The Gist Healthcare Podcast

Bariatric surgery reduces waistlines but not wallets. The home state of Seema Verma is delaying one of her key policies. And one of the biggest healthcare companies will be getting into patients' homes. Hosted on Acast. See acast.com/privacy for more information.

Sen. Bernie Sanders isn’t quite ready to say how he intends to fund his Medicare for All plan. The number of children losing health insurance continues to climb. Some American cities may soon have a big problem treating cancer, and bias in health care doesn’t just impact patients. Hosted on Acast. See acast.com/privacy for more information.

Facebook might start reminding you to get a flu shot. Lawmakers passed more transparency bills – this time for drug prices. And Medicare revealed which hospitals were rewarded or penalized as part of the CMS' Hospital Value-based Purchasing Program. This episode has been updated Hosted on Acast. See acast.com/privacy for more information.

Walgreens is closing walk-in clinics across the country. Uber is partnering with an electronic medical record company as it increases its presence in the non-emergency ride business. A Pennsylvania hospital expands to the far east. Hosted on Acast. See acast.com/privacy for more information.

New York’s process for settling surprise billing disputes actually raised prices for some types of care. A federal judge rules the government owes insurers for cutting a payment right before open enrollment in 2017. And we hear from an antitrust attorney about Sutter Health’s surprise settlement. Hosted on Acast. See acast.com/privacy for more information.

A common algorithm for patient care has a racial bias. The president has reportedly chosen who he wants to lead the FDA. In addition to state and local governments, some hospitals are also suing opioid drugmakers. This episode has been updated to accurately reflect the extent of vaping illnesses. Hosted on Acast. See acast.com/privacy for more information.

The head of the CMS says the Trump Administration has a plan if the Affordable Care Act gets struck down...but she’s not sharing it. The Democrat's drug pricing bill gets out of an important committee. And a study finds profits go down as health systems get bigger. Hosted on Acast. See acast.com/privacy for more information.

Health insurance premiums on the most common marketplace plans will be cheaper this enrollment cycle. A group of Republicans is out with a health care proposal – much of which we’ve seen before. And regulators are investigating state arrangements that help hospitals avoid federal antitrust scrutiny. Hosted on Acast. See acast.com/privacy for more information.

Four of the defendants in the closely watched opioid litigation with two Ohio counties settled. Senator and Democratic presidential candidate Elizabeth Warren says her healthcare plan is coming. And soon a drone may be dropping off your prescriptions. Hosted on Acast. See acast.com/privacy for more information.

The long-expected opioid trial in Ohio starts Monday. Another state is putting Medicaid work requirements on hold. And a healthcare attorney explains what the proposed Stark Law changes mean for physicians and health systems. Hosted on Acast. See acast.com/privacy for more information.

UnitedHealthcare is trying to move more procedures out of the hospital. Walgreens announces a partnership with an insurer and pharmacy benefit manager. The Democrats honor the late Representative Elijah Cummings by naming the prescription drug pricing bill after him. Hosted on Acast. See acast.com/privacy for more information.

A large California health system settles a closely watched antitrust case. A study details how much Democratic presidential candidates healthcare proposals would cost. And in Kansas, medical debt collections are "a government-sanctioned shakedown of the uninsured and underinsured." Hosted on Acast. See acast.com/privacy for more information.

Democratic presidential candidates spar about how much will Medicare-for-all will cost and who will foot the bill. Amazon is establishing a center for excellence program for cancer care. There’s a shortage of a vital child cancer drug. Hosted on Acast. See acast.com/privacy for more information.

More Medicare Advantage plans have five stars this year. House Speaker Nancy Pelosi’s drug pricing plan is estimated to save Medicare hundreds of billions. Will a course in hospital finance help rural hospitals keep the doors open? Hosted on Acast. See acast.com/privacy for more information.

Medicaid work requirements are under scrutiny in the courts. A judge blocks a controversial immigration rule days before it takes effect. As Medicare open enrollment starts, Dr. Lisa Bielamowicz explains how CVS is making a big play in that market. Hosted on Acast. See acast.com/privacy for more information.

Another hospital announced it will stop suing patients for unpaid medical bills. Hospitals in Colorado are not excited about the state’s public option plan. One doctor woke up to an early morning phone call this week with career-changing news - he won a Nobel Prize. Hosted on Acast. See acast.com/privacy for more information.

