The Gist Healthcare Podcast

New analysis finds that more than 80% of nursing homes currently fall short of staffing levels being proposed by CMS. An FDA panel finds that the active ingredient in many over-the-counter decongestants is ineffective. And, Oracle announces it will add generative AI to its EHRs to help physicians reduce their workload. That’s coming up on today’s episode of Gist Healthcare Daily. Ho...

Sixty-seven thousand Kaiser Permanente workers vote to authorize a strike. Dana-Farber and Beth Israel Deaconess partner on a new cancer center. And, Oregon approves a plan to create a new basic health plan for residents who earn too much to qualify for Medicaid. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information...

The hospital-at-home care model is expected to expand significantly by the end of the decade, but questions remain about who will pay for it and how. On today’s episode of Gist Healthcare Daily, we hear the second part of our conversation with Rob Moskowitz, MD, Chief Medical Officer at Contessa Health, where we discuss the outlook for reimbursement as well as thoughts on the clinical staff needed...

A looming government shutdown could impact crucial healthcare programs. A new study conducted by the Blue Cross Blue Shield Association is the latest to find that outpatient care at hospitals is more expensive compared to surgery centers or physician’s offices. And, most ambulance rides are out of network, according to a new report. That’s coming up on today’s episode of Gist Healthcare...

California healthcare workers could see a pay raise under a new deal. The newest COVID vaccines will be available this week, but for the first time without the federal government guaranteeing they’ll be free. And, prescription opioid shipments dropped as fatal overdoses increased. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy fo...

The FDA approves updated COVID vaccines amid a summer surge. Walgreens partners with provider enablement company Pearl Health to grow its value-based primary care business. And, Geisinger and Best Buy expand their at-home chronic disease management partnership. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Walmart is reportedly considering buying a majority stake in ChenMed. Two major hospital systems are switching their EHRs from Cerner to Epic. And, two Wisconsin health systems take another step towards a merger. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Hospital-at-home has been around since the mid-1990s in the United States. But the broader adoption of the care model accelerated during the COVID-19 pandemic, in part due to patient preference and waivers from CMS.  On today’s episode of Gist Healthcare Daily, Contessa Health Chief Medical Office Rob Moskowitz, MD joins the podcast to talk about the future of hospital-at-home and what needs...

A new study finds that Medicare Advantage plans were overpaid by billions of dollars each year from 2017 to 2020. The cost of employer-sponsored health insurance is expected to surge next year. And, researchers are investigating whether weight loss drugs Ozempic and Wegovy could be used to treat alcohol addiction and dementia. That’s coming up on today’s episode of Gist Healthcare Daily. Host...

CMS unveils a new state-level all-payer model meant to improve population health. Electronic health records company NextGen goes private in a deal with private equity firm Thoma Bravo. And, a new study finds that primary care physicians affiliated with health systems drive up spending. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for mor...

Medicare names the first 10 drugs facing price negotiations. The Biden Administration proposes new nursing home staffing standards. And, Humana sues CMS to prevent Medicare payment clawbacks. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Data sharing platform Health Gorilla surveyed more than 1,200 consumers to gauge their opinion about the privacy of their health data and which companies should be allowed to access it. It found a vast majority of respondents expressed concerns about data breaches affecting their medical records. Steven Lane, MD, Chief Medical Officer for Health Gorilla, joins the podcast to talk more about the su...

A major insurer switches gears and partners with Amazon and Mark Cuban Cost Plus Drugs in a cost saving move. Portland, Oregon-based health systems Oregon Health & Science University and  Legacy Health announce they intend to merge. And, a federal court maintains restrictions on the abortion pill–guaranteeing the case heads to the supreme court. That’s coming up on today’s episode of Gist...

The Centers for Medicare and Medicaid Services updates its ACO REACH model. Oregon’s governor signs a nurse-to-patient staffing ratio bill into law. And, new data show that private-equity healthcare deals slowed amid higher interest rates. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

AdventHealth sues MultiPlan--a company that provides regional preferred provider organization networks for insurers--alleging it colluded with those insurers to pay providers less for out-of-network care. Some health insurers say they won’t cover Alzheimer’s drug Leqembi. And, CMS says there are 27 states with concerning rates of Medicaid terminations due to procedural reasons. That’s coming up on...

The Department of Justice requests more information about Optum’s planned acquisition of home health care company Amedisys. Cano Health announces it will lay off 700 employees as it looks to sell its business. And, the Biden Administration announces a $100 million investment to grow the nation’s nursing workforce. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Ac...

New antitrust proposals from the Department of Justice and the Federal Trade Commission would allow antitrust regulators greater authority to scrutinize healthcare mergers and acquisitions, if finalized. On today’s episode of Gist Healthcare Daily, we hear the second part of JC’s conversation with Stuart Vogelsmeier, EVP and Chair of the Healthcare and Business practices at St. Louis-based law fir...

A new study finds that hospital prices for commercial plans are twice those for Medicare Advantage plans, even when negotiated by the same payer. The number of continuation patents is increasing as brand name drugmakers move to ward off generics. And, the American Red Cross implements the FDA’s recent policy change that allows gay and bisexual men to donate blood. That’s coming up on today’s...

The Department of Defense has partnered with a third-party lab to test generic medications over concerns of tainted drugs. The DEA is weighing a special registration that would allow some physicians to prescribe controlled medications through telehealth appointments. And, CMS updates its HCAHPS patient experience survey. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on...

Obesity drug Wegovy was found to lower cardiovascular risk by 20 percent in a large clinical trial. US Senators push the IRS to investigate nonprofit hospitals. And, Babylon Health’s plan to go private falls through. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A Texas federal judge vacates portions of the No Surprises Act dispute resolution process. The FDA approves a new oral medication to treat postpartum depression but rejects its wider use for other mental health conditions. And, a cyber attack impacts hospitals owned by a private equity group across three states. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. Se...

The Federal Trade Commission and the Department of Justice’s latest antitrust proposals would allow the agencies greater authority to investigate potential mergers across all sectors of the US economy, including healthcare. On today’s episode of Gist Healthcare Daily, Stuart Vogelsmeier, EVP and Chair of the Healthcare and Business practices at St. Louis-based law firm Lashly & Baer, joins the...

The National Institutes of Health taps its next infectious-disease chief. The family of Henrietta Lacks settles their lawsuit with a biotechnology company that used her cells without consent. And, the number of COVID-related hospitalizations is at its highest point since December. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more inf...

Hospitals will see a 3.1% inpatient payment increase next year, but some industry groups say it doesn’t go far enough. A bill that would overhaul the national organ donation system heads to President Biden’s desk. And, the US Department of Labor sues UnitedHealth over allegations that a subsidiary of the payer denied thousands of claims. That’s coming up on today’s episode of Gist Healthcare...

CMS has notified around 612,000 Medicare beneficiaries whose information may have been affected in a data breach this spring. CMMI will pilot a care model for people with dementia and their caregivers. And, Amazon expands its direct-to-consumer telehealth clinic to all 50 states. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more info...