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Newt talks with Elle Minarik, from the Paragon Health Institute, about their new report, “The Persistent Obamacare Enrollment Fraud” which details the widespread fraud and improper enrollment in Affordable Care Act (ACA) exchange plans, driven by enhanced federal subsidies, weak verification systems, and misaligned incentives for insurers and intermediaries. Paragon Health Institute’s analysis compares Census data on people with incomes between 100–150% of the federal poverty level to the number of highly subsidized enrollees, estimating that 6.2 million people are enrolled in heavily subsidized plans despite not having incomes in that range. They project about $25 billion per year in improper Obamacare enrollment by 2026, with at least $75 billion over the last three years, and note that in one year alone $40 billion in federal payments went to insurers for “zero-claim” enrollees who never used their coverage. Improper enrollment is highly concentrated in non–Medicaid expansion states, especially Florida and Texas, which together account for 63% of projected improper enrollees in 2026; five states including Florida, Texas, Georgia, South Carolina, and North Carolina account for 78%.See omnystudio.com/listener for privacy information.
Growing health insurance premiums, particularly for plans on the Affordable Care Act marketplace, have been in the headlines as cuts to Medicaid roll out nationwide. But healthcare deductibles are also growing — and with them, the group of Americans who have insurance but can't afford to use it. Also in this episode: The hospitality industry adds jobs in May, a jeweler in California mines his own gold, and we recap the week's economic headlines.Every story has an economic angle. Want some in your inbox? Subscribe to our daily or weekly newsletter.Marketplace is more than a radio show. Check out our original reporting and financial literacy content at marketplace.org — and consider making an investment in our future.
Growing health insurance premiums, particularly for plans on the Affordable Care Act marketplace, have been in the headlines as cuts to Medicaid roll out nationwide. But healthcare deductibles are also growing — and with them, the group of Americans who have insurance but can't afford to use it. Also in this episode: The hospitality industry adds jobs in May, a jeweler in California mines his own gold, and we recap the week's economic headlines.Every story has an economic angle. Want some in your inbox? Subscribe to our daily or weekly newsletter.Marketplace is more than a radio show. Check out our original reporting and financial literacy content at marketplace.org — and consider making an investment in our future.
A major health insurance company is leaving Montana, saying it's no longer profitable to do business in the state. The move will force about 11,000 Montanans to choose different health plans next year. It's part of a nationwide trend.
Send us Fan MailToday, I'm joined by Dr. Ezekiel Emanuel, oncologist, world-renowned bioethicist, health policy expert, and author of the new book Eat Your Ice Cream.Dr. Emanuel is the Vice Provost for Global Initiatives and University Professor at the University of Pennsylvania. He has advised the World Health Organization, helped shape the Affordable Care Act, served on the Biden-Harris COVID Advisory Board, and is the most widely cited bioethicist in history, with more than 350 publications and 16 books to his name.In a culture obsessed with biohacking, anti-aging, and optimizing every aspect of our health, Dr. Emanuel offers a refreshing, and sometimes controversial perspective. He challenges us to think differently about longevity, aging, wellness trends, and what truly creates a meaningful, healthy life.Today we're talking about the difference between living longer and living better, why relationships may matter more than supplements, and how women can navigate midlife health without getting caught up in the endless pursuit of optimization.Follow Dr Emanuel hereWebsiteNewest book: Eat Your Ice Cream! Join Move Daily MembershipFOLLOW ALONG with Move Daily Fitness!Follow on InstagramFollow on FacebookIndemnity** All information provided by Move Daily Fitness and Tracy Steen is of a general nature and is furnished for educational/entertainment purposes only. No information is to be taken as medical or other health advice pertaining to any individual's specific health conditions. Move Daily is not engaged in rendering any medical services. Move Daily makes no guarantee regarding the accuracy, timeliness or relevance of any text, video or audio content. Any content provided is not a diagnosis, treatment plan or recommendation for a particular course of action regarding your health and it is not intended to provide specific medical advice. Do not delay in seeking the advice and diagnosis of a medical professional because of anything you may have read or interpreted from Move Daily Fitness content. Consult your health care professional before participating in or acting on any recommendations found on Move Daily Fitness. You agree, at your exposure, to indemnify and hold Move Daily Fitness and Tracy Steen harmless from any and all losses, liabilities and injuries, or damages resulting from and all claims, cause of action, suits, proceedings and demands against Move Daily Fitness and Tracy Steen, arising from or related to decisions or recommendations you make using Move Daily Fitness content. You agree that use of this information is at your own riskIf you love total body workouts, and are looking to increase muscle, this Total Body Split Calendar (follow along video) is for you! Grab yours here today and get started. The Move Daily Membership is a paid monthly subscription for women, which gives you access to a huge amount of resources to help support you in reaching your health goals. Whether you're looking to lose fat, gain lean muscle, focus on your nutrition, give time to wellness or simply wish to dial in your overall health, we can support you in achieving your objectives. Join today! Shop Legion Supplements and use discount code: MoveDailyThis is an affiliate link.Support the showUse discount code PODCAST10 for a discount on your Move Daily Membership. Don't fade out women, level up!Thanks for moving daily with us in your fitness, wellness and nutrition! Be sure to follow us here:YouTubeInstagramFacebookTikTokSubscribe to my podcast!
