Podcasts about TPA

The chain of survival for a cardiac emergency and stroke start the same:1. preparedness & recognition of an emergency;2. activation of EMS;3. delivery of Advanced Life Support; and4. transporting to the most appropriate facility.ALS ambulances are staffed with paramedics who have training in ACLS skills.Why EMS "Destination Protocols" for suspected stroke and STEMI make a difference.ACLS's timed benchmarks for:point of first medical contact to PCI for ST elevation MI;door to tPA for ischemic stroke; andonset of symptoms to EVT for LVO strokes.Why EMS should bypass a close hospital to transport a STEMI or suspected stroke patient to a hospital capable of 24/7 PCI or a certified stroke center.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area.

In this episode of Restoration Pros Unplugged, Clinton James sits down with Rocky Hensley, founder of ICON Property Rescue and the visionary behind 1-Tom-Plumber, to unpack a bold strategy that's helping restoration companies secure more commercial restoration work—fast.After building and selling a successful restoration company, Rocky saw the writing on the wall: shrinking margins, too much reliance on TPAs, and fewer large-loss opportunities. So, he created a game-changing solution—a plumbing franchise designed specifically to bolt onto restoration businesses and open doors to high-value commercial clients.You'll discover:Why emergency plumbing is the perfect lead-gen machine for water damage restorationHow restoration owners are using 1-Tom-Plumber to get their foot in the door with commercial property managersThe revenue and margin impact of adding plumbing services without overhauling your core businessReal-world examples of franchisees recouping their investment in under 12 monthsThe systems, training, and support 1-Tom-Plumber provides—from marketing to staffing to national brandingWhat makes a restoration company the ideal candidate for this bolt-on franchise modelWhether you're trying to escape the TPA trap, grow your commercial footprint, or create more predictable commercial revenue, this episode delivers a proven roadmap to scale smarter.Ready to turn plumbing into your commercial restoration pipeline?Learn more about how Rocky and his team can help you plug 1-Tom-Plumber into your business and dominate your market:https://www.1tpfranchise.com/Franchise email:  Franchise@1tomplumber.comFranchise sales number: 1-855-832-6866Want to grow your restoration brand and generate more water jobs with expert marketing?Book a free strategy session with our team at Water Restoration Marketing:https://www.waterrestorationmarketing.net/schedule

Keberadaan tempat pembuangan akhir (TPA) ilegal di Semarang, Jawa Tengah, dikeluhkan warga. Mereka mengaku sangat terganggu oleh bau menyengat dan asap dari pembakaran sampah yang terjadi di lokasi tersebut.

If you're mid-career and wondering why the grind feels heavier, or you're trying to make peace with a shift in your role - this one's for you. I finally understood what was really happening in my brain. That realization gave me clarity, and confidence. [00:05:27] Crystallized vs. fluid intelligence: Once you know which one you're operating from, you stop competing with 25-year-olds. [00:07:02] The “definition of done” lens changed how I lead younger, faster thinkers, and freed up my bandwidth. [00:11:27] John Eldredge's 6 stages of manhood helped me figure out what stage I skipped... and how I went back to reclaim it. [00:22:05] I no longer need the applause. That's when I realized it's time to share the stage, not dominate it. [00:44:18] -Thanks for listening, Chris and Brandon 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.

Ever wonder what it really takes to build an M&A machine inside the restoration world? This week, we sit down with Jeff Moore, the guy leading the charge at ATI Restoration, to get into the weeds on what he's learned after buying 40+ companies in five short years. We dig into: Why culture eats EBITDA for breakfast 44:00 The million-dollar HR screwup that still makes Jeff cringe 08:25 Why earnouts suck (his words, not ours) 10:55 How misjudging people can cost you a hell of a lot more than money 33:41 What most folks misunderstand about ATI (and big players in general) 49:18 Why PE-backed rollups fail—and what separates a win from a write-off 40:52 It's not just M&A talk—this is about identity, reputation, trust, and straight-up hard-won leadership scars. thanks for listening, Chris and Brandon 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.

Joyce talks about her career in radio and the various changes to the industry , President Trump's name calling and telling the public to stop asking about the Epstein files despite concerns, California and the people of California, and TPA founder Charlie Kirk lays out a 10 action for Pam Bondi to regain public trust. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

 In this episode of ShiftShapers, host David A. Saltzman welcomes Dave Chase, co-founder of Health Rosetta, a movement that has become a national force in transforming employer-sponsored healthcare.Dave shares the deeply personal story that drove him to create Health Rosetta and the powerful framework that emerged—one focused on transparency, outcomes, and economic sustainability.The conversation explores how Health Rosetta empowers benefit advisors and employers to break free from the traditional health plan model, the crucial role of data access, and the open-source tools now available through Nautilus Health Institute. Dave also unveils the evolution of RosettaFest from an internal network event into the premier gathering for high-performance health plan innovators across the country.

Donald Trump voltou a colocar o comércio internacional no centro da sua estratégia geopolítica, reacendendo disputas tarifárias e retomando negociações com alguns dos principais parceiros comerciais dos Estados Unidos. No entanto, sua abordagem, marcada por improvisos, ameaças e recuos, tem produzido mais incertezas do que consensos duradouros. Thiago de Aragão, analista político A recente reunião com o primeiro-ministro indiano Narendra Modi, na última sexta-feira (27), ilustra bem esse estilo: avanços pontuais são ofuscados por uma condução errática que dificulta previsibilidade e confiança. Ao mesmo tempo, sua postura frente à China e sua retórica diante da União Europeia indicam que, mais do que construir pontes, Trump ainda aposta em táticas de pressão unilateral como principal moeda de negociação. Uma estratégia que pode ter efeitos imediatos, mas cobra caro no longo prazo. Nas negociações com a China, Trump conseguiu uma trégua tarifária de 90 dias, evitando aumentos imediatos e abrindo espaço para discussões sobre matérias‑primas estratégicas, como as terras raras, o que, por ora, acalmou os mercados e gerou fôlego político. Ainda assim, sua estratégia de alternar ameaças e recuos, apelidada por investidores de Wall Street de “TACO Trade” (Trump Always Chickens Out), mina a credibilidade: ao impor tarifas altas, recuá-las sob pressão e depois retomá-las, ele gera instabilidade para empresas e consumidores. Com relação à Índia, Trump deixou claro que energias estão voltadas para um “acordo muito grande”, especialmente após se reunir com Narendra Modi. A Índia, por sua vez, ofereceu eliminar tarifas sobre commodities como amêndoas, pistaches e nozes, além de estender tratamento preferencial a setores estratégicos como energia, automóveis e defesa. Esse avanço mostra coordenação entre os líderes e um comprometimento bilateral. Porém, os problemas persistem. A mais recente rodada de negociações enfrentou impasses graves: divergências sobre tarifas em autopeças, aço e produtos agrícolas ameaçam bloquear o acordo com prazo até 9 de julho. Além disso, Trump pressiona por cortes profundos de tarifas indianas em soja, milho, automóveis e bebidas, exigindo também redução de barreiras não‑tarifárias, o que os indianos consideram excessivo. Sem a aprovação da TPA (Trade Promotion Authority) pelo Congresso, Trump não tem mandato claro para reduzir tarifas unilateralmente, o que fragiliza sua posição. Também há fatores internos na Índia: o partido opositor cobra maior transparência, enquanto temores sobre concessões em áreas sensíveis, como segurança fronteiriça relacionada ao Paquistão, criam tensão política. No caso da União Europeia, Trump adiou sua ameaça de tarifas de até 50% até 9 de julho, mas deixou claro que carros, aço e alumínio estão na mira. A UE, por sua vez, está aberta a negociar, mas ressalta que “all options remain on the table”, ou seja, retaliações de até € 95 bilhões estão preparadas se o acordo não for equilibrado. Internamente, Alemanha pressiona por um acordo rápido para proteger sua indústria automotiva, enquanto a França rejeita termos assimétricos, o que deixa o consenso europeu ainda instável. No fim das contas, Trump vem tentando ser eficaz ao usar a tensão tarifária como instrumento de negociação: ele pressiona parceiros e usa o tempo a seu favor. Contudo, sua inconsistência (ameaça, recua, ameaça de novo), os termos exigentes e a falta de legitimidade no processo (como no caso da Índia, sem TPA) corroem sua reputação como negociador confiável. Com Modi, houve avanços reais, mas também falhas críticas que podem estacionar o acordo. Já com a UE, o futuro depende de Trump repetir uma tática coercitiva ou partir para um compromisso mais estruturado, antes que o prazo de 9 de julho chegue sem perspectivas claras.

Emerald is joined by Admin 1 from Toilet Paper Australia, Raushaan Seychell! First up, green shoots for the left as Zohran Mamdani wins the New York Democratic Primary! (3:36) How did a minor mayoral race become a proxy for the culture war? Are we so back? Next up, a chat about TPA and how to do political communication with non-political people (10:45). Finally, Israel, Iran and the US bombings. (36:06) Will Unilateral Australia ever stand up to “daddy”? ---------- Just released on Patreon - “Talking Pauline Hanson’s One Nation, Live in Brisbane” The show can only exist because of our wonderful Patreon subscriber’s support. Subscribe for $3/month to get access to our fortnightly subscriber-only full episode, and unlock our complete library of over SEVENTY-FIVE past bonus episodes. https://www.patreon.com/SeriousDangerAU ---------- Links - Vale Sinéad Francis-Coan - https://www.newcastlegreens.org.au/sinead_francis-coan https://newcastle.nsw.gov.au/about-us/news-and-updates/latest-news/media-statement-councillor-sinead-francis-coan Follow Toilet Paper Australia - https://linktr.ee/toiletpaperaustralia Produced by Michael Griffin https://www.instagram.com/mikeskillz Follow us on https://twitter.com/SeriousDangerAU https://www.instagram.com/seriousdangerau https://www.tiktok.com/@seriousdangerauSupport the show: http://patreon.com/seriousdangerauSee omnystudio.com/listener for privacy information.

Enhancing Payment Integrity in Health Systems: An In-depth Discussion with Kimberly Carleson. In Episode 481 of Relentless Health Value, host Stacey Richter speaks with Kimberly Carleson, CEO of US Beacon, about payment integrity within health systems. They delve into strategies some hospitals use to maximize revenue without raising rates and discuss the importance of accurate billing.  Key takeaways include the high prevalence of billing errors, which can lead to significant overcharges for plan sponsors, often due to documentation gaps and complex coding systems. Kimberly provides actionable advice for both healthcare providers and plan sponsors on how to mitigate billing inaccuracies and enhance transparency.  Emphasized points include the necessity of third-party claim audits, understanding legal rights under various acts, and the importance of maintaining clear communication and compliance with legal billing standards. === LINKS ===

Exploring the Complexities of Pharma Rebates with Ann Lewandowski In this Summer Short episode of Relentless Health Value, host Stacey Richter converses again with Ann Lewandowski about the intricate dynamics of pharmaceutical rebates, or as Lewandowski prefers, post-sale concessions.  The discussion delves into the nuances of these rebates, the impact they have on drug costs, and the hidden consequences for patients and plan sponsors.  They highlight articles and insights by Austin Chelko and Peter Hayes, touching on how rebates can disadvantage the pursuit of lower-cost generics and biosimilars, and can obstruct pharmacogenetic testing that ensures drug efficacy and safety.  The conversation also critiques the opacity of rebates, deemed trade secrets by pharma and PBM companies, and underscores the ethical and financial dilemmas posed by the current rebate-driven system. === LINKS ===

