Podcasts about Affordable Care Act

The Trump Administration narrows the enrollment window for purchasing Affordable Care Act coverage and limits eligibility. Medicare will likely be insolvent three years earlier than anticipated, according to the program's trustees' report. And, Ascension announces it will purchase ambulatory surgical services organization AmSurg. Those stories on today's episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

A bill currently on Governor Mike Kehoe's desk would enable the Missouri Farm Bureau to offer its members a health plan. But the policies are not technically insurance and therefore aren't subject to federal Affordable Care Act regulations.

A bill currently on Governor Mike Kehoe's desk would enable the Missouri Farm Bureau to offer its members a health plan. But the policies are not technically insurance and therefore aren't subject to federal Affordable Care Act regulations.

The Affordable Care Act faces significant rollbacks if President Trump’s big spending and tax cut bill is approved by the Senate. The proposed changes could affect many of the 24 million Americans enrolled in that insurance marketplace and could leave millions of people without coverage. Sarah Kliff, health policy reporter with The New York Times, joins Geoff Bennett for more. PBS News is supported by - https://www.pbs.org/newshour/about/funders

Kansas Attorney General Kris Kobach, chairman of the Republican Attorneys General Association, joins Parsing Immigration Policy for a wide-ranging discussion of immigration enforcement, voter integrity, and state-federal cooperation.A key national voice on immigration issues, Kobach shares with host Mark Krikorian insights into the practical and legal efforts that states like Kansas are taking to combat illegal immigration.Highlights include:Illegal Population in KansasAn estimated 90,000 to 100,000 illegal aliens reside in Kansas, many working in industries like construction.State-Federal Law Enforcement CooperationKansas was among the first two states to sign 287(g) cooperation agreements with ICE.ICE has only 15,000 agents for interior enforcement – insufficient for mass removals. Kobach emphasized that under 287(g) the daily “net” cast by local officers provides the eyes and ears for federals agents.Legal Advocacy & LitigationDACA Challenge: Kobach represented ICE agents in early litigation against President Obama's DACA program.Obamacare Benefits Case: Led a multi-state coalition to stop illegal aliens from receiving Affordable Care Act benefits and received a victory from the 8th Circuit.Census Litigation: Currently leading a multi-state effort to exclude illegal aliens from the census for purposes of congressional apportionment. Including illegal aliens and those here on temporary visas causes “all kinds of constitutional problems.”Election IntegrityFormer vice chair of the Presidential Advisory Commission on Election Integrity under the first Trump administration.As Secretary State of the State of Kansas, Kobach implemented strict voter ID laws, requiring proof of citizenship to register to vote.Warns that illegal immigrants voting dilutes the votes of U.S. citizens.E-VerifyPrivate businesses in Kansas are not required to use E-Verify, but the agencies and contractors under the Attorney General are mandated to use it for new hires.Broader E-Verify bills have not been enacted due to a strong business lobby in the state.NSEERS (National Security Entry-Exit Registration System)This was a post-9/11 system designed by Kobach when he was at the U.S. Department of Justice to stop the terrorist threat posed by the ease of getting a temporary visa and overstaying that visa.Whenever an alien from a high-risk terrorist country overstayed a temporary visa, he was flagged so that local law enforcement across the country could arrest him during any routine stop.The INS system led to 1,500 arrests of Pakistani illegal aliens, and caused the self-deportation of an estimated 15,000 more.Went into effect in 2002, but President Obama cancelled the program. If it were still in effect, the recent attack by a visa overstayer in Colorado might have been stopped.In today's commentary, Krikorian, the Center's executive director, highlights a corporate-backed push – championed by Agriculture Secretary Rollins – to exempt certain sectors from immigration enforcement. President Trump briefly embraced it, triggering swift backlash from the base and within the administration. The move was quickly reversed, but serves as a reminder that pro-unlimited immigration forces remain active, even within the GOP. Eternal vigilance is essential to ensure that immigration policy forces employers to hustle for workers – not the other way around. A tight labor market is in the national interest.HostMark Krikorian is the Executive Director of the Center for Immigration StudiesGuestKansas Attorney General Kris Kobach.Related287(g) Program: A Force Multiplier for Immigration EnforcementA Preventable Terrorist Attack: NSEERS never should have been cancelledAttorney General of Kansas WebsiteKris Kobach personal websiteThat Was FastIntro MontageVoices in the opening montage:Sen. Barack Obama at a 2005 press conference.Sen. John McCain in a 2010 election ad.President Lyndon Johnson, upon signing the 1965 Immigration Act.Booker T. Washington, reading in 1908 from his 1895 Atlanta Exposition speech.Laraine Newman as a "Conehead" on SNL in 1977.Hillary Clinton in a 2003 radio interview.Cesar Chavez in a 1974 interview.House Speaker Nancy Pelosi speaking to reporters in 2019.Prof. George Borjas in a 2016 C-SPAN appearance.Sen. Jeff Sessions in 2008 comments on the Senate floor.Candidate Trump in 2015 campaign speech.Charlton Heston in "Planet of the Apes".

