The Gist Healthcare Podcast

Amazon finalizes its purchase of primary care provider One Medical. Medicare Advantage grew last year but at a slightly slower rate than in previous years. And, a new survey examines the surge hospitals saw in 2022 payroll spending. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

More than 60% of Medicaid beneficiaries are unaware that state redeterminations are on the horizon. The U.S. Department of Justice has withdrawn three antitrust policies related to the healthcare industry. And, according to new research, we have not seen an uptick in the number of cancer cases as Americans postponed screenings due to COVID--at least not yet. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A proposed merger between SUNY Upstate Medical School and Crouse Health System in Syracuse, New York has been called off. UnitedHealth is close to finalizing its acquisition of home care company LHC Group. And, Senate lawmakers raise the alarm over a potential healthcare worker shortage at a recent committee hearing. 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.  Hosted on Acast. See acast.com/privacy for more information.

A joint FDA advisory panel recommends Narcan nasal spray be available over the counter. Moderna says its COVID-19 vaccine will remain free for U.S.  consumers. And, physicians can try a new AI tool to help with some administrative tasks. 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 announces three new drug pricing models. State Attorneys General gear up for a fight over abortion pill access. And, South Dakota becomes the second state this year to ban gender-affirming care for transgender minors. 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 have pushed back their proposed merger by two months. The CDC raises new mental health concerns for teenage girls. And, the Biden Administration wants nursing homes to disclose whether they’re backed by private equity. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Some Kansas lawmakers want to see the state become the latest to expand Medicaid. The Biden administration allows states to use Medicaid funds for food. Johns Hopkins University will sunset its influential COVID-19 tracking dashboard. And, a brief update on the surprise billing arbitration process. 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. In this week’s Monday interview, 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. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

North Carolina could become the latest state to expand Medicaid. Minnesota lawmakers weigh opening its state-run insurance plan to all residents. And, National Health Service nurses and ambulance service staff strike in the United Kingdom. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

President Biden targeted drug costs and potential threats to Medicare in his 2023 State of the Union Address earlier this week. A new study looks at the number of excess physician deaths early in the pandemic. And, the labor market added 58,000 healthcare 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.

CVS is acquiring primary care provider Oak Street Health in a deal worth $10.6 billion. A judge strikes down key parts of the surprise billing arbitration process. And, a potential treatment for RSV may be out of reach for kids in need. That's coming up on today's episode of Gist Healthcare Daily.Note: This episode has been updated to reflect that the CVS Health/Oak Street Health deal was officially announced Wednesday. Hosted on Acast. See acast.com/privacy for more information.

More than 35 million prior authorization requests were sent to Medicare Advantage plans in 2021, according to a new study.  Some health experts are calling for the FDA to review its accelerated approval process for Alzheimer’s drugs. And, states are investigating changing scope of practice laws to ease current healthcare staffing woes. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

More than 53% of physicians in the United States 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 piloting with platforms to support the mental health wellbeing of its 36,000 employees. Hosted on Acast. See acast.com/privacy for more information.

A federal court rules in favor of three drugmakers this week in the ongoing legal fight over the federal 340B drug discount program. CMS releases its proposed pay rate for 2024 Medicare Advantage plans. And, 20 state Attorneys General warn CVS and Walgreens against selling abortion pills. 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 issues a final rule on how it will audit Medicare Advantage insurers. The Biden Administration proposes rolling back employers’ moral opt-out to the Affordable Care Act contraceptive mandate. And, the Federal Trade Commission orders prescription drug price-tracking company GoodRX to stop sharing patient data with advertisers. 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 announces it will end the COVID-19 national and public health emergencies in May.  =More states move to reduce prior authorization requirements for physicians. And, more medical schools are pulling out of U.S. News’ annual rankings. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Minnesota Attorney General’s office has asked Sanford Health and Fairview Health Services to delay their proposed $14 billion merger.  The FDA is proposing a change that would loosen restrictions on blood donations from gay and bisexual men. And, CVS and Walmart are scaling back pharmacy hours due to a staffing shortage. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

There are roughly 53 million people in the United States who are unpaid caregivers. On today’s episode of Gist Healthcare Daily, Alexandra Drane–co-founder and CEO of ARCHANGELS–joins the show to talk about unpaid caregiving. Her organization conducts research on the broader unpaid caregiving population in order to raise awareness and help companies and state governments locate resources to assist unpaid caregivers. Hosted on Acast. See acast.com/privacy for more information.

