Podcasts about TPA

In this episode of Head, Heart, and Boots, Brandon and I dig into something that feels bigger than business but is showing up inside every business anyway: loneliness, disconnection, and the emotional fragility many people are carrying into work right now. We unpack how remote work, constant digital distraction, and the erosion of real face-to-face relationships are reshaping not only mental health, but also trust, confidence, and the way teams respond to pressure and change. We talk candidly about what it feels like to lead in an environment where people seem more depleted, more anxious, and less resilient than they did just a few years ago. From the loss of natural boundaries between work and home, to the challenge of building genuine relationships with employees while still holding clear standards, this conversation wrestles with the tension every owner and leader feels but rarely names out loud. This episode is not about easy answers. It is about recognizing the reality in front of us and asking better questions about how we lead, hire, communicate, and create environments where people can actually feel seen without losing accountability. If you have felt the weight of leading tired people while being tired yourself, this one will hit close to home. Hope you enjoy. Chris Why You Should Listen [00:03:12] Why loneliness and social disconnection are quietly reshaping workplace behavior, resilience, and team dynamics [00:09:48] How remote work and digital life have blurred the lines between personal identity, relationships, and professional performance [00:17:26] The leadership challenge of balancing empathy with accountability when employees are struggling emotionally [00:24:41] Why many leaders feel exhausted trying to carry the emotional weight of their teams while still pushing for results [00:33:05] A candid look at how rebuilding real connection and trust inside teams may be one of the most important leadership skills moving forward Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

In this episode of Head, Heart, and Boots, Brandon and I tackle a shift that many restoration companies are starting to feel but may not fully understand yet. The traditional flow of insurance work is changing. Claim volumes are tightening, TPAs are producing fewer opportunities, and customers are becoming more cautious about filing claims due to rising deductibles and policy pressure. That shift is forcing restoration companies to confront something the retail contracting world has been dealing with for decades: selling. We unpack what it means to operate more like a retail contractor and why learning to earn the customer's trust, present real numbers, and guide clients through decisions is becoming a core skill set for the industry. We talk through practical examples like offering financing, training teams to present rough order of magnitude estimates, using tools like Loom for better communication, and building a process that gives customers confidence before asking for their commitment. This conversation is less about tactics and more about mindset. The companies that embrace the shift toward proactive sales, better communication, and stronger client experience will be the ones that continue to win as the landscape evolves. Hope you enjoy. Chris Why You Should Listen [00:02:27] Why claim volumes and TPA lead flow are tightening and how insurance industry changes are forcing restoration companies to rethink their business model [00:04:49] How offering financing solutions can remove friction for customers and help companies close jobs that might otherwise disappear [00:07:10] What restoration companies can learn from retail contractors about selling, presenting estimates, and winning work in competitive environments [00:18:51] How better communication tools like Loom can dramatically improve customer trust and engagement during the sales and project process [00:23:39] Why the future of restoration will require teams that are skilled at relationships, persuasion, and customer experience rather than just task execution Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

"We don't view ourselves as a TPA, we view ourselves more as a platform... our goal is to simplify and reduce the barriers of entry into the TPA space."The role of the Third-Party Administrator is undergoing a massive evolution. No longer just a back-office claims processor, the modern TPA is being asked to serve as the high-tech, high-touch "nucleus" of the entire health plan.My guest this week is Vinny Esposito, CEO of Reflect Health (formerly S&S Health). Drawing on a decade of experience in the hedge fund world, Vinny recognized a massive opportunity to bring scalable, asset-light infrastructure to the self-funded market. Today, Reflect Health acts almost like the "Intel Inside" of the industry, licensing its proprietary claims technology to other TPAs and health plans.In this episode, we explore exactly what it takes to build the TPA of the future. We discuss how to solve "point solution fatigue" through a centralized marketplace, the mechanics behind infusion drug carve-outs, and how to successfully deploy dynamic deductibles to incentivize better care routing. Vinny also shares his bold vision for "frictionless claims" paid instantly at the point of service, moving us closer to an Amazon-style shopping experience for healthcare.If you want to understand the technological and administrative innovations driving the self-funded market forward, this episode provides the blueprint.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Competing on Service in the TPA Market (00:01:56) Meet Vinny Esposito & Reflect Health (00:03:35) Rebranding from S&S Health (00:07:32) From Hedge Funds to Healthcare Disruption (00:11:05) The Platform Model: Licensing Tech to Other TPAs (00:15:05) The Marketplace & Infusion Drug Carve-Outs (00:19:14) How the TPA Role is Expanding (The "Nucleus") (00:24:12) Direct Contracting, RBP, and DPC Integration (00:29:15) Dynamic Deductibles & Tiered Networks (00:33:25) Curing "Point Solution Fatigue" (00:41:09) The Future of Stop-Loss and Preventative Care (00:45:44) The Fiduciary Breaking Point & 80% Renewals (00:50:26) Frictionless Claims & Amazon-Style HealthcareKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

What if your TPA jobs, SLA deadlines, and communication tools were all managed in one place?In this episode, Jason McLaughlin, CEO, and Austin McLaughlin, COO, of Complitrac break down how their custom-built platform is helping restoration companies stay ahead of strict SLA requirements and improve visibility across TPA programs.They discuss why the restoration industry is still struggling with outdated, disconnected technology and how modern platforms can automate SLA tracking, send real-time alerts, and consolidate multiple systems into one dashboard.You'll also hear how better communication, transparent updates, and user-friendly tools can improve both policyholder experience and operational efficiency.

What if your TPA jobs, SLA deadlines, and communication tools were all managed in one place?In this episode, Jason McLaughlin, CEO, and Austin McLaughlin, COO, of Complitrac break down how their custom-built platform is helping restoration companies stay ahead of strict SLA requirements and improve visibility across TPA programs.They discuss why the restoration industry is still struggling with outdated, disconnected technology and how modern platforms can automate SLA tracking, send real-time alerts, and consolidate multiple systems into one dashboard.You'll also hear how better communication, transparent updates, and user-friendly tools can improve both policyholder experience and operational efficiency.

"We don't view ourselves as a TPA, we view ourselves more as a platform... our goal is to simplify and reduce the barriers of entry into the TPA space."The role of the Third-Party Administrator is undergoing a massive evolution. No longer just a back-office claims processor, the modern TPA is being asked to serve as the high-tech, high-touch "nucleus" of the entire health plan.My guest this week is Vinny Esposito, CEO of Reflect Health (formerly S&S Health). Drawing on a decade of experience in the hedge fund world, Vinny recognized a massive opportunity to bring scalable, asset-light infrastructure to the self-funded market. Today, Reflect Health acts almost like the "Intel Inside" of the industry, licensing its proprietary claims technology to other TPAs and health plans.In this episode, we explore exactly what it takes to build the TPA of the future. We discuss how to solve "point solution fatigue" through a centralized marketplace, the mechanics behind infusion drug carve-outs, and how to successfully deploy dynamic deductibles to incentivize better care routing. Vinny also shares his bold vision for "frictionless claims" paid instantly at the point of service, moving us closer to an Amazon-style shopping experience for healthcare.If you want to understand the technological and administrative innovations driving the self-funded market forward, this episode provides the blueprint.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Competing on Service in the TPA Market (00:01:56) Meet Vinny Esposito & Reflect Health (00:03:35) Rebranding from S&S Health (00:07:32) From Hedge Funds to Healthcare Disruption (00:11:05) The Platform Model: Licensing Tech to Other TPAs (00:15:05) The Marketplace & Infusion Drug Carve-Outs (00:19:14) How the TPA Role is Expanding (The "Nucleus") (00:24:12) Direct Contracting, RBP, and DPC Integration (00:29:15) Dynamic Deductibles & Tiered Networks (00:33:25) Curing "Point Solution Fatigue" (00:41:09) The Future of Stop-Loss and Preventative Care (00:45:44) The Fiduciary Breaking Point & 80% Renewals (00:50:26) Frictionless Claims & Amazon-Style HealthcareKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Ryan, Dana, and Chris Trenkmann discuss a local Capitol rioter pardoned by Trump who's now going to prison for the rest of his life. Plus, TPA prepares for Spring Break and the impact of the ongoing drought on our drinking water supply. See omnystudio.com/listener for privacy information.

