Episodios

  • Kristy Grant-Hart on Due Diligence Questionnaires [Podcast]

    Kristy Grant-Hart on Due Diligence Questionnaires [Podcast]
    Oct 7 2025
    By Adam Turteltaub Why? Why are you asking that? Do you really need to know it? Is it going to tell you something you need to know? Is it a question that anyone could even answer? All of these are questions to ask yourselves and colleagues when they propose adding an item to your due diligence questionnaire. As Kristy Grant-Hart (LinkedIn), author, speaker and Head of Advisory at Spark Compliance, which is now owned by Diligent, explains, too often due diligence questionnaires are filled with questions that are unnecessary at best and counterproductive at worst. They are born out a desire to cover all the bases not necessarily get you just the information you need. Instead of throwing in everything including the kitchen sink, it’s far better to take, as elsewhere, a risk-based approach. Work directly with those who own the risk review. And, if the response doesn’t matter, don’t ask the question. Listen in to learn more about how to create a due diligence questionnaire that gets the answers you need, and not the ones you don’t.
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    11 m
  • Vera Cherepanova on Governance and Compliance [Podcast]

    Vera Cherepanova on Governance and Compliance [Podcast]
    Oct 2 2025
    By Adam Turteltaub With ever more attention paid to the role of boards in overseeing compliance, the question naturally comes up: Do boards even understand what makes for an effective compliance program? To help answer that question we spoke with Vera Cherepanova (LinkedIn), Executive Director of the non-profit Boards of the Future. She shares the unfortunate news that many boards are not where they should be. They are not fully seeing culture as a risk factor and driver of misconduct. Nor do many understand their own duty to manage it. That’s dangerous in these times, especially now that governments are paying closer attention to culture. Forces, though, are starting to change the equation and force boards to understand the role they and compliance play together in ensuring both integrity within the company and business success. Supply chain issues and ESG, for example, have brough compliance in closer contact with the governing authority. So, too, is regionalization. As countries take divergent paths into more and more issues, the compliance team will be essential in helping the board understand the risks that they face. More, though, will need to be done. Boards need to start addressing issues such as values conflicts like they do other risks. And, more people with compliance experience should be added to boards. Listen in to learn more about what boards are and are not doing.
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    15 m
  • Ed White on Value-Based Care [Podcast]

    Ed White on Value-Based Care [Podcast]
    Sep 30 2025
    By Adam Turteltaub With a rising focus on value-based care, and a new program seeking to make the approach mandatory, we spoke with Ed White (LinkedIn), Partner at Nelson Mullins. Previous efforts to move toward value-based models, such as Accountable Care Organizations (ACOs), faced significant barriers due to regulatory frameworks like the Stark Law and Anti-Kickback Statute. These laws were designed to prevent financial incentives from influencing medical decisions, but they also limited the ability of hospitals and physicians to collaborate in ways necessary for effective value-based care implementation. Recognizing these constraints, CMS and the Office of Inspector General (OIG) collaborated in 2020 to issue new regulations aimed at facilitating the transition to value-based care. The next step in the transition is the new Transforming Episode Accountability Model or TEAM program, which will become mandatory in 2026. This program includes 740 hospitals across the country and targets five specific surgical procedures. Participating hospitals must coordinate care with a range of providers—including specialists, primary care physicians, labs, durable medical equipment (DME) providers, hospice agencies, and others. The TEAM program is designed to last for five years, during which time hospitals are responsible for ensuring that patients are connected to appropriate post-discharge care, including follow-up with primary care providers. The goal is to reduce complications, avoid emergency room readmissions, and promote better health outcomes—all while keeping costs below a CMS-established target price. To drive efficiency, the TEAM program introduces three financial risk “tracks”: Upside-only track – Hospitals can earn shared savings if costs come in below the target price. Moderate risk (upside/downside) track – Hospitals can either earn savings or incur penalties depending on performance. Full-risk track – This track will offer both greater risks and rewards. According to industry consultants, two-thirds of participating hospitals are expected to lose money in the early phases of the TEAM program. Hospitals must rethink their compliance, care coordination, and partnership strategies in the wake of these changes. Listen in to learn more about what this all means for your compliance program both today and in the future.
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    16 m
  • Kortney Nordrum on Life After Compliance [Podcast]

