The Gist Healthcare Podcast

CVS unveils a new ‘cost plus’ drug pricing model meant to streamline the drug reimbursement process. States that don’t fix their Medicaid redeterminations issues could face a loss of federal funding and fines under an interim final rule. And, a cyberattack on a Corewell Health vendor exposes the personal data of one million of its patients. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

North Carolina’s Medicaid expansion goes into effect. Community Health Systems finalizes its sale of three of its Florida hospitals to Tampa General. And, a House panel will investigate the Food and Drug Administration over its decision to declare certain oral, over-the-counter decongestants as ineffective. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

In March, employee healthcare navigation company Transcarent announced it would acquire AI-powered primary care startup 98point6’s virtual care platform and care business. On today’s episode of Gist Healthcare Daily, we hear the second part of JC’s conversation with Transcarent CEO Glen Tullman about that acquisition and how it fits into his Transcarent’s long-term goals. They also discuss Tullman’s thoughts on the future of employer-sponsored healthcare. You can find the first part of the conversation here. Hosted on Acast. See acast.com/privacy for more information.

The Biden Administration will invoke the Defense Production Act to manufacture more drugs in the United States amid an ongoing shortage. The FTC announces it will investigate the safety of CAR-T therapies. And, Federal lawmakers introduce a bill that would ban fees for electronic healthcare payments. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Major health insurers Cigna and Humana are reportedly in talks to merge. The number of US physicians either employed by or affiliated with Optum  swells to nearly 90,000. And, the merger between BJC HealthCare and St. Luke’s Health System is expected to close at the beginning of the year. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

A massive data breach last week disrupts operations at a large, multi-state health system. Optum faces a federal lawsuit from a California hospital alleging antitrust violations. And, Fairview Health plans to end its current partnership with the University of Minnesota. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

The Biden Administration proposes a rule that could make dental care covered under Affordable Care Act plans.Hospitals and health system executives say investing in cyber security is their top investment priority for their 2024 IT budgets. And, a new survey finds that nearly half of American adults faced healthcare billing issues within the last year. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Employee healthcare navigation company Transcarent announced in September that it has partnered with an inaugural group of 10 large health systems to create what it calls a national, independent “provider ecosystem” in order to  provide higher-quality care to the covered beneficiaries of its more than 300 employer clients. On today’s episode of Gist Healthcare Daily, Transcarent CEO Glen Tullman joins the show to talk more about the health system partnerships and the company’s direct contracting model. Hosted on Acast. See acast.com/privacy for more information.

The American Medical Association releases its latest policy focuses…including pushing for diabetes drugs to be covered for weight loss. Medicare will cover navigation services for cancer patients under a new rule, And, around 36 million adults in the US have received the updated COVID shot. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

UnitedHealth faces a lawsuit over its use of an algorithm in its Medicare Advantage denials. State Medicaid administrators anticipate a steep drop in enrollment and more spending on the program from state governments in 2024.  And, the Biden Administration issues its final rule requiring nursing homes to be more transparent with their ownership information. That’s coming up on today’s episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.