosa of @WynneHealth discusses #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth What is the story with telehealth policy right now? @josh_larosa of @WynneHealth discusses #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth What kind of flexibilities did HHS allow with telehealth after the pandemic? @josh_larosa of @WynneHealth discusses #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth Are we still under these pandemic flexibilities for telehealth? @josh_larosa of @WynneHealth discusses #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth Why isn't the government just making greater access to telehealth permanent? @josh_larosa of @WynneHealth discusses #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth How does telehealth lend itself to the risk of overspending when dealing with an FFS model? @josh_larosa of @WynneHealth discusses #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth Does telehealth fit into the new CMS fee schedule? @josh_larosa of @WynneHealth discusses #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth How do states factor into the future of telehealth? @josh_larosa of @WynneHealth discusses #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth What is Arizona doing specifically to improve and ensure the future of telehealth? @josh_larosa of @WynneHealth discusses #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth What's next in store for telehealth at the congressional level? @josh_larosa of @WynneHealth discusses #telehealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth   Recent past interviews: Click a guest's name for their latest RHV episode! Stacey Richter (INBW35), Rebecca Etz (Encore! EP295), Olivia Webb (Encore! EP337), Mike Baldzicki, Lisa Bari, Betsy Seals (EP375), Dave Chase, Cora Opsahl (EP373), Cora Opsahl (EP372), Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370), Keith Hartman, Dr Aaron Mitchell (Encore! EP282), Stacey Richter (INBW34), Ashleigh Gunter, Doug Hetherington, Dr Kevin Schulman, Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert, Jeb Dunkelberger (EP360), Dan O'Neill, Dr Wayne Jenkins, Liliana Petrova, Ge Bai  

Revenue Cycle Optimized
How To Negotiate Payer Contracts To Ensure Maximum Reimbursement

Revenue Cycle Optimized

Play Episode Listen Later Sep 7, 2022 28:12


Keeping payer contracts up to date and negotiating rates can feel daunting and like a waste of time. Learn what questions to ask and how to make sure you're receiving the same fee schedule as your peers, with Infinx VP of Strategic Accounts, Bo Bowman.

Pay Play Profit
099: How to Determine Accountable Plan Reimbursements for Home Office - Part 2

Pay Play Profit

Play Episode Listen Later Sep 6, 2022 21:39


The accountable plan is a policy within your company or your entity, which outlines how you reimburse yourself as an owner, employee, or shareholder-employee. And if you have team members within your business, the accountable plan is a good policy for them to get reimbursed for expenses as well.  One of the ways you get compensated for your business is wages, distributions, and expenses. And so, you've got to know which for what and an accountable plan is a great way to get reimbursed for those expenses. But first, let's differentiate home office reimbursements from home office deductions. Yep! Those two are not the same.  The home office deduction is for the Schedule C filer, which is the sole proprietor or the single member LLC. The home office reimbursement, on the other hand, is a potential tax strategy that a corporation or partnership can use in their accountable plan. Specifically, the home office reimbursement is an expense report to reimburse the employee of a corporation or a partnership when using their home for business purposes.  Now, there's a process to determine accountable plan reimbursements for your home office. In this episode, we're going to walk you through what the process would look like when it comes to handling everything.   In this episode, you will hear: What is an accountable plan? Understanding the annual operating costs of the home Owning a home vs. renting a home Can home renovation costs be included in your reimbursement?  Calibrating your real cost vs. budgeted cost Subscribe and Review Have you subscribed to our podcast? We'd love for you to subscribe if you haven't yet.  We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast. Supporting Resources: Episode 095: Using An Accountable Plan To Create Tax-Free Reimbursements Episode Credits If you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com Let them know we sent you.

The Healthcare Leadership Experience Radio Show
The Recruitment and Retention of Healthcare Workers with Creston Tate| Episode 53

