Achieving Health

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of November 11, 2026. They cover key takeaways from CMS’ final rules for the 2027 Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) and what they mean for 340B, site-neutral payments, off-campus hospital outpatient departments, and physician payments. 
Learn more about the show at forvismazars.us/AchievingHealthPodcast. Subscribe to Healthcare FORsights™ to receive tailored insights on the healthcare sector directly to your inbox. 
Related content:  
CMS’ 2027 OPPS Rule: Key Takeaways for Healthcare Providers 
2027 Medicare Physician Fee Schedule Rule: Key Updates 
Navigating Off-Campus HOPD Attestation & NPI Requirements 
Webinar: Provider-Based/HOPD Requirements Finalized: Key Next Steps 
Webinar: 340B Update: Key Regulatory Changes & Operational Strategies 
Webinar: From Healthcare Regulations to Financial Impact: A Framework 
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Download our Mindsets 2026 Healthcare Executive Leadership Report. 
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Healthcare Practice at Forvis Mazars 
Chad Mulvany 
Shawn Stack 

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of October 28, 2026. First, they delve into the funds report for year one of the Rural Health Transformation Program (RHTP), exploring the types of initiatives receiving support and takeaways for healthcare providers looking to secure funding in year two.
They also discuss economic forecasts that predict persistently high long-term interest rates and the potential implications for financing capital projects in the years ahead.
Then, they check in on the ongoing trend of hospital closures, including both rural and urban facilities, and share strategies leaders may need to consider to help improve financial sustainability.
Learn more about the show at forvismazars.us/AchievingHealthPodcast. Subscribe to Healthcare FORsights™ to receive tailored insights on the healthcare sector directly to your inbox.
Related content:
RHTP Year Two: Driving Sustainable Rural Transformation | Forvis Mazars US
Rural Health Transformation Program FORsights
Five Elements of Strategic Financial & Capital Planning
Download our Healthcare Market Point of View: Achieving Health.
Download our Mindsets 2026 Healthcare Executive Leadership Report.
Questions? Contact us.
Connect on LinkedIn:
Healthcare Practice at Forvis Mazars
Chad Mulvany
Shawn Stack
 

Join host Chad Mulvany and Erin Eshelman, director in the Healthcare Consulting practice at Forvis Mazars, for a conversation with Dr. Caroline Carney, CEO of Magellan Health, a managed care company that provides behavioral health and integrated care services for health plans, employers, and government agencies.
They explore how coordinated care can help health plans, providers, and other industry stakeholders improve affordability, access, and outcomes while navigating financial and operational challenges, clinical complexity, and evolving technologies.
Dr. Carney shares her thoughts on:
How episode-of-care models and outcomes-driven performance can improve value
The role of integrated behavioral health strategies in improving total cost of care
The opportunities and risks associated with adopting AI tools for operational efficiency and care delivery
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Related content:
Healthcare Affordability: CFO & Board Perspectives From Corewell Health
How Rural & Safety-Net Hospitals Can Thrive: John Beaman, Adventist Health
Finance Leadership in a Complex System: Michael Nuñez, UMCEP
Improving Medicare Advantage Provider Performance: An Integrated Approach
Download our Healthcare Market Point of View: Achieving Health.
Download Achieving Health: Our Healthcare Market Point of View.
Questions? Contact us.
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Healthcare Practice at Forvis Mazars
Chad Mulvany
Erin Eshelman
Magellan Health
Dr. Caroline Carney

