The Gist Healthcare Podcast

Walmart is reportedly considering buying a majority stake in ChenMed. Two major hospital systems are switching their EHRs from Cerner to Epic. And, two Wisconsin health systems take another step towards a merger. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Hospital-at-home has been around since the mid-1990s in the United States. But the broader adoption of the care model accelerated during the COVID-19 pandemic, in part due to patient preference and waivers from CMS.  On today’s episode of Gist Healthcare Daily, Contessa Health Chief Medical Office Rob Moskowitz, MD joins the podcast to talk about the future of hospital-at-home and what needs to be in place to ensure its long-term success. Hosted on Acast. See acast.com/privacy for more information.

A new study finds that Medicare Advantage plans were overpaid by billions of dollars each year from 2017 to 2020. The cost of employer-sponsored health insurance is expected to surge next year. And, researchers are investigating whether weight loss drugs Ozempic and Wegovy could be used to treat alcohol addiction and dementia. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

CMS unveils a new state-level all-payer model meant to improve population health. Electronic health records company NextGen goes private in a deal with private equity firm Thoma Bravo. And, a new study finds that primary care physicians affiliated with health systems drive up spending. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Medicare names the first 10 drugs facing price negotiations. The Biden Administration proposes new nursing home staffing standards. And, Humana sues CMS to prevent Medicare payment clawbacks. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Data sharing platform Health Gorilla surveyed more than 1,200 consumers to gauge their opinion about the privacy of their health data and which companies should be allowed to access it. It found a vast majority of respondents expressed concerns about data breaches affecting their medical records. Steven Lane, MD, Chief Medical Officer for Health Gorilla, joins the podcast to talk more about the survey, patient privacy, and the role of interoperability. You can find Health Gorilla’s State of Patient Privacy report here. Hosted on Acast. See acast.com/privacy for more information.

A major insurer switches gears and partners with Amazon and Mark Cuban Cost Plus Drugs in a cost saving move. Portland, Oregon-based health systems Oregon Health & Science University and  Legacy Health announce they intend to merge. And, a federal court maintains restrictions on the abortion pill–guaranteeing the case heads to the supreme court. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Centers for Medicare and Medicaid Services updates its ACO REACH model. Oregon’s governor signs a nurse-to-patient staffing ratio bill into law. And, new data show that private-equity healthcare deals slowed amid higher interest rates. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

AdventHealth sues MultiPlan--a company that provides regional preferred provider organization networks for insurers--alleging it colluded with those insurers to pay providers less for out-of-network care. Some health insurers say they won’t cover Alzheimer’s drug Leqembi. And, CMS says there are 27 states with concerning rates of Medicaid terminations due to procedural reasons. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Department of Justice requests more information about Optum’s planned acquisition of home health care company Amedisys. Cano Health announces it will lay off 700 employees as it looks to sell its business. And, the Biden Administration announces a $100 million investment to grow the nation’s nursing workforce. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

New antitrust proposals from the Department of Justice and the Federal Trade Commission would allow antitrust regulators greater authority to scrutinize healthcare mergers and acquisitions, if finalized. On today’s episode of Gist Healthcare Daily, we hear the second part of JC’s conversation with Stuart Vogelsmeier, EVP and Chair of the Healthcare and Business practices at St. Louis-based law firm Lashly & Baer, about how these proposed guidelines could impact healthcare transactions. You can listen to the first part of our conversation here.  Hosted on Acast. See acast.com/privacy for more information.

A new study finds that hospital prices for commercial plans are twice those for Medicare Advantage plans, even when negotiated by the same payer. The number of continuation patents is increasing as brand name drugmakers move to ward off generics. And, the American Red Cross implements the FDA’s recent policy change that allows gay and bisexual men to donate blood. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Department of Defense has partnered with a third-party lab to test generic medications over concerns of tainted drugs. The DEA is weighing a special registration that would allow some physicians to prescribe controlled medications through telehealth appointments. And, CMS updates its HCAHPS patient experience survey. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Obesity drug Wegovy was found to lower cardiovascular risk by 20 percent in a large clinical trial. US Senators push the IRS to investigate nonprofit hospitals. And, Babylon Health’s plan to go private falls through. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A Texas federal judge vacates portions of the No Surprises Act dispute resolution process. The FDA approves a new oral medication to treat postpartum depression but rejects its wider use for other mental health conditions. And, a cyber attack impacts hospitals owned by a private equity group across three states. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Federal Trade Commission and the Department of Justice’s latest antitrust proposals would allow the agencies greater authority to investigate potential mergers across all sectors of the US economy, including healthcare. On today’s episode of Gist Healthcare Daily, Stuart Vogelsmeier, EVP and Chair of the Healthcare and Business practices at St. Louis-based law firm Lashly & Baer, joins the podcast to talk more about the proposed guidelines and what they could mean for future healthcare deals. Hosted on Acast. See acast.com/privacy for more information.