Mergers in the United States are expected to cost more beginning this year. A new study looks at what happened to beneficiaries after they lose Medicaid coverage. And, Kroger is the latest retailer to get into the clinical trials business. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A U.S. drug manufacturer is suing West Virginia over the state’s abortion pill ban. It’s been two years since a federal hospital pricing transparency rule went into effect - so how are hospitals faring? And, more than 16 million people signed up for healthcare during the most recent ACA marketplace open enrollment period.  That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Amazon announced a new subscription plan for generic prescription drugs. Elevance will acquire Blue Cross Blue Shield of Louisiana. And a new strain of gonorrhea found in Massachusetts is raising concerns among public health officials. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The FDA denied accelerated approval for Eli Lilly’s experimental Alzheimer’s drug. Coronavirus shots may be delivered annually--similar to flu vaccines--under a newly proposed FDA policy. And, Dollar General is piloting a mobile healthcare clinic program in Tennessee. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Congress extended Medicare’s hospital at home waiver at the end of last year in its $1.7 trillion omnibus spending package. On today’s episode of Gist Healthcare Daily, Dr. Pippa Shulman of Medically Home joins host J. Carlisle Larsen to talk more about the future of that care model. Hosted on Acast. See acast.com/privacy for more information.

Veterans in suicidal crisis can now receive free emergency care at any VA or non-VA hospital, a shift in Veterans Affairs policy. The number of women in the United States becoming physicians is growing. And, Ochsner Health and Xavier University plan to start a new medical school together. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The number of Americans putting off healthcare due to cost has reached a new high, according to a recent poll. The Biden Administration will probe the use of antipsychotics in nursing homes. And, a new report shows which codes have dominated the Independent Dispute Resolution process of the No Surprises Act. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Milwaukee, Wisconsin-based Ascension Columbia St. Mary’s Hospital is postponing non-urgent surgeries for 30 days amid a staffing shortage. The CDC and FDA report a possible link between Pfizer's bivalent Omicron booster and strokes in people over 65. And, the state of California sues pharmacy benefit managers and drug makers over the cost of insulin. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The healthcare industry has experienced a lot of challenges and seen a lot of innovations over the last year. On today's episode of Gist Healthcare Daily, Gist Healthcare co-presidents Chas Roades and Dr. Lisa Bielamowicz joined the podcast to give their take on what healthcare could look like in 2023.  Hosted on Acast. See acast.com/privacy for more information.

The Biden Administration extended the COVID public health emergency again this week--potentially for the final time. The Department of Health and Human Services announced key implementation dates for Medicare drug price negotiations. And, insurtech companies outline their priorities for 2023 and beyond. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A federal judge has ruled that HHS can create its repayment plan to 340b hospitals to the dismay of hospital lobbying groups. Intermountain Healthcare is partnering with Colorado’s UC Health to create a combined clinically integrated physician network in in the state. And, the U.S. healthcare sector added 55,000 jobs in December. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Tech-enabled primary care provider Carbon Health has secured $100 million dollars in new funding from CVS Health. Digital health funding declined significantly in 2022 after breaking records in 2021.  And, the American Academy of Pediatrics is now recommending early intervention for childhood cases of obesity. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Gist Healthcare joins healthcare management consultancy group Kaufman Hall. Biogen’s latest Alzheimer’s drug lecanemab was granted accelerated approval by the FDA. And, the FTC has proposed a ban on non-compete agreements, which could impact how the healthcare industry operates. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

In 2022, CommonSpirit–the second largest hospital chain in the United States–was the target of a ransomware attack that hobbled operations at many of its 140 hospitals and exposed the private health information of more than 600,000 patients. The attack on CommonSpirit was the largest ransomware attack in 2022 but it was hardly an isolated incident. One analysis found that up to 290 hospitals in the U-S were impacted by a ransomware attack last year. And a new study published in JAMA found that from January 2016 to December 2021, 374 ransomware attacks on US health care organizations exposed the private health information of nearly 42 million patients. So what can hospital systems do to better protect themselves and their patients? On today’s episode of Gist Healthcare Daily, J. Carlisle Larsen is joined by Steve Cagle–CEO of Clearwater, a firm that provides cybersecurity, compliance, and privacy solutions focused on the healthcare industry. Hosted on Acast. See acast.com/privacy for more information.