Join hosts Chad Mulvany and Shawn Stack as they share the latest healthcare policy and legislative updates for the week of October 14, 2026. First, they break down a memorandum outlining U.S. House Democrats’ healthcare priorities if they regain the majority in the mid-term elections and highlight the policies healthcare leaders should keep an eye on.
They also check in on the proposed Lower Premiums, Faster Payments Act, which would replace the federal Independent Dispute Resolution process for out-of-network payments with a reimbursement framework based on Quality Payment Amount benchmarks.
Then, they explore the potential for AI to mitigate workforce shortages, the expansion of site-neutral payment policies among commercial payors, and how these developments affect growth strategies for healthcare organizations.
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Related content:
Healthcare Affordability: CFO & Board Perspectives From Corewell Health
No Surprises Act Dispute Resolution Changes: What to Know
Revenue Cycle Innovation & AI: Jonathan Davis, Yale New Haven
Leveraging Automation, Analytics, & AI in the Revenue Cycle
AI Governance in Healthcare: What Leaders Should Ask
AI Interoperability in Healthcare Introduces New Cyber Risks
Facility Planning & Site Neutrality: A.J. Reall, El Camino Health
How Does Site Neutrality Affect Your Facility Master Plan?
Download Achieving Health: Our Healthcare Market Point of View.
Download our Mindsets 2026 Healthcare Executive Leadership Report.
Questions? Contact us.
Connect on LinkedIn:
Healthcare Practice at Forvis Mazars
Chad Mulvany
Shawn Stack
 

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 Schedule (PFS) rule that would shift reimbursement from specialists to primary care providers and explore how health systems may need to adjust their physician compensation plans. They also touch on recent congressional activity surrounding physician payment and the prospects for future legislation.
Later in the episode, they’re joined by Ryan Rozwat, director on the Healthcare Consulting team at Forvis Mazars, to discuss CMS’ Wasteful and Inappropriate Service Reduction (WISeR) Model pilot. Ryan shares his perspective on operational challenges for providers in the pilot’s first year and what the future may hold for AI-supported prior authorization processes.
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Related content:
2027 Medicare Physician Fee Schedule Rule: Key Updates
CMS WISeR Model: What Providers Need to Know by January 2026CMS WISeR Model: Pilot Updates & Impact on Hospitals
CMS-0057-F: Preparing for Prior Authorization Changes
Download our Healthcare Market Point of View: Achieving Health.
Download our Mindsets 2026 Healthcare Executive Leadership Report.
Questions? Contact us.
Connect on LinkedIn:
Healthcare Practice at Forvis Mazars
Chad Mulvany
Shawn Stack
Ryan Rozwat
FTC Statement on Hospital Mergers

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 achieve financial viability and thrive.
John shares his thoughts on:
Helping patients maintain insurance coverage under more stringent Medicaid eligibility requirements
Balancing financial and operational realities with community expectations and access needs
Training, recruiting, and retaining clinicians in rural markets
The role of technology, partnerships, and innovative delivery models in maintaining access to care in rural communities
Learn more about the show at forvismazars.us/AchievingHealthPodcast. Subscribe to Healthcare FORsights™ to receive tailored insights on the healthcare sector directly to your inbox.
Related content:
Rural Health Outlook 2026: JJ Hodshire, CEO, Hillsdale Hospital
Strategy Amid Uncertainty: Craig Thompson, CEO, GVMH
Medicaid Community Engagement: How Hospitals Can Prepare
Helping Safety Net Hospitals Achieve Health & Navigate Disruption
Download our Healthcare Market Point of View: Achieving Health.
Download our Mindsets 2026 Healthcare Executive Leadership Report.
Questions? Contact us.
Connect on LinkedIn:
Healthcare Practice at Forvis Mazars
Chad Mulvany
Adventist Health

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 Medicaid state-directed payments.
The ongoing trend of hospital maternity ward closures and how Medicaid cuts may accelerate the trajectory.
Later in the episode, they explore employer strategies to manage health benefit costs, growing demand for value-based arrangements, and opportunities for direct-to-employer contracting.
Finally, they discuss how healthcare organizations can prepare for impending site-of-service shifts as CMS continues to phase out the Inpatient Only list and implement other site-neutral policies.
Learn more about the show at forvismazars.us/AchievingHealthPodcast. Subscribe to Healthcare FORsights™ to receive tailored insights on the healthcare sector directly to your inbox.
Related content:
CMS Rule Signals Shift in Medicaid State-Directed Payments
Medicaid Provider Tax Threshold Reform: How to Prepare
Medicaid Community Engagement: How Hospitals Can Prepare
Payor & Hospital Price Transparency Data-Driven Strategy
A Strategic Approach to Maintain Medicare DSH Eligibility
Key Signs of Success for Clinically Integrated Networks (CINs)
A Guide to Value-Based Enterprises for Health System Executives
CMS’ 2027 OPPS Rule: Key Takeaways for Healthcare Providers
How Does Site Neutrality Affect Your Facility Master Plan?
Download our Healthcare Market Point of View: Achieving Health.
Download our Mindsets 2026 Healthcare Executive Leadership Report.
Questions? Contact us.
Connect on LinkedIn:
Healthcare Practice at Forvis Mazars
Chad Mulvany
Shawn Stack

