The Gist Healthcare Podcast

The COVID vaccine rollout is slow, plagued with confusion, and way behind schedule. After three years the Amazon, Berkshire Hathaway and JP Morgan Chase joint venture, Haven, shutters. And control of the Senate and Biden’s healthcare agenda rests with Georgia’s runoff races. Hosted on Acast. See acast.com/privacy for more information.

The pandemic is causing women to leave the workforce at higher rates than men, leading some to call this economic downturn the 'shecession'. Dr. Neelum Aggarwal, a cognitive neurologist at Rush University Medical Center and the Chief Diversity and Inclusion Officer at the American Medical Women's Association discusses how this pullback is impacting female physicians. Hosted on Acast. See acast.com/privacy for more information.

Walmart Health Centers are springing up outside of Atlanta, GA, and providing "everyday low prices" for comprehensive primary care. In Georgia, some local providers are surprisingly welcoming of the new offering. This episode is a rerun and was initially published in October. Hosted on Acast. See acast.com/privacy for more information.

Founder and CEO of Remedy Dr. Jeremy Gabrysch said the immediate care and telemedicine startup was well-positioned to deliver care in the wake of COVID-19, providing care digitally or in patients’ homes. This episode is a rerun and was initially published in May. Hosted on Acast. See acast.com/privacy for more information.

Travis Messina, CEO of hospital-at-home company Contessa, talks about the growing popularity of the model, the challenges of building a program, and the culture shift it requires. He compares the hospital-at-home model’s potential to that of early ambulatory surgery centers, which performed only a handful of procedures until Medicare expanded coverage and reimbursement. This episode is a rerun and was initially published in August. Hosted on Acast. See acast.com/privacy for more information.

Medically Home co-founder and CEO Raphael Rakowski and Chief Medical Officer Dr. Pippa Shulman discuss hospital-at-home care, which has become increasingly popular during the coronavirus pandemic. This episode is a rerun and was initially published in June. Hosted on Acast. See acast.com/privacy for more information.

Dr. Rushika Fernandopulle, co-founder and CEO of the value-based primary care organization Iora Health discusses how COVID led practices to reorganize around the patient, instead of the physical office. This episode is a rerun and was initially published in September. Hosted on Acast. See acast.com/privacy for more information.

Hands-on clinical experience is a key part of training for nurses. But the pandemic has led many facilities to halt in-person clinical rotations to preserve medical supplies and ensure student and patient safety. Howard University nursing students say the lack of in-person training is leaving them feeling unprepared to enter the workforce. Hosted on Acast. See acast.com/privacy for more information.

Dr. Jeffrey Stalnaker, Chief Clinical Officer of Rockledge, FL-based Health First, discusses monoclonal antibody treatments for COVID patients, and why uptake has been disappointingly low. Stalnaker also shares his thoughts on vaccine rollout and adoption by health system employees. Hosted on Acast. See acast.com/privacy for more information.

An FDA panel recommends the agency approve Moderna’s COVID-19 vaccine for emergency use. And despite pandemic uncertainty, private equity and venture capital deals in healthcare were strong in the third quarter. Dr. Charles Kennedy, CEO of private equity firm Blue Ox Healthcare Partners, expects strong investment in the digital health space to continue into next year. Hosted on Acast. See acast.com/privacy for more information.

Newly released emails from a scientific advisor to the Department of Health and Human Services, show he was pushing a herd immunity strategy for the coronavirus. Pfizer is negotiating a deal with the US government to provide more vaccine doses. And gene-editing technology known as CRISPR is showing promise as a potential cure for sickle-cell anemia. Hosted on Acast. See acast.com/privacy for more information.

The Food and Drug Administration says Moderna’s vaccine candidate is 94 percent effective. Lawmakers revive a surprise billing fix as part of the year-end spending bill. And newly authorized at-home COVID testing kits could make testing much more convenient. Hosted on Acast. See acast.com/privacy for more information.

The first COVID-19 vaccine doses are being given across the US. Today’s the last day for people to buy a plan on healthcare.gov. And a Wall Street Journal editorial about Jill Biden’s doctorate drew swift criticism as a sexist attack on her credentials. Hosted on Acast. See acast.com/privacy for more information.

As COVID patients flood hospitals in several parts of the country, hospitals turn to healthcare staffing firms to find critical care nurses. Buffy White, Group President of healthcare staffing firm Cross Country Healthcare discusses how volatile demand for healthcare workers, especially nurses has only exacerbated shortages. Hosted on Acast. See acast.com/privacy for more information.

An FDA advisory panel recommends the agency give emergency authorization to the Pfizer and BioNTech COVID vaccine. After a Series C funding round, Cityblock Health is now valued at more than $1 billion. And the Supreme Court upholds an Arkansas law regulating pharmacy middlemen. Hosted on Acast. See acast.com/privacy for more information.

As the country reaches a record of more than 106,000 COVID hospitalizations, some hospital leaders say they're close to reaching crisis standards of care. And one pharmaceutical company is working to bring back a drug for hemophilia patients. Hosted on Acast. See acast.com/privacy for more information.