Most people planning for early retirement focus on investments… But the real shock? Healthcare. Starting in 2026, a little-known rule under the Affordable Care Act could create a massive financial trap: earn just one extra dollar, and your health insurance premiums could jump by tens of thousands.
James Golden aka Bo Snerdley examines the deep political polarization in America by critiquing recent legal and legislative actions taken by Democrats. The program primarily focuses on the judicial suspension of a controversial $1.8 billion fund proposed by Donald Trump to compensate those who claim they were victims of government weaponization. Golden uses this news as a springboard to argue that liberal policies in major cities have led to systemic urban decay, rising crime, and the failure of social programs like the Affordable Care Act. Learn more about your ad choices. Visit megaphone.fm/adchoices
The 2027 Marketplace Final Rule from CMS is here! Join Sarah as she pulls out takeaways for insurance agents selling ACA plans. Get Connected:
The Constitution Study with Host Paul Engel – Politics has become all about the money. Taking money from donors, spending money on campaigns, and embezzling money from taxpayers to bribe people for their votes. Once you figure out that politics is all about the money, things start to make more sense. Obama signed the Affordable Care Act, which actually made healthcare less affordable...
The Trump administration finalizes sweeping changes to the Affordable Care Act marketplaces, HHS launches a new AI-powered fraud audit program, and Providence plans to scale back most of its health plan offerings next year. Those stories and more on today's episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.
Many Americans dream about retiring early, but few fully understand the healthcare costs that come before Medicare eligibility at age 65. In this episode of the Capitalist Investor, Mark Tepper and Tony Zabiegala break down the real financial impact of retiring early and why healthcare planning needs to be part of every retirement strategy.They discuss COBRA, Affordable Care Act options, HSA strategies, Roth conversions, tax efficient income planning, and how healthcare costs can dramatically affect long term retirement success. The conversation also highlights why retirement planning is not just about investments and asset levels, but about building the right income strategy before Medicare begins.If you are considering retiring before 65, this episode explains the hidden costs many retirees overlook and how proper planning years in advance can help reduce financial stress later in retirement.
Affordable Care Act premiums are higher this year, after Congress declined to renew subsidies for the health insurance program. As a result, about a million fewer Americans enrolled for 2026 and even more are slated to drop by the year's end. In this episode, why falling enrollment will raise premiums further. Plus: Bond yields hit record highs around the globe, businesses start to see tariff refunds ahead of schedule, and utility rates are about to get worse.Every story has an economic angle. Want some in your inbox? Subscribe to our daily or weekly newsletter.Marketplace is more than a radio show. Check out our original reporting and financial literacy content at marketplace.org — and consider making an investment in our future.
