Carenodes

10/16/2026

Did you know that 73% of providers are unsure about their payment expectations? 🤔

Understanding the intricacies of contract language is crucial for getting paid what you deserve.

Here’s the breakdown:

- Contract language influences fee schedules and exhibits.
- These documents dictate what you actually receive.
- Payer rules and system builds can complicate things further.

If you’re not keeping up with every payer update, you might be missing out on what’s rightfully yours.

Let’s talk about how to navigate these complexities together!

Have you ever faced confusion over your payment contracts? Share your experiences below!

09/25/2026

One month from today, I'll be on stage at the Hawaii HFMA 2026 Revenue Cycle Seminar.

Here's the question I keep coming back to: Why do so many payer-provider negotiations fail before they even begin?

Not because of bad data. Not because of bad intentions. Because the people at the table have never sat on the other side.

I have. And I'll be sharing the frameworks that actually move the needle — built from 600+ contracts, a $58M Medicaid deal, and a career spent at the intersection of operations and strategy.

If you're heading to Hawaii HFMA, come find me. If you're not — the landing page has everything you need to know about what I'll be covering.

📅 November 10, 2026 | Ko'olau Ballrooms & Conference Center, Kaneohe, HI

https://yarijanian.com/lp/hawaii-hfma-2026?utm_source=facebook&utm_medium=organic_social&utm_campaign=cmp_asFRwhvBTE25FwhIPsIB1sFApACgj-aGjdqFg-QcKCI&utm_content=act_rEhmE-1pOFWjoQgUk1jVjw5qtxHhqqojAoLqeubUJdg&utm_term=none

See the full session details — link in bio.

09/11/2026

Chronic illness isolation is a silent epidemic among young adults — and it's almost never talked about.

Coming soon: our full conversation with Esha Mittal, founder of The Shared Strength Project, on what it's actually like to grow up chronically ill, why peer support changes everything, and why the health system still isn't funding it.

Full episode drops soon on VBCApodcast.com — follow so you don't miss it.

https://youtube.com/shorts/x4M2NqZMkb4?feature=share

09/11/2026

Why is musculoskeletal health the missing piece in value-based care?

At RISE West, we sat down with Yvonne Negrón — licensed acupuncturist and owner of Golden Triangle Acupuncture and Massage in San Diego — to talk about what happens when musculoskeletal care moves out of the traditional clinical box and into the broader patient care model.

We get into:
✅ Why chronic musculoskeletal issues are a bigger cost driver than most provider groups realize
✅ How fitness and bodywork solutions fit into existing care pathways
✅ The real operational lift behind scaling a program like this
✅ Where this fits into Medicare Advantage and value-based care models
🎥 Watch the full conversation

Drop a comment if you want a deeper dive on integrating wellness programs into MA plans.


Why Your Medicare Advantage Plan is Missing This Critical Care

Why is musculoskeletal care frequently excluded from the modern val...

09/07/2026

overview and analysis video coming soon

09/03/2026

09/01/2026

what volume do you expect to have some negotiation power?

09/01/2026

Would 500 patients be enough to walk into a payer negotiation and actually win?

For primary care, yes. For specialty groups, you need closer to 1,500.

Most providers never calculate this number — which is exactly why health plans hold all the leverage in rate discussions.

Here's the threshold that flips the power dynamic:

📍 Primary care: 500+ patients per provider
📍 Specialty groups: 1,500+ patients per provider

Hit that volume and you're no longer asking for a better rate — you're part of the volume health plans need to sell their own products to employers and members. That's leverage, not a favor.

Individual provider or group contract, the math doesn't change. Know your number before your next negotiation.

🎥 Watch: https://www.youtube.com/shorts/vQCOkcSEtug

Learn how to use health plan contracts to your advantage. Discover ...

08/27/2026

4 in every 2,000 women experience postpartum hemorrhage.

So why isn't postpartum care reimbursed the way procedures are?

We break down the incentive problem behind maternal health outcomes — and why it's a systems issue, not an individual one.

Full episode on YouTube — link in bio ⬆️

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08/27/2026

Can a screen really capture the full weight of depression?

We explore the clinical reality of telemedicine and why remote appointments often miss the non-verbal cues that matter most. If you've felt isolated during virtual therapy sessions, this breakdown explains why those missing physical connections impact your mental health recovery.

Can a screen really capture the full weight of depression?We expl...