The Gist Healthcare Podcast

The FDA says there’s "no evidence" that doubling an individual’s dose of Paxlovid will reduce the return of COVID symptoms. Mental health telemedicine company Cerebral stops prescribing Adderall to new patients as the company faces increasing scrutiny for its marketing and prescribing practices. And a Health Affairs study finds several physicians in insurers’ Medicaid networks aren’t seeing patien...

If the leaked Supreme Court abortion decision is finalized, medical training for the procedure could become limited for nearly half of obstetrics and gynecology residents. In Illinois, a private equity-backed physician group gets state approval to build a hospital in Quincy. And after Medicare’s decision to restrict coverage of Alzheimer’s drug Aduhelm, Biogen searches for a new CEO. Hosted on Aca...

Officials are looking into growing reports of the so-called Paxlovid rebound. Medicare Advantage plans are denying care and payment that traditional Medicare covers. And health officials say it’s unlikely COVID or the vaccine is related to the mysterious hepatitis cases. Hosted on Acast. See acast.com/privacy for more information.

Houston-based Memorial Hermann Health System embarked on a plan to reorganize the system around service lines a little over two years ago. In this episode, the two senior vice presidents of service lines who led the effort, Kyle Price and Heath Rushing, discuss how the system shifted from being organized around hospitals to instead being organized around product lines. Hosted on Acast. See acast.c...

Concert Health CEO Spencer Hutchins discusses how the San Diego-based behavioral health medical group works in tandem with primary care providers to treat patients with behavioral health needs.  This episode was originally published in May 2021. Hosted on Acast. See acast.com/privacy for more information.

Although the center of excellence model has been around for years, it has been mainly used by mega-employers. San Francisco-based Carrum Health is making this more accessible to smaller companies through its digital marketplace that connects self-insured employers with a network of providers.  This episode was originally published in September 2021. Hosted on Acast. See acast.com/privacy for...

As the country struggles with a shortage of inpatient behavioral health beds and mental healthcare providers, health systems are increasingly turning to telepsychiatry to meet the need. Geoffrey Boyce, CEO of Array Behavioral Care, a 23-year-old telepsychiatry group, says that health systems are seeking more comprehensive behavioral health solutions across inpatient, virtual and home-based se...

Virginia-based Privia Health, one of a growing number of high-profile “physician enablement” firms that helps practices improve operations and transition to value-based care delivery, held its initial public offering last May. CEO Shawn Morris discusses how the company plans to grow.  This episode was originally published in May 2021. Hosted on Acast. See acast.com/privacy for more informatio...

Janelle Lee, VP of Talent Services at St. Joseph, MO-based Mosaic Life Care, discusses strategies to bolster nurse retention during the COVID crisis. In addition to financial incentives, Mosaic is allowing shift flexibility and increasing training and support for first-year nurses.  This episode was originally published in January 2022. Hosted on Acast. See acast.com/privacy for more informat...

Almost three-quarters of the nation's physicians are employed by health systems, insurers, or other corporate entities. A new study finds some cancer hospitals drastically mark up drug prices. And the CDC announces a new team to forecast outbreaks of the coronavirus and other diseases. Hosted on Acast. See acast.com/privacy for more information.

Most hospitals say keep your masks on. Health insurers in California oppose the state’s plan to give Kaiser a no-bid Medicaid contract. And hospitals call the proposed Medicare inpatient pay increase inadequate. Hosted on Acast. See acast.com/privacy for more information.

Optum Health raises projections for growth in value-based care arrangements. Digital health funding slows after several consecutive quarters of record-breaking investment. And the Supreme Court decides not to hear a case challenging Medicaid work requirements. Hosted on Acast. See acast.com/privacy for more information.

A federal judge in Florida strikes down the federal mask mandate for planes, trains, and other public transit. Bright Health is fined by the Colorado Department of Insurance after it fails to complete basic health plan tasks. And a jury acquitted a former DaVita CEO of criminal charges related to no-poach agreements with competitors. Hosted on Acast. See acast.com/privacy for more information.

CVS Health has moved quickly to build out its new clinical trial services unit since its launch, announcing a partnership with decentralized clinical trial software platform Medable and opening up research sites around the country. General Manager of CVS Clinical Trial Services Tony Clapsis discusses the unit's growth and plans to build a nationwide research network. Hosted on Acast. See acast.com...

A new analysis finds that most nonprofit health systems spend less on community benefits than the value of their tax breaks. Nurse Practitioners will be able to practice independently in New York. And in Illinois, there's a fight between a private equity-backed physician group seeking to build a new hospital and a local health system.  Hosted on Acast. See acast.com/privacy for more informati...

The White House announces plans to tackle medical debt by probing providers' billing and collection practices. The Centers for Medicare and Medicaid Services advances plans to establish staffing requirements at nursing homes. And healthcare workers at several health systems in California authorize strikes. Hosted on Acast. See acast.com/privacy for more information.

Hospital deal activity slowed in the first quarter of this year. Refurbished medical equipment helps fill gaps in supply. And the City of Philadelphia and several universities reinstate mask requirements as COVID cases rise in half of states. Hosted on Acast. See acast.com/privacy for more information.

Walgreens provides opens dozens of Health Corners to provide more in-store care. Medicare limits coverage of the new Alzheimer’s drug to participants in clinical trials. And a National Academy of Sciences report calls for action on reforming the country’s broken nursing home care system. Hosted on Acast. See acast.com/privacy for more information.

UnitedHealth Group's Optum makes a play to buy a large Houston area multispecialty group. Millions have left their jobs to care for aging family members. And an FDA advisory panel discusses the agency's COVID booster strategy. Hosted on Acast. See acast.com/privacy for more information.

Walmart opens five health clinics in Florida. President Biden announces plans to fix the family glitch. And Salt Lake City-based Intermountain Healthcare and Broomfield, Colorado-based SCL Health officially complete their merger. Hosted on Acast. See acast.com/privacy for more information.

Senators reach a $10B COVID funding compromise. Medicare is now covering over-the-counter covid tests. And funding for virtual behavioral health tools geared towards kids takes off.  Hosted on Acast. See acast.com/privacy for more information.

Over the last few years, momentum has been growing to repeal Certificate of Need (CON) laws, currently in effect in 35 states. In this episode Matthew Mitchell, Senior Research Fellow at the Mercatus Center at George Mason University discusses the catalysts and effects of CON reform.  Hosted on Acast. See acast.com/privacy for more information.

An alarming number of primary care doctors say they are planning to leave practice. States are expanding pharmacists' role in patient care. And despite new surprise billing protections, patients are still concerned about the bills according to a new Kaiser Family Foundation survey. Hosted on Acast. See acast.com/privacy for more information.

President Biden presses Congress to authorize more COVID relief funding after receiving his second booster on live television. Physicians continue to leave HCA Healthcare-owned Mission Health in Western North Carolina. And amid medical supply shortages, people with chronic illnesses struggle to get equipment. Hosted on Acast. See acast.com/privacy for more information.

UnitedHealth Group’s health services unit, Optum, announced plans to buy the home health, hospice, and long-term acute care hospital company LHC Group for $5.4B. The Food and Drug Administration expands authorization of fourth shots of the Pfizer and Moderna COVID vaccines for adults 50 and older. And rising supply and labor costs combined with people returning for delayed care are expected to inc...