The Gist Healthcare Podcast

Ascension completes its multibillion-dollar acquisition of ambulatory surgery center operator AmSurg, physician associates sue the Trump administration over federal student loan changes, and nearly one in five privately insured adults faced a coverage denial last year on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

The Trump administration advances Medicaid work requirement rules, a new report warns hundreds of rural hospitals are at risk of closure, and CVS Health adds Eli Lilly’s weight loss drugs back to its formulary. Those stories and more on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

The American Hospital Association and West Health Institute have launched a national accelerator focused on helping hospitals scale technology-enabled care solutions.      The initiative will focus on electronic health record optimization, virtual care, and AI integration as health systems work to reduce administrative burden and improve care delivery.     On tod...

On today’s The Gist Healthcare Podcast : a Texas judge dismisses a payer lawsuit against HaloMD, Eli Lilly reports strong results for its next-generation weight loss drug and new research links greater nurse responsibility to higher retention. Hosted on Acast. See acast.com/privacy for more information.

The Trump administration finalizes sweeping changes to the Affordable Care Act marketplaces, HHS launches a new AI-powered fraud audit program, and Providence plans to scale back most of its health plan offerings next year. Those stories and more on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

On today’s episode of The Gist Healthcare Podcast : health systems join a new federal initiative aimed at streamlining prior authorizations, lawmakers revive legislation that would ban PBMs from owning retail pharmacies, and a judge clears the way for CVS Health to sell its long-term care pharmacy business. Hosted on Acast. See acast.com/privacy for more information.

Medicare pauses home health and hospice enrollment over fraud concerns, a congressional advisory committee calls for more oversight of AI prior authorization in Medicaid, and drug overdose deaths fell for the third year in a row. Coming up on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

Dr. Marty Makary is out as FDA commissioner. Sanford Health plans to merge with Minnesota-based North Memorial Health. And healthcare added the most jobs in April. Coming up on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

Today on The Gist Healthcare Podcast : California hospitals sue Anthem, Leapfrog reports patient safety gains, and a study links post-surgery walking to better outcomes. Hosted on Acast. See acast.com/privacy for more information.

Pennsylvania sues an AI company, alleging its chatbots posed as licensed medical providers. Two North Carolina nonprofit health systems plan to merge. And the American Hospital Association is partnering with West Health to expand hospital technology adoption. Those stories and more on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

Coming up on The Gist Healthcare Podcast : UnitedHealthcare cuts prior authorizations by 30 percent. Healthcare bankruptcies rise in the first quarter. The Trump administration names a new Surgeon General. Hosted on Acast. See acast.com/privacy for more information.

Artificial intelligence in healthcare is already being used in practice—but those tools aren’t perfect.     In the final part of a three-part series, host J. Carlisle Larsen continues her conversation with Dr. Robert Wachter, Chair of the Department of Medicine at the University of California, San Francisco and author of A Giant Leap: How AI Is Transforming Healt...

CMS to require state audits of Medicaid providers, the Trump administration plans faster Medicare coverage for breakthrough devices, and a new survey shows physician burnout declining, on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

UnitedHealthcare eliminates a majority of prior authorizations for rural providers, the White House taps a new CDC director, and Michigan lowers the measles vaccine age in some counties, coming up on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

Artificial intelligence in healthcare is often discussed in terms of what it might do. But, in some areas, it’s already being put to use.  In Part 2 of a three-part series, host J. Carlisle Larsen continues her conversation with Dr. Robert Wachter, Chair of the Department of Medicine at the University of California, San Francisco and author of  A Giant Leap: How AI Is Tran...

New drug prior authorization rules are under consideration, physician pay rose slightly in 2025, and proposed legislation would count direct-to-consumer drug purchases toward deductibles. Those stories and more on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

Medicare inpatient pay edges up, measles cases top 1,700, and vaccine confidence slips, on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

Artificial intelligence is being positioned as the next major transformation in healthcare, but the industry has seen similar waves of technological change before.     In Part 1 of a three-part series, host J. Carlisle Larsen speaks with Robert Wachter, M.D., Chair of the Department of Medicine at University of California-San Francisco and author of  A Giant...

Jefferson Health sues Aetna over a so-called Medicare Advantage "down coding" policy, CMS raises MA rates next year, and healthcare affordability tops domestic concerns, on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

The White House proposes a 12% cut to HHS, insurers report further reductions in prior authorization, and a new study links AI scribes to modest documentation time savings, on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

Advanced practice providers are a growing part of the healthcare workforce, but many organizations aren’t necessarily seeing the productivity gains they expected. On today’s episode, we examine new Kaufman Hall insights on why traditional physician-APP models often underperform, and how redesigning team roles, incentives, and compensation could yield better outcomes for clinicians and pa...

HHS forms a new healthcare advisory committee, the FDA approves Eli Lilly’s oral weight loss pill, and a Senate bill targets insulin price caps in private plans, those stories and more coming up on The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

HHS tightens hospital nutrition standards, ACA marketplace enrollment dips 5 percent, and one in three people turn to AI chatbots for health questions, on today’s episode of The Gist Healthcare Podcast . Hosted on Acast. See acast.com/privacy for more information.

As healthcare organizations respond to the cyberattack on Stryker, the focus is shifting from what happened to how decisions are made in the moment.  Gist Healthcare Podcast host J. Carlisle Larsen speaks with Phil Englert of  Health-ISAC  about navigating uncertainty during an incident, how these events shape perceptions of medical device risk, and what it takes...

CVS Health reaches a proposed insulin pricing settlement with the Federal Trade Commission. The Trump administration misses a deadline to name a new director of the Centers for Disease Control and Prevention. And a new study finds sepsis is linked to 18 percent of pediatric hospital deaths. Those stories coming up on today’s episode of the Gist Healthcare Podcast . Hosted on Acast. See acast.com/p...