In part on of this series, Dr. Andy Southerland and Dr. Seemant Chaturvedi discuss two trials highlighted at the 2026 International Stroke Conference.  Show citation:  Read more about the CHOICE-2 trial.  Show transcript:  Dr. Andy Southerland: Hello everyone. This is Andy Southerland. And for this week's Neurology Minute, I have just been speaking once again with my colleague, Seemant Chaturvedi, about his impressions from this year's 2026 American Heart Association, American Stroke Association International Stroke Conference. We've discussed a number of the very exciting pivotal trials presented at this year's meeting that occurred just a couple of weeks ago. But for the minute today, we want to just highlight two that were represented as late breaking trials in the world of acute stroke treatment. And the first was OPTION, which was a trial looking at extended window thrombolysis patients between four and a half and 24 hours. And the second was in the use of thrombolysis as an adjunct local treatment in patients receiving thrombectomy. So Seemant, to the best of your ability in our brief snippet today, what were the main highlights from these studies? Dr. Seemant Chaturvedi: In the OPTION trial, 570 patients were enrolled from China, and these were patients in the four and a half to 24 hour window with no evidence of large vessel occlusion. And they had a mismatch present at baseline imaging, median NIH score was seven. And when the tenecteplase was administered in this select group of patients, there was improvement in the excellent outcome of about 44% with tenecteplase and 34% with placebo. And there was a slight increase in hemorrhage of about 3%, but no increase in mortality. The second trial, CHOICE-2, also looked at thrombolysis, but it looked at local intraarterial thrombolysis following thrombectomy. And they enrolled patients with a median NIH score of 15 and the patients were enrolled from Spain and they gave a local TPA versus placebo following successful thrombectomy. And they also reported improved outcomes with about 57.5 having an excellent outcome with intraarterial TPA compared to 43% with placebo. There was slightly increased mortality in the TPA group, but this didn't seem to be explained by intracerebral hemorrhage. And so I think both of these were very intriguing and they add some complexity to acute stroke treatment. And so primary stroke centers and comprehensive stroke centers need to discuss the results with their teams and see if they want to embrace these treatment options. Dr. Andy Southerland: Fantastic, Seemant. So bottom line is thrombolysis is much more than it used to be in that very narrow time window and that very narrow indication. There are now patients who may benefit in that extended time window, and it's also being shown to have benefit in cases in which we get incomplete reperfusion with our traditional mechanical thrombectomy. So take that and run with it. Hopefully we can apply it to our stroke systems of care and help patients. Thank you again, Seemant for being with us on today's Neurology Minute. Seek out the full interview and also the primary publications as well.  

In this episode, Lauren Lewis visits ACSI and sits down with James Brand, President, and Kristen Huffcut, Senior Relationship Manager, to discuss the complexities of retirement plans and why many employers struggle to manage them. ACSI is a third-party administrator (TPA) specializing in retirement plan compliance, administration, and support for small and mid-sized businesses. Their team helps companies navigate the legal, operational, and regulatory requirements behind retirement plans so business owners can focus on running their organizations. Lauren, James, and Kristen discuss: What a Third-Party Administrator (TPA) actually does Why retirement plans are becoming more complex The impact of legislation like Secure 2.0 and New York Secure Choice Why many companies run into compliance problems The role of TPAs in fixing plan issues and avoiding costly penalties Why local expertise and real relationships matter in retirement planning How retirement benefits help companies attract and retain talent The importance of proactive guidance instead of reactive problem-solving James also shares his unique career journey, from working in finance in New York City, to returning to Buffalo and eventually becoming President of ACSI. Kristen explains how her experience working with retirement plans from the advisor side led her to join the ACSI team and help businesses deliver a true white-glove service experience to their employees. If you're a business owner, HR professional, or financial advisor navigating retirement plan compliance and employee benefits, this episode breaks down the pain points behind retirement planning and how to solve them. 

In this episode of Head, Heart, and Boots, we sit down with Johnny Gabe for a raw and deeply personal conversation about redemption, reinvention, and what real leadership transformation looks like over time. Johnny shares his journey from growing up in a violent environment in Philadelphia, surviving being shot at fourteen, and carrying that trauma into adulthood, to building multiple successful home service companies grounded in culture, accountability, and service. We unpack the early years of his construction and restoration businesses, the ceiling he kept hitting, and the pivotal decision to launch a 1-Tom Plumber franchise that changed the trajectory of his growth. Johnny opens up about nearly losing his marriage, battling crippling anxiety and panic attacks, and the hard internal work required to become a steadier husband, father, and leader. The conversation dives into culture meetings, mentorship inside the company, hiring for character over experience, and Johnny's long-term vision to build a trades-based training pipeline that gives young people a different path forward. This is not just a business growth story. It is a story about confronting your past, doing the work to change, and building something meaningful enough to impact the next generation. Hope you enjoy. Chris Why You Should Listen [00:05:54] How Johnny broke through the million-dollar ceiling in restoration and what finally changed when he embraced coaching and accountability [00:08:34] The plumbing catalyst story that exposed a massive opportunity gap and led to launching a One-Tom Plumber franchise [00:24:22] A raw look at battling severe anxiety, panic attacks, and nearly losing everything before rebuilding from the inside out [00:31:36] How surviving violence at fourteen shaped his early leadership style and the transformation that followed years later [00:45:20] Why culture meetings, mentorship, and hiring for character over experience are now the backbone of his company's explosive growth Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews. More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. ● Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST. Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it. Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle. See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

AAD PARTE --La Pola Siero acoge la semana que viene, entre el miércoles 11 y el sábado 14, la edición número 25 de EUROPEL, un concurso internacional de análisis sensorial de productos lácteos. EUROPEL es una asociación profesional que tiene el objetivo de mejorar la enseñanza y la formación profesional en el ámbito de las ciencias y las industrias lácteas de la UE. Iván Diego Rodríguez, coordinador programa Asturias4STEAM, ubicado en Valnalón. Marta Roldán, vicepresidenta de la asociación EUROPEL y profesora en el IES Escultor Juan de Villanueva, de La Pola Siero. María Heres,coordinadora del Panel de Catadores de CAPSA, Luis Noriega, responsable de la planta piloto del Instituto de Productos Lácteos de Asturias. Alejandro Casielles, gerente de Quesería Alejandro Casielles 1913. AAD PARTE 2: La plataforma vecinal Salvemos Peñamayor registraba la semana pasada, ante la Dirección General de Minas, exactamente 3.321 firmas contra los permisos de investigación solicitados por Asturmet Recursos S. L, que afectan a los concejos de Bimenes, Llaviana, Nava y Piloña. Las personas firmantes denuncian que estos proyectos se han autorizado y se siguen tramitando de espaldas a los vecinos, sin respaldo social y generando una preocupación creciente en el territorio. Óscar Vega, de la asamblea de Nava y Adriana Alonso, de la asamblea de Llaviana. AAD PARTE 3: "El arte de crear" acaba de comenzar su tercera temporada de emisión en TPA. De hecho, esta noche a las 23h30 se emite el segundo programa. Se trata de un espacio conducido por Sonia Pardo que se centra en entrevistas a referentes del tejido empresarial y científico de Asturies, buscando su lado más humano, incluyendo sus logros, sino también los momentos de duda o os riesgos asumidos. Sonia Pardo, fundadora de El Arte de Crear y Javier García Álvarez, socio de El Arte de Crear

