Understanding the Impact of Medicare Fraud on Our Community

By | HEALS Pod

Episode Description

n this episode of the HEALS Pod, I had the pleasure of welcoming two distinguished guests from Nevada’s Medicaid Fraud Control Unit: Andrew Schulke, the Chief Deputy Attorney General, and Matt Ross, the Deputy Chief Investigator. Our discussion revolved around the critical and often misunderstood topic of Medicaid fraud, shedding light on its implications for the healthcare system and the community at large.

We kicked off the episode by exploring the importance of community and collaboration in addressing healthcare challenges, drawing parallels to natural phenomena like animals grouping for protection. This set the stage for our deep dive into the complexities of Medicaid fraud, a subject that is not only relevant but also vital for the integrity of our healthcare system.

Andrew and Matt shared their personal journeys into the field of Medicaid fraud investigation, revealing how their initial career paths led them to discover a passion for combating fraud. Andrew recounted his transition from a patrol officer to an investigator, highlighting the unique challenges and rewards of working in this specialized area. Matt elaborated on the intricacies of Medicaid fraud, emphasizing that it is often not a victimless crime, as many believe. Instead, it has real consequences for vulnerable individuals who rely on these services.

Throughout the episode, we discussed various case studies that illustrated the multifaceted nature of Medicaid fraud. One particularly striking case involved a behavioral health fraud scheme that not only revealed financial misconduct but also uncovered a tragic personal story of abuse. This case exemplified how fraud can have far-reaching effects beyond just financial loss, impacting the lives of individuals and families.

We also tackled the misconception that Medicaid fraud is solely perpetrated by “bad actors.” Andrew and Matt explained that many individuals may start with good intentions but can easily slip into fraudulent behavior when they see opportunities for financial gain. This led to a broader discussion about the systemic issues within healthcare that can contribute to fraud, including the pressures faced by providers and the complexities of billing practices.

As we delved deeper, we examined the investigative process, including how Andrew and Matt approach interviews with suspects. They shared insights into the psychological aspects of their work, highlighting the importance of gathering evidence and understanding intent. The conversation revealed the delicate balance they must maintain between being thorough investigators and recognizing the potential for honest mistakes in a complicated system.

Towards the end of the episode, we shifted our focus to the larger picture of healthcare in Nevada, discussing the challenges of patient dumping and the need for systemic solutions. Andrew and Matt emphasized their commitment to not only prosecuting fraud but also working collaboratively with healthcare providers to improve practices and ensure that services are delivered ethically and effectively.

This episode serves as a crucial reminder of the importance of vigilance in our healthcare system and the role that each of us plays in safeguarding it. I hope our listeners come away with a greater understanding of Medicaid fraud, its implications, and the ongoing efforts to combat it in our community.

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Navigating the Healthcare Crisis: Calls for Change and Accountability

By | HEALS Pod

Episode Description

In this episode of The HEALS Pod I delve into a deeply emotional and complex topic surrounding the recent assassination of Brian Thompson, the CEO of UnitedHealthcare. This tragic event has sparked widespread outrage and discussion, and I felt compelled to explore the underlying sentiments and societal issues that contribute to such extreme actions.

Joining me for this conversation is Dr. Aury Nagy, a seasoned physician and neurosurgeon who has lived in Las Vegas for many years. Dr. Nagy and I have engaged in numerous discussions about the healthcare system and the frustrations that many patients face. As we unpack the events surrounding Thompson’s assassination, we reflect on the emotional turmoil that often goes unnoticed in headlines and social media reactions.

We begin by discussing the broader context of the healthcare system in America, where many individuals feel unheard and powerless. Dr. Nagy shares his insights on how the frustrations of patients can lead to desperate actions, drawing parallels to past incidents where individuals have taken extreme measures due to perceived injustices in healthcare. We explore the systemic issues that contribute to this sense of powerlessness, including the role of insurance companies and the lack of accountability for those in positions of power.

As we analyze the public’s reaction to the assassination, we note a disturbing trend: a lack of sympathy for the victim, as many people view him as a representative of a flawed system rather than as an individual with a family. This sentiment reflects a growing discontent with the healthcare system, where profit motives often overshadow patient care. Dr. Nagy emphasizes the need for a shift in how we view healthcare providers and the responsibilities they hold.

Throughout the episode, we touch on the importance of advocacy and the need for systemic change within the healthcare industry. Dr. Nagy shares his experiences working with various medical boards and organizations, highlighting the challenges faced when trying to implement meaningful reforms. We discuss the necessity of engaging the community and encouraging individuals to take action, rather than succumbing to a sense of learned helplessness.

