Health & Veritas

Joshua Sharfstein, a seasoned public health leader and director of the Bloomberg American Health Initiative, shares insights on pressing health issues. He discusses the ongoing opioid crisis, highlighting the risks of fentanyl and the need for accessible treatment options. Sharfstein also reflects on the lessons learned from COVID-19 vaccine distribution and the importance of building trust in health messaging. Additionally, he addresses the preparedness for potential bird flu outbreaks and advocates for clear policy standards in AI-assisted medical diagnosis.

Kate Goodrich, Chief Medical Officer at Humana and former Medicare leader, dives into the transformative power of value-based care for seniors. She discusses how fully capitated practices outperform fee-for-service models, resulting in reduced hospitalizations and improved chronic care. The conversation also explores the challenges of AI diagnostic tool payments and the need for evidence to guide coverage decisions. Goodrich advocates for prospective, risk-adjusted payment models to drive meaningful change in primary care.

Howie and Harlan are joined by Timothy Westmoreland to discuss his long career in health policy and law, and the far-reaching consequences of the Supreme Court decision overturning Chevron deference. Harlan looks at President Joe Biden's debate struggles; Howie reports on the many healthcare-related Supreme Court decisions. Links: The Presidential Debate Harlan Krumholz: "Did Cold Medications Affect Biden's Debate Performance?" CNN Presidential Debate: President Joe Biden and former President Donald Trump Press Briefing by Press Secretary Karine Jean-Pierre, July 2, 2024 "Biden's Evolving Reasons for His Bad Debate: A Cold, Too Much Prep, Not Feeling Great and Jet Lag" Timothy Westmoreland Timothy Westmoreland: "Henry Waxman, the Unsung Hero in the Fight Against AIDS" "LGBTQ History Month: The early days of America's AIDS crisis" Cornell Law School Legal Information Institute: Chevron deference Ballotpedia: Skidmore deference "How the Chevron case has roiled U.S. healthcare agencies" SCOTUSblog: Corner Post, Inc. v. Board of Governors of the Federal Reserve System "Supreme Court appears likely to allow abortion drug to remain available" The Supreme Court "Implications for Public Health Regulation if Chevron Deference Is Overturned" Supreme Court opinion: Murthy, Surgeon General, et al. v. Missouri et al SCOTUSblog: Food and Drug Administration v. Alliance for Hippocratic Medicine Cornell Law School Legal Information Institute: Moyle v. United States Supreme Court of the United States Health & Veritas Ep. 77: Megan Ranney: What's Next for Public Health? Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

Howie and Harlan catch up on healthcare headlines, including the politics of treating gun violence as a public health crisis, the growing evidence for the dangers of artificial sweeteners, and the latest on the bird flu outbreak. Links: Aspen Ideas: Health 2024 Harlan Krumholz: "The Next Era of JACC" "First Issue of JACC Debuts Under Harlan M. Krumholz" "U.S. clinical trials begin for twice-yearly HIV prevention injection" UNAIDS: 2023 Fact Sheet Rush University System: Dr. Omar B. Lateef "Rush Signs on as First Partner for Local Laundry Service" "Health Equity as a System Strategy: The Rush University Medical Center Framework" "Surgeon General Declares Gun Violence a Public Health Crisis" Surgeon General's Advisory on Firearm Violence "Surgeon General: Why I'm Calling for a Warning Label on Social Media Platforms" "Patient Navigation for Lung Cancer Screening at a Health Care for the Homeless Program A Randomized Clinical Trial" Vinay Prasad: "CT screening for lung cancer for homeless people: the new JAMA IM paper" Supreme Court: Murthy v. Missouri Opinion "US supreme court allows government to request removal of misinformation on social media" Harlan Krumholz: "Why One Cardiologist Has Drunk His Last Diet Soda" "Xylitol is prothrombotic and associated with cardiovascular risk" "Is Xylitol Dangerous?" CDC: A(H5N1) Bird Flu Response Update June 21, 2024 "Michigan stands out for its aggressive bird flu response. Will other states follow its lead?" "Finland to offer bird flu vaccinations to at-risk residents in a world first" Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

Howie and Harlan are joined by Lisa Suter, a rheumatologist and the senior director of the Quality Measurement Program at Yale's Center for Outcomes Research & Evaluation. Harlan reflects on the meaning of Juneteenth and reports on a Yale-led report card on health equity; Howie comments on Surgeon General Vivek Murthy's call for warning labels on social media. Links: Juneteenth National Museum of African American History & Culture: Juneteenth Harlan Krumholz: "Excess Cardiovascular Mortality Among Black Americans 2000-2022: A JACC Report Card" "JACC Report Card Highlights Inequities in CV Care, Death Rates" Harlan Krumholz: "Excess Mortality and Years of Potential Life Lost Among the Black Population in the US, 1999-2020" Lisa Suter Center for Outcomes Research and Evaluation National Institute of Arthritis and Musculoskeletal and Skin Disease: Arthritis Lisa Suter: "Medical Decision Making in Patients With Knee Pain, Meniscal Tear, and Osteoarthritis" Lisa Suter: "Projecting Lifetime Risk of Symptomatic Knee Osteoarthritis and Total Knee Replacement in Individuals Sustaining a Complete Anterior Cruciate Ligament Tear in Early Adulthood" "Voices of DEI: Lisa Suter, MD" Harlan Krumholz: "Association of door-to-balloon time and mortality in patients admitted to hospital with ST elevation myocardial infarction: national cohort study" Harlan Krumholz: "Association of Racial and Socioeconomic Disparities With Outcomes Among Patients Hospitalized With Acute Myocardial Infarction, Heart Failure, and Pneumonia An Analysis of Within- and Between-Hospital Variation" The Surgeon General on Social Media "Surgeon General: Why I'm Calling for a Warning Label on Social Media Platforms" "Social Media and Youth Mental Health: The U.S Surgeon General's Advisory" Kids Online Safety Act: Senator Richard Blumenthal Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