Health Insurance is Rigged & Controlled by the Big Companies w/ Donvan Ryckis of Ethos Benefits   - AZ TRT S06 EP10 (272) 6-15-2025              What We Learned This Week Health Insurance is primarily run by the Big 4 - BUCA: Blue Cross United Healthcare, CIGNA, Aetna To Insurance Co's – Premium = Revenue, and they are not going lower profits, so no incentive to lower costs Health insurance employer group plans can be broken down into 4 Parts Network PPO is what people typically think of when they think of health insurance There have been revisions to the Healthcare Act passed in 2021   Guest: Donovan Ryckis, Ethos Benefits https://ethosbenefits.com/   https://ethosbenefits.com/documentary/ https://businessofbenefitspodcast.com/   Our Ethos is Simple: Fiduciary First. Act in the best interest of those we serve—no matter the cost. ‘Ethos' represents the guiding principle, character, or spirit of a person or organization. It's the ‘why' that drives decision-making and fuel's purpose. Our Ethos is deeply rooted in the story of our Founder, Donovan Ryckis. Over a decade ago, Donovan, a fiduciary Series 65 securities advisor specializing in retirement and pension planning, was approached by a client facing a dire situation. The client's publicly traded broker claimed there was no solution for a staggering 37.5% health insurance renewal increase—a cost that threatened the business and its employees. With no prior experience in health insurance markets but guided by his unwavering fiduciary principles, Donovan took on the challenge. The result? He mitigated the risk entirely, delivering a solution 12% below the current rate. This allowed the business to thrive and ensured hundreds of employees wouldn't have to choose between basic necessities and skyrocketing health premiums. That moment sparked a revelation. The fraud, waste, and abuse Donovan had fought in retirement planning paled in comparison to the challenges in healthcare. He saw an opportunity to bring transparency and fiduciary principles to an industry in desperate need of change. Donovan pivoted his career, becoming one of the first fee-based health insurance advisors in the nation. By removing all conflicts of interest in broker compensation, he laid the foundation for what is now the leading innovative employee benefits agency in the country, delivering higher quality care at a significantly lower cost to employers nationwide.       Notes:   Ethos Benefits deals with employee benefits, with a primary focus on group health insurance   Per Donovan ‘Employee benefits are rigged'   Insurance company premium equals revenue. There is no incentive to lower cost, as it would lower profits.   ACA Obamacare passed in 2010, and it capped profits for insurance companies at 20%   Insurance Co's are working to expand their pool to make more profit   Health Insurance guarantees inflation keeps going up, so family of 4 could spend 35K a year   For a business, healthcare cost and employee benefits are a top 3 P&L expense   Ethos strategies can create a 30 to 40% reduction on premium impact to lower costs for a business   The HQ is in Florida, but they are a virtual office with agents and clients nationwide   Healthcare finance and delivery + Improving employee benefits     Seg 1   Donovan's bio, he was a financial advisor with a Series 65 license before he got into health insurance. Around 2014 he moved into health insurance seeing an opportunity for better service.   Typically you see agents who are working for the health insurance company and not really working for the employer companies they are selling to.   Health insurance is primarily run by the Big 4 – BUCA: Blue Cross United Healthcare, CIGNA, Aetna.   Health insurance employer group plans can be broken down into 4 Parts:   1.    TPA or third-party administrator 2.    Network PPO or HMO 3.    Pharmacy benefit RX 4.    Insurance that covers the caps the limits on the stop loss   PPO is your primary network and open on using referrals HMO is a non-preferred network typically has less offerings and tight on referrals   Ethos Benefits helps employers to break up the four parts of a group plan and customize   Network PPO is what people typically think of when they think of health insurance.   Network and the Big 4 health companies have a tighter deal with doctors and contract prices. A lot is pre-negotiated with a set of rates, which is the point of a PPO. This is where you get larger claims and they run in the system of healthcare.     Seg 2   Pay more for healthcare in the U.S. than the rest of the world   The biggest pharmaceutical companies are in the US Pharmaceutical companies in flight prices, and also set the prices They make money through spread pricing   Employers can actually pick up their own Pharma benefit and get the rebates that the big health insurance companies are not giving them   Healthcare system is a rigged game The fraud waste and abuse extremely high in health   401(k) and retirement benefit industry is actually tighter with more disclosure than the healthcare industry   Regulated better since the creation of the Securities Act in the 1930s and updates that ran through the 1970s and beyond with things like ERISA   There have been revisions to the healthcare act passed in 2021 - started in Jan.2022   Actions had 3 disclosures: ·         Brokers comp and bonus ·         Data with gag, clauses, and full access to data upon request ·         Benchmarking for drug cost     Further Notes via Google:   The revisions you are likely referring to are part of the Consolidated Appropriations Act of 2021 (CAA). While the CAA was passed in late 2020, many of its provisions, including those related to transparency in healthcare, became effective on January 1, 2022.  The three key areas of disclosure you mentioned are directly addressed within these regulations: 1.            Broker's Compensation and Bonuses: The CAA amends ERISA Section 408(b)(2) and requires service providers, including brokers, to disclose specific information to group health plan fiduciaries. 2.            Data Transparency (Gag Clauses and Full Access to Data): The CAA prohibits gag clauses, which prevent plans from providing access to their data. It also requires health insurance carriers to attest annually to their compliance with this prohibition. Moreover, the Health DATA Act, a proposed bill, would further reinforce the right of employers to access their data and hold service providers accountable for non-compliance. 3.            Benchmarking for Drug Costs: The CAA includes provisions regarding pharmacy benefit and drug cost reporting, which aims to provide greater transparency and potentially lead to better benchmarking of drug costs. The Build Back Better Act, a separate piece of legislation, also included provisions for Medicare to negotiate drug prices, further impacting drug costs and potential benchmarking.  These revisions aim to increase transparency in healthcare pricing and empower consumers and employers to make more informed decisions about their healthcare coverage.    Seg 3   Ethos works with Employers to create business plans usually with a 3 to 5 year time horizon. The goal is long-term to lower healthcare cost.   Example would be a company with 100 employees with 50 to 80% of them on the health plan (does not include dependents).   Ethos wants to keep the demands of a company low, easy transition.   Ethos handles employee Qs and healthcare navigation. Ethos is full service.   Risk handled 1 of 4 ways - Reduce, avoid, retain, transfer - Transfer to insurance   Broker wants to transfer risk Company can control costs Careful not to have too much disruption with a switch to a new company   Ex - start with pharmacy part NDC National Drug Code Run report vs costs   Pharmacy benefit mgr   Pre packaged health plan Gets co approved pharmacy benefit Save 5 - 15% on costs (30%)   Separate - parts of group plan     Seg 4   Brokers comp - incentives from big insurance companies   Opening move - edit pharmacy benefit piece   State by state - regulators and rules   Employers / employees Know the network and PPO   Nationwide covers insurance part – Stop-loss Insurance   30-40 major stop loss companies Ex: Allstate Met Life Sun Life   Stop-loss insurance for group health plans acts as a financial safety net for self-funded employers, protecting them from large, unpredictable medical claims. It is a form of additional insurance.   Healthcare risk is incredibly predictable on group basis   Overall predictable w stats, actuarial analysis   Gag clauses look at dataset from current carrier   Prescription database sets   3rd party admin are less of a concern, lots of claims   Average of 18 claims per employee per year, includes dependents   Data - review AI Claims analytics software   AI claims analytics software is transforming how insurance companies handle claims by leveraging artificial intelligence and machine learning to analyze data, automate tasks, and improve decision-making.    30 - 40% reduction in premium w Ethos     Further Notes via Google: Group Medical Plans Breakdown of the common components of a comprehensive employer group health plan, particularly within the context of a self-funded model.  Here's a more detailed explanation of each part: 1.            TPA (Third-Party Administrator): A TPA is a company that provides administrative services for self-funded health plans. This includes processing claims, handling enrollment, and managing other administrative tasks that would typically be done by an insurance company. 2.            Network (PPO or HMO): This refers to the group of doctors, hospitals, and other healthcare providers that the health plan contracts with to provide services to its members. The network defines where employees can go to receive care and often dictates the level of coverage they will receive (e.g., in-network vs. out-of-network benefits). ·                                             PPO (Preferred Provider Organization): Offers more flexibility, allowing members to see out-of-network providers, though with higher out-of-pocket costs. ·                                             HMO (Health Maintenance Organization): Typically requires members to stay within the network for covered services, except in emergencies.                 Pharmacy Benefit (RX): This component manages the prescription drug coverage for the plan. It includes negotiating drug prices, processing claims for prescriptions, and managing the plan's formulary (list of covered drugs).                 Stop-Loss Insurance: This is a crucial element for self-funded employers. It protects the employer from catastrophic claim costs. If an individual employee or the entire group's claims exceed a certain threshold (the "attachment point"), the stop-loss insurance kicks in to cover the excess costs, limiting the employer's financial liability.  Additional Considerations: ·                     Data Access: Self-funded plans often provide employers with greater access to claims data, which can be used to analyze healthcare costs, identify trends, and implement strategies to improve employee health and manage costs. ·                     Benchmarking: Employers can use claims data and industry benchmarks to compare their plan's performance to similar organizations and negotiate better rates with providers and other vendors. ·                     Wellness Programs: Some employers offer wellness programs to encourage employees to adopt healthy behaviors and potentially reduce healthcare costs. ·                     Essential Health Benefits (ACA Compliance): Group health plans must comply with the Affordable Care Act (ACA), which requires them to cover a list of essential health benefits, such as outpatient care, emergency services, hospitalization, and prescription drugs. ·                     Other Benefits: Group plans can also include other benefits, such as dental, vision, life insurance, and long- and short-term disability insurance.  Understanding these different parts is essential for employers to effectively manage their group health plan, control costs, and provide valuable benefits to their employees.      Investing Shows: https://brt-show.libsyn.com/category/Investing-Stocks-Bonds-Retirement       ‘Best Of' Topic: https://brt-show.libsyn.com/category/Best+of+BRT      Thanks for Listening. Please Subscribe to the AZ TRT Podcast.     AZ Tech Roundtable 2.0 with Matt Battaglia The show where Entrepreneurs, Top Executives, Founders, and Investors come to share insights about the future of business.  AZ TRT 2.0 looks at the new trends in business, & how classic industries are evolving.  Common Topics Discussed: Startups, Founders, Funds & Venture Capital, Business, Entrepreneurship, Biotech, Blockchain / Crypto, Executive Comp, Investing, Stocks, Real Estate + Alternative Investments, and more…    AZ TRT Podcast Home Page: http://aztrtshow.com/ ‘Best Of' AZ TRT Podcast: Click Here Podcast on Google: Click Here Podcast on Spotify: Click Here                    More Info: https://www.economicknight.com/azpodcast/ KFNX Info: https://1100kfnx.com/weekend-featured-shows/     Disclaimer: The views and opinions expressed in this program are those of the Hosts, Guests and Speakers, and do not necessarily reflect the views or positions of any entities they represent (or affiliates, members, managers, employees or partners), or any Station, Podcast Platform, Website or Social Media that this show may air on. All information provided is for educational and entertainment purposes. Nothing said on this program should be considered advice or recommendations in: business, legal, real estate, crypto, tax accounting, investment, etc. Always seek the advice of a professional in all business ventures, including but not limited to: investments, tax, loans, legal, accounting, real estate, crypto, contracts, sales, marketing, other business arrangements, etc.  