The first covid shots are given in the United Kingdom. Pfizer and BioNTech's vaccine offers some immunity after the first dose. And Sweden ends its COVID experiment and imposes restrictions. Hosted on Acast. See acast.com/privacy for more information.

The first COVID-19 vaccinations are starting in the United Kingdom. President-elect Biden picked California Attorney General Xavier Becerra and infectious disease specialist Dr. Rochelle Walensky to lead two of the nation's top health agencies. Sanford Health halts merger discussions with Intermountain Healthcare. Hosted on Acast. See acast.com/privacy for more information.

Dr. Christopher Crow, CEO of Plano, TX-based Catalyst Health Network, an independent clinically integrated network, discusses how the pandemic-induced recession is accelerating employer and insurer interest in changing the way they pay for care. Hosted on Acast. See acast.com/privacy for more information.

To boost COVID vaccine participation three former presidents say they’ll get the immunization on camera. States and hospitals are pulling nursing students forward to help with COVID-19 care. And President-elect Biden asks Dr. Anthony Fauci to join his administration. Hosted on Acast. See acast.com/privacy for more information.

The United Kingdom approves Pfizer and BioNTech's COVID-19 vaccine. 2020 Healthcare spending dropped by about 2 percent from last year. And Medicare is out with final rules that expand telehealth, adjust physician pay, and allow more procedures to be done in outpatient settings. Hosted on Acast. See acast.com/privacy for more information.

A CDC vaccine panel recommends healthcare workers and residents in long term care facilities get the first COVID-19 vaccines. States are taking a more nuanced approach to halting elective care amid the COVID surge. And despite COVID headwinds UnitedHealth Goup still expects growth next year. Hosted on Acast. See acast.com/privacy for more information.

Moderna becomes the second company to ask the FDA for emergency approval of a COVID-19 vaccine. And the Centers for Medicare and Medicaid Services expands its 'Hospital Without Walls' program to pay for hospital-level care in the home. As Travis Messina, CEO of hospital-at-home company Contessa, says staff will still be the limiting factor for how much hospitals can increase bed capacity. Hosted on Acast. See acast.com/privacy for more information.

Privia Health's Senior Vice President of Business Development, Mike Flammini, discusses how the company is now working with health systems to create a new model for physician alignment. And Drew Rector, Chief Strategy Officer of Rockledge, Florida-based Health First, one of the health systems Privia is working with, discusses how the partnership is helping the system grow its physician network. Hosted on Acast. See acast.com/privacy for more information.

The CDC is recommending American's stay home for Thanksgiving to prevent the spread of COVID-19. President-elect Biden says delaying the transition during a pandemic is going to cost lives. And the WHO recommends against using an FDA approved COVID treatment. Hosted on Acast. See acast.com/privacy for more information.

Pfizer reports its vaccine is 95 percent effective and plans to apply for emergency FDA approval within days. With high rates of infection across several states, more than a fifth of hospitals are reporting staffing shortages. And in today's COVID Audio Postcard, a contact tracer tells us she’s finding more cases of entire families being infected. Hosted on Acast. See acast.com/privacy for more information.

In a highly-anticipated move, Amazon launches it’s pharmacy business. The American Medical Association recognizes racism as a public health threat. And Oregon’s governor calls on Congress to compromise on a coronavirus relief package now. Hosted on Acast. See acast.com/privacy for more information.

One South Dakota nurse says some dying coronavirus patients are in such denial, that they are still refuting that COVID-19 exists. Some private practices and doctors so stressed by the pandemic are closing or retiring early. And Moderna reports it's vaccine candidate is more than 94 percent effective. Hosted on Acast. See acast.com/privacy for more information.

Sean Lane, CEO of healthcare software company Olive, discusses how the company uses artificial intelligence to automate repetitive processes for hospital systems. The technology has been deployed in more than 600 hospitals across the country. Hosted on Acast. See acast.com/privacy for more information.

Some hospitals are voluntarily halting elective care to prepare for a surge of COVID patients. President-elect Biden picks former Ebola Czar Ron Klain to be his chief of staff. And though millions lost job-based coverage during the pandemic, there wasn't a corresponding increase in the uninsured rate. Hosted on Acast. See acast.com/privacy for more information.

North Dakota allows COVID positive nurses without symptoms to continue to work because hospitals are at capacity. Despite clear evidence that mask-wearing and social distancing can prevent the spread of COVID, some Americans are still ignoring health guidance. And Eli Lilly's antibody treatment gets emergency approval. Hosted on Acast. See acast.com/privacy for more information.

Supreme Court justices heard the case challenging the Affordable Care Act on Tuesday. Based on lines of questioning from the nine justices during oral arguments, it doesn’t appear they are likely to strike down the entire healthcare law. Hosted on Acast. See acast.com/privacy for more information.

Preliminary results from Pfizer show its coronavirus vaccine candidate is more than 90 % effective. President-Elect Joe Biden names top doctors and scientists to a COVID-19 task force. And a look at the first healthcare actions he could take as president. Hosted on Acast. See acast.com/privacy for more information.