Health Insurance is Rigged & Controlled by the Big Companies w/ Donvan Ryckis of Ethos Benefits   - AZ TRT S06 EP10 (272) 6-15-2025              What We Learned This Week Health Insurance is primarily run by the Big 4 - BUCA: Blue Cross United Healthcare, CIGNA, Aetna To Insurance Co's – Premium = Revenue, and they are not going lower profits, so no incentive to lower costs Health insurance employer group plans can be broken down into 4 Parts Network PPO is what people typically think of when they think of health insurance There have been revisions to the Healthcare Act passed in 2021   Guest: Donovan Ryckis, Ethos Benefits https://ethosbenefits.com/   https://ethosbenefits.com/documentary/ https://businessofbenefitspodcast.com/   Our Ethos is Simple: Fiduciary First. Act in the best interest of those we serve—no matter the cost. ‘Ethos' represents the guiding principle, character, or spirit of a person or organization. It's the ‘why' that drives decision-making and fuel's purpose. Our Ethos is deeply rooted in the story of our Founder, Donovan Ryckis. Over a decade ago, Donovan, a fiduciary Series 65 securities advisor specializing in retirement and pension planning, was approached by a client facing a dire situation. The client's publicly traded broker claimed there was no solution for a staggering 37.5% health insurance renewal increase—a cost that threatened the business and its employees. With no prior experience in health insurance markets but guided by his unwavering fiduciary principles, Donovan took on the challenge. The result? He mitigated the risk entirely, delivering a solution 12% below the current rate. This allowed the business to thrive and ensured hundreds of employees wouldn't have to choose between basic necessities and skyrocketing health premiums. That moment sparked a revelation. The fraud, waste, and abuse Donovan had fought in retirement planning paled in comparison to the challenges in healthcare. He saw an opportunity to bring transparency and fiduciary principles to an industry in desperate need of change. Donovan pivoted his career, becoming one of the first fee-based health insurance advisors in the nation. By removing all conflicts of interest in broker compensation, he laid the foundation for what is now the leading innovative employee benefits agency in the country, delivering higher quality care at a significantly lower cost to employers nationwide.       Notes:   Ethos Benefits deals with employee benefits, with a primary focus on group health insurance   Per Donovan ‘Employee benefits are rigged'   Insurance company premium equals revenue. There is no incentive to lower cost, as it would lower profits.   ACA Obamacare passed in 2010, and it capped profits for insurance companies at 20%   Insurance Co's are working to expand their pool to make more profit   Health Insurance guarantees inflation keeps going up, so family of 4 could spend 35K a year   For a business, healthcare cost and employee benefits are a top 3 P&L expense   Ethos strategies can create a 30 to 40% reduction on premium impact to lower costs for a business   The HQ is in Florida, but they are a virtual office with agents and clients nationwide   Healthcare finance and delivery + Improving employee benefits     Seg 1   Donovan's bio, he was a financial advisor with a Series 65 license before he got into health insurance. Around 2014 he moved into health insurance seeing an opportunity for better service.   Typically you see agents who are working for the health insurance company and not really working for the employer companies they are selling to.   Health insurance is primarily run by the Big 4 – BUCA: Blue Cross United Healthcare, CIGNA, Aetna.   Health insurance employer group plans can be broken down into 4 Parts:   1.    TPA or third-party administrator 2.    Network PPO or HMO 3.    Pharmacy benefit RX 4.    Insurance that covers the caps the limits on the stop loss   PPO is your primary network and open on using referrals HMO is a non-preferred network typically has less offerings and tight on referrals   Ethos Benefits helps employers to break up the four parts of a group plan and customize   Network PPO is what people typically think of when they think of health insurance.   Network and the Big 4 health companies have a tighter deal with doctors and contract prices. A lot is pre-negotiated with a set of rates, which is the point of a PPO. This is where you get larger claims and they run in the system of healthcare.     Seg 2   Pay more for healthcare in the U.S. than the rest of the world   The biggest pharmaceutical companies are in the US Pharmaceutical companies in flight prices, and also set the prices They make money through spread pricing   Employers can actually pick up their own Pharma benefit and get the rebates that the big health insurance companies are not giving them   Healthcare system is a rigged game The fraud waste and abuse extremely high in health   401(k) and retirement benefit industry is actually tighter with more disclosure than the healthcare industry   Regulated better since the creation of the Securities Act in the 1930s and updates that ran through the 1970s and beyond with things like ERISA   There have been revisions to the healthcare act passed in 2021 - started in Jan.2022   Actions had 3 disclosures: ·         Brokers comp and bonus ·         Data with gag, clauses, and full access to data upon request ·         Benchmarking for drug cost     Further Notes via Google:   The revisions you are likely referring to are part of the Consolidated Appropriations Act of 2021 (CAA). While the CAA was passed in late 2020, many of its provisions, including those related to transparency in healthcare, became effective on January 1, 2022.  The three key areas of disclosure you mentioned are directly addressed within these regulations: 1.            Broker's Compensation and Bonuses: The CAA amends ERISA Section 408(b)(2) and requires service providers, including brokers, to disclose specific information to group health plan fiduciaries. 2.            Data Transparency (Gag Clauses and Full Access to Data): The CAA prohibits gag clauses, which prevent plans from providing access to their data. It also requires health insurance carriers to attest annually to their compliance with this prohibition. Moreover, the Health DATA Act, a proposed bill, would further reinforce the right of employers to access their data and hold service providers accountable for non-compliance. 3.            Benchmarking for Drug Costs: The CAA includes provisions regarding pharmacy benefit and drug cost reporting, which aims to provide greater transparency and potentially lead to better benchmarking of drug costs. The Build Back Better Act, a separate piece of legislation, also included provisions for Medicare to negotiate drug prices, further impacting drug costs and potential benchmarking.  These revisions aim to increase transparency in healthcare pricing and empower consumers and employers to make more informed decisions about their healthcare coverage.    Seg 3   Ethos works with Employers to create business plans usually with a 3 to 5 year time horizon. The goal is long-term to lower healthcare cost.   Example would be a company with 100 employees with 50 to 80% of them on the health plan (does not include dependents).   Ethos wants to keep the demands of a company low, easy transition.   Ethos handles employee Qs and healthcare navigation. Ethos is full service.   Risk handled 1 of 4 ways - Reduce, avoid, retain, transfer - Transfer to insurance   Broker wants to transfer risk Company can control costs Careful not to have too much disruption with a switch to a new company   Ex - start with pharmacy part NDC National Drug Code Run report vs costs   Pharmacy benefit mgr   Pre packaged health plan Gets co approved pharmacy benefit Save 5 - 15% on costs (30%)   Separate - parts of group plan     Seg 4   Brokers comp - incentives from big insurance companies   Opening move - edit pharmacy benefit piece   State by state - regulators and rules   Employers / employees Know the network and PPO   Nationwide covers insurance part – Stop-loss Insurance   30-40 major stop loss companies Ex: Allstate Met Life Sun Life   Stop-loss insurance for group health plans acts as a financial safety net for self-funded employers, protecting them from large, unpredictable medical claims. It is a form of additional insurance.   Healthcare risk is incredibly predictable on group basis   Overall predictable w stats, actuarial analysis   Gag clauses look at dataset from current carrier   Prescription database sets   3rd party admin are less of a concern, lots of claims   Average of 18 claims per employee per year, includes dependents   Data - review AI Claims analytics software   AI claims analytics software is transforming how insurance companies handle claims by leveraging artificial intelligence and machine learning to analyze data, automate tasks, and improve decision-making.    30 - 40% reduction in premium w Ethos     Further Notes via Google: Group Medical Plans Breakdown of the common components of a comprehensive employer group health plan, particularly within the context of a self-funded model.  Here's a more detailed explanation of each part: 1.            TPA (Third-Party Administrator): A TPA is a company that provides administrative services for self-funded health plans. This includes processing claims, handling enrollment, and managing other administrative tasks that would typically be done by an insurance company. 2.            Network (PPO or HMO): This refers to the group of doctors, hospitals, and other healthcare providers that the health plan contracts with to provide services to its members. The network defines where employees can go to receive care and often dictates the level of coverage they will receive (e.g., in-network vs. out-of-network benefits). ·                                             PPO (Preferred Provider Organization): Offers more flexibility, allowing members to see out-of-network providers, though with higher out-of-pocket costs. ·                                             HMO (Health Maintenance Organization): Typically requires members to stay within the network for covered services, except in emergencies.                 Pharmacy Benefit (RX): This component manages the prescription drug coverage for the plan. It includes negotiating drug prices, processing claims for prescriptions, and managing the plan's formulary (list of covered drugs).                 Stop-Loss Insurance: This is a crucial element for self-funded employers. It protects the employer from catastrophic claim costs. If an individual employee or the entire group's claims exceed a certain threshold (the "attachment point"), the stop-loss insurance kicks in to cover the excess costs, limiting the employer's financial liability.  Additional Considerations: ·                     Data Access: Self-funded plans often provide employers with greater access to claims data, which can be used to analyze healthcare costs, identify trends, and implement strategies to improve employee health and manage costs. ·                     Benchmarking: Employers can use claims data and industry benchmarks to compare their plan's performance to similar organizations and negotiate better rates with providers and other vendors. ·                     Wellness Programs: Some employers offer wellness programs to encourage employees to adopt healthy behaviors and potentially reduce healthcare costs. ·                     Essential Health Benefits (ACA Compliance): Group health plans must comply with the Affordable Care Act (ACA), which requires them to cover a list of essential health benefits, such as outpatient care, emergency services, hospitalization, and prescription drugs. ·                     Other Benefits: Group plans can also include other benefits, such as dental, vision, life insurance, and long- and short-term disability insurance.  Understanding these different parts is essential for employers to effectively manage their group health plan, control costs, and provide valuable benefits to their employees.      Investing Shows: https://brt-show.libsyn.com/category/Investing-Stocks-Bonds-Retirement       ‘Best Of' Topic: https://brt-show.libsyn.com/category/Best+of+BRT      Thanks for Listening. Please Subscribe to the AZ TRT Podcast.     AZ Tech Roundtable 2.0 with Matt Battaglia The show where Entrepreneurs, Top Executives, Founders, and Investors come to share insights about the future of business.  AZ TRT 2.0 looks at the new trends in business, & how classic industries are evolving.  Common Topics Discussed: Startups, Founders, Funds & Venture Capital, Business, Entrepreneurship, Biotech, Blockchain / Crypto, Executive Comp, Investing, Stocks, Real Estate + Alternative Investments, and more…    AZ TRT Podcast Home Page: http://aztrtshow.com/ ‘Best Of' AZ TRT Podcast: Click Here Podcast on Google: Click Here Podcast on Spotify: Click Here                    More Info: https://www.economicknight.com/azpodcast/ KFNX Info: https://1100kfnx.com/weekend-featured-shows/     Disclaimer: The views and opinions expressed in this program are those of the Hosts, Guests and Speakers, and do not necessarily reflect the views or positions of any entities they represent (or affiliates, members, managers, employees or partners), or any Station, Podcast Platform, Website or Social Media that this show may air on. All information provided is for educational and entertainment purposes. Nothing said on this program should be considered advice or recommendations in: business, legal, real estate, crypto, tax accounting, investment, etc. Always seek the advice of a professional in all business ventures, including but not limited to: investments, tax, loans, legal, accounting, real estate, crypto, contracts, sales, marketing, other business arrangements, etc.  

A new House bill would require many Medicaid recipients to log 80 hours of work each month or risk losing coverage. Supporters say it promotes self-sufficiency, but critics warn the paperwork alone could drop thousands from the rolls. Experts say that even expansion states like New York, where about one in three residents depends on Medicaid, could see enrollment slip. To help unpack it all, I spoke to Sarah Miller. Sarah is an associate professor of Business Economics and Public Policy at the University of Michigan’s Ross School of Business. Her studies have traced Medicaid’s ripple effects from reduced medical debt all the way to measurable drops in mortality, offering clear evidence that coverage saves both wallets and lives. Today, we talk about what happens when states expand (or slash) Medicaid, why seemingly small paperwork burdens can shut out eligible patients, and how work-requirement rules could reverberate across other safety-net programs. See omnystudio.com/listener for privacy information.

Covered California is leading the way in making healthcare more accessible and equitable. Under the leadership of Executive Director Jessica Altman, the state's health insurance marketplace has reached nearly 2 million enrollees, setting new records for affordable health coverage in California. In this episode, Jessica dives into how Covered California's innovative outreach, tailored language support, and affordability programs are closing the coverage gap, especially for freelancers, gig workers, and families who often fall through the cracks. Jessica draws on her roots in healthcare policy, shaped by family and her work at the US Department of Health and Human Services, to explain why insurance is so complex and how California's unique blend of state and federal policy makes a real-world difference. We discuss why the “last mile” to coverage is often the hardest, how creative partnerships with community organizations break down language and cultural barriers, and why affordability remains the foundation of any successful health insurance system. This episode also tackles the impact of the Affordable Care Act, the pros and cons of state vs. federal insurance regulation, and what other states can learn from California's investments in outreach, Medi-Cal expansion, and targeted subsidies. Jessica shares real examples of how public opinion around coverage is shifting as families experience the benefits firsthand, and why Covered California's commitment to customer service is rebuilding trust in a system long seen as confusing and impersonal. Join us for this compelling conversation hosted by Christine Winoto of the UCSF Rosenman Institute. Do you have thoughts on this episode or ideas for future guests? We'd love to hear from you. Email us at hello@rosenmaninstitute.org.  