Affordable Care Act premiums are higher this year, after Congress declined to renew subsidies for the health insurance program. As a result, about a million fewer Americans enrolled for 2026 and even more are slated to drop by the year's end. In this episode, why falling enrollment will raise premiums further. Plus: Bond yields hit record highs around the globe, businesses start to see tariff refunds ahead of schedule, and utility rates are about to get worse.Every story has an economic angle. Want some in your inbox? Subscribe to our daily or weekly newsletter.Marketplace is more than a radio show. Check out our original reporting and financial literacy content at marketplace.org — and consider making an investment in our future.
Welcome to a new, limited podcast series exploring major policy changes affecting older adults. This episode is part of our Age-Friendly Health series, which explores topics at the intersection of aging, health, health care, and health policy.In our second episode, host Katherine Ornstein welcomes Bianca Frogner, director of the Center for Health Workforce Studies at the University of Washington to discuss the role of direct care workers in long‑term care, workforce shortages, policy shifts affecting Medicaid, immigration, labor standards, and more.Support for the Age-Friendly Health series is provided by The John A. Hartford Foundation.
On this episode of Small Biz Florida, host Tom Kindred sits down with Fred Lenz, Founder and Managing Partner of Margin First Advisors, to discuss how small and medium-sized businesses can uncover enterprise-level cost savings without upfront consulting fees. Fred shares how his company helps SMBs improve margins through healthcare cost mitigation, IT optimization, tax incentives, AP automation, and other specialized solutions typically reserved for large corporations. He explains Margin First Advisors' unique no-risk business model, in which clients pay only after savings are realized, and takes a deep dive into a healthcare program that leverages Affordable Care Act provisions to reduce employer healthcare expenses while generating significant FICA tax savings. The conversation also explores the growing role of virtual healthcare, automation, and proactive cost management strategies for businesses navigating economic uncertainty. Connect with our guest: https://margin1st.com/
In this Best Of episode, we revisit our June 2025 conversation with CNN Anchor and Chief National Affairs Analyst Kasie Hunt! It's a very fun conversation covering her work and what inspired her to follow her passion for journalism.She discusses the early days of her career covering Obama, Congress, and the passage of the Affordable Care Act. We also talk about how much Congress and the information ecosystem has changed over the years. And Kasie shares her thoughts about watching Donald Trump pardon the rioters on his first day back in office after being present in the Capitol that day.Plus, immigration raids, tariffs and the Big, Beautiful, Bill. Trump and the Republicans might actually pass the BBB, but at what cost to working Americans?WATCH Kasie on CNN, weekdays at 4pm ET: https://www.cnn.com/profiles/kasie-huntSUPPORT THE PODCAST BY VISITING OUR SPONSORS:Save money on your wireless bill with Mint Mobile. Visit https://www.mintmobile.com/franken. Make sure you tell them you heard about this deal from The Al Franken Podcast!Get up to 15% off your skincare subscription needs at https://www.oneskin.co/frankenSave money on your insurance bills with SelectQuote! Visit https://www.selectquote.com/franken today!
Health insurance policy is complicated, but the consequences are deeply human. In this episode of Turn on the Lights, Professor Jonathan Gruber, Ford Professor of Economics and Chair of the Economics Department at MIT, joins Don Berwick and Kedar Mate to explore the history, structure, and future of health reform in the United States. Drawing on his work shaping Massachusetts health reform and the Affordable Care Act, Gruber explains the three-legged stool of reform: ending insurance discrimination, requiring broad participation, and making coverage affordable through subsidies. He also reflects on the political battles behind the ACA, the importance of Medicaid expansion, and the growing risks to health care coverage today. The conversation concludes with cautious optimism about biomedical innovation alongside serious concerns about affordability, rising costs, and the need for a more seamless health care system. Tune in to hear why health reform is not just about policy design, but about whether people can get care when they need it. Resources Follow MIT on LinkedIn and explore the website. Learn more about Professor Jonathan Gruber:https://economics.mit.edu/people/faculty/jonathan-gruber Learn more about your ad choices. Visit megaphone.fm/adchoices
Health Affairs Publishing's Jeff Byers welcomes Georgetown University's Katie Keith and Deputy Editor Chris Fleming back to the podcast to unpack a new court case over mifepristone that could alter telehealth access to medication abortion and test the boundaries of FDA authority.Join us on June 23 for an exclusive Insider virtual event examining how antitrust policy in health care is evolving at both the federal and state levels, featuring insights from Katherine Gudiksen, Leemore Dafny, and Nathan Hostert.Related Links:Supreme Court Temporarily Blocks Ruling Barring Telehealth And Pharmacy Access To Mifepristone (Health Affairs Forefront)The US Food and Drug Administration's Regulation of Mifepristone (JAMA)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.
