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The Gist Healthcare Podcast
Continuing the Conversation: What Could the Future Hold for Medicare Advantage?
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The Medicare Advantage market has seen unprecedented growth in recent years, with a majority of Medicare eligible beneficiaries enrolling in one of these privately administered plans in 2024. But over the past couple of years, the industry has experienced some growing pains—ranging from more regulatory scrutiny to higher costs associated with members utilizing more healthcare services.
In the second half of their conversation, Joyjit Saha Choudhury, Managing Director of the Kaufman Hall’s Strategy and Business Transformation practice, joins host J. Carlisle Larsen to talk about the potential worst-case scenario for the market.
You can find the first part of their conversation here.
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Friday, December 20, 2024
08:52|The man accused of killing UnitedHealthcare’s CEO has been extradited to New York on murder charges. National healthcare spending hit $4.9 trillion in 2023, likely due to increased utilization and intensity. And, the Centers for Disease Control and Prevention reports first severe human case of bird flu in the United States tied to a backyard flock. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare
Wednesday, December 18, 2024
08:16|Congress is another step closer to finalizing a year-end spending package to keep the government operating, and the plan includes some significant healthcare related spending. The Health Resources and Services Administration demands the French drugmaker Sanofi abandon its controversial 340B credit model. And, fewer children are being vaccinated against the flu. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.
A look at President-elect Donald Trump’s Healthcare Cabinet Picks
11:15|President-elect Donald Trump has named a number of high-profile individuals to lead federal healthcare agencies. These include Robert F. Kennedy Jr. To lead the Department of Health and Human Services, and Dr. Mehmet Oz to lead the Centers for Medicare and Medicaid Services. On today’s episode, host J. Carlisle Larsen speaks with POLITICO’s Ben Leonard to talk more about his healthcare choices, their chances of getting confirmed by the Senate, and what his picks could signal about his second administration’s priorities.
Friday, December 13, 2024
08:33|United States Senators introduce legislation that would break up healthcare giants’ pharmacy benefit managers. Walgreens is reportedly looking into a sale to a private equity firm and going private. And, a new poll finds fewer than one in five Americans are satisfied with the cost of healthcare. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.
Wednesday, December 11, 2024
06:41|Police arrest suspect in the murder of UnitedHealthcare CEO Brian Thompson. Anthem Blue Cross Blue Shield backtracks on a controversial planned cap on anesthesia payments. And, dozens of Nobel laureates write to the US Senate urging lawmakers to oppose Robert F. Kennedy Jr.’s nomination to lead the Department of Health and Human Services. We’ll get those stories coming up on today’s episode of the Gist Healthcare podcast.
The Early Impact of the Hospital Price Transparency Rule on the Healthcare Market
14:25|Since January 2021, hospitals and health systems have been required to post the prices of standard charges publicly. The goal of the Hospital Price Transparency Rule has been to increase competition and bring down the cost of healthcare for consumers. Since the regulation went into effect three years ago, researchers at Turquoise Health wanted to see if the market had responded. Carol Skenes, Interim Vice President of Product at Turquoise, joins host J. Carlisle Larsen to talk about what their researchers found after reviewing industry-wide data. You can find the white paper discussed on today’s episode here.
Friday, December 6, 2024
08:31|UnitedHealthcare CEO Brian Thompson's killing in Manhattan this week sends shockwaves through the industry. Cone becomes the latest health system to join Kaiser Permanente’s Risant Health system. And, CMS proposes new guidelines regulating Medicare Advantage prior authorizations and advertisements. We’ll get that story—and more—coming up on today’s episode of the Gist Healthcare podcast.
Wednesday, December 4, 2024
09:14|Sanofi becomes the latest pharmaceutical company to introduce a rebate model for 340B-eligible healthcare organizations. A new rule proposed by the Biden Administration would allow Medicare and Medicaid to cover drugs like Ozempic for weight loss. And, patients with HIV can now donate and receive organ transplants from other individuals with the disease. We’ll get those stories—and more—coming up on today’s episode of the Gist Healthcare
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