In conclusion, this episode serves as a call to action for listeners to reflect on the state of our healthcare system and the societal factors that contribute to extreme behaviors. We must foster open dialogue and work collectively towards solutions that prioritize patient care and accountability. Join us as we navigate this complex landscape and seek to understand the deeper issues at play in the tragic events surrounding Brian Thompson’s assassination.

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From Ideas to Reality: How the SBDC Supports Local Entrepreuners

By | HEALS Pod

Episode Description

In this episode of The HEALS Pod, I, Diego Trujillo, had the pleasure of speaking with two dedicated professionals from the Small Business Development Center (SBDC) in Southern Nevada, Jenny Zendajas and Carlos Mejia. Our conversation revolved around the incredible resources and support that the SBDC provides to aspiring and existing small business owners in our community.

We kicked off the episode by discussing my recent experience attending an event in North Las Vegas, where I witnessed firsthand the efforts of the small business department to empower entrepreneurs. I was impressed by the comprehensive tools and knowledge they offer, from licensing assistance to business advising, aimed at helping individuals successfully launch and grow their businesses.

Jenny shared her background in healthcare and her role as a business advisor focused on assisting healthcare businesses. With over ten years of experience in the field, she expressed her passion for providing support to entrepreneurs in the Valley. Carlos, who has been with the SBDC since 2018, discussed his journey from intern to lead advisor, highlighting the importance of market research and consulting in their work.

Throughout our conversation, we explored the various types of businesses that seek assistance from the SBDC, ranging from service-oriented ventures to brick-and-mortar establishments. Both Jenny and Carlos emphasized the importance of a solid business plan, which they help clients develop, ensuring that entrepreneurs have a clear roadmap for success.

We also touched on the surprising number of individuals who walk into their office unaware of the extensive resources available to them. This led to a discussion about outreach efforts, including social media presence and community canvassing, to raise awareness about the SBDC’s services.

As we delved deeper, we examined the challenges that new business owners face, including the need for proper planning and understanding the market landscape. Carlos shared insights on how they guide clients through SWOT analyses and strategic planning, helping them identify their strengths and opportunities.

The episode concluded with a call to action for listeners to take advantage of the SBDC’s free services. I encouraged anyone interested in starting or growing a business to visit their website, nevadasbdc.org, to register and connect with an advisor who can provide tailored support.

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From Cop to Politician: Brian Hibbetts on Serving the Las Vegas Community

By | HEALS Pod

Episode Description

n this episode of the HEALS Pod, I, Diego Trujillo, had the pleasure of welcoming Brian Hibbetts, a dedicated public servant and current member of the Nevada State Assembly representing District 13. As we navigate through an election year, our conversation delved into the importance of community representation and the legislative process, particularly in light of the pressing issues facing our community.

Brian shared his personal journey, starting from his roots in Las Vegas, where he was born and raised. He recounted his upbringing in a middle-class household, with a father who was a plumber and a mother who became a registered nurse after returning to school. This background laid the foundation for his commitment to public service, which he pursued through a 27-year career with the Las Vegas Metropolitan Police Department, ultimately retiring as a police sergeant.

We discussed the transition from law enforcement to politics, with Brian initially having no desire to enter the political arena. However, after retirement, he felt compelled to run for office when he realized that the candidates vying for his district did not align with the needs of the community. This led him to take action rather than remain an “armchair quarterback,” a sentiment that resonated throughout our conversation.

Brian’s insights into the dynamics of Las Vegas, particularly the East vs. West side narrative, provided a unique perspective on the community’s evolution. He emphasized the importance of understanding local history and the stories that shape our city, which he experienced firsthand through his interactions with long-time residents and community leaders.

As we explored his legislative experience, Brian highlighted the challenges and learning curves he faced as a freshman assemblyman. He candidly discussed the complexities of navigating the political landscape, including the importance of collaboration and compromise, as demonstrated by his efforts to address collective bargaining for state employees. Despite facing setbacks, he remained focused on achieving results for his constituents, illustrating his commitment to public service.

We also touched on the pressing issues within the healthcare system, particularly the shortage of healthcare providers in both urban and rural areas of Nevada. Brian expressed his determination to advocate for solutions, such as increasing Graduate Medical Education (GME) opportunities and considering the needs of healthcare professionals’ families when incentivizing them to work in underserved areas.

Throughout the episode, Brian’s passion for serving his community shone through, as did his willingness to learn and adapt in his role as a legislator. This conversation not only provided valuable insights into the legislative process but also underscored the importance of active participation in our democracy. As we look ahead to the upcoming election, I hope this episode inspires listeners to engage with their communities and consider the impact of their voices in shaping the future.

