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Gist Healthcare Daily

1,020 episodes - English - Latest episode: about 1 month ago - ★★★★★ - 131 ratings

Gist Healthcare Daily from Kaufman Hall delivers the top healthcare business and policy news in under 10 minutes every weekday. Host J. Carlisle Larsen gives you the “gist” of what’s happening in healthcare across the country so you can start your day informed. Subscribe and listen.



Hosted on Acast. See acast.com/privacy for more information.

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Episodes

Thursday, January 11, 2024

January 11, 2024 11:00 - 7 minutes - 10.9 MB

The Biden Administration replaces an expanded provider conscience rule put in place during the Trump presidency. The Federal Trade Commission has banned a data broker from selling sensitive location information, like physician office visits. And, California becomes the first state to extend Medicaid to all eligible undocumented adults. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Wednesday, January 10, 2024

January 10, 2024 11:00 - 7 minutes - 9.68 MB

Senate Democrats launch an investigation into the price of asthma inhalers. Walgreens will pay health insurer Humana $360 million in a drug pricing settlement. And, the American Red Cross raises the alarm over a national blood shortage. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Tuesday, January 9, 2024

January 09, 2024 11:00 - 7 minutes - 10.4 MB

Two midwestern health systems call off their proposed merger. The FDA–for the first time–has authorized a state to import some prescription drugs from Canada. And a new study finds that for pediatric cases ChatGPT has a higher error rate. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Permanente Medical Group Tests New Ambient AI Scribe To Alleviate Physician Burnout

January 08, 2024 11:00 - 18 minutes - 25.7 MB

Burnout has been a major concern for healthcare providers for years, with clinicians pointing to administrative work being a chief contributing factor. Now, some organizations are testing new tools powered by artificial intelligence to help assist with that workload.  On today’s episode of Gist Healthcare Daily, Kristine Lee, MD, Associate Executive Director of Virtual Medicine, Technology, and Innovation at The Permanente Medical Group, joins the podcast to share what the 10,000-physician ...

Friday, January 5, 2024

January 05, 2024 11:00 - 9 minutes - 13.1 MB

Cigna is reportedly close to finalizing a deal to sell its Medicare Advantage business. Eli Lilly unveils a new program to sell its blockbuster weight loss drugs directly to patients. And, hospitals around the country reinstate mask mandates amid a surge of COVID and other respiratory illnesses. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Thursday, January 4, 2024

January 04, 2024 11:00 - 8 minutes - 11.8 MB

BJC and St. Luke’s finalize their merger, creating a 28-hospital system across three Midwestern states. More Americans will pay less in out-of-pocket costs for insulin this year. And, a new study finds an increase in adverse events at hospitals acquired by private equity firms. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Encore: How Healthcare Workforce Logistics partners with health systems to lower their contingent labor costs

January 03, 2024 11:00 - 18 minutes - 24.9 MB

Hospitals and health systems have long grappled with high contingent labor costs, and that issue was put into stark relief during the COVID-19 pandemic. In this encore episode, Jeff Niles, Executive Vice President of Healthcare Workforce Logistics, joins the podcast to talk more about how the company works with systems to establish private label, vendor-neutral contingent workforce solutions to bring down costs and increase fill rates.  This episode originally aired on May 22, 2023 Hosted...

Friday, December 22, 2023

December 22, 2023 11:00 - 7 minutes - 10.6 MB

Federal antitrust regulators finalize new merger guidelines that will have a significant impact on healthcare dealmaking. An independent Iowa pharmacy files a lawsuit against UnitedHealth and OptumRx alleging high back-end fees. And, we’re seeing a rise in respiratory illnesses–and a new COVID variant–ahead of the holidays. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Thursday, December 21, 2023

December 21, 2023 11:00 - 7 minutes - 10.1 MB

Two Pennsylvania-based health systems announce their plan to merge in the new year. New data shows that a majority of children who have lost Medicaid coverage this year came from just nine states. And, preliminary numbers show nearly 19 million people have enrolled in coverage through the ACA exchanges for the 2024 plan year. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Wednesday, December 20, 2023

