Podcasts about united healthcare

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Rob Lott interviews Jonathan Perlin of The Joint Commission about the origins of this commission, the impacts made on health care through quality improvement and patient safety, the role of accreditation, the public policy levers that drive change, and more. Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

In the Medicare Advantage Minute segment, United Healthcare cites the murder of their CEO in a move to stifle criticism from the press.                                           Gee, that should make them a lot of friends! In a selection from "Your Medicare Benefits 2025" we learn how Medicare would cover Nebulizers and Nebulizer medications. A couple of valued clients inform me about trouble in Paradise! They move from Minnesota to Green Valley, AZ and some alert employee of their Part D prescription drug plan decided to do a little snooping. Eventually, the Minnesota plan was cancelled and the husband was unable to obtain any more meds. During that investigation another mystery presented itself, this one centering on a theft of enrollment; a Medicare participant was notified that her drug plan had been automatically cancelled due to enrollment in a Humana Medicare Advantage plan. That would have netted some thief a $600+ sales commission. Fortunately, the Content Curator took quick action and the damage was reversed. Listen carefully for a hint as to how one can improve a drug plan customer service encounter. Susan is so eager to become a client she wants to lock in her Medicare supplement plan six months ahead of time. Didn't work out exactly as planned for her. Finally, Dirk needs some guidance as to when to enroll in Medicare, his 65th birthday month or the month his wife retires.  Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; SIMPLEST & EASIEST GUIDE EVER!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" "MEDICARE FOR THE LAZY MAN: BARE BONES!" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers welcomes Dr. Aaron Carroll, President and CEO of AcademyHealth, to the pod to discuss his recent Forefront article that takes a closer look at the disappearance of public health information and how this could have an impact on infrastructures that scientists, clinicians, health policy makers, and community leaders rely on daily. Become an Insider today to get access to our trend reports, events, and exclusive newsletters.Related Links:AcademyHealth Situation ReportsPRESS RELEASE: AcademyHealth Joins Lawsuit to Restore Public Health Data Removed from Federal WebsitesBecome an AcademyHealth Member Subscribe to UnitedHealthcare's Community & State newsletter.

Howie and Harlan discuss Dr. Vinay Prasad's departure from the FDA after a backlash against his decisions on Sarepta's Duchenne muscular dystrophy gene therapy. Also examined: AI in clinical settings, changes in NIH grantmaking, and the 60th anniversary of Medicare and Medicaid. Links: Sarepta and the FDA “STAT breaks down the confusing, heartbreaking Sarepta saga” “Sarepta Therapeutics' Duchenne therapy faces ‘arduous' path back to market, senior FDA official says” “For many Duchenne families, halt to gene therapy is heartbreak upon heartbreak” “FDA launches probe into new Elevidys death as Sarepta, Roche stress gene therapy not at fault” “FDA Recommends Removal of Voluntary Hold for Elevidys for Ambulatory Patients” “FDA takes U-turn on Sarepta's Elevidys, backing Duchenne gene therapy again in ambulatory patients” “Controversial FDA official Dr. Vinay Prasad departs agency” “Top F.D.A. Vaccine Official Resigns, Citing Kennedy's ‘Misinformation and Lies'” “Vinay Prasad Is a Bernie Sanders Acolyte in MAHA Drag” “Timeline: The Rise and Fall of Vioxx” “What have we learnt from Vioxx?” THC in pizza dough “C.D.C. Ties 85 Cases of THC-Related Symptoms to Wisconsin Restaurant” “Tetrahydrocannabinol Intoxication from Food at a Restaurant — Wisconsin, October 2024” NIH funding “NIH is shrinking the number of research projects it funds due to a new Trump policy” NIH: Supporting Fairness and Originality in NIH Research Applications “Fearful of AI-generated grant proposals, NIH limits scientists to six applications per year” “Trump budget draft proposes NIH consolidation and 40% spending cut” Raw milk “Outbreak of Salmonella Typhimurium Infections Linked to Commercially Distributed Raw Milk — California and Four Other States, September 2023–March 2024” “The Dangers of Raw Milk: Unpasteurized Milk Can Pose a Serious Health Risk” AI in healthcare update “Ambience Healthcare Announces $243 Million Series C to Scale its AI Platform for Health Systems” “As ambient scribes face off, Doximity lures doctors with a free option” Aidoc: “AI Empowering Radiologists” “Clinical Implementation of a Combined Artificial Intelligence and Natural Language Processing Quality Assurance Program for Pulmonary Nodule Detection in the Emergency Department Setting” “Large Language Models as an Inexpensive and Effective Extra Set of Eyes in Radiology Reporting” “Current Trends in Remote and Flexible Work Options in Radiology and Perception of Impact on Radiologist Well-being” Medicare and Medicaid 60th anniversary CMS' program history “Medicare and Medicaid turn 60 – and face historic cuts decades in the making” UnitedHealth and Medicare Advantage “UnitedHealth says 2025 earnings will be worse than expected as high medical costs dog insurers” “UnitedHealthcare to exit certain Medicare Advantage markets as costs balloon, impacting 600K enrollees” “Novo Nordisk slides further on US competition, new CEO concerns” “Dems Must Really Fix Medicaid, Not Just Undo Trump's Damage to It”   Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

In this episode, Scott Becker examines UnitedHealthcare’s recent 5% stock drop and its broader 47% year-to-date decline, driven by rising medical loss ratios and a Department of Justice investigation.

In this episode, Scott Becker highlights five publicly traded companies experiencing significant downturns, including Novo Nordisk, UnitedHealthcare, Spotify, UPS, and Stellantis.

In this episode, Scott Becker highlights five publicly traded companies experiencing significant downturns, including Novo Nordisk, UnitedHealthcare, Spotify, UPS, and Stellantis.

In this episode, Scott Becker examines UnitedHealthcare’s recent 5% stock drop and its broader 47% year-to-date decline, driven by rising medical loss ratios and a Department of Justice investigation.

Carol Price Guthrie has spent over three decades working in the field of intellectual and developmental disabilities (IDD), beginning as a direct support professional in Tennessee. Her career journey includes roles in case management, program development, and managed care, with experience founding her own case management agency and contributing to projects at UnitedHealthcare. Currently, she serves as Senior Director of Waiver and Program Development at StationMD, a telehealth company specializing in medical services for individuals with IDD. Guthrie is deeply committed to health equity, advocating for specialized, ongoing training and personalized support that enables people with IDD to access community-based services and live with dignity and independence.

This episode features Amy Jordan, Vice President of Consumer Digital Engagement at UnitedHealthcare, discussing the launch of Smart Choice, a data-driven provider search tool designed to simplify healthcare navigation. Amy shares how the platform uses personalization and quality metrics to improve member experience and how it fits into UnitedHealthcare's broader digital transformation strategy.

In this episode, Scott Becker discusses the mounting challenges for UnitedHealthcare, including a Department of Justice investigation into its Medicare Advantage billing and a 50 percent stock drop over the past year.

In this episode, Scott Becker discusses the mounting challenges for UnitedHealthcare, including a Department of Justice investigation into its Medicare Advantage billing and a 50 percent stock drop over the past year.

