Carenodes

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.

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 Your Medicare Advantage Plan is Missing This Critical Care Why is musculoskeletal care frequently excluded from the modern val...

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

Someone asked me: Volume drives power Learn how to use health plan contracts to your advantage. Discover ...

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.

Everything stopped when this happened #LindsayClancy #courtroom #trial Can a screen really capture the full weight of depression?We expl...

Administrative healthcare burden — how sustainable is it?

Are our healthcare providers drowning in paperwork? 🤔 Drop a comment if you’ve felt this! With all the demands on physicians today, from billing to electronic health records, it’s no wonder they’re feeling burnt out. They’re not just waiting around; they’re juggling a million tasks while trying to provide the best care possible. Imagine if AI could step in to lighten the load. What if it could summarize patient histories or send reminders for follow-ups? This proactive support could be a game-changer, helping doctors focus on what really matters: their patients. Let’s talk about how we can make healthcare more efficient and less stressful for everyone involved. What are your thoughts? 💬 #HealthcareInnovation #AIDriven #PhysicianSupport #BurnoutAwareness #HealthTech