In this episode of Investing for Tomorrow, we explore the Total Portfolio Approach (TPA) — a model that prioritises long-term goals, cross-team collaboration, and dynamic decision-making over rigid asset class buckets.  Joined by Sue Brake, former CIO of the Future Fund and Board member at NZ Super Fund and Stephen Gilmore, Chief Investment Officer at CalPERS, we unpack the practical and cultural changes required to implement TPA, from breaking down silos to fostering joined-up thinking. As well as the benefits and the real challenges in making the transition.  Whether you're just starting to explore TPA or looking to deepen your understanding, this episode offers timely insight into one of the most promising evolutions in institutional investing.  Resources mentioned: Research paper: It's about time Research hub: Total Portfolio Approach (TPA) hub 

Intern year: where the learning curve is steep and you're not sure if the patient is crashing or you are. In this episode of Behind the Knife, our surgical education fellows reflect on what they wish they had known before Day 1—and all the humbling, hilarious, and genuinely formative moments along the way. From getting lost wheeling a critical patient through the hospital, to triple-scrubbing just to be acknowledged, to accidentally spraying TPA into your own eye (yes, really)—this episode is a candid conversation about the highs, lows, and everything in between. Whether you're gearing up to start your intern year or reflecting on how far you've come, this is the episode we all needed. Hosts:  Elizabeth Maginot, MD – General Surgery Resident, University of Nebraska Medical Center  @e_magination95 Nina Clark, MD – General Surgery Resident, University of Washington @clarkninam Ayman Ali, MD – General Surgery Resident, Duke University Michelle LaBella, MD – General Surgery Resident, University of North Carolina Emma Burke, MD – General Surgery Resident, Baylor College of Medicine @emmaburke017 Learning Objectives: Identify common misconceptions about intern year—and how to manage expectations Understand how to approach early mistakes with humility and resilience Recognize the importance of teamwork and asking for help Reflect on what makes a strong, dependable intern References BTK Intern Survival Guide: https://app.behindtheknife.org/podcast-series/medical-student-and-intern-survival-guide Institutional pharmacists (seriously, call them—they're the unsung heroes) Check out our Medical Student and Intern Survival Guide HERE: https://app.behindtheknife.org/podcast-series/medical-student-and-intern-survival-guide

Unlocking Leadership Potential: How Luciana Núñez Champions Coaching-Centric CulturesIn this episode of The Thoughtful Entrepreneur, host Josh Elledge speaks with Luciana Núñez, Executive Coach at The Preston Associates and author of Coaching Power: Leading with Coaching to Create Individual, Team, and Organizational Outperformance. Luciana shares her deep passion for understanding human dynamics, her approach to building empowered leadership teams, and the actionable framework outlined in her new book. If you're a founder or executive looking to level up your leadership and foster a high-performing team culture, this conversation offers strategic insight and practical tools.Embracing Coaching as the Future of LeadershipLuciana opens up about the human-centered influences that inform her coaching practice—particularly her appreciation for interpersonal storytelling, like in the series The White Lotus, which reveals the layered complexity of relationships. She sees a strong parallel between coaching and storytelling, noting that both require empathy, deep listening, and a willingness to challenge assumptions. Drawing from this, Luciana encourages leaders to observe how they engage with others and to reflect on the subtle cues that impact team dynamics.Professionally, Luciana emphasizes that 70% of her coaching work focuses on team coaching—not just individuals—which she believes is a more scalable and sustainable way to transform organizations. At The Preston Associates, she collaborates with a global network of coaches to implement systems-level leadership development. As companies face rapid growth or operational complexity, she helps leadership teams align on values, communication, and accountability—turning fragmentation into cohesion.Luciana also underscores the importance of coaching in navigating today's VUCA (Volatility, Uncertainty, Complexity, and Ambiguity) environment. With up to five generations now represented in the workforce, leaders must adapt to evolving expectations—especially from younger employees who prefer empowerment over command-and-control leadership. Through her book Coaching Power, Luciana provides a step-by-step guide for leaders looking to adopt a coaching mindset, offering tools for giving feedback, driving clarity, and promoting self-leadership across all levels.About Luciana NúñezLuciana Núñez is an executive coach and thought leader in leadership transformation. As a partner at The Preston Associates, she specializes in helping senior executives and teams unlock peak performance through a coaching-centered approach. She is the author of Coaching Power, a practical guide for leaders aiming to drive measurable business outcomes through people empowerment.About The Preston AssociatesThe Preston Associates (TPA) is a global executive coaching firm that partners with leaders and organizations to create sustainable, high-performance cultures. Through tailored coaching, strategy facilitation, and leadership development, TPA supports organizations navigating complexity, change, and growth.Links Mentioned in this EpisodeThe Preston Associates WebsiteCoaching Power on AmazonLuciana Núñez on LinkedInEpisode HighlightsThe rising demand for team...

Send us a textMelissa Steger returns to walk us through the building blocks of the unique Texas UT System workers' compensation program. While the program is self-insured, they use a third-party administrator (TPA) in a hybrid system where the TPA staff sit on-site with the UT System staff who oversee the program. Covering 160,000 employees and over 250,000 students, UT System uses a variable rating system and has set up a culture where the individual institutions within the system compete against one another to achieve superior outcomes. The results? Truly innovative and remarkable. During Melissa's tenure with the WC program, and through a system of healthy competition, they initially saw program costs of eighty cents per $100 dollars of payroll. When Melissa retired last year, it had fallen to 8.5 cents per $100 dollars of payroll. How did this happen? Melissa talks about some of the nuances of their program including an annual retreat, where the hybrid staff come together to improve communications, get focused on core program goals and learn how they could continuously improve their results. Join us as we talk to Melissa and learn how UT System achieved such amazing results.Melissa also talks about flunking out of retirement. She is now VP of Business Development at WorkCompCollege.com ¡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

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.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Audio Siar Keluar Sekejap Episod 157 kali ini menampilkan hos jemputan, Zaidel Baharuddin, yang bergandingan bersama KJ dalam sebuah episod yang sarat dengan perbincangan isu semasa merangkumi politik, dasar kesihatan dan landskap ekonomi negara.Episod dibuka dengan analisis mengenai keputusan mengejut Tengku Zafrul meninggalkan UMNO dan menyertai PKR, termasuk implikasinya terhadap kestabilan Kerajaan Perpaduan, keberkesanan Akta Anti Lompat Parti serta ramalan masa depan politik beliau selepas tamat tempoh sebagai Senator hujung tahun ini.Perbincangan diteruskan dengan isu peletakan jawatan Rafizi Ramli dan Nik Nazmi daripada Kabinet, dan bagaimana tindakan mereka membuka ruang kepada gerakan semak imbang dalam PKR serta kemungkinan rombakan Kabinet oleh PMX dalam masa terdekat.Isu sivil melibatkan Yusoff Rawther dan Datuk Seri Anwar Ibrahim turut disentuh, termasuk permohonan PMX untuk merujuk isu imuniti ke Mahkamah Persekutuan yang ditolak. KJ dan Zaidel meneliti kesan politik terhadap kepimpinan Madani serta persepsi antarabangsa terhadap kebebasan institusi kehakiman di Malaysia.Dalam segmen kesihatan, Keluar Sekejap menjemput Dr. Chang Chee Song untuk menjelaskan kontroversi dasar price transparency dan penggunaan Akta 723 ke atas klinik swasta. Turut dibincangkan: isu yuran konsultasi yang tidak dikemas kini sejak 2006, ketidaktelusan dalam peranan TPA (third-party administrators), serta keperluan reformasi menyeluruh terhadap sistem penjagaan kesihatan termasuk semakan semula Akta 586 dan struktur harga ubat.Segmen akhir memfokuskan kepada cabaran ekonomi semasa dengan KWSP melaporkan penurunan 13% dalam pendapatan pelaburan suku pertama 2025, serta langkah Petronas mengurangkan 10% tenaga kerja berikutan prestasi kewangan yang merosot dan ketidaktentuan dalam rundingan bersama Petros di Sarawak.Ingin jenama anda dikenali oleh ribuan pendengar?Taja episod Keluar Sekejap untuk tahun 2025!Hubungi kami di +6011-1919 1783 atau emel ke commercial@ksmedia.my untuk maklumat lanjut dan pakej penajaan eksklusif.

Stacey Richter has a second take on the original episode 433 since it is so relevant right now. Stacey engages in a compelling conversation with Justin Leader, CEO of BenefitsDNA, about the opaque practices of third-party administrators (TPAs) and their impact on healthcare costs.  They discuss the hidden fees tucked into weekly claims wires, including shared savings fees, prior authorization fees, prepayment integrity fees, pay and chase fees, and TPA adjudication fees.  The episode emphasizes the need for transparency, understanding hidden costs, and ensuring fiduciary responsibility for self-funded employers. Additionally, Leader shares insights from a Health Affairs article and mentions ongoing legal cases that highlight the financial discrepancies in TPA practices. === LINKS ===

Tony chats with Nichole Myers, Chief Underwriter at Ethos Technologies. They are a digital distributor and a TPA for life insurance carriers. They are also an incredible marketing organization. They do all the front end magic that needs to be done to bring customers into the pipeline, then they run them through a wonderful waterfall that ends with 90% getting offered a life insurance quote. 10% go to manual underwriting all with a very sleek experience. Average time is 6 1/2 minutes. They also handle underwriting and administration on behalf of the carriers they work with.Nichole Myers: https://www.linkedin.com/in/nicholelmyers/Ethos Technologies: https://www.ethos.com/

As the podcast discussed at the beginning of the new season- we wanted to give a strong overview of the Third-Party Administrators (TPAs) role in the ESOP. On this episode, the podcast interviews Tom Roback with Blue Ridge. The episode looks at the trends in the ESOP community and the consolidation of TPA companies.  We look to answer what challenges with TPA firms are currently being experienced and how TPAs (particularly Blue Ridge) are looking to overcome those to provide a strong partnership with their clients. Tom does an excellent job walking through a a various list of topics - this should be a helpful podcast episode along your journey to an ESOP.

Welcome back to the Sentinel Pension Show! On our final episode before we take a break for the summer, Kasey and Melissa are breaking down a topic that is widely covered in the TPA world: plans that go off the rails. Our resident plan fixers break down the governing bodies that review these plans, what they're looking for when they come to audit plans, the safe harbor standard for deposit submissions, the types of corrections systems, and so much more! We hope y'all have a great summer and will come back to learn more with us next season! Have any questions about this episode's topic? Let us know!Visit our website for more information: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sentinel Pension (sp-tpa.com)⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Call us at 225-300-8478⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow us on LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Music by Adam Vitovsky

For more than a decade, the Tennessee Poultry Association has been hosting golf tournaments and a sporting clay shoot to raise money for scholarships to send students to college for the future of the poultry industry. And as executive director Tracy Rafferty said, TPA has raised more than $300,000, giving roughly $45,000 out each year.  

The chain of survival for a cardiac emergency and stroke start the same:1. preparedness & recognition of an emergency;2. activation of EMS;3. delivery of Advanced Life Support; and4. transporting to the most appropriate facility.ALS ambulances are staffed with paramedics who have training in ACLS skills.Why EMS "Destination Protocols" for suspected stroke and STEMI make a difference.ACLS's timed benchmarks for:point of first medical contact to PCI for ST elevation MI;door to tPA for ischemic stroke; andonset of symptoms to EVT for LVO strokes.Why EMS should bypass a close hospital to transport a STEMI or suspected stroke patient to a hospital capable of 24/7 PCI or a certified stroke center.Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

In this brutally honest episode of Restoration Pros Unplugged, Clinton James sits down with Bobby Thomas, CEO of Extreme Services, to unpack the evolving challenges of working with Third Party Administrators (TPAs) in 2025. From delayed payments to unrealistic SLAs and inconsistent claim volume, this episode dives deep into the operational and financial landmines that restoration contractors face when tied too tightly to TPA programs.Bobby brings unfiltered insights, real-world horror stories, and proven strategies for navigating today's increasingly rigid and centralized TPA landscape. Whether you're struggling with cash flow, compliance fatigue, or pipeline instability, this conversation will arm you with the clarity and tactics needed to regain control of your business.What You'll Learn:Why TPA payment delays are worse than ever—and what to do about itHow to build systems that meet rigid SLAs without burning out your teamThe dangerous downside of claim volume inconsistencyStrategies to reduce TPA dependency and diversify your lead flowBobby's rapid-fire take on myths, tools, and whether he'd build with TPAs againIf you're working with TPAs—or considering it—this is required listening.If you're interested in learning how Water Restoration Marketing can help you overcome the challenges discussed in this episode and get more water jobs, book a free strategy session with our team today!https://www.waterrestorationmarketing.net/schedule

In this episode, Bill welcomes Steve Novakovic, Managing Director of Educational Programs for CAIA Association, to discuss the evolving nature of endowment investing, the growing role of total portfolio approaches (TPA), and the shifting responsibilities of asset allocators. Steve shares his journey from working at the Cornell University Investment Office to shaping the CAIA curriculum, emphasizing how events like the global financial crisis and modern portfolio theory shaped his views. They also explore the role of diversification in portfolio construction, the importance of due diligence and manager selection, the rising impact of retail democratization, and the ethical foundation needed to support long-term credibility in the profession. Steve further outlines how CAIA is adapting its curriculum, introducing proprietary ethical principles, and leading with new educational tools like the UniFi platform.

