The Gist Healthcare Podcast

Close to 8,000 health care workers go on strike in Seattle disrupting patient care and costing the hospital millions. And some lawmakers are renewing calls for legislation to address surprise billing. Hosted on Acast. See acast.com/privacy for more information.

Practice Fusion will pay a hefty fine for a kickback scheme to prescribe more opioids. Illinois passes a law to make insulin more affordable. And coronavirus cases continue to increase across the globe. Hosted on Acast. See acast.com/privacy for more information.

Self-insured employers aren’t reducing healthcare costs. Secretary of Health Alex Azar says "scare tactics" won’t stop plans to ease medical records access. And the Supreme Court says the public charge rule can be enforced. Hosted on Acast. See acast.com/privacy for more information.

More cases of coronavirus are identified in the United States. Congressman Pete Stark, who was involved in pivotal health policies died at age 88. And Dan Gorenstein talks about exploring the tradeoffs of healthcare policy in his new podcast. Hosted on Acast. See acast.com/privacy for more information.

Cardinal Health recalls 9 million surgical gowns. Blue Cross Blue Shield and Civica are partnering to make affordable generic drugs. And the president says he’s now considering cuts to Medicare. Hosted on Acast. See acast.com/privacy for more information.

There’s at least one coronavirus case in the United States. Centene plans to close its acquisition of WellCare this week. And one report paints the federal government is one of the fiercest medical debt collectors. Hosted on Acast. See acast.com/privacy for more information.

The Supreme Court will not hear the case challenging the Affordable Care Act. And a radiologist addresses the fears within the field about being replaced by artificial intelligence which is getting better at reading mammograms. Hosted on Acast. See acast.com/privacy for more information.

A large physician group throws its support behind Medicare for All. Artificial intelligence models are being developed to identify breast cancer – and Dr. Connie Lehman believes this could help make mammograms more accessible for women worldwide. Hosted on Acast. See acast.com/privacy for more information.

Wyoming can’t use Medicaid to regulate air ambulance prices. Controversy over dietary guidelines about red meat continues. And the Affordable Care Act narrowed racial health disparities. Hosted on Acast. See acast.com/privacy for more information.

Many young women got unnecessary pelvic exams and Pap tests. UnitedHealth Group had record Medicare Advantage growth. And CVS says it's clinics can treat the majority of what people go to primary care doctors for. Hosted on Acast. See acast.com/privacy for more information.

Experts say no need to wear protective aprons during x-rays. Physicians spend 16 minutes on electronic health records after each patient visit. And Democratic candidates say the government needs to take a role in reducing prescription drug prices. Hosted on Acast. See acast.com/privacy for more information.

A new biotech company plans to make lower-cost branded drugs. Two of President Trump's healthcare initiatives are back in court. And retiring CEO of St. Luke's Health System Dr. David Pate says the way to reign in healthcare spending is to get rid of low-value care. Hosted on Acast. See acast.com/privacy for more information.

The Justice Department says it's premature for the Supreme Court to hear the case challenging the Affordable Care Act. And outgoing CEO of Boise, ID-based St. Luke’s Health System, Dr. David Pate reflects on his tenure which included an aggressive transition to value. Hosted on Acast. See acast.com/privacy for more information.

Focused medical and social help for the sickest patients didn’t keep them out of the hospital. California announces a plan to contracting directly with generic drug makers to lower prices. And health insurance sign-ups remain stable for 2020. Hosted on Acast. See acast.com/privacy for more information.

Single-year cancer deaths decreased at a record rate. Walgreens Boots Alliance stock dropped after worse than anticipated first-quarter earnings. And research finds bundled payments have some savings limited to a few procedures. Hosted on Acast. See acast.com/privacy for more information.

Does a tax on vaping products lead people to keep smoking cigarettes? In the last 20 years, hospital charges have skyrocketed. And the government plans to rely more on data from doctor visits to determine much to pay Medicare Advantage insurers. Hosted on Acast. See acast.com/privacy for more information.

One Medical announced it's going public. Democratic states ask the Supreme Court to take the case challenging the Affordable Care Act. And one medical school fed up with a popular ranking system says it's pulling out. Hosted on Acast. See acast.com/privacy for more information.