We're marking 100 episodes by getting real about a moment that I've feared all my life. The moment where they asked if there was a doctor onboard this plane! Also: we talk about Dr. Elisabeth Potter, a breast cancer surgeon who stood up to UnitedHealthcare after they told her how to do her job—and then punished her for it. It's infuriating. But it's also revealing. Takeaways: There was a medical emergency onboard my latest flight. Dr. Elisabeth Potter tried to do what was best for her patient. UnitedHealthcare had other ideas. There's a quiet war happening between doctors and insurers—and it's not just about money. Reaching Episode 100 made us reflect on where we've been, and the messy, human parts of medicine we still need to talk about. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information.  Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

There was some activity over at the headquarters of the U.S. Central Bank. It was a show and tell about the $2.5 billion restoration going on and why that happened today.  This is the Business News Headlines for Thursday the 24th day of July, coming to you again from Norfolk, Virginia. In other news, like the U.S. Central Bank the European Central Bank has delayed cutting rates…and why.  Looks like the railroad merger might be happening. We'll share what we know at this point. President Trump weighs in on Tesla in a surprise Truth Social Post. From the entertainment world…remember Lindsey Buckingham and Stevie Nicks?  Long before Fleetwood Mac's successful LP Rumors there was the Buckingham Nicks Album…we have some news. We'll take a look at the Wall Street Numbers from today and United Health Care is the subject of a Department of Justice review…think Medicare Billing.  Ready?  Let's go! Thanks for listening! The award winning Insight on Business the News Hour with Michael Libbie is the only weekday business news podcast in the Midwest. The national, regional and some local business news along with long-form business interviews can be heard Monday - Friday. You can subscribe on  PlayerFM, Podbean, iTunes, Spotify, Stitcher or TuneIn Radio. And you can catch The Business News Hour Week in Review each Sunday Noon Central on News/Talk 1540 KXEL. The Business News Hour is a production of Insight Advertising, Marketing & Communications. You can follow us on Twitter @IoB_NewsHour...and on Threads @Insight_On_Business.

It was a mixed bag of earnings overnight. Tom and Ryan unpack the US session with bond yields increasing while the US dollar dropped, and the S&P 500 and Nasdaq closing at record highs. Alphabet and Tesla again dominated the conversation, and energy stocks have seen gains amid a climb in oil prices. Ryan shares expectations around upcoming rate cuts amid unexpected employment numbers, Chipotle shares saw a significant cut, as did IBM and United Healthcare, and tech stocks saw gains potentially fuelled by Alphabet’s earnings. The content in this podcast is prepared, approved and distributed in Australia by Commonwealth Securities Limited ABN 60 067 254 399 AFSL 238814. The information does not take into account your objectives, financial situation or needs. Consider the appropriateness of the information before acting and if necessary, seek appropriate professional advice.See omnystudio.com/listener for privacy information.

In episode 1901, Jack and Miles are joined by host of American Hysteria, Chelsey Weber-Smith, to discuss… Epstein Panic Check In, That ‘Uber With Guns’ App Is Expanding and more! Reporter: Why doesn’t the President just order the FBI to release the full Epstein files? Deputy attorney general seeking meeting with Epstein associate Ghislaine Maxwell Trump 'won't make a deal' with Washington Commanders if team refuses to change name 'Uber With Guns’ App Contracts With Police Officers Accused Of Misconduct ‘Uber with guns’ app launches in Los Angeles A New Uber Clone With Armed Drivers Is the App for a Violent and Paranoid America 'Uber for bodyguards': New app provides armed security teams at the push of a button Protector: We revisit the tragic murder of UnitedHealthcare’s CEO and examine how the presence of a Protector may have changed the outcome. (Clip) Protector Launches Patrol App to Bring Elite Protection to Los Angeles Homes and Families Dystopian Startup Lets the Wealthy Rent Off Duty Cops on Demand The Blurred Blue Line LISTEN: Just Can't Explain by Alps CruSee omnystudio.com/listener for privacy information.

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This episode features Amy Jordan, Vice President of Consumer Digital Engagement at UnitedHealthcare, discussing the launch of Smart Choice, a data-driven provider search tool designed to simplify healthcare navigation. Amy shares how the platform uses personalization and quality metrics to improve member experience and how it fits into UnitedHealthcare's broader digital transformation strategy.

Trey Herweck, pastor at Refuge Church in St. Charles, MO, joins me to talk about living in Interesting Times. We are using the most recent article from The Embassy as our jumping off point. Here is an excerpt:ViewAlthough it is often mislabeled as a Chinese curse, “May you live in interesting times” is of English origin. It appears in British diplomatic circles during the late 19th and early 20th centuries. While there is no equivalent Chinese saying, they (at least according to Wikipedia) do have this: “Better to be a dog in times of tranquility than a human in times of chaos”, which is a bit more, well, interesting. At any rate, we live in interesting times, and we understand the impulse to call that a curse. Our times are in turns unpredictable (except when they are all too predictable), anxiety provoking, polarizing, angry, fearful, dark, and at times, violent. It is the last one that is catching us, or most of us, by surprise. This violence seems increasingly to be cast as a moral response to this broken state of affairs.The murder of Brian Thompson, CEO of United Healthcare, on December 4th of last year is perhaps the most prominent recent example of an act of violence which was justified by some as a moral act. After his arrest for the murder, Luigi Mangione's manifesto was discovered whichindicated that he saw the killing as a direct challenge to the health care industry's “corruption” and “power games.”“Frankly, these parasites simply had it coming,” the document read.NYT - December 20, 2024Based on the reaction to his arrest, many people, many of these being younger people, agreed - this was, to them, a moral act, an attempt to change the world for the better, ending the corruption of the health care industry.Ending the corruption in government was the stated motivation for the man who beat the husband of former House Speaker Nancy Pelosi with a hammer after breaking into their San Francisco home in 2022. He intended to hold the Speaker hostage to extract government changes. A similar motivation was behind the group that plotted to kidnap Governor Gretchen Whitmer of Michigan. Authorities claimed they hoped to start a civil war to bring down a corrupt government. While no motive has been identified after shots were fired into the Democratic National Committee office in Arizona last fall, a fire set in the New Mexico Republican Party headquarters in March of this year was in response to immigration enforcement.Shortly after a dinner with dozens of friends celebrating the beginning of Passover, Pennsylvania Governor Josh Shapiro and family narrowly escaped the fire destroying their home. The man who has admitted setting the fire cited the treatment of Palestinians in Gaza.A similar motivation was at the heart of the killings of two members of the Israeli Embassy staff in Washington D.C in May and of the man who used fire to injure and kill at a Boulder, Colorado march in support of the Israeli hostages in Gaza.On a different note, Ziz LaSota believes that the threat of artificial intelligence is sufficient to justify violence.She wrote favorably of violence, said she was willing to sacrifice everything to achieve her goals and considered A.I.'s threat to humanity “the most important problem in the world,” she once wrote. Now six people are dead, landing her and several friends and allies, known as the “Zizians,” in jail, awaiting trial.New York Times - July 6, 2025And, of course, two different people on two separate occasions, citing the danger to democracy, attempted to assassinate President Trump.Certainly, there is corruption in health care and government. Many of us are troubled by the at turns absent, then uneven, capricious, and perhaps lawless enforcement of immigration laws. The plight of the Palestinians in Gaza is grievous. It may be true that artificial intelligence poses a threat to humanity. Much of our world is broken. Does this justify violence, specifically lawless violence, in response? And what positive impact does any of this violence have? Far from being a moral statement, lawless violence lacks moral standing, and therefore undermines the cause in the eyes of almost everyone who is not already a true believer. I can't think of any case where violence caused positive change in any democratic society in my lifetime. It tends to alienate those not already onboard, and shows itself to be part of a statement about the person committing violence more than it is about the injustice of the world. I have mentioned before there were more than 2500 anti-war, anti-government bombings in our country during an 18-month period spanning 1971 and 1972. That is about five per day. Those who are old enough to remember it were not surprised that Richard Nixon was re-elected as President in 1972, winning over 60% of the popular vote and 49 states. This violence for a purpose just does not get you to the purpose. It also identifies the brokenness of the world we live in as something unique to our age instead of something common to all ages. This common brokenness is something we are called to engage and redeem, and that won't happen by way of violence. We live in a society of political freedom and, therefore, political responsibility. Far from fulfilling this responsibility, these acts of violence are an abdication from it.Bad times, hard times - this is what people keep saying; but let us live well, and times shall be good. We are the times: such as we are, such are the times.Augustine of Hippo, ~ 400 A.D.Read the whole article here.The Embassy is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to The Embassy at theembassy.substack.com/subscribe

We talk about cancer with Dr. Rhonda Randall, Chief Medical Officer for United Healthcare, one of the country's leading medical insurers.