What happens when a CFO with a knack for numbers and a passion for people builds an offshore HR powerhouse from scratch—and grows it to 500 employees without a single cold call? In this episode of Sharkpreneur, Seth Greene speaks with John Sansoucie, founder of CogNet, an offshore HR powerhouse that now boasts over 500 employees and a place on the Inc. 5000 list. John reveals how he assists HR firms in scaling quickly by discreetly managing payroll, benefits, taxes, and accounting behind the scenes—often reducing costs by more than half. Find out how he transformed a labor crisis into a competitive advantage and why some of the industry's leading players now rely on his extended office model. Key Takeaways: → How a turnaround crisis led to a global HR empire. → Why one bold leap during COVID changed everything for CogNet. → The hidden cost most companies ignore when trying to scale. → What it takes to build a 500-person offshore team from scratch. → Why the “extended office” mindset is rewriting the rules of outsourcing.   John Sansoucie launched CogNet in 2004 after waking up in India with a bold vision, backed by 27 years of experience in TPA, HRO, and PEO. He has built and managed multiple global service operations and held senior executive roles at top HR outsourcing firms, including CFO at US Personnel and VP at Advantec. John holds a Finance degree from the University of Missouri and an MBA from the University of South Florida. Connect With John: CogNet Facebook LinkedIn   Learn more about your ad choices. Visit megaphone.fm/adchoices

On today's MJ Morning Show: Diddy trial set to begin Target may be getting rid of self-checkout Morons in the news Purple warning Fester got free food for a year This is the worst way to start an e-mail at work MJ's flights Cardinal Pizzaballa MJ IG at TPA... IKR? Kentucky Derby Ferry collision McDonald's Sprite hack First garage door opener winner Arizona bar has bad promotional response to underage drinking busts MJ vacation plans for summer Nike pre-scuffed sneakers? The Sun says there's a cheaper supermarket than Publix opening locations Air traffic controller stays not to fly to THIS airport A pilot's wife says not to to wear this on a flight Lady Gaga concert bomb plot foiled Hi Speed chase on Gandy Blvd. NYU dorm story Woman in Polk County throws can of soda into a car at a gas station, hits baby

Welcome to RIMScast. Your host is Justin Smulison, Business Content Manager at RIMS, the Risk and Insurance Management Society.   Justin and his guest, Tamieka Weeks, discuss highlights from her risk career and how she felt, pivoting from claims adjusting to risk management. Tamieka tells of her role at Southwire and how she helps the evolving risk and insurance group. Tamieka digs into challenges she has faced at Southwire and in the RIMS Atlanta Chapter, where she serves on the board as a past president. She tells how the Chapter survived and improved during COVID-19. Tamieka speaks of her instant love of risk management and the excitement of waking up each day not knowing what was coming next. Tamieka provides advice for rising professionals and tells how the RIMS Atlanta Chapter works with risk and insurance students. Listen to Tamieka's advice for you. Key Takeaways: [:01] About RIMS and RIMScast. [:15] Registration is open for RISKWORLD 2025. Engage Today and Embrace Tomorrow with RIMS, from May 4th through May 7th in Chicago, Illinois. Register at RIMS.org/RISKWORLD. [:26] After you register, visit your App Store, search for RIMS Events, and download the RIMS Events App. Select RISKWORLD 2025, load the show onto your phone, and start building your RISKWORLD itinerary! [:42] About this episode of RIMScast. Our guest is former RIMS Atlanta Chapter President, Tamieka Weeks. We will talk about her career journey and all the fantastic work she's done for the RIMS Atlanta Chapter. [1:07] In the spirit of National Electrical Safety Month, we will learn how she drives a culture of safety at Southwire. [1:15] RIMS-CRMP Workshops! RIMS is co-hosting an intensive four-day program which is your gateway to achieving two prestigious certifications, the DRI Certified Business Continuity Professional (CBCP) and the RIMS Certified Risk Management Professional (RIMS-CRMP). [1:34] This workshop will be held from May 19th through the 22nd in collaboration with DRI International. Links to these courses can be found through the Certification page of RIMS.org and this episode's show notes. [1:49] Virtual Workshops! On June 12th, Pat Saporito will host “Managing Data for ERM” and she will return on June 26th to present the very popular new course, “Generative AI for Risk Management”. [2:06] A link to the full schedule of virtual workshops can be found on the RIMS.org/education and RIMS.org/education/online-learning pages. A link is also in this episode's show notes. [2:17] RISKWORLD registration is open. Engage Today and Embrace Tomorrow, from May 4th through 7th in Chicago. Register at RIMS.org/RISKWORLD. Also, remember that there will be lots of pre-conference workshops being held in Chicago just ahead of RISKWORLD. [2:35] These courses include “Applying and Integrating ERM,” “Captives as an Alternate Risk Financing Technique,” and more! The links are in the show notes. [2:45] The Spencer Educational Foundation is having a Flash Sale for sponsorships at RISKWORLD! Sponsorship pricing has been reduced for the Spencer-CNA Pickleball Social on Saturday, May 3rd, and the Spencer-Gallagher Golf Tournament on Sunday, May 4th. [3:03] Sponsorships are still available for the Spencer-Sedgwick 5K Fun Run on Tuesday, May 6th. Visit Spencered.org/riskworld2025 to learn about these opportunities and more. Also, reach out to Spencer's Executive Director Megan Miller at MMiller@Spencered.org. [3:26] Our guest today is the Director of Global Risk Management and Insurance at Southwire Company in Georgia. She is also the former RIMS Atlanta Chapter President. Under her leadership, the chapter took home the RIMS 2022 Chapter of the Year Award at RISKWORLD. [3:46] She is Tamieka Weeks and I am so thrilled to finally get her on RIMScast to talk about her career journey, her work at Southwire, and what it was like to lead the RIMS Atlanta Chapter. [3:59] We will also talk about how Tamieka helps drive a culture of safety at Southwire, in the spirit of National Electrical Safety Month, coming up in May. [4:08] Interview! Tamieka Weeks, welcome to RIMScast!  [4:31] Tamieka Weeks started as a claims adjuster with a finance degree. Her career has been so different from many. Tamieka hopes all will take their journey for what it's worth and be proud of their accomplishments. [5:08] When someone approaches you with an opportunity, say Yes! Don't turn it down. You never know what doors may open. As a former claims adjuster, and now the Director of Global Risk Management and Insurance, she wants to have a relationship with the claims adjusters. [5:45] In a file review, Tamieka wants to know the why behind an insurance policy. She purchases a policy with the intent of protecting Southwire's assets. [6:29] Southwire is about an hour west of Atlanta, in Carrollton, Georgia. It is the leading manufacturer of wiring cable. Southwire will celebrate 75 years in March of 2030. Southwire is excited about where it is today and is looking forward to continuing to grow globally. [7:13] Tamieka knows to expect the unexpected and be able to pivot. She never knows what may come up in a day. She is open. She knows she is there to support the organization. [7:38] Tamieka is a trusted advisor and a subject matter expert within the organization. She prides herself on ensuring that everyone knows that she is here to support them. [7:54] Southwire has 9,000 employees. In November 2024, Southwire launched a risk management SharePoint site. It goes into risk management insurance definitions and surety bonds definitions. It's all about sharing the knowledge of the industry. [8:26] The SharePoint site also provides the claims reporting. Tamieka educates the employees on what to do when an incident occurs. The first thing is to report the claim to the TPA. If they have any questions, they can contact Tamieka. Tamieka is also responsible for surety bonds. [9:16] There is a checklist for property claims and those are reported to Tamieka. The instructions for what needs to happen on a property claim are on the SharePoint site. It's important to notify Tamieka so she can report the property claim. [9:32] It's all about everyone being aware of what needs to happen about an event. [9:41] Tamieka has been with Southwire for almost 12 years. She helped build the risk culture at Southwire. It's been a fun ride, for sure! [9:53] Tamieka partnered with several team members to develop the SharePoint site. It's been exciting for the organization. It was launched by the IT department and several others. Tamieka had spoken with risk professionals throughout the industry about what they were launching. [10:33] The beauty of the risk industry is that we don't have to reinvent the wheel. It's all about what we can do to enhance their organization through process improvement. [11:00] When Tamieka started with Southwire, she was busy administering certificates of insurance. The SharePoint site streamlines everything in a central location. People can see their insurance limits, request what they need, and submit information to their insurance brokers. [11:45] Tamieka's risk team of about 5 people reports to the General Counsel department. [12:27] Plug Time! RIMS Webinars! On April 24th, Riskonnect returns to deliver “Better Together: The Marriage of Insurable Risk and Business Continuity.” Nonmembers can use the code BETTER50 at checkout for complimentary registration. [12:44] Zurich's webinar, “Understanding Third-Party Litigation Funding” was rescheduled and will be held on May 1st at 1:00 p.m. Eastern. [12:52] If you were already registered for the original date, you do not need to take any action: You are now registered for the May 1st session with Zurich about “Understanding Third-Party Litigation Funding.” [13:04] On May 22nd, webinars are back with GRC, a TÜV SÜD Company, and their newest session, “Asset Valuations in 2025: Managing Tariffs, Inflation, and Rising Insurance Scrutiny”. [13:20] On June 5th, Zywave joins us to discuss “Today's Escalating Risk Trajectory: What's the Cause and What's the Solution?” We'll find out on June 5th! [13:31] More webinars will be announced soon and added to the RIMS.org/Webinars page. Go there to register. Registration is complimentary for RIMS members. [13:43] There was a brief extension for educational session submissions for RIMS Canada, which will be held from September 14th through the 17th in Calgary. The link is in this episode's show notes. Visit RIMSCanadaConference.ca and submit your session by April 24th. [14:00] Let's Return to Our Interview with Former RIMS Atlanta Chapter President Tamieka Weeks! [14:18] When Tamieka joined risk management, she loved it instantly because it's continually evolving. The market and your company are evolving and you have to be able to embrace the change. There are always new risks and emerging risks. [14:43] Once, cyber risk was new. Now the new risk we're talking about is AI. Who knows what new risk we will be talking about in the next nine months to a year? To be in the risk management industry, you have to love it to wake up each day not knowing what to expect. [15:16] Tamiela says the meaningful relationships that we establish from day to day, month to month, and year to year are truly amazing. The industry is amazing, as well, from Atlanta to global. She is excited about RISKWORLD 2025 in Chicago. [15:43] RISKWORLD 2025 will be held from May 4th through May 7th, in Chicago, Illinois. [15:47] May is also National Electrical Safety Awareness Month in the U.S. Southwire is always focused on safety, with monthly training for team members. They focus on team members from entering the facilities to exiting the facilities. Safety is number one. [16:28] Southwire's Environmental Health and Safety Department strives for safety. Southwire recently completed Lockout/Tagout training, a safety procedure for properly shutting off equipment to ensure that no one is accidentally injured if machinery is being serviced. [17:01] Tamieka says labeling is placed on Southwire wires and cables to ensure the customers are aware of how to use the products. Customers can also download information on the safe use of Southwire products. This is part of Southwire's Environmental Health and Safety efforts. [17:43] RIMS Plug! From Ryan Harris, upcoming Keynote on the Main Stage on May 6th at RISKWORLD 2025, “Greetings RIMS members and global risk professionals! I'm Ryan Harris, Champion of Super Bowl 50, best-selling author, and award-winning broadcaster. [18:02] “I'm thrilled to be your Main Stage Keynote for RISKWORLD 2025, where we will discuss the transformative five steps to building a championship team and leading to win! You can learn more about me and my story by listening to RIMScast. [18:18] ”And more than anything, make sure to register for RISKWORLD 2025 by visiting RIMS.org/riskworld. I'm so thrilled to see you and I'm looking forward to us building together so that you can reach your greatest success!” [18:33] Thank you, again, Ryan. We look forward to seeing you at RISKWORLD 2025 on May 6th. A link to Ryan's episode of RIMScast, #325, is in this episode's show notes. Get a preview of the Super Bowl Champion and remember to register for RISKWORLD 2025. [18:49] Let's Return to the Conclusion of Our Interview with Tamieka Weeks! [19:10] Tamieka describes practicing risk management in the greater Atlanta area. She says it's all about the people and the risk management community. Everybody just loves everybody! It's Southern hospitality. When she joined the Atlanta RIMS Chapter, it was very welcoming. [19:34] When Tamieka joined the board, the board members saw so much potential in her. They assured her she could do this. Tamieka says Atlanta is the land of opportunity. Tamieka joined the chapter in 2013. She became the first Black female President of the Atlanta Chapter. [20:38] Tamieka became Chapter President during COVID-19. Her thoughts were about what she could do to make the organization better and what she could do for succession planning. [20:59] Members were at home. Tamieka connected with the previous presidents and prior board members. No one was in person. Tamieka asked the previous officers for their notes. They were happy to talk and share ideas to make the chapter succeed. [22:02] That moment was more about the Chapter and less about Tamieka. Tamieka built committees and sent surveys. Tamieka wanted to hear what the members had to say. She gave the board and members a voice. It was a fun time, working to make the chapter better. [22:44] The feedback from past presidents was the foundation to win 2022 Chapter of the Year! Their ability and willingness to help Tamieka in her role made the RIMS Atlanta Chapter special. [23:33] The chapter had a virtual social hour with a mixologist. They had a virtual trivia game. They had a virtual mentor event. They raised money at a Virtual Aid Conference. They were creative in everything they did. They were able to connect with members in a challenging time. [24:20] The surveys were critical. They partnered with global RIMS to enhance their bylaws. The new bylaws permitted the board to meet virtually. They changed their chapter website. They made many improvements to the chapter's success. [24:58] In 2025, Tamieka received the Walter H. Buce Jr. Memorial Award which honors the insurance and risk management professional of the year in the RIMS Atlanta Chapter. Tamieka calls the award overwhelming. She is deeply honored. It means the world to her. [26:04] Tamieka's advice for young risk professionals: “Stay focused. When others see potential in you, listen to them. Don't shy away. Work hard. Set clear goals. Trust in yourself. Stay dedicated. Be persistent. Be intentional. Your path will eventually reveal itself. [29:29] “You're going to have people around you that are going to be your cheerleaders. Please find a mentor. They're going to support you along the way. In Atlanta, I would also say we have focused on bridging the gap of rising risk professionals and students entering the industry.” [27:08] “The RIMS Atlanta Chapter has embraced what we can do to help and support the young professionals who are focused on entering the industry soon. That's been a huge success for the RIMS Atlanta Chapter, as well.” [27:28] Tamieka Weeks, It's such a pleasure to see you again. I look forward to seeing you after this episode comes out, at RISKWORLD 2025 in Chicago. Tamieka is looking forward to seeing everyone, It's going to be a great RISKWORLD! [27:46] Special thanks again to former RIMS Atlanta Chapter President and Walter Buce Award Winner, Tamieka Weeks for joining us here on RIMScast! Learn more about her and the chapter's fantastic work through the link in this episode's show notes. Of course, visit AtlantaRIMS.org. [28:05] Plug Time! You can sponsor a RIMScast episode for this, our weekly show, or a dedicated episode. Links to sponsored episodes are in the show notes. [28:32] RIMScast has a global audience of risk and insurance professionals, legal professionals, students, business leaders, C-Suite executives, and more. Let's collaborate and help you reach them! Contact pd@rims.org for more information. [28:50] Become a RIMS member and get access to the tools, thought leadership, and network you need to succeed. Visit RIMS.org/membership or email membershipdept@RIMS.org for more information. [29:08] Risk Knowledge is the RIMS searchable content library that provides relevant information for today's risk professionals. Materials include RIMS executive reports, survey findings, contributed articles, industry research, benchmarking data, and more. [29:24] For the best reporting on the profession of risk management, read Risk Management Magazine at RMMagazine.com. It is written and published by the best minds in risk management. [29:38] Justin Smulison is the Business Content Manager at RIMS. You can email Justin at Content@RIMS.org. [29:46] Thank you all for your continued support and engagement on social media channels! We appreciate all your kind words. Listen every week! Stay safe!   Links: RISKWORLD 2025 — May 4‒7 | Register today! Download the RIMS Events app! Spencer's RISKWORLD Events — Register or Sponsor! RIMS Texas Regional 2025 — August 3‒5 | Advance registration rates now open. RIMS-Certified Risk Management Professional (RIMS-CRMP) RISK PAC | RIMS Advocacy RIMS Risk Management magazine RIMS Now The Strategic and Enterprise Risk Center Spencer Educational Foundation — General Grants 2026 — Application Dates Submit a session to RIMS Canada 2025 — Final Deadline April 24. RIMS Atlanta Chapter RIMS Webinars: RIMS.org/Webinars “Better Together: The Marriage of Insurable Risk and Business Continuity” | Sponsored by Riskonnect | April 24, 2025 “Understanding Third-Party Litigation Funding” | Sponsored by Zurich | May 1, 2025 “Asset Valuations in 2025: Managing Tariffs, Inflation, and Rising Insurance Scrutiny” | Sponsored by GRC, a TÜV SÜD Company | May 22, 2025 “Today's Escalating Risk Trajectory: What's the Cause & What's the Solution?” | Sponsored by Zywave | June 5, 2025   Upcoming RIMS-CRMP Prep Virtual Workshops: CBCP & RIMS-CRMP Exam Prep Virtual Bootcamp: Mastering Business Continuity & Risk Management | May 19‒22, 2025 | In Collaboration with DRI International Full RIMS-CRMP Prep Course Schedule “Managing Data for ERM” | June 12 | Instructor: Pat Saporito  “Generative AI for Risk Management” | June 26 | Instructor: Pat Saporito See the full calendar of RIMS Virtual Workshops RIMS-CRMP Prep Workshops   Related RIMScast Episodes: “ERM, Retail, and Risk with Jeff Strege” “Risk and Leadership Patterns with Super Bowl Champion Ryan Harris” (RISKWORLD 2025 Keynote) “Maintaining an Award-Winning ERM Program with Michael Zuraw” “RIMS Legislative Priorities in 2025 with Mark Prysock”   Sponsored RIMScast Episodes: “Demystifying Multinational Fronting Insurance Programs” | Sponsored by Zurich (New!) “Understanding Third-Party Litigation Funding” | Sponsored by Zurich “What Risk Managers Can Learn From School Shootings” | Sponsored by Merrill Herzog “Simplifying the Challenges of OSHA Recordkeeping” | Sponsored by Medcor “Risk Management in a Changing World: A Deep Dive into AXA's 2024 Future Risks Report” | Sponsored by AXA XL “How Insurance Builds Resilience Against An Active Assailant Attack” | Sponsored by Merrill Herzog “Third-Party and Cyber Risk Management Tips” | Sponsored by Alliant “RMIS Innovation with Archer” | Sponsored by Archer “Navigating Commercial Property Risks with Captives” | Sponsored by Zurich “Breaking Down Silos: AXA XL's New Approach to Casualty Insurance” | Sponsored by AXA XL “Weathering Today's Property Claims Management Challenges” | Sponsored by AXA XL “Storm Prep 2024: The Growing Impact of Convective Storms and Hail” | Sponsored by Global Risk Consultants, a TÜV SÜD Company “Partnering Against Cyberrisk” | Sponsored by AXA XL “Harnessing the Power of Data and Analytics for Effective Risk Management” | Sponsored by Marsh “Accident Prevention — The Winning Formula For Construction and Insurance” | Sponsored by Otoos “Platinum Protection: Underwriting and Risk Engineering's Role in Protecting Commercial Properties” | Sponsored by AXA XL “Elevating RMIS — The Archer Way” | Sponsored by Archer   RIMS Publications, Content, and Links: RIMS Membership — Whether you are a new member or need to transition, be a part of the global risk management community! RIMS Virtual Workshops On-Demand Webinars RIMS-Certified Risk Management Professional (RIMS-CRMP) RISK PAC | RIMS Advocacy RIMS Strategic & Enterprise Risk Center RIMS-CRMP Stories — Featuring RIMS President Kristen Peed!   RIMS Events, Education, and Services: RIMS Risk Maturity Model®   Sponsor RIMScast: Contact sales@rims.org or pd@rims.org for more information.   Want to Learn More? Keep up with the podcast on RIMS.org, and listen on Spotify and Apple Podcasts.   Have a question or suggestion? Email: Content@rims.org.   Join the Conversation! Follow @RIMSorg on Facebook, Twitter, and LinkedIn.   About our guest: Tamieka Weeks, Director, Global Risk Management & Insurance, Southwire Company, LLC     Production and engineering provided by Podfly.  

