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Unlock the intricacies of the 2025 CMS final ruling on the Quality Payment Program with insights from Aaron Higgins of Strategic Healthcare Partners. Get ahead of the curve with the crucial performance threshold of 75 points needed to dodge penalties and the revamped scoring system allowing up to 10 points for full compliance on topped-out measures. As the MIPS program evolves into the more streamlined and specialty-specific MIPS Value Pathways, discover how this shift can benefit your practice with the introduction of new MVPs and modifications, especially in cancer and heart disease care. Through our conversation, you’ll gain clarity on the 75% data completeness requirements extending through 2028, the addition of seven new quality measures, and the removal of ten measures, providing a comprehensive view of the changes that await healthcare professionals.
As we close the episode, we shine a light on the collective efforts of our committed team behind “Beyond the Stethoscope: Vital Conversations with SHP.” Experience the meticulous work of our executive producers, Mike Scribner and John Crew, our editor, Nyla Weave, and our social media strategist, Jeremy Miller. Discover our transcription process that blends cutting-edge technology with human expertise to bring precision to every episode. Don’t miss out on delving deeper into our podcast archives at shpllc.com/podcast, and join the ongoing conversation by connecting with us on Facebook and LinkedIn. We invite your questions and comments to further enrich our discussions and explore the ever-evolving landscape of healthcare together.
Join us for a compelling conversation with Jeremy Miller from Boost by Design, who lends his expertise on the evolving role of AI in marketing. Jeremy draws our attention to the crucial importance of integrating a human touch amidst the rise of AI tools like ChatGPT and Google’s AI-driven search capabilities. He provides a thoughtful perspective on the potential pitfalls of AI learning from AI—what he terms the “dark force problem”—which can result in content lacking in warmth and personal connection. With AI becoming an integral part of our marketing strategies, Jeremy emphasizes the need for human insight to bridge the gap between technology and authenticity, ensuring businesses maintain trust and relatability with their clients.
As we navigate the intersection of AI and healthcare marketing, Jeremy illustrates how AI can be a powerful tool for data collation and strategy development, provided that human experts play a central role in the process. He draws parallels between using AI in healthcare and marketing, advocating for AI as an aid rather than a replacement for human intuition and expertise. By ‘filing off the edges,’ or refining AI-generated content, businesses can ensure the messaging remains authentic and reliable. This episode is essential listening for those striving to harness AI’s potential while safeguarding the irreplaceable value of the human element in digital marketing.
Step into the world of healthcare reform with the unique perspective of Congressman Earl “Buddy” Carter, a pharmacist serving in Congress, whose career has taken him from the quaint town of Pooler’s mayoral office to the halls of the U.S. Capitol as Georgia’s 1st District Representative. Delve into a conversation that traverses the landscape of healthcare legislation, as we dissect Carter’s contributions on the Energy and Commerce and Budget Committees, and the transformative bills he passionately supports. The Lower Cost, More Cures Act and the Saving Our Students in Schools Act take center stage, revealing a behind-the-scenes look at their implications and the legislative journey from conception to enactment.
Hear how the government shapes the trajectory of healthcare services through the levers of Medicare and Medicaid, alongside the burgeoning telehealth revolution that promises to redefine rural healthcare access. Congressman Carter sheds light on the imperative for high-speed internet to support telehealth innovations and the legislative efforts in motion to combat maternal mortality through the Healthy Moms and Babies Act. As we unravel the threads of bipartisan legislation, such as the Emergency Medical Services for Children Reauthorization Act, it becomes clear how collective efforts across the aisle can forge pathways to superior emergency care for our youngest citizens. Join us for an episode that not only informs but ignites a dialogue on the future of healthcare policy.
Unlock the strategies that are shaping the future of independent physician practices, with our esteemed guests, Sherry Roussarie and Kelly Macken-Marble. Their insights promise to guide you through the maze of leadership challenges, collaboration necessities, and the incisive market strategies that are vital for anyone invested in healthcare’s evolution. Drawing from Sherry’s prowess in marketing and payer relations and Kelly’s transition from hands-on nursing to administration, their conversation is a beacon for those navigating the industry, revealing the importance of visionary partnerships like the one at Integrative Care Partners network in fortifying independent practices.
Ready to see how technology is sparking a revolution in healthcare? We’ve got the conversation that maps out the terrain where AI and advanced technology intersect with the day-to-day operations of medical practice. Sherry and Kelly analyze the role of AI in patient care and administrative efficiency, and they dissect the emerging models that are redefining physician practice and hospital administration. This discussion is an invaluable resource for grasping the transformations that tech is driving in healthcare, and how these advancements are creating both challenges and opportunities for providers.
We round off our journey with a deep dive into market trends and the core metrics that healthcare CEOs must prioritize. The dialogue transitions from the effects of private equity to how healthcare market dynamics vary across different states, offering a nuanced look at the interplay between health systems and independent practices. We highlight the importance of financial health, employee satisfaction, and innovation as critical success indicators for leaders in the healthcare industry, offering a masterclass in navigating the competitive and ever-changing landscape of providing quality care. Join us for these enlightening revelations that could redefine your approach to healthcare leadership and strategy.
