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Send us Fan MailHow many times have you walked lower 25th Street past this building? Learn the backstory on our latest Summer Short.Ogden, Ogden Utah, Junction City, True Crime, Historic 25th Street, Two-Bit Street, Ogden True Crime, Utah True Crime, Police, Police Podcast, Tales of Policing, History, History Podcast
It is Saturday and that means Delia can wear her favorite clothes. She gets dressed and heads to the kitchen. Delia knows her mom is not home so she tells her big sister that she'll make breakfast by herself. Everything is going well until her big sister tells her the news. ✔️ Perfect for ages 5+ Sleep Tight!, Sheryl & Clark ❤️
The Netherlands has updated its national dietary guidelines, and they may be among the most progressive in the world.In this Summer Short, Michelle and Kevin explore the country's newly revised "Wheel of Five," which places greater emphasis on plant-based eating, provides clear weekly food targets, and considers both personal health and environmental sustainability.From reducing red and processed meat to increasing legumes and offering practical tools like government-supported food swaps and meal planning apps, the new guidance goes beyond simply telling people to "eat healthier."Join us as we discuss what makes these recommendations so groundbreaking, how they compare with Canada's Food Guide, and why practical, measurable nutrition advice could help people make lasting changes.Have a question for Michelle? Get in touch at hello@nutritionfornoobs.com or connect with us on Facebook (https://www.facebook.com/nutrition4noobs) or Instagram (https://www.instagram.com/nutrition4noobs)
King O'Toole rules his small kingdom in Ireland with kindness. He cares deeply for his people and his land, and he loves spending time outdoors in the fresh air. But as King O'Toole grows older, he finds that he can no longer move around as easily as he once could. Then, he gets a goose! The king and his goose soon become the best of friends, spending all their time together—until the goose grows old too. Then, one day, the king meets a new young man. ✔️ Perfect for ages 5+ Sleep Tight!, Sheryl & Clark ❤️
Tom Fitzpatrick is the kind of person who loves nothing more than a good wander on a fine day. One harvest morning he sets off along the sunny side of a hedge, not looking for anything in particular — and then he hears something. A small, busy, tapping sort of sound, coming from somewhere in the bushes. Tom has heard the old stories about what might live in an Irish hedge. He just never quite believed them. Until today. ✔️ Perfect for ages 5+ Sleep Tight!, Sheryl & Clark ❤️
Show #1162 Summer Short: All Vinyl 01. Jerry McCain - Somebody's Been Talking [1967] (4:39) (Midnight Beat, Charly Records, 1987) 02. John Mooney - Coal Stove Mama (4:02) (Telephone King, Blind Pig Records, 1991) 03. Nappy Brown - Life's Ups And Downs (2:59) (Something Gonna Jump Out The Bushes!, Black Top Records, 1987) 04. Dr. Hector & the Groove Injectors - You Can't Untie The Knot (5:29) (Prescription, King Snake Records, 1987) 06. Lynyrd Skynyrd - T For Texas (8:39) (One More From The Road, MCA Records, 1976) 07. Sons Of Blues - I'm Going Fishing Baby (8:12) (Romancing The Blue Stone, Blue Phoenix Records, 1985) 08. Fabulous Thunderbirds - Rich Woman (3:29) (Girls Go Wild, Takoma Records, 1979) 09. Canned Heat - Rich Woman (3:02) (Canned Heat, Liberty Records, 1967) 09. Lowell Fulson - Blues And My Guitar (4:52) (It's A Good Day, Rounder Records, 1988) 10. Steve Miller Band - Baby's Callin' Me Home + Steppin' Stone (6:28) (Children Of The Future, Capitol Records, 1968) 11. Little Milton - Too Hurt To Cry (4:23) (Annie Mae's Cafe, Malaco Records, 1986) 12. Clarence 'Gatemouth' Brown - Near Baku (4:13) (One More Mile, Rounder/Demon Records, 1983) Bandana Blues is and will always be a labor of love. Please help Spinner deal with the costs of hosting & bandwidth. Visit www.bandanablues.com and hit the tipjar. Any amount is much appreciated, no matter how small. Thank you.
Shirley and her mother are going to visit Aunt June who lives on an island in the middle of the ocean. Shirley wishes she lived closer but cannot wait to see her again and hopes that her friends Mr. Frog and Mr. Snake are still there. ✔️ Perfect for ages 5+ Sleep Tight!, Sheryl & Clark ❤️
Willkommen zu den Strong & Feminine Summer Shorts! Der Sommer bringt viele Frauen in den „Jetzt-erst-recht-Modus“: weniger essen, mehr Cardio und möglichst schnell Ergebnisse sehen. Warum genau das oft der grösste Fehler ist und was dein Körper stattdessen braucht, erfährst du in dieser Folge.Folge mir auf Instagram: https://www.instagram.com/melanie_workoutandmoreMein Online Coaching für Frauen: https://strong-feminine.com/Gratis 7 Tage Challenge: https://strong-feminine.com/strong-challenge/
Blue is struggling to do the task he has chosen to do. It should have taken him no time at all but he just cannot seem to get it right. Red comes in and tries to see what he is doing but he snaps at her. Blue is just not feeling like himself, Red says it is from the space travel and whatever they had to drink. Blue looks at the base terminal again before closing it. This story takes place shortly after Red and Blue arrive on Earth. ✔️ Perfect for ages 5+ Sleep Tight!, Sheryl & Clark ❤️
Show #1160 Summer Short: All New Again 01. Angel Ocasio Jr. - Don't Stop (5:54) (Single, Wild Ivory Records, 2026) 02. Jodi Stapler - Storm in My Voice (3:48) (Single, self-release, 2026) 03. The Anthony Paule Soul Orchestra - If It Ain't One Thing It's Two (3:10) (What Can We Do?, Nola Blue Records, 2026) 04. EJ Mathews - Walking Down This Road (2:31) (Single, Delmark Records, 2026) 05. The Winston Brothers - Roling (3:41) (Single, Colemine Records, 2026) 06. Savoy Brown - Where Has Your Heart Gone (11:31) (Too Much Of A Good Thing, Panache Records, 2026) 07. The Zac Schulze Gang - Hellhounds On My Trail (4:34) (Single, Ruf Records, 2026) 08. Mike Wheeler Band - A Blind Man Can See (6:50) (Chicago Blues, Delmark Records, 2026) 09. Brigitte Purdy - Losin Time For Love (3:29) (Mother Of The Crossroads, Dirtshack Records, 2026) 10. KYPO - Greed Fear And Evangelists (4:11) (No Longer Where You Were EP, self-release, 2026) 11. Albert Castiglia - Uncertainty (6:16) (Grits & Glory, Gulf Coast Records, 2026) 12. Plas Johnson - Pink Panther (2:25) (45 RPM Single, Capitol Records, 1964) Bandana Blues is and will always be a labor of love. Please help Spinner deal with the costs of hosting & bandwidth. Visit www.bandanablues.com and hit the tipjar. Any amount is much appreciated, no matter how small. Thank you.