    Kortney Nordrum on Life After Compliance [Podcast]
    Sep 25 2025
    By Adam Turteltaub Imagine that it’s time to move on from compliance to another role, either by choice or being voluntold. Does what you learned in compliance help? Absolutely, according to Kortney Nordrum, Vice President and Senior Corporate Counsel at Deluxe. Amongst other benefits, it taught her how to break down large issues into more manageable pieces, better identify and manage risks and help deals close. That isn’t to say the transition has come without challenges. She has had to learn to trust others to run compliance and also to be less risk averse. Listen in to learn more about how your compliance skills can help if your career ever takes you to another profession.
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    14 m
  • Garth Jordan on Becoming the New CEO of SCCE & HCCA [Podcast]

    Garth Jordan on Becoming the New CEO of SCCE & HCCA [Podcast]
    Sep 23 2025
    By Adam Turteltaub When Garth Jordan learned about the opportunity to lead the SCCE & HCCA, he was excited about the idea of helping to build trustworthy organizations. And, the more he spoke with the board and talked to his peers, the more convinced he was that this was the role for him. Unlike our previous CEOs he came to the association not from compliance, but from the field of association management. He has served in leadership roles for the American Animal Hospital Association, Healthcare Financial Management Association and Medical Group Management Association. As he looked at SCCE & HCCA he saw a great opportunity for growth and greater impact. He tell us in this podcast that he will be focusing on the complete range of things that we do, from publishing to creating events to providing certifications to facilitating networking. Listen in to learn more about him and how he plans on using design thinking to help create a robust future for the SCCE & HCCA.
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    15 m
  • Barbara-Ann Boehler on Experiential Learning [Podcast]

    Barbara-Ann Boehler on Experiential Learning [Podcast]
    Sep 18 2025
    By Adam Turteltaub What do cupcakes, cookies and compliance training have in common? More than you might think, reports Barbara-Ann Boehler, Senior Director of the Program on Corporate Compliance and Ethics at Fordham University School of Law. She successfully used the act of frosting the treats a part of a compliance learning exercise. It’s a great, if unusual, example of experiential learning, which seeks to teach people by getting the learner to do the thing that they are learning rather than just sitting and listening. A more common example of experiential learning is to create a case study in which the participants play different roles and see how the situation plays out. This interactive approach to learning can be much stickier, figuratively and literally (if you use frosting) with lessons sinking in deeper and discussions lasting long after the session is over. Listen in to learn more but, maybe, eat something healthy first.
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    13 m
  • Kim Jablonski on Compliance Leadership and Changing Times [Podcast]

    Kim Jablonski on Compliance Leadership and Changing Times [Podcast]
    Sep 16 2025
    By Adam Turteltaub Being a leader is hard. Being a compliance leader is harder. Being a compliance leader in fast-changing times takes it up yet another level, but it’s not impossible. Kim Jablonski, Chief Compliance & Ethics Officer at Bristol Myers Squibb shares that with these challenges it’s important for leaders not to think in static terms but to recognize that the landscape is constantly changing. The transformations include not just new laws and regulations but also new expectations for compliance programs, such as when it comes to taking a more data-driven approach. At the same time, though, some things don’t change. For example, you need to communicate with the workforce the importance of acting with integrity, even when there is business pressure to deliver. That same message should come from leadership as well so that employees see integrity as a part of the culture and behavioral expectations. For their part, compliance leaders, and their teams, need to have a deep understanding of the business and how it works. They must also be flexible with more than one solution to a problem. She also advocates for a collaborative approach. Working together with a wide range of internal teams leads to better outcomes, both from a compliance and business perspective. Most notably of all, she shares an insight that is relatable and very eye opening: We all have obstructed view seats. As she explains, we all only see a part of the picture and need to be mindful that we benefit from the views of others and that bad decisions are often the product of not being able to see the whole panorama before us. Listen in for more eye-opening insights.
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    10 m
  • Colin May on Non-Emergency Medical Transportation Fraud [Podcast]

    Colin May on Non-Emergency Medical Transportation Fraud [Podcast]
    Sep 11 2025
    By Adam Turteltaub There’s a car pulling up to your facility loaded up with a patient and a trunk full of risk. Non-emergency medical transportation (NEMT) plays an important role in getting elderly and poor patients to their medical appointments and pharmacies. But, explains Colin May, Professor of Forensic Studies and Criminal Justice at Stevenson University, the amount of fraud is exploding. There are cases of billing when service was not provided, trips to facilities that are closed, overbilling, upcoding, overcharging for tolls, and more. Enforcement authorities have been doing more to crackdown on this fraud, but providers need to be on the lookout for a host of schemes, including kickbacks. Frontline employees, he argues, should be trained to look out for questionable, unusual situations that may be the sign that something improper is happening. Technology can also be deployed in areas such as pre-trip screening. Listen in to learn more about this growing problem and what your organization could and should be doing about it.
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    14 m