Chris Hamilton is a finance expert with 15 years of experience, on a mission to expose how the healthcare system is stealing from the middle class. Chris uncovered a harsh reality: insurance brokers and companies have zero incentive to lower your costs. Brokers even make commissions on rising premiums, sometimes earning bonuses for keeping prices high. The Affordable Care Act, rather than boosting competition, turned healthcare into big business. What was once a market of 12-13 insurance companies has now consolidated to just 4 major players, dominating the industry. With fewer choices and rising costs, the average family is paying $24k in premiums annually, plus another $5-6k out of pocket—all while the healthcare giants profit. That money, which should be building the American dream—going toward college savings, a home, or retirement—is being swallowed by a broken healthcare system. For the middle class, these rising costs are an invisible thief, robbing families of financial security. Hotchkiss Insurance: https://hotchkissinsurance.com/ Today's Sponsors: Black Rifle Coffee: https://blackriflecoffee.com Truewerk: Check out the full lineup and get 15 percent off your first order at https://TRUEWERK.com/clearedhot.  

THIS WEEK ON CODE WACK! As federal officials carry out large-scale, military-style raids and widespread arrests of undocumented immigrants, another fight is quietly brewing — one that could push thousands of people off their health insurance. More than half a million young people who were brought to the U.S. as children and grew up here could soon lose eligibility for affordable and subsidized health coverage.  A new rule proposed by the Trump Administration would once again block DACA recipients from buying Marketplace insurance or receiving financial assistance. What would this mean for their health, their communities and the widening gap in health and economic equity? To find out, we spoke with Kristin McGuire, Executive Director of Young Invincibles — the nation's largest young adult policy and advocacy organization — where she leads the charge to amplify the voices of young adults in the political process. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation.   

If you're planning to retire before you're eligible for Medicare at age 65, one of the biggest questions you'll face is: What do I do about health insurance? In this episode of The Wise Money Show, we break down your options—including COBRA, Healthcare.gov plans, and health-sharing networks. We'll walk through: - The pros and cons of COBRA - How the Affordable Care Act (ACA) can offer major tax credits - Why income planning is critical for avoiding healthcare surprises - What to know about health insurance ministries and coverage gaps - Common health insurance mistakes early retirees make—and how to avoid them   Season 10, Episode 43 Download our FREE 5-Factor Retirement guide: https://wisemoneyguides.com/    Schedule a meeting with one of our CERTIFIED FINANCIAL PLANNERS™: https://www.korhorn.com/contact-korhorn-financial-advisors/ or call 574-247-5898.   Subscribe on YouTube: http://www.youtube.com/c/WiseMoneyShow Listen on podcast: https://link.chtbl.com/WiseMoney  Watch this episode on YouTube: https://youtu.be/p8tG5yG_9n8  Submit a question for the show: https://www.korhorn.com/ask-a-question/   Read the Wise Money Blog: https://www.korhorn.com/wise-money-blog/    Connect with us: Facebook - https://www.facebook.com/WiseMoneyShow  Instagram - https://www.instagram.com/wisemoneyshow/    Kevin Korhorn, CFP® offers securities through Silver Oak Securities, Inc., Member FINRA/SIPC. Kevin offers advisory services through KFG Wealth Management, LLC dba Korhorn Financial Group. KFG Wealth Management, LLC dba Korhorn Financial Group and Silver Oak Securities, Inc. are not affiliated. Mike Bernard, CFP® and Joshua Gregory, CFP® offer advisory services through KFG Wealth Management, LLC dba Korhorn Financial Group. This information is for general financial education and is not intended to provide specific investment advice or recommendations. All investing and investment strategies involve risk, including the potential loss of principal. Asset allocation & diversification do not ensure a profit or prevent a loss in a declining market. Past performance is not a guarantee of future results. Certified Financial Planner Board of Standards Center for Financial Planning, Inc. owns and licenses the certification marks CFP®, CERTIFIED FINANCIAL PLANNER™ and CFP® (with plaque design) in the United States to Certified Financial Planner Board of Standards, Inc., which authorizes individuals who successfully complete the organization's initial and ongoing certification requirements to use the certification marks.

In this episode of Main Street Matters, Elaine Parker and Dr. Chad Savage discuss the transformative potential of Direct Primary Care (DPC) in the U.S. healthcare system. They explore how DPC empowers patients by removing insurance intermediaries, allowing for more personalized and cost-effective care. The conversation delves into the challenges posed by the current healthcare system, including the bureaucratic complexities introduced by the Affordable Care Act (Obamacare), and emphasizes the need for a free market approach to healthcare. Dr. Savage shares insights on how DPC can lead to better health outcomes and patient satisfaction, advocating for a shift in consumer mindset towards healthcare. Learn more about Dr. Chad Savage HERE | https://bit.ly/4e3y7ldSee omnystudio.com/listener for privacy information.

Fields questions about Social Security, military parade Rep. Mike Lawler, whose district includes Philipstown, held a town hall on June 8 at Mahopac High School, the third in a series of four he has promised constituents. After being introduced by Kevin Byrne, the Putnam County executive, Lawler spent two hours fielding questions about the One Big Beautiful Bill Act, which passed the U.S. House, 215-214, with Lawler's support and is being amended by the Senate. In addition to tax cuts and an increase to the cap on deductions for state and local taxes, the legislation contains changes to programs like Medicaid and food stamps that are expected to lead to a loss of benefits for some enrollees. Lawler also fielded questions about Social Security, cuts to foreign aid and the estimated $45 million price tag for a military parade being held in Washington, D.C., on Saturday (June 14), which is President Donald Trump's birthday. Below are some of Lawler's statements and a review of statistics he cited. "We [New York] spend 83 percent more on Medicaid than the average of the other 49 states." According to data from KFF (formerly the Kaiser Family Foundation), Medicaid spending in New York totaled just under $98 billion in 2023, second only to California. The spending was 83.77 percent more than the average for the other 49 states. However, the average does not account for each state's population. Wyoming, for example, has 588,000 residents, compared to 20 million in New York. It also means using costs in states that, unlike New York, opted out of a provision in the Affordable Care Act to expand Medicaid so that more people qualify; the federal government pays 90 percent of the additional cost. Alternative methods to measure Medicaid spending among the states include per-capita or per-enrollee. According to the Centers for Medicare and Medicaid Services, New York ranked fourth in per-capita Medicaid spending in 2022 ($11,203), behind North Dakota, Minnesota and Pennsylvania. The national average was $8,919. New York placed third among states in Medicaid spending per enrollee in 2021 ($9,688), according to KFF. Virginia and Minnesota had the highest per-enrollee spending. "If [the Tax Cut and Jobs Act] expired, it would have been about a $4,000 increase in taxes on the average family in our district." The Tax Cut and Jobs Act, passed in 2017 during the first Trump administration, expires this year. If it is not extended by Congress, taxes will increase in the 17th Congressional District, on average, by $3,530, according to the Tax Foundation, a think tank founded in 1937 that analyzes tax policy. Drilling down to specific income levels with a calculator created by the Tax Foundation (dub.sh/tax-calculator), annual taxes would increase by $933 for a single person without dependents who earns $50,000 annually, and by $2,622 for an individual earning $100,000. Taxes would increase by $5,091 annually for a married couple with two children and a household income of $150,000; the same couple earning $250,000 would owe $9,320 more. Those scenarios omit 401(k) contributions and other deductions, but the calculator can adjust for those, as well as other household sizes. "There are over 3 million people in this country who are able-bodied adults, without dependents, who refuse to work." Lawler is referring to Medicaid coverage. A provision in the House's version of the One Big Beautiful Bill requires that able-bodied recipients between ages 19 and 64 who don't have dependents work at least 80 hours monthly or be participating in a "qualifying activity," such as job training. The work requirement would increase the ranks of the uninsured by 4.8 million people by 2034, according to the Congressional Budget Office. Although the CBO did not specify why people would lose coverage, Republicans have equated the figure with people who chose not to work. According to the KFF, 64 percent of the 26.1 million adults between ages 19 and 64 receiving Medic...

About This Episode  In this episode of The Future of Work® Podcast, we welcome expert Robert E. Andrews, CEO of the Health Transformation Alliance (HTA), former U.S. Congressman, and co-author of the Affordable Care Act. Robert shares hard-won insights from his leadership of a coalition of 70+ major corporations with over $40 billion in healthcare spend. Together with host Frank Cottle, they tackle why employer-sponsored healthcare must evolve to support distributed teams, how to balance cost containment with personalization, and why empathy, listening, and trust are essential for retention in today's workplace. From AI-assisted diagnosis to mental health gaps, this conversation unpacks bold strategies to fix healthcare and future-proof your workforce. 

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Jeff Byers welcomes Katie Keith of Georgetown Law back to the pod to discuss the House Republican budget reconciliation legislation and what impacts this legislation could have on the Affordable Care Act market, Medicaid beneficiaries, health savings accounts, Medicare, and more.Become an Insider today to get access to exclusive events, our recent trend report on AI in health care, and monthly newsletters from authors such as Stacie Dusetzina, David Simon, Laura Tollen, and others.Related Articles:The House Republican Budget Reconciliation Legislation: Unpacking The ICHRA And HSA Changes (Health Affairs Forefront)Health Policy At A CrossroadsTrump tax bill will add $2.4 trillion to the deficit and leave 10.9 million more uninsured, CBO says (AP News)Expansions to Health Savings Accounts in House Budget Reconciliation: Unpacking the Provisions and Costs to Taxpayers (KFF) Subscribe to UnitedHealthcare's Community & State newsletter.