The Healthcare Leadership Experience Radio Show

Play Episode Listen Later Sep 1, 2022 26:49


In Episode 53 of The Healthcare Leadership Experience Jim Cagliostro is joined by Creston Tate, DO, Medical Director of WellSpan Health Urgent Care to discuss the challenges of hiring healthcare workers in the wake of ‘'The Great Resignation.''     Episode Introduction   Demand for urgent care has intensified since 2020. In this episode, Jim Cagliostro, VIE's Clinical Operations Performance Improvement Expert, interviewed Creston Tate to explore the impact of the pandemic, the growing demand for urgent care facilities, the reasons behind the ‘'Great Resignation'', and the need to adapt to a shrinking talent pool.     Show Topics     The growing demand for urgent care.  How the ‘'Great Resignation'' affects patients.  Reimbursement and the Walmart/Amazon challenge.  Flexible schedules are essential to attract the right people.  The shrinking candidate pool.  Ensuring safety means urgent care sites may close temporarily.       02:13 The growing demand for urgent care.  Creston highlighted the exponential growth in demand for urgent care in the past 6 years.     ‘'My experience grew, my appreciation for medicine grew, my appreciation for the urgent care world, I call it the episodic world of medicine really grew too. There's clearly a huge gap in care for this particular type of patient that isn't being provided in the outpatient world. I did that for 17 years and just about six years ago, I transitioned into more of an outpatient urgent care directorship through my current healthcare system and have really enjoyed the growth that we have had, which is probably somewhere around the 12 to 13% growth rate per year in urgent care. As we started with five and now we're opening up our 15th urgent care this year with record volumes. I've seen it in the inpatient world, in the emergency room, and now I'm seeing it in the outpatient world and I'm bringing it all together and it's been fun to see that happen…..With the influx of patients to emergency departments and the overcrowding of EDs and wait times, perhaps some of your listeners have actually unfortunately experienced a 10 or 12-hour wait in emergency departments, it's just not fun. It's been estimated that even up to 50 to 60% of ED visits could have been handled outside of the emergency department, if the resources were there. I think that's where urgent cares and primary care providers can step in, if there's enough providers and enough access available for that. I've seen a huge switch. I know that for us, we open 12 hours a day. I think if we opened 18, we would have just as big a volume as we do now, if not larger.''      06:08 How the ‘'Great Resignation'' affects patients.   Creston explained the difference between unfilled jobs in the healthcare sector versus vacancies in retail.     ‘'Whether you go to a restaurant or you go to a convenience store, it seems like there's a paucity of workers. Despite the published low unemployment rate, it does seem like there's a lot of jobs that just aren't being filled. You take that for what it's worth, but clearly healthcare, maybe isn't affected more as far as numbers, but what I will say, Jim, is that healthcare is affected more impactfully because it is an essential piece of our fabric. If we don't have the right number of healthcare workers, people's health suffers. If we don't have enough people working at a Walmart, well, you might just have to search around for something a little longer yourself or wait in line a little bit longer, or maybe the shelves aren't stocked as readily as you would like them to be. The impact there is certainly felt more if somebody can't get their diabetic medication or their follow-up or their blood work or that CAT scan that they've been looking for to follow that tumor, than if somebody is simply shopping for material goods. I do agree with you, the resignation as it's been called, we've seen it. We certainly in our healthcare system have seen it tremendously. What I will say is that we haven't seen a tremendous loss of... And again, I'll speak from my own personal experience. In the urgent cares that I work in I don't think we've had a huge number of people leave healthcare. We have had a number of them switch out of urgent care, which has been inundated with complex patients, probably more complex than we should see, and also sicker patients. Going through the pandemic and gowning up with gloves and masks and goggles and all this paraphernalia to try to protect our healthcare workers, it has been quite a ride for our providers and our staff.  Quite frankly, I think the burnout rate is really more just fatigue. They're just tired of this continual ask to see patients who are sicker and sicker and they don't feel as though perhaps they're getting reimbursed for the higher level of risk that they're taking compared to rest of society.''      10:16 Reimbursement and the Walmart/Amazon challenge.   Creston said the higher salaries offered by Walmart and Amazon make it difficult for healthcare organizations to compete in attracting talent.     ‘'One of the greatest challenges in healthcare is going to be the big box store. Whether you look at the Walmarts or you look at the Amazons out there that just bought up one medical and 125 stores, which were like healthcare facilities that they bought up. Now there's going to be a challenge of trying to retain our own employees when maybe someone like Amazon could offer them more dollars per hour. You thin out the potential pool of good healthcare workers, even greater when that kind of thing occurs. Again, that's big business. I understand that. Their goal is to try to provide better healthcare to more people in a more efficient and cost-effective way. Whether or not they succeed in that, I don't know, but you have that. Then you also have the challenge of other very wealthy companies who are offering $17 or $18 or $19 an hour as a startup when we're looking for medical assistants that typically are $17/16.50 an hour. They may not go into medical assistant work. Instead, they're going to take another job because it pays $3 to $4 an hour because inflation is causing them to make those decisions for their family so that they can feed their family. We're seeing perhaps the same number of workers who are being thinned out and perhaps pulled away from healthcare that once maybe in the past would have considered healthcare to go into as a stable job.''    12:40 Flexible schedules are essential to attract the right people.  Creston commented that healthcare must adapt to candidate needs to fill the gaps in the workforce.    ‘'When I went into medicine, when I got hired by that first company to work family medicine, I worked hard and I came in on Saturdays and I took call. I didn't complain. I double and triple booked. It was all that sort of thing, because it was kind of expected perhaps at that time. When we interview candidates now for positions, I had to put that own bias aside and I had to say, "If I see a candidate who is really a strong candidate for us, that I want to get on our team, I may have to think a little bit outside the box and say, 'Okay, I have a 25 or a 28-year-old mother who's perhaps an RN who we want to hire because she is just fantastic. Her skill set is great. Her fit and personality is perfect for our team. I have to figure out a way that I'm going to have her on our team.'" It may be that I have to work my schedule a little bit differently because of her because she has a family and she has other things that are balancing her life a little differently than perhaps I would have back in those days. I would have to also think about healthcare. How can we give her the hours that she needs so that she can help us and also provide the healthcare for her family that she needs? I think there's a lot of ways in which I think we, as leaders of these larger companies have to start thinking ways of adapting to the needs of our workers today. If I were to simply say, "Well, that's just not the way we've done things." I probably wouldn't find anybody to work for me because we have to work around people's schedules today.''      17:44 The shrinking candidate pool.  Creston stated that numbers of available candidates have fallen significantly since Covid.     ‘'Prior to 2020, for any given opportunity to work as a provider or staff member for us, we would have five to seven candidates. Now we have about three. Our qualifications perhaps haven't changed too much, but we've had to sometimes look a little bit deeper, maybe ask a little bit different type of question to the three candidates that we may only get and say, "Okay. Well, we're only going to get three for this position because we need to get somebody relatively soon, who is the best one out of these three?" I think that's been a little bit more difficult for us. I guess, we don't have... Obviously the larger the pool, the better you can say, "Okay. This is the perfect person." When your pool is narrowed, you sometimes have to take chances and sometimes our chances are right on and we thought, "Boy, I thought you were going to be a question mark, but you have turned out to be an amazing provider." We've had to do that. Our number of candidates typically is much smaller now to find the best fit. One thing that we've also changed and really try to do more of is we try to involve our providers a little bit more in that interview process, meaning that the leaders will do the initial interview and then we bring that candidate back and we have them spend six or eight hours in our site. It's volunteer hours, but we tell them, "Listen, it may be worth it for you to make sure that you are working in the right place for you. We like you, but we want to make sure that you like the site, that you like the people that you're working with. Because if you sense there's going to be tension here, we would rather you know that at the very beginning of your employment, and we can address those issues if that's going to be the case."      23:12 Ensuring safety means urgent care sites may close temporarily  Creston said that the struggle to hire staff makes it difficult to guarantee high quality care.     ‘'One of the recent articles I've read talked about, where is the biggest fright in healthcare today? Again, in my urgent care world, number one 58% of people said hiring medical assistants and rad techs. There are crucial positions that we need in our healthcare system that there just isn't enough people out there to get. We say the pool is very dry and it's frustrating because we have actually had to close a couple of our sites on certain days, strictly because we didn't have the right support. We want to make sure that we provide the safest care and also the most compassionate care, but also do it in a way that we're not burning out and we're not frustrating our providers. It wouldn't be fair for me, Jim, if you were working for me and I said, "Jim, I know there's normally three staff members and two docs working today, but unfortunately you're the only person on, so you're going to have to carry the load for three people and we only have one doc too so you're probably going to have long wait times today." You're already defeated even before the day starts. That becomes very difficult and we have to boost each other up. We have to just carry the torch for each other because I think that if we don't look for ways in which we can solve some of these healthcare crisis issues with staffing, that's going to be the demise of a lot of good healthcare. A lot of people let their health go during COVID and we're seeing sicker and sicker patients because they couldn't get this or they couldn't get that. Or maybe they were afraid to go out, and some still are afraid to go out and get care.''      Connect with Jim Cagliostro on LinkedIn  Connect with Creston Tate on LinkedIn  Check out VIE Healthcare Consulting      You'll Also Hear:  From family medicine to the ER: how Creston's previous experience equipped him for his role in urgent care     The ‘'Great Resignation'' in numbers. ‘'According to some of their reports, the healthcare industry has lost an estimated 20% of its workforce, including 30% of nurses.,,, in 2022, nearly 1.7 million people have quit their healthcare jobs…. Then a recent survey of a thousand healthcare professionals showed that 28% had quit a job because of burnout.''    Why Covid is affecting career choice when it comes to healthcare. ‘' Three years ago, we didn't have as much of that concern that they're going to take something home and infect their family.''    The cultural shift: from ‘'lifers'' to frequent job changers. How a change in perspective means employees move jobs every three to five years.     The one sign that indicates your candidate has done their pre-interview preparation.    Adapting to change: the growing number of ‘'greenies'' in the healthcare sector. ‘'A physician's assistant is a classic example. Physician assistants oftentimes come through their medical career. They have that PA degree when they get out, but some of them have never stepped foot in an office before.''    What To Do Next:    Subscribe to The Cost Advantage for Healthcare Leaders and receive a special report on 15 Effective Cost Savings Strategies.  Learn more about the simple 3 step process to work with us.  If you are interested in learning more, the quickest way to get your questions answered is to speak with one of our margin improvement experts. Schedule a call with our team here.       

