The Gist Healthcare Podcast

Although the center of excellence model has been around for years, it has been mainly used by mega-employers. San Francisco-based Carrum Health is making this more accessible to smaller companies through its digital marketplace that connects self-insured employers with a network of providers. This episode was originally published in September 2021. Hosted on Acast. See acast.com/privacy for more information.

As the country struggles with a shortage of inpatient behavioral health beds and mental healthcare providers, health systems are increasingly turning to telepsychiatry to meet the need. Geoffrey Boyce, CEO of Array Behavioral Care, a 23-year-old telepsychiatry group, says that health systems are seeking more comprehensive behavioral health solutions across inpatient, virtual and home-based settings, but regulatory barriers are standing in the way of more widespread adoption.This episode was originally published in January 2022. Hosted on Acast. See acast.com/privacy for more information.

Virginia-based Privia Health, one of a growing number of high-profile “physician enablement” firms that helps practices improve operations and transition to value-based care delivery, held its initial public offering last May. CEO Shawn Morris discusses how the company plans to grow. This episode was originally published in May 2021. Hosted on Acast. See acast.com/privacy for more information.

Janelle Lee, VP of Talent Services at St. Joseph, MO-based Mosaic Life Care, discusses strategies to bolster nurse retention during the COVID crisis. In addition to financial incentives, Mosaic is allowing shift flexibility and increasing training and support for first-year nurses. This episode was originally published in January 2022. Hosted on Acast. See acast.com/privacy for more information.

Almost three-quarters of the nation's physicians are employed by health systems, insurers, or other corporate entities. A new study finds some cancer hospitals drastically mark up drug prices. And the CDC announces a new team to forecast outbreaks of the coronavirus and other diseases. Hosted on Acast. See acast.com/privacy for more information.

Most hospitals say keep your masks on. Health insurers in California oppose the state’s plan to give Kaiser a no-bid Medicaid contract. And hospitals call the proposed Medicare inpatient pay increase inadequate. Hosted on Acast. See acast.com/privacy for more information.

Optum Health raises projections for growth in value-based care arrangements. Digital health funding slows after several consecutive quarters of record-breaking investment. And the Supreme Court decides not to hear a case challenging Medicaid work requirements. Hosted on Acast. See acast.com/privacy for more information.

A federal judge in Florida strikes down the federal mask mandate for planes, trains, and other public transit. Bright Health is fined by the Colorado Department of Insurance after it fails to complete basic health plan tasks. And a jury acquitted a former DaVita CEO of criminal charges related to no-poach agreements with competitors. Hosted on Acast. See acast.com/privacy for more information.

CVS Health has moved quickly to build out its new clinical trial services unit since its launch, announcing a partnership with decentralized clinical trial software platform Medable and opening up research sites around the country. General Manager of CVS Clinical Trial Services Tony Clapsis discusses the unit's growth and plans to build a nationwide research network. Hosted on Acast. See acast.com/privacy for more information.

A new analysis finds that most nonprofit health systems spend less on community benefits than the value of their tax breaks. Nurse Practitioners will be able to practice independently in New York. And in Illinois, there's a fight between a private equity-backed physician group seeking to build a new hospital and a local health system.  Hosted on Acast. See acast.com/privacy for more information.

The White House announces plans to tackle medical debt by probing providers' billing and collection practices. The Centers for Medicare and Medicaid Services advances plans to establish staffing requirements at nursing homes. And healthcare workers at several health systems in California authorize strikes. Hosted on Acast. See acast.com/privacy for more information.

Hospital deal activity slowed in the first quarter of this year. Refurbished medical equipment helps fill gaps in supply. And the City of Philadelphia and several universities reinstate mask requirements as COVID cases rise in half of states. Hosted on Acast. See acast.com/privacy for more information.

Walgreens provides opens dozens of Health Corners to provide more in-store care. Medicare limits coverage of the new Alzheimer’s drug to participants in clinical trials. And a National Academy of Sciences report calls for action on reforming the country’s broken nursing home care system. Hosted on Acast. See acast.com/privacy for more information.

UnitedHealth Group's Optum makes a play to buy a large Houston area multispecialty group. Millions have left their jobs to care for aging family members. And an FDA advisory panel discusses the agency's COVID booster strategy. Hosted on Acast. See acast.com/privacy for more information.

Walmart opens five health clinics in Florida. President Biden announces plans to fix the family glitch. And Salt Lake City-based Intermountain Healthcare and Broomfield, Colorado-based SCL Health officially complete their merger. Hosted on Acast. See acast.com/privacy for more information.