The House's gigantic tax-and-spending budget reconciliation bill has landed with a thud in the Senate, where lawmakers are divided in their criticism over whether it increases the deficit too much or cuts Medicaid and the Affordable Care Act too deeply. Meanwhile, the Congressional Budget Office's estimate that the bill, if enacted, could increase the ranks of the uninsured by nearly 11 million people over a decade won't make it an easy sell.Alice Miranda Ollstein of Politico, Jessie Hellmann of CQ Roll Call, and Lauren Weber of The Washington Post join KFF Health News' Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News' Arielle Zionts, who reported and wrote the latest “Bill of the Month” feature, about a Medicaid patient who had an out-of-state emergency.Visit our website for a transcript of this episode.Plus, for “extra credit,” the panelists suggest health policy stories they read (or wrote) this week that they think you should read, too: Julie Rovner: KFF Health News' “Native Americans Hurt by Federal Health Cuts, Despite RFK Jr.'s Promises of Protection,” by Katheryn Houghton, Jazmin Orozco Rodriguez, and Arielle Zionts.Alice Miranda Ollstein: Politico's “‘They're the Backbone': Trump's Targeting of Legal Immigrants Threatens Health Sector,” by Alice Miranda Ollstein.Lauren Weber: The New York Times' “Take the Quiz: Could You Manage as a Poor American?” by Emily Badger and Margot Sanger-Katz.Jessie Hellmann: The New York Times' “A DNA Technique Is Finding Women Who Left Their Babies for Dead,” by Isabelle Taft. Hosted on Acast. See acast.com/privacy for more information.

On this episode, The Washington Post's Libby Casey, Rhonda Colvin and James Hohmann break down some of the most controversial provisions in Republicans' giant spending and immigration bill: Provisions that would affect Medicare and the Affordable Care Act.While the bill has already passed the GOP-controlled House, it might have a tougher time getting through the Senate, where some Republican senators have already expressed doubts – like Sen. Josh Hawley (R-Ark.), who has said it is “wrong to cut Medicaid for the working poor.”Plus, Sen. Joni Ernst (R-Iowa) told a town hall last week that "we all are going to die," then doubled down in an Instagram video on Saturday. Is that a politically risky move – or just what Trump would do?

In this episode of Troutman Pepper Locke's Employee Benefits and Executive Compensation podcast, hosts Lydia Parker and Lynne Wakefield explore the complex legal landscape surrounding the coverage of GLP-1s prescribed for weight loss purposes within self-insured medical plans. As these medications gain popularity, plan sponsors face the challenge of controlling costs while meeting participant demand and maintaining legal compliance. The discussion covers various design alternatives, including cost-sharing strategies, waiting periods, and wellness program rewards, while addressing potential legal risks under HIPAA, the Affordable Care Act, and the Americans with Disabilities Act. Tune in to explore how plan sponsors can navigate these issues effectively as a means to attract and retain employees, while mitigating financial exposure.

Jasmine Crockett paraphrased Sen. Joni Ernst as saying she helped dig the graves of her constituents. Red States have already killed many by not accepting the Medicaid expansion under the Affordable Care Act.Subscribe to our Newsletter:https://politicsdoneright.com/newsletterPurchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make AmericaUtopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And BeFit Now: https://amzn.to/3xiQK3K Tribulations of anAfro-Latino Caribbean man: https://amzn.to/4c09rbE

Sky-high insurance premiums. Surprise medical bills. Drug prices that keep going up. Why does healthcare in America cost so much — and how did we end up here? Dr. Cedric Jamie Rutland, a critical care physician and BuzzRx Medical Advisor, joins Mosheh for a wide-ranging conversation that breaks down the real reasons healthcare is so expensive in the U.S. They explore how pharmacy benefit managers quietly shape what you pay, the unintended consequences of the Affordable Care Act, and why insurance coverage often feels arbitrary. Then, a deep dive into GLP-1 drugs like Ozempic and Wegovy: how they work, what they actually do to your body, and whether they're the future of weight loss and preventative care. Dr. Rutland also shares why having insurance — even if you're healthy — still matters more than many realize. BuzzRx, a prescription drug discount card and app service, saves users hundreds of dollars each month and has partnered with Mo News for a series focused on America's health and the prescription drug industry. Mo News Special: BuzzRx is offering the Mo News community up to $5 off your first prescription fill at BuzzRx.com/MoNews

Sky-high insurance premiums. Surprise medical bills. Drug prices that keep going up. Why does healthcare in America cost so much — and how did we end up here? Dr. Cedric Jamie Rutland, a critical care physician and BuzzRx Medical Advisor, joins Mosheh for a wide-ranging conversation that breaks down the real reasons healthcare is so expensive in the U.S. They explore how pharmacy benefit managers quietly shape what you pay, the unintended consequences of the Affordable Care Act, and why insurance coverage often feels arbitrary. Then, a deep dive into GLP-1 drugs like Ozempic and Wegovy: how they work, what they actually do to your body, and whether they're the future of weight loss and preventative care. Dr. Rutland also shares why having insurance — even if you're healthy — still matters more than many realize. BuzzRx, a prescription drug discount card and app service, saves users hundreds of dollars each month and has partnered with Mo News for a series focused on America's health and the prescription drug industry. Mo News Special: BuzzRx is offering the Mo News community up to $5 off your first prescription fill at BuzzRx.com/MoNews

In the first episode of a special daily series during the 2025 ASCO Annual Meeting, Dr. John Sweetenham discusses the results of 2 studies on the treatment of advanced colorectal cancer plus an additional study exploring the association of Medicaid expansion with cancer survival outcomes. Transcript Dr. John Sweetenham: Hello, and welcome to our special coverage of the 2025 ASCO Annual Meeting on the ASCO Daily News Podcast. I'm your host, Dr. John Sweetenham, and I'll be bringing you brief analysis on selected abstracts from each day of the Meeting. My disclosures are available in the transcript of this episode.  Today, I'll be reviewing three abstracts, the first two of which address the treatment of advanced colorectal cancer. Today's first study is Abstract 3501. These data were presented by Dr. Heinz-Josef Lenz from the USC Norris Comprehensive Cancer Center and report on the expanded analysis of the CheckMate-8HW trial. This was a phase 3, international, multicenter trial in patients with MSI-high/MMR-deficient metastatic colorectal cancer, who were randomized between nivolumab (nivo) alone, nivolumab plus ipilumomab (ipi) or investigators' choice of chemotherapy (FOLFOX or FOLFIRI) with or without bevacizumab or cetuximab. The study showed that nivo plus ipi demonstrated superior progression-free survival compared with chemotherapy in the first-line setting and superior progression-free survival compared with nivo alone across all lines of therapy. These results led to the approval of nivo + ipi in the first-line setting in patients with MSI-H/dMMR mCRC in the U.S., the EU, and many other countries.  In today's presentation, Dr. Lenz reported on the expanded analyses of nivo plus ipi versus nivo across all lines of therapy and longer follow-up results for nivo and ipi versus chemo in the first-line setting. With longer follow up (the median is now at 47 months) nivo and ipi continued to show progression-free survival benefit compared with chemotherapy with a median PFS of 54.1 months versus 5.9 months, for a hazard ratio of 0.21.  Additionally, the analysis of the effects on PFS2, defined as the time from randomization to progression after subsequent systemic therapy, start of second subsequent systemic therapy, or death, showed that compared with chemotherapy, first-line nivo and ipi was associated with a 72% reduction in the risk of death or disease progression, despite the fact that 71% of those who progressed following chemotherapy crossed over to receive subsequent immunotherapy. The study also showed that across all lines, nivo and ipi demonstrated superior progression-free survival compared with nivo alone, the median not reached versus 39.3 months, for a hazard ratio of 0.62. No new toxicity signals emerged after further analysis. Most treatment-related adverse events with possible immune etiology were observed within the first six months of therapy. The results for PFS2 are particularly significant. Up to now, there has been some reluctance to use nivo and ipi as first-line therapy, partly because of its toxicity profile and based on the rationale that it would be active after other frontline therapies. The observation in this study that the beneficial effects of nivo and ipi are maintained downstream is compelling. The results suggest that delaying the use of this combination to the second line or later may compromise subsequent PFS and supports the use of nivo and ipi as a standard-of-care frontline option for MSI-H/dMMR metastatic colorectal cancer. Moving on, the next study I'm featuring today is Abstract 3503, presented by Dr. Jeanne Tie from the Peter MacCallum Cancer Centre and the Walter and Eliza Hall Medical Institute of Medical Research from Melbourne, Australia. This study reported the impact of circulating tumor DNA (ctDNA)-guided adjuvant chemotherapy escalation in stage III colon cancer, focused on the primary analysis of the ctDNA-positive cohort from the randomized DYNAMIC-III trial. As background, about 30% of patients with stage III colon cancer will recur following standard-of-care adjuvant therapy with oxaliplatin-based regimens. And current data show that for those patients with high-risk disease, 6 months of chemotherapy is associated with a lower recurrence rate than 3 months. Circulating tumor DNA following initial surgery has been shown to be a strong independent prognostic factor for these patients, but questions remain about how ctDNA can be used for adaptation of treatment. Questions regarding treatment adaptation were addressed in the DYNAMIC-III trials – specifically, does treatment escalation benefit those who are ctDNA positive following surgery, and can therapy be de-escalated for those who are ctDNA negative. The first of these 2 questions – treatment escalation in the positive group – is the subject of this report. One thousand and two patients were randomized in this study, between ctDNA-informed therapy (502) or standard management (500). Of those patients included in the intent to treat cohorts, 129 were ctDNA positive in the ctDNA-informed arm compared with 130 in the standard management arm. Various pre-planned treatment escalation protocols were used, depending on the choice of first-line therapy. With a median follow up of 42.2 months, there was no difference in 3-year relapse free survival between the ctDNA informed group (48%) and the standard management group (52%). There was, however, a highly significant difference in relapse-free survival for patients who cleared ctDNA by the end of treatment compared with those who didn't. The authors concluded that the recurrence risk for this group remains high, at about 50%, after adjuvant therapy and that it increases with higher ctDNA burden, but treatment escalation didn't appear to reduce the recurrence risk. Clearance of ctDNA was associated with a favorable outcome, suggesting that as more effective treatments are developed in the future for this group, ctDNA will likely prove to have major utility. Changing gears now, my final selection for today is Abstract 11006, presented by Dr. Elizabeth Shafer from the American Cancer Society. This study explored the association of Medicaid expansion with 5-year survival after a cancer diagnosis.  Dr. Schafer began her presentation by providing some historical perspective on the impact of the Affordable Care Act on reducing the number of uninsured adults aged less than 65 years in the United States. She then reviewed some recent data on the impact of Medicaid expansion on cancer care, including improved screening rates, improved access to cancer surgery, and an increase in earlier cancer diagnosis. The current study builds on earlier data from the American Cancer Society which showed improved 2-year overall survival for patients with newly diagnosed cancer following Medicaid expansion. The new study reported by Dr. Schafer examined 5-year cause-specific survival in individuals with cancer since Medicaid expansion, analyzed according to cancer type and various demographic and social factors. Using data from more than 813,000 individuals from 26 states that expanded Medicaid compared with more than 610,000 from 12 states that did not, the authors reported that similar improvements in 5-year cause-specific survival were observed in the expansion and the non-expansion states, but when analyzed by other factors, differences in outcome emerged. For example, although similar improvements in survival between expansion and non-expansion states were seen in urban communities, there was a significant improvement of 2.55 percentage points in survival for individuals in rural communities in expansion states compared with those in non-expansion states. Similar trends were observed in high poverty areas, where improvements in survival were superior in expansion versus non-expansion states.  When examined by cancer type, the authors observed greater improvements in 5-year survival for those with pancreatic, lung, and colorectal cancer, possibly due to improvements in screening and early access to treatment.  The authors concluded that those residing in rural and high-poverty areas experienced the most improvement in cause-specific cancer survival following Medicaid expansion. In summary, it's encouraging to see an improving trend in cancer mortality overall, independent of Medicaid expansion, but it's also important to remember that this is yet another study which confirms how implementation of the ACA has improved cancer outcomes and begun to address some of the disparities in cancer care. Join me again tomorrow to hear more top takeaways from ASCO25. And if you value the insights that you hear on the ASCO Daily News Podcast, please remember to rate, review, and subscribe wherever you get your podcasts.   Disclaimer:   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity or therapy should not be construed as an ASCO endorsement.     Find out more about today's speaker:  Dr. John Sweetenham    Follow ASCO on social media:  @ASCO on Twitter  @ASCO on Bluesky  ASCO on Facebook  ASCO on LinkedIn        Disclosures:  Dr. John Sweetenham:  No relationships to disclose 