Episode 224: Community Health Workers Dr. Arreaza: Today we will discuss a topic that, frankly, every single person listening, whether you're a medical student, a resident, a nurse, a family doctor, or any primary care provider, needs to really understand. We're talking about community health workers (CHWs). We are joined by our stellar medical student; you may be familiar with her voice from previous episodes about insomnia. Moira, welcome, please introduce yourself. Moira: I want to be upfront about why Community Health Workers matter to you specifically. If you've ever felt frustrated that your patient with uncontrolled diabetes keeps missing appointments because they can't get a ride, or that your heart failure patient was readmitted because nobody checked whether they could afford their medications, then you already understand the problem that CHWs are designed to solve. Dr. Arreaza: We're going to give you the definition of a CHW, the evidence behind their effectiveness, how they fit into your care team, the return on investment, and practical steps for integrating them into your practice. We have pulled information from a lot of peer-reviewed sources, and we want to share them with you. So, Moira, let's start with the basics. What exactly is a community health worker? Moira: Great question, and it's one that even literature struggles with, because there are so many titles for this role. Community Health Worker is an umbrella term that encompasses more than 20 different titles including outreach workers, promotores or promotoras de salud, community health representatives, lay health workers, peer educators, patient navigators, and many more. The American Public Health Association defines CHWs as frontline public health workers who are trusted members of or have an unusually close understanding of the communities they serve. Arreaza: And that trust is so important in health care. CHWs are not physicians. They are not nurses. They do not diagnose or prescribe. But they are like a bridge connecting the medical environment, social services, and the community to reduce gaps in healthcare delivery. Moira: Exactly. In the United States, the role was formally recognized in the 2010 Patient Protection and Affordable Care Act, which includes several sections highlighting the key roles CHWs play in achieving important goals of healthcare. ________________ References: Aguerrebere, M., Rodríguez-Cuevas, F. G., Flores, H., Arrieta, J., & Raviola, G. (2019). Providing Mental Health Care in Primary Care Centers in LMICs. Innovations in Global Mental Health, 1–22. https://doi.org/10.1007/978-3-319-70134-9_95-1 Allen, L. N., Rasanathan, K., Mash, R., Uribe, M. V., Martinez-Bianchi, V., & Kidd, M. (2025). Models of Global Primary Care Post-2030. The Lancet Primary Care, 1(3), 100027. https://doi.org/10.1016/j.lanprc.2025.100027 Babagoli, M. A., Nieto-Martínez, R., González-Rivas, J. P., Sivaramakrishnan, K., & Mechanick, J. I. (2021). Roles for Community Health Workers in Diabetes Prevention and Management in Low- And Middle-Income Countries. Cadernos De Saúde Pública, 37(10). https://doi.org/10.1590/0102-311x00287120 Balasubramanya, B., Isaac, R., Philip, S., Prashanth, H. R., Abraham, P., Poobalan, A., Thomas, N., Jeyaseelan, L., Mammen, J., Devarasetty, P., & John, O. (2020). Task Shifting to Frontline Community Health Workers for Improved Diabetes Care in Low-Resource Settings in India: A Phase II Non-Randomized Controlled Clinical Trial. Journal of Global Health Reports, 4. https://doi.org/10.29392/001c.17609 Battaglia, T. A., Zhang, X., Dwyer, A. J., Rush, C. H., & Paskett, E. D. (2022). Change Agents in the Oncology Workforce: Let's Be Clear About Community Health Workers and Patient Navigators. Cancer, 128(S13), 2664–2668. https://doi.org/10.1002/cncr.34194 Das, S., Grant, L., & Fernandes, G. (2023). Task Shifting Healthcare Services in the Post-Covid World: A Scoping Review. PLOS Global Public Health, 