Host Victor previews upcoming podcast coverage (The Pitt , Industry finale, DTF St. Louis, Paradise, and Drops of God) and then, with Kim, discusses Drops of God's competition setup as Camille manipulates a winemaker to swap in the Georgian wine, likely straining her relationship with Tomas and causing family fallout. They pivot to The Pitt  season 2 episode 8, where a cyberattack forces the ER to operate without electronic systems, highlighting analog workflows (paper charts, faxing, handwritten orders, pharmacist-controlled meds) and logistical delays. They revisit lingering cases and beats: Harlow's drawn-out ASL communication ending in a tension headache; an obese patient requiring special handling and raising fat-bias concerns; rape kits not being picked up in time; a hospice cancer patient's pain management and “double effect”; sudden blindness treated with TPA; a law student's psychosis prognosis; staff character moments (McKay's sobriety, Joy's photographic memory and diagnosis of phytophotodermatitis); and Mel's deposition tied to last season's measles case. mailto:needssomeintroduction@gmail.com   00:00 Show Updates and Schedule 02:42 Drops of God Plot Twist 06:55 Switching to The Pitt 07:33 Last Week Loose Ends 10:40 Duke Mystery Returns 12:03 Hospital Goes Analog 13:08 Old Medical TV vs Reality 17:51 Deaf Patient Frustrations 20:03 Obesity Case and Bias 24:16 Rape Kit System Failure 26:17 Hospice Pain Ethics 27:25 Sudden Blindness TPA Debate 31:00 Law Student Background Case 31:27 Parents Face New Reality 33:24 Bipolar Versus Schizophrenia 34:18 Coworker Recovery Check In 35:06 Joy's Hidden Talents 38:07 Margarita Burn Diagnosis 40:13 Measles Deposition Fallout 43:09 Underserved Characters Spotlight 46:19 Generations and Analog Medicine 50:34 Realism Versus TV Medicine 52:33 Behind the Scenes Craft 57:00 Extras and Waiting Room Grind 58:10 Next Week and Podcast Plugs

1. The Social Media Geniuses at Tampa International AirportShoutout to TPA's viral social strategy.Recurring character: Phoebe the Flamingo (giant airport flamingo mascot).Known for humorous, tongue-in-cheek posts.2. The Viral PostRecap of the joke announcement:Claiming they already banned Crocs.Now tackling the “even larger crisis” — pajamas at the airport.Dramatic language: “The madness stops today. The movement starts now.”Clearly satire… right?3. The Internet Takes It SeriouslyOutrage from people outside Tampa.Major outlets pick it up:New York PostABC NewsInStyleHeadlines frame it as a real controversy.Discussion: Clickbait vs. context.4. Why the Joke Worked So WellDeadpan delivery.Commitment to the bit.Absurdity (a flamingo endorsing policy changes).The power of social media virality.5. The Pajama DebateShould you wear pajamas to the airport?Comfort vs. presentation.Travel culture: 1950s formal vs. modern casual.Personal takes:“Comfy is fine.”“At least look presentable.”Dressing for your destination.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

New Zealand is third in the world for the number of orbital rocket launches from our shores, sitting just behind the US and China. Phil Vine discovers some of the challenges raised by our push into the unknown and how it is changing the final frontier.Sign up to the Our Changing World monthly newsletter for episode backstories, science analysis and more.Learn more:Through a science experiment on the ISS, New Zealand researchers have been taking advantage of the unique conditions in low earth orbit to investigate commercial opportunities. While New Zealand is well known as a place from which to launch rockets, we do not have a lot of our own hardware in space (the University of Auckland does have TPA-1 CubeSat). But that might be about to change.Tech bros turned space bros like Elon Musk are making big waves out in orbit. The latest news is that Musk is hoping to harness the sun through satellites to power AI data centres.The New Zealand government's biggest investment in an international space mission ended in failure last year after MethaneSAT, a satellite built to detect methane emissions around the world, lost contact. While there are challenges inherent in humans and their technology being in space, that's not all that is going on. Scientists are keeping a close eye on an active black hole and bright lights have Northland locals turning their eyes to the skies.Guests:Mark Rocket, CEO Kea AerospaceDr Priyanka Dhopade, senior lecturer in mechanical and mechatronics engineering, University of AucklandDr Tuana Yazici, space law expertGo to this episode on rnz.co.nz for more details

On this episode of Astonishing Healthcare, Judi Health's Mike Tate (VP, National Business Development) and Mark Pearce (Director, TPA Operations) join us in the studio to discuss the role of Third-Party Administrators (TPAs) in the self-funded employer market. As Mike explains, TPAs act as the "enforcers" of an employer's plan document, responsible for pulling everything together and ensuring claims accuracy, network access, and financial stewardship. Mark dives into the distinction between carrier-owned (ASO) and independent TPAs, explaining how independent models offer greater flexibility in plan design. And of course, they highlight a significant industry challenge: legacy technology. Many administrators rely on antiquated systems that limit customization and data visibility. In contrast, modern platforms empower plan sponsors to integrate point solutions effectively, customize networks for high-value care (e.g., through centers of excellence), and drive better member engagement. If you've ever asked yourself, "What does a TPA really do?" or "Should I look at different TPAs?" this episode will be worth your time to listen to.Ultimately, successful healthcare administration relies on managing "hundreds of little things" correctly for each benefit (Rx, medical, vision, and dental) - from provider payments to member support. That's how you create positive financial and clinical outcomes. Related ContentAH080 - Health Benefits 101: The Importance of "Smart" Care Navigation, with Andy KageleiryReplay: The Future of Health Benefit Design: How Judi® Powers Seamless Care and Better OutcomesAH067 - Aligned Health Benefits and the Freedom to Unbundle, with Kristin Begley, PharmDJudi Health™ Earns Best Healthcare InsurTech Solution in the 9th Annual MedTech Breakthrough Awards ProgramFor more information about Judi Health and this episode, please visit Judi Health - Insights.

Sunstone Health CEO Joshua Resnikoff joins Chris Lustrino to explain how Sunstone uses AI on healthcare claims data to proactively identify children with developmental delay—starting with epilepsy and autism—and help families reach the right specialists and diagnostics faster.They break down what claims data is, why the healthcare system is reactive by default, and how Sunstone's approach can compress what often takes years into roughly weeks by flagging high-need cases, coordinating advanced diagnostics, and delivering actionable next steps. Joshua also shares Sunstone's go-to-market strategy (positioned as an employer-paid benefit), why the pricing model is designed to reduce “point-solution bloat,” and how expansion could move across employers, TPAs, reinsurers, and large insurers. 00:00 Needle-in-a-haystack intro03:13 What Sunstone does (AI + claims data)05:32 Flagging patients vs. diagnosing07:21 Employer benefit + privacy model15:54 GTM + sales cycle reality17:57 Outcome-based pricing model20:16 Unit economics ($10k per case)22:11 Expansion paths + other diseases26:23 Fundraise use of proceeds28:03 Investor closing

What does a total portfolio approach look like inside an investment organization? Roger Urwin, Global Head of Investment Content at Willis Towers Watson, describes how TPA functions in practice, from new roles like the Chief Total Portfolio Officer to the governance structures, data, and decision frameworks that shape portfolio-wide thinking. Speaking with Mona Naqvi, Managing Director of Research, Advocacy, and Standards at CFA Institute, he discusses the guardrails that support disciplined decision-making, the skills and mindsets required to operate across silos, and why resilience, foresight, and systems thinking are becoming core investment competencies. Listen to the episode to understand how asset owners are applying a total portfolio lens in real-world investment organizations.