In this powerful episode of The Faith for Work Podcast, Sarah Guldalian opens up about her deeply personal journey. Her story takes a transformative turn during her college years, where a surprising invitation from a coworker reignites her faith and sets her on a path of purpose.Now the Executive Director of The Rooted Sisters™, Sarah shares how she uses her gifts in communication to lead, evangelize, and uplift professional women through Bible study, prayer, and leadership development. With humility and wisdom, she offers practical advice on being a light in the workplace and embracing spiritual gifts with obedience.Whether you're seeking encouragement, leadership inspiration, or a reminder of God's faithfulness, this episode will leave you uplifted and empowered.About Sarah:Sarah Guldalian is grateful to serve as Executive Director for The Rooted Sisters™.Sarah is a Telly & AVA award-winning marketer and producer of 25 years. She is passionate about using her vocational gifts to glorify God which she has done throughout her career by advancing the mission of ministries and Christian businesses. Her personal mission is to inspire, encourage, and evangelize to the world through her gifts in writing, marketing, and communications.Sarah attended Drake University where she earned a Bachelor's in Journalism & Mass Communication with a major in Broadcasting. She worked in television and advertising for ABC, WB-TV, and Emmis Communications, where she served as an assistant producer, an account executive, and in promotions. Once recognizing her heart for Christian outreach, she made a shift to focusing on evangelistic organizations.She has owned three Christian marketing agencies – Top Notch Brand Company, Rhino Hyde Productions, and Semi-Gloss Marketing – all of which have had an emphasis on advancing the mission of ministries, in addition to serving Fortune 5 companies, such as United Healthcare. She has had the blessing of serving as a leader for Lutheran Hour Ministries, Joyce Meyer Ministries, Pathfinder Church, Valley Church, and Grace Church STL, which has included producing and marketing events with Christian speakers such as Tim Tebow, Dr. Ben Carson, and Joyce Meyer.Since 2005, Sarah has also been a Christian speaker and producer in the United States and Canada on the topics of Evangelism, Community Outreach, Digital Outreach, and Inner Healing. She produces and speaks at national Christian conferences, churches, Women's events, and professional events.Above all things, Sarah identifies herself as a daughter to the King, wife to Justin, and mom to two beautiful children. Support the showTransforming the workplace one Bible study at a time - DONATE today! CONNECT WITH US:B-B-T.org | News | LinkedIn Biblical Business Training (“BBT”) equips busy, working people to grow in the grace and knowledge of Jesus Christ and empowers them in small-group Bible study settings to apply Biblical principles to their every day lives - especially in the workplace. BBT is a nonprofit 501(c)(3) organization which exists to help people develop their Christian “Faith for Work – Leadership for Life!”

In this episode, Scott Becker analyzes the performance of key managed care companies, highlighting Oscar Health's resilience, UnitedHealthcare's challenges, and Centene's steep decline as rising patient acuity strains the industry.

This week, we plunge headfirst into the moral void—starting with Cristiano Ronaldo, who just inked another Saudi contract big enough to make oil executives blush and human rights quietly weep. Then we introduce the world's most jealous woman, a walking red flag with night vision goggles and a court order pending. Ever wondered which profession cheats the most? We've got the stats—and let's just say your next physical might include an emotional scar. Finally, BlackRock is suing UnitedHealthcare in a corporate Thunderdome so savage, even Satan called it “a bit much.”Grab your headphones, hide your spouse, and prepare to lose a little more faith in humanity.

In this episode, Scott Becker analyzes the performance of key managed care companies, highlighting Oscar Health's resilience, UnitedHealthcare's challenges, and Centene's steep decline as rising patient acuity strains the industry.

Send us a textThe medieval castle with its moat, high walls, and sentries provides the perfect metaphor for modern cybersecurity. Just as each defensive element served a specific purpose in protecting the castle, today's information security requires multiple layers working in concert to safeguard digital assets.Shon Gerber opens this episode with a timely discussion of the UnitedHealthcare ransomware attack, which reportedly cost $22 million and sparked controversy around the CISO's qualifications. This real-world example perfectly frames the importance of defense in depth strategies that could have prevented such a catastrophic breach.The core of defense in depth involves implementing multiple security controls that protect various aspects of information systems. Shon walks through each layer, starting with perimeter security (firewalls, IDS/IPS systems), moving to access controls and data security (encryption, DLP), and continuing through system hardening and detection mechanisms. Each layer serves two crucial purposes: stopping attackers altogether or, at minimum, slowing them down enough that they move on to easier targets.Particularly enlightening is Shon's breakdown of abstraction in security - how operating systems, networking protocols, databases, and APIs hide complexity from users while maintaining protection. This concept extends to data hiding techniques like steganography, tokenization, and encryption that conceal sensitive information from prying eyes.The episode concludes with an examination of secure defaults - the principle that systems should ship with security enabled rather than requiring manual configuration. Shon provides practical guidance on implementing secure defaults and overcoming common challenges like vendor limitations and legacy systems.Whether you're studying for the CISSP exam or looking to strengthen your organization's security posture, this episode delivers actionable insights on building robust, multi-layered defense strategies that balance protection with usability. Visit CISSP Cyber Training for additional resources, including practice questions and comprehensive study materials.Gain exclusive access to 360 FREE CISSP Practice Questions delivered directly to your inbox! Sign up at FreeCISSPQuestions.com and receive 30 expertly crafted practice questions every 15 days for the next 6 months—completely free! Don't miss this valuable opportunity to strengthen your CISSP exam preparation and boost your chances of certification success. Join now and start your journey toward CISSP mastery today!

