The Gist Healthcare Podcast

A cyberattack tied to Iranian hackers hits a large medical device manufacturer. A new analysis links Medicare Advantage overpayments to higher premiums for seniors. And CVS Health partners with Google on a new consumer health engagement platform. That's coming up on today's episode of the Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

In this episode of The Gist Healthcare Podcast, we cover the FDA’s top vaccine official stepping down, a federal ruling involving Leapfrog and Tenet hospitals, and a new agreement between Novo Nordisk and Hims and Hers. Hosted on Acast. See acast.com/privacy for more information.

As reimbursement levels shift under site-neutral payment, health systems must move from strategy to execution. On today's episode of the Gist Healthcare Podcast, we hear the second part of host J. Carlisle Larsen’s conversation Kaufman Hall Managing Director Joyjit Choudhury about what cost restructuring looks like in practice. That includes rethinking business and operating models, integrating site-neutral planning into broader enterprise strategy and aligning finance, operations and clinical leadership around a sustainable path forward. Be sure to check out Joyjit's recent blog about this topic. You can find the first part of our conversation here. Hosted on Acast. See acast.com/privacy for more information.

Amazon introduces a new agentic AI tool designed for healthcare. States signal plans to invest Rural Health Transformation Fund grants in value-based care initiatives. And Eli Lilly launches a direct-to-employer platform for weight loss drugs. That's coming up on today's episode of the Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

Elevance Health’s Medicare Advantage plans face federal sanctions. The University of Mississippi Medical Center clinics reopen after a ransomware attack. And the FDA warns telehealth companies about marketing compounded weight loss drugs. That's coming up on today’s episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

Site-neutral payment is shifting from policy debate to operational reality. With drug administration services now included in the Medicare 2026 final rule and additional changes potentially ahead, health systems face growing uncertainty around reimbursement, site-of-care strategy and margin impact.  In this two-part conversation, Gist Healthcare Podcast host J. Carlisle Larsen speaks with Joyjit Choudhury, Managing Director with Kaufman Hall in the firm’s Strategy and Business Transformation practice, about his recent blog piece examining site-neutral payments and how hospitals and health systems can build a plan amid uncertainty.   Hosted on Acast. See acast.com/privacy for more information.

President Trump highlights healthcare reforms in this year’s State of the Union. Fifteen states sue HHS over changes to the federal childhood vaccine schedule. And Medicare Advantage margins outperform other lines of business in 2024. Listen to the latest episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

On this episode of The Gist Healthcare Podcast, we cover the FDA’s fast track for rare disease treatments, the end of two major healthcare labor strikes and a measles outbreak in South Carolina nearing 1,000 cases. Hosted on Acast. See acast.com/privacy for more information.

Rural communities across the United States are facing a sustained decline in access to primary care. Since 2017, the number of family physicians practicing in rural areas has dropped by more than 10%, according to a report published late last year. In many regions, that reduction has implications for care capacity, hospital stability and long-term workforce planning. In the second part of the conversations, host J. Carlisle Larsen speaks with Colleen Fogarty, M.D. of the University of Rochester about the structural factors shaping the rural physician workforce and what it will take to strengthen it, examining rural residency programs, medical training pipelines, immigration pathways and loan repayment incentives as policy levers aimed at stabilizing rural access to care. You can listen to the first half of the conversation here.   Hosted on Acast. See acast.com/privacy for more information.

The Food and Drug Administration will review Moderna’s new flu vaccine after reversing course. Medicare Advantage growth in 2026 is trailing prior years. And Amazon is expanding same-day prescription delivery to nearly 5,000 cities nationwide. Those stories and more on today’s episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

A federal judge vacates the FTC’s expanded premerger notification rules. Humana makes a significant primary care acquisition. And new data show primary care telehealth use has stabilized after its pandemic peak.These stories and more on today’s episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

Rural America has lost more than 10% of its family physicians since 2017, according to a report published late last year. What does that mean for patients and communities? On today's episode, host J. Carlisle Larsen speaks with Colleen Fogarty, M.D., the William Rocktaschel Professor and Chair of the Department of Family Medicine at the University of Rochester School of Medicine and Dentistry and lead author of the national study, about what the data reveals — and what happens when even one doctor leaves town.   Next week, we listen to the second part of their conversation where they look at the forces driving this decline.   Hosted on Acast. See acast.com/privacy for more information.

Healthcare accounted for more than half of all new jobs added in January. Nurses at four New York City hospitals have ratified new contracts. A new report also finds that investing in Poison Control can reduce costs for health systems. Those stories and more, coming up on today’s episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

Physicians face higher rates of depression, anxiety, and suicide risk than the general population — yet fewer than one in three with a mental health condition ever receives care.   In this episode, Dr. Jesse Ehrenfeld, professor of anesthesiology at the Medical College of Wisconsin and Global Chief Medical Officer for AIDOC, discusses what happens when physicians consider getting help. The conversation looks at how concerns about licensing, confidentiality, and other structural barriers can make seeking care feel risky, and why progress has been uneven.  You can listen to the first half of the conversation here.   Hosted on Acast. See acast.com/privacy for more information.

Today on The Gist Healthcare Podcast, negotiations to reinstate the Affordable Care Act’s enhanced premium tax credits stall in the Senate. Express Scripts reaches a landmark settlement with the FTC in the agency’s lawsuit against PBMs. Plus, a new report shows healthcare bankruptcies declined last year, even as financial pressure across the industry remains high. These stories and more, coming up. Hosted on Acast. See acast.com/privacy for more information.

Nearly 53 million prior authorization requests were submitted to Medicare Advantage plans in 2024. Enrollment on the Affordable Care Act marketplace slipped this year. Two major hospital deals also closed this week. Those stories and more on today’s episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

Physicians face higher rates of depression, anxiety, and suicide risk than the general population, yet most never seek mental health care. In this episode, Dr. Jesse Ehrenfeld, professor of anesthesiology at the Medical College of Wisconsin and Global Chief Medical Officer for AIDOC, discusses new JAMA research examining why. The conversation looks at how medical culture, stigma, time constraints and concerns about confidentiality or professional consequences can keep physicians from getting help, even when effective treatment exists.  Hosted on Acast. See acast.com/privacy for more information.

Healthcare costs top Americans’ financial worries, Medicare drug price negotiations expand, and a measles outbreak grows in South Carolina. Those stories and more on today’s episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

The Trump administration proposes a modest pay increase for Medicare Advantage plans. The American Academy of Pediatrics releases its updated childhood vaccine schedule. And a platform billed as “ChatGPT for doctors” becomes the most valuable healthcare AI startup. Those stories and more, on today’s episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.

Advanced practice providers are a growing part of the healthcare workforce, but many organizations aren’t necessarily seeing the productivity gains they expected. On today’s episode, we examine new Kaufman Hall insights on why traditional physician-APP models often underperform, and how redesigning team roles, incentives, and compensation could yield better outcomes for clinicians and patients alike. Bonnie Proulx, DNP, APRN, PNP-BC, FAAN, Senior Vice President with Kaufman Hall and a member of the firm’s Physician Enterprise practice, joins the podcast to explain more.   You can read Bonnie’s blog post here.    Hosted on Acast. See acast.com/privacy for more information.