The Gist Healthcare Podcast

Two large, publicly-traded hospital systems are reporting a drop in profits. A capitated primary care provider for self-insured employers plans to expand to payer clients. And flu cases are already trending higher this year. That's on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Hospitals across the country are being overwhelmed with cases of young children diagnosed with a common respiratory virus. A new report finds a majority of hospitals are now complying with price transparency rules. And new data show a link between COVID-19 and an increase in pregnancy-related deaths in the U.S. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

An FDA committee has voted to pull a preterm birth prevention drug from the market, which had been approved through its controversial accelerated approval program. A CDC panel recommends providing free COVID vaccines to lower-income children. And a large insurer will now cover some software-based therapies for psychiatric and other conditions. That's on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A new survey shows the widespread impact of the current labor shortage on hospital operations. Walgreens and CVS face a federal probe over allegations that pharmacists refused to fill prescriptions for medications that could harm a pregnancy. And consumers can now purchase hearing aids over-the-counter. That's 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: some Medicare Advantage payers may see less revenue after being hit with star ratings downgrades. The US Department of Justice is suing Cigna over allegedly upcoding MA patients via in-home assessments. And Walgreens is looking to acquire a tech asset next.  Hosted on Acast. See acast.com/privacy for more information.

Telemedicine provider Babylon Health has announced plans to sell its California IPA business.  Providence is being investigated in Oregon for consumer protections violations stemming from its financial and billing practices. And two midwest healthcare systems are investigating a possible merger. That’s all coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

One of the largest hospital chains in the United States confirmed that it was the target of a ransomware attack. A new study is casting doubt about the efficacy of colonoscopies. And a major insurtech company is drastically reducing its presence in the marketplace. That’s all coming up on today’s episode of Gist Healthcare Daily. Note: this episode has been updated to clarify a statistic in the colonoscopy study story. Hosted on Acast. See acast.com/privacy for more information.

The migration of procedures away from hospital inpatient departments preceded the pandemic, but COVID accelerated that shift. This is most obvious among orthopedic procedures like hip and knee replacements. Gist Healthcare partnered with Stratasan, a Syntellis-owned healthcare data analytics firm providing market intelligence for strategic planning, to quantify how much much knee and hip replacement procedure volume is moving outpatient. A detailed infographic about this shift will be published on GistHealthcare.com later today. Stratasan's Senior Product Manager Michael Shipley joins the podcast to discuss the findings of the data analysis, where the volume is migrating, and how this impacts hospital systems.This is host Alex Olgin's last podcast episode. The podcast will be taking a break as we hire and train a new host, but we're planning to be back with new episodes in September. Hosted on Acast. See acast.com/privacy for more information.

On this episode of Gist Healthcare Daily, federal health officials adopt a new monkeypox vaccine strategy to stretch doses. TikTok parent company, ByteDance, acquires a Chinese hospital chain. And US hospital CEO's are leaving their positions at high rates. Hosted on Acast. See acast.com/privacy for more information.

On this episode of Gist Healthcare Daily, hospitals in states with strict abortion laws struggle to recruit physicians. CivicaScript starts selling its first outpatient generic drug to treat prostate cancer. And a new study published in Nature Climate Change finds climate change is exacerbating some infectious diseases. Hosted on Acast. See acast.com/privacy for more information.

On this episode of Gist Healthcare Daily, the Senate passes a bill with major reforms for seniors on Medicare. A new NPR, the Robert Wood Johnson Foundation, and Harvard TH Chan School of Public Health poll finds a fifth of sick patients weren’t able to get necessary medical care. And there are rumors that CVS is interested in acquiring Signify Health. Hosted on Acast. See acast.com/privacy for more information.

On this episode of Gist Healthcare Daily, Kansas voters rejected a ballot measure that would have overturned a constitutional right to abortion. Medicare raises payment rates for hospitals next year. And the highly consolidated dialysis industry could spell problems for Medicare Advantage plans. Hosted on Acast. See acast.com/privacy for more information.

In this episode of Gist Healthcare Daily, the trial challenging UnitedHealth Group’s acquisition of Change Healthcare starts this week. Hospitals look beyond pay to retain employees. And New York alleges CVS Health of preventing hospitals from obtaining 340B discounts. Hosted on Acast. See acast.com/privacy for more information.

Earlier this month, Morgan Health invested $30M in Centivo, an innovative health plan for self-insured employers. In this episode, we hear from Dan Hartman, Executive Director at Morgan Health, and Ashok Subramanian, CEO of Centivo, about how Centivo plans to leverage the Morgan investment to expand its services.   Hosted on Acast. See acast.com/privacy for more information.

On this episode of Gist Healthcare Daily, Democrats reach a deal on a healthcare and climate bill. More than 40 percent of parents of kids under 5 say they won't get their child vaccinated for COVID-19. And after years of sky high travel nurse wages, the market is starting to return to normal. Hosted on Acast. See acast.com/privacy for more information.