TCN Talks
Value Based Care and Reimbursement - where the puck is headed, and the puck is now in the arena

TCN Talks

Play Episode Listen Later Sep 1, 2022 28:13


In this podcast, Chris interviews Dr. Will Faber. Dr. Faber is a Primary Care Physician, full-time healthcare business consultant, and a TCN Board member.  As healthcare accelerates towards value-based care and reimbursement, hospice and palliative care organizations are well-positioned to be part of the solution to where the puck is going.  However, to be optimally positioned, we must understand what value-based care is and how it will impact all aspects of healthcare including the future of hospice and palliative care.Dr. Faber's 25 years of experience working with Clinically Integrated Networks gives him a wealth of knowledge on what value-based care means for every service provider in the healthcare continuum.  This is a great resource for leaders, staff, and even board members in the hospice and palliative care space which will help shift the personal and organizational thinking of those who want to remain relevant in the future, especially given the impending volume of aging baby boomers.  Dr. Faber also shares how outcomes data is going to be the currency of the future, especially amidst ever-increasing competition. Just like reading reviews while shopping on Amazon, healthcare outcomes will lead consumers to “vote with their feet.”This information will also greatly influence referral sources and payers.  This is a great listen to gain a better understanding of where the puck is headed for healthcare as a whole and to prod your thinking regarding your own hospice and palliative care organization.  Join us in this insight-filled learning opportunity. Guest: Dr. William K. Faber, MD, MA, MHCM   Director in Guidehouse's Value Transformation healthcare practice Host:Chris Comeaux, PRESIDENT / CEO of TCN 

AAOMPT Podcast
Ep. 100 Mabry Interview

AAOMPT Podcast

Play Episode Listen Later Sep 1, 2022 38:09


Dr. Lance Mabry (e-mail, ResearchGate, Google Scholar) of High Point University and Redefine Health Education is interviewed by Stephen M. Shaffer regarding a publication from the Journal of Manual and Manipulative Therapy titled, “Physical Therapists Are Routinely Performing the Requisite Skills to Directly Refer for Musculoskeletal Imaging: An Observational Study.” This episode contains information that will be interesting for practitioners who want to follow-up on a previous, related AAOMPT Podcast conversation from November 2019 (Episode 28) and learn more about the current, potential, and evolving role of physical therapists with respect to ordering diagnostic imaging.If you'd like to learn more from Dr. Mabry, he teaches clinical application of diagnostic imaging through Redefine Health Education (“Master MSK Imaging Certification”). Exclusive for AAOMPT Podcast listeners, the coupon code “AAOMPT” is good for $50.00 off the imaging certification course.Additionally, to find the references mentioned by Dr. Mabry during this episode please use the following links: Tonarelli et al 2011 (Diagnostic imaging of an Achilles tendon rupture), Keil et al 2019 (Reimbursement when physical therapists order diagnostic imaging), Kittleson C (This reference was a Wisconsin APTA presentation on Imaging in PT Practice and does not have a link to a published study), American College of Radiology Appropriateness Criteria, Jenkins et al 2018 (Imaging for low back pain: is clinical use consistent with guidelines?), Keil et al 2021 (Referral for Imaging in Physical Therapist Practice: Key Recommendations for Successful Implementation), Crowell et al 2016 (Diagnostic Imaging in a Direct-Access Sports Physical Therapy Clinic: A 2-Year Retrospective Practice Analysis), Crowell et al 2022 (Musculoskeletal Imaging for Low Back Pain in Direct Access Physical Therapy Compared to Primary Care: An Observational Study), Moore et al 2005a (Clinical diagnostic accuracy and magnetic resonance imaging of patients referred by physical therapists, orthopaedic surgeons, and nonorthopaedic providers), Moore et al 2005b (Risk determination for patients with direct access to physical therapy in military health care facilities), Mabry et al 2020 (Physical therapy musculoskeletal imaging authority: A survey of the World Confederation for Physical Therapy Nations), Stiell et al 1992 (Ottawa Ankle Rules), Stiell et al 1995 (Ottawa Knee Rule), Stiell et al 2001 (Canadian C-spine Rule), and the Australian Imaging Pathways (Now called Radiology Across Borders). Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=enPodcast e-mail: aaomptpodcast@gmail.comPodcast website: https://aaomptpodcast.simplecast.fm

Diagnosing Health Care Podcast
Owner's Outlook: Maximize and Safeguard Reimbursement Through Design

Diagnosing Health Care Podcast

Play Episode Listen Later Sep 1, 2022 33:14


The COVID-19 pandemic kicked off a pivot in health care construction and design, and acute care facilities have been rapidly renovating to adapt their spaces to evolving public health care needs. On this episode of our Owner's Outlook series, attorneys Chris Dunn and David Johnston discuss how owners could see unintended consequences from designing projects without the input of skilled regulatory compliance professionals or sound construction lawyers. Visit our site for more information and related resources: https://www.ebglaw.com/dhc47. Subscribe for email notifications: https://www.ebglaw.com/subscribe. Visit: http://diagnosinghealthcare.com. The EMPLOYMENT LAW THIS WEEK® and DIAGNOSING HEALTH CARE podcasts are presented by Epstein Becker & Green, P.C. All rights are reserved. This audio recording includes information about legal issues and legal developments. Such materials are for informational purposes only and may not reflect the most current legal developments. These informational materials are not intended, and should not be taken, as legal advice on any particular set of facts or circumstances, and these materials are not a substitute for the advice of competent counsel. The content reflects the personal views and opinions of the participants. No attorney-client relationship has been created by this audio recording. This audio recording may be considered attorney advertising in some jurisdictions under the applicable law and ethical rules. The determination of the need for legal services and the choice of a lawyer are extremely important decisions and should not be based solely upon advertisements or self-proclaimed expertise. No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.

Industry Matters - Powered by VGM
A Chat With Ronda Buhrmester About Important Reimbursement Updates and Getting Paid Faster

Industry Matters - Powered by VGM

Play Episode Listen Later Aug 29, 2022 26:27


In today's episode of Industry Matters VGM & Associates' Mandi Joyner, Senior Director of Marketing and Communications, talks with VGM's Ronda Buhrmester, Senior Director of Payer Relations and Reimbursement about CMNs, LCDs, CPAP Policy changes, National Coverage Determination...in short, helping you understand how to get paid faster and keep your money. Ronda, thank you so much for being here today, please introduce yourself.  

The Top Entrepreneurs in Money, Marketing, Business and Life
HealthTech Hits $1.4m ARR in 12 months with genius medicare reimbursement model

The Top Entrepreneurs in Money, Marketing, Business and Life

Play Episode Listen Later Aug 28, 2022 24:09


Building Virtual "First" Care Platform.

StudioOne™ Safety and Risk Management Network
Ep. 233 Duty to Defend vs. Reimbursement - A Short Comparison

StudioOne™ Safety and Risk Management Network

Play Episode Listen Later Aug 26, 2022 5:49


Rancho Mesa's Alyssa Burley and Vice President of the Human Services Group Sam Brown compare Duty to Defend and Reimbursement Policy Forms used when an insured needs defense council on a liability claim. Show Notes: Subscribe to Rancho Mesa's Newsletter. Director/Editor: Lauren Stumpf Producer/Host: Alyssa Burley Guest: Sam Brown Music: "Home" by JHS Pedals, “News Room News” by Spence © Copyright 2022. Rancho Mesa Insurance Services, Inc. All rights reserved.

Federal Drive with Tom Temin
Government be warned: Contractors do not have to keep cost reimbursement records forever

Federal Drive with Tom Temin

Play Episode Listen Later Aug 24, 2022 19:37


The Defense Contract Audit Agency or DCAA, found something out the hard way. If it takes to long to audit cost reimbursement support documents held by contractors, tough. The government is still responsible for the costs. A recent Armed Services Contract Board of Appeals delivered that outcome in a case that Federal Drive host Tom Temin discussed with Zach Prince, a partner at Smith Pachter McWhorter.