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 like Corewell can define affordability to help focus strategic initiatives.
How providers can balance efforts to improve affordability for patients while operating in a challenging financial environment.
The role of transformation—in technology, the workforce, and care and payment models—in advancing affordability.
Learn more about the show at forvismazars.us/AchievingHealthPodcast. Subscribe to Healthcare FORsights™ to receive tailored insights on the healthcare sector directly to your inbox.
Related content:
Finance Leadership in a Complex System: Michael Nuñez, UMCEP
Revenue Cycle Innovation & AI: Jonathan Davis, Yale New Haven
Strategy Amid Uncertainty: Craig Thompson, CEO, GVMH
Download our Healthcare Market Point of View: Achieving Health.
Download our Mindsets 2026 Healthcare Executive Leadership Report.
Questions? Contact us.
Connect on LinkedIn:
Healthcare Practice at Forvis Mazars
Chad Mulvany
Shawn Stack
Matt Cox
Joe Fifer
Corewell Health

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 health insurance and the downstream effects for providers, including public scrutiny of costs fueled by price transparency and increased pressure in managed care rate negotiations.
They also cover new details from CMS regarding the Medicare Part D Claims Data 340B repository, which launches October 1, 2026.
Learn more about the show. Subscribe to healthcare FORsights™ to receive tailored sector insights directly to your inbox.
Related content:
Payor & Hospital Price Transparency Data-Driven Strategy
Improving Medicare Advantage Provider Performance: An Integrated Approach
Managed Care Contracting Language: How Providers Can Adapt
Medicare Advantage: Provider Strategies for Revenue Cycle Improvement
Unity Health: Strengthening Revenue Cycle Performance
2027 Medicare Physician Fee Schedule Rule: Key Updates
Resources:
CMS Fact Sheet: Medicare Part D Claims Data 340B Repository
CMS FAQs: Medicare Part D Claims Data 340B Repository
Download our Healthcare Market Point of View: Achieving Health.
Download our Mindsets 2026 Healthcare Executive Leadership Report.
Questions? Contact us.
Connect on LinkedIn:
Healthcare Practice at Forvis Mazars
Chad Mulvany
Shawn Stack

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 hospitals.
Next, they delve into the conversation around price transparency and affordability, including actions from Congress and CMS, scrutiny on mergers and acquisitions, and implications for the 2026 midterm elections.
Then, they’re joined by Brian Bell, principal in the Healthcare Consulting practice at Forvis Mazars, for a conversation about the new 340B Rebate Model Pilot Program from the Health Resources and Services Administration (HRSA). They explore how the pilot will change covered entities’ access to discounts for selected manufacturers and drugs, and how hospitals can build operational and administrative capabilities to prepare.
Learn more about the show. Subscribe to healthcare FORsights™ to receive tailored sector insights directly to your inbox.
Related content:
CJR-X: Unpacking CMS’ New Mandatory Bundled Payment Model
Webinar Archive: CJR-X: What to Know & How to Prepare
CJR-X: How to Succeed in CMS’ Mandatory Bundled Payment Model
CJR-X: How Data-Driven Strategies Support Success
CJR-X: Improving Outcomes Via Post-Discharge Care Pathways
CJR-X: Establishing Effective Governance Structures
CJR-X: The Quality Improvement Imperative
CMS’ 2027 IPPS Updates: What Hospitals Should Know
Price Transparency Enforcement: HHS & CMS Reaffirm Focus
Payor & Hospital Price Transparency Data-Driven Strategy
HRSA Takes Steps to Implement a 340B Rebate Model
Download our Healthcare Market Point of View: Achieving Health.
Download our Mindsets 2026 Healthcare Executive Leadership Report.
Questions? Contact us.
Connect on LinkedIn:
Healthcare Practice at Forvis Mazars
Chad Mulvany
Shawn Stack
Brian Bell