On this episode of Gist Healthcare Daily, the Biden Administration reinstates and expands Affordable Care Act nondiscrimination protections. In a rare move, nurses at a Mayo Clinic hospital decertify their union. And the White House estimates it could cost up to $7B to adequately respond to the growing monkeypox outbreak. Hosted on Acast. See acast.com/privacy for more information.

On this episode of Gist Healthcare Daily, a challenge to the Affordable Care Act's preventive care requirement is in front of a Texas federal court. Hospitals are still struggling to rein in labor costs. And the Wall Street Journal takes the latest look at how nonprofit hospitals lag on charity care. Hosted on Acast. See acast.com/privacy for more information.

On today's episode of Gist Healthcare Daily, providers await Medicare’s plan to remedy 340B reimbursement cuts. The White House is revamping its booster strategy. And racial disparities persist across insurance coverage. Hosted on Acast. See acast.com/privacy for more information.

In this episode, Gist Healthcare co-founders Chas Roades and Lisa Bielamowicz discuss how the deteriorating economy and increased margin pressures are creating significant challenges for health systems. Hosted on Acast. See acast.com/privacy for more information.

Amazon announces plans to acquire concierge primary care company One Medical for $3.5B. President Biden tests positive for COVID and is reporting mild symptoms. And health systems are feeling the pain of at least 18 drugmakers' restrictions on 340B discounts to contract pharmacies. Hosted on Acast. See acast.com/privacy for more information.

On this episode of Gist Healthcare Daily, Apple lays out its health strategy. Health costs and inflation are driving premium increases for individual market plans. And the story of how one health plan addressed racial disparities in medication adherence. Hosted on Acast. See acast.com/privacy for more information.

Morgan Health announces its next investment, $30M in Centivo. Even with a vaccine, experts believe we missed the opportunity to contain Monkeypox. And as Kaiser Health News reports, California’s special Medicaid contract with Kaiser Permanente is now official, though several details are missing. Hosted on Acast. See acast.com/privacy for more information.

On today's episiode, Medicare proposes a pay bump for hospital outpatient services, but the American Hospital Association says it’s not enough. The nation's top infectious disease official Dr. Anthony Fauci says he plans to retire by the end of Biden’s first term. And amid a rise in antibiotic-resistant infections, companies aren’t investing in new antibiotics. Hosted on Acast. See acast.com/privacy for more information.

In this episode, Will Schpero, Ph.D., a health economist, and assistant professor in the Division of Health Policy and Economics at Weill Cornell Medical College discusses how the new requirement for Medicaid programs to cover the routine costs of clinical trials presents an opportunity to greatly improve diverse patient representation in cutting-edge clinical research. Hosted on Acast. See acast.com/privacy for more information.

On today's episode of Gist Healthcare Daily, The COVID-19 vaccine from Novavax finally gets the green light for adults. Rural hospitals are skeptical of a new plan meant to help them keep their doors open. And there's been a flurry of federal action to protect reproductive healthcare access this week, with the latest action targeting pharmacists. Hosted on Acast. See acast.com/privacy for more information.

On today's episode of Gist Healthcare Daily, hospitals push back on a new city of Los Angeles-mandated 25-dollar healthcare worker minimum wage. During covid, superbugs have thrived. And it costs almost $19,000 on average to have a baby in the US. Hosted on Acast. See acast.com/privacy for more information.

The White House wants to expand booster shot eligibility to all Americans. Health officials tell hospitals that the federal emergency care law preempts state abortion laws. And this weekend the country’s national mental health hotline, 988, is set to launch. Hosted on Acast. See acast.com/privacy for more information.

California plans to make its own insulin. Despite new protections, patients are still getting surprise bills. And Medicare announces changes to the shared savings program. Hosted on Acast. See acast.com/privacy for more information.

In this episode, we bring you a conversation with Dan Mendelson, CEO of Morgan Health. Dan discusses recent investments in Vera Whole Health and Embold Health, an upcoming primary care pilot in Columbus, Ohio, and areas the venture is looking to invest in next.This episode was originally published in April. Hosted on Acast. See acast.com/privacy for more information.

Vaccine makers are tossing tens of millions of doses in the trash as demand plummets. A new wrinkle in the battle between e-cig maker Juul and the FDA. And how substandard hospital gowns are leaving healthcare workers vulnerable to infection. Hosted on Acast. See acast.com/privacy for more information.

Senate Democrats reach a deal on legislation to lower drug prices. Insurers are reportedly considering acquisitions of primary care companies. And pharmacists can now prescribe Paxlovid. Hosted on Acast. See acast.com/privacy for more information.

In a bid to keep rural hospitals open, the Centers for Medicaid and Medicare Services proposes some can apply for a new status that allows them only to provide outpatient care. Insurers selling coverage on the Affordable Care Act exchanges denied 18 percent of in-network claims in 2020. And a federal judge finds drug distributors aren’t liable for the opioid crisis in West Virginia Hosted on Acast. See acast.com/privacy for more information.

It’s insurers’ and employers’ turn to be transparent about healthcare prices. Democrats are scrambling to extend discounted insurance premiums before midterms. And the federal government launches a targeted vaccine campaign to contain the monkeypox outbreak. Hosted on Acast. See acast.com/privacy for more information.