In the debate, Democratic presidential candidates spend just a few minutes on healthcare. Fewer Americans have primary care doctors. And one Boston union finds a way to lower premiums and increase wages. Hosted on Acast. See acast.com/privacy for more information.

A federal appeals court ruled the Affordable Care Act's individual mandate is unconstitutional. The order sends the case back to the lower court to decide which parts of the law can remain. Duke University Professor of Law and Business Barak Richman explains what the decision means. Hosted on Acast. See acast.com/privacy for more information.

The first state to get federal permission to add Medicaid work requirements – ends them. The end of the year spending bill includes repeals of three Affordable Care Act taxes. And to deal with an organ transplant and donation shortages the government proposes new rules. Hosted on Acast. See acast.com/privacy for more information.

CMS extended the open enrollment period for those buying coverage on the federal marketplace. One study finds measures to stop surprise billing could save 40 billion dollars a year. And former NFL players are charged with a healthcare fraud scheme. Hosted on Acast. See acast.com/privacy for more information.

Advocates are calling for an open enrollment extension because of outages to Healthcare.gov. CMS says it will pay hospitals back for site-neutral payment cuts. And Gist dives into the details of the new Medicare Direct Contracting model. Hosted on Acast. See acast.com/privacy for more information.

The House passes a bill to lower prescription drug prices. A new proposal to stop surprise billing has thrown a wrench into plans to pass legislation by the end of the year. And a report finds insurers may be making Medicare Advantage patients appear sicker to get more money. Hosted on Acast. See acast.com/privacy for more information.

A House vote on Pelosi's drug pricing bill is expected Thursday. Two of the president’s top health officials are headed to the White House to resolve an ongoing feud. And the Justice Department reportedly opens a probe into Google’s purchase of Fitbit. Hosted on Acast. See acast.com/privacy for more information.

House Speaker Nancy Pelosi compromises with progressive democrats on drug pricing legislation ahead of a vote. Civica Rx announces it will have eight generic drugs shipped by the end of the year. For the first time, female medical students are the majority. Hosted on Acast. See acast.com/privacy for more information.

The Supreme Court will hear a case insurers say is about the integrity of the federal government. Details of the surprise billing compromise lawmakers reached over the weekend are coming out. And House Republicans introduce another drug pricing bill. Hosted on Acast. See acast.com/privacy for more information.

A bipartisan group of lawmakers reached a deal on surprise billing legislation. This week lawmakers hold a hearing on proposals for universal coverage. And we talk to Dan Weissmann, host of the podcast, An Arm And A Leg, about the cost of healthcare. Hosted on Acast. See acast.com/privacy for more information.

Nearly one in three high schoolers report having used one form of tobacco. Lawmakers are considering how to regulate all the health data from Fitbits and Apple watches. And one report finds value-based care initiatives haven’t made people that much healthier. Hosted on Acast. See acast.com/privacy for more information.

Hospital groups are taking the Trump administration to court over its price transparency rule. Unable to stop robocalls from inundating their phone lines, hospitals are turning to Congress for help. And Virginia presses pause on Medicaid work requirements. Hosted on Acast. See acast.com/privacy for more information.

Accountable Care Organizations are saving Medicare money – but reports differ on how much. Healthcare giant UnitedHealthGroup is going to get even bigger. During Medicare open enrollment, few people actually switch plans. Hosted on Acast. See acast.com/privacy for more information.

A private equity-owned physician staffing company says it will stop suing patients over unpaid bills. Amazon releases a medical transcription tool. And a study finds one in five teens and one in four young adults have prediabetes. Hosted on Acast. See acast.com/privacy for more information.

On this special episode, all six parts of our North Carolina series. Gist Healthcare spoke with changemakers across the state as public policy change and private sector disruption play out across the state. Hosted on Acast. See acast.com/privacy for more information.

Now consumers of Giant Eagle grocery stores can ask Alexa to refill their prescriptions. A federal judge blocked President Trump's requirement that immigrants buy health insurance or prove they can pay for their own care. And opioid makers and distributors are now part of a criminal probe. Hosted on Acast. See acast.com/privacy for more information.

A new Texas law to protect patients from surprise medical bills has a loophole. Patients in another state sue over impending Medicaid work requirements. And UnitedHealthcare and Walgreens partner to open Medicare service centers in stores. Hosted on Acast. See acast.com/privacy for more information.