Willkommen zu den Strong & Feminine Summer Shorts!Vielleicht kennst du den Gedanken: „Nach dem Urlaub starte ich wieder richtig.“ In dieser Folge sprechen wir darüber, warum genau dieser Neustart dich oft davon abhält, langfristig erfolgreich zu sein – und wie du stattdessen eine Routine aufbaust, die auch durch den Sommer trägt.Folge mir auf Instagram: https://www.instagram.com/melanie_workoutandmoreMein Online Coaching für Frauen: https://strong-feminine.com/Gratis 7 Tage Challenge: https://strong-feminine.com/strong-challenge/
Ted and Ed are sitting by the lake as they do every Friday. Ed has his book and Ted never brings anything. They are great friends and always come to the lake together on Fridays. When it is almost dark they watch the sky and the stars and see a shooting star. Ted goes looking for it while Ed waits. ✔️ Perfect for ages 5+ Sleep Tight!, Sheryl & Clark ❤️
Show #1159 Summer Short: Again New Music 01. Tas Cru - Nasty Turn (4:07) (Might Give Out... But I Won't Give In, Guitar One Records, 2026) 02. Davis Coen - Hurricane Man (3:13) (Hurricane Man EP, Soundview Records, 2026) 03. Elliott Morris - Catch Me If You Can (4:40) (Single, Dominoes Club Records, 2026) 04. Ben Poole - No Second Chances (5:43) (Post-Midnight Behaviour, Gypsy Soul Records, 2026) 05. Leeann Atherton - Smack Dab In A Miracle (3:29) (Good God, self-release, 2026) 06. Jake Soberlak - You Gotta Leave (3:10) (I'm In Trouble, self-release, 2026) 07. Living Room Record Club - Done For Now (4:28) (One Man Clan, self-release, 2026) 08. J.P. Reali - Tennessee Jed (4:17) (Grateful Blues, Reali Records, 2026) 09. Ryan "Bluwrath" Newman - Leaving This World Tonight (4:06) (Wrath Of Blues, Feverbarn Recordings, 2026) 10. Killing Flaw - Magic Sam (3:29) (Better Late Than Never, self-release, 2026) 11. Big Harp George - Death Rattle Of The Republic (4:09) (No Shortcuts, Blues Mountain Records, 2026) 12. Dana Fuchs - Ready To Rise (5:20) (Live in Denmark, Ruf Records, 2026) 13. Michael St. Over - Ride Sweet Angel (5:14) (Single, MTS Records, 2026) 14. Jumping Matt & His Combo - Technological Breakdown (3:55) (Single, self-release, 2026) 15. Miss Robin Banks - Talk Dirty To Ya (5:20) (Lost In Austin, Dallas Blues Society Records, 2026) 16. Rick Vito - River Of Blues (3:40) (Slidemaster, MoMojo Records, 2026) Bandana Blues is and will always be a labor of love. Please help Spinner deal with the costs of hosting & bandwidth. Visit www.bandanablues.com and hit the tipjar. Any amount is much appreciated, no matter how small. Thank you.
Today, we're heading to Lower Starry Skies, where the hottest day of summer takes a very unexpected turn! After discovering a mysterious machine hidden amongst the junk, Alan and Steve accidentally unleash something they never saw coming. But what have they started... and can they stop it in time? Upgrade to Koala Kids Plus for full ad-free access to our collection of kids' shows, with bonus adventures and 8-hour episodes ⭐️ Subscribe via Apple Podcasts or visit https://koalashine.supercast.com/ Want to send in a note, joke, memo or monologue? Click here.
Willkommen zu den Strong & Feminine Summer Shorts! Heute sprechen wir über einen der grössten Denkfehler im Sommer: mehr Cardio, weniger Essen und möglichst viele Kalorien verbrennen. Warum dieser Ansatz dich deinem Traumkörper oft nicht näher bringt und was stattdessen wirklich zählt, erfährst du in dieser Folge.Folge mir auf Instagram: https://www.instagram.com/melanie_workoutandmoreMein Online Coaching für Frauen: https://strong-feminine.com/Gratis 7 Tage Challenge: https://strong-feminine.com/strong-challenge/
Tavi knows everything and everywhere around her. She has lived her for a while now and fits in very well. Tavi is an octopus that lives in a den that is perfect for her. Tavi is looking for something and changes as she makes her way on the bottom of the ocean. If you would like to learn about the Octopus, please visit our sister podcast Sleep Tight Science. ✔️ Perfect for ages 5+ Sleep Tight!, Sheryl & Clark ❤️
Show #1158 Summer Short: More New Stuff 01. Ethan Askey & the Elevators - Big Bad Bossman (3:09) (Outside The Lines, self-release, 2026) 02. Pam Ross - Who's Gonna Save You? (3:48) (Single, MTS Records, 2026) 03. Cary Moran - Live A Little (5:18) (Songs From Anguilla 2026 EP, Maple Street Music, 2026) 04. A.J. Fullerton - Change Is Inevitable (2:44) (Baretone EP, Gitcha Records, 2026) 05. Kelly Finnigan - The Hurting Truth (2:45) (B-Sides, Singles & Forgotten Gems, Colemine Records, 2026) 06. Ciarán Hodgins Band – Daughter Of The Everglades (6:12) (Live From Rory Gallagher Place, Studio Nine Records, 2026) 07. Spoonful Of Blues - Fine As Wine (13:19) (Single, Bluestown Records/Grammofon, 2026) 08. Misty Blues - On The Town (2:39) (Still Ticking, Guitar One Records, 2026) 09. All Night Boogie Band - If You're Blue And Lonesome (5:07) (Shut Your Eyes And See, self-release, 2026) 10. Banty Holler - Ride The Breeze (3:52) (Folk Music For Fuck Faces, self-release, 2026) 11. Doug Duffey & BADD - Love Song (4:36) (Souvenirs, Fort Sumner Music, 2026) 12. Russ Spiegel - Tennessee Free Jazz (7:55) (Timepieces, Ruzztone Music, 2026) Bandana Blues is and will always be a labor of love. Please help Spinner deal with the costs of hosting & bandwidth. Visit www.bandanablues.com and hit the tipjar. Any amount is much appreciated, no matter how small. Thank you.
