The Gist Healthcare Podcast

Burnout and stress are prevalent among healthcare providers, including nursing staff. Burnout among nurses can lead to decreased productivity, increased errors, and higher rates of absenteeism. It can also be costly for hospitals and healthcare systems to replace nurses who decide to leave due to stress.   One system experimenting with novel ways to support its nursing staff is BayCare Health System in Tampa, Florida. It was one of four systems in the country chosen by the American Nurses Foundation to pilot a nurse wellbeing program that borrowed a stress program originally developed for high-stress roles, like those in the military.   On today’s episode of the Gist Healthcare podcast, host J. Carlisle Larsen is joined by Trish Shucoski, DNP, MSN, RN, NEA-BC, chief nurse executive at BayCare. And BayCare's advanced nursing educator, Rocky Hauch, DNP, RN, PCCN.  Hosted on Acast. See acast.com/privacy for more information.

A Republican Senator has introduced a new bill that would unwind some future Medicaid cuts. A federal judge has struck down a Biden-era rule that would have barred medical debt from credit reports. And, new research finds no link between aluminum in childhood vaccines and increased risk of certain disorders. Those stories and more coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

The Department of Health and Human Services resumes layoffs following a recent Supreme Court ruling. Physicians could see a Medicare pay increase in a CMS proposed rule.  And, shareholders approve Walgreens go-private deal with a private equity company. Those stories and more coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

The healthcare industry will see roughly $1 trillion in federal spending cuts over the next decade now that H.R. 1—better known as the One Big Beautiful Bill Act—has been signed into law. Michael McAuliff of Modern Healthcare joins host J. Carlisle Larsen to discuss how the proposed cuts to Medicaid evolved from a wish list item for policymakers to law, and how lawmakers have responded.   You can read Michael’s article about how providers and payers are preparing for those cuts here.   Hosted on Acast. See acast.com/privacy for more information.

The Department of Health and Human Services has canceled a planned meeting of the US Preventive Services Task Force. The number of measles cases hits a 30-year high after being eliminated in the United States. And, a Senate committee advanced President Trump’s nominee to lead the Centers for Disease Control and Prevention. Those stories and more coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

The Senate has passed the One Big Beautiful Bill, which includes significant cuts to Medicaid. The Supreme Court upholds the Affordable Care Act’s preventive services mandate. And, Novo Nordisk inks a new direct-to-consumer partnership. Those stories and more coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

Hospital at home programs have been around for years but gained popularity during the pandemic. While HaH has long been tailored for adults—mainly seniors—some hospitals are experimenting with programs that allow other patients to receive acute care at home, including Atrium Health Levine Children’s Hospital which piloted a first-in-the-nation hospital at home program. Stefanie Reed, DO, who serves as the Medical Director of the program, joins host J. Carlisle Larsen to talk more about what they’ve learned since launching the program and the outcomes of the pilot.   Hosted on Acast. See acast.com/privacy for more information.

Medicaid cuts and other healthcare provisions in the One Big Beautiful Bill have been struck by the Senate parliamentarian. President Trump’s pick to lead the Centers for Disease Control and Prevention testifies in front of a Senate panel. And, health insurers promise reforms to prior authorization procedures. Those stories coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

The Trump Administration narrows the enrollment window for purchasing Affordable Care Act coverage and limits eligibility. Medicare will likely be insolvent three years earlier than anticipated, according to the program’s trustees' report. And, Ascension announces it will purchase ambulatory surgical services organization AmSurg. Those stories on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

A federal judge rules that the abrupt cancellation of National Institutes of Health research grants was illegal and likely discriminatory. A new report finds there may be an additional 16,000 preventable deaths related to proposed cuts to Medicaid. And, a recent cyberattack on a healthcare vendor exposes the private health data of more than five million people. Those stories on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

The Senate’s take on the One Big Beautiful Bill includes bigger cuts to Medicaid, compared to the House’s version. Iowa becomes the latest state to implement stronger restrictions on pharmacy benefit managers. And, 23andme’s former-CEO will now become the buyer of the bankrupt biotech company. Those stories and more coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

One of the biggest shows so far this year is the critically acclaimed medical drama The Pitt, which stars Noah Wyle of ER fame. The HBO Max series has been called one of the most accurate descriptions of an emergency department. On today’s episode of the Gist Healthcare podcast, host J. Carlisle Larsen is joined by Sylvia Owusu-Ansah, MD, who served as a medical consultant for the show and contributed storylines. She’s an associate professor of pediatrics and emergency medicine at the University of Pittsburgh School of Medicine and the director of EMS at UPMC Children’s Hospital Pittsburgh.  Hosted on Acast. See acast.com/privacy for more information.