Senators reach a $10B COVID funding compromise. Medicare is now covering over-the-counter covid tests. And funding for virtual behavioral health tools geared towards kids takes off.  Hosted on Acast. See acast.com/privacy for more information.

Over the last few years, momentum has been growing to repeal Certificate of Need (CON) laws, currently in effect in 35 states. In this episode Matthew Mitchell, Senior Research Fellow at the Mercatus Center at George Mason University discusses the catalysts and effects of CON reform.  Hosted on Acast. See acast.com/privacy for more information.

An alarming number of primary care doctors say they are planning to leave practice. States are expanding pharmacists' role in patient care. And despite new surprise billing protections, patients are still concerned about the bills according to a new Kaiser Family Foundation survey. Hosted on Acast. See acast.com/privacy for more information.

President Biden presses Congress to authorize more COVID relief funding after receiving his second booster on live television. Physicians continue to leave HCA Healthcare-owned Mission Health in Western North Carolina. And amid medical supply shortages, people with chronic illnesses struggle to get equipment. Hosted on Acast. See acast.com/privacy for more information.

UnitedHealth Group’s health services unit, Optum, announced plans to buy the home health, hospice, and long-term acute care hospital company LHC Group for $5.4B. The Food and Drug Administration expands authorization of fourth shots of the Pfizer and Moderna COVID vaccines for adults 50 and older. And rising supply and labor costs combined with people returning for delayed care are expected to increase healthcare spending this year. Hosted on Acast. See acast.com/privacy for more information.

A Tennessee nurse is convicted of negligent homicide after a fatal medication error. Cleveland Clinic’s new 184-bed London hospital will start seeing new patients as early as this week. And 16 drugmakers are now limiting discounts to safety-net hospitals in the 340B program. Hosted on Acast. See acast.com/privacy for more information.

Six large health systems recently announced the launch of Evolve Health Alliance, a new collaboration to address workforce challenges and share insights from their respective systems. In this episode, Matt Kurth, Deputy Chief People Officer at Northwell Health, one of the alliance’s founding members, will discuss how the partner systems plan to work together.  Hosted on Acast. See acast.com/privacy for more information.

A new study builds on evidence of a link between covid infection and diabetes. States raise penalties for threats of violence against healthcare workers. And healthcare data breaches reached an all-time high in 2021. Hosted on Acast. See acast.com/privacy for more information.

Moderna plans to ask regulators to greenlight its COVID vaccine for kids six months to under six years old. Contributing to hospitals filling nursing vacancies, state nursing boards are slow to approve new licenses. And new sickle-cell gene therapies are showing promising results, the next struggle will be getting patients to accept them. Hosted on Acast. See acast.com/privacy for more information.

The criminal trial of a Tennessee nurse who committed a fatal medication error begins. Starting next month hospitals will no longer be reimbursed for caring for uninsured COVID-19 patients. And hospitals and states renew scrutiny on rising hospital prices. Hosted on Acast. See acast.com/privacy for more information.

The three largest credit companies are changing how they report medical debt. Fresenius, InterWell Health, and Cricket Health create a new kidney care company. And health officials expect COVID cases of the omicron sub-variant to start rising. Hosted on Acast. See acast.com/privacy for more information.

In this episode, we hear from Dr. Taki Michaelidis, Medical Director of the UMass Memorial Health Hospital at Home Program. The Worcester-based system has quickly scaled up its program, doubling capacity in just a few months.This episode was originally published in December 2021. hin Hosted on Acast. See acast.com/privacy for more information.

The White House taps Dr. Ashish Jha to replace Jeff Zients as White House COVID response coordinator. As many as 16 million people risk losing Medicaid coverage when eligibility checks resume. And a Harvard Business review article makes the case for collaboration in healthcare. Hosted on Acast. See acast.com/privacy for more information.

Pfizer and BioNTech ask regulators to approve a fourth COVID vaccine dose for seniors. And retail and primary care disruptors want to partner with health systems. And the pandemic continues to accelerate the shift from inpatient to outpatient care. Hosted on Acast. See acast.com/privacy for more information.

Americans’ $195 billion medical debt burden is unevenly distributed. And six health systems join together to address workforce challenges. And a jury in Northern California finds that Sacramento-based Sutter Health did not use its market power to engage in anticompetitive contracting practices. Hosted on Acast. See acast.com/privacy for more information.

Nurses take their labor grievances to Washington. Delaware has success in narrowing racial disparities in cancer care with patient navigators. And why one industry is still doing business in Russia even after the invasion of Ukraine. Hosted on Acast. See acast.com/privacy for more information.

Nursing home groups push back against plans to establish minimum staffing levels. Congress reaches a spending deal but it doesn’t include any more covid response funding. And as we approach one million COVID deaths in the US, we are becoming numb to the number. Hosted on Acast. See acast.com/privacy for more information.