Willkommen zur ersten Folge der Strong & Feminine Summer Shorts! In den nächsten fünf Wochen erwarten dich kurze Impulse, die dich durch den Sommer begleiten – ohne Druck, ohne Perfektion und ohne das Gefühl, danach wieder bei null anfangen zu müssen.In dieser Folge sprechen wir darüber, warum ein Urlaub deinen Fortschritt nicht zerstört und weshalb die Alles-oder-nichts-Mentalität oft das eigentliche Problem ist.Folge mir auf Instagram: https://www.instagram.com/melanie_workoutandmoreMein Online Coaching für Frauen: https://strong-feminine.com/Gratis 7 Tage Challenge: https://strong-feminine.com/strong-challenge/
Craig and Kat are having summer vacation. The weather is hot, one of the hottest days so far and Craig is sitting in his mother's office enjoying the AC until she gets tired of his questions. Craig then goes to Kat's house and tries to think of something they can do. They sit in Kat's room under the fan until Craig sees that Kat's trophy is missing. ✔️ Perfect for ages 5+ Sleep Tight!, Sheryl & Clark ❤️
Show #1157 Summer Short: Covers 01. Duke Robillard & his All Star Band - When I Get Lucky (2:50) (Blast Off!, Nola Blue Records, 2026) 02. Brooks Milgate - My Babe (3:31) (Roll With The Punches, MoMojo Records, 2026) 03. Peter Veteska & Blues Train - Walking By Myself (3:09) (Key Of V, self-release, 2026) 04. Crystal Shawanda - Come Unto Me (4:30) (Homesick Indian Blues, New Sun Records, 2026) 05. Andy Cohen, Eleanor Ellis & William Lee Ellis - Police Dog Blues (3:00) (Whistlin' Past The Graveyard, Riverlark Music, 2026) 06. GA-20 with Charlie Musselwhite - I'll Change My Style (2:50) (Blues Now, New West Records,2026) 07. Matthew Curry - Whiskey Rock A Roller (4:19) (One For The Ride, Ruf Records, 2026) 08. Dani Wilde - Wild Women Don't Have The Blues (3:36) (The VizzTone Sessions, VizzTone Records, 2026) 09. The Swingin' Blackjacks - Heart Full Of Soul (3:10) (Never Tire Never Stop, self-release, 2026) 10. Seth James - It's Later Than You Think (2:47) (Motormouth, Qualified Records, 2026) 11. PK Mayo - Mercury Blues (3:12) (All Before Yesterday, New Folk Records, 2026) 12. Gabe Stillman - I've Got To Use My Imagination (5:19) (What Happens Next, Gulf Coast Records, 2026) 13. Jovin Webb - Every Time I Roll The Dice (4:42) (Son Of A Sinner, Blind Pig Records, 2026) 14. Mike Finnigan - Don't Answer The Door (6:37) (Mike Finnigan, Forty Below Records, 2026) 15. Harrell "Young Rell" Davenport - I Hear Some Blues Downstairs (3:55) (Young Rell, Little Village Records, 2026) 16. Laura Chavez - Born On The Bayou (3:39) (My Voice, Ruf Records, 2026) Bandana Blues is and will always be a labor of love. Please help Spinner deal with the costs of hosting & bandwidth. Visit www.bandanablues.com and hit the tipjar. Any amount is much appreciated, no matter how small. Thank you.
Show #1156 Summer Short: Mostly New 01. Big Jack Johnson - It's The 4th Of July (2:56) (We Got To Stop This Killin', MC Records, 1996) 02. A.J. Fullerton - St. June (3:25) (Baretone EP, Gitcha Records, 2026) 03. Delta By The Beach - Don't Ride On My Money (3:54) (Cold Night Rainy Day, Street Records, 2026) 04. Cosmic Revival - No Room For Mistakes (3:06) (Single, self-release, 2026) 05. Drum & Beeker - Os Hoes (4:28) (Kapot Ver Weg, Woo-Hoo Records, 2026) 06. DownTown Mystic - Live (3:49) (Mystic Highway Road Trip, Sha-La Music, 2026) 07. Chris O'Leary - Live Baby Gators (4:45) (Blue Collar, Alligator Records, 2026) 08. Gráinne Duffy - Tragedy (4:12) (What Am I Supposed To Do, self-release, 2026) 09. Kody Shade Harrell - Blues Luxury (3:50) (Single, self-release, 2026) 10. J.P. Reali - I Need A Miracle (3:29) (Grateful Blues, Reali Records, 2026) 11. No Saint & Rik Meijer - Fix Me A Pen (3:18) (Off The Record, self-release, 2026) 12. Johnny B - This Is Your Life (3:02) (Single, self-release, 2026) 13. Oli Mac & Hi Rhythm - You Got To Call Me (4:46) (Single, APM Records, 2026) 14. Earl Nelson & the Company - Bloodstained Hands (3:33) (Single, self-release, 2026) 15. Blood Sweat & Tears - Spinning Wheel (4:06) (Blood Sweat & Tears, Columbia Records, 1968) 16. David Clayton-Thomas - Caress Me Pretty Music (3:22) (David Clayton-Thomas, Columbia Records, 1972 17. David Clayton-Thomas - Down Bound Train (4:31) (Tequila Sunrise, Columbia Records, 1972) 18. John Mayall & Steve Anglo (aka Steve Winwood) - Long Night (1:57) (Raw Blues, Ace Of Clubs/Decca Records, 1967) Bandana Blues is and will always be a labor of love. Please help Spinner deal with the costs of hosting & bandwidth. Visit www.bandanablues.com and hit the tipjar. Any amount is much appreciated, no matter how small. Thank you.
In this week's Summer Short, we tackle a question that comes up more often than people realize after infidelity: What do we do with the things that now carry painful memories? Wedding rings, anniversaries, favorite restaurants, vacation spots, and even everyday places can suddenly feel connected to some of the hardest moments in a marriage. We share our thoughts on whether couples should keep their original wedding rings as a symbol of a covenant that was broken and restored, or whether there are times when a new ring can represent a fresh chapter in the story. We also talk about anniversaries and how those dates can move from reminders of pain to reminders of God's faithfulness and redemption. Along the way, we discuss the idea of replacing painful memories with new ones and the importance of communicating openly about triggers, expectations, and what each spouse needs during the healing process. If you've ever wondered how to reclaim the places, traditions, and symbols that seem to have been stolen by betrayal, we hope this conversation will encourage you. Our belief is simple: the affair doesn't get the final word. Through God's grace, even the things that feel tainted today can become reminders of redemption tomorrow. Visit our website Subscribe to our YouTube channel
From sauna and Pilates packages to golf trips, Sarah Slattery from thetravelexpert.ie has the latest in summer deals for a long weekend or mid-week break in Ireland. To listen to the full conversation, press the 'play' button on this page.
El último Summer Short has arrived! Jonny and Aileen talk about the Uruguayan horror short, La Peste. Rosa's father escapes from a nursing home and comes back to his former house. He hides a secret, and he's not coming alone. Jonny and Aileen also talk about Uruguayan director Guillermo Carbonell.Remember to subscribe, rate and review!Follow our redes sociales:BlueSky: @uyquehorror.bsky.socialTikTok: @uyquehorrorInsta: @uyquehorrorTwitter: @Uy_Que_HorrorFind all the películas we cover on our LinkTree.Join our Patreon!
