The Gist Healthcare Podcast

CMS proposes a modest increase to inpatient payments for fiscal year 2025. Walgreens-backed VillageMD has a new president. And cancer cases are on the rise among young people. But why? That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Physicians report significant financial impacts from the Change Healthcare cyberattack. A new trail challenges whether beta blockers help all heart attack patients. And the FDA comes under scrutiny for its clinical research oversight protocols. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Biden Administration has issued a final rule further regulating Medicare Advantage marketers. The U.S. Senate is escalating its probe into the effects of private equity investments in healthcare. And Change Healthcare is looking to consolidate the lawsuits it's facing over its handling of February’s cyberattack. 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 discusses the acquisition of 98.6 and the future of employer-sponsored healthcare. They focus on empowering employers for innovation and cost control, putting consumers in charge of their care through technology and transparency. Tullman shares his vision for Transcarent as an all-in-one healthcare platform, committed to accessible and affordable services.

Employee healthcare navigation company Transcarent announced in September 2023 that it had 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, we revisit host J. Carlisle Larsen’s conversation with Transcarent CEO Glen Tullman where they discussed the health system partnerships and the company’s direct contracting model. This conversation first aired on November 27, 2023 Hosted on Acast. See acast.com/privacy for more information.

The Biden Administration establishes ACA adequacy standards and aligns annual open enrollment periods for state-based exchanges. Walmart Health is reportedly slowing down its 2024 health center expansion plan. And, telehealth providers call on the Drug Enforcement Administration to release a final rule on the virtual prescribing of controlled substances.  That’s coming up on today’s episode of Gist Healthcare Daily.  Hosted on Acast. See acast.com/privacy for more information.

Kaiser Permanente’s Risant Health finalizes its acquisition of Pennsylvania-based health system Geisinger. Intermountain-owned Saltzer Health shuts down operations and sells clinics. And, the Biden Administration finalizes its Medicare Advantage pay rate for 2025. That’s coming up on today’s episode of Gist Healthcare Daily.  Hosted on Acast. See acast.com/privacy for more information.

During the COVID-19 pandemic, the federal government implemented a rule that prevented states from removing people from Medicaid. But following the end of the public health emergency at the end of March 2023, states began the eligibility redetermination process. Since then, more than 19 million people have lost their Medicaid or CHIP coverage.  Jennifer Wagner, Director of Medicaid Eligibility and Enrollment at the Center on Budget and Policy Priorities, joins the podcast to talk more about what we’ve seen over the last year and what it could mean for future Medicaid policies.   Hosted on Acast. See acast.com/privacy for more information.

The Biden Administration streamlines the renewal and enrollment process for Medicaid and CHIP beneficiaries. Walgreens will close more VillageMD clinics in the coming weeks, as it reports a nearly 6-billion dollar net loss in its second fiscal quarter. And, capping the cost of insulin lowered consumers’ out of pocket expenses but didn’t result in greater access to the drug, 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.

Optum will acquire the financially troubled Steward Health’s national physician group. The Supreme Court signals skepticism over arguments made challenging the FDA’s approval of a key drug used in medication abortions. And, Change Healthcare says its largest clearing house is operational after a February cyber attack. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.