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The Healthcare Revolution with MHK
20 minutes | Jan 21, 2022
Sorting Out the Vaccine Mandates
Having trouble sorting out all the vaccine mandates in the nation? In this edition of the Healthcare Revolution with MHK, MHK President Marc S. Ryan details the three major federal vaccination mandates and their current status. He also discusses the potential for state and federal laws to collide given the fact that at least one federal mandate is now cleared to move forward.
26 minutes | Jan 12, 2022
No Surprises Act
The No Surprises Act is now in force and should mean few to no surprise bills in our lives in the future. But we are in the midst of implementation and it will be very messy. MHK President Marc S. Ryan tells you about what the No Surprises Act does, what implementation is inflight, a controversy over arbitration, and what you can do to protect yourself as the act rolls out.
27 minutes | Dec 23, 2021
2021 Year in Review & and 2022 Predictions
In this episode of The Healthcare Revolution with MHK, MHK President Marc S. Ryan summarizes all that has happened in healthcare in 2021 and then plays Nostradamus, predicting some of what may happen in 2022. Hear about the COVID pandemic, coverage expansion, drug price reform, and other important healthcare matters.
28 minutes | Dec 3, 2021
Build Back Better and its Healthcare Provisions
The Build Back Better Act has passed the House on a close vote. It is now over in the Senate and may face a rough ride. MHK President Marc S. Ryan offers his views on the bill and discusses some of the healthcare provisions in the latest House version.
34 minutes | Nov 19, 2021
Fee-For-Service (FFS) vs. Managed Care
In this edition of The Healthcare Revolution with MHK, Marc S. Ryan explains about the fee-for-service (FFS) transaction system in healthcare and the migration to managed care. Learn about the failures of the system, adoption of strict managed care, the public backlash, and where we are today with softer forms of managed care. The subject matter is taken from his upcoming book, The Healthcare Labyrinth, due out in early 2022.
30 minutes | Oct 29, 2021
Medicare Advantage Payment Scrutiny
Medicare Advantage is seeing a great deal of payment scrutiny. Listen in as MHK president, Marc S. Ryan discusses how Medicare Advantage health plans get paid, what critics are saying, and what the future may hold.
20 minutes | Oct 14, 2021
The U.S. Healthcare System – A Dire Ranking and Critical Recommendations
According to The Commonwealth Fund, the U.S. healthcare system ranks dead last in terms of performance among 11 developed world countries. Listen to the Healthcare Revolution podcast as MHK president Marc S. Ryan goes through the findings to show the huge mismatch between U.S. healthcare spending and outcomes compared with other developed nations. Hear about the Commonwealth’s recommendations as well as Marc’s recommended reforms in his forthcoming book, The Healthcare Labyrinth.
29 minutes | Sep 20, 2021
Commercial and Employer-Based Healthcare Coverage in the U.S. – How do we compare to other nations?
Commercial and employer coverage dominate our unique health insurance system in America. Learn about how vast commercial and employer coverage are and the various forms of such coverage, including ERISA self-insured funds, large group risk coverage, and small group risk coverage.
25 minutes | Aug 26, 2021
Keeping Americans Covered – A warning on the ranks of the uninsured
During the COVID-19 pandemic, millions of Americans have retained employer coverage through a 100% COBRA subsidy or moved to Medicaid, the Children’s Health Insurance Program, and the Exchanges. This has kept America’s uninsured rate from skyrocketing. But when the public health emergency declared for the pandemic ends as early as at the end of this year, the ranks of the uninsured could markedly increase unless federal and state officials think wisely about how to transition Americans to other coverage. Hear more about this threat and what can be done about it. Keeping people covered is crucial.
30 minutes | Aug 2, 2021
Biden Executive Order on Healthcare
President Biden’s Executive Order on healthcare seeks to tackle the pernicious effects of hospital mergers, anti-competitive behaviors by brand drugmakers, and the complexity of health benefits. In this episode of The Healthcare Revolution with MHK, Marc S. Ryan, MHK’s president, explains the details of Biden’s order and why it is crucial to reform.