Welcome to our 2025 Summer Short Series! We're back with bitesize episodes showcasing recent work from our team at the Centre for Appearance Research! In this episode, we are joined by Dr Maia Thornton, Senior Research Fellow at CAR, who tells us about her recent paper entitled: The Visible Difference Parenting Toolkit: development of an ACT-based intervention to improve the well-being of parents and caregivers of children with appearance-affecting conditions and injuries. Maia discusses a support intervention for parents of children with visible differences, which she developed during her PhD. In this episode, we also introduce two new podcast hosts. Dr Kat Schneider and Dr Ella Guest are both Senior Research Fellows at CAR who will be joining the podcast team. Read Maia's open access paper: https://academic.oup.com/jpepsy/advance-article/doi/10.1093/jpepsy/jsaf054/8205549 Find out more about the Visible Difference Support Hub https://visibledifferencesupporthub.com/ Cover image by Trevor James Music by Sian Evans & John Landau: toplinefilm.com Episode developed and produced by Maia Thornton & Ella Guest
Today I am speaking with Dave Chase from Health Rosetta, and I'm asking Dave Chase three inferno-level burning questions—questions that, across the country, many self-insured employers are trying to find the answers to. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Now, an important underlying point that comes across loud and clear but remains unsaid, actually, in the conversation that follows is this: There are amazing brokers and EBCs (employee benefit consultants) and benefits advisors or TPAs (third-party administrators) who put their clients first and have the receipts (ie, they have data and they're willing to share it to prove this). And then there are those with the exact same titles, often enough, who are very much the opposite of this but super charming, I'm sure. I mean, it'd be a stretch to assume that the same roles don't apply to brokers or EBCs that apply for titles like hospital administrators where there's great ones and really not great ones; but everybody often gets lumped into the same category or even the term hospitals. Each of these terms is a broad stroke and contains multitudes. And do listen to the bonus clip from two weeks ago with Jonathan Baran for just more on this point. We dig into it for like 10 minutes or something. I also talk about this same concept in an upcoming episode with Mick Connors, MD. So, keep that underlying and unsaid theme in mind because a lot of these questions do boil down to, How do you figure out who's on the up-and-up and who's not? And if you need an example of the latter category, listen to the show with Ann Lewandowski (EP476) about the whistleblower lawsuit or the show with AJ Loiacono (EP379) about the myriad of brokers taking $7 or $14 per script written payable by the PBM (pharmacy benefit manager) and not reported on, as far as I know. This is very much still going on today, by the way, despite the CAA (Consolidated Appropriations Act) and the 5500 forms. Alright, so, first burning question, Question 1: After seeing J&J (Johnson & Johnson) and Wells Fargo sued for fiduciary breaches, what specific questions do I need to ask my benefits advisor to prove that my benefits advisor actually protects my interests? Okay, paraphrased, this question is employers trying to figure out what they can ask or how they can figure out if their benefits advisor or broker or employee benefit consultant is really as trustworthy as they'd like you to believe they are. There's been a whole bunch of shows that circle up on this. The thing is, though, the stakes are very, very high right now. So, yeah, I can see why this is turning into a burning question for anyone worried they might get sued personally unless they can figure out how to vet, for real in writing, who their broker, EBC, or advisor serves actually at the end of the day. Question 2 that I ask Dave Chase, and I'm not giving you the answers to these questions. You gotta listen to the show. But here's the second question I ask: How do I avoid personal liability when my TPA contract has hidden conflicts that could trigger an ERISA (Employee Retirement Income Security Act) lawsuit? Kind of a continuation of Question 1, but yeah, you can tell that self-insured employer teams are really digging in here and many, many are very aware of, first of all, the extent and depth of middle people doing things like, again, allegedly taking $20 million of employer clients' money and funding their executive bonus pool. So, yeah, definitely this is another doozy of a burning question. Also on these same topics, listen to the show with Justin Leader (EP433) and also the one with Cynthia Fisher (EP457) about spread pricing. Question 3 that I ask Dave Chase: My pharmacy costs keep climbing despite PBM guarantees. How do I tell if I am being systematically overcharged? Well, if your consultants are taking your rebates to fund their executive bonus pools, as I just mentioned there's a whole show about with Ann Lewandowski, or if they're taking $7 a script for every script that gets written for your members, which, yeah, that's afoot. I've seen the contracts and the cease and desists currently flying around our industry about that one. Or read that Osceola County lawsuit against their longtime brokers. Bottom line and end of this intro, informed employer teams are, for sure, wondering these questions. But even more than just wondering, what these questions signify to me, kind of at the macro level, they're realizing the danger of kind of sitting on that knowledge or just assuming that because everybody else is doing whatever, it's somehow safe—though status quo is getting kind of more and more dicey every single day. As some additional foreshadowing, this show finishes up with Dave Chase talking about the open-source resources that are available so that you too can create a high-performance health plan where members get higher-quality healthcare and, as Dave Chase says, the cost savings for free. There are links to many things that you can get from Health Rosetta and their sister company, Nautilus. Again, all the stuff is for free. Go to nautilushealth.org. That's their main Web site. Dave Chase, who has been on this podcast—I think this is his third time, although it has been a while—Dave Chase is co-founder and CEO of Health Rosetta. Also mentioned in this episode are Health Rosetta; Jonathan Baran; Mick Connors, MD; Ann Lewandowski; AJ Loiacono; Chris Deacon; VerSan Consulting; Justin Leader; Cynthia Fisher; Nautilus; Andreas Mang; Blackstone; Jon Camire; Claire Brockbank; Elizabeth Mitchell; Scott Haas; Paul Holmes; Chris Crawford; Luke Slindee, PharmD; Mark Cuban; Marilyn Bartlett, CPA, CGMA, CMA, CFM; Leah Binder; and Dawn Cornelis. You can learn more at Health Rosetta and follow Dave on LinkedIn. Dave Chase is on a mission to restore hope, health, and economic well-being to communities through healthcare transformation. As creator of the community-owned health plan (COHP) model, he is building a nationwide movement that turns health plans from drivers of wage stagnation into vessels for well-being and wealth creation. As founder of Health Rosetta, Dave has helped transform healthcare for thousands of employers covering more than five million Americans. What began with identifying just five successful health plans nationwide has grown into a movement with thousands of sustainable successes that deliver superior care at 20% to 50% lower costs. In 2024, his team launched Nautilus Health Institute, catalyzed with $4 million in Health Rosetta intellectual property and investment. Nautilus provides open-source standards, contracting templates, and technology infrastructure (including METL, an open-source healthcare data platform) that establish new market norms benefiting employers, clinicians, and communities. Dave's work in healthcare transformation has reached over 10 million people through best-selling books (The CEO's Guide to Restoring the American Dream, The Opioid Crisis Wake-up Call, Relocalizing Health), media, TED Talks, and TV/film appearances. He has received the World Health Care Congress's Lifetime Achievement Award for Health Benefits Innovation. Dave is dedicated to transforming healthcare through transparency, community ownership, and proven solutions that restore the American Dream. 06:36 What questions does a plan sponsor need to ask their consultant, EBC, or broker to ensure they are protecting the interest of the plan sponsor? 07:59 EP478 with Andreas Mang and Jon Camire. 08:49 EP453 with Claire Brockbank. 09:51 EP433 with Justin Leader. 09:53 EP436 with Elizabeth Mitchell. 11:03 How can plan sponsors avoid personal liability when their TPA has hidden conflicts of interest? 11:40 Tiara Yachts v. Blue Cross Blue Shield of Michigan lawsuit. 13:48 EP483 (Part 1) with Jonathan Baran. 14:18 EP457 with Cynthia Fisher. 16:18 The Marshall-Hickenlooper bill called the Price Tags Act. 16:50 Summer Short with Elizabeth Mitchell. 17:36 How do plan sponsors figure out if they are being overcharged for pharmacy benefits? 18:09 EP365 with Scott Haas. 20:18 EP397 with Paul Holmes. 20:22 EP465 with Chris Crawford. 20:37 EP429 with Luke Slindee, PharmD. 22:56 EP476 with Ann Lewandowski. 28:38 Where to find open-source resources to help guide plan sponsors with making better health plan decisions. 29:47 How the open-source trend is growing for health transparency. 30:48 What to look forward to at RosettaFest. You can learn more at Health Rosetta and follow Dave on LinkedIn. @chasedave discusses questions #plansponsors need to ask on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation Recent past interviews: Click a guest's name for their latest RHV episode! Jonathan Baran (Part 2), Jonathan Baran (Part 1), Jonathan Baran (Bonus Episode), Dr Stan Schwartz (Summer Shorts), Preston Alexander, Dr Tom X Lee (Take Two: EP445), Dr Tom X Lee (Bonus Episode), Dr Benjamin Schwartz, Dr John Lee (Take Two: EP438), Kimberly Carleson, Ann Lewandowski (Summer Shorts), Andreas Mang and Jon Camire (EP479)
There have been developments this week in the gerrymandering war that Republicans recently launched at the behest of the White House. First, California Gov. Gavin Newsom took the bait and told Texas that two can play this game of early redistricting. If Texas can whip up five new Republican districts, California can find five new Democratic districts. And then second, Texas Democrats who tried to delay the inevitable by hightailing it out of Austin so that majority Republicans could not act began returning home. How's this all going to play out? Albany Times Union editorial writer Jay Jochnowitz posits in a big recent editorial that Dems should not try to out-compete in a dirty politics contest. Blue states -- like California and New York cannot ignore their own citizens who want fair elections. On the Brink Podcast Host Rosemary Armao counters that the high road is for chumps and unilateral disarmament has never worked. Listen to this excerpt from their recent debate on the topic.