Federal Drive with Tom Temin
Government be warned: Contractors do not have to keep cost reimbursement records forever

Federal Drive with Tom Temin

Play Episode Listen Later Aug 24, 2022 19:37


The Defense Contract Audit Agency or DCAA, found something out the hard way. If it takes to long to audit cost reimbursement support documents held by contractors, tough. The government is still responsible for the costs. A recent Armed Services Contract Board of Appeals delivered that outcome in a case that Federal Drive host Tom Temin discussed with Zach Prince, a partner at Smith Pachter McWhorter.

Prose by Tax Pros - Another Article by Hale E. Sheppard
New Cases Clarify Standards for Reimbursements to Taxpayers under Section 7430

Prose by Tax Pros - Another Article by Hale E. Sheppard

Play Episode Listen Later Aug 24, 2022 37:18


Defeating the IRS is joyous, but winning and then obligating the IRS to pay legal, accounting, expert and other fees is sublime. The mechanism for achieving this elusive double victory is found in Section 7430. This article describes key aspects of fee recoupment under Section 7430, three recent cases, procedural rules on which the IRS depends in issuing notices devoid of meaningful information, and why fee reimbursement actions might increase in the near future.

Pharmacy Podcast Network
Tomorrow Happens Here - NACDS TSE 2022

Pharmacy Podcast Network

Play Episode Listen Later Aug 23, 2022 23:03


The NACDS Total Store Expo is the industry's largest gathering of its most influential leaders. It is a combination of both strategic and tactical business meetings between existing and new trading partners and is attended by industry decision-makers. It will give you and your company a unique opportunity to gain new insights into today's evolving marketplace and set your course for the future. This is also an excellent opportunity for retail media executives to engage the supplier community. We talk with Dr. Christie R. Boutte, PharmD, the Senior Vice President, Reimbursement, Innovation and Advocacy with the NACDS.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Pharma Intelligence Podcasts
Medtech Insight's New EU Regulatory/Reimbursement Writer, Eliza Slawther, And EU Basics

Pharma Intelligence Podcasts

Play Episode Listen Later Aug 23, 2022 13:38


Medtech Insight's New EU Regulatory/Reimbursement Writer, Eliza Slawther, And EU Basics by Informa

Pharmacy Podcast Network
Tomorrow Happens Here - NACDS TSE 2022

Pharmacy Podcast Network

Play Episode Listen Later Aug 23, 2022 23:03


The NACDS Total Store Expo is the industry's largest gathering of its most influential leaders. It is a combination of both strategic and tactical business meetings between existing and new trading partners and is attended by industry decision-makers. It will give you and your company a unique opportunity to gain new insights into today's evolving marketplace and set your course for the future. This is also an excellent opportunity for retail media executives to engage the supplier community. We talk with Dr. Christie R. Boutte, PharmD, the Senior Vice President, Reimbursement, Innovation and Advocacy with the NACDS.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Federal Newscast
The Marine Corps hits its retention goals for the first time in a decade

Federal Newscast

Play Episode Listen Later Aug 22, 2022 7:53 Transcription Available


(8/22/22) - In today's Federal Newscast: Forget about "The Great Resignation." The Marine Corps just hit its retention goals for the first time in a decade. Reimbursements for military housing are not keeping up with inflation. And the Federal Charity Campaign needs more leaders.

Next on the Tee with Chris Mascaro, Golf Podcast
Golf: Tom Patri Talks LIV Golf, Tiger's Meeting, PGA Tour Expense Reimbursement and Playing in Windy Conditions...

Next on the Tee with Chris Mascaro, Golf Podcast

Play Episode Listen Later Aug 21, 2022 26:48


TP shares his disappointment about LIV Golf and the impact it's having on the game. As we wait to hear the details about the players-only meeting Tiger Woods earlier in the day, we speculate on what he might have been sharing. We also talk about whether it's time for the PGA Tour to at least reimburse players for their expense money if they don't make the cut. Since they seem to have more cash than they've let on, should players get reimbursed for their travel, lodging, food, and caddie expenses if they don't make the cut?

ASTRO Journals
Red Journal Podcast September 1, 2022

ASTRO Journals

Play Episode Listen Later Aug 11, 2022 38:45


Reimbursement and Payment Models in Radiation Oncology. Our Editor-in-Chief Dr. Sue Yom hosts a discussion of reimbursement and the application of alternative payment models to radiation oncology. Guests are Dr. Brian Baumann, Assistant Professor of Radiation Oncology and Chief of the Genitourinary Service at Washington University in St. Louis, and Fellow of the Leonard Davis Institute of Health Economics at the University of Pennsylvania, and Dr. James Yu, Professor and Executive Vice Chair of Radiation Oncology at Columbia University, who specializes in genitourinary and brain malignancies and is an expert in population-based data and comparative effectiveness research. We discuss three articles, "Association of the Oncology Care Model with Value-Based Changes in Use of Radiation Therapy", "Decreases in Radiation Oncology Medicare Reimbursement over Time: Analysis by Billing Code", led by Dr. Baumann, and "The RO-APM: The Wrong Solution to the Wrong Problem", written by Dr. Yu. We review the recent history of payment models for radiation oncology and what this new research tells us about the ability of these models to affect the value or quality of radiation oncology care.

Dave and Dujanovic
Majority of Electric Vehicles don't qualify for inflation reduction act tax reimbursement

Dave and Dujanovic

Play Episode Listen Later Aug 10, 2022 10:08


Part of the "Inflation Reduction Act" includes a tax credit of $7,000 for the purchase of an electric vehicle. The problem is there are almost no cars sold in the U-S that meet all the of the bill's guidelines. Boyd Matheson with Inside Sources breaks it down. See omnystudio.com/listener for privacy information.

Pay Play Profit
095: Using An Accountable Plan To Create Tax-Free Reimbursements

Pay Play Profit

Play Episode Listen Later Aug 9, 2022 34:50


If you're a small business owner with employees and you still don't have an accountable plan, then now is the time to start thinking about it. In this episode, we're diving into using an accountable plan to create tax-free reimbursements – in a legal way.  Every decision is a profit decision, and profit is measured in time, energy, and money, and that especially happens around your tax, your tax strategies, and your policies. And if you're able to hit all three, this means more pay, play, and profit for you and your business! Basically, an accountable plan is a policy around how you're going to be reimbursed for expenses inside your business. One of the biggest reasons why you want an accountable plan in place is reduced taxable income and self-employment tax for the owner or the shareholder. It also allows the reimbursement to be excluded from taxable income for employees.  An accountable plan is absolutely legal. If you're ever audited, then you have nothing to fear because then you've got all the structure in place. In this episode, you will hear: Accountable plan of a business owner vs. shareholder Why consider an accountable plan Entity types that can benefit from an accountable plan Assumptions made and three rules when setting up an accountable plan Pros and cons of an accountable plan Other considerations (ex. meal deduction, home office expense, codes)  Subscribe and Review Have you subscribed to our podcast? We'd love for you to subscribe if you haven't yet.  We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast. Supporting Resources: Wine Whiskey & Sarcasm: https://winewhiskeyandsarcasm.com/ Episode Credits If you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com Let them know we sent you.

