Gist Healthcare Daily
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Walgreens plans to shutter all of its VillageMD locations in Florida amid ongoing cost-cutting measures. Mississippi considers a Medicaid expansion…but with job requirements. And, a cyber security attack disrupts UnitedHealth’s Change Healthcare operations. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Medicare Advantage enrollment is up as payers worry about higher MA costs. The Centers for Medicare and Medicaid Services finalizes a rule for Medicaid disproportionate share hospital payments. And, nearly half of newborns in the United States received protection against respiratory syncytial virus.That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
The Biden Administration launches a probe into how the business practices of hospital purchasing groups and drug distributors may impact shortages of drugs. The number of surprise billing disputes heading to arbitration remains well beyond original federal estimates, according to new data. And, a popular vitamin may increase the risk of cardiovascular disease. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
A recent Washington Post article found that seven companies allegedly submitted around $2 billion in fraudulent claims to Medicare for intermittent urinary catheters that were not ordered, wanted, or received by patients. On today’s episode of Gist Healthcare Daily, Washington Post national health reporter Dan Diamond https://www.washingtonpost.com/people/dan-diamond/ speaks with host J. Carlisle Larsen about the story. You can read the Washington Post article here https://www.washingtonpost.com/national-security/2024/02/09/medicare-alleged-fraud-catheters/. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Nonprofit health insurers SCAN Health and CareOregon call off their proposed merger. Federal lawmakers are reportedly considering a slight Medicare pay increase for physicians. And, a new report outlines the states with the biggest share of adults with medical debt. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
A federal judge throws out a lawsuit challenging Medicare’s drug price negotiation process. The CDC is expected to change its isolation guidelines for COVID-19 infections. And, employer-focused primary care providers Marathon Health and Everside Health plan to merge. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
The University of Minnesota strikes a deal with Fairview Health Services to buy back its flagship academic medical center, after selling it more than 25 years ago. The Biden Administration wants more oversight of healthcare accrediting organizations. And, a new study finds that popular weight loss drugs may improve some mental health conditions. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Healthcare M&A activity was up in 2023 following a decline during the COVID-19 pandemic, according to a new report https://www.kaufmanhall.com/insights/research-report/2023-hospital-and-health-system-ma-review from Kaufman Hall. Last Monday, Anu Singh https://www.kaufmanhall.com/experts/anu-singh, Managing Director and Leader of the Partnerships, Mergers & Acquisitions Practice at Kaufman Hall, spoke with host J. Carlisle Larsen about how financial distress was the main driver of many of the smaller-to-medium sized hospital deals last year. In the second half of their conversation, they discuss how more financially stable health systems are considering less traditional, strategic M&A deals and what kinds of conversations are happening right now in C-suites. You can listen to the first part of our conversation HERE https://www.kaufmanhall.com/insights/podcast/healthcare-ma-2023-and-coming-year. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
The leaders of three major pharmaceutical companies testified on Capitol Hill this week about the high cost of prescription drugs. The Biden Administration outlines how Medicare Advantage insurers can use AI. And, Walgreens taps a new executive to lead its healthcare business. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
A House panel passes a key PBM reform for health insurance for federal employees. Amazon will lay off hundreds of employees across its healthcare division. And, healthcare jobs grew at the fastest rate since the early 1990s. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Optum plans to purchase Oregon-based multi-specialty medical group The Corvallis Clinic. Medicaid’s net enrollment is down by about 10 million midway through the continuous enrollment unwinding process. And, Walgreens partners with pharmacy schools to address workforce shortages. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
The Biden Administration finalizes telehealth flexibilities for opioid treatment programs. Novo Nordisk’s parent company will buy a US-based facility reportedly to ramp up production of its blockbuster weight loss drugs. And senior-oriented primary care provider Cano Health files for bankruptcy. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
There were 65 hospital and health system M&A deals announced last year, an increase from 53 in 2022. The rise reflects a growing momentum following a pandemic-related slow down, according to a recent report https://www.kaufmanhall.com/insights/research-report/2023-hospital-and-health-system-ma-review from Kaufman Hall. Anu Singh https://www.kaufmanhall.com/experts/anu-singh, Managing Director and Leader of the Partnerships, Mergers & Acquisitions Practice, joins the podcast to talk more about how financial distress was a driving factor in smaller deals, as well as how other systems looked for more strategic partnerships. Upcoming webinar: Navigating Strategic Options in a Transformed Operating Environment. (February 26, 2024 at 2:00pm-CT) Register here https://www.kaufmanhall.com/about/events-speaking/navigating-strategic-options-transformed-operating-environment. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Biogen will stop selling its Alzheimer’s drug, Aduhelm, amid controversy. The Biden Administration makes its initial offers to drug companies on the first ten drugs to be negotiated through Medicare, as courts weigh lawsuits brought by pharmaceutical companies challenging the negotiation process. And, participation in Medicare accountable care organizations is up. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Cigna officially offloads its Medicare Advantage business to Health Care Service Corporation. The Biden Administration will negotiate on behalf of states to provide a groundbreaking gene therapy for Medicaid beneficiaries with sickle cell disease. And, the Dana Farber Cancer Institute is issuing corrections and retracting some research papers amid falsification allegations. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Fitch Ratings says lower operating margins at nonprofit hospitals may be here to stay. The Biden Administration wants stakeholder input on making Medicare Advantage more transparent. And, a new study examines a small number of transmissible Alzheimer’s cases tied to a medical treatment that’s no longer used. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Federal regulators sue to block Novant Health’s purchase of two Community Health Systems hospitals in North Carolina. Insurers say that the No Surprises Act prevented 10 million surprise bills for patients in the first nine months of 2023. And, North Carolina says it will no longer pay for popular–and costly–weight loss drugs for state employees. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Congressional lawmakers established a new arbitration process when they passed the No Surprises Act in December 2020. Since April 2022, payers and providers have been able to have a third-party settle payment disputes over out-of-network claims. However, the process has been bogged down by exceedingly high caseloads and legal challenges. On today’s episode of Gist Healthcare Daily, Matthew Fiedler https://www.brookings.edu/people/matthew-fiedler/, Senior Fellow at the Brookings Institution, joins the podcast to talk more about how the process has fared overall since its launch. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
The Biden Administration releases voluntary cybersecurity goals for healthcare providers. It was a record-breaking year for health plan enrollment on the Affordable Care Act exchanges. And, a majority of rural hospitals have had to cut labor and delivery services for pregnant people. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Walgreens is reportedly exploring a sale of its specialty pharmacy business, Shields Health. Instacart expands its reach into the home care sector. And, the mortality rate among hospital-at-home patients is low, according to a recent study. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Bloomberg Philanthropies will invest $250 million to launch healthcare-focused high schools to address workforce shortages. Younger people are being diagnosed with cancer at higher rates, according to recent studies. And, funding for digital health projects is at its lowest point since 2019. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Intermountain’s Saltzer Health faces a shutdown if it can’t find a buyer. Physicians at two Allina Health hospitals get the green light to unionize. And, disproportionate share hospitals will continue to receive payments–temporarily–as Congress averts another government shutdown in the short term. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Hospitals and health insurers were more compliant with price transparency laws and regulations in 2023, according to healthcare price data company Turquoise Health. Carol Skenes, Principal Strategist at Turquoise, joins the podcast to talk more about what this data means for consumers and the healthcare industry. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
For the last 15 years, ZocDoc has connected physicians and other healthcare professionals to patients seeking care through its tech-enabled online marketplace. On today’s episode of Gist Healthcare Daily, Oliver Kharraz, MD, Founder and CEO of ZocDoc, joins the show to talk about how the company looks at the evolution of patient acquisition. You can check out ZocDoc’s white paper on patient acquisition HERE https://www.zocdoc.com/about/content/patient-value/. THIS EPISODE FIRST AIRED ON MAY 8, 2023 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Venture capital firm General Catalyst’s healthcare arm plans to purchase Akron, Ohio-based Summa Health, and turn it into a for-profit system. CMS issues a final rule that aims to streamline health insurer prior authorizations. And, the FDA approves a groundbreaking CRISPR treatment for a second blood disease. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Jarrard’s second survey in its “Beyond Burnout” series examines how nurses are feeling overall about their job satisfaction and career calling, as well as the level of trust they have in the organizations and leadership. On today’s episode of Gist Healthcare Daily, we hear the second part of JC’s conversation with David Jarrard, Executive Chair of Jarrard Inc., where they talk more about how onboarding can make or break nurse retention. You can find Jarrard's second part of the “Beyond Burnout” survey series HERE https://jarrardinc.com/resources/national-nurse-survey-2023-request/. You can also find the first part of JC’s conversation with David Jarrard about the nurse survey HERE. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
A recent survey published by strategic healthcare communications consulting firm Jarrard Inc. finds that job satisfaction among nurses is increasing, with roughly two-thirds saying they plan to stay in the field. Today, David Jarrard, Executive Chair of Jarrard Inc., joins the podcast to talk more about the survey. You can find the second part of Jarrard’s “Beyond Burnout” survey series HERE https://jarrardinc.com/resources/national-nurse-survey-2023-request/. You can also find JC’s conversation with David Jarrard about the firm’s 2023 physician survey HERE https://gisthealthcare.com/podcast/new-jarrard-survey-finds-a-growing-trust-gap-between-physicians-and-hospital-leaders/. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Amazon and digital healthcare company Omada ink a deal focused on treating and preventing chronic conditions. The Department of Health and Human Services announces its new competition chief. And, Affordable Care Act plan enrollment reaches a record high for the 2024 plan year. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
The Biden Administration replaces an expanded provider conscience rule put in place during the Trump presidency. The Federal Trade Commission has banned a data broker from selling sensitive location information, like physician office visits. And, California becomes the first state to extend Medicaid to all eligible undocumented adults. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
Senate Democrats launch an investigation into the price of asthma inhalers. Walgreens will pay health insurer Humana $360 million in a drug pricing settlement. And, the American Red Cross raises the alarm over a national blood shortage. That’s coming up on today’s episode of Gist Healthcare Daily. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.