In this Summer Short episode of Tell The Damn Story, co-hosts Chris Ryan and Alex Simmons dive into the triumphs and challenges that writers face—whether you're just starting or struggling to cross the finish line. In this special Q&A installment, a summer tradition for the show, Chris and Alex tackle a lineup of real questions from aspiring and emerging writers, covering everything from transforming vague ideas into complete stories to finding your unique voice, balancing action with emotion, pacing your narrative, and knowing when your story is truly ready to share.Through personal anecdotes, sharp insights, and a healthy dose of encouragement (plus a few laughs along the way), Chris and Alex break down the writing process into actionable advice you can use right away. So whether you're blocked, stuck in endless rewrites, or unsure what makes your work stand out, this episode's got practical strategies and inspiration to help you, well… tell your own damn story. TTDS ep 298: Doug Manx InterviewHave any questions, comments, or suggestions?Then, please leave them in the Comments Section.Write: TTDSOnAir@gmail.comAnd follow us on ...@Tell The Damn Story www.TellTheDamnStory.comwww.Facebook.com/Tell The Damn Story Youtube.com/ Tell The Damn StoryIf you're enjoying these episodes, please take a moment to help wet our whistle by clicking on the link to ... Buy Me A Coffee!
In this summer short Rosemary speaks with a familiar voice in wordsmith and Pulitzer prize winning opinion writer Mark Mahoney. President Trump is a talented communicator who sways the populace through the use of strong and repeated expressions. "Witch Hunt" and "Fake News" and "Hoax" come to mind. He also effectively casts doubts on information critical of him or that he doesn't like by crying "weaponization." This week he fired the country's chief labor data collector because her statistics didn't put his economy in the best light. His message has gotten out so powerfully that other institutions are doing his work for him. The Smithsonian institute pulled down material about his double impeachments and American Eagle pushed his white is superior agenda with a Jeans ad.
It's been an inspiring year of reading, reflecting, and growing together! In this episode, Mechelle and Chalene sit down to recap all the books we've highlighted so far in 2025 here at The Wholeness Network. They share their favorite insights, the themes that have stood out, and how these books have shaped their own lives and conversations this year. Whether you've been following along or are just catching up, this episode is the perfect way to revisit the wisdom, stories, and tools these books have offered — and to get inspired for what's to come! Grab a cup of tea, your notebook, and join us for this heartwarming and thoughtful reflection. Watch the video version in the wholeness library. Explore The Wholeness Library App FREE! Apple: https://apps.apple.com/us/app/wholeness-library/id1545002697 Android: https://play.google.com/store/apps/details?id=com.thewholenessnetwork.thewholenessnetwork On the web https://www.thewholenessnetwork.com/ Follow us https://www.instagram.com/thewholenessnetwork/ https://www.facebook.com/thewholenessnetwork Leave us a message! tel:646-883-3350 Information is intended for entertainment only Learn more about your ad choices. Visit megaphone.fm/adchoices
The Key of Q is a unique cultural organization in the Hudson Valley, an a cappella chorus of LBGTQ and allied singers who perform in civic and often very cool venues such as Opus 40, a monumental earthenware construction in Saugerties. The group's mission has gotten more controversial since it was founded in 2016 as the Trump administration has made diversity a sin and gender non conformance undesirable. But chorus leaders Teri Gibson and Keri Jadrovski tell Rosemary Armao that audiences are receiving the group more enthusiastically than ever perhaps in defiance and resistance.
Send us a textIn this episode, Elizabeth and Stephanie chat about how quickly self-doubt can creep up on you when it comes to your writing, but the truth is your writing is better than you think. When you join critique groups and read within your genre, you'll discover you know more than you think.Subscribe to our email list to be the first to know about our weekly podcast episodes, get insights into our writing lives, and learn about upcoming programs for writers! Save your seat for the Memoir Master Plan cohort here. If you prefer video versions of the podcast or want to leave a comment on this specific episode, you can find all of them on our YouTube channel. We hope you've found guidance and inspiration for your own writing. Here are two resources for you: Get your list of 4 Essential Reads for Memoir Writers Get your Character Coffee Chat Guide for Character Development
Bread is more than food. In this episode, we dive into the fascinating world of bread: how it has nourished bodies and souls for thousands of years and why the simple act of baking and breaking bread together still matters today. Find out how Sourdough is symbolic of the Divine Feminine. Whether you're a baker, a foodie, or simply someone who loves the smell of fresh bread, this episode will leave you inspired — and maybe a little hungry! Watch the video version in the wholeness library. Explore The Wholeness Library App FREE! Apple: https://apps.apple.com/us/app/wholeness-library/id1545002697 Android: https://play.google.com/store/apps/details?id=com.thewholenessnetwork.thewholenessnetwork On the web https://www.thewholenessnetwork.com/ Follow us https://www.instagram.com/thewholenessnetwork/ https://www.facebook.com/thewholenessnetwork Leave us a message! tel:646-883-3350 Information is intended for entertainment only Learn more about your ad choices. Visit megaphone.fm/adchoices
This week in On the Brink opinion journalists Rosemary Armao and Jay Jochnowitz examine how the media is doing covering the bewildering Jeffrey Epstein story and examine who's winning in the high-stakes contest between the White House and independent media. Jochnowitz is editor at large of the Albany Times Union and Armao is a journalism professor and podcaster. Both have opined frequently about Trump's policies and are big first amendment proponents.