Inside Reproductive Health Podcast
Held Over The Coals: Fertility Insurance Not Created Equal

Inside Reproductive Health Podcast

Play Episode Listen Later Aug 8, 2022 59:15


This week on Inside Reproductive Health, Griffin gets to the root of the insurance debacle in the fertility industry with Holly Hutchison, managing partner of Reproductive Health Center in Tucson, Arizona. Are cash pay patients subsidizing insurance companies' poor coverage? How can practice owners survive when insurance authorizations are exceedingly slow, reimbursements are laughable, time to pay is unpredictable, and patients don't understand their own coverage- or lack thereof? Who is left holding the bag when insurance doesn't cover what it claims to, and can anything be done about it? Listen to hear: The evolution of insurance in the fertility space: how it began, when it was successful for a hot second, and where it is today. Griffin question which is more beneficial to the provider- employer benefit groups or insurance companies- and why. Griffin question why fertility clinics haven't cut out the insurance companies who are draining their bottom line. Griffin discuss the cost-benefit analysis: (Reimbursement, time to authorization, time to payment, volume to practice, patient cost sharing) and how to bring more leverage back to the provider.

VentureSprout
Bright.md and UnityPoint – Part 2

VentureSprout

Play Episode Listen Later Aug 8, 2022 12:51


This podcast episode continues our discussion with Emily Goetz of Bright.md, a leading provider of asynchronous care expertise and technology, and Matthew Warrens of UnityPoint Health Ventures, the innovation arm of a leading health care organization.   Guest speakers: Emily Goetz Vice President, Commercial Bright.md   Matthew Warrens, MBA Managing Director, Innovation UnityPoint Health Ventures   Moderator: Crystal Mullis, RN, MBA, MHA Vice President, Member Backed Ventures Vizient   Show Notes: [00:57] Platform's ease of use [01:39] Reaching consumers and providers [03:07] UnityPoint's scaling plan: building the platform's success [04:44] Patient reaction [05:55] What's next [07:27] Beyond urgent care [09:29] Reimbursement [10:07] Solving the staffing problem   Links | Resources: Vizient Member-Backed Ventures email: mbv.info@vizientinc.com Bright.md: https://bright.md Emily Goetz's email: emily@bright.md Matthew Warrens' email: matthew.warrens@unitypoint.org   Subscribe Today! Apple Podcasts Amazon Podcast Spotify Google Podcasts Stitcher RSS Feed

Combinate Podcast - Med Device and Pharma
044 -“Market Access” with Kasem Akhras

Combinate Podcast - Med Device and Pharma

Play Episode Listen Later Aug 3, 2022 73:47


On this episode, I was joined by Dr. Kasem Akhras, Senior Director, Translational Access, Geneconomics & Outcomes Research - New Products  at Novartis. Dr. Akhras and I discuss: -His Book "Frontiers in Market Access" -History of Market Access from the 1980's to now -Where the Market Access function fits in within Product Development -Market Access and Clinical Trials -Over-Utilization -Value Based Pricing -US Pharmaceutical Prices Dr. Akhras is a global Pharmaceutical Expert with 25 years of experience leading and building teams in the most critical functions in the Pharmaceutical Industry; Pricing, Reimbursement, Market Access, and Health Policy. Visionary, Passionate, and results driven leader. Well published in peer-reviewed journal and author of the book Frontiers in Market Access - A Practical Approach of Mastering Market Access. Dr. Akhras has held roles in Market Access and Health Economics at Novartis, Astrazeneca, Pfizer, Takeda, J&J and Sanofi. He is an Adjunct Professor at the University of Illinois at Chicago - Department of Pharmacy Systems, Outcomes and Policy.

Revenue Cycle Optimized
How to Maximize Reimbursement through a Coding Partnership

Revenue Cycle Optimized

Play Episode Listen Later Aug 2, 2022 29:17


Healthcare organizations are increasingly outsourcing coding amid staffing shortages and a lack of experienced talent. Learn about the challenges and benefits of working with a coding partner and what to consider when choosing a vendor, with Bo Bowman, Infinx VP of Strategic Accounts, and Kathryn Walter, Infinx Client Services Manager/Compliance Officer.

Pharm5
COVID vaccines linked to fewer CV events, Paxlovid reimbursements, and more!

Pharm5

Play Episode Listen Later Jul 29, 2022 4:08


This week on Pharm5: Polio in the US COVID vaccines linked to fewer CV events Vancomycin AUC vs. target troughs CMS Star Ratings 2022 Payment model is needed for Paxlovid prescribing Use APhA's pre-written, editable letter to advocate for pharmacist reimbursement for Paxlovid prescribing: https://bit.ly/3cKwm0O References: Meko H. First polio case in nearly a decade is detected in New York State. The New York Times. https://nyti.ms/3JbGLid. Published July 21, 2022. Accessed July 28, 2022. Polio vaccine effectiveness and duration of protection. Centers for Disease Control and Prevention. https://bit.ly/3JhiIyy. Published May 4, 2018. Accessed July 28, 2022. Kim Y-E, Huh K, Park Y-J, Peck KR, Jung J. Association between vaccination and acute myocardial infarction and ischemic stroke after COVID-19 infection. JAMA. July 2022. doi:10.1001/jama.2022.12992 Abdelmessih E, Patel N, Vekaria J, et al. Vancomycin area under the curve versus trough only guided dosing and the risk of acute kidney injury: Systematic Review and meta‐analysis. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy. July 2022. doi:10.1002/phar.2722 Chung D, Efta J, Brunsman A, et al. Evaluation of pharmacist time dedicated to vancomycin dosing in adult patients using a 24-hour AUC nomogram or Trough Monitoring Approach: A time motion study. American Journal of Health-System Pharmacy. 2022;79(14):1173-1179. doi:10.1093/ajhp/zxac094 Press release CMS releases 2022 Medicare Advantage and Part D star ratings to help Medicare beneficiaries compare plans. CMS. https://go.cms.gov/3oEzpKM. Accessed July 28, 2022. Emergency action is necessary to provide payment for pharmacist prescribing of Paxlovid. OneClickPolitics. https://bit.ly/3cKwm0O. Accessed July 28, 2022.

The Kinked Wire
IRQ audio 8: That's negotiable: 8 tips for negotiating contracts and salaries

The Kinked Wire

Play Episode Listen Later Jul 28, 2022 11:47


“The collaboration between surgeons and interventional radiologists has been at the center of many great advancements in trauma care.” —Jack Sava, MD, FACS, Director of Trauma/burns Program Director, General Surgery, MedStar Washington Hospital CenterIn the audio version of "IR in the ER: The role of interventional radiology on the trauma team"  (IR Quarterly: Fall 2017), author Susan Rose describes how interventional radiologist Arshad A. Khan, MD, FSIR, saved the life of shooting victim Rep. Steve Scalise and the role that interventional radiology continues to play in trauma care.Read the article.Contact us with your ideas and questions, or read more about about interventional radiology in IR Quarterly magazine or SIR's Patient Center.(c) Society of Interventional Radiology.Support the show

The Bridge
Lou Baverso discusses partnership with Central Penn College and tuition reimbursement - S3:EP4

The Bridge

Play Episode Listen Later Jul 21, 2022 24:56


In part 2 of this interview, Dr. Fedrizzi-Williams and Lou Baverso discuss a strategic partnership with Central Penn College that includes tuition reimbursement! -- Lou Baverso is the chief operating officer of UPMC Central Pa., and he is the president of UPMC Harrisburg, West Shore, and Community Osteopathic hospitals. Baverso has more than 29 years of health care management experience in clinical and supports operations. His background is diverse in both information technology and hospital operations, and he has held roles in executive leadership in both disciplines during his more than 25 years at UPMC. Prior to coming to Central Pa. in July 2019, he served as vice president of operations at UPMC Presbyterian Shadyside in Pittsburgh, which has consistently been ranked among the top hospitals in the state and the nation. Baverso has also served in a wide range of leadership roles in UPMC, including vice president of operations and chief information officer at UPMC Magee Women's Hospital. Prior to joining UPMC, Baverso worked in a for-profit IT company, focused on education and support of businesses implementing office-based solutions or transitioning staff into new roles. Baverso holds an MBA from Chatham University and a Master's Degree in Information Systems Management from Robert Morris University. He also has a Bachelor of Information Science degree from the University of Pittsburgh.

