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On today’s episode you’ll hear our interview with Mike Scribner and John Crew. We covered a variety of topics, such the No Suprises Act and other regulatory and legislative trends, and the role of Medicare Advantage in Ambulatory Care. We also talked about the impact of traditional Medicare to independent ASC’s and the managed care strategies independent ASC’s can take and utilize in 2023.
On today’s episode, join us as we dive into the world of Value Based trends in primary care markets with guests Mike Scribner, John Crew, and Kelly Mooney. They share their expertise and discuss how independent PCPs will be impacted by these trends in healthcare. They will highlight both Commercial and Medicare arrangements in the marketplace, how practices are impacted by such, as well as how best to thrive and incorporate into an overall managed care strategy.
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 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.
In this episode, Aaron Higgins and Jason Crosby share articles about how our providers and children are burning out, and the new cyber security rules and requirements for healthcare facilities that are being prepared by the Biden administration.
Then, we are joined by Sean Cavanaugh, CCO / CPO Aledade. Previously he served as Deputy Administrator and Director of the Center for Medicare @ CMS. In this special 2 part series, you’ll hear his viewpoint related to today’s independent primary care physician, the impact of Value Based Care (VBC), and how Aledade supports their practices for success in their ACO.
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.
Join Aaron Higgins, Mike Scribner, and Jason Crosby as they talk with Thomas Campanella, JD and Healthcare Executive in Residence with Baldwin Wallace University in Cleveland, Ohio.
Tom has a vast background and in this 1st of 2 part interview, they talk about the shortages and challenges with primary care in our industry. They also touch on trends and challenges in the rural setting. Both very timely and impactful topics with great insight from Tom.
Another great episode with a someone that brings a very unique perspective, US Congressman Buddy Carter of Georgia’s first district. Rep. Carter has worn many hats from Pharmacist to business owner, mayor of a suburban town, and for the last 12 years, as the US Representative from Georgia’s largest district. What is such a perspective from someone outside our industry and the work he sees is necessary to improve healthcare in such a thriving suburban town that currently cannot meet the needs of its residents. A great conversation with US Congressman Buddy Carter.
Get set to untangle the intricacies of health insurance with us and our esteemed guest, Matt Usher. We promise you a guided tour through escalating out-of-pocket maximums, specialty medication costs, and their implications on the affordability of health insurance plans. We shed light on why employers need to consider alternative plans to lessen the financial strain on employees. Moreover, we analyze the latest shifts in the health insurance industry, such as the Humana / Cigna merger, and what they mean for the future of health insurance in businesses.
Brace yourself for an insightful ride into the pulsating world of health insurance, with a special emphasis on the industry’s recent mergers stimulated by the competitive prescription benefit management market. Tune in and increase your knowledge about how the Biden administration might influence these mergers. We also present invaluable advice for both employers and employees on how to evaluate their plans, comprehend the market they’re dealing with, and become smarter health care consumers. Our discussions on the significance of self-funded arrangements and the power of making informed decisions about where to seek care serve as potent strategies to save money for everyone involved in the plan. This episode is a perfect opportunity to arm yourself with the understanding needed to confidently navigate the health insurance market.
Are you ready to unravel the labyrinth of insurance trends in the small business sector? We’ve got you covered! We welcome insurance broker Matt Usher to our show who shares his knowledge on an array of topics. From understanding premium hikes, exploring alternative solutions for businesses against increasing costs, to the innovative designs like HSA plans in the post-COVID era, we leave no stone unturned. And that’s not all; stay on the line to hear more from Matt on HSA out-of-pocket maximums in our upcoming episode.
As we traverse the complex terrains of healthcare costs, we shed light on how insurance companies master the tightrope walk between profitability and providing quality care. We dissect the budding trend of reference-based pricing and how it could metamorphose employers’ health insurance offerings. In a riveting section, we address the steep cost of specialty medications in employer healthcare. From financial assistance programs to international sourcing, we showcase potential solutions to counteract the soaring costs of specialty medications. This exchange is a crucial one, as we delve deep into the current and future scenarios of healthcare costs and insurance. So, lend us your ears for these vital conversations that promise to enlighten and empower.
Join Mike Scribner and Jason Crosby for Part 2 of our interview with Damien Scott, CEO of Emanuel Medical Center in Swainsboro Georgia. As we wrap our conversation, we continue talking with Damien about how organizational culture has evolved, what he and his team have found most impactful, how staffing challenges in today’s environment impacts their planning, and how payers and their respective plan evolution is embraced strategically.
In this two-part interview, Jason is joined by SHP Principal Mike Scribner as they interview Damien Scott, CEO of Emanuel Medical Center in Swainsboro Georgia.
They discuss his unique background and how he got into healthcare administration, which includes his experience as a Physical Therapist. This unusual approach to leadership has provided him with some unique insights into healthcare works from the clinical perspective, as well as well as how it should work to best meet the needs of a rural community.
Join us as we talk through quality, the challenges in finding providers, and how the healthcare scene continues to change.
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