The National Institutes of Health taps its next infectious-disease chief. The family of Henrietta Lacks settles their lawsuit with a biotechnology company that used her cells without consent. And, the number of COVID-related hospitalizations is at its highest point since December. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Hospitals will see a 3.1% inpatient payment increase next year, but some industry groups say it doesn’t go far enough. A bill that would overhaul the national organ donation system heads to President Biden’s desk. And, the US Department of Labor sues UnitedHealth over allegations that a subsidiary of the payer denied thousands of claims. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

CMS has notified around 612,000 Medicare beneficiaries whose information may have been affected in a data breach this spring. CMMI will pilot a care model for people with dementia and their caregivers. And, Amazon expands its direct-to-consumer telehealth clinic to all 50 states. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Sanford Health and Fairview Health Services call off their planned merger. North Carolina's governor sets a date for Medicaid expansion as the fight over the state’s budget continues. And, CMS officially releases Medicaid redetermination data as of April. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Hospitals and health systems across the country have seen an alarming increase in both the frequency and severity of workplace violence incidents. Toni Ardabell, Chief of Clinical Enterprise Operations for Inova Health System in Falls Church, Virginia joins Gist Healthcare Daily to talk more about how Inova has created a  multidisciplinary team to better address the issue and create a safer environment for staff and patients.   Hosted on Acast. See acast.com/privacy for more information.

Key House and Senate Committees advance bills targeting pharmacy benefit manager practices. Amazon unveils its generative AI service for healthcare documentation software. And, a new report finds that the average cost of healthcare data breaches is now nearly $11 million. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The city of Cleveland sues retail pharmacies, PBMs, and drugmakers over the cost of insulin. Community Health Systems will sell three of its Florida hospitals in a $290 million deal. And, a new report finds that hospitals are still struggling to discharge patients to post-acute care settings. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The FTC and DOJ’s newly proposed merger guidelines could slow mergers and acquisition activity in the healthcare industry. The Biden Administration wants to require health insurers to provide better coverage for mental health needs. And, Cigna faces a lawsuit over its alleged use of an algorithm to deny claims. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The White House launches a permanent pandemic office. Federal regulators warn hospitals and telehealth companies about technology that tracks patient data. And, recent tornado damage at a Pfizer plant in North Carolina highlights the fragility of the medical supply chain. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

In May, resident physicians at Elmhurst Hospital in Queens, New York went on strike for the first time in more than 30 years. On today’s episode of Gist Healthcare Daily, Rebecca Givan, PhD,  associate professor of Labor Studies at Rutgers University, joins to discuss that recent strike and the current state of physician labor organizing. Hosted on Acast. See acast.com/privacy for more information.

CMS cracks down on states that are out of compliance with the Medicaid redetermination process. Teladoc announces an expanded relationship with Microsoft to integrate more AI into telehealth visits. And, the Joint Commission will remove additional accreditation requirements. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Fewer physicians own their own practices, according to a new report. Three nurse practitioners sue over a California law that prevents them from using the title “doctor.” And, rising temperatures and extreme heat cost the U-S healthcare system an additional 1-billion dollars every summer. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

CMS proposes cuts to Medicare physician pay in 2024. The FTC withdraws antitrust policy statements it says are “outdated”. And, the FDA approves an RSV antibody treatment for infants and young children. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A new national survey from strategic healthcare communications firm Jarrard Inc. finds that almost half of physicians do not trust that their organization's leaders are honest and transparent, and that this trust gap could be adding to physician burnout. David Jarrard, Executive Chairman of Jarrard Inc., joins the podcast to talk more about the results of the survey and what hospital leaders can do to close that gap.You can find the survey here. Hosted on Acast. See acast.com/privacy for more information.

The Food and Drug Administration approves the first over-the-counter birth control pill to be sold in the U.S. The Department of Health and Human Services seeks to reinstate Obama-era nondiscrimination policies. And, California lawmakers weigh raising the minimum wage for healthcare workers in the state. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Aspirus Health in Wausau, Wisconsin and St. Luke’s Health in Duluth, Minnesota announce their intent to merge. Scottsdale, Arizona-based HonorHealth will buy 26 urgent care centers from FastMed. And, CVS Health’s pharmacy benefit manager partners with GoodRX on a drug discount program. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Food and Drug Administration allows more imports of cancer drugs from China amid an ongoing US shortage. There’s less money and fewer investors in digital health, according to a new study. And, 11 million HCA patients are impacted by a data breach. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

340B hospitals would get $9 billion in back payments under a CMS proposal. The Department of Health and Human Services and other federal agencies announce an investigation of medical credit cards. And, a political fight between the President and progressive Congressional lawmakers stalls the appointment of Biden’s pick to lead the National Institutes of Health. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Biden Administration proposes limits on short-term health insurance plans. The Food and Drug Administration grants full approval to an experimental Alzheimer’s disease treatment. And, healthcare costs are expected to rise 7 percent next year, according to a new report. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A new report calls for reforms to the Medicare Advantage bonus program. U.S. News and World Report announces revised methodology for its “Best Hospitals” list amid criticism. And, South Dakota officially expands Medicaid. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Insurtech company Bright Health sells off its last remaining insurance asset. Home health groups could see a cut to Medicare payments next year. And, a new study shows that the number of maternal deaths have more than doubled since 1999. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