Episode 197: Continuous Glucose MonitoringWritten by William Zeng, MSIII, and Chris Kim, MSIII. University of Southern California.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Will: IntroToday we're exploring Continuous Glucose Monitoring, or CGM. We'll break down what CGM is, who benefits, how to access it, options available for our patients, the pros and cons, and a few final reflections on where this technology is heading. Chris, So what is CGM?Chris:Continuous glucose monitoring refers to the use of a small wearable sensor placed just under the skin to track glucose levels in real time throughout the day and night. These sensors measure glucose in the interstitial fluid and transmit readings to a receiver or smartphone at regular intervals, allowing for 24/7 glucose trend tracking. Will:CGM has been shown to improve glycemic control, increase “time in range,” and reduce hypoglycemia. Let's review some evidence.Chris:A 2023 meta-analysis published in Diabetes Technology & Therapeutics reported a mean Hemoglobin A1c reduction of 0.43% across multiple trials. Will:In people with Type 1 diabetes, the IMPACT and DIAMOND studies showed sustained improvement in Hemoglobin A1c and hypoglycemia reduction over 6–12 months. CGM use in insulin-treated Type 2 diabetes patients also resulted in significant benefits, including reduced variability and fewer severe glucose excursions. Chris:Clinically and economically, CGMs help prevent long-term complications such as cardiovascular disease, nephropathy, and retinopathy. Chris, What patients specifically benefit the most from CGM?Will: CGMs are most commonly indicated for people with Type 1 diabetes and for those with Type 2 diabetes who are using intensive insulin regimens—typically defined as multiple daily injections or insulin pump therapy. Chris:And what are the qualifications in order to be covered by insurance?Will:In the United States, Medicare covers CGM as durable medical equipment for qualifying patients, and coverage requires a prescription, documentation of insulin use, and regular follow-up. Most major private insurers—including Blue Cross, Aetna, UnitedHealthcare, Cigna, and Kaiser—follow similar guidelines. Coverage is generally granted for patients with Type 1 diabetes or insulin-requiring Type 2 diabetes who monitor glucose at least four times daily or use an insulin pump. Chris:Some plans require demonstration of hypoglycemia unawareness or frequent glucose variability. For patients not on insulin, OTC CGMs may be an option, but coverage is typically not provided. That said, new FDA decisions are allowing over-the-counter access to CGMs like Abbott's FreeStyle Libre and Dexcom's Stelo, expanding availability for lifestyle or preventive purposes.Will:[There are a lot of products on the market. Which are the main products and how are they different?]Chris:The three main players in the CGM space are Dexcom, Abbott (FreeStyle Libre), and Senseonics (Eversense), each with unique offerings.Let's start with Dexcom. Dexcom G7 is a real-time CGM system approved for both Type 1 and Type 2 diabetes. It combines a sensor and transmitter into one compact wearable patch worn on the abdomen or upper arm for up to 10 days. It updates glucose readings every 5 minutes and connects directly to a smartphone or Apple Watch via Bluetooth. Dexcom also integrates with insulin pumps like Tandem's t:slim and the Omnipod 5. Data can be shared with providers through Dexcom Clarity, which integrates into electronic medical records (EMRs) like Epic. OTC access is not yet available for DEXCOM G7, but a new non-prescription product called Dexcom Stelo is being rolled out in 2025, targeting non-insulin-using Type 2 patients. Dexcom Stelo will also offer 15-day wear, smartphone integration, and factory calibration. The estimated OTC cost for Dexcom Stelo is expected to be around $99 for a 15-day sensor, or about $198/month.Will:$200! Abbott FreeStyle Libre comes in several versions. The Libre 2 offers 14-day wear and requires users to scan the sensor with their smartphone or reader to retrieve a glucose value. It has optional real-time alarms for high and low readings and transmits data to LibreView, which can integrate with most EMRs. Libre 3 is a real-time CGM with 1-minute interval updates, Bluetooth transmission, and a slimmer profile. Libre sensors are widely used in primary care and available OTC for non-insulin users. Libre 2 sensors cost approximately $70–$85 for a 14-day sensor, while Libre 3 is slightly higher, around $85–$100 per sensor—totaling about $140–$200/month out of pocket without insurance.Chris:Senseonics Eversense E3 is the only implantable CGM on the market. It involves a minor in-office procedure to insert the sensor under the skin of the upper arm, which lasts up to 180 days (and a newer version, Eversense 365, lasts up to one year). A removable transmitter worn on top of the skin sends data every 5 minutes to a mobile app and vibrates for alerts. It requires 1–2 calibrations per day using a traditional fingerstick meter. It integrates with Eversense DMS software for physician monitoring. The total cost for Eversense depends on the insertion procedure and insurance, but cash pay for the full 6-month system is estimated at $2,400–$3,000, or about $400–$500/month including follow-up visits.Will:Additional lower-cost CGMs such as the Medtrum A6 TouchCare are available internationally and in select U.S. pilot programs. These devices offer 14-day wear, smartphone syncing, and daily calibration, but are not yet FDA-approved for wide use and lack full EMR integration.Chris:In terms of performance and value, Dexcom G7 offers the most advanced real-time feedback and integration, making it ideal for those on insulin pumps or needing tight control. Will:FreeStyle Libre offers the best affordability and convenience, especially for non-insulin users or those who prefer not to deal with constant alerts. Eversense offers a niche but compelling option for people who want to avoid frequent sensor changes. Chris, [Are there any downsides or risks that patients should be aware of before trying out CGM?]Chris:CGMs are generally safe and well-tolerated, but they do have limitations. Dexcom G7 has a known failure mode where sensors sometimes fail prematurely, often before the full 10-day duration. Some users have reported “signal loss” errors or random disconnections, especially when switching between phone models or operating systems. There are occasional reports of inaccurate highs or lows due to compression during sleep or dehydration. Though the G7 is factory-calibrated, abrupt changes in hydration or blood flow can affect its readings.Will:FreeStyle Libre systems, particularly Libre 2, require the user to scan the sensor to retrieve data unless alerts are enabled. These devices may be affected by vitamin C (ascorbic acid), which can falsely elevate glucose readings, and they do not currently allow for automated insulin delivery integration. Some Libre 2 users have noted adhesive-related rashes or spontaneous detachment. Libre 3, while more advanced, still may lose Bluetooth connection intermittently, particularly if the phone is out of range or the app is not running in the background.Chris:Senseonics Eversense carries procedural risks due to its implantable nature. Minor scarring or infection at the insertion site has been reported. The transmitter must be worn during waking hours to provide alerts, and users report anxiety over losing the transmitter since data logging is interrupted without it. Calibration is still required, which adds to daily tasks. Additionally, the sensor does not communicate with insulin pumps or closed-loop systems.Will:All CGMs can cause mild skin irritation from adhesive, particularly in users with sensitive skin. Alert fatigue is another consideration, as frequent low- or high-glucose warnings may cause stress or lead users to silence notifications entirely. Finally, relying solely on CGM without periodic fingerstick confirmation in symptomatic scenarios can be a risk, especially during rapid glucose changes.Chris:Conclusion[***] Continuous glucose monitors have reshaped the way we manage diabetes, offering unprecedented insight into glucose trends, diet responses, and insulin timing. While CGMs are not flawless, the technology continues to evolve. Will: If your patient is on insulin or struggling with glucose variability, consider whether CGM is right for your patient. For those not using insulin, consider newer OTC options like FreeStyle Libre or Dexcom Stelo, which offer accessible entry points without the need for prescriptions. As AI integration, longer sensor life, and non-invasive monitoring enter the market, CGM will only become more useful.Dr Arreaza: Personal experience with CGMs. I do not have diabetes, but I have a strong family history of diabetes (including father, 2 grandmas, and about 15 uncles, aunts, and cousins.)I wanted to try it so I could teach my patients about CGM. My first experience was with Freestyle Libre 2: Pros: Painless placement, easy to use, scanning with phone was easier than fingersticks.Cons: Required some assembling to be placed, mild discomfort at night, and nighttime alarms.Dexcom G7:Pros: No need for scanning, feels more stable in your armCons: High readings (had to calibrate for a more accurate reading)Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

