The FLATLINING Podcast from Fulcrum Strategies

Fulcrum Strategies, LLC

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. read less
NewsNews
Health & FitnessHealth & Fitness
PoliticsPolitics

Episodes

Ep. 90 - PUSLECHECK: Insurance coverage of GLP-1s, Cyberstalking, and UnitedHealthcare's use of AI
Jun 5 2024
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.--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 IssuesReal-World Trends in GLP-1 Treatment Persistence and Prescribing for Weight Management - BlueCross BlueShieldUnitedHealth testing 500 AI use cases - Becker's Hospital ReviewPatient’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.
Ep. 86 - The next big thing in multiple sclerosis treatment (with John Scagnelli, MD)
May 1 2024
Ep. 86 - The next big thing in multiple sclerosis treatment (with John Scagnelli, MD)
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 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.
Ep. 85 - ER docs go on strike in Detroit
Apr 24 2024
Ep. 85 - ER docs go on strike in Detroit
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 employerTune in to hear more about how these topics affect patients and physicians alike.Articles mentioned in this program:UnitedHealth CEO to testify before House subcommittee May 1 - Becker's Payer IssuesFeds launch portal for reporting anticompetitive healthcare deals - Becker's Payer IssuesContracted doctors, physician assistants at Ascension St. John go on strike - The Detroit News----Follow Ron Howrigon on LinkedIn.Follow Matthew Handley 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.----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.