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The FLATLINING Podcast from Fulcrum Strategies

  • Ep. 90 - PUSLECHECK: Insurance coverage of GLP-1s, Cyberstalking, and UnitedHealthcare's use of AI

    5 JUN. 2024 · This week on the FLATLINING Podcast from Fulcrum Strategies, Matthew Handley and CEO Ron Howrigon discuss several healthcare-related news items and how they affect patients and providers.  They discuss for-profit HMO’s being banned from participating in Minnesota Medicaid products.  They also discuss the economic impact and future of insurance coverage for GLP-1 weight loss drugs such as Wegovy and Zepbound.  Also on the program: UnitedHealthcare has announced they will increase their usage of artificial intelligence.  Plus: a former AstraZeneca executive is charged with cyber stalking after he sent threatening messages to leadership at CVS Health and Aetna. -- Articles mentioned in this program: https://www.startribune.com/for-profit-hmos-will-again-be-blocked-from-minnesotas-medicaid-program/600369200/?refresh=true https://www.beckerspayer.com/payer/weight-loss-drug-coverage-gets-more-complicated.html https://www.bcbs.com/sites/default/files/BHI_Issue_Brief_GLP1_Trends.pdf https://www.beckerspayer.com/payer/unitedhealth-testing-500-ai-use-cases.html https://www.thedailybeast.com/pharma-exec-indicted-for-excruciatingly-detailed-death-threats-against-aetna -- Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at https://www.FLATLINING.net Follow Matthew on https://x.com/radiohandley and https://www.linkedin.com/in/matthewhandley/. Follow Ron on https://www.linkedin.com/in/ron-howrigon-9988976/. Fulcrum Strategies is a healthcare consulting firm specializing in payer contract negotiation and strategic planning for physician practices.  Our firm has helped over 5,000 physicians in groups of all sizes and specialties across the country to significantly improve their contract language and reimbursement rates, strategically plan for the future, and achieve business success.  https://www.fsdoc.com
    32m 48s
  • Ep. 89 - Putting patients back at the center (with Lou Tharp)

    29 MAY. 2024 · This week on the FLATLINING Podcast from Fulcrum Strategies, Ron Howrigon and Matthew Handley sit down with Lou Tharp to discuss patient-centered healthcare and patient advocacy.   Lou Tharp is the co-founder and executive director of the Global Healthy Living Foundation, a non-profit organization that focuses on improving the quality of life for those living with chronic diseases such as arthritis, psoriasis, IBS, cardiovascular disease, and more.  Lou is also the co-founder of Creaky Joints®, an international, digital community of arthritis patients and caregivers.  You learn more about the Global Healthy Living Foundation at https://www.ghlf.org and Creaky Joints® at https://www.creakyjoints.org.  You can also follow https://x.com/louistharp. Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at https://www.flatlining.net Follow Matthew on http://x.com/radiohandley and https://www.linkedin.com/in/matthewhandley/. Follow Ron on https://www.linkedin.com/in/ron-howrigon-9988976/. Fulcrum Strategies is a healthcare consulting firm specializing in payer contract negotiation and strategic planning for physician practices.  Our firm has helped over 5,000 physicians in groups of all sizes and specialties across the country to significantly improve their contract language and reimbursement rates, strategically plan for the future, and achieve business success.  http://FSDOC.COM
    59m 2s
  • Ep. 88 - 20 years of Fulcrum Strategies

    22 MAY. 2024 · This week on the FLATLINING Podcast from Fulcrum Strategies, Ron Howrigon and Matthew Handley take a look back at the last 20 years of Fulcrum Strategies.  They discuss why Ron left his employment with the payers and began working with physicians and what has changed in the last twenty years.  They also take a look at what might change in the future. Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at https://www.flatlining.net Subscribe to the FLATLINING Podcast on https://podcasts.apple.com/us/podcast/the-flatlining-podcast-from-fulcrum-strategies/id1614468366, https://open.spotify.com/show/6LLFk2xTSuQ1RsYJIXkMgm, the https://www.iheart.com/podcast/269-flatlining-podcast-94121452/, https://music.amazon.com/podcasts/ffbf190b-f919-46b4-a9f4-d23dec569d14/the-flatlining-podcast, https://podcasts.google.com/feed/aHR0cHM6Ly9hcGkuc3Vic3RhY2suY29tL2ZlZWQvcG9kY2FzdC83MDg4OTQucnNz, http://tinyurl.com/flatliningstitch, http://tinyurl.com/flatliningpandora, https://tunein.com/podcasts/News--Politics-Podcasts/The-FLATLINING-Podcast-p3084121/, and https://www.audible.com/pd/FLATLINING-Podcast-Podcast/B09V3CB68J. Follow Matthew on http://x.com/radiohandley and https://www.linkedin.com/in/matthewhandley/. Follow Ron on https://www.linkedin.com/in/ron-howrigon-9988976/. Fulcrum Strategies is a healthcare consulting firm specializing in payer contract negotiation and strategic planning for physician practices.  Our firm has helped over 5,000 physicians in groups of all sizes and specialties across the country to significantly improve their contract language and reimbursement rates, strategically plan for the future, and achieve business success.  http://FSDOC.COM
    22m 13s
  • Ep. 87 - Mr. Witty goes to Washington: Analysis on the Change Healthcare cyber attack hearings