We've got the breakdown of all the Medicare and Medicare Advantage enrollment periods that beginner agents need to know.   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 10 Essential Tools for Beginner Insurance Agents: https://ritterim.com/blog/10-essential-tools-for-beginner-insurance-agents/ Apps for Comparing Healthcare & Prescriptions: https://lnk.to/ASGA85 Medicare Advantage Open Enrollment Do's and Don'ts: https://ritterim.com/blog/medicare-advantage-open-enrollment-dos-and-donts/ Self-Guided Training with Knight School: https://ritterim.com/knight-school/ The Difference Between Medicare & Medicaid: https://lnk.to/ASGAE01 What is AHIP Certification and How Do I Get It? https://lnk.to/asg672   References: Franchina, Chris. “AEP vs. OEP: Understanding the Differences for Medicare.” Policy Engineer, 11 Jan. 2025, https://policyengineer.com/aep-vs-oep-understanding-the-differences-for-medicare/. “Get Ready to Buy.” Medicare.Gov, https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy. Accessed 17 June 2025. “Joining a Plan.” Medicare, “Joining a Plan.” Medicare, www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan. Accessed 10 June 2025. Worstell, Christian. “Medicare AEP vs. OEP: Know Your Enrollment Periods.” Medicare AEP vs. OEP | How to Enroll or Change Your Medicare Plan | MedicareAdvantage.Com, MedicareAdvantage.com, 18 Mar. 2025, https://www.medicareadvantage.com/enrollment/medicare-aep-vs-oep. “Medicare Open Enrollment.” CMS.Gov, https://www.cms.gov/priorities/key-initiatives/medicare-open-enrollment-partner-resources. Accessed 10 June 2025. “Medicare Open Enrollment Fact Sheet 2025.” CMS.Gov, Centers for Medicare & Medicaid Services, https://www.cms.gov/files/document/2024-medicare-open-enrollment-fact-sheet.pdf. Accessed 10 June 2025. “Special Enrollment Periods.” Medicare, Medicare.gov, https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods. Accessed 10 June 2025. “What Is the Medicare Annual Enrollment Period? | News & Articles | UnitedHealthcare.” UHC.Com, UnitedHealthcare, https://www.uhc.com/news-articles/medicare-articles/what-is-the-medicare-annual-enrollment-period. Accessed 10 June 2025. “What If I Missed My Initial Enrollment Period? | News & Articles | UnitedHealthcare.” UHC.Com, UnitedHealthcare, https://www.uhc.com/news-articles/medicare-articles/what-if-i-missed-my-initial-enrollment-period. Accessed 10 June 2025. “What Is the Medicare General Enrollment Period?” NOCA.Org, National Counsel of Aging, https://www.ncoa.org/article/a-closer-look-at-the-medicare-general-enrollment-period/. Accessed 10 June 2025.   Follow Us on Social!  Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

In this episode, Jakob Emerson, Associate News Director at Becker's, unpacks the political and financial ripple effects of the GOP reconciliation bill. He also shares insights into major concerns for payers like Centene and UnitedHealthcare, looming Medicaid and ACA enrollment losses, and the long-term implications for healthcare access, hospitals, and insurers alike.

In this episode of Agent Essentials, we're covering the definition of the Health Insurance Marketplace!   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   The Complete Guide to Selling Affordable Care Act Insurance Plans   Resources: FREE DOWNLOAD – The Complete Guide to Selling Affordable Care Act Insurance Plans: https://ritterim.com/aca-ebook/   How Much Can Agents Make Selling Under-65 Insurance: https://lnk.to/TlGBGH Meet Your Ritter Sales Team: https://ritterim.com/meet-your-sales-team/ Under-65 Health Products: https://ritterim.com/products/under-65/   State Based Marketplaces: “Covered California: The Official Site of California's Health Insurance Marketplace.” Covered California, https://www.coveredca.com/. Accessed 12 June 2025. “Colorado's Official Health Insurance Marketplace.” Connect for Health Colorado, 27 May 2025, https://connectforhealthco.com/. Accessed 12 June 2025. Access Health CT, https://www.accesshealthct.com/. Accessed 12 June 2025. “Welcome to DC Health Link | DC Health Link.” DC Health Link, https://www.dchealthlink.com/. Accessed 12 June 2025. “Find Affordable Health Insurance in Georgia.” Georgia Access, 23 Jan. 2025, https://georgiaaccess.gov/. Accessed 12 June 2025. “Your Health Idaho " Idaho's Official Health Insurance Marketplace.” Your Health Idaho " Idaho's Official Health Insurance Marketplace, 23 May 2025, https://www.yourhealthidaho.org/. Accessed 12 June 2025. “A Healthier, Happier Kentucky Starts Here.” Kynect, https://kynect.ky.gov/healthcoverage/s/?language=en_US. Accessed 12 June 2025. “Home.” Maryland Health Connection, 11 June 2025, https://www.marylandhealthconnection.gov/. “Welcome to the Massachusetts Health Connector.” MA Health Connector, https://www.mahealthconnector.org/. Accessed 12 June 2025. “A Plan That Fits. A Price That Works.” Home | CoverME.Gov, https://www.coverme.gov/. Accessed 12 June 2025. “MNsure Home.” MNsure, https://www.mnsure.org/. Accessed 12 June 2025. “Looking to Enroll in Health Insurance?” Nevada Health Link - Official Website, https://www.nevadahealthlink.com/. Accessed 12 June 2025. “GetCoveredNJ.” WWW.nj.gov, https://nj.gov/getcoverednj/. Accessed 12 June 2025. “BeWellnm - Your Health Insurance Marketplace in New Mexico.” BeWellnm, https://bewellnm.com/. Accessed 12 June 2025. “NY State of Health, the Official Health Plan Marketplace.” Ny.gov, 2013, https://nystateofhealth.ny.gov/. ‌Home | Pennie. https://pennie.com/. Accessed 12 June 2025. ‌“Home.” HealthSource RI, https://healthsourceri.com/. Accessed 12 June 2025. ‌“VHC Landing Page.” Vermont.gov, 2020, https://portal.healthconnect.vermont.gov/VTHBELand/welcome.action. Accessed 12 June 2025. ‌“Home Page | Virginia's Insurance Marketplace.” Www.marketplace.virginia.gov, https://www.marketplace.virginia.gov/. Accessed 12 June 2025. ‌“Home | Washington Healthplanfinder.” Wahealthplanfinder.org, 2018, https://www.wahealthplanfinder.org/. Accessed 12 June 2025. ‌“English (United States) Home.” Illinois.gov, 2020, https://getcovered.illinois.gov/. ‌ References: “ACA Health Insurance Plans & Coverage: Aetna CVS Health.” Aetna CVS Health, https://www.aetnacvshealth.com/. Accessed 12 June 2025. “Fast, Easy ACA Enrollment.” HealthSherpa, https://www.healthsherpa.com/agents/features. Accessed 12 June 2025. “Individual & Family ACA Marketplace Plans | Individuals & Families | UnitedHealthcare.” UHC, UnitedHealthcare, https://www.uhc.com/individuals-families/aca-marketplace. Accessed 12 June 2025. “The Marketplace in Your State.” HealthCare.Gov, https://www.healthcare.gov/marketplace-in-your-state/. Accessed 3 June 2025. “State Health Insurance Marketplace Types.” KFF, 29 May 2025, https://www.kff.org/affordable-care-act/state-indicator/state-health-insurance-marketplace-types/. “Welcome to the Health Insurance Marketplace®.” HealthCare.Gov, https://www.healthcare.gov/. Accessed 3 June 2025.   Follow Us on Social!  Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/   Not affiliated with or endorsed by Medicare or any government agency.