President-Elect Joe Biden will name top scientists and health experts to a COVID-19 task force Monday. The coronavirus crisis is deepening as cases and hospitalizations climb nationwide. And on Tuesday, the Supreme Court will hear a case challenging the Affordable Care Act. Hosted on Acast. See acast.com/privacy for more information.

Some patients are now seeing COVID fees on their bills. According to a Bloomberg News analysis, counties with the most COVID-19 deaths per capita favored President Trump in the election. And the Department of Health and Human Services wants regulations to sunset every decade. Hosted on Acast. See acast.com/privacy for more information.

Without decisive control of the Senate large-scale healthcare reform in the next two years seems unlikely. Hospitals are still reporting a tight supply of N95 masks, as daily COVID cases surpass 100,000. And across Europe, multiple countries reimpose lockdowns as cases soar. Hosted on Acast. See acast.com/privacy for more information.

While votes are still being tallied in several swing states, results about healthcare-related ballot measures in California, Oklahoma, Oregon and the District of Columbia are in. And as cases and hospitalizations of COVID-19 continue to rise in several parts of the country, hospitals are struggling to find enough nurses. Hosted on Acast. See acast.com/privacy for more information.

On Election Day, Gist Healthcare co-founders Chas Roades and Lisa Bielamowicz discuss how the outcomes could influence health policy for the next several years. Hosted on Acast. See acast.com/privacy for more information.

Since the Affordable Care Act was signed into law a decade ago it has fundamentally reshaped the American healthcare system. The fate of the ACA is once again set to go before the Supreme Court on November 10. If the justices rule the law unconstitutional it could have far-reaching impacts on insurance coverage, consumer protections, hospital finances, and many other parts of our healthcare system. Hosted on Acast. See acast.com/privacy for more information.

The FBI warns hospitals about ransomware attacks. As part of the Trump Administration’s price transparency efforts insurers will now have to share negotiated rates. And the government is requiring providers to list prices of COVID-19 diagnostic tests. Hosted on Acast. See acast.com/privacy for more information.

Experts caution a COVID-19 vaccine may not be the pandemic panacea many are hoping for. Some European countries are worried about having enough nurses and doctors to treat rising numbers of COVID patients. And a study finds despite spending more time with patients female doctors are often paid less. Hosted on Acast. See acast.com/privacy for more information.

Now that Amy Coney Barrett is a Supreme Court Justice, how will she rule on healthcare cases? Two large physician networks in Texas are joining together to pursue more value-based care contracts. Even though health officials have said a COVID-19 vaccine will be free, the details still need to be ironed out. Hosted on Acast. See acast.com/privacy for more information.

Intermountain Healthcare and Sanford Health announced plans to merge. As COVID hospitalizations climb, some facilities don’t have enough healthcare workers. And Florida is trying to start a program to import drugs from Canada, but no companies want the job. Hosted on Acast. See acast.com/privacy for more information.

Walmart Health Centers are springing up outside of Atlanta, GA, and providing "everyday low prices" for comprehensive primary care. In Georgia, some local providers are surprisingly welcoming of the new offering. Hosted on Acast. See acast.com/privacy for more information.

President Trump and Vice President Biden squared off in the final 2020 presidential debate. Remdesivir receives full FDA approval. And pharmaceutical companies are using GPS, decoy trucks, and US marshals to protect a COVID-19 vaccine from thieves. Hosted on Acast. See acast.com/privacy for more information.

The Justice Department reached an $8 billion settlement with opioid maker Purdue Pharma. Cases are spreading so fast in North Dakota, the state is asking people to contact trace themselves. And Nebraska gets approval for a two-tiered Medicaid system. Hosted on Acast. See acast.com/privacy for more information.

Scientists in the United Kingdom plan to study the coronavirus by intentionally infecting people. Premiums for those buying coverage on Healthcare.gov will decrease an average of 2 percent And Asia has been able to keep COVID outbreaks under control while the West is still struggling. Hosted on Acast. See acast.com/privacy for more information.

With coronavirus cases increasing to levels not seen since the summer, the Trump administration's plans to contain the spread are unclear. Pfizer won’t be ready to seek emergency approval for a COVID-19 vaccine until mid-November. And early testing programs in New York City schools are showing low case numbers. Hosted on Acast. See acast.com/privacy for more information.

Gist Healthcare's Jennifer Stewart talks with Senior Governance Advisor and former CEO of Jacksonville, Florida based Baptist Health Hugh Greene. He shares insights and lessons learned from leading a health system board for almost two decades and opportunities for health system executives to further strengthen governance. Read more of Jennifer's insights on Gisthealthcare.com Hosted on Acast. See acast.com/privacy for more information.

During Thursday night townhalls, presidential candidates talked about coronavirus response plans, but little about future healthcare reforms. A ProPublica investigation, details how the White House has exerted influence over the CDC throughout the pandemic. And Georgia has federal approval for a limited Medicaid expansion. Hosted on Acast. See acast.com/privacy for more information.