We debrief the historic Capitol Day of Action this Tuesday which called on the Governor to veto any budget that does not meet basic standards. It was organized by Citizen Action Wisconsin in partnership with Wisconsin Public Education Network, and WISDOM; and co-sponsored by: Wisconsin Education Association Council (WEAC), AFT-Wisconsin, WECAN, Progress North, Madison Teachers Inc, Milwaukee Teachers Education Association, Green Bay Education Association, Kenosha Education Association, Racine Education Association, and Wisconsin Democracy Campaign. 200 citizen-lobbyists met with their legislators, attended a media event with all the partner organizations, who then marched to Governor Tony Evers' office with a jointly signed letter encouraging the Governor to veto any budget from the Legislature that fails to properly fund public schools, expand BadgerCare, fund childcare, and close Green Bay Correctional and builds no new prisons. We review multi-millionaire Ron Johnson's abandonment of Wisconsin's working families by demanding even deeper cuts to Medicaid and food assistance to pay for tax cuts for the wealthy. In addition, this week Johnson declared that Milwaukee Public Schools should get no help from the federal government for cleaning up lead that is poisoning our children. Johnson also rejected science and life-saving measles vaccine requirements for children. Derrick Van Orden emerged again from his bunker and started lying about his broken promise not to cut Medicaid. The Congressional Budget Office is clear that 13.6 million Americans will lose health coverage due to cuts to Medicaid and the Affordable Care Act in the House Budget Bill, with 11,000 in Van Orden's district losing Medicaid because of his vote. We encourage listeners to call or visit his office and remind him he broke his promise to voters and now he is lying. We welcome the President of SEIU Wisconsin Healthcare, Pat Raes, to discuss the historic 5 day strike at Meriter Hospital in Madison launched by nurses this week. Pat is a 35 year veteran of the hospital and tells us about why they are striking and how you can support their effort to protect the safety of their patients by fighting the corporatization of healthcare which puts profits over care.

Learn how the Affordable Care Act's sledgehammer and tack hammer penalties can impact your business, what triggers them, and actionable steps you can take to avoid costly fines and stay compliant.Find us at https://www.bernieportal.com/hr-party-of-one/BerniePortal: The all-in-one HRIS that makes building a business & managing its people easy. http://bit.ly/2NEQ5QbWhat is an HRIS?https://www.bernieportal.com/hris/BernieU: Your free one-stop shop for compelling, convenient, and comprehensive HR training and courses that will keep you up-to-date on all things human resources. Approved for SHRM & HRCI recertification credit hours. Enroll today!https://www.bernieportal.com/bernieu/Join the HR Party of One Community!https://hubs.ly/Q02mNML90▬ Episode Resources & Links ▬▬▬▬▬▬▬▬▬▬Resources: 1095-C Cheat Sheethttps://www.bernieportal.com/1095-c-cheat-sheet-2/Understanding ACA Safe Harbor Codeshttps://blog.bernieportal.com/understanding-aca-safe-harbor-codesFree BernieU Course: Intro to Forms 1094-C and 1095-Chttps://www.bernieportal.com/intro-to-forms-1094-c-and-1095-c-2024/Q2 HR Checklisthttps://www.bernieportal.com/q2-hr-checklist/2025 HR Calendarhttps://www.bernieportal.com/hr-calendar/HR Scorecardhttps://www.bernieportal.com/hr-scorecard-identify-compliance-risks/▬ Social Media ▬▬▬▬▬▬▬▬▬▬▬► LinkedIn: https://www.linkedin.com/company/bernieportal▬ Podcast▬▬▬▬▬▬▬▬▬▬▬▬► Apple Podcasts: https://podcasts.apple.com/us/podcast/hr-party-of-one/id1495233115► Spotify: https://open.spotify.com/show/5ViQkKdatT40DPLJkY2pgA► Amazon Music: https://music.amazon.com/podcasts/1874beb8-2a68-4310-8816-e704e6850995/HR-Party-of-One► iHeartRadio: https://www.iheart.com/podcast/269-hr-party-of-one-57127074/#► Pocket Casts: https://pca.st/o6e2auqq►RSS: https://feeds.captivate.fm/hrpartyofone/ ► Other: https://hrpartyofone.captivate.fm/listen#HR, #HumanResources, #HRTips, #HumanResourcesTips, #SmallBusiness, #HRPartyOfOne

Subscribe to UnitedHealthcare's Community & State newsletter.On May 13, A Health Podyssey's Rob Lott chatted with Andrew Ryan of Brown University about his paper in the May 2025 edition of Health Affairs that explores how Rhode Island's affordability standards impacted hospital prices and insurance premiums. Order the May 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone. Subscribe to UnitedHealthcare's Community & State newsletter.

Charles Rangel, the decorated war veteran and Harlem lawmaker who helped shape U.S. policy for more than four decades, has died at 94. Rangel broke barriers as the first Black chair of the House Ways and Means Committee and co-founded the Congressional Black Caucus. His work lives on in major legislation like the Affordable Care Act and the Rangel Amendment. Subscribe to our newsletter to stay informed with the latest news from a leading Black-owned & controlled media company: https://aurn.com/newsletter Learn more about your ad choices. Visit megaphone.fm/adchoices

