The Gist Healthcare Podcast

An FDA advisory panel unanimously recommends granting traditional approval to an experimental Alzheimer’s treatment. HHS unveils a new program that helps pediatric healthcare providers pay off their student loans. And, a drug-resistant fungus that can be found in hospitals is associated with a 34% death rate. 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, Wisconsin Medical College Professor of Anesthesiology Jesse Ehrenfeld, MD, joins the podcast to talk more about his upcoming, year-long term as the President of the American Medical Association, the issues the organization want to address at the national level, and the changing nature of how US physicians practice medicine. Hosted on Acast. See acast.com/privacy for more information.

CMS announces that it will pilot a new, value-based primary care model with providers in eight states. The FTC urges North Carolina lawmakers to drop a bill that would exempt UNC Health from antitrust laws. And, the Pentagon is reportedly developing a program to test the quality and safety of generic medications for service members. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Mayo Clinic partners with Google Cloud to expand its use of generative AI across the system. Another KKR-backed healthcare company is seeking bankruptcy protection. And, a new study finds that LGBT health coverage improved after both the Affordable Care Act and the Supreme Court’s 2015 same-sex marriage ruling. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Merck sues the Biden Administration over the Medicare drug price negotiation program in the Inflation Reduction Act. Some hospitals’ outpatient clinics could face challenges prescribing 340B drugs following the removal of COVID-era guidance. And, a new study finds that insurance coverage of expensive new drugs like Ozempic does not guarantee adherence. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

UnitedHealth makes a surprise bid for Amedisys as the home health organization considers an earlier merger offer from Option Care. Some patients may benefit from less aggressive treatments for certain cancers. And, insurance company Friday Health Plans to shut down as more regulators get involved. 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, we hear the second part of JC’s conversation with Micky Tripathi, Ph.D., M.P.P., National Coordinator for Health Information Technology at the U.S. Department of Health and Human Services. In this conversation, they talk more about the proposed HTI-1 rule, including provisions regarding transparency in AI algorithms. They also discuss the Trusted Exchange Framework and Common Agreement (TEFCA), which aims to establish a universal floor for interoperability across the country. Hosted on Acast. See acast.com/privacy for more information.

Two large Missouri-based health systems announce their intent to merge. The nation’s largest health insurer backtracks on a controversial prior authorization rule. And, CMS announces a plan that will allow Medicare beneficiaries access to new Alzheimer’s drugs. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Kaiser pledges $10 million to support a Colorado safety-net health system. CVS Health expects to lose up to $1 billion after a drop in its Medicare Advantage star ratings. And, Florida officials defend the state’s Medicaid redeterminations after 250,000 state residents are kicked out of the program. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Lawmakers reach a preliminary deal on raising the debt ceiling that allows clawbacks of COVID-19 funding but removes Medicaid work requirements. Postpartum individuals on Medicaid could potentially lose coverage during redeterminations. And, physician pay increased last year but has not kept pace with inflation. 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, we hear the first part of JC’s conversation with Micky Tripathi, Ph.D., M.P.P., National Coordinator for Health Information Technology at the U.S. Department of Health and Human Services. He joined the podcast to talk more about ONC’s recently released proposed rule, “Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing”--better known as HTI-1.  Hosted on Acast. See acast.com/privacy for more information.

Resident physicians on strike in New York City have reached a tentative bargain. A survey finds that Medicaid beneficiaries were unaware that states could begin removing ineligible enrollees from the program. And, one in five seniors skip taking medications due to cost, according to a new study. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Minnesota lawmakers pass a law establishing a public option health plan. Troubled insurtech company Bright Health sells its Zipnosis telehealth platform. And, pharmacy benefits managers will be subject to new transparency guidelines under newly proposed rules from CMS. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Legislation that would have mandated nursing ratios in Minnesota hospitals fails to move forward as originally written. The Surgeon General issues a public advisory warning of the mental health risks posed by social media for young people. And, Epic announces that more than 20 health systems will commit to a nationwide interoperability framework. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The U.S. is facing a record-high drug shortage, leaving doctors to find workarounds for care. A new proposed bill passed by a House subcommittee would require more transparency among pharmacy benefit managers. And, more than 150 resident physicians go on strike at a New York City hospital. 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 have long grappled with high contingent labor costs, and that issue was put into stark relief during the COVID-19 pandemic. Today on Gist Healthcare Daily, Jeff Niles, Executive Vice President of Healthcare Workforce Logistics, joins the podcast to talk more about how the company works with systems to establish private label, vendor-neutral contingent workforce solutions to bring down costs and increase fill rates. Hosted on Acast. See acast.com/privacy for more information.