Permasalahan sampah, terutama di perkotaan, kian bikin gerah. Beberapa pemda, seperti Tangerang, Yogyakarta, dan Bali, buka-tutup TPA karena tak sanggup lagi menampung sampah baru.Indonesia darurat sampah sudah disuarakan dari dulu, tetapi belum ada perubahan signifikan soal tata kelola persampahan. Sekitar 65 persen dari total 481 TPA masih menerapkan open dumping atau penumpukan sampah di lahan terbuka. Total timbulan sampah 2025 diperkirakan mencapai 23 juta ton berdasarkan data sementara Kementerian Lingkungan Hidup. Dari jumlah tersebut, sampah yang terkelola hanya berkisar 35 persen atau 8,2 juta ton saja. Seluruh TPA diperkirakan bakal penuh atau overcapacity pada 2028.Hal ini disinggung Presiden Prabowo Subianto beberapa waktu lalu di hadapan para kepala daerah se-Indonesia dalam Rakornas Pemerintah Pusat dan Daerah di Sentul, Bogor. Di forum itu Prabowo mendeklarasikan perang melawan sampah. Strateginya dengan menggulirkan 34 proyek waste-to-energy, berupa pembangunan fasilitas pengolahan sampah menjadi energi listrik (PSEL). Apakah proyek tersebut adalah solusi darurat sampah?Di Ruang Publik kita akan bahas topik ini bersama Zero Waste Campaigner Greenpeace Indonesia Ibar Akbar.

In this episode of Head, Heart, and Boots, Brandon and I sit down with Andrew Dobson, owner of ServPro Team Dobson, one of the largest ServPro operators in the country with nineteen licenses across multiple markets. Andrew shares the full origin story of how he grew up in a family cleaning business, left a creative path that once pointed toward Pixar, and slowly built a restoration operation grounded in process, precision, and relentless attention to detail. We dig into Andrew's partnership with his father, what it takes to successfully merge family businesses, and how clearly defined roles, operating agreements, and trust allowed them to scale without breaking the relationship. Andrew unpacks his obsession with design and user experience, explaining how lessons from web design, baseball, and usability testing shaped everything from warehouse layout to truck setups to customer-facing processes. The conversation goes deep into leadership development, soft skills, and why technical excellence alone is not enough to win in restoration. Andrew shares hard-earned lessons about first impressions, customer perception, sales and operations alignment, and the mistake he made trying to hire leaders without enough industry depth. We also explore his newest venture, Certified Restoration Training, and his mission to raise the standard of professionalism across the industry through technical training and soft skills education. This episode is packed with practical insight for owners trying to scale, leaders developing teams, and anyone who believes that inches add up to miles when it comes to building a great company. Hope you enjoy. Chris Why You Should Listen [00:04:17] How Andrew went from a family cleaning business and a near-career in animation to building one of the largest ServPro teams in the country [00:10:19] What it really takes to successfully partner with family, including operating agreements, role clarity, and navigating shared risk [00:17:54] How an obsession with process, usability, and design transformed warehouses, trucks, and field execution into a competitive advantage [00:26:21] A powerful lesson on first impressions, soft skills, and why customer perception matters more than effort or intent [00:48:17] Why hiring professional managers without deep industry understanding became a leadership mistake, and what Andrew learned about developing true operators and leaders Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

Stephen Gilmore is the Chief Investment Officer of CalPERS, which at $600 billion is the largest public pension fund in the U.S. and one of the largest institutional pools of capital in the world. Stephen joined CalPERS eighteen months ago from a career spanning Wall Street, the IMF, and two of the most innovative sovereign wealth funds, where he was Chief Investment Strategist at Australia Future Fund and CIO at New Zealand Super Fund.   Our conversation dives into the theory and implementation of the Total Portfolio Approach, drawing on Stephen's experience at Australia and New Zealand, and his plans for CalPERS. We cover the TPA mindset, its fostering of sound governance and accountability, comparisons to Strategic Asset Allocation, challenges of implementation, and the adaptation of the model at CalPERS.   Stephen is one of the most experienced practitioners of TPA in the world. Our discussion pairs well with my recent conversation with Ashby Monk, as more allocators learn and consider this approach to managing assets.  Learn more about our Strategic Investments: Thema.   Learn More Follow Ted on Twitter at @tseides or LinkedIn Subscribe to the mailing list Access Transcript with Premium Membership   Editing and post-production work for this episode was provided by The Podcast Consultant (⁠https://thepodcastconsultant.com⁠)

Roger Urwin, Global Head of Investment Content at Willis Towers Watson, reflects on how leading asset owners are rethinking strategic asset allocation amid faster regime change, rising systemic risk, and growing complexity. In a conversation hosted by Mona Naqvi, Managing Director of Research, Advocacy, and Standards at CFA Institute, he draws on decades of experience advising global funds to explain why a total portfolio mindset is gaining traction—and how it reframes goals, governance, and investment decision-making. The discussion explores what it means to invest through a truly holistic lens, why mindset and organizational design matter as much as models, and how the investment profession may need to evolve for a more uncertain world. Listen to the episode to hear Roger Urwin's perspective on the shift from strategic asset allocation to a total portfolio approach.   Chapter Markers  00:00 Introduction and Welcome 01:12 Roger Irwin's Career and Industry Background 04:02 Why Total Portfolio Approach Matters Now 04:58 Origins of Strategic Asset Allocation (SAA) 09:32 Benchmarks, Universality, and Communication Challenges 12:01 How TPA Addresses Complexity 14:47 Accessibility vs Flexibility: SAA vs TPA 16:13 Governance Trade-offs and Organizational Design 17:53 Systems Thinking and Market Disruption 19:16 Ecosystem Thinking, Reflexivity, and Risk Models 21:21 Recalibrating Investment Frameworks 22:56 Is TPA More Resilient Than SAA? 24:27 People, Incentives, and Cultural Barriers 28:49 AI, Human Intelligence, and the Future Analyst 30:46 Human + Artificial Intelligence in Investing 34:48 Managing Systemic Risk and Long-Term Horizons 40:57 Value Creation in a World of Real-Time Information 43:55 Stewardship, System-Level Investing, and Externalities 45:00 Can SAA and TPA Coexist? 47:29 Industry Momentum and What Comes Next 49:36 Closing Thoughts and Series Preview

In Episode 498, host Stacey Richter converses with Mark Noel of ClaimInsight about the critical aspects of payment integrity within self-insured employers and plan sponsors, focusing on the arms race with revenue cycle management (RCM).  The discussion reveals three main insights: the substantial impact of small claim errors, the inherent flaws and conflicts within prepayment analysis by TPAs, and the problematic financial incentives influencing claim processing. Noel emphasizes the importance of prepayment integrity for both plan savings and protecting members, underscoring the need for meticulous oversight and proactive management in payment processes. === LINKS ===

Tampa International Airport and its onsite contractors and concessionaires want to fill more than two hundred jobs ahead of Spring Break, which is the busiest time of year at TPA. Those jobs range from airport police officers to maintenance and concessions. We speak with TPA spokesperson Josh Gillin about Wednesday morning's (28th) job fair. See omnystudio.com/listener for privacy information.