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Empowering Young Mothers: The Mission of Living Grace Homes

By | HEALS Pod

Episode Description

In this episode of The HEALS Pod, I, Diego Trujillo, have the privilege of interviewing Mrs. Kathleen Miller, the founder of Living Grace Homes, an organization dedicated to supporting young homeless mothers in our community. As we dive into this critical issue, Kathleen shares her journey and the profound need for services that cater to this vulnerable population.

Kathleen recounts her move to Las Vegas in 1993 and her transition from a successful career in the insurance industry to nonprofit work. Her passion for helping others was ignited through her volunteer work at Lifeline, the first pregnancy resource center in Las Vegas. It was here that she recognized the urgent need for a safe haven for pregnant women facing homelessness, particularly those without supportive family structures.

Throughout our conversation, Kathleen sheds light on the stark realities faced by young mothers in crisis. She emphasizes that many of the women who come to Living Grace Homes have experienced abuse, neglect, or abandonment, and often lack the basic life skills necessary to navigate adulthood. With a staggering statistic that only 30% of the young women served have completed high school, Kathleen explains how Living Grace Homes addresses this gap through a comprehensive program that focuses on five key pillars: legal assistance, medical care, benefits acquisition, education, and life skills training.

One of the most poignant moments in our discussion is when Kathleen shares a personal story about a young woman who reached out to her as a last hope. This young mother was living behind a McDonald’s, facing the impossible choice of homelessness or abortion. Kathleen’s immediate response was to provide her with shelter, highlighting the urgent need for such services in our community.

As we explore the broader implications of homelessness and the challenges faced by young mothers, Kathleen discusses the systemic issues that contribute to this crisis, including the lack of adequate maternal and child health services in Clark County. She also touches on the intersection of homelessness with human trafficking and substance abuse, underscoring the complexity of the issues at hand.

Throughout the episode, I am struck by Kathleen’s unwavering commitment to empowering these young women. She emphasizes the importance of collaboration with other organizations and the need for community support to continue their mission. We discuss the Safe and Sound campaign, aimed at expanding services for mothers over the age of 24, and the significant funding required to make this vision a reality.

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Running for Office: Insights from John Steinbeck on Community Needs

By | HEALS Pod

Episode Guide

In this episode of HEALS Pod, I had the pleasure of speaking with John Steinbeck, a candidate running for State Senate District 18 in Nevada. Our conversation delved into the pressing issues facing our community, particularly in the realm of healthcare and public safety, which are critical topics as we navigate the challenges of attracting and retaining medical professionals in Southern Nevada.

John shared his journey into politics, highlighting his extensive background in emergency services, where he served as a fire chief for five years and has been part of the fire department for 34 years. He discussed the rigorous demands of campaigning, emphasizing the importance of connecting with constituents to understand their needs and concerns. We explored the four key issues that John is focusing on during his campaign: public safety, education, a favorable business environment, and increasing access to healthcare.

Throughout our discussion, John reflected on the challenges he faced as a firefighter, particularly the frustration of providing emergency care to individuals with chronic health issues who often fall through the cracks of the healthcare system. He articulated the need for a more robust healthcare infrastructure that addresses both immediate and long-term medical needs, especially in light of the increasing reliance on emergency services as primary care.

We also touched on the broader implications of healthcare access in Nevada, with John noting that many residents live in areas designated as healthcare provider shortage zones. He expressed his commitment to working with legislators and healthcare providers to create a more favorable environment for medical professionals, which includes addressing Medicaid reimbursement rates and expanding residency programs.

As we wrapped up our conversation, John shared his motivations for running for office, rooted in his desire to effect positive change through legislation. He acknowledged the complexities of the legislative process and the importance of collaboration and bipartisan support in achieving meaningful reforms.

This episode not only provided insights into John’s vision for Nevada but also highlighted the critical intersection of healthcare, public safety, and community engagement. As we continue to face evolving challenges, it is clear that strong leadership and a commitment to listening to the needs of the community are essential for driving progress.

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Transforming Las Vegas: A Conversation with Mayoral Candidate Shelley Berkley

By | HEALS Pod

Episode Description

In this special edition of the HEALS Pod, I had the distinct pleasure of welcoming Shelley Berkley, a prominent mayoral candidate for the city of Las Vegas. Our conversation delved deep into her journey, her understanding of healthcare, and her vision for the future of our vibrant city.

We kicked off the episode by discussing the intensity of the election season and how grateful I was that Shelley could join me despite her busy schedule. Shelley shared her passion for healthcare, a topic that has been central to her life and career. With her family deeply rooted in the medical field—her husband is a nephrologist, and her stepdaughter is a family practice physician—Shelley brings a unique perspective to the political landscape, especially regarding healthcare issues.

