Ever dressed up as Santa Claus and felt like a rockstar? Aaron shares his hilarious experience of riding on a fire truck spreading holiday cheer, while Jason Crosby, confesses a secret love for the festive frenzy at local malls and markets. Join us as we reminisce about our favorite Christmas tunes, movies, and dishes that add a special sprinkle of magic to the holiday season. From the joyous melodies filling the air to the warm aroma of holiday treats, we recount light-hearted tales that captur...
Dec 24, 2024•14 min•Season 4Ep. 7
What drives a person to commit an unimaginable act? With the shocking and tragic murder of UnitedHealthcare's CEO dominating headlines, we shift the lens to probe deeper into the healthcare industry's brewing tensions. As AI reshapes denial management, we wonder: Is technology fueling discontent among healthcare professionals & the public? Did UnitedHealthcare's use of an AI claims evaluator, which denied 90% of claims without human intervention, drive us towards this contentious intersectio...
Dec 18, 2024•14 min•Season 4Ep. 6
In this episode, Aaron sits down with our very own Jason Crosby to talk about CINs, how they work, how to start or join one, the keys to a successful CIN, the potential for legal pitfalls, and how CINs may fit the greater goal of providing value-based care. Visit our website Like us on Facebook Tweet @ us on Twitter Follow on Linkedin Send an email contact@shpllc.com Production © Strategic Healthcare Partners, LLC. All rights reserved....
Dec 11, 2024•29 min•Season 4Ep. 5
Unlock the secrets to mastering your digital marketing efforts with insights from Jeremy Miller, our trusted marketing expert from Boost by Design. Ever faced the headache of losing access to critical digital channels due to employee turnover? Discover how to safeguard your business from such pitfalls by maintaining control over your social media, website, and hosting logins. Jeremy shares invaluable real-world experiences and practical strategies to ensure your marketing campaigns run smoothly,...
Dec 04, 2024•8 min•Season 4Ep. 4
Thanksgiving is a time for reflection and gratitude, and we've got plenty to be thankful for at Strategic Healthcare Partners (SHP) this year. Did you ever think a small team in Savannah could expand globally, adapting to a remote-work world and broadening our reach to navigate the ever-evolving healthcare landscape? Join us as we share stories of growth, evolution, and the milestones that have marked our journey over the years. From welcoming new team members to partnering with stellar firms li...
Nov 27, 2024•14 min•Season 4Ep. 4
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 ...
Nov 20, 2024•14 min•Season 4Ep. 3
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 conne...
Nov 13, 2024•7 min•Season 4Ep. 2
After a long summer break and unexpected curveballs, we're back with a special edition marking the transition into season 4.5! Join us as we share personal stories that have influenced our podcast's new direction and learn how we juggle our roles at Strategic Healthcare Partners with our passion for delivering insightful content. This mini-season promises engaging conversations, a sprinkle of news, and a few surprises along the way as we look ahead to a full-fledged season five launch in early 2...
Nov 06, 2024•11 min•Season 4Ep. 1
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. Transcript Credits Production & Editing: Nyla Wiebe Show Notes & Transcription: Aaron C Higgins Soc...
Oct 30, 2024•27 min
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. Transcript Credits Production &am...
Oct 23, 2024•26 min•Season 4Ep. 29
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 passionate...
Oct 16, 2024•27 min•Season 4Ep. 28
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 conversati...
Oct 09, 2024•44 min•Season 4Ep. 27
What happens when you mix the expertise of Coastal Vascular and Vein Center's CEO Craig Kilgore with the turbulence of the post-pandemic private practice landscape? You get a dynamic and insightful exploration of the challenges and opportunities facing private practices in this transformative era. From the consolidation of payer landscapes to the evolution of volume levels, and the constant struggle with staffing, Craig offers his perspective, grounded in his extensive experience across IT, fina...
Oct 02, 2024•18 min•Season 4Ep. 26
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 compe...
Sep 25, 2024•49 min•Season 4Ep. 25
Is the U.S. healthcare system failing to prioritize what truly matters? Join us in an eye-opening discussion with Thomas Campanella from Baldwin Wallace University, as we dissect the multifaceted challenges facing the primary care sector. With a staggering 40-year experience in healthcare, Tom sheds light on the dire shortage of primary care physicians and the frustrating economic dynamics that undervalue this essential field. Despite the U.S. spending nearly 20% of its GDP on healthcare, only a...
Sep 18, 2024•48 min•Season 4Ep. 24
We continue with part two of the interview that Mike Scribner & John Crew had with Aledade CCO / CPO Sean Cavanaugh. Where they will wrap up their discussion about value-based care: where it is going, how organizations like Aledade can help, and what this ultimately means for patient care. Sean can be found: LinkedIn Twitter @dc_cavanaugh Learn more about Aledade: Website Twitter @AledadeACO The transcript of our conversation can be found on our website. Credits Production Assistance & E...
Sep 11, 2024•18 min•Season 4Ep. 23
In this revisited episode, we are joined by Sean Cavanaugh, CCO / CPO Aledade. Previously he served as Deputy Administrator and Director of the Center for Medicare @ CMS. 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. Sean can be found: LinkedIn Twitter @dc_cavanaugh Learn more about Aledade: Website Twitter @AledadeACO The transcript of our conversation can ...