December 20, 2023 11:00 - 8 minutes - 12.2 MB

Elevance Health’s proposed $2.5 billion acquisition of Blue Cross and Blue Shield of Louisiana is back in play. CMS reopens the No Surprises Act dispute portal. And, a new poll shows that Americans are growing more dissatisfied with healthcare. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Continuing the Conversation: ONC’s Micky Tripathi on information blocking

December 19, 2023 11:00 - 13 minutes - 18.5 MB

On today’s episode of Gist Healthcare Daily, we hear the second part of JC’s conversation with Micky Tripathi, National Coordinator for Health Information Technology at the U.S. Department of Health and Human Services, about proposed penalties for healthcare providers that engage in information blocking and how they fit into the federal government’s overall interoperability goals.   You can find the first part of our conversation here.  You can read HHS’ proposed rule here.  Hosted on Ac...

HHS proposes new penalties for providers that engage in information blocking

December 18, 2023 11:00 - 15 minutes - 21.9 MB

The Department of Health and Human Services released a set of three proposed monetary penalties for healthcare providers–both organizations and physicians–that engage in so-called information blocking. That practice interferes with, prevents, or discourages access, exchange, or use of electronic health information. It was banned in 2016’s 21st Century Cures Act. Today, Micky Tripathi, head of the Office of the National Coordinator for Health IT (ONC), joins the podcast to talk more about wha...

Friday, December 15, 2023

December 15, 2023 11:00 - 8 minutes - 11 MB

Healthcare spending reached $4.5 trillion in the United States in 2022. A new class action lawsuit alleges Humana used an algorithm to deny care to Medicare Advantage patients. And, WW–formerly known as Weight Watchers–unveils its new telehealth service to prescribe blockbuster weight loss drugs. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Thursday, December 14, 2023

December 14, 2023 11:00 - 8 minutes - 11.5 MB

The Supreme Court agrees to review a lower federal court ruling that could curtail access to mifepristone…a key drug used in medication abortions. Massachusetts will remove stigmatizing mental health and prior drug use questions from its physician credentialing process. And, Nemours will launch a pediatric hospital-at-home program in 2024. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Wednesday, December 13, 2023

December 13, 2023 11:00 - 8 minutes - 12.2 MB

The House passes a broad healthcare bill targeting site neutral payments, price transparency, and pharmacy benefit managers. A congressional inquiry finds that the nation’s largest pharmacy chains share medical data with law enforcement without a warrant. And, Moody’s downgrades Walgreens rating to ‘junk’ amid the pharmacy company's recent healthcare strategy push. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Tuesday, December 12, 2023

December 12, 2023 11:00 - 8 minutes - 12.1 MB

Cigna and Humana abandon their reported merger. The FDA approves two groundbreaking gene therapies to treat sickle cell disease. And, Congressional lawmakers introduce a bill that would prevent Medicare payment cuts to physicians next year. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Physicians receive little guidance on how to provide emergency abortion care as hospitals navigate state restrictions or bans

December 11, 2023 11:00 - 18 minutes - 25.7 MB

Hospitals in states with restrictions–or even bans–on abortions are providing their physicians with little guidance on how to provide emergency abortion care. State laws are often unclear and don’t spell out exactly which exceptions are permitted and which are not. This leaves hospitals–and physicians–in a tricky situation as they navigate providing care while avoiding liability.  On today’s episode, Washington Post national healthcare reporter Dan Diamond joins the podcast to talk about an...

Friday, December 8, 2023

December 08, 2023 11:00 - 7 minutes - 10.2 MB

The Biden Administration will go after patents in an effort to bring down drug prices. Michigan’s governor signs two bills that increase fines for violence against healthcare workers. And, NorthShore-Edward-Elmhurst Health rebrands as Endeavor Health. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Thursday, December 7, 2023

December 07, 2023 11:00 - 7 minutes - 10.1 MB

Contract negotiations between Adventist Health and Blue Shield of California break down. Residents at Northwestern Medicine announce they plan to unionize. And, a new study finds that the number of FDA drug manufacturer inspections dropped sharply after the beginning of the COVID-19 pandemic. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Wednesday, December 6, 2023