Health and Human Services Secretary Robert F. Kennedy Jr. names new members to a CDC vaccine advisory panel days after he removed existing members. UnitedHealth Group’s credit rating is downgraded. And, states sue bankrupt DNA testing company 23andme to protect consumers’ genetic data. Those stories coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

All 17 experts have been fired from the Centers for Disease Control and Prevention’s independent vaccine panel. A new poll finds that the recent One Big Beautiful Bill Act--and its cuts to Medicaid--is raising concerns among voters.  And, digital chronic condition management company Omada Health has had the second splashy digital health IPO in the last month. Those stories and more coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

The House of Representatives passed a budget reconciliation bill around Memorial Day that extends tax cuts put into place during President Trumps first term in office, as well as increases border and military spending. However, the bill also includes significant federal healthcare spending cuts, notably in the joint federal-state Medicaid program.   Michael McAuliff covers policy and politics in Washington D.C. for Modern Healthcare. He joins the podcast to talk more about the bill.   Hosted on Acast. See acast.com/privacy for more information.

Staffers laid off from the Department of Health and Human Services this spring are suing the Trump Administration and are seeking class action status. The Centers for Disease Control and Prevention contradicts HHS’s recent recommendations for COVID-19 vaccines for children.  And, the annual cost of insuring a family tops $35 thousand. Those stories and more coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

The Trump Administration releases more a detailed proposed budget for the Department of Health and Human Services for the 2026 fiscal year, including significant cuts to agencies within the department. The FDA rolls out a new artificial intelligence tool. And, hospitals spent billions of dollars to ensure workplace safety in 2023. Those stories and more coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

The Department of Health and Human Services cancels Moderna’s multi-million-dollar award to develop an mRNA vaccine for influenza, including bird flu. CVS and Express Scripts sue Arkansas over state law restricting pharmacy benefit managers. And, a new study from Mass General Brigham finds that traditional diagnostic tools outperformed generative AI. Those stories coming up on today's episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

The Trump Administration updates its hospital price transparency rules and seeks public input. The Department of Health and Human Services narrows its COVID-19 vaccine guidance. And ChristianaCare will purchase five Crozer Health facilities. Those stories and more coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

A judge blocks the Trump Administration’s reduction-in-force executive order, which includes the Department of Health and Human Services. Virtual physical therapy company Hinge Health has a big IPO. And, a new white paper finds a significant increase in the number of Americans taking blockbuster GLP-1 drugs to manage overweight or obesity. Those stories and more coming up on today’s episode of the Gist Healthcare podcast.   Hosted on Acast. See acast.com/privacy for more information.

Investment banks downgrade UnitedHealth Group amid ongoing challenges. The Food and Drug Administration changes its COVID-19 guidelines, restricting the shots to certain at-risk groups. And, Cigna’s Evernorth subsidiary will cap the cost of pricy weight loss drugs for members. Those stories and more coming up on today’s episode of Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

The House Budget Committee moves forward a tax bill with significant cuts to Medicaid. Pennsylvania's governor calls for more oversight of private equity healthcare deals following the closure of Crozer Health. And, Regeneron Pharmaceuticals buys 23andme’s assets for $256 million. Those stories and more coming up on today’s episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

The United States Supreme Court rules against hospitals in an ongoing case about disproportionate share hospital payments. Aetna announces it will leave the healthcare exchanges. And, Novo Nordisk is partnering with telehealth companies to expand access to its GLP-1 drugs. Those stories and more coming up on today's episode of the Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

The Department of Health and Human Services is facing another legal challenge over its decision to cut funding for public health initiatives. More nurses say they plan to leave the field due to stress and burnout. And, a new study finds that Medicare Part D coverage of popular weight loss drugs could raise costs by billions of dollars. Those stories and more coming up on today’s episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

The Senate HELP committee report calls for reforms within the 340B drug discount program. Blue Shield of California leaked health data of nearly 5-million members to Google. And, measles misinformation is on the rise nationwide, according to a new poll. That's coming up on today’s episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

The newly established, so-called Department of Government Efficiency is reportedly freezing healthcare grants. Eli Lilly sues telehealth companies over compounded versions of its popular weight loss drug. And, Walgreens settles a case from the federal government in the ongoing opioid crisis. Those stories and more coming up on today’s episode of Gist Healthcare Daily.  Hosted on Acast. See acast.com/privacy for more information.