    15 MAY. 2024 · This week on the FLATLINING Podcast from Fulcrum Strategies, Ron Howrigon and Matthew Handley break down testimony from the Congressional hearings about the Change Healthcare cyber attack.  On May 1, UnitedHealth Group CEO Andrew Witty was in the hot seat as senators and representatives grilled him on the impact to patients and providers.  Ron and Matthew break it down in a way that is easy to understand and help you know how it impacts you. Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at https://www.flatlining.net Follow Matthew on http://x.com/radiohandley and https://www.linkedin.com/in/matthewhandley/. Follow Ron on https://www.linkedin.com/in/ron-howrigon-9988976/. Fulcrum Strategies is a healthcare consulting firm specializing in payer contract negotiation and strategic planning for physician practices.  Our firm has helped over 5,000 physicians in groups of all sizes and specialties across the country to significantly improve their contract language and reimbursement rates, strategically plan for the future, and achieve business success.  http://FSDOC.COM
    30m 10s
  • Ep. 86 - The next big thing in multiple sclerosis treatment (with John Scagnelli, MD)

    1 MAY. 2024 · On today’s episode of the FLATLINING Podcast from Fulcrum Strategies, President and CEO Ron Howrigon and Matthew Handley talk to John Scagnelli, MD, about multiple sclerosis.  This disease has no known cause and no known cure, but there have been some incredible advancements in treatment over the past few decades. Dr. Scagnelli specializes in Multiple Sclerosis and Adult Neurology at Raleigh Neurology’s Durham and Raleigh offices. Dr. Scagnelli received his BS in Human Development from Cornell University in 2002. He earned his MD from the University of Miami, Miller School of Medicine in 2006. He then completed his Neurology Residency at the University of Rochester, Strong Memorial Hospital. Following this he was awarded a National Multiple Sclerosis Society Fellowship to study the clinical care and research of patients with multiple sclerosis and related disorders at the University of Virginia.  Dr. Scagnelli is a member of the National MS Society and the American Academy of Neurology.  --- Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at https://www.flatlining.net --- Follow Matthew on http://x.com/radiohandley and https://www.linkedin.com/in/matthewhandley/. Follow Ron on https://www.linkedin.com/in/ron-howrigon-9988976/. --- Fulcrum Strategies is a healthcare consulting firm specializing in payer contract negotiation and strategic planning for physician practices.  Our firm has helped over 5,000 physicians in groups of all sizes and specialties across the country to significantly improve their contract language and reimbursement rates, strategically plan for the future, and achieve business success.  http://FSDOC.COM
    33m 57s
  • NEXT WEEK: John Scagnelli, MD discusses treatment advances for multiple sclerosis

    24 ABR. 2024 · Next week on the FLATLINING Podcast from Fulcrum Strategies, President and CEO Ron Howrigon and Matthew Handley are joined by John Scagnelli, MD of Raleigh Neurology.  They will be discussing multiple sclerosis, a devastating disease with no known cause and no known cure.  But there is hope.  Recent research has created new advancements in treatment.  You won’t want to miss this episode of the FLATLINING Podcast.  Subscribe now wherever you listen to podcasts. ---- https://www.linkedin.com/in/ron-howrigon-9988976/ https://x.com/radiohandley and https://www.linkedin.com/in/matthewhandley/ ---- Fulcrum Strategies is a healthcare consulting firm specializing in payer contract negotiation and strategic planning for physician practices.  Our firm has helped over 5,000 physicians in groups of all sizes and specialties across the country to significantly improve their contract language and reimbursement rates, strategically plan for the future, and achieve business success.  https://fsdoc.com
    33s
  • Ep. 85 - ER docs go on strike in Detroit

    24 ABR. 2024 · On today’s episode of the FLATLINING Podcast from Fulcrum Strategies, President and CEO Ron Howrigon and Matthew Handley discuss some of the most pressing topics affecting physicians and their patients.   In this episode, they discuss: •    UnitedHealth Group admits they paid the ransom for the Change Healthcare cyber attack •    The Justice Department sets up an online portal for people to report anti-competitive healthcare practices •    Emergency Medicine physicians in Detroit strike against their private equity backed employer Tune in to hear more about how these topics affect patients and physicians alike. Articles mentioned in this program: https://www.beckerspayer.com/payer/unitedhealth-ceo-to-testify-before-house-subcommittee-may-1.html https://www.beckerspayer.com/payer/feds-launch-portal-for-reporting-anticompetitive-healthcare-deals.html https://www.detroitnews.com/story/business/2024/04/18/contracted-physicians-assistants-at-ascension-st-john-go-on-strike/73371750007/ ---- https://www.linkedin.com/in/ron-howrigon-9988976/ https://x.com/radiohandleyand https://www.linkedin.com/in/matthewhandley/ Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at http://www.FLATLINING.net. ---- Fulcrum Strategies is a healthcare consulting firm specializing in payer contract negotiation and strategic planning for physician practices.  Our firm has helped over 5,000 physicians in groups of all sizes and specialties across the country to significantly improve their contract language and reimbursement rates, strategically plan for the future, and achieve business success.  https://fsdoc.com
    28m 1s
  • Ep. 84 - Economy watch: UHC loses $1.4 billion in Q1 and California introduces $25/hr minimum healthcare wage

