Tradeoffs

Starting Oct. 6, providers must begin giving patients electronic access to more of their health care data than ever before. But the federal regulations forcing this change are fraught with implementation challenges and privacy risks.This week we talk with Micky Tripathi, the federal official overseeing this push to democratize America’s health data, about its promise and perils.GuestMicky Tripathi, PhD, MPP, National Coordinator for Health Information Technology, U.S. Department of Health and Human ServicesLearn 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.

Initial screenings for breast, lung and cervical cancer are free, but expensive secondary tests can leave patients in screening purgatory.Guests: Mark Fendrick, MD, Professor of Medicine and public health at the University of Michigan, Director of the Center for Value Based Insurance Design.Gloria Coronado, PhD, epidemiologist and health disparities researcher, Kaiser Permanente Center for Health ResearchLearn 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.

California is in the early days of one of the most ambitious initiatives ever to address Medicaid patients’ social needs in hopes of improving their health. This week, we trace the origins, early results and challenges of “CalAIM.”Guests:Jacey Cooper, Director, California Medicaid ProgramBradley Gilbert, MD, MPP, Former Chief Medical Officer and CEO, Inland Empire Health PlanLacy McClellanDale StoutAnthony Wright, Executive Director, Health Access CaliforniaPaula Lantz, PhD, James B. Hudak Professor of Health Policy, University of Michigan Gerald R. Ford School of Public PolicyLearn 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.

This week, we’re sharing the first episode of a new 10-part series from The Nocturnists podcast, called “Shame in Medicine: The Lost Forest.” What is shame? And how does it manifest in medical culture? The Nocturnists teams up with two shame experts to investigate these questions.Read a full transcript of this episode on our website.Learn more about this episode and the Shame in Medicine series at https://www.thenocturnists-shame.org/.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.

The Inflation Reduction Act gives Medicare historic new powers to control prescription drug prices. We go inside the government’s race to implement these new powers — and the pharmaceutical industry’s efforts to blunt their impact.Guests:Alice Valder Curran, JD, Partner, Hogan LovellsSean Dickson, JD, MPH, Director of Health Policy, West Health Policy CenterAmber Jessup, PhD, Chief Economist, Office of Inspector General, Department of Health and Human ServicesMark Newsom, Founder and Principal, Health EvaluationsLearn 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.

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.

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.

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.

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.

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.