Sep 04, 2024•31 min•Season 4Ep. 22
In this episode, Aaron sits down with our very own Jason Crosby to talk about CINs, how they work, how to start or join one, the keys to a successful CIN, the potential for legal pitfalls, and how CINs may fit the greater goal of providing value-based care. Credits Production Assistance & Editing: Nyla Wiebe Scripting by: Aaron C Higgins Show Notes & Transcription: Aaron C Higgins Social Media Management: Jeremy Miller News Co-Hosts: Aaron C Higgins & Jason Crosby Interview hosts: Aa...
Aug 28, 2024•28 min•Season 4Ep. 21
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 tric...
Aug 21, 2024•22 min•Season 4Ep. 20
Jason talks with Joe Ebberwein. Joe is the Co-founder and Chief Financial Officer of Corstrata, a technology-enabled care management solution focused on improving outcomes for wound and ostomy patients. We gain data-oriented insight into this often-neglected area of care and how Corstrata is working on solving this care gap; then, they discuss how virtual care and telehealth are viable solutions for any provider to utilize. Joe & Corstrata can be found at: Corstrata.com, Twitter , Facebook ,...
Aug 14, 2024•23 min•Season 4Ep. 19
In this episode, Jason & Aaron sat down with Tyler Barnett and Matthew Nichols, PhD, from University Hospitals in Cleveland, OH. They discuss the powerful goal-setting framework known as OKRs, or Objectives and Key Results. As leaders within the Population Health and Analytics team at UH, and with expertise in OKRs, Tyler & Matt dive deep into the OKR methodology, share specific examples of how UH has successfully implemented OKRs, and provide insights on how your organization can benefi...
Aug 07, 2024•41 min
BtS is taking a summer vacation, but we want to take a walk down memory lane. Revisit this classic episode with us. On today’s episode, Jason shares an article about how Mark Cuban is expanding his low-cost pharmacy project. And Aron shares about how charging for digital messages may be on shaky ground. Jason sits down with our guest Steve Adams. A Certified Professional Coder Instructor with InGauge Healthcare Solutions with more than 20 years-experience with training others how to code in all ...
Jul 31, 2024•27 min•Season 4Ep. 18
Season 4 was our longest & most exciting season yet! We started with legislative insights from Rep. Buddy Carter and Mayor Karen Williams on healthcare access and local governance. Dean Rottinghaus from QurHealth discussed AI advancements in diabetes management & wound care. We covered health insurance trends for small businesses with Matt Usher & drew leadership inspiration from Shery Roussarie & Kelly Macken-Marble with their book, "Two Rivers - The Power of Collaboration and O...
Jul 17, 2024•22 min•Season 4Ep. 17
Join us for this revisit with Mayor Karen Williams. Our second epsiode of the season. Have you ever wondered what drives a local leader to champion the betterment of community healthcare? Join us as Mayor Karen Williams of Pooler, Georgia, opens up about her inspiring foray into politics and her relentless commitment to public service. Together, we unravel the complex healthcare challenges her community faces, from the scarcity of emergency care facilities to the hurdles of enhancing healthcare ...
Jul 10, 2024•25 min
Join us for this revisit of our first episode of this season! 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...
Jul 03, 2024•26 min
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 compe...
Jun 26, 2024•48 min•Season 4Ep. 16
Is the U.S. healthcare system failing to prioritize what truly matters? Join us in an eye-opening discussion with Thomas Campanella from Baldwin Wallace University, as we dissect the multifaceted challenges facing the primary care sector. With a staggering 40-year experience in healthcare, Tom sheds light on the dire shortage of primary care physicians and the frustrating economic dynamics that undervalue this essential field. Despite the U.S. spending nearly 20% of its GDP on healthcare, only a...
Jun 19, 2024•47 min•Season 4Ep. 15
Can retail giants like CVS, Walgreens, Walmart, and Dollar General successfully venture into the healthcare sector, or are they doomed to fail? Join us for an eye-opening episode as we examine the obstacles these major retailers face in integrating healthcare services into their business models. We dissect the financial constraints and complexities of the healthcare market that have led many to scale back or even shutter their healthcare initiatives, shedding light on broader systemic issues wit...
Jun 12, 2024•32 min•Season 4Ep. 14
What if your small business had to navigate a health insurance market that's shrinking by the day? Join us as we unpack the recent upheavals in Georgia's small business health insurance scene, catalyzed by the exit of Cigna Oscar. Matt Usher joins us to dissect the challenges for employers with one to 50 full-time employees in this suddenly volatile market. Learn why the departure of major players like Humana has left only a few competitive options and what practical steps you can take to prepar...
Jun 05, 2024•52 min•Season 4Ep. 13
Step into the future of healthcare logistics with Uber Health's latest innovation, Uber Caregiver, and find out how it's set to revolutionize the way patients and caregivers manage medical appointments and essential errands. We're dissecting the intricate dance of integrating this service with major healthcare payers, and the privacy hurdles that come with it, especially with the looming American Privacy Rights Act. Prepare to unravel the complexities of protecting health-related data when non-t...
May 29, 2024•27 min•Season 4Ep. 12
