The Gist Healthcare Podcast

Jefferson Health sues Aetna over a so-called Medicare Advantage "down coding" policy, CMS raises MA rates next year, and healthcare affordability tops domestic concerns, on today’s episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

The White House proposes a 12% cut to HHS, insurers report further reductions in prior authorization, and a new study links AI scribes to modest documentation time savings, on today’s episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

Advanced practice providers are a growing part of the healthcare workforce, but many organizations aren’t necessarily seeing the productivity gains they expected. On today’s episode, we examine new Kaufman Hall insights on why traditional physician-APP models often underperform, and how redesigning team roles, incentives, and compensation could yield better outcomes for clinicians and patients alike. Bonnie Proulx, DNP, APRN, PNP-BC, FAAN, Senior Vice President with Kaufman Hall and a member of the firm’s Physician Enterprise practice, joins the podcast to explain more.   You can read Bonnie’s blog post here.   This interview first aired on Monday, January 26, 2026.   Hosted on Acast. See acast.com/privacy for more information.

HHS forms a new healthcare advisory committee, the FDA approves Eli Lilly’s oral weight loss pill, and a Senate bill targets insulin price caps in private plans, those stories and more coming up on The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

HHS tightens hospital nutrition standards, ACA marketplace enrollment dips 5 percent, and one in three people turn to AI chatbots for health questions, on today’s episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

As healthcare organizations respond to the cyberattack on Stryker, the focus is shifting from what happened to how decisions are made in the moment. Gist Healthcare Podcast host J. Carlisle Larsen speaks with Phil Englert of Health-ISAC about navigating uncertainty during an incident, how these events shape perceptions of medical device risk, and what it takes for organizations to coordinate under pressure.  You can listen to the first half of the conversation here.   Hosted on Acast. See acast.com/privacy for more information.

CVS Health reaches a proposed insulin pricing settlement with the Federal Trade Commission. The Trump administration misses a deadline to name a new director of the Centers for Disease Control and Prevention. And a new study finds sepsis is linked to 18 percent of pediatric hospital deaths. Those stories coming up on today’s episode of the Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

In this episode of The Gist Healthcare Podcast, the Federal Trade Commission launches a new healthcare taskforce, CMS advances efforts to move away from fax and mailed claims, and new data shows coverage gaps for some ACA marketplace enrollees. Hosted on Acast. See acast.com/privacy for more information.