Hundreds of hospitals sue over cuts they say have continued past their expiration date. Another medical school offers free tuition to students if they agree to work in underserved areas. In our final North Carolina story, we hear about an organization that's bringing primary care doctors together. Hosted on Acast. See acast.com/privacy for more information.

A cut to hospitals was again delayed as part of a larger spending bill. Medicare’s new enrollment tool isn't making out-of-pocket drug costs clear. As part of the North Carolina series, we explore how the largest purchaser of care in the state is trying to get price transparency. Hosted on Acast. See acast.com/privacy for more information.

Healthcare was only briefly mentioned by Democratic presidential candidates in the debate. The largest physician association took positions on e-cigarettes and conversion therapy. And in the fourth part of our North Carolina series, a primary care doctor says he’s more confident than ever in his decision to stay independent. Hosted on Acast. See acast.com/privacy for more information.

North Carolina's move to Medicaid managed care is on hold. Federal lawmakers voted to again delay hospital funding cuts. As part of our North Carolina series, Cone Health CEO Terry Akin talks about how moving to value has changed the way the system approaches patient care. Hosted on Acast. See acast.com/privacy for more information.

Blue Cross plans are creating a nationwide network. A study finds medicines may be just as effective for some patients with stable heart disease as surgery to prevent heart attacks. And as part of our North Carolina series, we hear from Blue Cross Blue Shield about its plans to move to shared risk agreements. Hosted on Acast. See acast.com/privacy for more information.

President reveals details of his price transparency proposal and the industry is questioning the changes. And in a special week-long series, we explore the changing dynamics of healthcare in North Carolina. Today you’ll hear from the state secretary of health about the move to Medicaid managed care. Hosted on Acast. See acast.com/privacy for more information.

The Google whistleblower says there are many unanswered questions about how the company would handle patient data. The World Health Organization is working on a generic version of insulin to lower the cost. And a new California law restricting dialysis reimbursement rates is leaving patients in a lurch. Hosted on Acast. See acast.com/privacy for more information.

The federal government is looking into Google’s project with Ascension Health. A teenager suffering from vaping related injuries gets a double lung transplant. And more patients went to the hospital last quarter – is it because they hit deductibles? Or a new trend. Hosted on Acast. See acast.com/privacy for more information.

Google responds to reports about its access to millions of patient’s medical information. The federal government wants to crack down on a certain type of Medicaid payment. And the site-neutral payment rule is back in court. Hosted on Acast. See acast.com/privacy for more information.

Google has access to detailed medical information as part of a partnership with a health system. It appears Walgreens is taking another step towards going private. We hear how a hospital system took steps to eliminate waste. Hosted on Acast. See acast.com/privacy for more information.

The health industry lost an outstanding and visionary leader this weekend. Public health officials found a “very strong culprit” for what’s causing the mysterious vaping illnesses. And we hear from health system leaders who identified ways to eliminate waste in the US healthcare system. Hosted on Acast. See acast.com/privacy for more information.

The government is taking a pharmaceutical company to court over patent infringement. Costco is adding prescription delivery as a benefit to certain members. And Medicare’s payment policies drove consolidation. Hosted on Acast. See acast.com/privacy for more information.

A judge struck down another one of the Trump administration’s health care rules. Millennials are sicker than their Gen X predecessors and will face higher treatment costs. And another medical school offers free tuition to future primary care doctors with a stipulation. Hosted on Acast. See acast.com/privacy for more information.

Seniors on Medicare are still paying a lot out of pocket. Drug store giant Walgreens Boots Alliance is exploring whether to go private. And another state is requiring more pricing transparency. Hosted on Acast. See acast.com/privacy for more information.

A few more of President Trump’s healthcare policies are on hold. Georgia is the latest state to attempt a limited Medicaid expansion. And a shortage of a commonly used drug is causing treatment delays. Hosted on Acast. See acast.com/privacy for more information.

A tech giant takes another step into the healthcare space. Haven Healthcare finally makes a public announcement. And a healthcare lobbyist explains how disruptors will likely run into some obstacles – in the form of state regulations. Hosted on Acast. See acast.com/privacy for more information.