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Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers is joined by Michael Chernew from Harvard Medical School to discuss the recently released National Health Expenditures Projections for 2024–33 from the Office of the Actuary (OACT) at the Centers for Medicare and Medicaid Services (CMS).Related Articles:National Health Expenditure Projections, 2024–33: Despite Insurance Coverage Declines, Health To Grow As Share Of GDPCMS National Health Expenditure Data Subscribe to UnitedHealthcare's Community & State newsletter.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Rob Lott interviews Robert Burke of the University of Pennsylvania about his recent paper which evaluates outcomes for skilled nursing facilities value-based purchasing programs. Order the June 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

In this episode, we dive into the growing trend of non-commissionable Medicare Advantage plans and what it means for agents and the industry. Josh Slattery, Executive VP of The Brokerage Inc. and a seasoned expert in the Medicare space, explains that carriers are labeling certain plans as non-commissionable primarily to curb financial losses,  often driven by low profitability, plan redundancy, or rising costs. A major talking point is UnitedHealthcare's decision to make 15% of its PPO portfolio non-commissionable, impacting over 100 plans nationwide. The episode also explores the financial strain caused by the V28 risk adjustment model, the Inflation Reduction Act (IRA), and unfavorable post-COVID utilization trends. Despite these headwinds, agents are encouraged to: Stay informed on carrier changes Leverage technology to improve efficiency Prioritize client retention to build long-term value Consider cross-selling ancillary products to offset lost commissions The episode emphasizes that field agents remain critical in navigating local markets and client relationships, even amid shifting compensation structures. Learn more about partnering with The Brokerage Inc. by visiting our website, www.thebrokerageinc.com. Remember to like, share, and subscribe to our show!  New episodes are available every Tuesday. Join our Community! LinkedIn: https://www.linkedin.com/company/the-brokerage-inc-/   Facebook:  https://www.facebook.com/thebrokerageinc/  Instagram:  https://www.instagram.com/thebrokerageinc/  YouTube:  https://www.youtube.com/@TheBrokerageIncTexas  Website:  https://thebrokerageinc.com/ 

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Rob Lott interviews MacKenzie Hughes of NORC at the University of Chicago about her recent paper reviewing how transitional care management was associated with healthier days at home and lower spending after hospital discharges for patients.Order the June 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers welcomes Senior Editor Kathleen Haddad to the pod to discuss the Forefront series, Supplemental Benefits In Medicare Advantage, and how articles from the series elaborated on issues such as challenges in understanding and accessing benefits, CMS requirements to collect encounter data, the intersection of MA supplemental benefits with Medicaid long-term services and supports, and more. Become an Insider today to get access to exclusive events, our recent trend report on AI in health care, and monthly newsletters from authors such as Stacie Dusetzina, David Simon, Brent Fulton, and others.Upcoming Insider Exclusive Events include:6/17: Risk Adjustment Trends & Reform with J. Michael McWilliams7/9: Supreme Court Wrap-Up with moderator Sara Rosenbaum joined by panelists William Sage, Barak Richman, and Renee LandersView all Upcoming Events.Related Articles:The People SayFlex Cards In Medicare Advantage: A Closer Look At Impact and Challenges (Health Affairs Forefront)Medicare Advantage And Supplemental Long-Term Services And Supports: A Small Step In The Right Direction (Health Affairs Forefront)Time To Reexamine The Role Of Supplemental Benefits In Medicare Advantage (Health Affairs Forefront)Medicare Advantage Supplemental Benefits: Origins, Evolution, And Issues For Policy Making (Health Affairs Forefront) Subscribe to UnitedHealthcare's Community & State newsletter.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Rob Lott interviews Keith Drake of Greylock McKinnon Associates about his recent paper that explores trends in authorized generic drug launches and the effects observed on competition in pharmaceutical markets in the US. Order the June 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

EP. 215: I sat down with Brad Hart, owner of Forest Park Pharmacy in Fort Worth, to expose the shocking truth behind pharmacy benefit managers (PBMs) and how they're driving up drug prices. What I learned about vertical integration in the healthcare system, where insurers own the PBMs and the pharmacies, honestly left me furious. Brad breaks it all down, from Medicare waste to the skyrocketing cost of specialty drugs, and we talk about real solutions like compounding pharmacies and direct-to-consumer options. This is a must-listen if you've ever wondered why your medications cost so much—and who's really profiting. Topics Discussed:  What are pharmacy benefit managers (PBMs) and how do they increase drug prices? How are health insurance companies profiting from vertical integration in the pharmacy system? Why are independent and rural pharmacies struggling to stay open? What impact do PBMs have on Medicare spending and prescription drug costs? How can consumers save money on medications without relying on insurance? Sponsored By: Qualia | Go to qualialife.com/DRTYNA for up to 50% off your purchase and use code DRTYNA for an additional 15% Maui Nui Venison | Head to mauinuivenison.com/DRTYNA to secure your access now.  LMNT | Get your free Sample Pack with any LMNT purchase at drinkLMNT.com/drtyna BIOptimizers | Go to bioptimizers.com/tyna and use promo code TYNA10 to order Masszymes now and get 10% off any order Sundays | Get 40% off your first order of Sundays. Go to sundaysfordogs.com/DRTYNA and use code DRTYNA at checkout. Relax Tonic | Go to https://store.drtyna.com/products/relaxtonic and use code and use DRTYNASHOW to save 10% On This Episode We Cover:  00:00:00 - Introduction  00:04:34 - History of PBMs 00:09:02 - Insurance & Pharmacy Ties 00:12:17 - UnitedHealthcare's Role 00:15:59 - Pharmacy Kickbacks 00:18:01 - Emergency Med Access 00:23:11 - Rural Pharmacy Crisis 00:26:20 - How Insurance Works 00:30:05 - Compounding Pharmacies Explained 00:35:19 - How Pharmacies Save Money 00:37:14 - Arkansas PBM Bill 00:39:12 - Trump's Drug Pricing Executive Order 00:42:37 - Direct-to-Consumer Drugs 00:43:40 - Wegovy, Eli Lilly, & Changing Costs 00:46:27 - Medicare Waste 00:48:25 - Medicare Price Negotiation 00:49:58 - Specialty Drug Cost 00:54:18 - Brad's Pharmacy Model Further Listening:  The Fight For Affordable GLP1s & The Truth About Big Pharma | Dave Knapp  Check Out Brad:  https://www.forestparkpharmacy.com/ Instagram TikTok YouTube Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.

After months of waiting, President Donald Trump has had a call with Chinese Leader Xi Jinping. Democratic lawmakers are weighing in on Trump's travel ban announcement. Moscow says it's preparing for the biggest prisoner swap since the start of the war in Ukraine. Prosecutors say Luigi Mangione's diary entries reveal his motive for killing UnitedHealthcare's CEO. Plus, we'll tell you which iconic handbag is going up for auction. Learn more about your ad choices. Visit podcastchoices.com/adchoices

I just wanted to talk about the iris today. A chill, colorful muscle donut that controls how much light hits your retina and makes you look good doing it. But no. UnitedHealthcare had to show up first—again—with a story so dark it makes retinal necrosis look like a fairy tale. We're talking Do Not Resuscitate orders getting denied by algorithms and patients dying because no human was watching. Then we finally pivot to the iris: how it works, how it fails, why it looks different in everyone, and what happens when people decide to change their eye color on purpose (spoiler: don't). I also touch on laser procedures, night vision contacts, LASIK myths, and iridology—which is basically astrology for your eyeballs. All that and a retinal wiring rant, because I can't help myself. Takeaways: UnitedHealthcare might be setting a new low. When your life is being managed by an algorithm that's literally ignoring your DNR order, we have officially lost the plot. The iris is not just decoration. It's a muscle. It's photoreactive. It's a vibe. And it's doing way more work than it gets credit for. Thinking about cosmetic eye color surgery? Just don't. It's like installing a tinted windshield inside your eye. Except it doesn't work. And might make you go blind. Night vision contact lenses are real(ish). But if you wear them in public, people are going to think you're either Batman or a sleep-deprived raccoon. Iridology is fake and somehow still thriving. It's amazing how far you can go in life with confidence and zero science. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠ for more information.  Today's episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit ⁠⁠⁠⁠⁠⁠aka.ms/knockknockhi⁠⁠⁠⁠⁠⁠. To learn more about Pearson Ravitz go to ⁠⁠⁠⁠⁠http://www.pearsonravitz.com/knockknock⁠⁠⁠⁠⁠. Produced by⁠⁠⁠⁠⁠⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