    17 ABR. 2024 · This week on the FLATLINING Podcast from Fulcrum Strategies, Matthew and Ron discuss the news that UnitedHealth Group posted a $1.4 billion loss in quarter 1 of 2024 following the Change Healthcare cyber attack.  They talk about whether or not providers should care about news such as this. Then, they discuss a new law going into effect in California that ups the minimum wage for healthcare workers to $25 an hour.  There could be some very dramatic setbacks to healthcare quality, access, and affordability.  Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at https://www.flatlining.net Articles mentioned in this program: https://kffhealthnews.org/news/article/california-health-workers-25-dollar-wage-cuts/ https://kffhealthnews.org/news/article/california-health-workers-25-dollar-wage-cuts/ Follow Matthew on https://x.com/radiohandley and https://www.linkedin.com/in/matthewhandley/. Follow Ron on https://www.linkedin.com/in/ron-howrigon-9988976/. Fulcrum Strategies is a health care consulting firm specializing in payer contract negotiation and strategic planning for physician practices.  Learn more about what we can do for your practice at https://fsdoc.com
    21m 23s
  • Ep. 83 - PULSECHECK: Medicare Changes, Supreme Court Appeals, and Kentucky Prior Authorizations

    3 ABR. 2024 · Today on the FLATLINING Podcast from Fulcrum Strategies, Ron Howrigon and Matthew Handley take a look at some of the latest healthcare news.  First, they discuss changes to the Medicare Advantage rates published by the Centers for Medicare and Medicaid Services; they explain why insurers are saying out of pocket expenses will go up for seniors.  Ron and Matthew also discuss Home Depot’s decision to appeal a settlement with BlueCross BlueShield to the Supreme Court; why wasn’t $2.67 billion enough for Home Depot?  Finally, they talk about why a bill to reduce prior authorizations in Kentucky falls flat. Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at https://www.flatlining.net Articles mentioned in this program: https://www.beckerspayer.com/policy-updates/cms-finalizes-2025-medicare-advantage-rates.html https://www.bloomberg.com/news/articles/2024-04-01/final-medicare-advantage-notice-shows-no-boost-from-initial-rate?embedded-checkout=true https://www.beckerspayer.com/payer/home-depot-asks-supreme-court-to-rule-on-2-7b-bcbs-antitrust-settlement.html https://www.beckerspayer.com/policy-updates/kentucky-prior-authorization-gold-carding-bill-dead.html
    29m 59s
  • Ep. 82 - Artificial Intelligence in Radiology (with Matthew Stephens, MD)

    27 MAR. 2024 · Today on the FLATLINING Podcast from Fulcrum Strategies, Matthew Handley and Ron Howrigon have a conversation with Matthew Stephens, MD, a board certified radiologists at Radiology of Indiana. Dr. Stevens, Matthew, and Ron discuss the exciting topic of artificial intelligence in healthcare, particularly AI's influence in radiology.  They discuss what some of the pitfalls are of using the new technology and what might be coming next. -- Dr. Matthew Stephens is a board-certified Body Imager with a cardiothoracic radiology specialty who joined Radiology of Indiana in 2023. He received his B.S. in Chemistry from Indiana University, Bloomington, IN. He also received his M.S. in Computer Science from Purdue University, Indianapolis, IN, along with another M.S. in Physiology from Indiana University, Indianapolis, IN.  His medical degree is from Indiana University School of Medicine. He also finished a fellowship in Medical Informatics from the Regenstrief Institute, Indianapolis, IN. -- Follow Matthew on http://x.com/radiohandley and https://www.linkedin.com/in/matthewhandley/. Follow Ron on https://www.linkedin.com/in/ron-howrigon-9988976/.
    33m 33s

The FLATLINING Podcast from Fulcrum Strategies brings you great healthcare news analysis and discussion each week from industry experts who know their way around politics, economics, and a doctor’s office....

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The FLATLINING Podcast from Fulcrum Strategies brings you great healthcare news analysis and discussion each week from industry experts who know their way around politics, economics, and a doctor’s office. Questions about payor issues, Medicaid expansion, or the No Surprises Act? We’ve got you covered. New episodes drop every Wednesday morning.
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