3(12), e0001712. https://doi.org/10.1371/journal.pgph.0001712 Dodd, R., Palagyi, A., Jan, S., Abdel-All, M., Nambiar, D., Madhira, P., Balane, C., Tian, M., Joshi, R., Abimbola, S., & Peiris, D. (2019). Organisation of Primary Health Care Systems in Low- And Middle-Income Countries: Review of Evidence on What Works and Why in the Asia-Pacific Region. BMJ Global Health, 4(Suppl 8), e001487. https://doi.org/10.1136/bmjgh-2019-001487 Huang, W., Long, H., Li, J., Tao, S., Zheng, P., Tang, S., & Abdullah, A. S. (2018). Delivery of Public Health Services by Community Health Workers (CHWs) in Primary Health Care Settings in China: A Systematic Review (1996–2016). Global Health Research and Policy, 3(1). https://doi.org/10.1186/s41256-018-0072-0 McCray, G. G., Haynes, B., Proeller, A., Ervin, C., & Williams-Livingston, A. (2020). Making the Case for Community Health Workers in Georgia. Journal of the Georgia Public Health Association, 8(1). https://doi.org/10.20429/jgpha.2020.080116 Mor, N., Ananth, B., Ambalam, V., Edassery, A., Meher, A., Tiwari, P., Sonawane, V., Mahajani, A., Mathur, K., Parekh, A., & Dharmaraju, R. (2023). Evolution of Community Health Workers: The Fourth Stage. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1209673 Noel, L., Chen, Q., Petruzzi, L. J., Phillips, F., Garay, R., Valdez, C., Aranda, M. P., & Jones, B. (2022). Interprofessional Collaboration Between Social Workers and Community Health Workers to Address Health and Mental Health in the United States: A Systematised Review. Health &Amp; Social Care in the Community, 30(6). https://doi.org/10.1111/hsc.14061 None, N. (2022). Walking the Talk: Reimagining Primary Health Care After COVID-19. https://doi.org/10.1596/978-1-4648-1768-7 Orkin, A. M., McArthur, A., Venugopal, J., Kithulegoda, N., Martiniuk, A., Buchman, D. Z., Kouyoumdjian, F., Rachlis, B., Strike, C., & Upshur, R. (2019). Defining and Measuring Health Equity in Research on Task Shifting in High-Income Countries: A Systematic Review. SSM - Population Health, 7, 100366. https://doi.org/10.1016/j.ssmph.2019.100366 Pingel, E. S. (2022). Seeing Inside: How Stigma and Recognition Shape Community Health Worker Home Visits in São Paulo, Brazil. Community Health Equity Research &Amp; Policy, 44(3), 303–313. https://doi.org/10.1177/2752535x221137384 Rifkin, S. B., Fort, M., Patcharanarumol, W., & Tangcharoensathien, V. (2021). Primary Healthcare in the Time of COVID-19: Breaking the Silos of Healthcare Provision. BMJ Global Health, 6(11), e007721. https://doi.org/10.1136/bmjgh-2021-007721 Rohan, E. A., Townsend, J. S., Bermudez, A. T., Thompson, H. L., Holman, D. M., Reza, A., Tharpe, F. S., & Wennerstrom, A. (2024). Engaging Community Health Workers in Primary Care Practices. Journal of Ambulatory Care Management, 47(3), 154–167. https://doi.org/10.1097/jac.0000000000000501 Shommu, N. S., Ahmed, S., Rumana, N., Barron, G. R. S., McBrien, K. A., & Turin, T. C. (2016). What Is the Scope of Improving Immigrant and Ethnic Minority Healthcare Using Community Navigators: A Systematic Scoping Review. International Journal for Equity in Health, 15(1). https://doi.org/10.1186/s12939-016-0298-8 Sisson, N., & Starke, J. (2022). Promotores De Salud in Montana: An Analysis of a Rural Health Care Intervention Rooted in Catholic Social Teaching and Its Place in Medical Curricula. The Linacre Quarterly, 89(1), 21–35. https://doi.org/10.1177/00243639211059346 The Role and Impact of Female Health Workers on the Well-Being of Global South Communities: A Call for Gender-Transformative Action. (2022). Archives of Women Health and Care, 5(2). https://doi.org/10.31038/awhc.2022521 Williams-Livingston, A., Henry Akintobi, T., & Banerjee, A. (2020). Community-Based Participatory Research in Action: The Patient-Centered Medical Home and Neighborhood. Journal of Primary Care &Amp; Community Health, 11. https://doi.org/10.1177/2150132720968456 Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week!