37 minutes | Jul 8, 2021
Surprise Medical Billing – Why it happens and how this may become a thing of the past
Have you ever been the victim of a surprise healthcare bill? If so, you’re not alone. Many Americans get medical bills they were not expecting. Sometimes it is their fault but often it is simply due to the complexity of the healthcare system. Learn more about surprise billing in this edition of The Healthcare Revolution with MHK and hear how a new federal bill will make most of these huge headaches go away.
28 minutes | Jun 18, 2021
Health Plan Mandates – 2021 and Beyond
In this edition of The Healthcare Revolution with MHK, MHK President Marc S. Ryan discusses the myriad of health plan mandates that have been adopted for 2021, 2022, and 2023. The mandates cover a range of important areas, including interoperability, prescription drug safety, price transparency, special needs plans, and more. Listen in to learn more.
26 minutes | May 19, 2021
The State Children’s Health Insurance Program – What is it and why is it so important?
In this edition of the Healthcare Revolution with MHK, Marc S. Ryan, MHK’s President, explains the State Children’s Health Insurance Program and why it is important to ensure all children have affordable access to healthcare. He also shares about how he helped create the program in Connecticut and gives his wife long-overdue credit for the naming of the program in the Constitution State.
29 minutes | Apr 30, 2021
Tackling Medicare Advantage and Part D Enrollment
Health plans in Medicare Advantage and Part D have to tackle complex enrollment processes and voluminous data to ensure correct member onboarding and payment from CMS. MHK President Marc S. Ryan and MHK EVP and COO Alex Pauloski discuss the challenges of enrollment and payment reconciliation as well as MHK’s MarketProminece™ solution in the Medicare space.
32 minutes | Apr 16, 2021
Medicaid – Fundamentals and Plotting the Future
In this edition of The Healthcare Revolution with MHK, Marc Ryan talks about the fundamentals of Medicaid and why it’s an important part of the U.S. healthcare system. It’s time to set aside the political rancor over Medicaid and plot its long-term future.
27 minutes | Mar 31, 2021
Current Prognosis of President Biden’s Healthcare Promises
President Biden is off to a fast start on healthcare. With the passage of the COVID relief bill under his belt, what is the prognosis on many of his healthcare promises? Listen in as we discuss the prospects for congressional action on big healthcare initiatives, as well as how Biden will use the regulatory process to bring about change in healthcare. As well, we think CMS will be allowed to continue on its regulatory journey to reform healthcare.
23 minutes | Mar 12, 2021
The COVID Bill – A Win for Health Plans and the Public at Large
In this episode of The Healthcare Revolution, MHK President, Marc S. Ryan covers how the $1.9 trillion COVID bill is a win for health plans and the public at large. The bill passed the Senate last week and although this must go back to the House due to changes, our prediction is that the Senate changes will be adopted by the House and get to the President next week. Find out how the bill expands subsidies for COBRA and the Exchanges and incentivizes states to expand Medicaid. Apart from the bill, Medicare Advantage also continues to grow exponentially – yet another win for health plans.
23 minutes | Feb 25, 2021
What are Dual Eligibles?
This podcast will cover these unique individuals – dual eligibles – who enroll in both Medicare and Medicaid and how their financial obligations in Medicare are paid for in whole or in part by the Medicaid program. These members face socio-economic barriers to healthcare. We will also look at some innovative programs that are better coordinating the financing and care of these individuals.
41 minutes | Feb 10, 2021
Healthcare Policy Trends: Stay informed to ensure success in value-based care
In this episode of The Healthcare Revolution, MHK President, Marc Ryan and SVP of Product and Innovation, Natalie Dougherty discuss the latest healthcare policy and technology trends and what health plans need to do to excel in the emerging value-based world.
32 minutes | Jan 28, 2021
What You Need to Know About Medicare - Part 2
In part one of this series, we broke down all the elements of Medicare, including Part A through D, as well as how to become eligible, the benefits you can receive, and the cost-sharing obligations. Now, listen to part two - We will dive into the Medicare Advantage program and explore how it benefits seniors, especially those of low income.
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