In this episode of Head, Heart, and Boots, Brandon and I dig into a simple but surprisingly powerful framework that has been shaping how we think about performance, leadership, and execution. We unpack the equation of focus, faith, and effort, and why missing any one of those variables quietly sabotages outcomes in business, leadership, and personal growth. We explore how leaders often overestimate readiness, underestimate cost, or lose confidence midstream, and how each of those breakdowns shows up differently inside teams. From imposter syndrome and emotional decision-making to role misalignment and unrealistic expectations, this conversation offers a practical lens for diagnosing why plans stall and people struggle. This episode is less about motivation and more about clarity. It is a tool for slowing down, asking better questions, and helping yourself and your team understand what is truly required to win before committing to the outcome. Hope you enjoy. Chris Why You Should Listen [00:01:24] A simple three-part equation that explains why capable people still fail to execute [00:04:33] How confidence, focus, and effort must work together and why overestimating any one of them breaks the outcome [00:08:07] Why leaders often fail to count the true cost of success and how that creates burnout, frustration, and stalled growth [00:11:01] How misalignment shows up in hiring, promotions, and role expectations when effort does not match responsibility [00:14:33] A practical coaching framework leaders can use to diagnose performance issues without defaulting to emotion or blame Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

For your listening enjoyment this week I have Part 2 of my collaboration with The Progressive Aspect on some of the best prog rock of 2025! With great music from Andrew Latimer, EBB, The Flower Kings, echolyn, Gazpacho, Mostly Autumn, Bioscope, Big Big Train, Karmakanic, Tribe3, and Rocking Horse Music Club! And thanks again to all the TPA contributors: Alex Driessen, David Edwards, Rob Fisher, John Giordano, Jane Lee, Magnus Moar, Rick Peuser, Ian Paul Sharp, Graham Thomas, and Leo Trimming!  

Bau busuk dan bau tidak sedap dari TPA sampah menimbulkan berbagai efek buruk bagi manusia dan lingkungan. Secara kesehatan, bau menyengat dapat memicu sakit kepala, mual, pusing, iritasi saluran pernapasan, serta memperburuk asma dan gangguan pernapasan lainnya. Paparan jangka panjang juga dapat menyebabkan stres, gangguan tidur, dan penurunan kualitas hidup masyarakat sekitar. Dari sisi psikologis, bau tidak enak menimbulkan rasa tidak nyaman, emosi negatif, dan menurunkan konsentrasi. Selain itu, bau TPA sering menarik lalat, tikus, dan serangga pembawa penyakit, sehingga meningkatkan risiko penularan penyakit dan pencemaran lingkungan di kawasan sekitar.

In part one of Red Eye Radio with Gary McNamara and Eric Harley, Minnesota and the cities of Minneapolis and St. Paul sued the Trump administration Monday, seeking to block a massive federal immigration enforcement surge they say has flooded the Twin Cities with armed agents, sparked fear and unrest, and interfered with state and local authorities, according to court filings. The lawsuit names Department of Homeland Security (DHS) Secretary Kristi Noem, top officials with DHS, U.S. Immigration and Customs Enforcement (ICE) and U.S. Customs and Border Protection (CBP), including Acting ICE Director Todd Lyons and Border Patrol Commander Gregory Bovino, along with the federal agencies themselves. Also federal prosecutors open a surprise investigation into Fed Chair Jerome Powell, audio from CNN on what law enforcement officials knew about the Portland shooting involving TPA gang members, and how the left seems to want violence. For more talk on the issues that matter to you, listen on radio stations across America Monday-Friday 12am-5am CT (1am-6am ET and 10pm-3am PT), download the RED EYE RADIO SHOW app, asking your smart speaker, or listening at RedEyeRadioShow.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode of Head, Heart, and Boots, Brandon and I wrestle with one of the most difficult leadership disciplines to master: staying emotionally grounded when everything around you feels chaotic. We talk candidly about the emotional whiplash of entrepreneurship, how quickly even the best intentions and plans can get derailed by fires, and why reactivity quietly destroys momentum inside growing companies. Brandon shares his commitment to becoming a more stoic, stabilizing force for his teams - not by ignoring problems, but by slowing down, asking better questions, and anchoring decisions to a clear plan instead of emotion. We unpack how leaders unintentionally drag their teams through emotional cycles, why delayed gratification makes strategic work so hard to stick with, and how confidence is built by returning to the plan when pressure rises. This conversation is practical, uncomfortable, and deeply relatable for anyone leading people, managing clients, or trying to grow a business without burning themselves - or their team - to the ground. Hope you enjoy. Chris Why You Should Listen [00:02:17] Why emotional volatility - not lack of intelligence or effort - derails more leaders than bad strategy [00:04:53] How even well-thought-out plans collapse when leaders default to reaction instead of discipline [00:07:20] Why delayed gratification is one of the hardest skills in entrepreneurship - and how to stay committed long enough to see results [00:15:25] How slowing down, asking better questions, and refusing to emotionally “side up” can defuse client and team chaos [00:21:13] Why being a calm, steady presence builds trust, confidence, and long-term momentum inside your organization Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

"I asked him, 'What is it that you're teaching undergraduate students about benefits?''…Just two slides. That blew me away." - Kyle MinickMy guest this week is Kyle Minick, Vice President of Employee Benefits at Summit Financial Group. Kyle returns to the show to expose a massive systemic failure: Universities are not teaching HR professionals how to manage their second-largest expense.Kyle shares the shocking story of how he discovered that major university HR programs dedicate almost zero curriculum to healthcare strategy. Instead of complaining about it, he decided to fix it. We discuss the 6-week accredited college course he built from scratch to teach the next generation of buyers about Stop-Loss, PBMs, and TPA contracts before they enter the workforce.But before we dive into the classroom, we dissect the broken market they are inheriting. We debate why Reference-Based Pricing (RBP) is failing in hospital-dominated markets like Texas, why relating prices to Medicare might be backfiring, and whether the government should step in to establish a "median price" for care.Tune in to see how we can bridge the education gap and finally train buyers to demand better.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Why RBP Struggles in Texas Monopolies (00:03:30) The "Medicare Price" Fallacy (00:11:00) Should the Government Set a Median Price? (00:25:00) The Education Gap: How Universities Failed HR (00:29:25) The "Two Slide" Curriculum Problem (00:33:00) Kyle's Solution: Building an Accredited Benefits Course (00:43:00) Teaching HR to Audit Their Consultants (00:54:30) The Syllabus: Stop-Loss, PBMs, and Contracts (01:07:00) How to Enroll & The Future of Benefits EducationKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

"I asked him, 'What is it that you're teaching undergraduate students about benefits?''…Just two slides. That blew me away." - Kyle MinickMy guest this week is Kyle Minick, Vice President of Employee Benefits at Summit Financial Group. Kyle returns to the show to expose a massive systemic failure: Universities are not teaching HR professionals how to manage their second-largest expense.Kyle shares the shocking story of how he discovered that major university HR programs dedicate almost zero curriculum to healthcare strategy. Instead of complaining about it, he decided to fix it. We discuss the 6-week accredited college course he built from scratch to teach the next generation of buyers about Stop-Loss, PBMs, and TPA contracts before they enter the workforce.But before we dive into the classroom, we dissect the broken market they are inheriting. We debate why Reference-Based Pricing (RBP) is failing in hospital-dominated markets like Texas, why relating prices to Medicare might be backfiring, and whether the government should step in to establish a "median price" for care.Tune in to see how we can bridge the education gap and finally train buyers to demand better.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Why RBP Struggles in Texas Monopolies (00:03:30) The "Medicare Price" Fallacy (00:11:00) Should the Government Set a Median Price? (00:25:00) The Education Gap: How Universities Failed HR (00:29:25) The "Two Slide" Curriculum Problem (00:33:00) Kyle's Solution: Building an Accredited Benefits Course (00:43:00) Teaching HR to Audit Their Consultants (00:54:30) The Syllabus: Stop-Loss, PBMs, and Contracts (01:07:00) How to Enroll & The Future of Benefits EducationKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