"I'd retire tomorrow… if it weren't for health insurance." It's one of the most common concerns we hear from people approaching retirement, especially those hoping to leave work before Medicare begins at age 65. In this podcast, Nic Daniels breaks down the real planning considerations behind retiring before Medicare eligibility. From COBRA and Affordable Care Act marketplace plans to spouse coverage, bridge employment, and self-funding healthcare costs, Nic walks through the high-level options people should be aware of. But this conversation goes beyond just healthcare, because depending on how retirement income is structured, healthcare costs may be impacted by ACA subsidies, tax strategy, and withdrawal planning decisions. Nic also shares a real planning example involving a household looking to retire early and how outside assets—not retirement accounts—helped create flexibility in bridging the gap to Medicare. Listen, Watch, Subscribe, Ask! https://www.therealmoneypros.com Hosts: Nic Daniels ————————————————————— Ataraxis PEO https://ataraxispeo.com Tree City Advisors of Apollon: https://www.treecityadvisors.com Apollon Wealth Management: https://apollonwealthmanagement.com/ —————————————————————
Welcome to the first episode in a new, limited podcast series exploring major policy changes affecting older adults. The episode is part of our Age-Friendly Health series, which explores topics at the intersection of aging, health, health care, and health policy.In our first episode, host Katherine Ornstein welcomes Hemi Tewarson of the National Academy for State Health Policy how the The Big Beautiful Bill will impact Medicaid and state health policies affecting older adults. Their conversation explores work requirements, Medicaid financing changes, rural health investments, the sustainability of age‑friendly services, and more.Support for the Age-Friendly Health series is provided by The John A. Hartford Foundation.
This time on Code WACK! As of spring 2026, enhanced Affordable Care Act (ACA) subsidies have not been extended. Without congressional action, millions of Americans could face significantly higher premiums—or lose coverage altogether. Around 22 million people receive ACA premium subsidies, many of whom benefited from pandemic-era enhancements. If those aren't restored, affordability for individuals buying their own coverage will take a major hit. Meanwhile, health care costs are rising across the board. Employer-sponsored insurance premiums have seen some of the largest increases in over a decade, shifting more costs to workers through higher premiums, deductibles, and out-of-pocket expenses. Medicare premiums are also climbing, adding pressure on older adults. As coverage becomes less affordable, many people delay care, skip medications, or make tough financial tradeoffs just to get by. So what options do people have? Today, we revisit a timely 2025 conversation with Rachel Madley, executive director at the Center for Health and Democracy and former advisor to Congresswoman Pramila Jayapal. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation at heal-ca.org/donate.
This time on Code WACK! As of spring 2026, enhanced Affordable Care Act (ACA) subsidies have not been extended. Without congressional action, millions of Americans could face significantly higher premiums—or lose coverage altogether. Around 22 million people receive ACA premium subsidies, many of whom benefited from pandemic-era enhancements. If those aren't restored, affordability for individuals buying their own coverage will take a major hit. Meanwhile, health care costs are rising across the board. Employer-sponsored insurance premiums have seen some of the largest increases in over a decade, shifting more costs to workers through higher premiums, deductibles, and out-of-pocket expenses. Medicare premiums are also climbing, adding pressure on older adults. As coverage becomes less affordable, many people delay care, skip medications, or make tough financial tradeoffs just to get by. So what options do people have? Today, we revisit a timely 2025 conversation with Rachel Madley, executive director at the Center for Health and Democracy and former advisor to Congresswoman Pramila Jayapal. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation at heal-ca.org/donate.