Hoping to incentivize more value-based care, the Trump administration has unveiled a long-awaited reform to anti-kickback rules for physicians. A once prominent insurer CEO has been found guilty of driving while impaired in North Carolina. Bernie Sanders says despite recent health issues, he’s in no rush to release his medical records. Hosted on Acast. See acast.com/privacy for more information.

Medicare open enrollment is around the corner and a key cost comparison tool isn’t working. A for-profit hospital company will forgive millions of dollars in medical debt. And another healthcare company appears to be planning to go public. Hosted on Acast. See acast.com/privacy for more information.

According to a new study, a quarter of healthcare spending is wasteful. President Trump signed a proclamation mandating immigrants get health insurance. The healthcare sector led job growth in September. Hosted on Acast. See acast.com/privacy for more information.

There’s been a lot of talk about price transparency for patients. But one doctor thinks it's just as important for doctors making treatment decisions to see prices. More on that in today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Walmart is going to start using quality metrics to steer employees to doctors. The president announced his wide-ranging Medicare executive order in Florida. Some doctors are asking for ethical guidance about the role of artificial intelligence in practice. Hosted on Acast. See acast.com/privacy for more information.

President Trump is expected to detail his Medicare plans on Thursday in Florida. Another drug company settles an opioid case in Ohio. Drones, not people may be delivering medical packages to hospitals Hosted on Acast. See acast.com/privacy for more information.

October brings new information on last year's healthcare programs. Accountable care organizations saved the government close to three-quarters of a billion dollars last year. More than 80 percent of hospitals are getting hit with readmissions penalties. Medicare Advantage plans are out just a few weeks ahead of open enrollment. Hosted on Acast. See acast.com/privacy for more information.

Idaho wants to add work requirements to its Medicaid program. Some websites are advertising Trumpcare plans. Aledade CEO and co-founder Dr. Farzad Mostashari talks about the company's growth and why physicians are leaving hospital employment. Hosted on Acast. See acast.com/privacy for more information.

It’s been almost a decade since the biggest reform of the American healthcare system in recent times - the Affordable Care Act. The law started to change how we pay for healthcare with the goal of increasing the value of patient outcomes. On this special episode of Gist Healthcare Daily, we talk to Dr. Farzad Mostashari about how the transition is going. Hosted on Acast. See acast.com/privacy for more information.

You can now buy a bundle of groceries and health services at Sam’s Club. CEO of Blue Cross Blue Shield of North Carolina resigned after details of a drunk driving incident surfaced. The Senate votes to delay cuts to hospitals that treat a lot of Medicaid patients. Hosted on Acast. See acast.com/privacy for more information.

A Memphis hospital wipes out medical debt for thousands of patients. Kaiser Permanente employees call off a strike after reaching a tentative deal. Employers are spending as much on healthcare as an economy car. Hosted on Acast. See acast.com/privacy for more information.

Amazon launches a virtual clinic for employees. A merger between two Blue Cross insurers is on hold after a DUI arrest. Indiana residents are suing to block Medicaid work requirements. Hosted on Acast. See acast.com/privacy for more information.

The new formula for disproportionate share payments was finalized Monday. Vermont Senator Bernie Sanders revealed his plan to forgive billions of dollars in medical debt. An antitrust expert breaks down some of the arguments in the Sutter Health antitrust case. Hosted on Acast. See acast.com/privacy for more information.

Jury selection begins in an antitrust lawsuit against California-based Sutter Health. North Carolina’s Medicaid contracting process is being challenged. And for our special Weekly Gist feature, we have something on the nonhealthcare beat. Hosted on Acast. See acast.com/privacy for more information.

House Speaker Nancy Pelosi revealed her plan to lower prescription drug prices. Another Democratic presidential candidate has another version on Medicare for all who want it. A plea for beer money leads to tens of thousands in donations to a children’s hospital. All that and more coming up on Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

In a win for hospitals, it appears Congress will use a temporary funding measure to again delay cuts to a program that helps facilities who treat the sickest and poorest patients. Insurers and providers are pointing fingers about who’s to blame for rising healthcare costs. Bankers to go Walmart to check out the new health clinics. Hosted on Acast. See acast.com/privacy for more information.

