Achieving Health

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of September 30, 2026. First, they discuss a recent statement from the Federal Trade Commission that signals tougher scrutiny of hospital mergers and what it could mean for organizations pursuing consolidation. Then, they look at proposed provisions in the 2027 Physician Fee Sche...

Join host Chad Mulvany for a conversation with special guest John Beaman, CFO of Adventist Health, a nonprofit, integrated health system serving the West Coast and Hawaii, and the largest provider of rural healthcare in California. They discuss the reimbursement, regulatory, and economic pressures facing rural and safety-net hospitals and explore strategies that can help these organizations achiev...

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of September 16, 2026. First, they look at how looming Medicaid cuts from the One Big Beautiful Bill Act are putting pressure on states, healthcare providers, and patients. Key discussion points include: Projected decreases in state Medicaid spending related to new limits on Medi...

Join hosts Chad Mulvany and Shawn Stack for a conversation with Corewell Health CFO Matt Cox and board member Joe Fifer. They discuss the ongoing scrutiny on healthcare affordability and the roles of finance and board leaders in advancing transformation that supports a more affordable care delivery system for patients and other stakeholders. Matt and Joe share their thoughts on: How health systems...

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of September 2, 2026. First, they explore the increase in hospital prepayments for nonemergency services, the impact on patient experience, and revenue cycle strategies to help hospitals manage upfront collections. Next, they delve into the rising costs of employer-sponsored heal...

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of August 19, 2026. First, they discuss the most critical updates from CMS’ 2027 Inpatient Prospective Payment System (IPPS) final rule, including the mandatory Comprehensive Care for Joint Replacement Expanded (CJR-X) Model and its cost and quality expectations for participating...

Join hosts Chad Mulvany and Shawn Stack for a conversation with special guest Andy Wegman, senior director of reimbursement services at Banner Health. They discuss the recent spike in CMS rulemaking and what it means for reimbursement leaders and their organizations. Andy shares his thoughts on: Consequential policy changes in CMS’ prospective payment system (PPS) rules CMS’ approach to implementi...

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of August 5, 2026. First, they discuss CMS’ new Medicaid provider tax proposed rule, which implements requirements from the One Big Beautiful Bill Act that place new limits on states’ ability to fund Medicaid programs. They also explore: CMS’ updated guidance on Protecting Access...

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of July 22, 2026. First, they’re joined by Jill Griffith-Goodwin, managing director on the Healthcare Consulting team at Forvis Mazars, to delve into the off-campus hospital outpatient department (HOPD) billing and attestation requirements included in the 2027 Outpatient Prospect...

Join host Shawn Stack and Jeff Kilpatrick, principal on the facility and capital planning consulting team at Forvis Mazars, for a conversation with special guest A.J. Reall, vice president of strategy at El Camino Health in California. A.J. and Jeff discuss the health system’s approach to strategic facility planning amid CMS’ ongoing shift toward site-neutral payment policy, including: Modeling po...

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of July 8, 2026. First, they discuss CMS’ newly released Outpatient Prospective Payment System (OPPS) proposed rule for 2027 and share the provisions that stand out as most consequential to healthcare organizations. Then, they explore the potential implications of a bill introduc...

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of June 24, 2026. First, they discuss the Health Resources and Services Administration’s (HRSA) efforts to implement a new 340B rebate model after a previous attempt faced legal setbacks. They also explore a new analysis of the financial impact of the One Big Beautiful Bill Act o...

Join host Shawn Stack for a conversation with special guest Jonathan Davis, executive director of patient access at Yale New Haven Health. Jonathan shares insights from his organization’s approach to artificial intelligence (AI) and technology-enabled innovation in the revenue cycle. Tune in to hear his perspectives on: Opportunities to improve efficiency and streamline workflows through AI and au...

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of June 10, 2026. First, they explore the current state of policy reforms related to price transparency, Medicaid financing, and site-neutral payments, and discuss where things may go next. Then, they take a closer look at CMS’ proposed rule for Medicaid state-directed payments (...