Send us a textMemoir Master Plan Cohort starting soon. Save your seat here.Elizabeth & Stephanie talk about whether chapter titles matter. Do you need chapter titles? Is there a difference between genres? Do readers have expectations?As part of our Summer Short series, this episode shares our perspectives on whether or not chapter titles are important. As we both make progress with our works in progress, it's something to consider because there are differences, and sometimes it's just a matter of personal preference. Subscribe to our email list to be the first to know about our weekly podcast episodes, get insights into our writing lives, and learn about upcoming programs for writers! Save your seat for the Memoir Master Plan cohort here. If you prefer video versions of the podcast or want to leave a comment on this specific episode, you can find all of them on our YouTube channel. We hope you've found guidance and inspiration for your own writing. Here are two resources for you: Get your list of 4 Essential Reads for Memoir Writers Get your Character Coffee Chat Guide for Character Development
In this episode, we dive into the Danish concept of Hygge — a word that captures the feeling of warmth, connection, and contentment that comes from simple, cozy moments. Together, we explore what Hygge really means (beyond just candles and blankets), how you can bring more of it into your daily life, and why this mindset has become a beloved part of Danish culture and a source of joy around the world. Grab a cup of tea, get comfy, and join us for this heartfelt discussion on living with more intention and ease — the Hygge way. In this episode, we dive into the Danish concept of Hygge — a word that captures the feeling of warmth, connection, and contentment that comes from simple, cozy moments. Together, we explore what Hygge really means (beyond just candles and blankets), how you can bring more of it into your daily life, and why this mindset has become a beloved part of Danish culture and a source of joy around the world. Grab a cup of tea, get comfy, and join us for this heartfelt discussion on living with more intention and ease — the Hygge way. Polar night in Svalbard https://youtu.be/4T8RGsJzU1g?si=9SMCniqu-dAsIBMs Watch the video version in the wholeness library. Explore The Wholeness Library App FREE! Apple: https://apps.apple.com/us/app/wholeness-library/id1545002697 Android: https://play.google.com/store/apps/details?id=com.thewholenessnetwork.thewholenessnetwork On the web https://www.thewholenessnetwork.com/ Follow us https://www.instagram.com/thewholenessnetwork/ https://www.facebook.com/thewholenessnetwork Leave us a message! tel:646-883-3350 Information is intended for entertainment only Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, Dr. Adam Dorsay, a psychologist in Silicon Valley and host of the SuperPsyched podcast, shares his top five television show recommendations for the summer. He discusses the psychological value and entertainment offered by each show. The curated list includes 'The Pit,' a realistic medical drama; 'Dying for Sex,' a poignant story about a woman's quest for intimacy; 'The Four Seasons,' a fun and relational Netflix series; 'Last Flight Home,' a life-affirming documentary about medically assisted suicide; and 'Hacks,' a masterclass in comedic acting. Listeners are encouraged to enjoy these shows and share their thoughts.00:00 Welcome to SuperPsyched00:29 Summertime Show Recommendations00:49 The Pit: Ultimate Medical Drama02:46 Dying for Sex: A Deep Dive03:38 The Four Seasons: Real Relationships04:39 Last Flight Home: A Life-Affirming Journey05:59 Hacks: A Masterclass in Acting07:15 Final Thoughts and Farewell
Send us a textIn this summer short episode, Elizabeth and Stephanie sit down together to discuss various perspectives on their social media strategy. They cover Instagram, Threads, and Substack. The general consensus is the benefit of having an email list.Previous episode with Michael Fedor mentioned : Writing Process with Award-Winning Political Thriller Author Michael Fedor Subscribe to our email list to be the first to know about our weekly podcast episodes, get insights into our writing lives, and learn about upcoming programs for writers! Save your seat for the Memoir Master Plan cohort here. If you prefer video versions of the podcast or want to leave a comment on this specific episode, you can find all of them on our YouTube channel. We hope you've found guidance and inspiration for your own writing. Here are two resources for you: Get your list of 4 Essential Reads for Memoir Writers Get your Character Coffee Chat Guide for Character Development
In this soulful summer short episode, Chalene and Mechelle dive into the mystical world of oracle cards—what they are, how to use them, and why they can be powerful tools for insight and guidance. Whether you're a seasoned intuitive or just curious, you'll find inspiration and clarity as the duo pulls cards live on the show for three powerful life areas: money, love, and health. Tune in for some real talk about how to align your energy with your highest good. You'll leave feeling more connected, grounded, and maybe even a little bit magical. The Psychic Tarot for the Heart Oracle Deck https://amzn.to/4dtlPT7 The Business Astrology Oracle https://amzn.to/4dpUsZS The Divine Masters Oracle https://amzn.to/43lirGx Super Attractor Deck https://amzn.to/3YYlVvR Daily Thrive https://www.thewholenessnetwork.com/product-page/daily-thrive-morning-routine-card-deck We do get a small profit from these links that do not affect the price. Watch the video version in the wholeness library. Explore The Wholeness Library App FREE! Apple: https://apps.apple.com/us/app/wholeness-library/id1545002697 Android: https://play.google.com/store/apps/details?id=com.thewholenessnetwork.thewholenessnetwork On the web https://www.thewholenessnetwork.com/ Follow us https://www.instagram.com/thewholenessnetwork/ https://www.facebook.com/thewholenessnetwork Leave us a message! tel:646-883-3350 Information is intended for entertainment only Learn more about your ad choices. Visit megaphone.fm/adchoices
Dr. Adam Dorsay, psychologist and host of the SuperPsyched podcast, shares heartfelt stories about his beloved Grandpa Ben. Dr. Dorsay recounts the joy and life lessons his grandfather imparted, from playful advice to treasured moments. He emphasizes the importance of capturing the stories of elderly family members, which can provide invaluable wisdom and preserve their legacy. The episode includes a humorous voicemail from Grandpa Ben, reflecting his endearing personality. Through these anecdotes, Dr. Dorsay underscores the timeless impact of his grandfather on his life and work.00:00 Welcome to SuperPsyched00:28 Introducing Grandpa Ben01:25 Grandpa Ben's Early Life02:56 Life in New York and Retirement03:44 Grandpa Ben's Wisdom and Humor05:34 A Hilarious Voicemail09:10 The Importance of Capturing Memories10:34 Grandpa Ben's Legacy12:45 Final Thoughts and Farewell
Send us a textElizabeth introduces our Memoir Master Plan cohort We're talking about finding beta readers and what we've learned from reaching out into the world of writers. It's curious to us there are editors offering beta reading and writers are paying to have people beta read. In our experience, beta reading involves finding your target audience of readers and they'll read without needing to be paid. What are your thoughts?Subscribe to our email list to be the first to know about our weekly podcast episodes, get insights into our writing lives, and learn about upcoming programs for writers! Save your seat for the Memoir Master Plan cohort here. If you prefer video versions of the podcast or want to leave a comment on this specific episode, you can find all of them on our YouTube channel. We hope you've found guidance and inspiration for your own writing. Here are two resources for you: Get your list of 4 Essential Reads for Memoir Writers Get your Character Coffee Chat Guide for Character Development
Welcome to our 2025 Summer Short Series! We're back with bitesize episodes showcasing recent work from our team at the Centre for Appearance Research! In this episode, we are joined by Emma Waite, Research Fellow at CAR, who tells us about her recent paper entitled: “Make sure that everybody feels there is a space for them”: Understanding and promoting appearance inclusivity at university." Emma discusses this qualitative piece of work and what it tells us about how we can improve appearance inclusivity in universities in a meaningful way. To read the full paper follow this link: https://www.sciencedirect.com/science/article/pii/S1740144524001311 Cover image by Nada via Unsplash Music by Sian Evans & John Landau: toplinefilm.com Episode developed and produced by Maia Thornton
As part of NEPM's 10th season of our Valley Voices Story Slam, we asked for people's “Valley Folklore” - tales about the unique place that we all live.Helene Busby went to Hampshire College, surely one of the most “unique” parts of our “unique” Valley! For this week's Summer Short, Helene brings us a funny remembrance of Hampshire and its quirky students in her story “Talking Trees”.
