Many Republicans have singled out Medicaid as a policy that could see big changes under the new administration and Congress. We take a closer look at why many conservatives think less Medicaid will mean better Medicaid.Guests:Josh Archambault, Senior Fellow, Cicero InstituteBrian Blase, President, Paragon Health InstituteMichael Cannon, Director of Health Policy Studies, Cato InstituteElizabeth Matney, Iowa Medicaid Director (2021-2024)Barbara Sears Roshon, Ohio Medicaid Director (2016-2019)Tom Scully, CMS Administrator (2001-2004)Learn more on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

With Medicaid poised for potential cuts from Republicans in Washington, Dan Tsai reflects on what he's learned running Medicaid for the Biden administration — and his hopes and concerns for the program's future.Guest:Dan Tsai, Deputy Administrator and Director of Center for Medicaid and CHIP Services, CMSLearn more on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Ryan Smith, Director of the Durham Community Safety Department, and Sammetta Cutler, a Peer Support Specialist, dive into the innovative HART program. They discuss the urgent need for alternative response teams to tackle crises involving mental illness, homelessness, and addiction. Smith and Cutler reflect on the challenges of linking individuals in distress to long-term care. They emphasize the importance of compassionate intervention and advocate for integrating personal stories into policy discussions to effect change in community safety and support systems.

How do you keep everyone safe? We look at HEART’s impact on the safety of Durham residents in crisis, the mental health workers responding, and the police.Guests:David Prater, Peer Support Specialist, Durham Department of Community SafetyRyan Smith, Director, Durham Department of Community SafetyYolanda, Durham residentSgt. Dan Leeder, Durham Police DepartmentPatrice Andrews, Police Chief, Durham Police DepartmentChristie Thompson, Staff Writer, The Marshall ProjectEMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country.The Marshall Project's Christie Thompson reports on the state of alternative crisis response across the country.Learn more about this series, which first ran in July, 2024 on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

How do you convince police officers that it makes sense to send unarmed mental health workers to some 911 calls?Guests:Patrice Andrews, Police Chief, Durham Police DepartmentRyan Smith, Director, Durham Department of Community SafetySgt. Dan Leeder, Durham Police DepartmentAbena Bediako, Clinical Manager, Durham Department of Community SafetyChristie Thompson, Staff Writer, The Marshall ProjectEMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch. Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness. To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country.Learn more about this series, which first ran in July, 2024, on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Joining the discussion is Melanie Evans, a producer at Tradeoffs with expertise in health policy reporting. They dive into President Trump’s push for healthcare price transparency and why it hasn't boosted patient empowerment as intended. The conversation highlights the challenges of implementing price transparency regulations, the complexities for both consumers and employers, and the potential risks of data misuse. They also analyze how market dynamics and political shifts may shape the future of healthcare pricing.

The murder of UnitedHealthcare's CEO put a violent point on the frustration and rage some Americans feel toward health insurance companies. But insurers are just one piece of America’s broken and expensive health care system.Guest:Aaron Carroll, CEO, Academy HealthLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Mark Cuban, co-founder of Cost Plus Drugs, is on a mission to disrupt the pharmaceutical industry and lower prescription drug prices. He discusses his groundbreaking initiatives aimed at reforming the U.S. healthcare system, shedding light on the convoluted dynamics of drug pricing and the influence of pharmacy benefit managers. Cuban advocates for transparency and innovation within the industry, emphasizing the need for alternative pricing models to empower consumers. Expect insightful perspectives on overcoming challenges in healthcare pricing!

Congress banned most surprise medical bills back in 2020, with one major exception: ambulance rides. Most people agree that patients should be shielded from these unexpected charges. But who should pick up the tab instead? As state and federal policymakers grapple with that question, we delve into why finding a fair solution is harder than you’d think.Guests:Tara Bannow, Reporter, STATPrecious Mae Clark, patientDia Gainor, Executive Director, National Association of State EMS OfficialsZach Gaumer, Principal, Health Management AssociatesJames Gelfand, JD President and CEO, ERISA Industry CommitteeBob Herman, Reporter, STATPete Lawrence, Deputy Chief, Oceanside FireButch Oberhoff, President, Texas EMS AllianceLeslie Walker, Senior Reporter/Producer, TradeoffsMatt Zavadsky, At-Large Director, National Association of EMTsLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Former HHS Secretary Kathleen Sebelius shares what the country’s top health official can and can’t do, and what she wants senators to consider ahead of RFK’s confirmation hearings.Guest:Kathleen Sebelius, Former U.S. Secretary of Health and Human Services SecretaryLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.