Pharmacy Podcast Network
LTC at Home and the Complexities of Reimbursement | RxSafe

Pharmacy Podcast Network

Play Episode Listen Later Jul 19, 2022 58:36


We believe that local independent community pharmacy has a much wider role to play in future home-care. Historically, pharmacists have not been included on home care teams, despite the fact that home care patients require more pharmacy care services and frequently experience medication errors. There's an opportunity for Community Pharmacies to deliver more in-home care services. LTC pharmacies are compensated for services which many community pharmacies provide to their home-bound patient base. The optimal service delivery model of community pharmacies and distribution of additional clinical care for home care is a prime opportunity.  Special thanks to our episode sponsor RxSafe, leaders in Medication Adherence packaging & partners of Independent Community Pharmacy.  Guests:  Ronna Hauser, PharmD SVP Policy & Pharmacy Affairs at NCPA Susan Rhodus, BS Pharm  Senior Vice President, Contracts and Advocacy at GeriMed Joe Williams, PharmD Owner at Brisson Drugs References:  https://ncpa.org/medical-home-mah  Learn more about your ad choices. Visit megaphone.fm/adchoices

Pharmacy Podcast Network
LTC at Home and the Complexities of Reimbursement | RxSafe

Pharmacy Podcast Network

Play Episode Listen Later Jul 19, 2022 58:36


We believe that local independent community pharmacy has a much wider role to play in future home-care. Historically, pharmacists have not been included on home care teams, despite the fact that home care patients require more pharmacy care services and frequently experience medication errors. There's an opportunity for Community Pharmacies to deliver more in-home care services. LTC pharmacies are compensated for services which many community pharmacies provide to their home-bound patient base. The optimal service delivery model of community pharmacies and distribution of additional clinical care for home care is a prime opportunity.  Special thanks to our episode sponsor RxSafe, leaders in Medication Adherence packaging & partners of Independent Community Pharmacy.  Guests:  Ronna Hauser, PharmD SVP Policy & Pharmacy Affairs at NCPA Susan Rhodus, BS Pharm  Senior Vice President, Contracts and Advocacy at GeriMed Joe Williams, PharmD Owner at Brisson Drugs References:  https://ncpa.org/medical-home-mah  Learn more about your ad choices. Visit megaphone.fm/adchoices

Revenue Cycle Optimized
How NLP Can Improve Coding Efficiency And Reimbursement

Revenue Cycle Optimized

Play Episode Listen Later Jul 19, 2022 20:33


Infinx Chief Data Scientist, Natalia Arzeno-Gonzalez, explains how natural language processing (NLP) helps providers achieve coding accuracy, improve processes, and avoid revenue loss.

Capitol Weekly Podcast
Chewing the Fat with Western Dental's Jeff Miller

Capitol Weekly Podcast

Play Episode Listen Later Jul 18, 2022 22:27


:25 Dentistry and Medi-Cal2:12 49th out of 50 states4:37 The impact of COVID5:44 Can telehealth work for dental care?6:31 "I never liked going to the dentist.."7:15 What regions of the state are hardest to serve?10:20 Why is dentistry separate from other health care?13:09 Reimbursement rates16:07 Are there programs to get dentists into underserved communities?18:21 What now for California dentists?19:59 #WWCAWant to support the Capitol Weekly Podcast? Make your tax deductible donation here: capitolweekly.net/donations/Capitol Weekly Podcast theme is "Pickin' My Way" by Eddie Lang"#WorstWeekCA" Beat provided by freebeats.ioProduced by White Hot

The Medical Alley Podcast, presented by MentorMate
Webinar Replay: Global Regulatory and U.S. Reimbursement Seminar

The Medical Alley Podcast, presented by MentorMate

Play Episode Listen Later Jul 18, 2022 60:24


The Medical Alley Association and its partners, Investissement Quebec and the Quebec Government Office in Chicago, present a seminar preparing new market entrants for global regulation and U.S. reimbursement. Medical Devices and Digital Health products face a range of regulations in the United States, primarily from the Food & Drug Administration (FDA). Further, reimbursement, or payment for various health services, in the U.S. differs significantly compared to most other countries. A mix of public and private, national and regional, and separate of medical, dental, vision, and pharmacy benefits means your path to securing payment can be complex and fraught with risk. In this session you will learn the latest on FDA regulations and strategies to employ in launching your first product in the U.S. as well as the fundamentals of U.S. reimbursement and how to pursue it for your company. We were joined for this webinar by Kirk Honour and Joseph Sierra of NAMSA, who offered their insights on the regulatory hurdles and reimbursement issues companies should consider when entering the U.S. market.

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
The Virtual Shift: Legal Counsel Matt Fisher on RPM reimbursements Part 2

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Jul 14, 2022 28:42


Host Tom Foley invites legal counsel Matt Fisher back to continue their discussion on telehealth reimbursements. Part 1 episode generated many follow-up questions and the demand for a deeper dive on the structure of and reimbursement for telehealth, RPM, RTM and CCM. This 2nd episode seeks to clarify many key points to allow providers to extend care into the homes of their patients. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

The NASM-CPT Podcast With Rick Richey
Medical Reimbursement for Training

The NASM-CPT Podcast With Rick Richey

Play Episode Listen Later Jul 12, 2022 28:27


In this episode of the “NASM-CPT Podcast,” host Rick Richey is joined by featured guest, MedFit Founder, Lisa Dougherty. Lisa is the founder of three separate but linked non-for-profit fitness companies. The MedFit Network provides a list of qualified Medical Fitness Trainers all over the country to promote their services to those in need. The MedFit Education offers medical fitness specializations to fitness professionals to be able to work with those that have heart disease, cancer, diabetes, etc. Finally, MedFit Care is the ability for your clients to get a medical fitness prescription to either be able to write off personal training on their taxes or to use a Health Spending Account (HSA) or Flexible Spending Account (FSA) to use pre-taxed dollars on personal training services. Join the MedFit Network today and save 40% on your first year's annual membership.  Use code NASM40 at checkout! https://medfitnetwork.org/welcome/ Check out the 25+ online medical fitness courses. All MedFit Network members save 30% off courses as a benefit of membership: https://www.medfitclassroom.org/specialist-courses/ Learn more about MedFit Care and all FAQs: http://www.medfitcare.org  Please join us at our first Medical Fitness Conference since the pandemic at the Los Angeles Athletic Club: https://www.medicalfitnesstour.org/mft2023/ Any questions? Email Lisa Dougherty Lisa@MedFitEd.Org The most trusted name in fitness is now expanding into the wellness world. Become an NASM Certified Wellness Coach and you'll be able to guide and motivate clients to make lasting changes through mental and emotional well-being, recovery, and more. https://bit.ly/3nTQsbb

Becker’s Healthcare Podcast
2022's Top Reimbursement Challenges

Becker’s Healthcare Podcast

Play Episode Listen Later Jul 12, 2022 37:14


In today's episode, we are joined by Linda Corley, Chief Compliance Officer at Xtend Healthcare,to address 2022 payment challenges and identify proven steps for meeting those challenges and attaining compliant reimbursement. We discuss “Patient Care Management” as a new department within your Revenue Cycle, and why this team is vital to appropriate payment. Tune in to learn specific workflow goals included within PCM to ensure you are meeting medical necessity and achieving accurate documentation to support patient acuity and intensity of services provided, and where we should be utilizing technology to resolve routine tasks and improve both production and quality of revenue integrity. This episode is sponsored by Xtend Healthcare.