Join host Chad Mulvany as he shares the latest healthcare policy and legislative updates for the week of May 27, 2026. First, he examines CMS’s proposed changes to OB3 state-directed payments, then dives into the 2027 Exchange Plan Final Rule, breaking down its increased complexity and financial risk to consumers and providers. Other key topics in this episode include: Media scrutiny of NFP hospit...

Host Chad Mulvany breaks down the most critical healthcare policy and legislative updates for the week of May 13, 2026. In this episode we examine recent reconciliation legislation in Congress and unpack what a future package could mean for healthcare organizations. Chad also dives into fresh data showing declining enrollment in state ACA exchange marketplaces and its direct impact on the uninsure...

Join host Chad Mulvany for a conversation with special guest Michael Nuñez, district chief financial officer of El Paso County Hospital District. Michael provides valuable perspectives drawn from his experience guiding a complex health system that includes University of Medical Center of El Paso (UMCEP), a health plan, a children’s hospital, and various entities across the county. Hear his thought...

Join host Chad Mulvany as he shares the latest healthcare policy and legislative updates for the week of April 29, 2026. First, he explores key provisions of CMS’ 2027 Inpatient Prospective Payment System (IPPS) proposed rule and how they may affect healthcare organizations in the years ahead. Michael Wolford, principal in the Healthcare Consulting practice at Forvis Mazars, joins for a closer loo...

Join host Chad Mulvany as he shares the latest healthcare policy and legislative updates for the week of April 15, 2026. First, he shares updates from the latest round of CMS rulemaking, including proposed rules for skilled nursing facility (SNF), inpatient rehabilitation facility (IRF), and inpatient psychiatric facility (IPF) payments in fiscal year 2027. Then, he explores the finalized Medicare...

Join host Chad Mulvany and Jean Nyberg, partner in the Healthcare Practice at Forvis Mazars, for a conversation with special guest Craig Thompson, CEO of Golden Valley Memorial Healthcare, a rural provider organization based in Clinton, Missouri. Craig shares how his organization navigates strategic initiatives in an uncertain environment, including: The One Big Beautiful Bill Act and other regula...

Join host Chad Mulvany for the latest healthcare policy and legislative updates for the week of April 1, 2026. This week Chad sits down with Brandon Hill, managing director in the Healthcare Consulting practice at Forvis Mazars, to unpack CMS’ new Ambulatory Specialty Model (ASM)—a mandatory value-based payment model targeting physicians treating heart failure and low back pain. In addition, Chad...

Join host Chad Mulvany as he shares the latest healthcare policy and legislative updates for the week of March 18, 2026. First, he welcomes Ben Owings, director in the IT Risk & Compliance consulting practice at Forvis Mazars, to discuss how healthcare organizations can mitigate potential cyber risks related to the Iran conflict. Then, he explores the impact of a federal court decision overtur...

Join host Chad Mulvany and Jeff Allen, partner and leader of the CHC consulting practice at Forvis Mazars, to explore the outlook for CHCs in 2026. They’re joined by special guests Aaron Wilson, CEO, and John Browne, chief operating and strategy officer, of CHAS Health, a nonprofit FQHC based in Spokane, Washington. Aaron and John share their perspectives on revenue cycle improvement, 340B changes...

Join host Chad Mulvany as he shares the latest healthcare policy and legislative updates for the week of March 4, 2026. First, he explores notable components of President Donald Trump’s “Great Healthcare Plan” after its emphasis in the State of the Union address. He also covers the latest developments regarding the Health Resources and Services Administration’s 340B rebate model, including an oppo...

Join host Chad Mulvany and special guest JJ Hodshire, president and CEO of Hillsdale Hospital, a rural, community-based hospital in Michigan. JJ shares his outlook for rural healthcare providers in 2026, drawing from his experience leading Hillsdale Hospital and advocating for rural health in Michigan and across the U.S. JJ is also the host of Hillsdale Hospital’s podcast, which Chad recently join...