In this episode of Head, Heart, and Boots, Brandon and I have one of our most personal and vulnerable conversations to date. We step into a topic that's often misunderstood, stigmatized, or avoided altogether - alternative medicine and the role psilocybin has played in my own mental, emotional, and relational health. I share my background growing up in a deeply religious environment, my initial skepticism, and the long road that led me to explore psilocybin in a clinical, intentional setting. We talk openly about emotional reactivity, anxiety, ADD, anger, self-criticism, and the hidden cost many high-performing leaders carry as they chase growth, success, and legacy. This isn't about escapism or chasing an experience - it's about healing, stability, and building emotional margin so we can show up better for our families, our teams, and ourselves. This conversation isn't prescriptive or promotional. It's an honest exploration of curiosity, research, personal experience, and the growing body of evidence showing how some leaders are finding lasting change by addressing the battle between their ears - not just their to-do lists. Hope you enjoy, Chris Why You Should Listen: [00:02:44] Why emotional stability - not motivation or discipline - may be the missing piece for leaders stuck in anxiety, anger, or burnout [00:06:45] How psilocybin therapy moved from military PTSD research into the lives of high-performing professionals seeking lasting mental health [00:11:24] What a single therapeutic experience can reveal about self-criticism, reactivity, and the hidden narratives shaping your behavior [00:22:00] How increased emotional margin can transform relationships with spouses, kids, and teams, not just productivity [00:31:37] Why intention, environment, and facilitation matter, and how misuse versus medicine creates radically different outcomes Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

A negative angiogram in a patient with recurrent lower GI bleeding often calls for provocative angiography. In this episode of the BackTable Podcast, IR hosts Mike Barraza and Sabeen Dhand team up to talk tools, techniques, and tPA dosing for safe and effective treatment of lower GI bleeds with provocative mesenteric angiography.---This podcast is supported by:RADPAD® Radiation Protectionhttps://www.radpad.com/---SYNPOSISDr. Dhand describes the utility of provocative angiography in recurrent lower GI bleed patients with negative CTA and angiography, addressing common myths and concerns that may contribute to its underutilization. The conversation covers detailed procedure steps for both targeted and untargeted angiography, including access sites, dosing of tPA, and angiographic technique. Dr. Dhand emphasizes the importance of gradual increases in tPA dosage in 2 mg increments, and clear communication with care teams and the patient about the nature of the procedure. He also emphasizes the effectiveness and safety of this procedure by sharing real-world cases.---TIMESTAMPS00:00 - Introduction02:04 - Provocative Angiography for Lower GI Bleeds04:09 - Detailed Protocol for Provocative Angiography11:13 - Technical Details and Best Practices20:07 - Challenges in GI Bleeding Studies22:40 - Selective Embolization Techniques27:44 - Handling Negative Angiograms32:56 - Real-World Case Studies35:15 - Final Thoughts---RESOURCESThiry et al. Provocative Mesenteric Angiography: Outcomes and Standardized Protocol for Management of Recurrent Lower Gastrointestinal Hemorrhagehttps://pubmed.ncbi.nlm.nih.gov/34506023/

Pulmonary embolisms don't always announce themselves... sometimes they ambush. One minute your patient is walking with physical therapy, the next they're hypotensive, hypoxic, and coding. This re-released early episode dives deep into why PE patients can look deceptively stable… right up until they aren't.In this episode, I revisit one of my earliest case-based teachings on pulmonary embolism, updated with an added segment on vasopressin use in obstructive shock from PE. Through real bedside stories from my time as a rapid response and ER nurse, we break down the physiology behind PE-related collapse, why intubation isn't always the answer, and how to think through management when the right ventricle is failing in front of you. This is a sobering but essential refresher on one of the most dangerous diagnoses we encounter.Topics discussed in this episode:Why pulmonary embolism is a common cause of in-hospital cardiac arrest (even if it's not common overall)Classic and subtle PE presentations and why they're often missedA real-time rapid response case: stable to crashing in minutesRisk factors for PE and the anticoagulation double-edged swordObstructive shock explained: what's actually killing the patientRight ventricular failure, septal bowing, and the spiral of deathWhy intubation can worsen outcomes in massive PEVasopressors in PE: norepinephrine, epinephrine, and vasopressinThe unique benefits of vasopressin in obstructive shockThrombolysis vs. thrombectomy: when TPA helps — and when it's deadlyBedside echo findings that point to massive PEWhy PE patients can crash during transport (and what to always bring)Nursing vigilance, rapid escalation, and activating help earlyWhen perfect care still isn't enough and the heart of nursing in end-of-life momentsMentioned in this episode:CONNECT

In this episode of Head, Heart, and Boots, Brandon and I dig into one of the most overlooked drivers of growth in service businesses: the client experience. Sparked by a frustrating real-world story, we unpack how even well-intentioned teams can slowly erode trust through poor communication, missed expectations, and a lack of follow-through - and why those failures compound over time. We talk candidly about how competition in restoration and home services is changing, why today's customers are more informed and more skeptical than ever, and how growth, PE-backed operators, and higher deductibles are raising the bar for professionalism across the industry. From engineering a client experience instead of relying on heroics, to setting expectations early, owning the hard parts of the process, and designing workflows that protect trust, this episode is a practical reminder that growth doesn't come from doing more work - it comes from doing the work better. If you're a business owner or leader trying to scale without sacrificing reputation, referrals, or sanity, this conversation is a must-listen. Hope you enjoy. Chris Why You Should Listen [00:02:45] How a single bad customer experience exposed the quiet ways service quality erodes - even inside well-run companies [00:06:09] Why growth, higher deductibles, and more sophisticated competitors are forcing service businesses to rethink how they win and retain clients [00:09:45] How poor communication and unmanaged expectations turn customers into project managers - and destroy trust in the process [00:18:08] Why engineering a client experience beats relying on individual heroics — and how workflows protect both customers and teams [00:29:27] How setting expectations early, telling clients the hard truths, and embracing friction can actually become your biggest competitive advantage Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

In this episode of Head, Heart, and Boots, Brandon and I sit down for a raw, unfiltered look at the last 60 days - the travel, the pressure, the wins we haven't slowed down to celebrate, and the realities of running two fast-moving companies at the same time. We talk about what it feels like when your business hits a streak of negative momentum, how long it takes to turn the ship, and why even small signs of stabilization matter more than you think. We get into the personal side, too - the exhaustion of constant context-shifting, how hard it's been to hold routines together, and what we're learning about rest, recovery, and leadership when everything speeds up at once. From supporting two teams across time zones, to protecting focus, to the conversations that are shaping our 2026 planning, this is a behind-the-scenes look at the real rhythms of entrepreneurship. Hope you enjoy. Chris Why You Should Listen [00:01:20] What the last 60 days looked like inside two growing companies - and how to recognize when negative momentum starts, stops, and finally stabilizes [00:03:49] Why celebrating wins matters (even when you're exhausted) and how missing those moments creates long-term burnout for founders and teams [00:07:26] The truth about routines under pressure - how travel, growth, and leadership demands quietly erode the habits that keep you grounded [00:24:13] How “context shifting” destroys focus, drains leaders, and impacts entire organizations - and why reducing it may be the key to a healthier 2026 [00:38:47] A candid look at stress, mental resets, and the tools leaders are turning to - from saunas to silence to psychedelic therapy Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

Superb melodic and symphonic progressive rock. Proggy quizzes and regular album reviews from TPA

What happens when asset owners stop managing asset classes and start managing the whole fund? How do portfolios change, and how does the industry reorient their business models around them? In this episode, a practical sequel to Season 1's introduction, we break down how TPA changes investment processes, how portfolios differ under an SAA framework, and what this means for external managers. With insights from CPP Investments, NZ Super, Blue Owl, and Capital Group, the conversation highlights how partnership, transparency, and solution-oriented relationships reshape the manager-investor relationship in a TPA world.Guests:Geoffrey Rubin, Chief Investment Strategist, Total Portfolio Management, CPP Investment BoardCharles Hyde, Head of Asset Allocation, New Zealand Superannuation Fund Eugene Podkaminer, Institutional Solutions, Capital GroupJames Clarke, Senior Managing Director, Global Head of Institutional Capital, Blue Owl CapitalEpisode Sources