Ary Rosenbaum talks about his experience as a TPA attorney and why plan sponsors need to consider who they hire as TPA.

Welcome to RIMScast. Your host is Justin Smulison, Business Content Manager at RIMS, the Risk and Insurance Management Society.   Justin and his guest, Jeff Strege, Senior Director for Risk Management at Academy Sports + Outdoors, explore what led Jeff to risk management, and the path that led to Academy Sports + Outdoors within the sporting goods and outdoor retail space. Jeff comments on his work building out the ERM framework at Academy to improve claims management, employee safety, and liability prevention. Jeff shares his approach to workers' compensation and Academy Sports + Outdoors's goal to help the workers recover and return to work. In addition to career insights, they discuss Jeff's upcoming panel participation in HUB's webinar on April 17th, “From Defense to Prevention: Strengthening Your Liability Risk Management Approach,” covering topics such as third-party litigation funding and its impact on the industry.   Listen to Jeff's wisdom, born from experience, on managing your risk career. Key Takeaways: [:01] About RIMS and RIMScast. [:14] Registration is open for RISKWORLD 2025. Engage Today and Embrace Tomorrow with RIMS, from May 4th through May 7th in Chicago, Illinois. Register at RIMS.org/RISKWORLD. [:25] After you register, visit your App Store, search for RIMS Events, and download the RIMS Events App. Select RISKWORLD 2025, load the show onto your phone, and start building your RISKWORLD itinerary! [:41] About this episode of RIMScast. Our guest is former RIMS Houston Chapter President, Jeff Strege. We will talk about his career and how ERM continues to play a pivotal role today. [1:08] RIMS-CRMP Workshops! As part of RIMS's continuing strategic partnership with Purima, we have a two-day course coming up on April 22nd and 23rd. Links to these courses can be found through the Certification page of RIMS.org and this episode's show notes. [1:28] Virtual Workshops! On June 12th, Pat Saporito will host “Managing Data for ERM” and will return on June 26th to present the very popular new course, “Generative AI for Risk Management”. [1:45] A link to the full schedule of virtual workshops can be found on the RIMS.org/education and RIMS.org/education/online-learning pages. A link is also in this episode's show notes. [1:56] RISKWORLD registration is open. Engage Today and Embrace Tomorrow, from May 4th through 7th in Chicago. Register at RIMS.org/RISKWORLD. Also, remember that there will be lots of pre-conference workshops being held in Chicago just ahead of RISKWORLD. [2:14] These courses include “Applying and Integrating ERM,” “Captives as an Alternate Risk Financing Technique,” “Contractual Risk Transfer,” “Fundamentals of Insurance,” “Fundamentals of Risk Management,” RIMS-CRMP Exam Prep, and more! The links are in the show notes. [2:33] The Spencer Educational Foundation is having a Flash Sale for sponsorships at RISKWORLD! Sponsorship pricing has been reduced for the Spencer-CNA Pickleball Social on Saturday, May 3rd, and the Spencer-Gallagher Golf Tournament on Sunday, May 4th. [2:51] Sponsorships are still available for the Spencer-Sedgwick 5K Fun Run on Tuesday, May 6th. Visit Spencered.org/riskworld2025 to learn about these opportunities and more. Also, reach out to Spencer's Executive Director Megan Miller at MMiller@Spencered.org. [3:13] Our guest today is Jeff Strege. He is the Senior Director for Risk Management at Academy Sports + Outdoors. Academy is one of the U.S.'s largest sporting goods and outdoor stores with 301 locations across 21 states, as of March 2025. [3:33] Jeff is also a long-time RIMS member. He's the former president of the RIMS Houston Chapter and is a RIMS-CRMP holder. [3:41] In addition to his outstanding resume, Jeff will be lending his insight to the RIMS Webinar on April 17th, presented by HUB in their Ready for Tomorrow series. It's called “From Defense to Prevention: Strengthening Your Liability Risk Management Approach.” A link is in the notes. [4:01] In today's RIMScast interview, we will discuss how ERM has played a role in his career and how he manages risk in so many locations at the Academy. We will get a preview of his upcoming appearance on the Hub webinar and his thoughts on third-party litigation funding and its impact. [4:27] Interview! Jeff Strege, welcome to RIMScast! [4:45] As a Houstonian, Jeff grew up with Academy Sports + Outdoors. He's a long-term customer. In September 2020, Jeff promoted himself from customer to team member, although he still is an avid customer of Academy. [5:07] As the Academy brand is so well-known and beloved in Texas, Jeff has had the Risk Director role on his radar for many years. He had told his wife many times that if that role ever opened up at Academy, he would want to talk to them. In mid-2020, it did, and here he is! [5:29] Academy has 301 stores across 21 states as of March 7, 2025, and is headquartered in Katy, Texas, a Western suburb of Houston. Jeff graduated from Katy High School. [6:23] Academy Sports + Outdoors sells fun. They say “Have fun out there.” The items Academy sells are intended to help people be outdoors and active. Academy does a lot of work around product safety with manufacturers and suppliers, making sure they're sourcing safe products. [6:45] Academy Sports + Outdoors sells firearms and ammunition. Its goal is to be the most responsible retailer of those items in the country. [7:13] Academy Sports is responsible for following the laws of 21 states. Jeff has worked for national, multi-national, and global organizations, so he has worked with similar requirements. [7:48] Jeff worked for Sysco twice, first in the 90s and then in 2016 in a risk role similar to his current role at Academy Sports. Sysco went on a growth initiative while Jeff was there the second time and it was fun to be part of that but he couldn't pass up the opening at Academy. [8:23] Academy Sports + Outdoors has a risk department of 10 who report to Jeff. Jeff oversees the Enterprise Risk Management framework, the Insurance and Data Analytic functions, the Safety functions, and the Claim Management functions. [8:50] Jeff has three direct reports and they have functional contributors who are assigned to and report to them. Jeff's management style is to find the best possible people he can find. He's not a micro-manager. All of his staff are solid professionals who are good at what they do. [9:14] That allows Jeff to focus on strategy and executing strategic objectives while the staff keeps things working from day to day. Jeff reports to the General Counsel. In other companies, Jeff has reported to the General Counsel, HR, Treasury, or Finance. [9:42] Risk can logically report up a variety of chains to the leadership of an organization, as it touches so many aspects of the business. [10:22] Relative to firearms sales, Academy Sports has a compliance team to manage the process. They do an outstanding job. [10:39] When Jeff arrived at Academy Sports, one of his charges was to mature the ERM framework across the various organizational functions. Having the opportunity to work on that made Jeff a student of the business, which is one of the Academy's values. [11:09] Coming into the business, Jeff was fortunate to receive a safety culture already well-entrenched in the distribution centers. That team has been retooled over the years and continues to evolve as it trains and supports the operators in safe practices in their work. [11:45] Academy workers' compensation goal is to help team members recover so they can come back to work. They take a deliberate approach to working with them so they get the treatment they need, their benefits are paid timely, and their questions are answered. [12:11] Academy made a TPA change a couple of years ago that's given them more proactive tools. Both safety and claims are processes that Academy Sports continues to fine-tune. [12:25] The foundational strategy is “safety first.” If you're talking about managing claims but not about safety, there's a miss there, in terms of managing risk. [13:01] Plug Time! During this interview, we discuss the RIMS Texas Regional Conference 2025, held from August 4th through the 6th in San Antonio, Texas, at the Henry  B. Gonzalez Convention Center. That's where we held RISKWORLD 2018. [13:22] The day of this episode's release, April 15th, is the day registration opens for the RIMS Texas Regional Conference. You can get the Advance Rate from now through May 16th, 2025. A link is in this episode's show notes. You can also visit the events page of RIMS.org to register. [13:43] If you will be in the Dallas/Fort Worth area on April 17th, be sure to stop by Lonestar Park for DFW RIMS's 7th Annual Night at the Races. It will be a blast! Guest, Member, and Student tickets are available. Visit DFWRIMS.org and the link in this episode's show notes. [14:12] Let's Return to My Interview with Former RIMS Houston Chapter President Jeff Strege! [14:32] Jeff arrived at Academy Sports on Monday, September 28, 2020, and the company executed its Initial Public Offering on Friday, October 2nd, 2020. In preparing for the IPO, the company had built an ERM framework that helped inform the prospectus for investors. [14:59] When Jeff joined, he was charged with taking the framework foundation and building upon it to round out how Academy Sports views risk, scopes it, and manages it across the organization. It was a fascinating process. [15:21] He's gotten to know many good, smart people who are driving aspects of the business. [15:28] Every year, Academy Sports looks at ways to enhance the framework, to make sure it's as meaningful and informative to the leadership team and board as it can be. [15:54] The framework looks at ISO standards but most of it is inward-focused within the business of Academy Sports. What's going on in the world? How do we prevent or prepare for it? Should something occur, what strategies do we have to respond, react to, and recover from it? [16:39] Before the recent tariffs were passed, the risk team had discussed tariffs generically. Tariffs appear as subsidiary risks in a few places within the framework. Nobody in an organization can control what government leaders do. [17:22] In a way, sporting goods is a seasonal industry. Academy Sports + Outdoors sells a variety of different things and operates in a variety of climates. There's a holiday season and there are gift-giving holidays. The seasons for outdoor activities differ depending on location. [17:54] In Texas, Jeff grills and fishes year-round. It's different in a Northern climate with four distinct seasons. Hunting seasons are specifically defined. The things Academy Sports sells peak at different times of the year and the peaks sort of offset themselves. [18:25] The Academy Sports merchandising teams are diligent and deliberate in how they plan for cycling products for the seasons. [18:44] Holiday is the big season. In that, Academy Sports is like other retailers. Back-to-school time is also important. [18:57] The backyard grilling is Jeff's favorite section of the store. When he goes into the store with his wife he has to look at some grills. Jeff also works out and runs so there are several aspects of the store that he shops. [19:16] Academy sells location-specific licensed apparel. In Academy Sports + Outdoors in Houston, there is gear for the Astros, Texans, and Rockets. [19:49] From the standpoint of team member safety, Jeff refers to OSHA. Also, some states have more stringent safety requirements. Jeff's safety team drives consistency of practices and training across the footprint of the 21 states where Academy Sports + Outdoors operates. [20:36] Most of Jeff's work is done in Houston but his team gets out in the field periodically on a schedule. Jeff likes to go into the stores and distribution centers. That's where the business occurs. The work at Corporate supports the people who serve and interact with customers. [21:10] RIMS Webinars! Following the success of their recent webinar, HUB International returns for the next installment of their Ready for Tomorrow Series, “From Defense to Prevention: Strengthening Your Liability Risk Management Approach”. That session will be on April 17th. [21:29] Today's guest, Jeff Strege, is a panelist in that session! He's going to talk about it a little bit right after the break. [21:38] On April 24th, RiskConnect returns to deliver “Better Together: The Marriage of Insurable Risk and Business Continuity”. [21:45] Zurich's