The Gist Healthcare Podcast

Employers across the US are expecting a spike in health care costs in 2023. Mark Cuban Cost Plus Drug Company has partnered with the Purchaser Business Group on Health, a large employer coalition. And, former-Theranos executive Sunny Balwani has been sentenced to prison after being convicted for fraud. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.co...

CMS is proposing a new rule to streamline prior authorization for payers. UnitedHealth Group’s proposed $5 billion acquisition of a home health provider is on pause. And, new research finds the incidence of heart inflammation following a COVID-19 vaccine is very low among young people. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more inf...

Congress will likely repeal a COVID-19 vaccination mandate for US armed service members, despite opposition from the White House. New research finds that as many as 18 million Americans may lose their Medicaid coverage once the COVID-19 public health emergency ends. And, flu-related hospitalizations are on the rise. That's coming up on today's episode of Gist Healthcare Daily. Hosted on...

The nation’s largest for-profit health systems had their best operating margins during the COVID-19 pandemic. Several physicians groups have filed a legal brief in support of the ACA’s preventive care provision as it’s being challenged in federal court. And, Pfizer has applied for FDA emergency use authorization for its Omicron booster in children under the age of five. That's all coming up o...

Atrium and Advocate Aurora have finalized their merger, creating the fifth-largest nonprofit health system in the country. A soon-to-be implemented California law aimed at stopping physicians from spreading medical misinformation is already being challenged in court. And, the FDA will ease some donor restrictions amid a national blood shortage. Hosted on Acast. See acast.com/privacy for more...

A study finds that the post- ACA drop in hospital readmissions may actually be due to how systems classified patient stays. A proposed House bill aims to reform how Medicare covers certain drugs. And, researchers may be one step closer to developing a universal flu vaccine. That's all coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more i...

A new Alzheimer’s drug has shown promise in slowing cognitive decline in Phase 3 clinical trials but concerns remain about its safety. Former MetroHealth CEO Akram Boutros is suing the hospital system and its board of trustees for violating Ohio’s Open Meetings Act--and its own bylaws--when it fired him. And Twitter has quietly stopped enforcing its COVID-19 misinformation policy. That's comi...

Research finds that so-called “skinny labeling” which allows drug makers to sell generics for off-patent use saved Medicare around $1.5 billion, but a legal fight could upend the practice. The Center for Medicare and Medicaid Services new Direct Contracting Model saved the agency $70 million during its inaugural year. And CMS is warning hospital systems to do more to protect staff and patients. Th...

Greater numbers of Americans are buying health insurance on the ACA exchanges during the current open enrollment period. The WHO has changed the name of the “monkeypox” virus to “mpox”, following criticism that the former name exacerbates stigma. And several large health systems are now charging patients for some communications with their physicians through online patient portals. That's comi...

There are significant disparities along racial lines in the orthopedic speciality field. Black patients are 30% less likely to undergo total hip and knee replacements compared to white patients, even though rates of arthritis remain close to the same between the two groups. And those racial disparities extend to the field of orthopedic surgeons with fewer than 2% of Black orthopedic physicians pra...

The state of Georgia may enforce work requirements for residents to qualify for expanded Medicaid. The longtime CEO of Cleveland-based MetroHealth was fired over nearly $2 million in alleged unauthorized bonuses that he gave to himself. And Bellin Health and Gundersen Health System are on track to finalize their merger at the end of this month. That's coming up on today's Gist Healthcare Daily. As...

The recently closed merger of UnitedHealth Group and Change Healthcare could be in jeopardy after the Department of Justice submitted an appeal to an earlier judge’s decision to allow it to move forward. A coalition of states is calling on CMS to drop its vaccine mandate for healthcare workers. And former Theranos CEO Elizabeth Holmes was sentenced to prison last week. That's coming up on tod...