A federal appeals court hears the latest arguments in the case challenging the abortion pill. HCA Healthcare will buy 41 urgent care clinics in Texas. And, Senator Bernie Sanders makes the push–again–for Medicare for All. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Providers raise the alarm over UnitedHealthcare’s new prior authorization rules for certain colonoscopies. President Biden taps his choice to lead the National Institutes of Health. And, a Food and Drug Administration advisory panel weighs recommending a vaccine to protect babies against RSV. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A federal appeals court preserves the Affordable Care Act’s preventive care mandate for now. CVS will wind down its clinical trials unit. And, AmSurg will purchase Envision’s ambulatory surgical centers as the struggling physician staffing company files for bankruptcy. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Burnout is prevalent among healthcare workers. On today's episode of Gist Healthcare Daily, Even Health co-founder and CEO David Black joins the show to talk about his company’s digital platform–Cabana–which provides professionally-moderated, anonymous peer support for healthcare workers.  This interview originally aired on February 13, 2023 Hosted on Acast. See acast.com/privacy for more information.

More than 53% of physicians in the United state report experiencing burnout and 30% of respondents experiencing burnout for more than two years. On today’s episode of Gist Healthcare Daily, Ochsner Health’s Chief Wellness Officer Dr. Nigel Girgrah talks about how his health system is experimenting with platforms to support the mental health wellbeing of its 36,000 employees. This interview previously aired on February 6, 2023 Hosted on Acast. See acast.com/privacy for more information.

Drug manufacturers and pharmacy benefit managers are duking it on on Capitol Hill over the high cost of insulin. Oscar Health is the latest insurtech looking to exit the California health insurance market. And, a new study finds that one in five U.S. adults miss needed medical appointments when they do not have reliable transportation. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

After more than three years, the COVID-19 public health emergency declaration draws to a close. Physician staffing group Envision is reportedly planning to file for Chapter 11 bankruptcy. And, primary care provider Cano Health looks to sell some of its non-core assets. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

California lawmakers pass a bill that would provide 150-million dollars in emergency loans for struggling hospitals. A health panel now recommends that people get mammograms at age 40 instead of 50. And, members of two FDA advisory panels vote unanimously in favor of making birth control available over-the-counter for the first time. That’s coming up on today’s episode of Gist Healthcare Daily.This episode has been updated to reflect the vote from the FDA's advisory panels regarding Opill. Hosted on Acast. See acast.com/privacy for more information.

Integrated delivery system Sutter Health could acquire outpatient provider Sansum Clinic. Infusion therapy provider Option Care announces it will acquire home health organization Amedisys. And, new analysis finds that more than a million people would lose coverage if Medicaid work requirements go into effect. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

For the last 15 years, Zocdoc has connected physicians and other healthcare professionals to patients seeking care through its tech-enabled online marketplace. On today’s episode of Gist Healthcare Daily, Oliver Kharraz, MD–Founder and CEO of Zocdoc–joins the show to talk about how the company looks at the evolution of patient acquisition.You can check out ZocDoc’s recent white paper on patient acquisition here. Hosted on Acast. See acast.com/privacy for more information.

The DEA extends COVID-era telehealth prescribing flexibilities for controlled substances. The FDA approves the first-ever vaccine for respiratory syncytial virus for seniors. And, a new survey finds enrollment in entry-level nursing programs is down for the first time in two decades. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Eli Lilly announces its new Alzheimer’s drug shows promise in treating the disease. The Biden Administration is set to drop its COVID-19 vaccination mandate for hospital employees. And, an arbitration panel hands Envision a victory over UnitedHealthcare over underpaid claims. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Two state Blues plans announce that they will enter into an affiliation deal. Troubled insurtech Bright Health is seeking a buyer for its California Medicare Advantage plan. And, CMS will investigate two hospitals for denying emergency abortion care. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

On this episode of Gist Healthcare Daily, we hear the second part of our conversation with Privia Health leaders Mike Flammini, Chief Business Development Office and Jason Ross, Executive Vice President of Health Systems. They discuss how Privia’s model is adapting to a changing healthcare market as well as the recent news that Privia’s CEO Shawn Morris is stepping down. That’s coming up on today’s episode of Gist Healthcare Daily. You can find the first half of our conversation here. Hosted on Acast. See acast.com/privacy for more information.

The Centers for Medicare and Medicaid Services is strengthening the enforcement of its hospital price transparency rules. HCA and medical tech company Augmedix announce a partnership to pilot the company’s AI-enabled speech recognition platform to aid provider documentation. And, Walmart Health announces its expanding its reach even further in 2024. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The nation’s largest nonprofit health system--California-based Kaiser Permanente--will combine combine with Danville, Pennsylvania-based Geisinger Health. TPG and AmerisourceBergen will purchase Nashville-based OneOncology in a deal worth more than two-billion dollars. And, Washington state passes a law that sets hospital staffing requirements. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Supreme Court issues a ruling that maintains current access to the abortion pill mifepristone for now. Most major insurers say they will continue to cover preventive services without cost-sharing amid a legal fight challenging the ACA policy. And, the Department of Veterans Affairs halts its rollout of Oracle Cerner’s  EHR “indefinitely”. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

On Gist Healthcare Daily, an in-depth discussion with Privia Health leaders Mike Flammini, Chief Business Development Officer, and Jason Ross, Executive Vice President of Health Systems. They join to talk more about some of the organization’s recent health system partnerships and how it’s working with physician groups to transition to value-based care. Hosted on Acast. See acast.com/privacy for more information.