Every five minutes, someone somewhere in the world is diagnosed with MS. But getting that diagnosis can be challenging. And the evidence is clear that early intervention makes a difference. The sooner someone can begin a disease-modifying therapy, the better their outcome is going to be. World MS Day is May 30th, and this year, World MS Day is focused on eliminating the obstacles that get in the way of a timely and accurate diagnosis.    I thought World MS Day would be the perfect time to invite Meredith O'Brien to join me to discuss her new book, Uncomfortably Numb 2: An Anthology for Newly-Diagnosed MS Patients. We'll also explain how the drastic cuts to Medicaid funding that were approved by the U.S. House of Representatives will affect hundreds of thousands of people with MS, and how the additional changes made to the Affordable Care Act will leave millions of Americans without health insurance. We're sharing the results of a study that may have identified how B-cells infected by the Epstein-Barr Virus migrate into the brain. And we'll explain why that could be the activity that triggers MS. We'll tell you about a study that makes the case for treating pediatric MS with Ocrevus. And we'll share the results of a study that discovered an association between inflammation-causing molecules and frailty among people with relapsing forms of MS. We have a lot to talk about! Are you ready for RealTalk MS??! This Week: World MS Day   :22 U.S. House of Representatives Vote to Gut Healthcare in America  2:29 Get involved! Become an MS Activist today!  3:38 A research team has demonstrated how EBV-infected B-cells migrate to the brain  4:28 Researchers demonstrate the efficacy of Ocrevus in treating pediatric MS  7:13 Researchers show an association between frailty and an inflammatory molecule  8:57 Meredith O'Brien discusses her new book, Uncomfortably Numb 2: An Anthology for Newly-Diagnosed MS Patients  11:05 Share this episode  24:51 Have you downloaded the free RealTalk MS app?  25:12 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/404 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com Become an MS Activist Web: https://nationalmssociety.org/advocacy World MS Day https://worldmsday.org Uncomfortably Numb 2: An Anthology for Newly-Diagnosed MS Patients https://amazon.com/Uncomfortably-Numb-Anthology-Newly-Diagnosed-Patients/dp/1954332580/ref=sr_1_1 STUDY: Epstein-Barr Virus Induces Aberrant B Cell Migration and Diapedesis Via FAK-Dependent Chemotaxis Pathways https://nature.com/articles/s41467-025-59813-z STUDY: Ocrelizumab for Relapsing Pediatric Multiple Sclerosis https://sciencedirect.com/science/article/abs/pii/s2211034825002810 STUDY: Association Between Frailty and Inflammatory Cytokines in Patients with Multiple Sclerosis: A Case-Control Study https://sciencedirect.com/science/article/abs/pii/s1043466625000924 Join the RealTalk MS Facebook Group https://facebook.com/groups/realtalkms Download the RealTalk MS App for iOS Devices https://itunes.apple.com/us/app/realtalk-ms/id1436917200 Download the RealTalk MS App for Android Deviceshttps://play.google.com/store/apps/details?id=tv.wizzard.android.realtalk Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 404 Guest: Meredith O'Brien Privacy Policy

A conversation with Charles Gaba“We need to find a way to make improvements to the system without hurting people in the process.”In our second collaborative episode with Doctors For America, Dr. Fethke is joined by healthcare policy and data analyst Charles Gaba. His work highlighting the numbers surrounding the Affordable Care Act (ACA) has been influential, with citations by major publications like The Washington Post, Forbes and The New York Times and by policymakers in Congress.He's here today to give us an overview of the ACA, from past, to present, to future - uncovering data that speaks to the state of our healthcare system.—We spoke about how his data analysis of the ACA developed and how it is helping to influence policy, how he uses data to tell the stories of real people, why healthcare reform is like a game of Jenga, and why we need to all use our voices to speak up and fight for change.https://acasignups.net/ Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com. My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4

John and Jonathan unpack the narrow House passage of Trump's “One Big Beautiful Bill” and its sweeping pro-life provisions—especially the 10-year defunding of Planned Parenthood. They reflect on legislative history, the power of reconciliation, and ponder its chances in the Senate. Plus: a bizarre bombing at a California IVF clinic opens a deeper conversation on the ethics of IVF and what Trump's upcoming executive order could mean for the future of life policy.

After an unusual all-night session, the House narrowly passed a budget reconciliation bill, including billions of dollars in tax cuts for the wealthy, along with billions of dollars in spending cuts to Medicaid, the Affordable Care Act, and the food stamp program. But the Senate is expected to make major changes to the measure before it can go to President Trump for his signature.Meanwhile, the Department of Health and Human Services has made some significant changes affecting the availability of covid-19 vaccines.Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News' Julie Rovner to discuss these stories and more.Also this week, Rovner interviews University of California-Davis School of Law professor and abortion historian Mary Ziegler about her new book on the past and future of the “personhood” movement aimed at granting legal rights to fetuses and embryos.Visit our website for a transcript of this episode.Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too:Julie Rovner: The Washington Post's “White House Officials Wanted To Put Federal Workers ‘in Trauma.' It's Working,” by William Wan and Hannah Natanson.Alice Miranda Ollstein: NPR's “Diseases Are Spreading. The CDC Isn't Warning the Public Like It Was Months Ago,” by Chiara Eisner.Anna Edney: Bloomberg News' “The Potential Cancer, Health Risks Lurking in One Popular OTC Drug,” by Anna Edney.Sarah Karlin-Smith: The Farmingdale Observer's “Scientists Have Been Studying Remote Work for Four Years and Have Reached a Very Clear Conclusion: ‘Working From Home Makes Us Happier,'” by Bob Rubila. Hosted on Acast. See acast.com/privacy for more information.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Rob Lott interviews Thomas Buchmueller of the University of Michigan to discuss his recent paper that explores how during the Medicaid 'Unwinding' of 2023, the reduction in Medicaid-paid prescriptions was offset by increased commercial coverage.Order the May 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

5/22 Update: The House early Thursday narrowly passed the One Big Beautiful Bill Act, a budget bill that includes a number of healthcare provisions that could have a significant impact on Medicaid, Medicare, and the Affordable Care Act. It has been over 100 days since President Donald Trump began his second term. During that time, Radio Advisory has received a steady stream of questions from leaders seeking guidance in an uncertain policy and business environment. With looming funding cuts, the restructure of HHS, the arrival of DOGE and MAHA, and more, leaders are grappling with what to focus on, how to respond, and how to engage productively with the federal government. To help answer these questions, Radio Advisory turned to policy experts from both parties to address your questions, acknowledge your anxieties, and highlight shared opportunities. This week, host Rachel (Rae) Woods welcomes Liz Fowler, former director of the Center for Medicare and Medicaid Innovation under the Biden Administration, and Eric Hargan, former Deputy Secretary of the Department of Health and Human Services during the first Trump term. Together, they discuss how to navigate the shifting policies and priorities of the Trump administration's second term. Plus, stay tuned to the end of the episode, where co-host Abby Burns discusses the bill proposed by the House Energy and Commerce Committee that would reduce federal Medicaid spending by more than $600 billion over the next ten years. Links: Tracking the Medicaid Provisions in the 2025 Reconciliation Bill | KFF Ep. 244: What's happened in Washington (so far) and what policy changes we're bracing for Ep. 230: Elections results are in: What healthcare leaders need to know Thousands laid off at HHS: What you need to know Healthcare policy updates Listen to Radio Advisory's Health Policy playlist Subscribe to Advisory Board's Daily Briefing newsletter and get the most important industry news in your inbox – every day. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

In this episode of The Business of Healthcare Podcast, Becky Greenfield, a healthcare attorney and a partner at boutique law firm Wolfe Pincavage, joins host Dan Karnuta for a discussion about the complexities and risks associated with alternative health plans that are not mandated by the Affordable Care Act. Plans like healthcare sharing ministries, limited benefit plans and short-term insurance can appear similar to conventional healthcare insurance but they lack essential consumer protections like coverage for pre-existing conditions, essential health benefits, and balance-billing safeguards. Although these plans are attractive due to their lower costs, they can can result in significant out-of-pocket expenses and limited provider networks. The conversation also highlights the challenges the hospitals face when treating patients with these plans, including confusion over payment responsibilities and financial risk due to underpayment or denials. Karnuta is an associate professor in the Naveen Jindal School of Management's Organizations, Strategy and International Management Area as well as director of its Professional Program in Healthcare Management.

Originally expanded in 2014 under the Kasich administration, Ohio is one of 41 states, including the District of Columbia, that has implemented Medicaid expansion under the Affordable Care Act. However, the addition of trigger language into the current state budget bill would allow Ohio to disenroll from Medicaid expansion if federal assistance for the program drops below 90%. The trigger language comes as congressional Republicans in D.C. consider cutting the federal match for Medicaid expansion.rnrnFor Ohio, it's a move that could strip healthcare access from over 770,000 Ohioans; including about 362,000 in rural Ohio counties.rnrnAdvocates in health equity, maternal and infant vitality, mental health, and more have sounded the alarm on what it means to return to an era before Medicaid expansion. A rollback would also disproportionately impact rural communities and their hospitals, adding to already staggering health disparities.rnrnFeaturing:rnDomonic HopsonrnPresident and CEO, Neighborhood Family PracticernrnBeejadi Mukunda, MDrnVP & Market Chief Medical Officer, Ohio, CareSourcernrnAmy Rohling McGeernPresident, Health Policy Institute of OhiornrnModeratorrnEmily CampbellrnPresident & CEO, The Center for Community Solutions