December 06, 2023 11:00 - 8 minutes - 11.5 MB

CVS unveils a new ‘cost plus’ drug pricing model meant to streamline the drug reimbursement process. States that don’t fix their Medicaid redeterminations issues could face a loss of federal funding and fines under an interim final rule. And, a cyberattack on a Corewell Health vendor exposes the personal data of one million of its patients. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Tuesday, December 5, 2023

December 05, 2023 11:00 - 9 minutes - 12.6 MB

North Carolina’s Medicaid expansion goes into effect. Community Health Systems finalizes its sale of three of its Florida hospitals to Tampa General. And, a House panel will investigate the Food and Drug Administration over its decision to declare certain oral, over-the-counter decongestants as ineffective. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Continuing the Conversation: Transcarent CEO Glen Tullman on the future employer-sponsored healthcare

December 04, 2023 11:00 - 9 minutes - 13.6 MB

In March, employee healthcare navigation company Transcarent announced it would acquire AI-powered primary care startup 98point6’s virtual care platform and care business. On today’s episode of Gist Healthcare Daily, we hear the second part of JC’s conversation with Transcarent CEO Glen Tullman about that acquisition and how it fits into his Transcarent’s long-term goals. They also discuss Tullman’s thoughts on the future of employer-sponsored healthcare.  You can find the first part of the...

Friday, December 1, 2023

December 01, 2023 11:00 - 7 minutes - 10.3 MB

The Biden Administration will invoke the Defense Production Act to manufacture more drugs in the United States amid an ongoing shortage. The FTC announces it will investigate the safety of CAR-T therapies. And, Federal lawmakers introduce a bill that would ban fees for electronic healthcare payments. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Thursday, November 30, 2023

November 30, 2023 11:00 - 6 minutes - 9.2 MB

Major health insurers Cigna and Humana are reportedly in talks to merge. The number of US physicians either employed by or affiliated with Optum  swells to nearly 90,000. And, the merger between BJC HealthCare and St. Luke’s Health System is expected to close at the beginning of the year. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Wednesday, November 29, 2023

November 29, 2023 11:00 - 8 minutes - 11.1 MB

A massive data breach last week disrupts operations at a large, multi-state health system. Optum faces a federal lawsuit from a California hospital alleging antitrust violations. And, Fairview Health plans to end its current partnership with the University of Minnesota. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Tuesday, November 28, 2023

November 28, 2023 11:00 - 8 minutes - 11.1 MB

The Biden Administration proposes a rule that could make dental care covered under Affordable Care Act plans.Hospitals and health system executives say investing in cyber security is their top investment priority for their 2024 IT budgets. And, a new survey finds that nearly half of American adults faced healthcare billing issues within the last year. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Transcarent CEO Glen Tullman on creating a national, independent “provider ecosystem” with 10 large health system partners.

November 27, 2023 11:00 - 17 minutes - 24.1 MB

Employee healthcare navigation company Transcarent announced in September that it has partnered with an inaugural group of 10 large health systems to create what it calls a national, independent “provider ecosystem” in order to  provide higher-quality care to the covered beneficiaries of its more than 300 employer clients. On today’s episode of Gist Healthcare Daily, Transcarent CEO Glen Tullman joins the show to talk more about the health system partnerships and the company’s direct contract...

Friday, November 17, 2023

November 17, 2023 11:00 - 8 minutes - 11.4 MB

The American Medical Association releases its latest policy focuses…including pushing for diabetes drugs to be covered for weight loss. Medicare will cover navigation services for cancer patients under a new rule, And, around 36 million adults in the US have received the updated COVID shot. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Thursday, November 16, 2023

November 16, 2023 11:00 - 8 minutes - 11.7 MB

UnitedHealth faces a lawsuit over its use of an algorithm in its Medicare Advantage denials. State Medicaid administrators anticipate a steep drop in enrollment and more spending on the program from state governments in 2024.  And, the Biden Administration issues its final rule requiring nursing homes to be more transparent with their ownership information. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Wednesday, November 15, 2023

