113 episodes

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.

The FLATLINING Podcast from Fulcrum Strategies Fulcrum Strategies, LLC

    • News
    • 5.0 • 1 Rating

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.

    Ep. 94 - What do Kamala Harris' healthcare policies look like?

    Ep. 94 - What do Kamala Harris' healthcare policies look like?

    On the FLATLINING Podcast from Fulcrum Strategies this week, Ron Howrigon and Matthew Handley discuss what sort of healthcare platforms Vice President Kamala Harris could advocate as the new Democratic nominee.  They also discuss a recent interview Ron gave with New York Magazine on automatic insurance denials.

     
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    Further reading:
    Where Kamala Harris Stands on Key Healthcare Issues - Medpage Today
    In Denial - New York Magazine
    --


    Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at www.FLATLINING.net.

    Follow Matthew on X and LinkedIn.
    Follow Ron on LinkedIn.

    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.  Learn more at FSDOC.com.

    • 28 min
    Ep. 93 - What the Chevron ruling means for healthcare

    Ep. 93 - What the Chevron ruling means for healthcare

    This week on the FLATLINING Podcast from Fulcrum Strategies, Matthew Handley and CEO Ron Howrigon discuss how the Supreme Court overturning Chevron U.S.A., Inc. v. Natural Resources Defense Council, Inc. could affect healthcare down the road.  There is a possiblity that it could dictate how the Centers for Medicare and Medicaid Services detirmine Medicare reimbursement, whether or not the Food and Drug Administration can approve over the counter medications, and more.  Matthew and Ron also discuss how this ruling could affect the No Surprises Act.

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    Further reading:
    What Does the Overturning of Chevron Mean for Healthcare? - Holland and Knight
    How the Supreme Court has roiled U.S. health-care agencies - The Washington Post
    We break down the overturning of the Chevron doctrine - NPR
    --


    Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at www.FLATLINING.net.

    Follow Matthew on X and LinkedIn.
    Follow Ron on LinkedIn.

    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.  Learn more at FSDOC.com.

    • 25 min
    Ep. 92 - Let's think for a minute about Medicare for All (with Wendell Potter)

    Ep. 92 - Let's think for a minute about Medicare for All (with Wendell Potter)

    This week on the FLATLINING Podcast from Fulcrum Strategies, Matthew Handley and CEO Ron Howrigon have a conversation with universal healthcare advocate Wendell Potter.  They discuss Wendell's decision to get out of the insurance business and become an advocate for affordable healthcare for all Americans.

    Wendell Potter was a VP level executive at Cigna before he left in 2008.  He now advocates for universal healthcare and is the leader of two reform advocacy nonprofits: the Center for Health and Democracy and Business Leaders for Health Care Transformation.  He is also a New York Times best-selling author and his most recent book is For Want of a Dentist: The Rise of the Dental Therapy Movement in Tribal Nations and the US.  You can follow his work on his Substack: Health Care Un-covered. 

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    Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have ubscribe to the FLATLINING Podcast on Apple Podcasts, Spotify, the iHeartRadio app, Amazon Music, Google Podcasts, Stitcher, Pandora, TuneIn, and Audible.
    Follow Matthew on X and LinkedIn.  Follow Ron on LinkedIn.---
    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.  Learn more at FSDOC.com.

    • 51 min
    NEXT WEEK: Wendell Potter makes his case for Medicare for All

    NEXT WEEK: Wendell Potter makes his case for Medicare for All

    Next week on the FLATLINING Podcast from Fulcrum Strategies, Matthew Handley and Ron Howrigon talk to former Cigna executive Wendell Potter about the feasibility of universal healthcare in the United States.

    ---

    Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at www.FLATLINING.net.

    Follow Matthew on X and LinkedIn.Follow Ron on LinkedIn.

    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.  Learn more at FSDOC.com.

    • 1 min
    Ep. 91 - What it takes to make healthcare reforms (with Gus Geraci, MD)

    Ep. 91 - What it takes to make healthcare reforms (with Gus Geraci, MD)

    This week on the FLATLINING Podcast from Fulcrum Strategies, Matthew Handley and CEO Ron Howrigon have a conversation with Gus Geraci, MD about the challenges of reforming healthcare.

    Dr. Gaspere Geraci has more than thirty-five years of clinical, process, and quality improvement experience.  He has worked as a physician, recruiting physicians and working with insurance companies.  You can find more about him on his website, drgeraci.com, Rate Your Healthcare Employer, and and follow him on X and LinkedIn.

    --


    Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at www.FLATLINING.net.

    Follow Matthew on X and LinkedIn.
    Follow Ron on LinkedIn.

    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.  Learn more at FSDOC.com.

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

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

    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.

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    Articles mentioned in this program:
    For-profit HMOs will, again, be blocked from Minnesota's Medicaid program - Minneapolis Star Tribune
     Weight loss drug coverage gets more complicated - Becker's Payer Issues
    Real-World Trends in GLP-1 Treatment Persistence and Prescribing for Weight Management - BlueCross BlueShield
    UnitedHealth testing 500 AI use cases - Becker's Hospital Review
    Patient’s Dark Fantasy About Aetna Lands Him in Jail - The Daily Beast
    --


    Listen to the FLATLINING Podcast from Fulcrum Strategies wherever you listen to podcasts and have every episode delivered to your email by subscribing at www.FLATLINING.net.

    Follow Matthew on X and LinkedIn.
    Follow Ron on LinkedIn.

    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.  Learn more at FSDOC.com.

    • 32 min

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