In this episode of the Power of Zero Show, host David McKnight looks at every possible tax or cost that may result from a Roth conversion. The first tax you'll have to pay when executing a Roth conversion is federal income tax.  Whatever portion of your IRA you convert to Roth is realized as ordinary income and piled right on top of all your other income. David is an advocate for not converting to Roth unless you think your federal tax rate in retirement is likely to be higher than it is today. The second tax you could end up paying when doing a Roth conversion is state tax. The situation will vary depending on where you live – in Alaska, Florida, Nevada, New Hampshire, South Dakota, Tennessee, Texas, Washington, and Wyoming, you don't have to pay state tax, including on Roth conversion. Do you live in Illinois, Iowa, Mississippi, or Pennsylvania? Then, you'll have to pay state tax, but Roth conversions are exempted. If you're thinking about moving to one of these states to avoid paying these taxes, just know that, while they may not charge income tax on Roth conversions, they do make up for it in other ways (sales and property tax, for example). IRMAA – the Income Related Monthly Adjustment Amount – is the third cost you could end up paying when doing a Roth conversion. IRMAA represents an additional charge you could be required to pay on your Medicare Part B and Part D premiums. The next potential tax you could pay as a result of doing a Roth conversion is Social Security taxation. The fifth cost you could incur because of a Roth conversion is NIIT (Net Investment Income Tax) – also known as the Obamacare surtax. NIIT is a 3.8% surtax on the lesser of your net investment income or the amount of your modified adjusted gross income that exceeds the threshold of $200,000 for single filers and $250,000 for married filing jointly. The sixth tax you could potentially pay as a result of doing a Roth conversion is an indirect one and results from the phase out of certain credits or deductions. The list of credits and deductions includes child tax credits, student loan interest deductions, the saver's credit, and education credits. Underpayment penalties is the seventh tax you could potentially pay by doing a Roth conversion. David explains that many people opt to pay taxes on their Roth conversion in the fourth quarter. The problem, however, lies in the fact that when you pay the taxes on your Roth conversion out of cash in the fourth quarter, the IRS expects you to have paid taxes on that Roth conversion evenly throughout the year. The eighth and final tax you could end up paying as a result of doing a Roth conversion applies to those who are getting health insurance through the Affordable Care Act. Does your Roth conversion push you above the subsidy threshold? If so, know that you could have a partial or total loss of subsidies or may have to repay subsidies at tax time. “Think of all of these additional taxes or costs as tradeoffs, not problems or unintended consequences,” says David. For example, you may pay increased Social Security taxation during your Roth conversion period, but will then eliminate Social Security taxation altogether by the time your conversion is complete. If President Trump extends his tax cuts, then the national debt will grow to $62 trillion by 2035. Most experts believe that the only way we can service this massive debt load is to dramatically increase income tax rates. According to a recent Penn Wharton study, if the U.S. doesn't right its fiscal ship by 2040, no combination of raising taxes or reducing spending will prevent the nation's financial collapse. Remember: while it's true that Roth conversions do cause you to pay additional taxes and expenses in the short term, they do dramatically reduce those costs over the balance of your life, once your conversion is complete. Mentioned in this episode: David's national bestselling book: The Guru Gap: How America's Financial Gurus Are Leading You Astray, and How to Get Back on Track DavidMcKnight.com DavidMcKnightBooks.com PowerOfZero.com (free video series) @mcknightandco on Twitter  @davidcmcknight on Instagram David McKnight on YouTube Get David's Tax-free Tool Kit at taxfreetoolkit.com Penn Wharton

What does it take to go from a criminal prosecutor to a pioneer of the “originalism” movement and one of the top constitutional law scholars in America?Randy Barnett is a professor of law at Georgetown University and the director of Georgetown Center for the Constitution. He has written numerous books including, Our Republican Constitution: Securing the Liberty and Sovereignty of We the People, The Original Meaning of the Fourteenth Amendment: Its Letter and Spirit, and most recently a memoir called A Life for Liberty: The Making of an American Originalist. Randy and Greg discuss his journey from private to public law, how he discovered and furthered the originalism movement, and his influential roles in landmark cases such as the 2004 medical marijuana challenge before the U.S. Supreme Court and the 2012 Affordable Care Act challenge. They also delve into the nuances of constitutional law and the structural challenges within legal academia.*unSILOed Podcast is produced by University FM.*Episode Quotes:What motivates justices beyond doctrine19:35: What really motivates these justices, apart from the doctrine, which I think doesn't really motivate them, that means the law is not motivating. And what really motivates them is what I call constitutional principle. They carry within their minds some fundamental constitutional principles. And those principles kind of dictate what they think the right answer is. And at that point, they will start marshaling doctrine on behalf of that. But it isn't merely the policy outcome of the case. That's the difference. For the legal realists, the pure legal realists. It's just, "What outcome do I like?" But for most justices, it's, "What constitutional principles do I hold dear that I want to see vindicated, or do I believe will be undermined if the other side should prevail?" That's a big difference.What is originalism?12:37: Originalism is the view that the meaning of the constitution should remain the same until it is properly changed by amendment.Can contract law theory help you understand constitutional theory better?09:46: Being able to do contract law theory and to be able to do it at all enabled me to do constitutional theory way better than people who have known nothing but constitutional law. And if I can put this more in a vernacular, constitutional law is largely bullshit.The empty concept of activism in legal discourse29:03: The term activism is a completely empty concept. It is more, like what you said earlier, a label to be peeled off and stuck on a decision that you don't like. And it's a sort of process objection, which allows you to avoid having to talk about the merits of the constitutional argument. You say, "Oh, this judge is overstepping their authority. They're engaged in activism," without, and without having to say, "Well, what's wrong with what they said about the constitution?" Or whatever. And so, because it's empty, anybody can hurl it.Show Links:Recommended Resources:“A Consent Theory of Contract” by Randy Barnett Originalism “The Misconceived Quest for Original Understanding” by Ben ZimmerGovernment by Judiciary by Raoul BergerBarry Goldwater Arthur M. Schlesinger, Jr.Federalist Society Guest Profile:Faculty Profile at Georgetown LawProfessional WebsiteHis Work:A Life for Liberty: The Making of an American OriginalistThe Structure of Liberty: Justice and the Rule of LawThe Original Meaning of the Fourteenth Amendment: Its Letter and SpiritRestoring the Lost Constitution: The Presumption of LibertyOur Republican Constitution: Securing the Liberty and Sovereignty of We the People 

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Senior Deputy Editor Rob Lott interviews Caitlin Carroll of the University of Minnesota to discuss her recent paper that explores how rural hospital closures led to an increase in prices for nearby remaining hospitals.Order the May 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

S&P Futures are displaying some weakness this morning. The recent leg higher is due to the reduction in tariffs between the U.S. & China and this morning markets are seeing some profit taking. The CPI report for April is due out this morning before the opening bell. The latest draft of the budget bill is calling for $715b cuts in Medicaid and the Affordable Care Act over 10 years. President Trump is in the Middle East today on a deal making trip. He is expected to announce dozens of business agreement ranging from weapon sales to deals on AI, energy and space. China removed its ban on Boeing airplane deliveries. COIN is being added to the S&P 500 and AMZN announced a delivery deal with FDX. Few important earnings announcements schedule for today. JD release a beat, yet the stock is trading lower. Cisco and CoreWeave are schedule to report on Wednesday.

This is a free preview of a paid episode. To hear more, visit www.politix.fmThey won't come right out and say it this time, the way they did in 2017. But Republicans are still hellbent on repealing the Affordable Care Act—or at least the half of the ACA that expanded Medicaid coverage to millions more poor and disabled Americans.In this episode, Matt and Brian discuss:* What do Republican pronouncements about their aspirational health care cuts actually mean?* Will cuts to a program that benefits millions of Trump supporters, and that basically nobody in industry supports, create disarray among House and Senate Republicans?* How should Democrats and industry stakeholders alike go about clarifying the stakes, so that Republicans might balk?Then, behind the paywall, the ACA meant to expand Medicaid in every state. But the Supreme Court decided it was unconstitutional for the federal government to force states to adopt policy under threat of massive, peripheral spending cuts. Since that's the law of the land, shouldn't Democratic governors err on the side of fighting Trump, rather than capitulating to his extortionate threats? What counts as fair-game cooperation with the Trump administration, and what counts as caving? And do Democrats need to be mindful of the underlying issue, or should they fight everywhere the law's on their side?All that, plus the full Politix archive are available to paid subscribers—just upgrade your subscription and pipe full episodes directly to your favorite podcast app via your own private feed. Further reading:* Matt on not letting the awfulness of the GOP tax-and-Medicaid agenda slip through the cracks.* Brian on why Democratic governors like Gretchen Whitmer should stop Paul Weissing themselves. * Resources to help citizens with Republican representatives effectively oppose Medicaid cuts.

In this episode of the Charity Charge Show we chat with Jared Walker, the founder of Dollar For, to discuss the organization's mission to alleviate medical debt through a comprehensive database of hospital charity care policies.He explains how Dollar Four automates the application process for patients, the challenges of funding through philanthropy, and the importance of partnerships in expanding their reach. The conversation also touches on the legal aspects of medical debt, the potential for new revenue models, and the future vision for the organization.TakeawaysDollar Four created a database of every hospital in the country.The organization eliminated $6.9 million in medical debt in April.Funding is fully through philanthropy, with no earned revenue model.The impact of Dollar Four is measurable and clear to donors.Hospitals are motivated to avoid bad press regarding charity care.Partnerships with other organizations can enhance outreach.There is a significant amount of medical debt within communities.The organization aims to enforce policies that hospitals are required to have.Focus on providing value to the community to attract donors.Future growth plans include raising $20 million over the next four years.About Dollar ForDollar For is a national non-profit organization dedicated to tackling the widespread issue of medical debt in the United States. Recognizing that medical debt is a leading cause of financial hardship and even bankruptcy for millions, they focus on a solution that often goes unnoticed and underutilized: hospital charity care.Their core mission is to make charity care – which nonprofit hospitals are mandated by the Affordable Care Act to provide to lower-income patients – known, easy to access, and fairly applied. Dollar For acts as an advocate for patients, empowering them to navigate the often complex process of applying for financial assistance.They achieve this through a multi-pronged approach:Direct Patient Service: Utilizing technology, Dollar For has developed a system that includes a custom database of hospital policies, a simple eligibility screener, automated application completion, and patient advocates who guide individuals through the process. This direct support has resulted in significant medical debt relief for thousands of patients.Systemic Change Advocacy: Beyond individual cases, Dollar For actively works to hold hospitals accountable and push for broader policy changes. They leverage media attention and their unique understanding of both the written policies and their real-world application to inform policy and advocate for improvements in charity care access. Their efforts have already influenced regulations and hospital practices across several states.In essence, Dollar For bridges the gap between patients struggling with medical bills and the often-obscure avenue of charity care. By simplifying the application process and advocating for systemic improvements, they strive to alleviate the financial burden of medical crises and ensure that a health emergency doesn't lead to financial ruin. Their work has demonstrably reduced stress, improved health outcomes, and enhanced financial stability for the patients they serve. 