November 15, 2023 16:53 - 8 minutes - 11.5 MB

Amazon’s One Medical inks more partnerships with health systems across the country. New York lawmakers propose tighter cybersecurity restrictions for hospitals. And, life expectancy for men in the US drops to 73 years--six years less than women--according to a new study. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Tuesday, November 14, 2023

November 14, 2023 11:00 - 9 minutes - 12.9 MB

Health systems sue the Health Resources and Services Administration over its recent reversal of its 340B off-site clinic registration policy. Pharmacy benefit managers would face tighter restrictions under a new Senate bill. And, private equity firm Thoma Bravo finalizes its acquisition of electronic health records vendor NextGen. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A Conversation with Brightside Health Founder and CEO Brad Kittredge

November 13, 2023 11:00 - 15 minutes - 20.7 MB

On today’s episode of Gist Healthcare Daily, Brad Kittredge, founder and CEO of digital mental healthcare provider platform Brightside Health, joins to talk more about the services Brightside provides. He also discusses the organization’s recent announcement that it will expand access to Medicaid and Medicare populations through its partnerships with health insurers. Hosted on Acast. See acast.com/privacy for more information.

Friday, November 10, 2023

November 10, 2023 11:00 - 7 minutes - 10.5 MB

Kaiser Permanente healthcare workers approve a new four-year contract a month after their historic, large-scale strike. Amazon offers a reduced membership price to One Medical for its Prime subscribers. And, the Food and Drug Administration approves Eli Lilly’s GLP-1 drug–tirzapetide–for chronic weight management. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Encore: How Inova’s SAFE team reduces workplace violence

November 09, 2023 11:00 - 20 minutes - 27.8 MB

Hospitals and health systems across the country have seen an alarming increase in both the frequency and severity of workplace violence incidents. Toni Ardabell, Chief of Clinical Enterprise Operations for Inova Health System in Falls Church, Virginia joins Gist Healthcare Daily to talk more about how Inova has created a  multidisciplinary team to better address the issue and create a safer environment for staff and patients.   This episode originally aired on July 31, 2023 Hosted on Acas...

Wednesday, November 8, 2023

November 08, 2023 11:00 - 7 minutes - 10.3 MB

The Biden Administration proposes stricter marketing rules for Medicare Advantage plans. North Carolina’s Attorney General threatens to sue for-profit health system HCA for violating its Mission Health purchasing agreement. And, the rate of hospital-acquired infections has dropped after a surge during the pandemic. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Tuesday, November 7, 2023

November 07, 2023 11:00 - 9 minutes - 12.7 MB

CMS issues its final Medicare reimbursement rules for 2024, with outpatient facilities seeing a pay bump and physicians facing payment cuts. The American Hospital Association challenges the Department of Health and Human Services over its third-party web tracking rule in a new lawsuit. And, a new Minnesota law requires hospitals in the state to inform patients of financial assistance before collecting medical debt. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Aca...

Political fights on Capitol Hill over abortion lead to delays in reauthorizing a major global HIV/AIDS program

November 06, 2023 11:00 - 16 minutes - 22.1 MB

For months, federal lawmakers in Washington D.C. have been at odds over reauthorizing the United States President's Emergency Plan For AIDS Relief–better known as PEPFAR–a U.S. initiative to address the global HIV/AIDS epidemic. The program has largely had bipartisan support on the Hill since it was first introduced in 2003 under then-President George W. Bush's administration. However, in recent months, its reauthorization has been held up by Republicans who allege the funding is being used ...

Friday, November 3, 2023

November 03, 2023 10:00 - 7 minutes - 10.5 MB

Walmart strikes a deal with Orlando Health, its first health system partnership. CMS backtracks on proposed home health Medicare payment cuts. And, infant mortality in the United States rose for the first time in two decades, according to a new report. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Thursday, November 2, 2023

November 02, 2023 10:00 - 7 minutes - 10.4 MB

Health tech unicorn Olive AI winds down its operations and sells its assets. Ransomware attacks on healthcare organizations have cost the U-S economy more than $77 billion in downtime alone. And, new analysis from the Lown Institute finds that nearly a quarter of hospital stent procedures are unnecessary and drive up costs. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Wednesday, November 1, 2023

