
Tradeoffs
Tradeoffs is an award-winning nonprofit news organization on a mission to help America have smarter, more honest health policy conversations.Tradeoffs explores the toughest choices in health care, diving into issues like the cost of care, health equity, insurance, mental health and artificial intelligence. We connect policy to practice, uncovering the data and personal stories that help audiences understand the stakes — and the potential solutions.Learn more about us, find transcripts for each episode and additional reporting at https://tradeoffs.org. Hosted on Acast. See acast.com/privacy for more information.
Latest episodes

Sep 1, 2022 • 21min
Fixing the Obamacare 'Glitch' That Pushed One Couple to Divorce
The Biden administration is trying to close a gap in the Affordable Care Act that blocks 5 million people from getting affordable health care.Guests: Liana Wolk, teacherOwen Marshall, musicianKatie Keith, JD, MPH; Director, Health Policy and the Law Initiative at the O’Neill Institute at the Georgetown University Law Center.Learn 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.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Aug 25, 2022 • 22min
Too Healthy for the Hospital, Too Sick for the Streets
Why are a growing number of private insurance companies starting to invest in medical respite — a decades-old idea to care for homeless people who are too healthy to be in the hospital, but too sick to be on the streets?Guests:Henry Jones, former medical respite patientJanelle Goetcheus, MD, Founder and Medical Director, Christ HouseJulia Dobbins, MSW, Director of Medical Respite, National Health Care for the Homeless CouncilJack Kline, LICSW, LCSW-C, Former Executive Program Director, Hope Has A HomeKaryn Wills, MD, Chief Medical Officer, CareFirst Blue Cross Community Health Plan, DCLearn more about medical respite 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.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Aug 18, 2022 • 22min
Has Medicaid Managed Care Delivered On Its Promise?
Letting private insurers offer Medicaid coverage was supposed to lower costs and improve care. We dig into the research on Medicaid managed care.Guests:Sayeh Nikpay, PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of MinnesotaKathleen Adams, PhD, Professor of Health Policy and Management, Rollins School of Public Health at Emory UniversityAllan Baumgarten, JD, Independent Health Policy AnalystRead more of the research on Medicaid managed care and find a full transcript on our website: https://tradeoffs.org/2021/11/04/medicaid-managed-care/Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletterSupport this type of journalism today, with a gift. If you give before Dec. 31, 2021, your donation will be doubled thanks to a match from the Institute for Nonprofit News: https://tradeoffs.org/donateFollow us on Twitter: https://twitter.com/tradeoffspod Hosted on Acast. See acast.com/privacy for more information.

Aug 11, 2022 • 19min
Health Care’s Climate Change Contradiction
The U.S. health care system is responsible for 8.5% of the country’s greenhouse gas emissions. We discuss how health care contributes to climate change, how some hospitals are trying to reduce their carbon footprint and what more needs to be done.Guest:Gary Cohen, co-founder and president of Health Care Without HarmRead a full transcript and dig deeper into the issues explored in today's episode on our website.Support this type of journalism today by making a donation.Sign up for our weekly newsletter to see what research health policy experts are reading right now.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Aug 4, 2022 • 24min
Harm Reduction’s Road From Fringe to Federal Drug Policy
The overdose crisis in the U.S. is as deadly as it’s ever been. In response, the Biden administration is embracing a controversial strategy known as harm reduction, which seeks to keep drug users safe even as they continue using. We explore how harm reduction has become more mainstream and what kind of impact we can expect it to have on the overdose crisis.Guests:Ricky Bluthenthal, PhD, Associate Dean for Social Justice; Keck School of Medicine, University of Southern CaliforniaKeith Humphreys, PhD, Esther Ting Memorial Professor of Psychiatry and Behavioral Services, Stanford UniversityBeau Kilmer, PhD, Director of the RAND Drug Policy Research CenterKimberly Sue, MD, PhD, Assistant Professor of Medicine, Yale School of MedicineMaia Szalavitz, Journalist and Author, Undoing Drugs: The Untold Story of Harm Reduction and the Future of AddictionRead a full transcript and dig deeper into the issues explored in today's episode on our website.Please take a couple of minutes to help us learn more about you by filling out our listener survey.Support this type of journalism today by making a donation.Sign up for our weekly newsletter to see what research health policy experts are reading right now.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Jul 28, 2022 • 23min
A New Era in the Fight Over Medicaid Premiums
We explore the impacts of charging Medicaid enrollees premiums and how phasing out premiums may affect Montana's Medicaid expansion program.Guests:Katharine Bradley, Principal Researcher, MathematicaHeather O'Loughlin, Co-Director, Montana Budget & Policy CenterEd Buttrey, State Representative, MontanaRead a full transcript and dig deeper into the issues explored in today's episode on our website.Please take a couple of minutes to help us learn more about you by filling out our listener survey.Support this type of journalism today by making a donation.Sign up for our weekly newsletter to see what research health policy experts are reading right now.Follow us on Twitter. Hosted on Acast. See acast.com/privacy for more information.

