Episodios

  • Looking into 2026
    Feb 2 2026

    What will healthcare look like in 2026—and how will it impact physicians and patients? This episode reveals the strategies insurance giants and policymakers are deploying, and what it means for your practice and community.

    Ron Howrigon and Matthew Handley discuss Affordable Care Act (ACA) subsidies, changes to the Medicare Physician Fee Schedule, and why the payers are going to push on provider groups to take pay cuts.



    This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
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    15 m
  • The hidden cost of denials
    Jan 12 2026

    In this episode of Inside Healthcare, Matthew Handley and Ron Howrigon delve into the complexities of healthcare costs and insurance denials. They discuss the financial incentives that drive insurance companies to deny claims and Ron's recent appearance on ‪CBS Sunday Morning‬ .Listen: Matthew and Ron talk to Dr. Dan Hurley about his cancer diagnosis and subsequent insurance denials

    Watch: Why do insurance companies deny prior authorizations? Ron Howrigon explains on CBS Sunday Morning



    This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
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    17 m
  • What exactly are those ACA subsidies?
    Nov 17 2025

    On this episode of Inside Healthcare, Ron Howrigon and Matthew Handley discuss the Affordable Care Act subsidies that were at the heart of the record long government shutdown. What do they do? Who are they for? And is it really “free” healthcare? All questions Ron and Matthew answer. Plus they take a look at a reform plan from Oscar Health CEO Mark Bertolini.

    LIVE stock prices:

    Oscar Health - $OSCR

    Listen wherever you get your podcast or watch us on Substack and YouTube.



    This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
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    20 m
  • The shutdown continues and premiums rise
    Nov 4 2025

    Join Ron Howrigon and Matthew Handley as they break down the latest in healthcare costs during the ongoing government shutdown. In this episode, they explore four GOP-backed compromise solutions and what they mean for consumers, while analyzing why fully insured plan premiums are projected to rise by 11%. Stay informed on healthcare trends, policy updates, and practical insights for navigating rising insurance costs.

    Articles mentioned in this program:

    US Health Insurers Face Rising Uncertainty from ACA Subsidy Expiration - Fitch Ratings

    4 GOP ideas for an Obamacare subsidies compromise - POLITICO

    How much and why premiums are going up for small businesses in 2026 - Peterson-KFF Health System Tracker

    Listen wherever you get your podcast or watch us on Substack and YouTube.



    This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
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    15 m
  • What the government shutdown means for your practice
    Oct 1 2025

    The US Senate could not agree on a budget and as a result, the government has entered a partial shutdown. We’ll talk about what healthcare spending will continue and what problems may arise at the Centers for Medicare and Medicaid Services. Plus: What are those Affordable Care Act subsidies that Democrats are so concerned about?

    Listen wherever you get your podcast or watch us on Substack and YouTube.



    This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
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    15 m
  • MAHA: The good, the bad, and the ugly
    Sep 16 2025

    Fulcrum Strategies President and CEO Ron Howrigon breaks down the problems with the "Make America Healthy Again" (or MAHA) movement. It's not that the goals and sentiment aren't good; it's that the process is extremely flawed.

    Listen wherever you get your podcast or watch us on Substack and YouTube.

    Learn more about what Fulcrum Strategies can do for your practice at FSDOC.com.



    This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
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    10 m
  • What is going on with Medicaid?
    Sep 10 2025

    Ron Howrigon and Matthew Handley are back with healthcare analysis and discussion on Inside Healthcare from Fulcrum Strategies.

    In this episode, Ron and Matthew discuss claims by current Health and Human Services Secretary Robert F. Kennedy, Jr. that there are no impending cuts to Medicaid and what physicians are really facing as a result of the Big Beautiful Bill. They also discuss the sudden change to Medicaid reimbursement in North Carolina.

    Listen wherever you get your podcast or watch us on Substack and YouTube.

    LIVE STOCK PRICES:

    UnitedHealth Group: $UNH Elevance: $ELV CVS: $CVS Cigna: $CI Humana: $HUM Molina: $MOH

    Learn more about what Fulcrum Strategies can do for your practice at FSDOC.com.



    This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
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    20 m
  • Ep. 96 - SPECIAL EDITION: Remembering Dr. Dan Hurley
    Aug 7 2024
    This week on the FLATLINING Podcast from Fulcrum Strategies, Matthew Handley and Ron Howrigon discuss the life of the late Dr. Dan Hurley with his wife Dr. Traci Hurley, his sister Christine, and his brother Tom. They shared memories of his life and why he fought so hard for transparency in our healthcare system.

    Matthew and Ron spoke to Dr. Hurley last year on the FLATLINING Podcast after he was diagnosed with dedifferentiated chondrosarcoma and his insurance company had denied payment for radiology scans that would have aided his treatment.

    --
    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.
    --

    Dan Hurley, M.D. Endowment Fund - CS Foundation
    The Story of Dr. Dan Hurley - Ron Howrigon at FLATLINING.net
    CLICK HERE to listen to our original conversation with Dr. Hurley

    --

    Subscribe to the FLATLINING Podcast on Apple Podcasts, Spotify, the iHeartRadio app, Amazon Music, Google Podcasts, Stitcher, Pandora, TuneIn, and Audible.


    This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
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    1 h y 5 m