webinar, “Understanding Third Party Litigation Funding” was rescheduled to May 1st at 1:00 p.m. Eastern. If you were already registered for the original date, you are now registered for the May 1st session with Zurich. [22:09] On May 22nd, GRC, a TÜV SÜD Company, presents their newest session, “Asset Valuations in 2025: Managing Tariffs, Inflation, and Rising Insurance Scrutiny”. [22:22] More webinars will be announced soon and added to the RIMS.org/webinars page. Go there to register. Registration is complimentary for RIMS members. [22:33] Let's Return to my Interview with Jeff Strege! [22:46] Jeff will be joining RIMS on the HUB webinar about third-party litigation funding (TPLF) on April 17th, two days after the airing of this episode. Third-party litigation funding is a major issue for RIMS and the profession. [23:08] Academy Sports + Outdoors sees TPLF from time to time in litigated matters, but not often. The HUB webinar is largely focused on rising litigation costs and the rising value of litigated matters. Third-party funding is a driving force of that rise. [23:35] When there's a funding mechanism behind the damages claim by a plaintiff, there are interest obligations with that mechanism, which can be stiff. It does inflate the value of some matters. [24:13] Once Academy Sports + Outdoors learns third-party funding is present in a litigated matter, that's in the front of mind as they evaluate and proceed with trying to conclude the case. [24:32] In the HUB webinar on April 17th, Jeff will be discussing the client's experience, not only with TPFL but also around social engineering. There is a good panel put together for this discussion with varied perspectives that will offer a well-rounded conversation. [24:55] Panelist Bob Tyson of Tyson & Mendes, a defense lawyer in California, has creative approaches to managing and negotiating litigated cases. Panelist John Ferguson, Head of Excess Casualty at Zurich Insurance, brings an insurer's perspective to the webinar. [25:29] Panelist Carol Murphy of HUB is one of the best brokers Jeff has worked with. Jeff is looking forward to sharing the stage with this group, talking about managing claims litigation, prevention, and pre-litigation management. Safety is critical. Jeff will bring that up. [26:02] The link to the webinar is in the show notes. Register today! Registration is complimentary for RIMS members! You'll hear this webinar live with Jeff Strege of Academy Sports, Fred Ferguson of Zurich, Bob Tyson of Tyson & Mendes, and Carol Murphy of HUB. [26:34] Jeff has been involved with RIMS since the mid-1990s when he was with Sysco Foods for the first time and was elevated to the risk management role there. Starting with Houston, Jeff has been involved in various chapters in various capacities. [27:07] RIMS has been an important part of Jeff's career. He's gained solid relationships through RIMS that have yielded business relationships and relationships where he's been able to help others and be helped by them. RIMS will be very important to him as long as he works in risk. [27:51] Jeff was President of RIMS Houston for two years, until January of 2024. He serves on the board as Past President. [28:12] Having moved around the country and having held different roles, Jeff has met risk professionals from many areas. He says RIMS has high-quality chapters all over the country. The four Texas RIMS chapters have a lot of positive energy. [28:47] The chapters are working together with Justin's team in New York to host the first-ever Texas RIMS Regional Conference this August. Jeff is on the planning committee and he's excited about it. [29:04] The RIMS Texas Regional Conference will be held from August 4th through the 6th at the Henry B. Gonzalez Convention Center in San Antonio, on the River Walk, the site of RISKWORLD 2018. San Antonio is Jeff's favorite city in Texas. It's a wonderful host city. [29:30] There is a link in the show notes to the RIMS Texas Regional Conference 2025. Registration will open the week of the airing of this episode! [29:49] Jeff is a RIMS-CRMP holder. He earned that certification in November of 2019. He was excited to see RIMS introduce the certification. What he likes about CRMP is its governance focus. [30:23] Jeff had been doing risk management for a long time. The CRMP website has good sample test questions on it. He decided to work through the test questions several times. Then went and took the exam and scored pretty well, largely based on his experience. [30:48] Jeff says his ERM work over the years was helpful. The RIMS-CRMP is a good designation. Jeff appreciates that RIMS gives CRMP holders opportunities to network. He will continue to carry the designation as long as he is working. [31:09] Mos recertification points are CE-related. Jeff relies heavily on the Houston chapter's offerings and the sessions and seminars at RIMS functions. He appreciates the flexibility in terms of what qualifies, such as participation in broker-sponsored industry education. [31:50] Developing and delivering educational content is a favorite of Jeff's. He has served as Risk Manager in Residence (now Risk Manager on Campus). Jeff tells every risk manager it's amazing and they need to do it at least once. Jeff enjoys education and is always learning. [32:24] Jeff shares his advice for risk professionals. As Boomers in the industry start to retire, it's important to help the industry recruit, train, and young talent. It's a passion of Jeff's. [32:52] There are a few things Jeff would tell young professionals. One is you are the CEO of your career. Your career is your responsibility. Don't wait for a leader to bring opportunities or promotions to you. Be a student of your craft and trade. Set goals with plans to achieve them. [33:20] Jeff has managed his career that way by making strategic moves when it made sense for him to do so. He has no regrets. You're the CEO of your career, all in. Don't wait for others to act on your behalf. Whatever it is, be a student of your craft and seek opportunities to learn. [33:45] Grow your knowledge base, your experience, and your network. Jeff has benefited from RIMS in having a network of people who lean on each other and learn from each other. It's a wonderful thing! [33:58] Be a student of your business, wherever it is. Make connections within it. Seek out mentorships to learn on a broad basis what the business does and what its objectives are. You position yourself more visibly to add more value and to grow. [34:29] Jeff Strege, you have been such an inspiration today. I appreciate you so much for joining us here on RIMScast and being so giving with your time and wisdom! I look forward to seeing you at the first-ever Texas Regional 2025, August 4th through 6th in San Antonio! [34:48] Special thanks again to Jeff Strege for joining us here today on RIMScast! I look forward to seeing him at many RIMS events, including the first-ever RIMS Texas Regional Conference 2025, which will be held from August 4th through the 6th in San Antonio, Texas. [35:05] Register today through the link in this episode's show notes. [35:12] Plug Time! You can sponsor a RIMScast episode for this, our weekly show, or a dedicated episode. Links to sponsored episodes are in the show notes. [35:37] RIMScast has a global audience of risk and insurance professionals, legal professionals, students, business leaders, C-Suite executives, and more. Let's collaborate and help you reach them! Contact pd@rims.org for more information. [35:56] Become a RIMS member and get access to the tools, thought leadership, and network you need to succeed. Visit RIMS.org/membership or email membershipdept@RIMS.org for more information. [36:13] Risk Knowledge is the RIMS searchable content library that provides relevant information for today's risk professionals. Materials include RIMS executive reports, survey findings, contributed articles, industry research, benchmarking data, and more. [36:29] For the best reporting on the profession of risk management, read Risk Management Magazine at RMMagazine.com. It is written and published by the best minds in risk management. [36:43] Justin Smulison is the Business Content Manager at RIMS. You can email Justin at Content@RIMS.org. [36:50] Thank you all for your continued support and engagement on social media channels! We appreciate all your kind words. Listen every week! Stay safe!   Links: RISKWORLD 2025 — May 4‒7 | Register today! Download the RIMS Events app! Spencer's RISKWORLD Events — Register or Sponsor! RIMS Texas Regional 2025 – August 3‒5 | Advance registration rates are now open. DFW RIMS - 7th Annual Night at the Races / Lone Star Park – April 17, 2025 RIMS-Certified Risk Management Professional (RIMS-CRMP) RISK PAC | RIMS Advocacy RIMS Risk Management magazine RIMS Now The Strategic and Enterprise Risk Center Spencer Educational Foundation — General Grants 2026 — Application Dates Announcement: RIMS and The Institute for Internal Auditors' Strategic Alliance on Education Nominations for the Donald M. Stuart Award [Canada] RIMS Webinars: RIMS.org/Webinars “Ready for Tomorrow? From Defense to Prevention: Strengthening Your Liability Risk Management Approach” | Sponsored by Hub International | April 17, 2025 “Better Together: The Marriage of Insurable Risk and Business Continuity” | Sponsored by Riskonnect | April 24, 2025 “Understanding Third Party Litigation Funding” | Sponsored by Zurich | May 1, 2025 “Asset Valuations in 2025: Managing Tariffs, Inflation, and Rising Insurance Scrutiny” | Sponsored by GRC, a TÜV SÜD Company | May 22, 2025   Upcoming RIMS-CRMP Prep Virtual Workshops: RIMS-CRMP Exam Prep with PARIMA | April 22‒23 Full RIMS-CRMP Prep Course Schedule   Upcoming Virtual Workshops: “Managing Data for ERM” | June 12 | Instructor: Pat Saporito  “Generative AI for Risk Management” | June 26 | Instructor: Pat Saporito See the full calendar of RIMS Virtual Workshops RIMS-CRMP Prep Workshops   Related RIMScast Episodes: “Maintaining an Award-Winning ERM Program with Michael Zuraw” “Scenario Planning with the RIMS SERMC” “ERMotivation with Carrie Frandsen, RIMS-CRMP” “Risk Quantification Through Value-Based Frameworks” “Applying ERM Theory with Elise Farnham” “On Risk Appetite and Tolerance”   Sponsored RIMScast Episodes: “Understanding Third-Party Litigation Funding” | Sponsored by Zurich (New!) “What Risk Managers Can Learn From School Shootings” | Sponsored by Merrill Herzog (New!) “Simplifying the Challenges of OSHA Recordkeeping” | Sponsored by Medcor “Risk Management in a Changing World: A Deep Dive into AXA's 2024 Future Risks Report” | Sponsored by AXA XL “How Insurance Builds Resilience Against An Active Assailant Attack” | Sponsored by Merrill Herzog “Third-Party and Cyber Risk Management Tips” | Sponsored by Alliant “RMIS Innovation with Archer” | Sponsored by Archer “Navigating Commercial Property Risks with Captives” | Sponsored by Zurich “Breaking Down Silos: AXA XL's New Approach to Casualty Insurance” | Sponsored by AXA XL “Weathering Today's Property Claims Management Challenges” | Sponsored by AXA XL “Storm Prep 2024: The Growing Impact of Convective Storms and Hail” | Sponsored by Global Risk Consultants, a TÜV SÜD Company “Partnering Against Cyberrisk” | Sponsored by AXA XL “Harnessing the Power of Data and Analytics for Effective Risk Management” | Sponsored by Marsh “Accident Prevention — The Winning Formula For Construction and Insurance” | Sponsored by Otoos “Platinum Protection: Underwriting and Risk Engineering's Role in Protecting Commercial Properties” | Sponsored by AXA XL “Elevating RMIS — The Archer Way” | Sponsored by Archer   RIMS Publications, Content, and Links: RIMS Membership — Whether you are a new member or need to transition, be a part of the global risk management community! RIMS Virtual Workshops On-Demand Webinars RIMS-Certified Risk Management Professional (RIMS-CRMP) RISK PAC | RIMS Advocacy RIMS Strategic & Enterprise Risk Center RIMS-CRMP Stories — Featuring RIMS President Kristen Peed!   RIMS Events, Education, and Services: RIMS Risk Maturity Model®   Sponsor RIMScast: Contact sales@rims.org or pd@rims.org for more information.   Want to Learn More? Keep up with the podcast on RIMS.org, and listen on Spotify and Apple Podcasts.   Have a question or suggestion? Email: Content@rims.org.   Join the Conversation! Follow @RIMSorg on Facebook, Twitter, and LinkedIn.   About our guest: Jeff Strege, MBA, ARM, RIMS-CRMP, Sr. Director, Risk Management, Academy Sports + Outdoors   Production and engineering provided by Podfly.  