As we explored her background, Shelley recounted her family’s journey to Las Vegas in the early 1960s. Her father, a waiter, moved the family from upstate New York to Southern California, but a spontaneous stop in Las Vegas turned into a lifelong residence. This personal history resonated with me, as I shared my own family’s story of immigration and the sacrifices made for a better life.

Shelley’s path to public service began early; she was involved in student government and always had aspirations to run for office. After attending law school, she was determined to gain the credibility needed to serve her community. Her political career took off when she ran for the Nevada State Assembly, where she passed significant legislation, including the Senior Law Project and the Lemon Law.

Throughout our discussion, Shelley emphasized the importance of education and public service, reflecting on her family’s immigrant background and the opportunities afforded to her. She shared her experiences in Congress, highlighting the challenges of navigating healthcare legislation without a medical background, and the importance of having professionals in the room when discussing healthcare policy.

As we transitioned to her current campaign for mayor, Shelley expressed her excitement about the potential for transformative change in Las Vegas. She outlined her priorities, including public safety, homelessness, affordable housing, and economic growth, while also emphasizing the need for better transportation and education systems. Her extensive experience in healthcare and education positions her uniquely to address these issues effectively.

The episode concluded with a discussion about the future of Las Vegas, the importance of retaining physicians through residency programs, and the optimism surrounding the city’s growth. Shelley’s passion for public service and her commitment to improving the lives of Las Vegas residents were evident throughout our conversation, leaving me inspired about the future of our community.

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Empowering Change: The Vision of CCMSA’s New Co-Presidents

By | HEALS Pod

Episode Description

In this episode of the Las Vegas HEALS Pod, I had the pleasure of welcoming two remarkable guests, Anita Koka and Annette Siefzad, the incoming co-presidents of the Clark County Medical Society Alliance (CCMSA). We delved into their backgrounds, their journey to Las Vegas, and their vision for the organization as they step into their new roles.

Anita shared that she moved to Las Vegas in 1996, while Annette, originally from the Dominican Republic, relocated to Las Vegas in 2009 after living in California and New York. Both women discussed the common misconceptions about Las Vegas, emphasizing that the city is more than just its famous Strip and casinos. They highlighted the growing sense of community and culture in Las Vegas, particularly in light of the recent influx of movie studios and the city’s evolving identity.

We explored the CCMSA’s close relationship with the Clark County Medical Society, discussing how they collaborate on various initiatives and events. One of the highlights of their year is the annual fashion show, which I personally attended last year and found to be an extraordinary event filled with energy and creativity. Anita and Annette expressed their excitement about the upcoming fashion show luncheon scheduled for April 17th, 2025, and shared their plans to enhance community involvement and support for their chosen charity, the Be A SHERO Foundation.

The Be A SHERO Foundation focuses on helping women and children under 25 who have been abandoned, abused, or exploited. Anita and Annette passionately discussed the alarming statistics surrounding human trafficking, particularly in Las Vegas, and their commitment to raising awareness and funds to support this critical cause. They emphasized the importance of educating the community about these issues and the need for medical assistance for the victims.

Throughout our conversation, it became clear that both women are deeply committed to their roles and the mission of the CCMSA. They shared their vision for the year, which includes increasing membership, fostering family involvement, and creating a supportive environment for physicians and their spouses. We also touched on the challenges they face, such as engaging volunteers and maintaining momentum in their initiatives.

As we wrapped up the episode, I encouraged listeners to get involved with the CCMSA, whether through volunteering, attending events, or simply spreading the word about their important work. I also highlighted the significance of collaboration within the community and the impact that collective efforts can have on addressing pressing social issues.

This episode not only provided insight into the CCMSA and the Be A SHERO Foundation but also showcased the dedication and passion of Anita and Annette as they embark on this new chapter in their leadership journey. I look forward to seeing the positive changes they will bring to the organization and the community at large. Thank you for tuning in, and be sure to stay connected with the CCMSA on social media for updates on their upcoming events and initiatives!

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Bridging the Gap: Addressing Healthcare Workforce Challenges in Nevada with Dr. John Packham

By | HEALS Pod

Episode Description

In this episode of the HEALS Pod, I had the pleasure of welcoming Dr. John Packham, the Associate Dean of the Office of Statewide Initiatives at the University of Nevada, Reno (UNR) School of Medicine. After years of virtual interactions, it was exciting to finally meet him in person and delve into the critical work he does in healthcare workforce development across Nevada.

