The Gist Healthcare Podcast

This fall payers like UnitedHealthcare, Cigna, and Aetna all launched virtual first primary care plans this fall. In this March 2021 conversation, Gist Healthcare co-founders, Chas Roades and Lisa Bielamowicz discuss how insurers are integrating their new care offerings to capture more of consumers' healthcare spend. Hosted on Acast. See acast.com/privacy for more information.

Dr. Farzad Mostashari, CEO and co-founder of Aledade, discusses how quality reporting for physicians has become time-intensive and no longer commensurate with incentives. He tells us the whole system is in need of “radical surgery”.    Hosted on Acast. See acast.com/privacy for more information.

In the final episode of our series exploring investor acquisitions of physician practices, we’ll look at the hospital-based physician market, including emergency physicians, hospitalists, and anesthesiologists, which private equity firms started rolling up in the early 2000s.  Hosted on Acast. See acast.com/privacy for more information.

Some have warned that the rapid growth of PE-backed practices is reminiscent of the rise and fall of physician practice management companies of the 1990s. In the second part of our series about the impact of private equity investment in physician practice on the healthcare market, we’ll hear from Peter Kindrachuk, a former PhyCor executive, on how today’s trend compares to what happened back then. Hosted on Acast. See acast.com/privacy for more information.

Private equity firms are fueling a physician practice buying frenzy that’s heated up over the last year, with just about half of practices now owned by hospitals or other corporate entities.  In the first part of a series about private equity's impact on the market, Anthony D’Eredita, founder and CEO of TrustWorks Collective, discusses how younger physicians and health systems are being outbid by deep-pocketed investors.  Hosted on Acast. See acast.com/privacy for more information.

British digital-first value-based care company Babylon went from being virtually unknown in the US, to managing the cost of care for more than 100,000 lives in a year. Babylon's Chief Business Officer Paul-Henri Ferrand discusses how the company is partnering with health plans, medical groups, and health systems to expand.  Hosted on Acast. See acast.com/privacy for more information.

17 million healthcare workers need to be fully vaccinated by early January. Coverage expansion plans for 12 Medicaid holdout states could be a big boost to hospital bottom lines. And add CVS Health to the list of non-traditional physician employers. Hosted on Acast. See acast.com/privacy for more information.

Tennessee lawmakers try to limit the power of the state’s medical board to discipline physicians. CMS boosts outpatient and home health payments, but some physicians will see a pay cut in 2022. And more COVID vaccine mandates go into effect. Hosted on Acast. See acast.com/privacy for more information.

Democrats say they have reached a deal to address drug prices. A California judge sides with pharmaceutical companies in opioid litigation. And more women than men are using telehealth services. Hosted on Acast. See acast.com/privacy for more information.

It’s November and that means open enrollment season for ACA plans. The Texas Medical Association challenges new surprise billing rules in court. And as vaccines become available for kids, when will we return to normal. Hosted on Acast. See acast.com/privacy for more information.