In this episode of Alternative Allocations, Tony and Aaron discuss the Total Portfolio Approach (TPA), which shifts from traditional strategic asset allocation to a more goal-aligned investment strategy. They explore key aspects of TPA, including governance, culture, a factor-based lens, and competition for capital. The episode highlights both the challenges and opportunities for advisors in adopting TPA, such as the need for a cultural shift and technical expertise, but also the potential for improved client outcomes and more flexible portfolio construction. Practical steps for implementing TPA, such as making incremental changes and reorganizing the investment team, are also discussed. Aaron sits on CAIA Association's executive leadership team and leads its global content strategy. This includes the development of thought leadership, research, and content agendas, content marketing and brand, and industry events. He also oversees strategy for CAIA's 20 chapters across the U.S., Canada, and Latin America.  Previously, Aaron founded UniFi by CAIA™, an online platform dedicated to educating the private wealth management industry on alternative investments. He has also sat in various other content development and educational programming roles at CAIA. Aaron is a frequent speaker and writer on various topics of alternative investments and his work has been published in CAIA's educational programs, numerous academic journals, books, and industry publications. Aaron's industry experience lies in private wealth management, where he oversaw asset allocation, portfolio construction, and manager research efforts for high-net-worth individuals and defined contribution plan sponsors and participants. He earned a B.S. with distinction in Finance and a Master of Finance from Penn State University. He holds the Chartered Alternative Investment Analyst (CAIA), Chartered Financial Analyst (CFA), Certificate in Investment Performance Measurement (CIPM), and Financial Data Professional (FDP) designations, and is a CERTIFIED FINANCIAL PLANNER™. He is a Past President of CFA Society Columbus and serves as a board director and Programs Chair for CFA Society Philadelphia. Aaron is an adjunct professor and serves on multiple advisory boards for Penn State University.   Enjoying Alternative Allocations? Please take a moment to rate and review us. Your feedback helps us deliver more insightful episodes on alternative investments! Resources: Aaron Filbeck, CAIA, CFA, CFP®, CIPM, FDP | LinkedIn Alternatives by Franklin TempletonTony Davidow, CIMA® | LinkedIn

In this episode, our guest is Tom Campbell, the Dean and Associate Professor of Pharmacy Practice at Lipscomb University College of Pharmacy in Nashville. Dr. Campbell received his Pharm.D. degree from the University of Tennessee College of Pharmacy and received board certification in pharmacotherapy in 1995. His prior work experience includes a pharmacy practice residency with VA Medical Center in Memphis, Columbus Regional Health System in Columbus, Georgia, and Sanofi Pharmaceuticals. He also served as Clinical Assistant Professor at Auburn University. Dr. Campbell has served as President of the Tennessee Pharmacists Association and served on the Board of Directors. He is a member of AACP, ASHP, APhA, CPFI and TPA. He's a recipient of the 2024 APhA Academy of Student Pharmacists Outstanding Dean Award which was established to recognize a school or college of pharmacy dean who has made significant contributions to the APhA-ASP Chapter and promoted with distinction the welfare of student pharmacists through various community service, leadership and professional activities. Dr. Campbell is a Sunday school teacher and former elder at the Spring Meadows Church of Christ in Spring Hill, TN. He has traveled to Central America as part of medical mission campaigns numerous times. Dr. Campbell and his late wife, Susan, have three sons.During the discussion, we explored questions around:How faith influences our daily work in healthcareThe ways faith impacts health behaviors and decision-makingThe role faith plays in job satisfaction and professional fulfillmentIt was inspiring to engage in meaningful dialogue with a leader who also sees their work as a calling to serve others. I'm grateful to Dean Campbell at Lipscomb University for fostering conversations that remind us of the deeper purpose behind our careers. ★ Support this podcast on Patreon ★

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.Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

In part 2 of episode 469, host Stacey Richter discusses the implications of Medicare site neutral payments and Health Savings Account (HSA) reforms with James Gelfand, president and CEO of the ERISA Industry Committee (ERIC).  The episode details how plan sponsors should adapt to Medicare's site neutral payment policies aimed at curbing hospital consolidation and inflated prices through facility fees and markups. Gelfand provides insights into how HSA reforms currently in Congress could expand the scope of preventive care covered before deductibles are met, benefitting both employers and employees.  The conversation also touches on the challenges high deductible health plans pose and the potential benefits of codifying recent IRS guidance to allow greater flexibility in pre-deductible coverage. The discussion underscores the importance of plan sponsors staying ahead of Medicare policies to avoid higher costs. === LINKS ===

Joe had some family members fly into TPA last night... but what time should he be getting to the airport to pick them up?!

The chain of survival for a cardiac emergency and stroke start the same: 1. preparedness & recognition of an emergency; 2. activation of EMS; 3. delivery of Advanced Life Support; and 4. transporting to the most appropriate facility.ALS ambulances are staffed with paramedics who have training in ACLS skills. Why EMS "Destination Protocols" for suspected stroke and STEMI make a difference.ACLS's timed benchmarks for:point of first medical contact to PCI for ST elevation MI;door to tPA for ischemic stroke; andonset of symptoms to EVT for LVO strokes.Why EMS should bypass a close hospital to transport a STEMI or suspected stroke patient to a hospital capable of 24/7 PCI or a certified stroke center. Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting. Donations at Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated and will help ensure others can benefit from these tips as well.Good luck with your ACLS class!Helpful Listener Links:Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/

Discover key insights on selecting a Third-Party Administrator (TPA) that drives superior claims outcomes through digital innovation, expertise, and strategic partnerships in transportation and alternative markets. Digital Infrastructure … Read More » The post Choosing the Right TPA for Transportation & Captives – Webinar Highlight appeared first on Insurance Journal TV.