In this episode of Head, Heart, and Boots, Brandon and I sit down with Claire Carreras, a musician, comedian, fashion entrepreneur, and now co-owner of 1-Tom Plumber Austin to unpack one of the most unexpected and compelling career journeys we've ever featured. Claire opens up about a childhood marked by constant relocation across multiple countries, how creativity and performance became her anchor, and how those early experiences shaped the grit and resourcefulness she now brings to building service businesses. We explore the rise and collapse of her fashion brands, the financial devastation of COVID, and what it took to rebuild her life from scratch in a new country. Claire shares the mindset shifts that helped her scale restoration and plumbing operations, the leadership lessons she brought from stages and tour vans, and her refreshingly honest view on managing people, burnout, and generational differences inside a 24/7 business. If you're drawn to real entrepreneurial stories, the raw ones, with bruises, resilience, and reinvention; this conversation is worth every minute. Hope you enjoy. Chris Why You Should Listen... [00:05:15] How a turbulent childhood, constant relocation, and exposure to wildly different cultures forged Claire's resilience and leadership instincts [00:13:03] How acting, stand-up comedy, and 15 years of international touring built the confidence, grit, and communication skills she now uses to scale home-service companies [00:20:27] What three failed fashion businesses taught her about timing, financial risk, market collapse, and how to recover when everything falls apart [00:28:14] Why she jumped into One-Tom Plumber after COVID wiped out her income, and how she built a 5-truck operation in months by leaning into clarity, systems, and urgency [00:45:06] How Claire motivates teams through uncertainty, connects personally without lowering standards, and navigates generational differences around pressure and mental health Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

In this episode, Dr. Jackie Meyer, CPA and David Podell, Founder of Business Benefits Consultants, explore the 401H strategy, an underutilized tool in tax planning that offers significant tax savings and health benefits. They discuss the complexities of implementing this strategy, its benefits, and how it can be integrated into existing retirement plans. The conversation also covers common misconceptions about retirement planning and the importance of proper implementation and tracking.

In this episode of Head, Heart, and Boots, I sit down with Nilo Quiroz and John Villon to unpack their unlikely path from oil-and-gas engineers to running one of the fastest-growing PuroClean and 1-Tom Plumber operations in the country. We get into how early failures shaped their mindset, why putting ego aside became the key to their partnership, and how saying yes—long before they felt ready—helped them accelerate past the typical startup grind. From feeding thousands of hurricane responders to tearing out their first flooded home with support from the franchise network, their journey is a masterclass in hustle, humility, and learning fast. Hope you enjoy. Chris Why You Should Listen [00:07:36] How two radically different personalities learned to set ego aside and build a partnership that actually works under pressure [00:18:36] Why saying “yes” to unfamiliar work (and figuring it out later) became their biggest accelerator in the early years [00:24:45] What their first hurricane deployment taught them about learning fast, asking for help, and leveraging a franchise network [00:33:00] How diversification—contents, reconstruction, bio, plumbing—kept their business alive when mitigation slowed down [00:43:45] Why they see business as a marathon, not a sprint, and how that mindset helped them survive failures and grow multiple companies Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

On this episode, host Adam Russo welcomes Dr. David Berg, CEO and Co-Founder, Redirect Health, a TPA that allows employers, doctors and brokers to work together to provide truly affordable healthcare for every employee. David shares insights on healthcare delivery challenges, compares systems in Canada and the US, and outlines his vision for Redirect Health to provide peace of mind through affordable and accessible healthcare options. 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

Send us a textIn this episode, Yvonne and Rafael talk with Darrell Mathis, Director of Workers' Compensation for the City of Chicago, and explore his work to modernize and manage one of the nation's largest municipal programs. Darrell shares his 33-year journey from the private sector to public service, offering candid insights into program reform, transparency, and talking about “paying what we owe.” He discusses how Chicago has transformed litigation strategy, reduced claim backlogs, and improved fairness for injured employees, all while supporting first responders facing unimaginable risks. City of Chicago is self-insured and works with a TPA to administer claims. With over 33,000 employees and 3,600 open claims, Darrell's team is setting a new benchmark for municipal excellence in workers' compensation. This conversation is a must-listen for anyone interested in the intersection of leadership, accountability, service mindset, and compassion in public-sector risk management.Darrell also opens up about his own health journey and how dedicating himself to the City of Chicago and the work he loves became a key part of his recovery.Key TakeawaysHow municipal code changes, litigation reform, and payment integrity reshaped Chicago's comp program.Why “paying what we owe” builds trust and accelerates resolution.The real challenges of managing 3,600 open claims and a $700M reserve.Strategies to motivate and retain adjusters in a high-pressure environment.Chicago's commitment to care for catastrophically injured police and firefighters.Darrell's vision to make Chicago the global gold standard for workers' compensation programs. Darrell mentioned some folks who help him keep the lights on at the City of Chicago Workers' Compensation program: Donald “Taylor” Chittick – Asst. DirectorTiffany Williams – RTW Project ManagerKathleen Heenan – Workers' Compensation LiaisonTomeka Long – Workers' Compensation LiaisonAshley Chen – AdminDarrell mentions his devotion to faith and service. He is an ordained Deacon at the Progressive Baptist Church. His Pastor is Dr. Charlie E. Dates. As an officer of the Church, he is involved with many aspects of the ministry. Black Boy Lit is an initiative of Progressive Baptist Church and Salem Baptist Church. Dr. Dates is the Pastor of both churches.  Additionally, he and his wife chair a capital campaign for the church, called DREAM. ¡Muchas Gracias! Thank you for listening. We would appreciate you sharing our podcast with your friends on social media. Find Yvonne and Rafael on Linked In or follow us on Twitter @deconstructcomp

In this episode of Head, Heart, and Boots, Brandon and I sit down with Alejandro to unpack what ten years inside one of the toughest jiu jitsu cultures in the country can teach us about leadership, loyalty, and personal growth. We dig into how a broken season in his life led him to a mentor who changed everything, why the Daisy Fresh laundromat became a proving ground for world class competitors, and how the same principles that shape great fighters also shape great teams. Hope you enjoy Chris Why You Should Listen [00:02:36] How one mentor's belief and availability created lifelong loyalty and a culture people wanted to be part of [00:11:03] What living and training in an old laundromat taught fighters about discipline, discomfort, and eliminating excuses [00:21:00] The long, unglamorous process behind becoming a world class grappler and why consistency beats talent over time [00:25:39] How wrestling and jiu jitsu build confidence, emotional control, and character in kids and adults alike [00:36:05] How Alejandro revived a dead high school program by applying the same leadership principles that shaped him on the mat Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

On today's episode of ReStructured, Melissa Terito sits down with longtime friend and fellow TPA owner, Shannon Edwards of TriStar, to talk about what it really looks like to build a boundary-first business.Shannon shares how she went from 300+ hours of overtime in a CPA firm and hauling bankers' boxes on girls' trips to closing her office at noon on Fridays, guarding her weekends, and actually unplugging on vacation (yes, with a real out-of-office that she honors).They get into the mindset shift from “I have to be available24/7” to “my team and my network can handle this,” why hobbies like golf and pickleball are non-negotiable for high performers, and how leaders unintentionally hold their people back by doing everything themselves. If you're a firm owner, partner, or ambitious professional who struggles to step away from your inbox, this conversation will give you permission and practical ideas to protect your time without sacrificing growth.Connect with Melissa on LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Learn about Melissa's Keynote Presentation⁠

Simon talks to Iowa House Rep Taylor Collins on the recent behavior by a student on campus towards a student organization, TPA. He also tells us about the upcoming bill being introduced that requires all college students to take 1 history class and 1 civics class in order to graduate from a Board of Regents governed Iowa College. Later, Simon talks to MaryBeth Meyer from Pinky Swear Foundation about this year's upcoming radiothon on WHO 1040am.