Tennessee is the first state seeking federal permission to change how it runs its Medicaid program. A federal judge says Medicare overreached when it reduced payment for off-campus clinics. Short-term health insurance plans are becoming more popular under the Trump Administration. Hosted on Acast. See acast.com/privacy for more information.

Congress is investigating the private equity firms behind the anti-surprise billing ads. Purdue Pharma is trying to get all of the state attorneys general who sued to accept the settlement. A medication for peanut allergies gets FDA support. Hosted on Acast. See acast.com/privacy for more information.

Purdue Pharma has filed for bankruptcy. And for the third time in almost two years, doctors are leaving a local hospital to join an independent practice in Charlotte, North Carolina. But to do this the physicians need to get out of their non competes. Hosted on Acast. See acast.com/privacy for more information.

Thursday night’s Democratic primary debate showed divisions within the Medicare-for-all discussion. The government is challenging a court decision allowing a hospital to sell residency slots. Amazon’s online pharmacy company gets dealt a blow. Hosted on Acast. See acast.com/privacy for more information.

Walmart is making a big move into healthcare, saying new clinics are the ‘crown jewel’ of the plans. Along with its new watch, Apple announced three new health research studies. The government has a warning for hospitals that still operate on fee-for-service. Hosted on Acast. See acast.com/privacy for more information.

More people went to emergency departments in states that expanded Medicaid. About 20 percent more according to a new study. This is antithetical to the idea that with coverage you can do to the doctor instead of the hospital. But it isn’t quite that simple. Hosted on Acast. See acast.com/privacy for more information.

One study finds administering certain medicines outside of the hospital could save insurance plans $4 billion a year. The Trump administration is considering a proposal that includes monitoring behavior of people with mental illness to predict violence. A Senate bill includes more funding for the National Institutes of Health. Hosted on Acast. See acast.com/privacy for more information.

Optum is combining its data and care delivery businesses. The government is trying to a new approach to catch Medicare and Medicaid fraud before it happens. The infamous graphic showing the astronomical growth of administrators in healthcare is wrong. Hosted on Acast. See acast.com/privacy for more information.

A federal judge approved a hospital sale of hundreds of residency spots. A contract dispute between an insurer and physician staffing company over reimbursement rates could impact 18 states. And people are turning to Groupon to afford CT scans and mammograms. Hosted on Acast. See acast.com/privacy for more information.

Everyone agrees, hospital mergers have been happening more frequently. Whether it’s good for patients and reduces prices garners less consensus. The American Hospital Association is out with a study saying mergers reduce costs, but academics are critical of those findings. Hosted on Acast. See acast.com/privacy for more information.

Presidential candidate Bernie Sanders wants to make billions of dollars of medical debt disappear for Americans. Walmart is bringing everyday low prices to medical care. Insurers aren’t happy about a new type of Medicare Advantage audit estimated to save as much as $1 billion. Hosted on Acast. See acast.com/privacy for more information.

As the number of independent medical practices is shrinking, two companies in California are teaming up to try and help. Consolidation in the insurance industry continues with two Michigan insurers merging. With open enrollment six weeks away, Louisiana still hasn’t finalized Medicaid contracts because of an ongoing dispute. Hosted on Acast. See acast.com/privacy for more information.

A favorite Bernie Sanders statistic about Americans going bankrupt because medical bills is not accurate. California lawmakers are targeting one hospital system with transparency legislation. And Medicare has been paying twice for some of the same drugs. Hosted on Acast. See acast.com/privacy for more information.

In a new ad tied to his healthcare plan, Vice President Joe Biden, talks about his family's medical struggles. NBC reports the family who owns Purdue Pharma is offering a settlement to several opioid lawsuits. Medicare unveils a new online shopping tool ahead of open enrollment. Hosted on Acast. See acast.com/privacy for more information.

An Oklahoma judge ruled Johnson & Johnson has to pay $572 million dollars for its part in fueling the opioid crisis. Doctors’ groups, including some backed by private equity firms, are pouring money into ads opposing surprise billing legislation. In addition to its public charge rule, the Trump administration sent states guidance about including a sponsor when considering an immigrant’s Medicaid eligibility. Hosted on Acast. See acast.com/privacy for more information.

Introducing Gist Healthcare Daily - the weekday health policy and business news podcast from Gist Healthcare. Hosted on Acast. See acast.com/privacy for more information.