This week, we're unpacking the emotional rollercoaster that is Shrinking on Apple TV+. With humor, heartbreak, and a whole lot of humanity, this series had us hooked from the very first therapy session. We're talking Jimmy's unconventional methods, the unforgettable cast (yes, including Harrison Ford in peak grumpy-old-man mode), and the way the show balances grief, growth, and genuine laughs. Tune in as we reflect on the moments that hit hardest, made us laugh the loudest, and reminded us that healing is anything but linear. https://tv.apple.com/us/show/shrinking/umc.cmc.apzybj6eqf6pzccd97kev7bs Link to Katie Hendricks Podcast https://www.thewholenessnetwork.com/podcast/episode/2cf43fb5/152-conscious-living-and-loving-with-katie-hendricks Watch the video version in the wholeness library. Explore The Wholeness Library App FREE! Apple: https://apps.apple.com/us/app/wholeness-library/id1545002697 Android: https://play.google.com/store/apps/details?id=com.thewholenessnetwork.thewholenessnetwork On the web https://www.thewholenessnetwork.com/ Follow us https://www.instagram.com/thewholenessnetwork/ https://www.facebook.com/thewholenessnetwork Leave us a message! tel:646-883-3350 Information is intended for entertainment only Learn more about your ad choices. Visit megaphone.fm/adchoices
Send your feedback and ideas for future episodes.Today we explore the ideas of reflection as a Mason.
Exploring the Complexities of Pharma Rebates with Ann Lewandowski In this Summer Short episode of Relentless Health Value, host Stacey Richter converses again with Ann Lewandowski about the intricate dynamics of pharmaceutical rebates, or as Lewandowski prefers, post-sale concessions. The discussion delves into the nuances of these rebates, the impact they have on drug costs, and the hidden consequences for patients and plan sponsors. They highlight articles and insights by Austin Chelko and Peter Hayes, touching on how rebates can disadvantage the pursuit of lower-cost generics and biosimilars, and can obstruct pharmacogenetic testing that ensures drug efficacy and safety. The conversation also critiques the opacity of rebates, deemed trade secrets by pharma and PBM companies, and underscores the ethical and financial dilemmas posed by the current rebate-driven system. === LINKS ===
In this week's On the Brink Rosemary Armao talks with Dee Burkins, a grandmother who is one of the most visible anti-Trump activists in the Capital District
Dana Williams was one of about 1,000 Voice of America employees put on administrative leave in March and then fired as the Trump administration has shuttered the 80-year-old Voice of America. A newspaper woman with experience in Florida and Guam Williams loved her job as overnight web editor for the service based in Guam. She saw no fraud and waste -- just reporters in places like Kenya taking personal risks to collect information and.co-workers insuring that China, Russia, and parts of Europe where a free press does not exist heard real news. She's sure she'll find a new pursuit. She's not so sure about press freedom in the US and beyond.
I was talking to one health plan sponsor, and she told me if she sees any charges for value-based care anything on any one of the contracts that get handed to her, she crosses them off so fast it's like her superpower. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. What, you may wonder? Shouldn't employers and plan sponsors be all over value-based care–type things to do things preventatively because we all know that fee-for-service rewards, downstream consequences–type medical care, no money in upstream. Let's prevent those things from happening. Listen to the show with Tom Lee, MD (EP445); Scott Conard, MD (EP391); Brian Klepper, PhD (EP437). My goodness, we have done a raft of shows on this topic because it is such a thing. So, why wouldn't a plan sponsor be all over this value-based care opportunity? Now, I'm using the value-based care words and big old air quotes. Let's just keep that very much in mind for a couple of minutes here. I'm stressing right now that value-based care isn't a one-to-one overlap with care that is of value. So, let me ask you again, why wouldn't a plan sponsor be all over this air-quoted value-based care opportunity? Let me count the ways, and we'll start with this one. Katy Talento told me about this years ago. She said, it's not uncommon for dollars that a plan sponsor may pay to never make it to the entity that is actually providing the care to that plan sponsor's plan members. So, I'm a carrier and I say, I'm gonna charge you, plan sponsor, whatever as part of the PEPM (per employee per month) for value-based care or for a medical home, or pick something that sounds very appealing and value-like. Some of that money—not all of it, because the carrier's gonna keep some, you know, for administrative purposes—but whatever's left over could actually go to some clinical organization. Maybe it's the clinical organization that most of the plan's members are attributed to. Or maybe it's some clinical organization that the carrier is trying to make nicey nice with, which may or may not be the clinical organization that that plan sponsor's patients/members are actually going to. Like, the dollars go to some big, consolidated hospital when most of the plan's members are going to, say, indie PCPs in the community, as just one example. So, yeah, if I'm the plan sponsor in this mix, what am I paying for exactly and for how many of my members? I've seen the sharp type of plan sponsors whip up spreadsheets and do the math and report back that there ain't much value in that value-based care. It's a euphemism for, hey, here's an extra fee for something that sounds good, but … The end. Then I was talking to Marilyn Bartlett the other day and drilled down into some more angles about how this whole “hey, let's use the value-based care word to extract dollars from plan sponsors” goes down. Turns out, another modus operandi beyond the PEPM surcharge is for carriers to add “value-based fees” as a percentage increase or factor to the regular claims payments—something like, I don't know, 3.5% increase to claims. These fees are, in other words, hidden within billing codes. So, right, it's basically impossible to identify how much of this “value-based” piece of the action is actually costing. These fees are allowable, of course, because they're in the contract. The employer has agreed, whether they know it or not, to pay for value-based programs or alternative pay, even though the details are not at all, again, transparent. And that not at all transparent also includes stuff like, what if the health systems or clinical teams did not actually achieve the value-based program goals? What if they failed to deliver any value-based care at all for the value-based fees they have collected? How does anybody know if the prepaid fees were credited back to the plan sponsor, or if anything was actually accomplished there with those fees? Bottom line, fees are not being explicitly broken out or disclosed to the employers. Instead, they are getting buried within overall claims payments or coded in a way that obscures the value-based portion. So, yeah, charges for value-based care have become a solid plan to hide reimbursement dollars and make carrier administrative prices potentially look lower when selling to plan sponsors like self-insured employers. Justin Leader touches on this in episode 433 about the claims wire, by the way. Now, caveat, for sure, it's possible that patients can get services of value delivered because someone uses that extra money. And it's also possible that administrative costs go up and little if any value is accrued to patients, right? Like one or the other, some combination of both. It goes back to what Dr. Tom Lee talked about in episode 445. If there's an enlightened leader who gives a “shed,” then indeed, patients may win. But if not, if there's no enlightened leader in this mix, it's value based alright for carrier shareholders who take bad value all the way to the bank. Al Lewis quotes Paul Hinchey, MD, MBA, who is COO of Cleveland-based University Hospitals. And Dr. Hinchey wrote, “Value-based care has increasingly become a financial construct. What was once a philosophy centered on enhancing patient care has been reduced to a polarizing