This time on Code WACK! As of spring 2026, enhanced Affordable Care Act (ACA) subsidies have not been extended. Without congressional action, millions of Americans could face significantly higher premiums—or lose coverage altogether. Around 22 million people receive ACA premium subsidies, many of whom benefited from pandemic-era enhancements. If those aren't restored, affordability for individuals buying their own coverage will take a major hit. Meanwhile, health care costs are rising across the board. Employer-sponsored insurance premiums have seen some of the largest increases in over a decade, shifting more costs to workers through higher premiums, deductibles, and out-of-pocket expenses. Medicare premiums are also climbing, adding pressure on older adults. As coverage becomes less affordable, many people delay care, skip medications, or make tough financial tradeoffs just to get by. So what options do people have? Today, we revisit a timely 2025 conversation with Rachel Madley, executive director at the Center for Health and Democracy and former advisor to Congresswoman Pramila Jayapal. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation at heal-ca.org/donate.
Health Affairs Publishing's Jeff Byers welcomes Duke University School of Medicine's Mike Pignone to the pod to explore the new cholesterol screening guidelines, how evolving screening and treatment guidelines (including colon cancer and breast cancer screening guidelines) influence care, and the broader cost implications for the health system. Join Health Affairs Publishing on May 13 for an exclusive Insider virtual event exploring individual coverage health reimbursement arrangements (ICHRAs) with Urban Institute's Jason Levitis.Related Articles:Generic cholesterol drugs save Medicare billions of dollars, study finds (UT Southwestern Medical Center)Trends in Utilization and Cost of Low-Density Lipoprotein Cholesterol–Lowering Therapies Among Medicare Beneficiaries (JAMA)A cholesterol test you've never heard of is now recommended to prevent heart disease (NPR)ACC/American Heart Association Issue Updated Guideline for Managing Lipids, Cholesterol (American Heart Association)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.
On Thursday, April 30 BigTentUSA hosted Amb. Rahm Emanuel in a candid discussion moderated by Rachel Janfaza of "The Up and Up".In the discussion, Amb. Emanuel argued that corruption and dysfunction have become normalized in American politics, eroding trust at home and credibility abroad. His core message: the country doesn't need more partisan reruns—it needs results.He laid out his vision for middle-class economics, strong public education, public safety, and restoring faith in institutions. He connected big-picture concerns—like global competition and democratic stability—to urgent domestic failures, especially in education, where declining literacy rates threaten long-term opportunity and economic strength.Amb. Emanuel also previewed his “six for '26” agenda focused on raising wages, lowering health care costs, and enforcing real ethics reforms, while drawing a sharp contrast with both Trumpism and ideological extremes within his own party.The bottom line: Deliver results, rebuild trust, and prove government can work again.Check out our ACT NOW page for BigTentUSA guidance on how to fight back against ICE detention centers in your area and other calls to action:https://bigtentusa.org/act-now/ Sign up for Rachel's newsletter “The Up and Up”:https://www.theupandup.us/ ABOUT THE SPEAKERS:Amb. Rahm I. Emanuel most recently served as U.S. Ambassador to Japan, where he strengthened the U.S.-Japan alliance and supported expanded security cooperation. He previously served as the 55th Mayor of Chicago, leading major investments in education, public safety, infrastructure, and economic development, including universal pre-K, free community college, and the O'Hare modernization program. Earlier, he was President Obama's Chief of Staff, helping pass the Recovery Act and Affordable Care Act, and served four terms in Congress. Emanuel also held senior roles in the Clinton administration. He holds degrees from Sarah Lawrence College and Northwestern University.Rachel Janfaza is the founder of "The Up and Up", a research, media, and strategy firm focused on Gen Z. A member of Generation Z herself, Janfaza is best known for her theory of The Two Gen Zs. Her written work has been featured in "The New York Times", "The Washington Post", "CNN", "Vox", "The Free Press", "Glamour", "POLITICO Magazine", "Teen Vogue", "Vogue", "Elle", "Cosmopolitan", and "Bustle". And her on-air analysis has been featured on "CNN", "CBS", "C-SPAN", "NY-1", and "WNYC Public Radio". She is also a contributor to "The Bulwark". This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit bigtentnews.substack.com
The authors of a new book reveal that former President Obama told them that he had an “inability to boil issues down to their essence, to tell a story…” and explained how it hurt him as he tried to pass the Affordable Care Act. This insight and others are at the core of Dr. David […] The post What Fmr. President Obama Told Our Guests About His Big Health Care Misstep appeared first on Healthy Communities Online.
