The Gist Healthcare Podcast

Employee healthcare navigation company Transcarent announced in September 2023 that it had partnered with an inaugural group of 10 large health systems to create what it calls a national, independent “provider ecosystem” in order to provide higher-quality care to the covered beneficiaries of its more than 300 employer clients. On today’s episode of Gist Healthcare Daily, we revisit host J. Carlisl...

The Biden Administration establishes ACA adequacy standards and aligns annual open enrollment periods for state-based exchanges. Walmart Health is reportedly slowing down its 2024 health center expansion plan. And, telehealth providers call on the Drug Enforcement Administration to release a final rule on the virtual prescribing of controlled substances.  That’s coming up on to...

Kaiser Permanente’s Risant Health finalizes its acquisition of Pennsylvania-based health system Geisinger. Intermountain-owned Saltzer Health shuts down operations and sells clinics. And, the Biden Administration finalizes its Medicare Advantage pay rate for 2025. That’s coming up on today’s episode of Gist Healthcare Daily.  Hosted on Acast. See acast.com/privacy for more information.

During the COVID-19 pandemic, the federal government implemented a rule that prevented states from removing people from Medicaid. But following the end of the public health emergency at the end of March 2023, states began the eligibility redetermination process. Since then, more than 19 million people have lost their Medicaid or CHIP coverage.    Jennifer Wagner , Director of Medicaid El...

The Biden Administration streamlines the renewal and enrollment process for Medicaid and CHIP beneficiaries. Walgreens will close more VillageMD clinics in the coming weeks, as it reports a nearly 6-billion dollar net loss in its second fiscal quarter. And, capping the cost of insulin lowered consumers’ out of pocket expenses but didn’t result in greater access to the drug, according to a new...

Optum will acquire the financially troubled Steward Health’s national physician group. The Supreme Court signals skepticism over arguments made challenging the FDA’s approval of a key drug used in medication abortions. And, Change Healthcare says its largest clearing house is operational after a February cyber attack. That’s coming up on today’s episode of Gist Healthcare Daily. Hos...

Congress unveils its $1.2 trillion spending bill with funding for the Department of Health and Human Services. New reports highlight errors with the Department of Veterans’ Affairs and Oracle’s deployment of its electronic health record system. And, a new study finds that a majority of new physicians have faced sexual harassment. That’s coming up on today’s episode of Gist Healthcar...

Early last October, Providence Health unveiled Praia Health, its fourth, incubated technology. Praia utilizes what the Digital Innovation Group calls a digital flywheel to keep patients engaged with their care by personalizing individuals' health journeys and seamlessly connecting them t  o the right services, products and resources.  On today’s episode, we hear the second half of JC’s c...

In October, Renton, Washington-based health system Providence unveiled Praia Health, its latest incubated technology. Praia is a platform-as-a-service developed for health systems to increase patient engagement by personalizing individuals' health journeys and seamlessly connecting them to the right services, products and resources.  On today’s episode of Gist Healthcare Daily, we revisit hos...

Lawmakers press the Department of Health and Human Services over its response to the Change Healthcare cyberattack. Medicare Part D plans can cover the popular–and expensive–weight loss drug Wegovy for beneficiaries with heart conditions. And, VillageMD sells 11 clinics in Rhode Island to Arches Medical Partners.  That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Ac...

CMS launches a new model that aims to increase primary care participation in Medicare ACOs. The U.S. Senate releases a military report flagging risks in the nation’s drug supply chain. And, the CDC releases new guidance for hospital CEOs to mitigate burnout in the healthcare workforce. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy fo...

National supermarket chain Kroger plans to sell its specialty pharmacy business to Elevance Health. The Centers for Disease Control and Prevention issues a new health alert as measles cases continue to climb. And, the number of abortions nationwide increased in the first year following the overturning of Roe v. Wade, according to a new report. That’s coming up on today’s episode of Gist...

The Centers for Medicare and Medicaid Services extends Medicaid payment flexibilities amid the ongoing Change Healthcare outage. President Biden signs an executive order to expand research on women’s health. And, another drugmaker caps prescription asthma inhaler prices at $35 per month amid lawmaker scrutiny. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See...

Ongoing healthcare workforce shortages have prompted hospitals and health systems to expand educational and internship programs to better engage young people in pursuing careers in healthcare. For the past two weeks, Gist Healthcare Daily has highlighted initiatives underway at University Hospitals in Cleveland, Ohio to attract high school students to the healthcare industry. Today, host J. Carlis...

The federal government will investigate UnitedHealth Group following the Change Healthcare cyber attack. Diabetes and weight loss drug Ozempic was found to delay the progression of chronic kidney disease in diabetic patients, according to a large-scale clinical trial. And, drugmaker Eli Lilly partners with Amazon to deliver its weight loss drug Zepbound, directly to consumers’ homes. Tha...

A U.S. Circuit Court rules against a pharmaceutical lobbying group in the ongoing fight over 340B drug discounts. Corvallis Clinic asks Oregon for an exemption from the state’s oversight process to merge with Optum. And, the healthcare industry remains the top target for cyber criminals. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/pri...

Federal officials offer emergency funding to providers as the Change Healthcare outage stretches into its fourth week. President Biden releases his proposed 2025 budget, which includes some big ticket healthcare items. And, the Food and Drug Administration says that the weight loss drug Wegovy can be prescribed for heart problems. That’s coming up on today’s episode of Gist Healthca...

For three years in a row, workforce and personnel issues remain the top concern for healthcare leaders across the country, according to a recent survey published by the American College of Healthcare Executives. On today’s episode of Gist Healthcare Daily, we listen to the second half of host J. Carlisle Larsen’s conversation with Celina Cunanan , Chief Diversity, Equity & Belonging Officer at...

President Biden calls for expanding the number of drugs Medicare can negotiate prices on. Cigna strikes a deal with drugmakers to cap the cost of popular obesity medications for employer-sponsored health plans. And, Mark Cuban’s Cost Plus Drugs inks its first health system partnership. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy fo...

The Centers for Medicare and Medicaid Services announces provider flexibilities in the wake of the ongoing challenges associated with the recent Change Healthcare cyber attack. The White House announces a new federal task force to investigate healthcare costs. And, Opill–the first over-the-counter birth control pill–will hit shelves later this month. That’s coming up on today’s episode o...

The nation’s two largest retail pharmacy chains will begin dispensing the drug mifepristone, which can be used in a medication abortion. A growing number of physicians are employed by private equity groups, according to a new study. And, a CMS report outlines a drop in quality measure performance at hospitals during the first two years of the pandemic. That’s coming up on today’s episode of G...

Change Healthcare opens a backup pharmacy system as outages continue following a cyberattack late last month. Hospitals and physicians may see some relief in a newly proposed federal spending deal. And, the Centers for Disease Control and Prevention drops its five-day isolation guidance for COVID-19 infections. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast...

Bloomberg Philanthropies recently announced it would partner with major health systems and invest $250 million dollars to launch healthcare-oriented high schools to address an expected shortage of workers within the industry. But many hospitals and health systems have educational programs today that aim to get young people interested in healthcare careers.  Celina Cunanan , Chief Diversity, E...

Northwell Health and Nuvance Health announce plans to merge. VillageMD plans to close all of its clinics in Illinois. And, antidepressant prescribing for young people increased significantly during the COVID-19 pandemic. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Department of Justice launches an antitrust investigation into UnitedHealth Group. Colorado regulators force U.S. Anesthesia Partners to end exclusive contracts at some hospitals in the state. And, hackers are reportedly looking to sell data from a recent breach at a children’s hospital. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/priv...