In this episode of Head, Heart, and Boots, Brandon and I dive into what Netflix got right about radical candor and how restoration leaders can use it to build healthier, faster-growing teams. We pull insights from No Rules Rules, share how we're applying those same principles inside FP Restoration, and talk about how fear of feedback quietly kills trust, growth, and leadership potential. hope you enjoy - Chris Why You Should Listen [00:03:40] How Netflix built a culture of radical candor and why it became a competitive edge [00:10:00] What happens when leaders reward truth instead of politics [00:18:00] How we're using radical candor inside FP Restoration to drive real growth [00:27:00] Creating safety and structure so your team can speak up with honesty [00:38:00] Why someone has to go first if you want a culture built on trust Did you know... Only 30% of businesses listed for sale actually find a buyer? Even more striking, just 10% of those sell for the price their owners anticipated or higher, meaning only 3% of all business owners achieve their desired sale price. By focusing on understanding and enhancing your enterprise value, you can significantly boost your chances of joining that successful 3%. Business Health & Value Assessment Start Assessment Know Your Enterprise Value. See Your Potential Gaps. Complete this assessment in less than 15 minutes and receive a free assessment for your business that includes: A Lite Valuation Of Your Business Your Value Multiplier Per Your Industry Health Assessment Per Our PYB Methodology Business Value & Growth Roadmap Tailored For You Value Acceleration Strategies Spotlight on Floodlight: Your Secret Weapon for Sales & Scaling This isn't a paid plug. It's real talk from the front lines. If you've ever thought, “How do I get a VP-level sales leader or even a sales team without hiring full-time?” Floodlight has the answer. Fractional Sales Leadership They act as your outsourced VP of Sales, taking full responsibility for training, managing, and growing your sales team. No six-figure hire needed. Clients often close 20 to 50 percent more deals within six months, thanks to data-driven coaching, CRM setup, scripts, and performance reviews.More at floodlightgrp.com/sales Commercial Sales MasterCourse A self-paced, video-driven B2B sales course designed specifically for restoration teams. Perfect for building commercial revenue and getting free from TPA handcuffs. Covers mindset, prospecting, pipeline building, LinkedIn lead generation, and includes a $250 discount with code SALESBOOST.Details at floodlightgrp.com/courses Tailored Consulting & Coaching Floodlight's Propel Your Business methodology offers a full-circle roadmap: financials, sales, marketing, leadership, recruiting, productivity. All built for contractors. These aren't “life coaches.” They're former restoration owners who've lived the chaos and know how to scale out of it.Explore more at floodlightgrp.com Live Training, Tools & Strategic Partnerships Floodlight also delivers live onsite and virtual training, keynote speaking, and leadership tracks covering operations, project management, and strategic growth. Bonus: They've vetted tools like Xcelerate, Liftify, and Sureti. Floodlight clients get access to exclusive discounts on tech that actually moves the needle.See all partnerships at floodlightgrp.com/partners Why it matters for you as a listener You don't need to figure this stuff out alone. If you're serious about sales growth, operational clarity, exit readiness, or leadership development, Floodlight is already helping folks like you scale smarter. And you get it from industry insiders. People who've sat in your chair, survived the fires, and built systems that actually work.

In this episode of the PFC Podcast, the discussion revolves around cold-weather injuries, particularly frostbite and trench foot. Ian shares his extensive experience in wilderness medicine and military operations, highlighting the historical significance of these injuries in military conflicts. The conversation covers prevention strategies, treatment protocols, and the importance of rapid rewarming for frostbite. Additionally, the episode delves into the differences between frostbite and non-freezing cold injuries, emphasizing the need for proper care and evacuation plans in cold environments.TakeawaysFrostbite and trench foot have significant historical military implications.Prevention is crucial in avoiding cold-weather injuries.Rapid rewarming in warm water is the best treatment for frostbite.Buddy checks can help prevent cold-weather injuries.Non-freezing cold injuries require different treatment protocols than frostbite.TPA can be beneficial in reducing tissue loss from frostbite.Proper insulation and hydration are key to preventing cold injuries.Frostbite injuries can lead to long recovery times and potential loss of digits.Awareness of symptoms and timely evacuation are critical in cold environments.Maintaining dry and warm conditions is essential to prevent trench foot.Chapters00:00 Introduction to Cold Weather Injuries00:59 Historical Context of Cold Weather Injuries05:04 Understanding Frostbite and Non-Freezing Cold Injuries10:11 Prevention Strategies for Cold Weather Injuries13:31 Treatment Protocols for Frostbite19:49 Evacuation and Recovery Considerations37:45 Non-Freezing Cold Injuries: Trench Foot43:40 Conclusion and Key TakeawaysFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

On today's MJ Morning Show:Diddy updateFester's costume for HudsonGold Island Korean Pork Jerky recallDenis PhillipsMJ's IG Video - Wheelchair parade at TPA for the Miracle FlightMJ's flight from TPA to Ft. LauderdaleEmails: Ernesto's cookies; Max the engineer; A listener's A.I. device will tell if he's using a phone while driving; Dean from EnterpriseMJ's lost glassesMJ's Haunted houseWhat scares people most? What scares our listeners? We took calls.Women who refuse to take husband's last nameFester has a sushi question for MJDon't park next to a 'beater'Cleaning crewSleeping with Night lights leads to heart attacks?MJ's dream about Big Scary RonUpdate: Prank by 3 costumed people in Alexandria, Virginia26-year flight attendant mistakenly deployed the slideBritney Spears' family is worried2 arrested for jamming and scamming at ATM'sJamaica in crosshairs for Hurricane MelissaSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Improved stroke outcomes have been shown when EMS transports to a stroke center and patients receive assessment, CT, & thrombolytics within these time frames.When treating patients having an MI or stroke, more minutes equals more dead cells.Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI – to reestablish perfusion to the ischemic tissues.The first four steps in the Stroke Chain of Survival.Time criteria for the administration of tPA (or a similar fibrinolytic medication) or EVT of LVO strokes. Stroke benchmarks for door to:assessment;completing a non-contrast CT; andadministration of fibrinolytic medication such as tPA (door-to-needle).EMS interaction with stroke teams and destination protocols to reduce time to definitive care.The difference for timed goals for the identification & treatment of AMI vs Stroke.Additional information about timed goals for stroke and how EMS affects outcomes, can be found on the PassACLS.com pod resources page.**American Cancer Society (ACS) Fundraiser This is the seventh year that I'm participating in Men Wear Pink to increase breast cancer awareness and raise money for the American Cancer Society's life-saving mission.I hope you'll consider contributing.Every donation makes a difference in the fight against breast cancer! Paul Taylor's ACS Fundraiser Page: http://main.acsevents.org/goto/paultaylorTHANK YOU for your support! Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Free Prescription Discount Card - Get your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vip/savePass ACLS Web Site - Other ACLS-related resources: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

After an extrodinary turnout in 2024, Turning Point Action CEO Tyler Bowyer sat down with Charlie to discuss what TPA did differently to produce unprecedented results, what the team of motivated patriots is working on for the next elections, where the Reublican Party is headed, and how unengaged voters can become political activists. Watch every episode ad-free on members.charliekirk.com! Get new merch at charliekirkstore.com!Support the show: http://www.charliekirk.com/supportSee omnystudio.com/listener for privacy information.