Lunch With Norm - The Amazon FBA & eCommerce Podcast
Everyone Makes Mistakes, Even Amazon - Amazon Reimbursements 2022 w/ Caleb Nelson - Ep. 310 - Lunch With Norm

Lunch With Norm - The Amazon FBA & eCommerce Podcast

Play Episode Listen Later Jul 12, 2022 62:05


On today's Lunch With Norm, we are joined by the CGO of Sifted, Caleb Nelson! We are discussing what goes wrong with Amazon FBA fulfillment processes and how to get reimbursements. Find out on today's episode how sellers get reimbursed and what steps can they take? Also we learn how to determine how much certain products cost and if they are even profitable. Caleb is supply chain/final mile delivery expert focused on simplifying the complexities of transportation. He is an experienced entrepreneur with a demonstrated history of success in business startup and growth. This episode is brought to you by Post Purchase Pro Post Purchase PRO specializes in helping Amazon sellers create more sales, ranking, and reviews through post purchase marketing. Finally your email marketing can be actively managed by professionals with over 30 years experience so you can focus on running your business. Increase repeat purchases, drive better organic search term ranking, get more reviews, and build a real asset. For more information visit https://www.postpurchasepro.com/lunch This episode is brought to you by Startup Club Startup Club is the largest club on Clubhouse supporting the Startup ecosystem. Startup Club offers an exciting sense of belonging to established and aspiring entrepreneurs, startup businesses, and companies wanting to Learn, Connect, and Grow. Join us for conversations with founders, entrepreneurs, angel investors, venture capitalists, subject matter experts, and more. For More information visit https://Startup.club In this episode, we are joined by Caleb Nelson, the CGO of Sifted! Today we are discussing what goes wrong with Amazon FBA fulfillment processes and how to get reimbursements. Caleb is supply chain/final mile delivery expert focused on simplifying the complexities of transportation. This episode is brought to you by Startup Club, Post Purchase Pro, and HONU Worldwide.

Talk Python To Me - Python conversations for passionate developers
#372: Applied mathematics with Python

Talk Python To Me - Python conversations for passionate developers

Play Episode Listen Later Jul 8, 2022 75:44 Very Popular


Often when we learn about or work with Math, it's done so in a very detached style. You might learn the rules and techniques for differentiation, for example. But how often do you get to apply them to meaningful and interesting problems? In this episode, we have Vince Knight and Geraint Palmer on to discuss solving a wide variety of applied and approachable math problems using Python. Whether you're deeply into math or not so much, I think there is a lot to enjoy from this episode. Links from the show Applied Mathematics with Open-Source Software: taylorfrancis.com Book source files: ithub.com Vince on Twitter: @drvinceknight Geraint on Twitter: @geraintpalmer Traces Package: traces.readthedocs.io A Beautiful Mind: wikipedia.org Nashpy: github.com e: The Story of a Number: amazon.com SymPy episode: talkpython.fm 8451: 8451.com Stack Overflow Trends: stackoverflow.com PYCON UK 2017: Python for conducting operational research in healthcare: youtube.com Ciw package: github.com Python ternary: github.com Michael's in-person FastAPI course: maven.com Reimbursement templates for our courses Expense a Course at Talk Python: zoho.com Expense Course Bundle at Talk Python: zoho.com Expense Cohort Course at Talk Python: zoho.com Watch this episode on YouTube: youtube.com Episode transcripts: talkpython.fm --- Stay in touch with us --- Subscribe to us on YouTube: youtube.com Follow Talk Python on Twitter: @talkpython Follow Michael on Twitter: @mkennedy Sponsors RedHat Python at Scale AssemblyAI Talk Python Training

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
The Virtual Shift: Legal counsel Matt Fisher on RPM reimbursements

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Jun 27, 2022 29:16


Host Tom Foley invites legal counsel Matt Fisher to discuss regulatory guidelines for remote patient monitoring reimbursements. RPM, RTM, and CCM care models have specific CPT codes for provider billing. What can be sourced and what must be done by the attending clinician? What devices can be used and what are time requirements? To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

AUA Inside Tract
Relative Unit Value (RVU): Introduction & Importance in Both Reimbursement & Physician Compensation

AUA Inside Tract

Play Episode Listen Later Jun 27, 2022 24:01


Welcome to the AUA's monthly podcast series that focuses on leadership and business topics relevant to the entire urologic care team. Please join us each month on the Inside Tract as our subject matter experts explore various aspects of today's rapidly changing business environment. In this episode, Dr. Thomas Turk joins host, Dr. Jennifer Miles-Thomas, as they delve into the topic of Relative Unit Value and its importance in both reimbursement and physician compensation.

Jim and Them
Keep Your Eye On The Ball - #732 Part 1

Jim and Them

Play Episode Listen Later Jun 25, 2022 96:21


Roe V Wade: It is a historic day and people all over the country are up in arms and taking to the streets, but for your boys at Jim and Them, THE SHOW MUST BE GO ON! We must keep our eye on the ball.Nerd NEWZ: On this historic day we celebrate a HISTORIC RETURN! Everyone's favorite "Nerd NEWZ" segment is alive and well on Jim and Them 2022! How is The Quarry and what is up with these video game remakes?Lightyear: We finish up Nerd NEWZ discussing the new Paramount+ show Players and then we get into the recent Pixar release, LIGHTYEAR and everything wrong with it.WHAT ARE YOU TALKING ABOUT WILLIS!?, ONE OF OUR THINGS!, SCRUBS!, HISTORICALLY SOMBER DAY!, UPSET!, PROTESTS!, ANSWERS!, MARCHING!, OBI-WAN KENOBI!, DISNEY+!, ABOMINATION!, UPSET!, DEMANDS!, STAR WARS!, THE SHOW MUST GO ON!, QUEEN!, FREDDY MERCURY!, PUT A BULLET IN MY FUCKING HEAD!, SEASON 4!, IS THIS WHAT YOU WANT!?, CLUBHOUSE!, ANDOR!, ROE V WADE!, OVERTURNED!, NO JEFF!, FAMILY CELEBRATION!, COOL STATES!, GAY STATES!, MISSOURI!, EYE ON THE BALL!, UMBRELLA ACADEMY!, NETFLIX!, KISS!, LIGHTYEAR!, STEVEN UNIVERSE!, HOPE YOU'RE HAPPY!, DANIEL LARUSSO!, DISNEY!, DICK'S SPORTING GOODS!, REIMBURSEMENTS!, ABORTION RECEIPT!, 22 STATES!, MISSISSIPPI!, 16 WEEKS!, CHOP HEADS OFF!, RIP ARMS OFF!, CONSERVATIE WEIRDO!, PREDATOR!, PREY!, NATIVE AMERICAN FEMALE!, BOW AND ARROW!, STRONG BLACK MAN!, ROE DAMERON!, ARIZONA!, GUN LAWS!, COMPARISON!, ADVICE!, SENTIMENT!, PEOPLE WITH UTERUSES!, MUDDY THE WATERS!, SITCOM!, STREAMLINE!, STORM THE CAPITOL!, KILL THE JUDGES!, BAD JUDGE!, BAD TV!, NEED MORE GOOD TV!, BREAKING BAD!, FRINGE!, SOPRANOS!, DEAD SPACE 2!, VIDEO GAME REMAKES!, THE LAST OF US!, REMAKES VS REMASTERS!, TREND!, TESS!, JOEL!, ANAL NITRATES!, POPPERS!, CLICKERS!, THE QUARRY!, INTERACT!, HORROR!, GLITCHY!, PICK YOUR PATH!, UNTIL DAWN!, PARAMOUNT+!, AMERICAN VANDAL!, THE LAST DANCE!, ESPORTS!, PLAYERS!, CREAMCHEESE!, ORGANIZM!, MOBA!, LEAGUE OF LEGENDS!, JUNGLER!, SUPPORT!, MID!, TONY YACENDA!, PEANUT BUTTER FALCON!, GORDON HALE!, BEAVIS AND BUTTHEAD!, ONWARD!, PIXAR!, TOY STORY!, LIGHTYEAR!, CHRIS EVANS!, TIM ALLEN!, CONFUSING!, KIDS MOVIE!, TO INFINITY AND BEYOND!, INTERSTELLAR!, JURASSIC WORLD DOMINION!, CARS SEQUELS!, RESCUE RANGERS!, KIDS MOVIE!, TRUMP!, COCO!, INCREDIBLES 2!, KENYAN AIRPLANE!You can find the videos from this episode at our Discord RIGHT HERE!