Jul 21, 2022 • 18min
Abortion Funds’ Growing Role Post-Roe
Independent abortion funds have been flooded with donations since Roe v. Wade was overturned. How do these funds work and what role will they play in a post-Roe world?Guests:Brittany Mostiller, Leadership Development Coordinator, National Network of Abortion FundsGretchen Ely, PhD, MSW, Director of PhD Program, University of Tennessee College of Social WorkKim Floren, Director, Justice Through Empowerment NetworkErin Smith, Executive Director, Kentucky Justice Health NetworkRead a full transcript and dig deeper into our reporting here.Please take a couple of minutes to help us learn more about you by filling out our listener survey.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.

Jul 16, 2022 • 23min
BONUS: Talking 988 with The Takeaway
To mark the launch date of 988, America's new mental health crisis line, we're sharing a segment from The Takeaway, a public radio show and podcast produced by WNYC Studios and PRX, featuring Tradeoffs host Dan Gorenstein talking about our reporting on 988.Read a full transcript and dig deeper into our reporting here.Please take a couple of minutes to help us learn more about you by filling out our listener survey.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.

Jul 14, 2022 • 23min
Answering the Call, Part 3: America's New Crisis Line Goes Live
In Part 3 of our special series on 988, we go on the ground to hear from individuals working in their communities to prepare for America’s new mental health crisis line to go live.Guests: Natalie Krebs, Health reporter, Iowa Public RadioEmily Blomme, Chief Executive Officer, Foundation 2 Crisis ServicesChristine Herman, Managing editor, Side Effects Public MediaMike Sunseri, Deputy Executive Director, Kentucky Office of Homeland SecurityCarter Barrett, Reporter, Side Effects Public MediaBenjamin Kowalczyk, Living Room patientRead a full transcript and dig deeper into our reporting here.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.

Jul 13, 2022 • 30min
Answering the Call, Part 2: Struggling to Staff the Nation’s New Crisis Line
In Part 2 of our special series on 988, we explore the scramble to staff the country’s new mental health crisis line and the workforce lessons 988 can learn from 911.Learn more about how 988 came to be, what’s at stake and what it will take to succeed in the first episode in our series.Guests: Rebecca Neusteter, PhD, Executive Director, Health Lab, University of ChicagoRita Salazar, 911 call-taker, Valley Communications CenterMichelle Lilly, PhD, Associate Professor of Clinical Psychology, Northern Illinois UniversityJennifer Battle, MSW, Director of Access, Harris Center for Mental Health and IDD ServicesLata Menon, MSW, CEO, First Choice ServicesCourtney Colwell, 988 Program Manager, Volunteers of America Western WashingtonRead a full transcript and dig deeper into all our coverage of 988 here.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.