One in three Americans had a mental illness or substance use disorder in 2021, according to a new survey. OSHA is expected to release its final COVID-19 safety guidelines for healthcare workers this month. And, New York is one of the latest states to require co-prescribed naloxone for some patients using opioids. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

An FDA rule change would allow retail pharmacies to provide prescription abortion pills. Some states that banned abortions are now weighing Medicaid expansion for new mothers. And, the Department of Health and Human Services has issued a proposed rule that changes how the healthcare sector handles conscience and religious objections. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A new Omicron variant is quickly spreading through the United States. A new Congressional report finds irregularities with the FDA’s accelerated approval for the Alzheimer’s drug Adulhelm. And, medical bill disputes between payers and providers are overwhelming the resolution system set up following the No Surprises Act. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Congress’ year-end spending bill has been finalized and includes changes to the FDA’s accelerated approval process. A new study finds high-intensity billing in emergency departments is increasing but it’s not just due to upcoding. And, the Biden Administration will release flu medicine from the national stockpile as the rate of infections increases. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Joint Commission is eliminating some of its quality standards as it seeks to streamline hospital safety and quality goals. The Biden Administration will publish ownership data for all hospitals that participate in Medicare.  And, parents in the U-S are struggling to find pediatric beds for kids sick with RSV or the flu. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Congress reportedly has reached a deal that would ease cuts to Medicare physician payments in 2023. Payers will need to provide an online-based price comparison tool as part of a the latest CMS requirements going into effect on January 1st. And, online pharmacy Truepill could be in trouble with the DEA over allegations that it unlawfully dispensed stimulants for ADHD. Hosted on Acast. See acast.com/privacy for more information.

Blue Cross Blue Shield of Massachusetts is including health equity measures in new value-based payment contracts. The Biden Administration seeks to extend opioid treatment flexibilities put in place through the COVID-19 public health emergency.  And new data shows that overall U.S. healthcare spending slowed in 2021 as federal COVID funding subsided.  That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Two west coast nonprofit managed care insurers announced merger plans. Blue Cross Blue Shield of Michigan has struck new full-risk Medicare Advantage contracts with six large physician groups. And, a new study finds that emergency department physicians misdiagnose serious conditions when patients exhibit unusual symptoms. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The CDC says long COVID is responsible for thousands of deaths in the U.S. More for-profit healthcare organizations are reportedly at risk for credit default…with the vast majority of those being owned by private equity firms. And, new data shows the staffing challenges facing many not-for-profit hospital systems may be easing slightly. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

HHS signaled that healthcare systems can rely on COVID-19 public health emergency flexibilities as flu and RSV cases strain hospitals. CMS is proposing big changes to health insurance exchanges. And, researchers find that the COVID-19 vaccine saved the U.S. healthcare system more than $1 trillion. 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 has struck down a Biden Administration policy protecting gender-affirming care under the Affordable Care Act’s nondiscrimination regulations.  A Montana law barring employers from mandating COVID-19 vaccines has been deemed unconstitutional in healthcare settings.  And, a new California law could bring more scrutiny to healthcare mergers & acquisitions. That's all coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The FDA has authorized the use of the Omicron-specific bivalent booster in children as young as six months. University of Michigan Health announced it will acquire Sparrow Health. And, a new study evaluates the risks of seniors undergoing major surgery. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Employers across the US are expecting a spike in health care costs in 2023. Mark Cuban Cost Plus Drug Company has partnered with the Purchaser Business Group on Health, a large employer coalition. And, former-Theranos executive Sunny Balwani has been sentenced to prison after being convicted for fraud. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

CMS is proposing a new rule to streamline prior authorization for payers. UnitedHealth Group’s proposed $5 billion acquisition of a home health provider is on pause. And, new research finds the incidence of heart inflammation following a COVID-19 vaccine is very low among young people. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Congress will likely repeal a COVID-19 vaccination mandate for US armed service members, despite opposition from the White House. New research finds that as many as 18 million Americans may lose their Medicaid coverage once the COVID-19 public health emergency ends. And, flu-related hospitalizations are on the rise. 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 for-profit health systems had their best operating margins during the COVID-19 pandemic. Several physicians groups have filed a legal brief in support of the ACA’s preventive care provision as it’s being challenged in federal court. And, Pfizer has applied for FDA emergency use authorization for its Omicron booster in children under the age of five. That's all coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Atrium and Advocate Aurora have finalized their merger, creating the fifth-largest nonprofit health system in the country. A soon-to-be implemented California law aimed at stopping physicians from spreading medical misinformation is already being challenged in court. And, the FDA will ease some donor restrictions amid a national blood shortage. Hosted on Acast. See acast.com/privacy for more information.