buzzword that exemplifies the lack of alignment between the financial and delivery elements of the healthcare system.” And then on the same topic, I saw William Bestermann, MD, he wrote, “The National Academy of Medicine mapped out a plan to value-based care 20 years ago in detail. We have never come close to value-based care because we have refused to follow the path. We could follow it, but we don't, and we never will as long as priorities are decided by businessmen representing stockholders. It is just that simple.” Okay, now. Let's reset. I'm gonna take a left turn, so fasten your seatbelts. Just because a bunch of for profit and not-for-profit, nothing for nothing, entities are jazz-handing their ways to wealth by co-opting terminology doesn't mean the intent of value-based care isn't still a worthy goal. And it also doesn't mean that some people aren't getting paid for and providing care that is of value and doing it well. There are, for sure, plenty of examples where an enlightened leader was able to operationalize and/or incentivize care that is of value. Occasionally, I also hear a story about a carrier doing interesting things to pay for care that is of value. Jodilyn Owen talked about one of these in episode 421. Justina Lehman also (EP414). We had Larry Bauer on the show (EP409) talking about three bright spots where frail elderly patients are getting really good care as opposed to the really bad care that you frequently hear about when you even say the words frail elderly patient. And all of these examples that he talked about were built on a capitated model or on a model that facilitated patients getting coordinated care and there being clinicians who were not worried about what code they were gonna put in the computer when they helped a patient's behavioral health or helped a patient figure out how they were gonna get transportation or help them access community services or whatnot. There are also employers direct contracting with health systems or PCPs and COEs (Centers of Excellence) and others, contracting directly with these entities to get the quality and safety and preventative attention that they are looking for. And there are health systems and PCPs and practices working really hard to figure out a business model that aligns with their own values. So, value-based care—the actual words, not the euphemism—value-based care can still be a worthy goal. And that, my friends, is what I'm talking about today with Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health (PBGH). PBGH members are really focused on innovating and implementing change. We talk about some of this innovation and implementation on the show today, and it is very inspiring. Elizabeth argues for for-real alternative payment models that are transparent to the employer plan sponsors. She wants prospective payments or bundled payments, and she wants them with warranties that are measurable. She wants members to get integrated whole-person care in a measurable way, which most health plans (ie, middlemen) either cannot or will not administer. Elizabeth says to achieve actual care that is of value, cooperation between employers, employees, and primary care providers is crucial (ie, direct contracts). She also says that this whole effort is really, really urgently needed given the affordability crisis affecting many Americans. There's been just one article after another lately about how many billions and billions of dollars are getting siphoned off the top into the pockets of the middlemen and their shareholders. These are dollars partially paid for by employees and plan members. We have 48% of Americans with commercial insurance delaying or forgoing care due to cost. If you're a self-insured employer and you're hearing this, don't be thinking it doesn't impact you because your employees are highly compensated. As Deborah Williams wrote the other day, she wrote, “Co-pays have gotten high enough that even higher-income patients can't afford them.” And she was referencing a study to that end. So, yeah … with that, here is your Summer Short with Elizabeth Mitchell. Also mentioned in this episode are Purchaser Business Group on Health; Tom X. Lee, MD; Scott Conard, MD; Brian Klepper, PhD; Katy Talento; Marilyn Bartlett; Justin Leader; Laurence Bauer, MSW, MEd; Al Lewis; Paul Hinchey, MD, MBA; William Bestermann, MD; Jodilyn Owen; Justina Lehman; and Deborah Williams. You can learn more at PBGH and by connecting with Elizabeth on LinkedIn. Elizabeth Mitchell, president and CEO of the Purchaser Business Group on Health (PBGH), supports the implementation of PBGH's mission of high-quality, affordable, and equitable healthcare. She leads PBGH in mobilizing healthcare purchasers, elevating the role and impact of primary care, and creating functional healthcare markets to support high-quality affordable care, achieving measurable impacts. Elizabeth leverages her extensive experience in working with healthcare purchasers, providers, policymakers, and payers to improve healthcare quality and cost. She previously served as senior vice president for healthcare and community health transformation at Blue Shield of California, during which time she designed Blue Shield's strategy for transforming practice, payment, and community health. Elizabeth also served as the president and CEO of the Network for Regional Healthcare Improvement (NRHI), a network of regional quality improvement and measurement organizations. She also served as CEO of Maine's business coalition on health, worked within an integrated delivery system, and was elected to the Maine State Legislature, serving as a state representative and chair of the Health and Human Services Committee. Elizabeth served as vice chairperson of the US Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee, board and executive committee member of the National Quality Forum (NQF), member of the National Academy of Medicine's (NAM) “Vital Signs” Study Committee on core metrics and now on NAM's Commission on Investment Imperatives for a Healthy Nation, a Guiding Committee member for the Health Care Payment Learning & Action Network. She now serves as an appointed board member of California's Office of Healthcare Affordability. Elizabeth also serves as an advisor and board member for healthcare companies. Elizabeth holds a degree in religion from Reed College, studied social policy at the London School of Economics, and completed the International Health Leadership Program at Cambridge University. Elizabeth was an Atlantic Fellow through the Commonwealth Fund's Harkness Fellowship program. 10:36 What are members and providers actually asking for in terms of value-based care? 10:56 Why won't most health plans administer alternative payment models? 12:17 “We do not have value in the US healthcare system.” 12:57 Why you can't do effective primary care on a fee-for-service model. 13:30 Why have we fragmented care out? 14:39 “No one makes money in a fee-for-service system if people are healthy.” 17:27 “If we think it is not at a crisis point, we are kidding ourselves.” You can learn more at PBGH and by connecting with Elizabeth on LinkedIn. @lizzymitch2 of @PBGHealth discusses #valuebasedcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation #vbc Recent past interviews: Click a guest's name for their latest RHV episode! Dr Will Shrank (Encore! EP413), Dr Amy Scanlan (Encore! EP402), Ashleigh Gunter, Dr Spencer Dorn, Dr Tom Lee, Paul Holmes (Encore! EP397), Ann Kempski, Marshall Allen (tribute), Andreas Mang, Abby Burns and Stacey Richter
Vitamin D is an essential nutrient that's hard to obtain through food alone; the best source is sunlight. Unfortunately, most people don't live in a place where they can maintain a tan year-round to keep their vitamin D levels optimal. And even when they do in the summertime, not every one gets the required amount of time outdoors to make a difference… Today, I want to share a short quiz to help you determine if you're getting enough vitamin D naturally or if you should consider supplementation. Join me on today's #CabralConcept 3035 to take this quiz and find out if you need to supplement with vitamin D. Enjoy the show and let me know your thoughts! - - - For Everything Mentioned In Today's Show: StephenCabral.com/3035 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!