The Supreme Court hears arguments in a case challenging a core part of the Affordable Care Act. Arkansas implements a first-in-the-nation law banning pharmacy benefit managers from owning pharmacies. And, Eli Lilly announces a new oral GLP-1 drug that was successful in lowering blood sugar and weight loss. Those stories and more coming up on today’s episode of Gist Healthcare Daily.  Hosted on Acast. See acast.com/privacy for more information.

A leaked document shows the extent of proposed cuts coming to the Department of Health and Human Services. UnitedHealth Group had its worst day on the market in decade after it announced disappointing first quarter results. And, Cone Health has purchased Novant Health's ownership interest in their joint Medicare Advantage business. We get those stories and more coming up on today's episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

Medicare proposes a 2.4% pay increase for inpatient hospitals next year. The Centers for Medicare and Medicaid Services will end some federal Medicaid spending for state programs. And, the ongoing merger between UnitedHealth Group and home health company Amedisys heads to mediation with the Department of Justice. Those stories and more coming up on today's episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

A federal watchdog advises the Department of Health and Human Services to create a plan to deal with drug shortages. A new survey finds broad political support for Medicaid among voters. And a federal judge permanently bars the National Institutes of Health from imposing caps on indirect research costs. Those stories coming up on today’s episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

Congress has passed a budget blueprint that could mean big federal spending cuts for healthcare. President Trump says big tariffs are coming for foreign made pharmaceuticals. And, Idaho becomes the first state in the country to ban vaccine mandates in businesses and schools. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

A second child has died of a measles-related medical complication in Texas, as the number of cases continues to grow nationwide. The Trump Administration reverses a Biden-era proposal that would have allowed Medicare to cover blockbuster GLP-1 drugs for weight loss.  And, a federal judge temporarily blocks $11 billion in public health funding cuts to states. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

Cybersecurity remains a top concern for many healthcare organizations as attacks continue to increase. On today’s Monday episode of the Gist Healthcare podcast, we hear the second part of host J. Carlisle Larsen’s conversation with Christian Dameff, MD, emergency physician and Co-Director of the University of California-San Diego’s Center for Healthcare Cybersecurity, about takeaways from last year’s cyberattack on the Change Healthcare clearinghouse and how proposed federal legislation regarding healthcare cybersecurity could impact hospitals, especially in rural areas.   You can listen to the first half of the conversation here.   Hosted on Acast. See acast.com/privacy for more information.

The Federal Trade Commission has paused its suit against the nation’s biggest pharmacy benefit managers. States sue the Trump Administration after it abruptly cuts $11 billion in funding for public health initiatives.  And, Eli Lilly says it is not affiliated with Hims & Hers after the telehealth company announces it will sell the drugmaker’s popular weight loss drug Zepbound. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

Layoffs at the Department of Health and Human Services begin. The Food and Drug Administration’s top vaccine official resigns, causing share prices of biotech companies to falter. And, Utah becomes the first state to ban fluoride in drinking water. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

The healthcare industry remains the most targeted sector for cyberattacks in the United States. Last year had the dubious distinction of having the most patient records exposed in a year at more than 276 million. It also had the largest healthcare cyberattack on record, when UnitedHealth Group’s Change Healthcare was hacked in February. Though we know that hospitals, vendors, and related organizations are particularly vulnerable to attacks, it’s been difficult to fully secure them.   Christian Dameff, MD, emergency physician and Co-Director of the University of California-San Diego’s Center for Healthcare Cybersecurity, joins host J. Carlisle Larsen to talk more about challenges facing the industry and some common misconceptions about the motivations behind these attacks.   This is a two-part episode. The second half of their conversation will air on Monday, April 7.   Hosted on Acast. See acast.com/privacy for more information.