Howie and Harlan are joined by Anna Reisman, a physician and writer who leads Yale's Program for Humanities in Medicine. They discuss the gaps in care she encountered when her developmentally disabled sister was diagnosed with cancer, and her work reviewing the "dude wall" of portraits at Yale Medical School. Harlan asks what we've gained from a new definition of long COVID; Howie provides an update on the spread of the H5N1 bird flu. Links: Defining Long COVID "Federal Government, Clinicians, Employers, and Others Should Adopt New Definition for Long COVID to Aid in Consistent Diagnosis, Documentation, and Treatment" National Academies: A Long COVID Definition WHO: Post COVID-19 condition (Long COVID) Anna Reisman U.S. News: Yale University department rankings Wikipedia: The Magic Mountain Anna Reisman: "A doctor's life, chronicled" "Life on wheels" (Yale School of Medicine article on the documentary Rolling) Anna Reisman: "Standard of Care" "Academic Science Rethinks All-Too-White 'Dude Walls' Of Honor" Wikipedia: Stanhope Bayne-Jones "In Memoriam: Marjorie Rosenthal, MD '95, MPH 1967–2020" "Yale Internal Medicine Residency Writers' Workshop celebrates 20th anniversary". Bird Flu FDA: Updates on Highly Pathogenic Avian Influenza (HPAI) "CDC Reports A(H5N1) Ferret Study Results" Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

Mitesh Rao, co-founder and CEO of OMNY Health, joins Howie and Harlan to discuss his entrepreneurial journey and how his company is creating a common layer of data connecting healthcare providers and researchers. Harlan reports on a study showing how many lives could be saved by improving quality of care; Howie reflects on the health consequences that have accompanied the legalization of cannabis. Links: Quality and Lives Saved "The business case for quality: estimating lives saved and harms avoided in a value-based purchasing model" The CMS Innovation Center NCQA: Hedis Measures South Park: "Navigating the American Healthcare System" Mitesh Rao OMNY Health: Connect Data to Transform Lives "OMNY Health announces $17 Million Raise to Lead the Next Generation of Real-World Data-Driven Decision-Making and Collaboration Across Healthcare" Crunchbase: OMNY Health "How Venture Capital Works" UK Biobank: Enabling Scientific Discoveries that Improve Human Health "The Robert Wood Johnson Clinical Scholars Program: Four Decades of Training Physicians as Agents of Change" HIPAA: Health Information Privacy Yale Innovation Summit Cannabis and Health "Justice Department Submits Proposed Regulation to Reschedule Marijuana" "Changes in self-reported cannabis use in the United States from 1979 to 2022" Cannabinoid Hyperemesis Syndrome "Cannabis and Psychosis: Recent Epidemiological Findings Continuing the 'Causality Debate'" "High-potency marijuana highlights the risk of cannabis-induced psychiatric disorders" Marijuana Addiction Facts: Is Marijuana Addictive? Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

Josh Geballe, Mary Ann Melnick, and Lee Schwamm discuss the Yale Innovation Summit, government support for startups, Yale's innovation initiatives, building innovation ecosystems in New Haven, and implementing innovative solutions in healthcare.

Howie and Harlan are joined by Chima Ndumele of the Yale School of Public Health to discuss his research on structural changes to Medicaid that could keep vulnerable populations healthier. Harlan reports on the remarkable abilities of Google's latest medicine-focused AI; Howie reflects on a study showing the impact of race-neutral measures of lung function. Links: AI and Medicine "Capabilities of Gemini Models in Medicine" Medicaid Medicaid.gov "10 Things to Know About Medicaid" Supplemental Nutrition Assistance Program (SNAP) "Long-Term Stability of Coverage Among Michigan Medicaid Beneficiaries: A Cohort Study" "Unwinding And The Medicaid Undercount: Millions Enrolled In Medicaid During The Pandemic Thought They Were Uninsured" Chima Ndumele: "Variation in Health Outcomes: The Role of Spending on Social Services, Public Health, and Health Care, 2000–09" Chima Ndumele: "In Medicaid Managed Care Networks, Care Is Highly Concentrated Among A Small Percentage Of Physicians" "N.C. developing plan to improve Medicaid participants' job prospects" "Yale School of Public Health Graduates Urged to Adopt a "Healthy Disregard for the Impossible" Race and Lung Function "Implications of Race Adjustment in Lung-Function Equations" Harlan Krumholz: "Association of Racial and Socioeconomic Disparities with Outcomes among Patients Hospitalized with Acute Myocardial Infarction, Heart Failure, and Pneumonia. An Analysis of Within- and Between-Hospital Variation" "Q&A: Harlan Krumholz on hospital readmissions" Health & Veritas Live on May 30 Join Howie and Harlan in person at the Yale Innovation Summit. Watch live on YouTube. Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

In this engaging discussion, Ruth Katz, the Executive Director of the Aspen Institute's Health, Medicine & Society Program and a key figure behind the Affordable Care Act, shares insights from her influential career. She reflects on landmark legislation that shaped healthcare policy, including the origins of the Vaccine Injury Compensation Program. The conversation highlights the risks of underregulated stem cell treatments and contrasts past bipartisan efforts with today's polarized landscape. Katz's perspectives illuminate the importance of crafting impactful health legislation.