This is Zack Fuss. Today, we're tackling a giant in a controversial and incredibly complex industry, UnitedHealth Group. At its recent apex, UNH was a half-trillion-dollar market cap business, the 15th largest listed business in the United States. Today, that market cap sits at just $275 billion. The company generates an excess of $400 billion in sales annually and produces $40 billion in EBITDA as it touches every facet of the American healthcare system. To break down UnitedHealthcare, I'm joined by Stephanie Niven, a co-PM of the Global Sustainable Equity Strategy within the Sustainable Equity Team at Ninety One. Stephanie has been following the company since 2012 and she helps us to unravel this intricate business. We explore how UnitedHealthcare operates as a fully integrated healthcare system from its insurance arm to its high-margin health services business. We also dive into the concept of value-based care, the recent headwinds from Medicare Advantage scrutiny, and whether the market is mispricing this complex giant amidst regulatory noise and leadership changes. Please enjoy this breakdown of UnitedHealth Group. ⁠⁠Subscribe⁠⁠ to Colossus Review For the full show notes, transcript, and links to the best content to learn more, check out the episode page⁠ ⁠here⁠⁠. —- This episode is brought to you by Octus, formerly Reorg, is the essential credit intelligence and data provider for nearly 40,000 professionals across the world's leading buy side firms, investment banks, law firms and advisory firms. By surrounding unparalleled human expertise with embedded AI technology, data and workflow tools, Octus unlocks powerful truths that fuel decisive action in financial markets. Visit⁠⁠ octus.com⁠⁠ to learn how rigorously verified intelligence is delivered at speed to create a complete picture across the entire credit lifecycle. —- Business Breakdowns is a property of Colossus, LLC. For more episodes of Business Breakdowns, visit⁠⁠ joincolossus.com/episodes⁠⁠. Editing and post-production work for this episode was provided by The Podcast Consultant (⁠⁠https://thepodcastconsultant.com⁠⁠). Show Notes (00:00:00) Welcome to Business Breakdowns (00:04:51) Understanding the US Healthcare System (00:10:24) UnitedHealth Group's Origins and Evolution (00:13:41) UnitedHealth Group's Business Model (00:22:36) Optum: The Overlooked Powerhouse (00:29:24) Value-Based Care: A New Approach (00:34:51) Current State of US Healthcare System (00:36:49) Regulatory Scrutiny and Media Attention (00:37:27) Investor Concerns and Company Response (00:42:49) Structural vs. Cyclical Issues (00:48:42) UnitedHealth's Technological Edge (00:52:07) Political Risks and Regulatory Environment (00:57:16) Medicare Advantage: A Closer Look (01:02:02) Lessons from UnitedHealth's Strategy

President Trump put the squeeze on South African President Ramaphosa this week. Dan and Kash disaapointed conservatives because they said Epstein killed himself and there is nothing new about the assasination attempts on Trump. Climate scam is ramping up for summer and so are Kim Kaarsashians nipples. United Health Care proves just how horrible insurance companies can be. Joe Biden's prostate took center stage for Liberals while Jake Tapper and CNN whore themselves for his new book. So much to cover. We're back. Come listen.Become a supporter of this podcast: https://www.spreaker.com/podcast/whiskey-hell-podcast--5683729/support.

It's hump day and as it so happens technical hiccup day. But don't worry, we got some scotch tape and paperclips and have McGyvered this thing for now. Republicans in Congress are doing what they can to push their massive tax cut through reconciliation, and you'll never get who's gonna benefit from that (it's rich people). To make it happen, Republicans are now trying to sneak in cuts to Medicare. We talk first to Singrid Steinmetz, an ICU nurse and a member of the California Nurses Association, which represents nearly 2,200 at Long Beach Medical Center who will be striking tomorrow. Here's the contact info for LBMC in case you want to tell management there to support it's nurses: https://www.memorialcare.org/locations/long-beach-medical-center After that, we hear from The Guardian U.S. investigative reporter George Joseph about his stunning new piece out today about how United Health Care has secretly paid nursing homes that helped it gain Medicare enrollees and reduced hospitalizations: https://www.theguardian.com/us-news/2025/may/21/unitedhealth-nursing-homes-payments-hospital-transfers  In the Fun Half, Emma, Sam and Matt respond to Skelator look-alike Rick Scott trying to make the case for making cuts to Medicaid by arguing that if you want health care in America you should have to work for it. Steve Scalise is singing the same tune. Bernie went on Andrew Schulz's show and managed to get him and his bros to acknowledge the problem of inequality and the absurdity of being the only industrialized country in the world without guaranteed health care. Also, Andrew Cuomo talks to Bari Weiss about what's ailing Democratic-run cities and states (hint, he blames the left) and he seems to be pushing an Abundance™ style agenda. Become a member at JoinTheMajorityReport.com: https://fans.fm/majority/join Follow us on TikTok here!: https://www.tiktok.com/@majorityreportfm Check us out on Twitch here!: https://www.twitch.tv/themajorityreport Find our Rumble stream here!: https://rumble.com/user/majorityreport Check out our alt YouTube channel here!: https://www.youtube.com/majorityreportlive Gift a Majority Report subscription here: https://fans.fm/majority/gift Subscribe to the ESVN YouTube channel here: https://www.youtube.com/esvnshow Subscribe to the AMQuickie newsletter here: https://am-quickie.ghost.io/ Join the Majority Report Discord! https://majoritydiscord.com/ Get all your MR merch at our store: https://shop.majorityreportradio.com/ Get the free Majority Report App!: https://majority.fm/app Go to https://JustCoffee.coop and use coupon code majority to get 10% off your purchase! Check out today's sponsors: Shopify: Sign up for a $1/month trial period at shopify.com/majority Fast Growing Trees: Get 15% off your first purchase.  FastGrowingTrees.com/majority Follow the Majority Report crew on Twitter: @SamSeder @EmmaVigeland @MattLech @RussFinkelstein Check out Matt's show, Left Reckoning, on Youtube, and subscribe on Patreon! https://www.patreon.com/leftreckoning Check out Matt Binder's YouTube channel: https://www.youtube.com/mattbinder Subscribe to Brandon's show The Discourse on Patreon! https://www.patreon.com/ExpandTheDiscourse Check out Ava Raiza's music here! https://avaraiza.bandcamp.com/ The Majority Report with Sam Seder – https://majorityreportradio.com/

In this episode of Market Mondays, hosts Rashad Bilal, Troy Millings, and Ian Dunlap tackle some of the most pressing topics in business, politics, and investing. They begin by discussing President Joe Biden's health concerns and the implications of recent prostate cancer commentary. The conversation then shifts to Coinbase's inclusion in the S&P 500 and its potential impact on Bitcoin and the broader crypto market. Security issues surrounding Coinbase are also examined in detail. The hosts analyze the recent downgrade of the U.S. credit rating and what it signifies for investors. They delve into Microsoft's layoffs and their potential implications for the future of artificial intelligence. Advice is offered to recent college graduates navigating the current economic landscape. The discussion also covers strategies for families to protect wealth earned through Name, Image, and Likeness (NIL) deals. Investment opportunities in UnitedHealthcare are evaluated, along with a comparison of companies that may serve as the new “Coca-Cola” in U.S. security stocks. 6:15 – Joe Biden's Health Concerns & Prostate Cancer Commentary7:58 – Coinbase Joins the S&P 500: Impact on Bitcoin & Crypto16:47 – Coinbase Security Issues Explained22:50 – U.S. Credit Rating Gets Downgraded: What It Means28:55 – Microsoft Layoffs: Implications for AI42:31 – Advice for Recent College Graduates56:28 – NIL Money: How Families Can Protect Wealth1:10:37 – Is It a Good Time to Buy UnitedHealthcare?1:20:30 – What Companies Are the New “Coca-Cola” for U.S. Security Stocks?Link to Invest Fest: https://investfest.com#MarketMondays #Investing #CryptoNews #Coinbase #Bitcoin #Microsoft #AI #USCreditRating #NILMoney #UnitedHealthcare #StockMarket #FinancialLiteracy #EconomicInsightsOur Sponsors:* Check out NerdWallet: https://www.nerdwallet.comSupport this podcast at — https://redcircle.com/marketmondays/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this episode, Scott Becker breaks down the five largest U.S. companies by revenue—Walmart, Amazon, UnitedHealthcare, Apple, and CVS.