The Department of Health and Human Services will lay off more than 10-thousand employees in the Trump Administration’s latest push to streamline federal agencies. The Senate confirms President Trump’s nominees to lead the National Institutes of Health and the Food and Drug Administration. And, the FBI says it has not found a credible terrorist threat against the nation’s hospitals. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

President Trump nominates acting Centers for Disease Control and Prevention Director Susan Monarez for the permanent role. Cigna finalizes the sale of its Medicare Advantage business in a multibillion dollar deal. And, a new survey finds that a sizeable number of healthcare leaders plan to leave their organizations within the year. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

The White House has pulled its pick to lead the Centers for Disease Control and Prevention hours before he was to appear for his confirmation hearing in front of the Senate HELP committee. UnitedHealth Group is the first major insurer to add a new non-opioid painkiller to its formulary. And, a new study finds that women paid nearly $9 billion more for prescription drugs than men last year. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

The Trump Administration proposes a new rule that would roll back certain Biden-era flexibilities that allowed more people to enroll in Affordable Care Act plans on the exchanges. Nearly 750 rural hospitals face closure nationwide due to financial problems, according to new data. And, Americans borrowed an estimated $74 billion for medical bills last year. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

Walgreens officially will go private in a $10 billion deal with private equity firm Sycamore Partners after months of speculation. The Centers for Disease Control and Prevention is on the ground in Texas as the measles outbreak continues to grow.  And, Novo Nordisk drops the price of its popular weight loss drug after a similar move from rival drugmaker Eli Lilly. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

President Trump’s pick to lead the National Institutes of Health faced his first Senate Committee hearing this week. UnitedHealthcare announces it will cut its prior authorizations by 10 percent for certain services.  And, the nonprofit Coalition for Health AI has released details of its long-awaited AI model card registry. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

The US Department of Health and Human Services scales back a decades-old policy that allows for public comment on healthcare regulations. President Trump issues an executive order on hospital price transparency. And, a new study finds that Black and Hispanic mothers bear the brunt of high maternity care costs. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

House Republicans passed a budget blueprint last Tuesday that includes around $2 trillion in federal spending cuts. That plan includes $880 billion in spending cuts from programs that are overseen by the House Energy and Commerce Committee, a majority of which are anticipated to come from the Medicaid program. Bruce Siegel, MD, MPH, President and CEO of America’s Essential Hospitals, joins host J. Carlisle Larsen to talk about how those expected cuts could impact safety net hospitals nationwide. Hosted on Acast. See acast.com/privacy for more information.

Lawmakers call on the Department of Veterans Affairs to clarify the expected budget for its large-scale electronic health record modernization project.  A Texas child dies from a measles infection – the first death from the virus in the United States in a decade.  And, Eli Lilly announces plans to invest billions in new United States-based manufacturing plants. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

The Department of Justice is reportedly investigating UnitedHealth Group over its Medicare Advantage billing practices. The Centers for Disease Control and Prevention cancels—indefinitely—a meeting of vaccine advisors . And, fatal drug overdoses are down nationwide. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

Budget Committee Republicans have tasked the Energy and Commerce Committee with finding $880 billion in cuts to federal healthcare spending. Though the committee has jurisdiction over many programs, it notably oversees Medicare Part B and Medicaid spending. Matthew Fiedler, Senior Fellow at the Brookings Institution, joins host J. Carlisle Larsen to talk about the news and why most of those potential spending cuts could come from Medicaid.  Hosted on Acast. See acast.com/privacy for more information.

Biden-era merger guidelines jointly established by the Federal Trade Commission and the Department of Justice remain in place for now.  A new study finds that the United States could face a critical hospital bed shortage within the decade. And, the number of measles cases in Texas continues to grow. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

The Trump Administration to lays off thousands of the Department of Health and Human Services employees, including more than 1,000 at the Centers for Disease Control and Prevention. The administration cuts around 90 percent of the budget meant for Affordable Care Act marketplace navigators. And, flu deaths surpass those related to COVID-19 for 1st time since the beginning of the pandemic. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  Hosted on Acast. See acast.com/privacy for more information.

Following the COVID-19 pandemic, UMass Memorial Health in Worcester, Massachusetts began to pilot a new hospital-at-home program: one for postpartum patients. Benjamin Hamar, MD, Director of the Maternity Center at UMass Memorial and a member of the Maternal-Fetal Medicine Division, joins the podcast to tell host J. Carlisle Larsen more about the first-in-the-nation model. This episode originally aired on November 4, 2024. Hosted on Acast. See acast.com/privacy for more information.