The Gist Healthcare Podcast

Dec 11 2024 1157 ep. 8 mins 38
The Gist Healthcare Podcast artwork

The Gist Healthcare Podcast from Kaufman Hall delivers the top healthcare business and policy news in under 10 minutes every Monday, Wednesday and Friday. Host J. Carlisle Larsen gives you the “gist” of what’s happening in healthcare across the country so you can start your day informed. Subscribe and listen.
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Wednesday, December 11, 2024

Dec 11 2024 6 mins  
Police arrest suspect in the murder of UnitedHealthcare CEO Brian Thompson. Anthem Blue Cross Blue Shield backtracks on a controversial planned cap on anesthesia payments. And, dozens of Nobel laureates write to the US Senate urging lawmakers to oppose Robert F. Kennedy Jr.’s nomination to lead the Department of Health and Human Services. We’ll get those stories comin

The Early Impact of the Hospital Price Transparency Rule on the Healthcare Market

Dec 09 2024 14 mins  
Since January 2021, hospitals and health systems have been required to post the prices of standard charges publicly. The goal of the Hospital Price Transparency Rule has been to increase competition and bring down the cost of healthcare for consumers. Since the regulation went into effect three years ago, researchers at Turquoise Health wanted to see if the market had responded. &n

Friday, December 6, 2024

Dec 06 2024 8 mins  
UnitedHealthcare CEO Brian Thompson's killing in Manhattan this week sends shockwaves through the industry. Cone becomes the latest health system to join Kaiser Permanente’s Risant Health system. And, CMS proposes new guidelines regulating Medicare Advantage prior authorizations and advertisements. We’ll get that story—and more—coming up on today’s episode of th

Wednesday, December 4, 2024

Dec 04 2024 9 mins  
Sanofi becomes the latest pharmaceutical company to introduce a rebate model for 340B-eligible healthcare organizations. A new rule proposed by the Biden Administration would allow Medicare and Medicaid to cover drugs like Ozempic for weight loss. And, patients with HIV can now donate and receive organ transplants from other individuals with the disease. We’ll get those stor

Continuing the Conversation: The State of Retail Healthcare Delivery

Dec 02 2024 11 mins  
On this week’s Monday interview, host J. Carlisle Larsen speaks with Kaufman Hall’s Scott Christensen about trends within the retail healthcare delivery space and what hospitals can learn from these organizations’ stumbles and successes.  You can find the first part of our conversation here. And you can read Scott’s recent blog post about the topic here. &nbs

Friday, November 22, 2024

Nov 22 2024 9 mins  
President-elect Trump taps former-TV personality Dr. Oz to lead the Centers for Medicare and Medicaid Services. The parent companies of major U.S. pharmacy benefit managers sue the Biden Administration over a recent suit brought by the FTC alleging that PBMS engage in anticompetitive rebate practices for insulin. And, CMS will lower importance of the call center metric in Medicare

Wednesday, November 20, 2024

Nov 20 2024 7 mins  
Incoming President Donald Trump is reportedly weighing significant changes to Medicaid, and some states are rushing to get their waiver requests in before President Biden leaves office. UnitedHealth Group announces Change Healthcare’s clearinghouse services are fully operational following a massive cyberattack on the company earlier this year. And, nearly 10,000 Corewell nur

The State of Retail Healthcare Delivery

Nov 18 2024 10 mins  
Retailers have made a big splash in the healthcare delivery space over the last decade, but many have seen mixed success with their healthcare business. Some companies, including CVS and Amazon, are still making progress. While others, like Walmart and Walgreens, have taken a tumble. On today’s episode of the Gist Healthcare podcast, host J. Carlisle Larsen discusses what we’ve

Friday, November 15, 2024

Nov 15 2024 7 mins  
President-elect Donald Trump nominates Robert F. Kennedy Jr. as the next Secretary of the Department of Health and Human Services. And the Biden Administration sues to halt Optum’s multibillion dollar acquisition of home health provider Amedisys on antitrust grounds. We get those stories—and more—coming up on today’s episode of the Gist Healthcare podcast.  H

Wednesday, November 13, 2024

Nov 13 2024 8 mins  
Cigna confirms it is not pursuing an acquisition of rival health insurer Humana. OptumHealth and Aetna agree to settle a class action lawsuit alleging that they billed health plan members for administrative fees coded as medical expenses.  And, hospital-associated infection rates are down, according to recent data from the CDC. We’ll get that story—and more—coming u