One study finds more expensive emergency care can lead to better outcomes in competitive hospital markets. Amazon and Teladoc are partners to allow consumers to get audio visits through smart speakers. And experts unveil a plan for the country to move to the “next normal”. Hosted on Acast. See acast.com/privacy for more information.

The American Medical Association criticizes Biden’s test-to-treat COVID program. Healthcare employment jumped in February, yet it’s still below pre-pandemic levels. And Civica announces plans to manufacture low-cost insulin. Hosted on Acast. See acast.com/privacy for more information.

The justice department files suit to block UnitedHealth Group’s acquisition of Change Healthcare. Maternal mortality increased sharply during the first year of the pandemic. And a New Yorker piece highlights how the changing demographics of physicians are altering the American Medical Association's priorities. Hosted on Acast. See acast.com/privacy for more information.

COVID vaccine mandates didn’t lead to an exodus of healthcare workers as feared. States look to Washington State as they consider public option plans. And ground ambulances have swelled over the last few years, according to a new report from FAIR Health. Hosted on Acast. See acast.com/privacy for more information.

The federal government steps up challenges to healthcare mergers. Dr. Paul Farmer, a public health giant, dies at age 62. And health systems are anxiously awaiting to see how Medicare will pay for hospital care at home. Hosted on Acast. See acast.com/privacy for more information.

The Federal Trade Commission declines to investigate PBMs. Rising labor and supply costs eat into hospitals operating margins. And provider groups push back against canceling Medicare's DIrect Contracting payment demonstration. Hosted on Acast. See acast.com/privacy for more information.

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Vaccine mandate deadlines hit for healthcare workers in half the country this week. Robert Califf is confirmed to lead the FDA. And as the demand for nurses remains high, so does investment in staffing firms. Hosted on Acast. See acast.com/privacy for more information.

Vaccine mandate deadlines hit for healthcare workers in half the country this week. Robert Califf is confirmed to lead the FDA. And as the demand for nurses remains high, so does investment in staffing firms. Hosted on Acast. See acast.com/privacy for more information.

In yet another twist, the FDA delays its review of COVID vaccines for young kids. Republicans call for the end of the public health emergency. And Signify Health acquires Caravan Health. Hosted on Acast. See acast.com/privacy for more information.

A new study finds COVID increases the risk of heart disease. A year later and most hospitals still aren’t complying with price transparency rules. And this week there were more mixed messages about whether to rip off our masks. Hosted on Acast. See acast.com/privacy for more information.

CVS partners with Medable to expand clinical trial services. Digital health company Thirty Madison buys Nurx. And hospital CEOs say their top concern is labor shortages. Hosted on Acast. See acast.com/privacy for more information.

Medicare is simultaneously rewarding and penalizing hospitals for patient safety and quality of care. Amazon Care plans to expand into 20 cities this year. And with Biden’s Chief science advisor resigning, three scientific and medical agencies are without permanent leadership. Hosted on Acast. See acast.com/privacy for more information.

Kaiser Permanente secures a no-bid California Medicaid contract. Governors in the Northeast say school mask mandates will soon end. And direct to consumer health companies are sharing data with third-party sites. Hosted on Acast. See acast.com/privacy for more information.

Pfizer is reportedly joining 12 other pharmaceutical companies in limiting 340B discounts to hospitals contracting with pharmacies to distribute medications. This episode details the saga between pharmaceutical companies and hospitals over the 340B program which has come under scrutiny in recent years. Hospitals say the drugmakers move to limit discounts and Medicare's decision to cut reimbursement are cutting into savings used to fund charity care and specialty pharmacy programs. This episode is a rerun and was originally published in November of 2021. Hosted on Acast. See acast.com/privacy for more information.

Senators work on a bipartisan package to address the country’s growing mental health crisis. The travel nursing industry defends itself after accusations by hospitals of price gouging. Medicare is out with a plan to provide free COVID tests over the counter. Hosted on Acast. See acast.com/privacy for more information.

President Biden revives his cancer moonshot plan to cut the death rate in half over the next 25 years. Anthem is staying the course on its partner not acquire strategy. And reaching the point where covid becomes endemic - is far from the end. Hosted on Acast. See acast.com/privacy for more information.

Pfizer and BioNTech are asking the Food and Drug Administration for emergency use authorization of their two-dose covid vaccine for kids under 5-years-old. Michigan health systems Beaumont Health and Spectrum Health are moving forward with their planned merger. Multiple states ask CMS for more flexibility in enforcing the COVID vaccine mandate for healthcare workers. Hosted on Acast. See acast.com/privacy for more information.