There are significant disparities along racial lines in the orthopedic speciality field. Black patients are 30% less likely to undergo total hip and knee replacements compared to white patients, even though rates of arthritis remain close to the same between the two groups. And those racial disparities extend to the field of orthopedic surgeons with fewer than 2% of Black orthopedic physician...

Big names in the healthcare and tech world flocked to Las Vegas this week for the fifth annual HLTH Conference. Big tech companies like Google and Uber are looking to take an expanded role in the healthcare industry, government officials want to strengthen public-private partnerships, and more.  Hosted on Acast. See acast.com/privacy for more information.

Pediatric physicians are urging the Biden Administration to declare a national and public health emergency as respiratory illnesses are leading to a surge in hospitalizations among children. Walmart will pay $3 billion as part of a multi-state opioid lawsuit. And virtual care company Hims & Hers secures another health system partnership. That's coming up on today's episode of Gist Healthc...

Amazon unveiled its new virtual care platform–Amazon Clinic–which will treat non-urgent consumer health needs. Two large regional health systems in the upper midwest announced they plan to merge in a $14-billion deal. And 21,000 nurses will strike at 21 Kaiser Permanente facilities in California next week. That's all coming up on today's episode o Gist Healthcare Daily. Hosted on Acast. See a...

The federal COVID-19 public health emergency will likely continue through early April. Moderna released its latest efficacy finding for its updated Omicron booster. And emergency room physicians across the country say that ERs are at the breaking point and are asking for relief from the Biden administration. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.c...

It’s been less than a week since voters went to the polls across the country to cast their ballots in the 2022 Midterm Elections. Gist Healthcare leaders–CEO Chas Roades and President Dr. Lisa Bielamowicz–join the podcast today to talk about how healthcare played a role in this year’s election and what we can expect from 2024.  Hosted on Acast. See acast.com/privacy for more information.

Physicians at one of the largest teaching hospital systems in New York City announced they are unionizing. Insurtech companies–Bright Health Group and Oscar Health–are scaling back their Medicare Advantage plan offerings. And the Supreme Court signals it won’t gut a law that allows Medicaid recipients to sue over benefits. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Aca...

Healthcare was on the ballot in several places Tuesday - South Dakota became the latest state to expand Medicaid coverage through a ballot measure, abortion access became a driving force at the polls, and a new law in Arizona regulating how collections agencies collect medical debt could set a precedent for other states. That's coming up on today's episode of Gist Healthcare Daily. Hosted on...

Mass General Brigham joins other health systems in adopting a code of conduct for patients. A new study aims to prove–or disprove–the prevailing hypothesis about the cause of Alzheimer’s. And the Center for Medicare and Medicaid Innovation updates its strategy for implementing value-based care. That's all coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy...

A group of orthopedic surgeons who broke away from a Wisconsin system are opening a new independent practice - managed by a national private-equity backed chain.  After a rough 2022, hospital closures could rise next year. And a new report finds that the commercial insurance market lacks competition in many states.  That's all coming up on today's episode of Gist Healthcare Daily. Hosted...

Pfizer and BioNTech share promising new data on the efficacy of their bivalent booster, despite smaller studies to the contrary. The CDC reports that nearly 84% of pregnancy-related deaths could be prevented. And a new analysis shows that most Medicare beneficiaries don’t compare plans during the annual open enrollment period. That's coming up on today's episode of Gist Healthcare Daily. Host...

Physicians groups are gearing up to lobby Congress over pay cuts from CMS. Medicare fines for hospital readmissions declined last year but a number of hospitals were still penalized. And New York and California are hotspots for the new BQ strains of the COVID-19 virus and it could soon spread to the rest of the country. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast....

CMS released its final payment rules for 2023 this week and physician reimbursement is set to decline. An FDA advisory panel found that pulse oximeters may be inaccurate on Black and brown patients. And CVS and Walgreens have agreed to a $10 billion deal to settle thousands of opioid lawsuits brought against them.   Hosted on Acast. See acast.com/privacy for more information.