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Senior Deputy Editor Rob Lott interviews Eric Topol, Executive Vice President of Scripps Research, on his new book, Super Agers, which provides an evidence-based approach on extending healthy lifespans.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

Kathleen Sebelius has led a career defined by public impact—first as Governor of Kansas and then as U.S. Secretary of Health and Human Services, where she helped steer one of the most significant healthcare reforms in American history. In this episode of Lab Rats to Unicorns, Sebelius unpacks the leadership lessons she's learned across government and health systems, including the rollout of the Affordable Care Act and her efforts to accelerate translational research through federal agencies like the NIH, FDA, and CMS. At a time when NIH funding is under political pressure, Sebelius offers a powerful defense of continued public investment in biomedical science. She argues that undermining NIH not only risks slowing innovation but jeopardizes America's global leadership in medicine, biotechnology, and economic competitiveness. Whether you're a policymaker, entrepreneur, or scientist, this conversation reveals why bipartisan support for public health infrastructure and regulatory expertise is more important than ever—and how real progress depends on collaboration across sectors.

T/W: Discussions of suicide in the last 1/3 of this conversationThe health, rights, and wellbeing of the LGBTQI+ community are under increasingly distressing strain, with a collection of new court cases only cementing the burden. Preston Mitchum, writer, policy analyst, consultant, star of Summer House: Martha's Vineyard, and Senior Fellow with rePROs Fight Back, sits down to talk with us about a host of Supreme Court cases that have broad and damaging implications for the health and rights of the LGBTQI+ community.  Kennedy v. Braidwood Management, Inc. is a SCOTUS case surrounding the Affordable Care Act's requirements for low-cost coverage of preventative services, including pre-exposure prophylaxis (PrEP), which is used by many different populations. This could threaten the affordability of an essential and effective medicinal treatment, pushing the price high enough that PrEP becomes inaccessible to many. Mahmoud v. Taylor revolves around school boards' inclusion of books featuring LGBTQI+ storylines in the school curriculum, citing a violation of religious rights. In addition to the above Supreme Court cases, A leaked budget showed that there would be significant funding cuts and elimination of services for 988— a three-digit number to reach the national suicide and crisis hotline. Preston's work was instrumental in the legislation that developed this number, which passed the House, passed the Senate, and was signed by President Trump in his first term. The line has counselors specifically for high-risk groups, including LGBTQI+ folks. 988 is still available if you need someone to talk to. For more information check outThe Nocturnists: https://thenocturnists.org/Support the showFollow Us on Social: Twitter: @rePROsFightBack Instagram: @reprosfbFacebook: rePROs Fight Back Bluesky: @reprosfightback.bsky.social Email us: jennie@reprosfightback.comRate and Review on Apple PodcastThanks for listening & keep fighting back!

Kate and Leah recap oral arguments in two big cases the Supreme Court heard this week. The first is about LGBTQ+ inclusive reading materials in public schools, and the second is about the Affordable Care Act's mechanism for ensuring preventative care. There are also developments in the Alien Enemies Act litigation, and a devastating, if predictable, executive order targeting the Civil Rights Act. Plus, Emily Amick, of Emily In Your Phone, joins to discuss the rise of the creepy conservative push to get women to have more babies. Hosts' Favorite Things:Leah:SCOTUS conservatives seem eager to increase parents' religious rights in public schools by Chris GeidnerHow Sam Alito Inadvertently Revealed His Own Homophobia From the Bench by Mark Joseph SternDeportation to CECOT: The Constitutional Prohibition on Punishment Without Charge or Trial by Ahilan ArulananthamREVEALED: Elon and Trump's Plans to Mint More Mothers by Emily AmickThese Summer Storms by Sarah MacLeanKate:The Trump Victim I Can't Stop Thinking About by Michelle GoldbergWe Visited Rumeysa Ozturk in Detention. What We Saw Was a Warning to Us All by Sen. Edward J. Markey, Rep. Jim McGovern, and Rep. Ayanna PressleyEmily: Now comes the ‘womanosphere': the anti-feminist media telling women to be thin, fertile and Republican by Anna SilmanEveryone is Lying to You by Jo PiazzaThe Testaments by Margaret AtwoodThe Witch Elm by Tana French Get tickets for STRICT SCRUTINY LIVE – The Bad Decisions Tour 2025! 5/31 – Washington DC6/12 – NYC10/4 – ChicagoLearn more: http://crooked.com/eventsPre-order your copy of Leah's forthcoming book, Lawless: How the Supreme Court Runs on Conservative Grievance, Fringe Theories, and Bad Vibes (out May 13th)Follow us on Instagram, Threads, and Bluesky

When Congress returns from spring break next week, its first order of business will be writing a budget reconciliation bill that's expected to cut taxes but also make deep cuts to Medicaid. But at least some Republicans are concerned about cutting a program that aids so many of their constituents. Also this week, the Supreme Court heard a case that could threaten the availability of no-cost preventive care under the Affordable Care Act. Alice Miranda Ollstein of Politico, Tami Luhby of CNN, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News' Julie Rovner to discuss these breaking stories and more. Also this week, Rovner interviews KFF Health News' Rae Ellen Bichell about her story on how care for transgender minors is changing in Colorado. Plus, for “extra credit” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: MedPage Today's “Medical Journals Get Letters From DOJ,” by Kristina Fiore. Alice Miranda Ollstein: The New York Times' “A Scientist Is Paid to Study Maple Syrup. He's Also Paid to Promote it,” by Will Evans, Ellen Gabler, and Anjali Tsui. Sarah Karlin-Smith: The Tampa Bay Times' “Countering DeSantis, $10M Hope Florida Donation Came From Medicaid, Draft Shows,” by Alexandra Glorioso and Lawrence Mower. Tami Luhby: Stat's “In Ireland, a Global Hub for the Pharma Industry, Trump Tariffs Are a Source of Deep Worry,” by Andrew Joseph. Hosted on Acast. See acast.com/privacy for more information.

Wealth and health are closely intertwined, especially here in the US, where the high cost of healthcare can put significant financial pressure on families. But is there a remedy to these exorbitant expenses that Americans are missing? Stay tuned and we'll show you how to negotiate your medical bills—even if you've reached FIRE! Welcome back to the BiggerPockets Money podcast! Unpredictable healthcare costs keep many would-be retirees tethered to their nine-to-five jobs, but today's guest has a solution. Jared Walker founded Dollar For, a nonprofit organization that has helped erase over $83 million in medical costs for everyday Americans. How? The Affordable Care Act (ACA) requires many healthcare providers to offer a program that discounts costs for patients, so Jared and his team simply use it to negotiate people's medical bills on their behalf. High healthcare costs affect everyone, whether you're facing hardship, trying to reach financial independence, or already retired. In this episode, Jared will share tips anyone can use to minimize their healthcare costs and negotiate their own medical bills! In This Episode We Cover How to negotiate and lower your medical bills (even if you're retired) Saving thousands on healthcare with this Affordable Care Act (ACA) program How to use cash payments as leverage when negotiating medical debt The healthcare “hack” that helps you spot erroneous or exorbitant charges The two best ways to proactively minimize healthcare costs And So Much More! Check out more resources from this show on BiggerPockets.com and https://www.biggerpockets.com/blog/money-633 Interested in learning more about today's sponsors or becoming a BiggerPockets partner yourself? Email advertise@biggerpockets.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Monday on the News Hour, Pope Francis passes away at age 88, leaving behind a legacy of change and a reshaped Catholic Church. The defense secretary faces mounting calls to resign after new reports of his sending attack details on a commercial messaging app. Plus, the Supreme Court hears a challenge to the Affordable Care Act's requirement that private insurers cover preventive care. PBS News is supported by - https://www.pbs.org/newshour/about/funders

The Supreme Court heard the latest challenge to the Affordable Care Act. At issue is the constitutionality of a task force that recommends what preventive care treatments should be covered by private insurance at no cost. It could have impacts on everything from cancer screening to HIV-prevention medicine to counseling for expectant mothers. Amna Nawaz discussed more with Amy Howe of SCOTUSblog. PBS News is supported by - https://www.pbs.org/newshour/about/funders

Elon Musk and DOGE have been taking a chainsaw to the federal government since Trump was re-elected. It could take us generations to fully recover from the damage inflicted by the careless and cruel nature of these cuts. We're joined by American surgeon, author, and public health advocate Atul Gawande to discuss just how devastating these actions are. During the Biden administration, Gawande was a senior official at USAID. He walks us through many of the great works the program did around the world… and the damaging and deadly road that lies ahead now that it's been gutted.We also discuss the state of our healthcare system and the popularity of Medicaid expansion. The Affordable Care Act has improved the lives of millions of Americans, but Donald Trump and the Republicans threatened to take it away from Americans in his first term. Does he dare try again?To hear more from Atul, check out his recent piece in The New Yorker about the chaotic attempt to freeze federal assistance: https://www.newyorker.com/news/the-lede/behind-the-chaotic-attempt-to-freeze-federal-assistanceSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.