A panel of experts recommends updated COVID vaccine boosters with protection against Omicron variants. Medicare unveils the next iteration of its oncology payment model. And cancer patients say they’re bombarded with ads for unproven treatments on Facebook. Hosted on Acast. See acast.com/privacy for more information.

On this episode, we have a wrap-up of the recent healthcare-related Supreme Court decisions. The federal government is reminding insurers that they are required to cover contraceptives, and retail pharmacies are limiting purchases of Plan B pills.  Hosted on Acast. See acast.com/privacy for more information.

Providers report confusion after Friday’s Supreme Court ruling overturning Americans’ constitutional right to abortion. Colorado gets federal dollars to implement a public insurance option. And younger nurses are leaving the workforce, driving healthcare workforce shortages. Hosted on Acast. See acast.com/privacy for more information.

This month, two groups of hospital-employed physicians in Oregon filed to join a union this month. In this episode, we hear from some of those doctors, as well as Mollie Skov-Ortega, MD, president of a long-standing hospitalist union. Hosted on Acast. See acast.com/privacy for more information.

A Deloitte analysis highlights the shocking cost of healthcare inequality. Americans are looking to Canada for hope in the fight against ALS. And a new report from North Carolina details how unevenly COVID relief funds were distributed to hospital systems. Hosted on Acast. See acast.com/privacy for more information.

In the absence of stronger federal consumer protections for medical debt, states consider new measures. The Markup's investigation reveals that dozens of hospitals inadvertently allowed Facebook to obtain patient information through an embedded tracking tool on their websites. And another hospital deal bites the dust. Hosted on Acast. See acast.com/privacy for more information.

A new study finds Medicare could save $3.6B if it bought generic drugs through Mark Cuban’s new pharmacy. Walgreens launches its new clinical trial business. And home health providers are unhappy with Medicare’s planned rate cut. Hosted on Acast. See acast.com/privacy for more information.

In this episode, Nigel Ohrenstein, president of the digital musculoskeletal startup Kaia Health says he expects that digital physical therapy will become the default form of physical therapy in the future. Hosted on Acast. See acast.com/privacy for more information.

The FTC is investigating whether Cerebral used deceptive business practices to market its mental health services. Kaiser Health News reports on the quick downfall of two Missouri hospitals purchased by a private equity-backed firm. And hospitals are facing new competition for employees - Amazon. A Gist Healthcare, analysis finds more than a quarter of hospital workers are working jobs that pay a lower median wage than Amazon warehouses. Hosted on Acast. See acast.com/privacy for more information.

The Supreme Court sided with hospitals in a dispute about Medicare reimbursement for medications acquired through the 340B discount program. The FDA’s panel of vaccine experts recommends the agency greenlight covid shots for the youngest kids. And New Jersey RWJBarnabas Health abandons plans to acquire Saint Peter's Healthcare after the FTC challenged the deal. Hosted on Acast. See acast.com/privacy for more information.

 The AMA takes its strongest stance on reproductive rights during its annual meeting this week. Democrats are urging federal lawmakers to extend insurance subsidies. And HCA Healthcare expands its nursing school with a new campus in NC. Hosted on Acast. See acast.com/privacy for more information.

Arnold Ventures is funding the latest spate of consumer and employer lawsuits against hospitals for using market power to raise prices. The CDC lifts the covid testing requirement for international travelers. And the FTC asks UnitedHealth Group for more info about its bid to buy LHC Group.  Hosted on Acast. See acast.com/privacy for more information.

In this episode, we hear from Vijay Yanamadala, MD, a neurosurgeon at Hartford HealthCare and Chief Medical Officer of virtual physical therapy company SWORD Health who estimates at the majority of patients referred for physical therapy could benefit from receiving support virtually.  Hosted on Acast. See acast.com/privacy for more information.

The first hospitals are fined for not complying with price transparency rules. The White House announces plans to distribute COVID vaccines for kids under 5. And an overview of what policies are at risk when the federal public health emergency ends. Hosted on Acast. See acast.com/privacy for more information.

The Federal Trade Commission launches a probe into Pharmacy Benefit Managers. Oracle completes its $28.4B acquisition of Cerner. And mental health carve-outs can complicate physicians’ ability to provide mental health care. Hosted on Acast. See acast.com/privacy for more information.

Nearly three-quarters of nursing homes are concerned about closure. Startup digital health companies announce layoffs. And the FTC sues to block two hospital mergers. Hosted on Acast. See acast.com/privacy for more information.

In this episode, we’ll hear from Laura Kwako, PhD, a clinical psychologist at the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and Katharine Bradley, MD, a senior investigator at the Kaiser Washington Health Research Institute. The NIAAA just released a Core Resource on Alcohol for healthcare professionals to help providers screen and treat patients for alcohol use disorder, as addiction and alcohol-related deaths have spiked during the pandemic.  Check out the NIAAA's Core Resource at niaaa.nih.gov/health-professionals-communities/core-resource-on-alcohol Hosted on Acast. See acast.com/privacy for more information.