The $84 billion question haunting American healthcare takes center stage as Nathan Kaufman returns to unpack the bombshell criminal investigation into UnitedHealthcare's alleged Medicare fraud. Drawing from his 48 years of healthcare expertise, Kaufman reveals the troubling mechanics behind how the nation's largest insurer potentially manipulated the Medicare Advantage system through aggressive "upcoding" – artificially inflating patient illness scores to extract higher government payments.This eye-opening conversation exposes the stark reality that UnitedHealthcare somehow generated a staggering 95% of all Medicare Advantage profits in 2024, raising serious questions about their operational practices compared to competitors. We dive deep into the company's concerning denial patterns, where approximately one in ten Medicare Advantage claims gets rejected, yet when patients fight back, 70-80% of appeals succeed – suggesting many initial denials lack merit.Beyond the investigation itself, we explore the fundamental conflict at the heart of our healthcare system: the misaligned incentives that reward denying care rather than providing it. As Kaufman aptly describes healthcare as "the largest segment of the largest economy in the history of the world," we confront the uncomfortable truth that 24 cents of every federal dollar now flows into a system that too often prioritizes corporate profits over patient wellbeing. Whether you're concerned about healthcare costs, insurance practices, or the future of Medicare and Medicaid, this conversation offers crucial insights into how the complexity and opacity of our healthcare system benefits powerful interests while leaving patients vulnerable. Subscribe now to join our growing community of listeners seeking fiercely nonpartisan analysis of today's most pressing issues.Support the showEngage the conversation on Substack at The Common Bridge!

Today's Headlines: President Trump kicked off his Middle East trip in Saudi Arabia, meeting with Crown Prince Mohammed bin Salman and announcing the removal of sanctions on Syria, citing MBS's request. Trump also revealed a $600 billion Saudi investment in the US and a $142 billion arms deal, while suggesting Iran should negotiate its nuclear program. Meanwhile, Senate Minority Leader Chuck Schumer is blocking DOJ nominees over concerns about Trump's acceptance of a luxury jet from Qatar. In domestic news, the Department of Homeland Security has terminated Temporary Protected Status for 9,000 Afghans, clearing the way for deportation. April's inflation report showed positive signs, with a 0.2% rise in CPI and the annual rate dropping to 2.3%. UnitedHealthcare's CEO resigned following a class-action lawsuit and financial fallout related to Medicare Advantage overcharges. Lastly, P Diddy's sex trafficking trial began, with his ex Cassie Ventura testifying about years of abuse and exploitation, alleging that her music career was sidelined for Diddy's personal demands. Resources/Articles mentioned in this episode: WA Post: Trump says U.S. will end sanctions on Syria ‘to give them a chance at greatness'  NBC News: Chuck Schumer says he is placing a hold on Trump DOJ nominees amid questions on Qatar's luxury jet gift Politico: DHS terminates temporary protected status program for Afghans  CNBC: Annual inflation rate hit 2.3% in April, less than expected and lowest since 2021  WSJ: UnitedHealth CEO Is Out, Sending Shares Plummeting NBC News: Cassie testifies at Diddy's sex trafficking trial of abuse and humiliation from 'freak offs' Morning Announcements is produced by Sami Sage and edited by Grace Hernandez-Johnson Learn more about your ad choices. Visit megaphone.fm/adchoices

Former healthcare executive Wendell Potter reveals how insurance giants sacrifice patient care for profits and deploy deceptive tactics to fight reform.Full show notes and resources can be found here: jordanharbinger.com/1151What We Discuss with Wendell Potter:Wendell Potter was a healthcare insurance executive at Cigna and Humana, and became a whistleblower after witnessing Americans seeking healthcare at a fairground in animal stalls, revealing how profit motives override patient care.Insurance companies prioritize shareholder value over patient needs, with executives compensated primarily in stock, directly incentivizing them to deny claims and care to maximize profits.Companies create "front groups" with misleading names like "Healthcare America" to manipulate public opinion against healthcare reform, using fear tactics to protect industry profits.When denied coverage, patients should appeal decisions, enlist their doctors' help, and consider becoming a "squeaky wheel" through media attention, as companies often reverse denials when facing public scrutiny.There is growing bipartisan support for healthcare reform and breaking up massive healthcare conglomerates. By understanding your rights, documenting communications, and persistently appealing denials, you can better navigate the system while supporting meaningful change.And much more...And if you're still game to support us, please leave a review here — even one sentence helps! Sign up for Six-Minute Networking — our free networking and relationship development mini course — at jordanharbinger.com/course!Subscribe to our once-a-week Wee Bit Wiser newsletter today and start filling your Wednesdays with wisdom!Do you even Reddit, bro? Join us at r/JordanHarbinger!This Episode Is Brought To You By Our Fine Sponsors:The Cybersecurity Tapes: thecybersecuritytapes.comDesign.com: Free trial: design.com/jordanBetterHelp: 10% off first month: betterhelp.com/jordanShopify: 3 months @ $1/month (select plans): shopify.com/jordanHomes.com: Find your home: homes.comWant to hear a conversation with an ex-royal/ex-SEAL who fights to end human trafficking and illegal organ harvesting? Check out episode 868 with Remi Adeleke!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The murder of UnitedHealthcare CEO Brian Thompson revealed two horrific aspects of American life: A healthcare executive was shot dead, and because he was a healthcare executive, people cheered. Why? Because many feel our health system is broken. Tonight, Dr. Phil explores how a fractured health care system has affected American lives. Angela says after her husband was diagnosed with Stage 4 stomach cancer, their health insurance company refused to cover a necessary procedure to save his life. Kay was diagnosed with breast cancer at age 35, and she never imagined she'd spend 10 years trying to get health insurance to approve needed treatments. Brigham Buhler worked a pharmacy rep for Ely Lilly, but left the industry when he could see how companies prioritized profits over patient access to life savings medications. He now has his own healthcare company, Ways2Well, focusing on prevention.  Dr. Bill Hennessey worked as a physical medicine and rehabilitation physician for years, dealing with frustrated patients who were given delays and denials from health insurance companies. He left to create his own company, Careguide, to help others navigate the healthcare system. Thank you to our sponsors: Jase Medical: Get emergency antibiotics at https://Jase.com/  & use code PHIL for a discount Beam: Visit https://ShopBeam.com/DrPhil/ and use code DRPHIL for up to 40% off. Preserve Gold: Visit: https://drphilgold.com/  Get a FREE precious metals guide that contains essential information on how to help protect your accounts. Text “DRPHIL” to 50505 to claim this exclusive offer from Preserve Gold today.