The Gist Healthcare Podcast

The first state to get federal permission to add Medicaid work requirements – ends them. The end of the year spending bill includes repeals of three Affordable Care Act taxes. And to deal with an organ transplant and donation shortages the government proposes new rules. Hosted on Acast. See acast.com/privacy for more information.

CMS extended the open enrollment period for those buying coverage on the federal marketplace. One study finds measures to stop surprise billing could save 40 billion dollars a year. And former NFL players are charged with a healthcare fraud scheme.  Hosted on Acast. See acast.com/privacy for more information.

Advocates are calling for an open enrollment extension because of outages to Healthcare.gov. CMS says it will pay hospitals back for site-neutral payment cuts. And Gist dives into the details of the new Medicare Direct Contracting model.  Hosted on Acast. See acast.com/privacy for more information.

The House passes a bill to lower prescription drug prices. A new proposal to stop surprise billing has thrown a wrench into plans to pass legislation by the end of the year. And a report finds insurers may be making Medicare Advantage patients appear sicker to get more money. Hosted on Acast. See acast.com/privacy for more information.

A House vote on Pelosi's drug pricing bill is expected Thursday. Two of the president’s top health officials are headed to the White House to resolve an ongoing feud. And the Justice Department reportedly opens a probe into Google’s purchase of Fitbit. Hosted on Acast. See acast.com/privacy for more information.

House Speaker Nancy Pelosi compromises with progressive democrats on drug pricing legislation ahead of a vote. Civica Rx announces it will have eight generic drugs shipped by the end of the year. For the first time, female medical students are the majority. Hosted on Acast. See acast.com/privacy for more information.

The Supreme Court will hear a case insurers say is about the integrity of the federal government. Details of the surprise billing compromise lawmakers reached over the weekend are coming out. And House Republicans introduce another drug pricing bill. Hosted on Acast. See acast.com/privacy for more information.

A bipartisan group of lawmakers reached a deal on surprise billing legislation. This week lawmakers hold a hearing on proposals for universal coverage. And we talk to Dan Weissmann, host of the podcast, An Arm And A Leg, about the cost of healthcare. Hosted on Acast. See acast.com/privacy for more information.

Nearly one in three high schoolers report having used one form of tobacco. Lawmakers are considering how to regulate all the health data from Fitbits and Apple watches. And one report finds value-based care initiatives haven’t made people that much healthier. Hosted on Acast. See acast.com/privacy for more information.

Hospital groups are taking the Trump administration to court over its price transparency rule. Unable to stop robocalls from inundating their phone lines, hospitals are turning to Congress for help. And Virginia presses pause on Medicaid work requirements. Hosted on Acast. See acast.com/privacy for more information.

Accountable Care Organizations are saving Medicare money – but reports differ on how much. Healthcare giant UnitedHealthGroup is going to get even bigger. During  Medicare open enrollment, few people actually switch plans. Hosted on Acast. See acast.com/privacy for more information.

A private equity-owned physician staffing company says it will stop suing patients over unpaid bills. Amazon releases a medical transcription tool. And a study finds one in five teens and one in four young adults have prediabetes. Hosted on Acast. See acast.com/privacy for more information.

On this special episode, all six parts of our North Carolina series. Gist Healthcare spoke with changemakers across the state as public policy change and private sector disruption play out across the state.   Hosted on Acast. See acast.com/privacy for more information.

Now consumers of Giant Eagle grocery stores can ask Alexa to refill their prescriptions. A federal judge blocked President Trump's requirement that immigrants buy health insurance or prove they can pay for their own care. And opioid makers and distributors are now part of a criminal probe. Hosted on Acast. See acast.com/privacy for more information.

A new Texas law to protect patients from surprise medical bills has a loophole. Patients in another state sue over impending Medicaid work requirements. And UnitedHealthcare and Walgreens partner to open Medicare service centers in stores.  Hosted on Acast. See acast.com/privacy for more information.

Hundreds of hospitals sue over cuts they say have continued past their expiration date. Another medical school offers free tuition to students if they agree to work in underserved areas. In our final North Carolina story, we hear about an organization that's bringing primary care doctors together. Hosted on Acast. See acast.com/privacy for more information.

A cut to hospitals was again delayed as part of a larger spending bill. Medicare’s new enrollment tool isn't making out-of-pocket drug costs clear. As part of the North Carolina series, we explore how the largest purchaser of care in the state is trying to get price transparency. Hosted on Acast. See acast.com/privacy for more information.

Healthcare was only briefly mentioned by Democratic presidential candidates in the debate. The largest physician association took positions on e-cigarettes and conversion therapy.  And in the fourth part of our North Carolina series, a primary care doctor says he’s more confident than ever in his decision to stay independent. Hosted on Acast. See acast.com/privacy for more information.

North Carolina's move to Medicaid managed care is on hold. Federal lawmakers voted to again delay hospital funding cuts. As part of our North Carolina series, Cone Health CEO Terry Akin talks about how moving to value has changed the way the system approaches patient care. Hosted on Acast. See acast.com/privacy for more information.

Blue Cross plans are creating a nationwide network. A study finds medicines may be just as effective for some patients with stable heart disease as surgery to prevent heart attacks. And as part of our North Carolina series, we hear from Blue Cross Blue Shield about its plans to move to shared risk agreements. Hosted on Acast. See acast.com/privacy for more information.

President reveals details of his price transparency proposal and the industry is questioning the changes. And in a special week-long series, we explore the changing dynamics of healthcare in North Carolina. Today you’ll hear from the state secretary of health about the move to Medicaid managed care.   Hosted on Acast. See acast.com/privacy for more information.

The Google whistleblower says there are many unanswered questions about how the company would handle patient data. The World Health Organization is working on a generic version of insulin to lower the cost. And a new California law restricting dialysis reimbursement rates is leaving patients in a lurch. Hosted on Acast. See acast.com/privacy for more information.

The federal government is looking into Google’s project with Ascension Health. A teenager suffering from vaping related injuries gets a double lung transplant. And more patients went to the hospital last quarter – is it because they hit deductibles? Or a new trend. Hosted on Acast. See acast.com/privacy for more information.

Google responds to reports about its access to millions of patient’s medical information.  The federal government wants to crack down on a certain type of Medicaid payment. And the site-neutral payment rule is back in court.  Hosted on Acast. See acast.com/privacy for more information.

Google has access to detailed medical information as part of a partnership with a health system. It appears Walgreens is taking another step towards going private. We hear how a hospital system took steps to eliminate waste.   Hosted on Acast. See acast.com/privacy for more information.