November 01, 2023 10:00 - 8 minutes - 12.2 MB

The Department of Health and Human Services is proposing new penalties for providers that engage in information blocking. A new executive order from President Biden zeroes in on artificial intelligence, particularly in healthcare. And, pharmacists and workers at the nation’s largest pharmacy retail chains go on strike. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Tuesday, October 31, 2023

October 31, 2023 18:10 - 8 minutes - 12.2 MB

The Department of Health and Human Services reverses its COVID-era 340B off-site clinic policy. The Biden Administration proposes an overhaul of the No Surprises Act’s independent dispute resolution process. And, the federal government will stop covering COVID drugs this week. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Discussing Medicare Advantage with SCAN Health Plan CEO Sachin Jain, MD

October 30, 2023 10:00 - 15 minutes - 21.8 MB

At this year’s HLTH conference in Las Vegas, Nevada, JC sat down with Sachin Jain, MD, CEO of SCAN Health Plan, a not-for-profit provider of Medicare Advantage plans based in Long Beach, California. They discuss SCAN’s planned merger with Care Oregon and broader competition in the MA market as well as the growing tension between providers and MA plans. Hosted on Acast. See acast.com/privacy for more information.

Friday, October 27, 2023

October 27, 2023 10:00 - 8 minutes - 11.9 MB

Walmart expands a pilot benefit program that provides doula care for postpartum employees nationwide. CVS pulls some decongestants from shelves that were recently found to be ineffective. And, a new survey finds that healthcare is still unaffordable, even for those with insurance. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Thursday, October 26, 2023

October 26, 2023 10:00 - 9 minutes - 12.6 MB

The CDC recommends rationing a RSV shot for babies due to shortages. The Senate HELP committee advances President Biden’s National Institutes of Health nominee, Dr. Monica Bertagnolli. And, a new survey finds that the number of healthcare workers experiencing workplace harassment doubled in 2022, and is negatively impacting their mental health. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Wednesday, October 25, 2023

October 25, 2023 10:00 - 7 minutes - 10.2 MB

Henry Ford Health and Ascension Michigan enter into a $10.5 billion joint venture. National vitamin and supplement retailer GNC gets into virtual telehealth. And, Georgia’s Medicaid work requirement expansion sees slow enrollment during its first quarter. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Tuesday, October 24, 2023

October 24, 2023 10:00 - 8 minutes - 11.7 MB

Blue Cross Blue Shield of North Carolina moves to buy FastMed urgent care centers in the state. More than nine million people have been removed from state Medicaid rolls six months into the redetermination process. And, new analysis looks at how many rural hospitals have switched to the new Rural Emergency Hospital designation. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Proposed bills to regulate PBMs could have small impact on business practices, according to the Brookings Institution

October 23, 2023 10:00 - 17 minutes - 23.6 MB

Congressional committees have weighed legislation over the past months that would further regulate pharmacy benefit managers, if passed. But these bills may not have a significant impact on drug spending, and could even have the opposite of their intended effects, according to new analysis from the Brookings Institution. On today’s episode of Gist Healthcare Daily, Matthew Fiedler, Joseph A. Pechman Senior Fellow in Economic Studies at the Brookings Institution and senior fellow with the Broo...

Friday, October 20, 2023

October 20, 2023 10:00 - 7 minutes - 10.2 MB

Walgreens and startup health insurer Alignment Health partner on Medicare Advantage plans for 2024. Amazon’s One Medical quietly rebrands its Iora Health senior care clinics. And, new analysis finds that family premiums rose an average of 7% for employer-sponsored health coverage this year. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Thursday, October 19, 2023

October 19, 2023 10:00 - 8 minutes - 12.3 MB

CMS has removed amyloid PET scan restrictions for Medicare beneficiaries. Novo Nordisk stops its Ozempic trial for treating kidney failure following early signs of the drug’s success. And, a new study finds that healthcare providers continue to leave the field in droves. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Wednesday, October 18, 2023

October 18, 2023 10:00 - 8 minutes - 11.1 MB

Hundreds of physicians at Allina Health vote to unionize. California raises the minimum wage for healthcare workers. And, Walgreens moves to close 60 VillageMD locations in an effort to cut costs. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.