True responsibility is not just defining and acting on the minimal legal requirement, but outlining the maximum possible actions you could have taken. It's not happening to you, it's happening for you.Eric Bream's conversation reminded me of Michael Schur's interview with Tim Ferris. Michael Schur is the creator of the hit Netflix series, The Good Place  and written a book called, 'How to be perfect - The correct answer to every moral question." Bream Family Farms website - www.breamfamilyfarms.comThis episode is sponsored by UnitedAg,  one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona.  Kirti Mutatkar, President and CEO of UnitedAg. Reach me kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg's website - www.unitedag.org

Big changes are happening at Restoration Pros Unplugged! Host Clinton James is excited to introduce Bobby Thomas as the new co-host of the podcast! Bobby isn't just any guest—he's the CEO of Extreme Services, a multi-location restoration company with over 15 years of industry experience. From starting with a Home Depot Rug Doctor to scaling a successful business specializing in water, fire, and mold restoration, Bobby brings hands-on expertise that will take this podcast to the next level.With Bobby on board, expect even deeper insights into scaling a restoration company, securing TPA work, building strong industry partnerships, and navigating the evolving restoration landscape. Whether you're an owner looking to grow your business or just getting started in the industry, this new era of Restoration Pros Unplugged will bring you the strategies, success stories, and expert interviews you need to stay ahead.Don't miss this exciting kickoff to a new chapter—tune in now and meet your new co-host, Bobby Thomas!If you're interested in learning how Water Restoration Marketing can help you overcome the challenges discussed in this episode and get more water jobs, book a free strategy session with our team today!https://www.waterrestorationmarketing.net/schedule

 Listen to the Show Right Click to Save GuestsTexArts Tick...Tick...Boom!KOOP Spring Membership Drive What We Talked About Cynthia Erivo to host Tonys Leslie Ann Warren – Cinderella Operation Mincemeat extends Jonathan Larson Project One for my Baby Alley Season Heller Awards to TPA Pippin Anniversary Concert Performance The Heathers Book of Mormon passes Rent Eureka Day at the Kennedy center Canceled Playhouse 46 closes Sumo Thank you to Dean Johanesen, lead singer of "The Human Condition" who gave us permission to use "Step Right Up" as our theme song, so please visit their website.. they're good! (that's an order)

If you are trying to leverage innnovation to deliver high impact to self-insured employers, this podcast is a must-listen for you! Ashok Subramaniam, CEO and co-founder of Centivo, a forward-thinking TPA, answers some of the important questions of major disruptions in the industry around price transparency, unbundling of provider networks, stronger relationships between brokers and TPAs, and the areas of focus to clarify your true value to employers. He frankly outlines where the puck is going to be in 3 years time -- you don't want to be there. 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

Zapraszamy na drugi odcinek serii o przyszłości budownictwa, który poświęciliśmy budowie dróg i różnym materiałom, z których powstają. Z Krzysztofem Zadrożnym, dyrektorem oddziału Strabag, rozmawiamy o nawierzchniach betonowych, a z Aleksandrem Zborowskim, dyrektorem ds. badań i rozwoju TPA, przyglądamy się nawierzchniom asfaltowym. Rozmowy prowadzi Karol Tokarczyk. Partnerem serii jest Strabag.

Zapraszamy na drugi odcinek serii o przyszłości budownictwa, który poświęciliśmy budowie dróg i różnym materiałom, z których powstają. Z Krzysztofem Zadrożnym, dyrektorem oddziału Strabag, rozmawiamy o nawierzchniach betonowych, a z Aleksandrem Zborowskim, dyrektorem ds. badań i rozwoju TPA, przyglądamy się nawierzchniom asfaltowym. Rozmowy prowadzi Karol Tokarczyk. Partnerem serii jest Strabag.

Host: David Rosenblum, MD Guest: Phillip Kim, MD Date: January 24, 2025 Time: 6:30 AM Episode Summary: In this episode of the PainExam Podcast, Dr. David Rosenblum engages with Dr. Phillip Kim to discuss the Federation Pain Care Access, a newly formed organization advocating for improved access to interventional pain treatments. The episode delves into the challenges posed by restrictive insurance coverage policies and the collaborative efforts needed to address these issues effectively. Key Discussion Points: -Introduction to Federation Pain Care Access: A new entity focused on advocating for emergent and standard care in interventional pain treatments, aiming to enhance access through advocacy and legislative solutions. - Impact of Restrictive Policies: Dr. Kim highlights how insurance carriers like Evicor, AIM, and Optum impose restrictive coverage policies that harm patients and practitioners, particularly amid the ongoing opioid epidemic.AIM, Optum and Evicore are not insurance carriers. these are separate entities which oversee utilization management and prior auth requests for insurance carriers (HMO, TPA's etc) e g. BCBS plans, UHS etc. Prior Authorization Challenges: Discussion on the AMA 2022 Prior Authorization Physician Survey, which indicates significant negative impacts on patient care due to prior authorization processes. - Case Studies: Dr. Kim shares specific cases where patients faced harm due to denied claims, including issues related to medical cannabis and necessary medical equipment.   - Collaboration with Medical Societies: The Federation works alongside various pain societies and stakeholders to address common concerns and push for better coverage policies. - Future Goals Plans for meetings with CMS and Medicare Administrative Contractors (MACs) regarding specific treatments like SI joint radiofrequency ablation, aiming to improve coverage and access.   Fundraising and Outreach: The Federation seeks to grow its membership and funding through outreach to allied health professionals and patient care groups while launching a media campaign to raise awareness of patient struggles  Legal and Advocacy Efforts: Emphasis on the need for legal considerations in advocacy efforts and the importance of public support in achieving the Federation's goals. - The No Pain Act: Discussion on recent legislation aimed at expanding access to non-opioid treatments and alternatives for chronic pain management. Guest Bio: Phillip Kim, MD is a leading advocate for pain care access and a founding member of the Federation Pain Care Access. He brings extensive experience in managing chronic pain patients and navigating healthcare policies. Resources  Federation Pain Care Access Website:  https://www.painfed.org # board Listeners are encouraged to support the Federation Pain Care Access by visiting their website to learn more about their initiatives and consider contributing to help advance their mission. Join Dr. Rosenblum and Dr. Kim in this vital conversation about the ongoing efforts to improve pain care access and the importance of collaboration in overcoming the challenges faced by patients and healthcare providers.   Long island based anesthesiologist, David Rosenblum, MD, is one of the first interventional pain physicians in the country to integrate ultrasound guidance into his pain practice. Since 2007, he has been an international leader in the treatment of chronic pain. He has helped countless of patients suffering from back, neck, knee, shoulder, hip joint pain and has been at the forefront of regenerative pain medicine, minimally invasive pain therapies and medical education.  Patients can schedule a consultation by going to  www.AABPpain.com or calling: Brooklyn Office 718 436 7246 Garden City Office 516 482 7246

Host: David Rosenblum, MD Guest: Phillip Kim, MD Date: January 24, 2025 Time: 6:30 AM Episode Summary: In this episode of the PainExam Podcast, Dr. David Rosenblum engages with Dr. Phillip Kim to discuss the Federation Pain Care Access, a newly formed organization advocating for improved access to interventional pain treatments. The episode delves into the challenges posed by restrictive insurance coverage policies and the collaborative efforts needed to address these issues effectively. Key Discussion Points: -Introduction to Federation Pain Care Access: A new entity focused on advocating for emergent and standard care in interventional pain treatments, aiming to enhance access through advocacy and legislative solutions. - Impact of Restrictive Policies: Dr. Kim highlights how insurance carriers like Evicor, AIM, and Optum impose restrictive coverage policies that harm patients and practitioners, particularly amid the ongoing opioid epidemic. AIM, Optum and Evicore are not insurance carriers. these are separate entities which oversee utilization management and prior auth requests for insurance carriers (HMO, TPA's etc) e g. BCBS plans, UHS etc. Prior Authorization Challenges: Discussion on the AMA 2022 Prior Authorization Physician Survey, which indicates significant negative impacts on patient care due to prior authorization processes. - Case Studies: Dr. Kim shares specific cases where patients faced harm due to denied claims, including issues related to medical cannabis and necessary medical equipment.   - Collaboration with Medical Societies: The Federation works alongside various pain societies and stakeholders to address common concerns and push for better coverage policies. - Future Goals Plans for meetings with CMS and Medicare Administrative Contractors (MACs) regarding specific treatments like SI joint radiofrequency ablation, aiming to improve coverage and access.   Fundraising and Outreach: The Federation seeks to grow its membership and funding through outreach to allied health professionals and patient care groups while launching a media campaign to raise awareness of patient struggles  Legal and Advocacy Efforts: Emphasis on the need for legal considerations in advocacy efforts and the importance of public support in achieving the Federation's goals. - The No Pain Act: Discussion on recent legislation aimed at expanding access to non-opioid treatments and alternatives for chronic pain management. Guest Bio: Phillip Kim, MD is a leading advocate for pain care access and a founding member of the Federation Pain Care Access. He brings extensive experience in managing chronic pain patients and navigating healthcare policies. Resources  Federation Pain Care Access Website:  https://www.painfed.org # board Listeners are encouraged to support the Federation Pain Care Access by visiting their website to learn more about their initiatives and consider contributing to help advance their mission. Join Dr. Rosenblum and Dr. Kim in this vital conversation about the ongoing efforts to improve pain care access and the importance of collaboration in overcoming the challenges faced by patients and healthcare providers.   Long island based anesthesiologist, David Rosenblum, MD, is one of the first interventional pain physicians in the country to integrate ultrasound guidance into his pain practice. Since 2007, he has been an international leader in the treatment of chronic pain. He has helped countless of patients suffering from back, neck, knee, shoulder, hip joint pain and has been at the forefront of regenerative pain medicine, minimally invasive pain therapies and medical education.  Patients can schedule a consultation by going to  www.AABPpain.com or calling: Brooklyn Office 718 436 7246 Garden City Office 516 482 7246

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.Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting so that others can benefit from these ACLS tips as well. Donations via Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated.Good luck with your ACLS class!

In this episode, we explore Dependent Care FSAs—what they are, how they work, and why they're a valuable benefit for employees managing dependent care expenses. Learn about eligibility, compliance essentials, and best practices for HR to help employees maximize their tax savings.Payroll + HR + Benefits in an all-in-one solution. Request a BerniePortal demo today!https://www.bernieportal.com/get-a-demo/Find us at https://www.bernieportal.com/hr-party-of-one/BerniePortal: The all-in-one HRIS that makes building a business & managing its people easy. http://bit.ly/2NEQ5QbWhat is an HRIS?https://www.bernieportal.com/hris/BernieU: Your free one-stop shop for compelling, convenient, and comprehensive HR training and courses that will keep you up-to-date on all things human resources. Approved for SHRM & HRCI recertification credit hours. Enroll today!https://www.bernieportal.com/bernieu/Join the HR Party of One Community!https://hubs.ly/Q02mNML90▬ Episode Resources & Links ▬▬▬▬▬▬▬▬▬▬HR Scorecardhttps://www.bernieportal.com/hr-scorecard-identify-compliance-risks/What Is a TPA?https://youtu.be/_R7bkvwExdc?si=3Z3WFU2ZeB3ustCuThe Top 5 Ways to Save Time on COBRA with Alpinehttps://youtu.be/i4FCL7mQSmc?si=PSpl-NTp2OYktl1yWhat is an FSA?https://youtu.be/AX1ySqiAIl4?si=e2ZODDum0tP3EeJQWhat are Dependent Care FSAs?https://youtu.be/_Ql0uHPo10A?si=_6GNbWZ3IbrvqNZdCan an Employee Contribute to an HSA if Their Spouse Has an FSA?https://youtu.be/IL-jdafAJpA?si=JUN_Xjbd6DFe7M1VAlpine TPAhttps://www.alpinetpa.com/▬ Social Media ▬▬▬▬▬▬▬▬▬▬▬► LinkedIn: https://www.linkedin.com/company/bernieportal▬ Podcast▬▬▬▬▬▬▬▬▬▬▬▬► Apple Podcasts: https://podcasts.apple.com/us/podcast/hr-party-of-one/id1495233115► Spotify: https://open.spotify.com/show/5ViQkKdatT40DPLJkY2pgA► Amazon Music:

Employers need proven strategies to manage risks and control costs, but with hundreds of point solutions on the market, how do brokers know where to focus? In this episode, a leading benefits consultant shares the innovative solutions they're implementing, why these choices matter, and the pivotal role a trusted TPA plays in this process. Tune in to gain insights that can guide your own risk and cost management decisions. This episode was sponsored by Valenz Health. For more information on managing risks and controlling costs, please visit HCAA.org. 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/

Many restoration companies are beholden to program work, TPA's and the plumber referral game. 1 Tom Plumber Rocky Hensley sits down with Eric and Larry to educate our listeners on how to make their own water damage leads.  You can reach Rocky at  1 TOM PLUMBER (1-866-758-6237) or email him at Rocky@1tom.com.TITLE SPONSOR:Super Tech UniversityDramatically improve your team's performance with a system of short daily video lessons training your team in soft skills. When you invest in your team and teach them soft skills, your team can make you more profit. Go to https://supertechu.com/ for more info.Click here for a discount: https://supertechu.com/register/podcastoffer/.Here is an entrepreneur's story you will relate to.SPONSOR: C&R MagazineC&R magazine is the leading periodical in the Cleaning and Restoration industry. Owner and editor Michelle Blevins has brought printed copies back from the dead to increase reader experience. Go to www.candrmagazine.com to get your free copy sent directly to your home or business.