Evidence Based Birth®
EBB 229 - Evidence on Doulas: Community-based Model, the Pandemic, and Reimbursement with the EBB Research Team

Evidence Based Birth®

Play Episode Listen Later Jun 22, 2022 43:16 Very Popular


In today's episode, hosted by the EBB Research Team, we are sharing the audio from a private livestream we did with our Pro Members at Evidence Based Birth. We talk about three major topics related to updated research evidence on doulas: 1) research on the pandemic's effect on the doula profession around the world, 2) research on the difference between community-based doulas and private or traditional doulas, and 3) new info on paying or getting reimbursement for doula care in the U.S. [NOTE FOR LIBSYN ONLY]: This podcast is also posted on our YouTube channel in case you want to access the video of our team teaching, and a screenshare of some of the evidence we're talking about! As a content note, this episode includes discussion of COVID-19, racism, and how a lack of postpartum coverage is in some cases tied to the same places that have abortion bans. Today's episode is taught by Rebecca Dekker, PhD, RN (she/her), Ihotu Ali, MPH (she/her), and Erin Wilson, MPH (she/her). Dr. Dekker is a nurse with her PhD who is the founder and CEO of EBB. Ihotu is a community-based doula, Maya abdominal massage therapist, doctoral student in chiropractic medicine, director of the Oshun Center for Intercultural Healing, and Research Editor at EBB. Erin is a clinical researcher, doula, childbirth educator, policy advocate, and Research Editor at EBB. Together, we will share with you some research we were compiling about the evidence on doula care!   Content warning: Discussion of the COVID-19 pandemic, racism, and how a lack of postpartum Medicaid coverage is in some cases tied to the same places that are issuing abortion bans.   Resources: For a full list of scientific references, see the blog post that goes along with this episode Check out our Signature Article... Evidence on: Doulas at https://evidencebasedbirth.com/doulas The Sista Midwife Productions Black doula/midwife directory is here: http://www.sistamidwifedirectory.com/ Go to our YouTube channel to see video versions of all our podcasts! (including PowerPoint presentations when used) Check your state's status on whether or not they're funding doulas through Medicaid here: https://healthlaw.org/doulamedicaidproject/#:~:text=Read%20the%20Report-,Current%20State%20Doula%20Medicaid%20Efforts,-The%20National%20Health Check your state's status on whether they're expanding Medicaid postpartum here: https://www.kff.org/medicaid/issue-brief/medicaid-postpartum-coverage-extension-tracker/ Donate or apply for the Hello Seven doula fund for Black families here: https://helloseven.org/ If you support this work, we encourage you to use your voice and speak up, and to caution against low reimbursement rates and expensive licensure/certification processes that have created barriers to entry in certain states that are actively reimbursing doulas. We at EBB want to see all doulas earn a living wage, regardless of which type of clients they serve (Commonwealth Fund: Issue Brief, 2021). Doulas can apply for a National Provider Identification (NPI) number. Here is a guide on how to apply and here is a link to the application through CMS. If you can get an NPI, it will increase your chances of getting paid through insurance/help your clients receive insurance reimbursement. For more information and news about Evidence Based Birth, visit www.ebbirth.com . Find us on Facebook (https://www.facebook.com/EvidenceBasedBirth/ ), Instagram (https://www.instagram.com/ebbirth/ ), and Pinterest (https://www.pinterest.com/ebbirth/ ). Ready to get involved? Check out our Professional membership (including scholarship options) (https://evidencebasedbirth.com/become-pro-member/ ). Find an EBB Instructor here (https://evidencebasedbirth.com/find-an-instructor-parents/ ), and click here (https://evidencebasedbirth.com/childbirth-class/ ) to learn more about the Evidence Based Birth  Childbirth Class.

Best of The Steve Harvey Morning Show
Romantic Reimbursement and Fail Safe Cash

Best of The Steve Harvey Morning Show

Play Episode Listen Later Jun 21, 2022 5:10


A man in China is suffering from dater's remorse and the ladies want to touch you in a funny way.  Trust and believe that it is money. See omnystudio.com/listener for privacy information.

The 1FR
Salmon Reimbursement

The 1FR

Play Episode Listen Later Jun 20, 2022 133:15


On a Father's Day the guys are in the kitchen cookin up. Today we get into several topics starting off w/ the attempted hate crime from the “Patriot Front”. The Drake album “Honestly Nevermind”. Akademiks latest beef vs Kollege Kidd and the clip that leaked against him. We go off on a tangent about fatherhood and what goes on down family court on behalf of fathers. We get into the infamous salmon reimbursement incident. And we get into the Warriors 4th championship and what happens next for the NBA.

Beyond The Mask: Innovation & Opportunities For CRNAs
Ep 185: 9 Tax Saving Strategies for CRNAs with an S Corporation

Beyond The Mask: Innovation & Opportunities For CRNAs

Play Episode Listen Later Jun 16, 2022 32:10


With more and more CRNAs shifting to 1099, it's time to start thinking about how to best position yourself from a tax standpoint as your finances change. Today, Jeremy Stanley, CFP® will share nine tax strategies that most S corporations can utilize each year to maximize their earnings and minimize what they owe.   Read more: http://beyondthemaskpodcast.com    Learn more about financial planning: https://www.crnafinancialplanning.com/    Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf   What we discuss in this episode:  2:36 – Background on our topic 3:40 – Reasons for not being S corporation   5:40 – Strategy #1: Taking money out as distributions 7:49 – Strategy #2: Deduct health insurance premiums.   9:22 – Strategy #3: Employee your children 12:40 – Strategy #4: Reimbursement of home office expenses 13:36 – Strategy #5: Rent your home to your S corp 15:41 – Strategy #6: Reimburse you for depreciating expenses 17:13 – Strategy #7: Vehicle deductions 20:57 – Strategy #8: Reimbursement of travel expenses 23:49 – Strategy #9: Cell phone expenses   26:23 – Final thoughts

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

Relentless Health Value

Play Episode Listen Later Jun 2, 2022 33:21


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