The Supreme Court extends the freeze on a lower court ruling limiting access to the abortion pill mifepristone. The Biden Administration unveils a new database showing hospice and home-health group ownership details. And, Mark Cuban’s prescription drug company partners with pharmacies to challenge pharmacy middlemen. 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 unveils a new plan to provide COVID vaccines and certain treatments for free to people without health insurance. SSM Health sues insurtech company Bright Health over alleged unpaid claims. And, the obstetrics specialty faces a decline in residency applicants. 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 approves a second omicron booster for people at high-risk for COVID infections. Epic and Microsoft partner on bringing artificial intelligence to electronic health records. And, insurtech company Clover Health announces layoffs and operational changes as it seeks to turn a profit. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Some Democratic-governor led states are stockpiling the abortion drug mifepristone in preparation for a Supreme Court ruling on it. A new survey analysis finds that 800,000 nurses are projected to leave the workforce by 2027. And, the Biden Administration extends some COVID-19 flexibilities for pharmacy workers. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

There are significant disparities along racial lines in the orthopedic speciality field. Black patients are 30% less likely to undergo total hip and knee replacements compared to white patients, even though rates of arthritis remain close to the same between the two groups. And those racial disparities extend to the field of orthopedic surgeons with fewer than 2% of Black orthopedic physicians practicing in the United States. On today's episode, we revisit JC’s November conversation with Alonzo Sexton, MD--co-founder and CEO of ATL Orthopedics. They talk more about his private practice and how it makes orthopedic care more accessible to an underserved community. This episode previously ran on November 28, 022. Hosted on Acast. See acast.com/privacy for more information.

A series of competing legal rulings over the FDA’s authorization of a drug used in medication abortions will likely head to the Supreme Court. The Biden Administration proposes extending ACA and Medicaid benefits to immigrants brought into the U.S. illegally as children. And, a new study finds that people with long-COVID report greater struggles with accessing and affording healthcare compared to those without longer-term symptoms. 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 issues a proposed rule that would ban HIPAA-covered entities from sharing patient information that could be used to investigate abortions. The founders of Outcome Health have been found guilty in a federal fraud case. And, healthcare added 34,000 jobs last month. 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 will invest 5-billion dollars in the development of the next generation of coronavirus vaccines. CMS proposes a 2-point-8-percent pay bump for hospitals in 2024. And, two Wisconsin health systems announce their plan to merge. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Two contradictory federal court rulings on the legality of a pill used in medication abortions creates more uncertainty for abortion access in the United States and the FDA’s authority. Prescription digital therapeutics company Pear Therapeutics files for bankruptcy. And, UnitedHealth Group has acquired large New York-based physician group Crystal Run Healthcare. 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, Kaufman Hall co-founder and Chair Ken Kaufman joins the podcast to discuss his recent blog that examines Ford Motor Company’s decision to stop producing internal-combustion sedans, and talk about whether there are parallels for health system leaders to ponder about whether their traditional strategies are beginning to age out. Hosted on Acast. See acast.com/privacy for more information.

The Centers for Medicare and Medicaid Services issued its final 2024 rule for Medicare Advantage and Medicare Part D. The Food and Drug Administration seeks more clarity from drug manufacturers amid drug shortages. And, a second state places health insurer Friday Health Plans under supervision. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The FTC orders gene-sequencing company Illumina to divest cancer-test developer Grail. The hospital industry pushes back against likely nursing home staff mandates in an upcoming CMS proposed rule. And, Mark Cuban’s prescription drug company will sell brand-name diabetes drugs for the first time. 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 postpone their merger until late summer at the earliest. Three directors of primary care company Cano Health resign and call for the removal of its CEO. And, Medicare’s so-called “go-broke” date has been pushed to 2031. 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 releases its final pay rate for 2024 Medicare Advantage plans. The University of Michigan and Sparrow Health complete their $7 billion merger. And, states can now begin the Medicaid redetermination process. 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 consulting firm Jarrard Inc. examines how the public currently perceives hospitals and their business practices. On today’s episode of Gist Healthcare Daily, Executive Chairman David Jarrard joins to discuss the results of the survey and what action steps hospitals should be considering.  This episode originally aired on February 20, 2023. Hosted on Acast. See acast.com/privacy for more information.

A federal judge in Texas strikes down an Affordable Care Act provision mandating no-cost preventive care. The state of Oregon weighs capping the number of patients assigned to a single nurse. And, a new study finds that telehealth for opioid use disorder is linked to a lower risk of fatal overdose. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.