Dr. Packham shared insights into his extensive role at UNR, where he oversees the technical assistance and outreach arm of the School of Medicine. With over 25 years of experience, he has been instrumental in addressing healthcare needs across all 17 counties in Nevada, particularly focusing on rural areas. We discussed the impact of the establishment of the UNLV School of Medicine and how it has shaped the healthcare landscape in the state, allowing UNR to concentrate on Northern Nevada and rural regions.

A significant portion of our conversation revolved around the Nevada State Office of Rural Health, which Dr. Packham’s office manages. This unique university-based office plays a vital role in healthcare workforce research and policy, particularly in the context of the ongoing workforce crisis exacerbated by the COVID-19 pandemic. Dr. Packham highlighted the alarming increase in job postings for healthcare positions during the lockdown, which underscored the urgent need for workforce development initiatives.

One of the standout resources we discussed was the “Healthcare Careers in Nevada” manual, which Dr. Packham and his team have developed over the years. This comprehensive guide serves as an invaluable tool for middle and high school students, providing them with detailed information about various healthcare careers, including job openings, salary expectations, and educational pathways. The manual has been widely distributed, with nearly 50,000 copies in circulation, and has proven to be a hit among students, educators, and parents alike.

As we explored the challenges facing the healthcare workforce in Nevada, Dr. Packham emphasized the importance of exposure and education in shaping students’ career aspirations. He shared personal anecdotes about how his own journey in healthcare evolved and how critical it is for students to understand the diverse opportunities available to them beyond traditional roles like nursing and medicine.

We also touched on the pressing need for a children’s hospital in Las Vegas, a topic that has gained traction recently. Dr. Packham discussed a report released by the Brookings Institution and Trip Umbach, which highlighted the lack of specialized pediatric care in the region and the potential economic and health benefits of establishing a standalone children’s hospital. This initiative could not only improve access to care for children but also create thousands of jobs and enhance the overall healthcare infrastructure in Nevada.

Throughout our conversation, it became clear that addressing the healthcare workforce shortage requires a collaborative effort from various stakeholders, including policymakers, educational institutions, and community organizations. Dr. Packham’s passion for improving healthcare access and outcomes in Nevada was evident, and his insights provided a hopeful perspective on the future of healthcare in our state.

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Community and Care: Addressing Mental Health Challenges in Las Vegas with Dr. Sid Khurana

By | HEALS Pod

Episode Description

n this episode of the HEALS Pod, I, Diego Trujillo, CEO of Las Vegas HEALS, had the pleasure of interviewing Dr. Sid Khurana, one of the co-founders of Nevada Mental Health. Our conversation delved into the pressing issues surrounding mental health care in Las Vegas, particularly the challenges of access and the ongoing shortage of healthcare providers.

We began by discussing the inspiration behind Nevada Mental Health, which stemmed from a personal encounter Dr. Khurana had with a handyman seeking mental health resources for a family member. This moment highlighted the lack of accessible, insurance-based mental health care in the community, particularly for those who fall in the middle-income bracket. Dr. Khurana shared his journey of moving to Las Vegas and how he has witnessed the city evolve over the past 12 years, noting its family-friendly aspects and the abundance of outdoor activities that often go unrecognized.

As we explored the current state of mental health care in Nevada, Dr. Khurana pointed out that despite some progress, the state still ranks last in the nation for mental health access and disease prevalence. We discussed the interconnectedness of mental health, substance abuse, and homelessness, emphasizing the need for a holistic approach to these issues.

Dr. Khurana elaborated on the mission of Nevada Mental Health, which focuses on providing quality, patient-centered care without the common practice of double booking appointments. He emphasized the importance of building a strong therapeutic relationship between patients and providers, which is crucial for effective treatment outcomes. We also touched on the significance of patient engagement and the need for reeducation to foster a collaborative approach to mental health care.

A significant portion of our discussion revolved around innovative treatment options, including Transcranial Magnetic Stimulation (TMS), a non-invasive procedure that targets specific areas of the brain to treat conditions like depression and anxiety. Dr. Khurana explained the science behind TMS and how it offers an alternative for patients who may not respond well to traditional therapies.

We also addressed the broader cultural context of mental health in Las Vegas, including the transient nature of the population and the impact of individualism on community support systems. Dr. Khurana highlighted the importance of resilience-building in children and the role of supportive family structures in fostering mental well-being.

Towards the end of our conversation, we touched on the potential of psychedelic-assisted therapies and the need for ongoing research to explore their efficacy in treating mental health conditions. Dr. Khurana expressed his openness to integrating new scientific findings into practice, emphasizing the importance of curiosity and evidence-based approaches in mental health care.

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