Sherry & Kelly co-authored “Two Rivers: The Power of Collaboration”. You can buy a copy of your own from any of these fine retailers:
Unlock the secrets behind the impact of Certificate of Need (CON) laws on healthcare providers, especially in rural areas, with our special guest, Tom Campanella. Drawing from his extensive experience at Blue Cross and Blue Shield of Ohio, Tom sheds light on the frustrations and inefficacies associated with these regulations. We delve into the critical balance between maintaining an optimal number of healthcare providers and fostering a competitive marketplace. Tom passionately argues that competition is key to driving value-based care and discusses how government regulations can sometimes be more of a hindrance than a help.
Ever wondered how non-compete clauses and NDAs are stifling innovation and patient care in the healthcare sector? Join us as we examine the Federal Trade Commission’s (FTC) recent ruling against non-competes, exploring its potential to drive innovation, enhance patient choices, and reduce unnecessary legal expenses for practices. We also tackle the pressing issue of cybersecurity, emphasizing the urgent need for a national strategy to combat ransomware attacks and data breaches. The growing demand for cybersecurity consultants across industries is also highlighted, underscoring the evolving landscape of healthcare security.
To wrap up our enlightening discussion, we shift gears to the complexities of value-based care and its intricate relationship with value-based reimbursement. Drawing parallels to outdated but still prevalent communication methods in healthcare, we scrutinize different reimbursement methodologies and the challenges faced by hospital CFOs in transitioning to value-based care. Don’t miss this engaging and thought-provoking episode.
With the recent CMS updates about provider enrollment, we felt that we needed to bring you some timely information about these changes. We sat down with Raquel Grizzard SHP’s Provider Enrollment expert. She has been working in Provider Enrollment since 2014 and has seen her fair share of changes, but none as dramatic as this all at once.
We discuss DMEPOS, CHOW Filing, changes to the 8550, the new specialists that have been added, and more. Join Raquel Grizzard as she shares her insight and tricks of the trade for all things Provider Enrollment.
Join us, as we reminisce on season 4’s highlights and look to season 5’s promising future in the Fall. From inspiring conversations with awe-inspiring guests to current and impactful news stories, this season has certainly been a journey worth reliving. We recap our interviews with the likes of authors, CEO’s, AI innovators, legislators, and more. Also, a request by the guys. A 5 question survey coming your way to help us in our off-season planning.
Remember to stay tuned till the end for a special bonus surprise that we promise, you won’t want to miss! The question everyone has been asking…
Enjoy the rest of your summer and kickoff to the Fall.
Join Aaron Higgins and Jason Crosby as they talk with Thomas Campanella as they pick up where they left off last week in this 2nd half of their discussion. This episode, they talk about recent CON activity and the impact on provider settings. They also touch on Value Based Care and Non-Compete Agreements and the impact such has, in particular, in the rural setting along with Tort Reform concerns. Yep, consider all the world’s problems solved with these 2 interviews.
Jason and Aaron talk recent headlines including how the retailers have had a rough last couple of months. They have been all the rage the last few years and a few starting to fall on hard times. The guys talk through a few headlines and stories regarding the about face many have taken so suddenly.
And more impact from the ransomware attacks this year and what the HHS is doing about it. We talk through what Change is now responsible for and how such accountability may play out with future attacks. Join us for this discussion and general updates on our podcast schedule.
In this podcast episode, we dive into the multifaceted world of employee benefits, highlighting their significance in today’s workforce landscape. We get valuable industry insight from SHP’s broker, Matt Usher. We’ll revisit trends and challenges, as well as discuss what Matt is seeing on a daily basis from employers as well as employees.
We’ll talk industry wide news as well as things you can look for as you evaluate your health benefit needs. Interested in learning more about Direct Contracting Performance metrics used by employers for proper steerage towards quality providers. If so, Matt has you covered during this “2024 Halftime Benefits” episode.
Jason and Aaron talk recent headlines including how Ascension has handled their ransomware attack this past month. Their transparent and timely communication as well as the impact it has had on their facilities. They also talk through Uber Health’s recent product announcements for 2024 and what impact that may have in access for many.
Lastly, another report regarding AI. This one being a 50 page IHI report with input from leading tech giants. We talk through the guidelines and concerns expressed for how AI should best be adopted by providers. Join us for this discussion and general update on our podcast schedule.
In this episode, we continue our discussion with Shery Roussarie and Kelly Macken-Marble to discuss the book they co-authored in 2023 that highlights their personal and professional journey that led to a leadership path within our industry.
Their stories were so moving in fact, we pull in 2 other SHP team members to help with the interview. Join us as we talk through Two Rivers – The Power of Collaboration and Other Leadership Lessons.
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