On today’s episode of Gist Healthcare Daily, chef and restaurateur Tom Colicchio–owner of Crafted Hospitality and lead judge of the long-running television program Top Chef–joins the podcast to talk about his Root & Sprig fast casual restaurant concept that he developed exclusively for hospital facilities. He recently opened his latest Root & Sprig at St. Francis Hospital and Heart Center in Roslyn, New York in partnership with Catholic Health and Health Hospitality Partners.  Hosted on Acast. See acast.com/privacy for more information.

The Joint Commission unveils a new health equity certification. Researchers finally solve the mystery surrounding why statins cause muscle weakness and pain. And, Eli Lilly’s new investigational obesity treatment is making waves for its weight loss potential. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The FTC proposes a new rule that could slow healthcare deals. Georgia’s controversial Medicaid work requirements go into effect in just a few days. And, Virginia Mason Franciscan Health will partner with Optum Washington. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The American Hospital Association resumes its opposition to site-neutral payments in a renewed push on Capitol Hill. Epic and Microsoft’s Nuance are partnering to bring more generative AI to EHRs. And, a new study finds that physician-owned hospitals commercial negotiated rates and cash prices are lower compared to other facilities. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

United will acquire Amedisys, after the home health organization backs out of its earlier merger agreement with Option Care Health. British telehealth provider Babylon Health announces it will go private. And, a major drugmaker lobbying group sues over Medicare’s drug price negotiation plan. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

On today’s episode of Gist Healthcare Daily, Patrick O'Shaughnessy, DO–CEO of Catholic Health on Long Island, New York–joins the podcast to talk more about his system’s growing partnership with Health Hospitality Partners. HHP works with health systems and third-party businesses to revitalize underused hospital spaces, like lobbies, gift shops, and more. Catholic Health recently opened a Root & Sprig restaurant at its St. Francis Hospital and Heart Center in Roslyn, New York.You can hear JC’s conversation with HHP founder and CEO Dan Kodner here. Hosted on Acast. See acast.com/privacy for more information.

On today's episode of Gist Healthcare Daily, industry veteran Craig Samitt, MD, joins the podcast. His 30-year career has included leading Blue Cross and Blue Shield of Minnesota and Dean Health System. He shares more about his new role as CEO of Surround Care’s National Physician Enterprise and EVP at Navvis, as well as his thoughts on the current state of the healthcare industry.This episode first aired on March 27, 2023 Hosted on Acast. See acast.com/privacy for more information.

A recent survey from The Pew Research Center found that 60% of Americans are uncomfortable with healthcare providers relying on artificial intelligence to make diagnoses or recommend potential treatments.  On today’s episode of Gist Healthcare Daily, Alec Tyson of Pew Research joins to talk more about what the survey reveals about public perception of AI in healthcare. This episode first aired on March 6, 2023 Hosted on Acast. See acast.com/privacy for more information.

The Federal Trade Commission announced in January a proposed ban on non-compete clauses in employment agreements. NCAs are used broadly by employers, including those in the healthcare industry. On today’s episode of Gist Healthcare Daily, Stuart Vogelsmeier–Executive Vice President and Chair of the Healthcare and Business practices at St. Louis, MO-based law firm Lashly & Baer – joins the podcast to talk about how hospital systems, physicians, and other healthcare workers could be impacted if the ban goes into effect.This interview originally aired on February 27, 2023 Hosted on Acast. See acast.com/privacy for more information.

On today’s episode of Gist Healthcare Daily, Dan Kodner–CEO and founder of Health Hospitality Partners–talks about how his company works with health systems to bring in third-party businesses to revitalize underused retail and dining spaces to improve the experience of patients, their families, and hospital staff. Hosted on Acast. See acast.com/privacy for more information.

Healthcare spending in the United States could exceed $7 trillion by 2031. The American Medical Association hammers out its priorities–including recommendations for the use of AI  in prior authorizations and a campaign to reform the Medicare payment rate–at its annual conference. And, New York becomes the latest state to extend postpartum Medicaid coverage. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Biden Administration offers additional aid to states during the Medicaid redetermination process. A new study finds that Medicare Advantage overpayments could exceed $75B this year. And, Walmart is partnering with Simple HealthKit to bring more at-home diagnostic tests to the market. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The ACA’s preventive care mandate is restored–temporarily–while a lawsuit challenging it makes its way through the courts. HHS announces the second group of inflation-capped Part B prescriptions. And, New York City physicians call off a planned strike after reaching a with hospitals. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.