In this episode of Retire with Style, Wade and Alex continue their discussion of retirement tax pitfalls. They focus on how small increases in income can trigger disproportionately large financial consequences through lost benefits and higher effective tax rates. The conversation highlights key risks such as Affordable Care Act subsidy cliffs, Medicare IRMA surcharges, required minimum distributions, and deduction phaseouts, emphasizing that careful income management is essential to avoid cascading tax impacts in retirement. Listen now to learn more! Key Takeaways Exceeding the ACA income threshold by even $1 can eliminate tens of thousands of dollars in health insurance subsidies. Pre-Medicare retirees must carefully manage income to avoid losing ACA benefits. Income at ages 63–64 can both reduce ACA subsidies now and increase Medicare premiums later. Small increases in income can create extremely high effective marginal tax rates due to benefit cliffs. Required minimum distributions can force unwanted income that triggers multiple tax consequences. The RMD “cliff” is really a series of overlapping tax effects rather than a single event. Roth conversions can help reduce future tax burdens by lowering tax-deferred account balances. Qualified charitable distributions are more tax-efficient than taking withdrawals and donating afterward. Deduction phaseouts can quietly increase effective tax rates beyond stated tax brackets. Strategic income sourcing can help retirees avoid triggering costly tax thresholds. Chapters 00:00 – Why Retirement Taxes Are More Than Just Tax Brackets 01:35 – The ACA Subsidy Cliff (The $1 Mistake That Costs $20K+) 08:35 – The Double Hit: ACA + IRMA 11:35 – The RMD “Cliff” and Forced Income Problems 17:55 – Smart Mitigation Strategies (Roth Conversions + QCDs) 20:45 – Hidden Tax Traps: Deduction Phaseouts 30:00 – The Big Picture: Managing Income to Avoid Tax Cascades Links
For decades, an MS diagnosis came with outdated advice and significant uncertainty regarding starting a family. Today, the conversation has shifted from "Is it possible?" to "How do we optimize the journey?" This week, we're taking a deep dive into the essential considerations for family planning, managing MS during pregnancy, and the crucial postpartum period. We're joined by Dr. Riley Bove, an Associate Professor of Neurology at UCSF and a leading expert in hormonal influences on MS. Dr. Bove brings her extensive research background and clinical expertise to help us understand how to navigate disease-modifying therapies while planning a family, the biological shifts that occur during pregnancy, and how to build a robust support system for the "fourth trimester." We're also sharing study results that provide some optimistic news for people experiencing MS-related depression. We'll tell you about a study that explains the actual changes in the immune system that occur when someone with MS exercises. If you get your health insurance on the Affordable Care Act online marketplace, we'll explain why health economists feel certain that your premiums will be going up again next year. And we're also sharing some sobering research that highlights systemic inequities that prevent people with MS who rely on Medicaid from accessing high-efficacy disease-modifying therapies. We have a lot to talk about! Are you ready for RealTalk MS??! This Week: MS and family planning, pregnancy, and postpartum :22 STUDY: High-efficacy disease-modifying therapies are not available to all Medicaid recipients 1:08 Millions have failed to renew their ACA individual health insurance plans 5:05 STUDY: Cognitive-behavioral therapy improves MS-related depression 9:32 STUDY: Researchers identify the biological mechanisms that are impacted when people with MS exercise 11:29 Dr. Riley Bove discusses family planning, pregnancy, and postpartum issues that affect women with MS 14:48 Share this episode 35:31 Next week 35:50 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/453 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 at www.RealTalkMS.com STUDY: Access to High-Efficacy Therapies for Multiple Sclerosis Under Medicaid: Variation in Coverage and Utilization Across States https://aan.com/msa/Public/Events/AbstractDetails/61520 STUDY: Effectiveness of Cognitive Behavioral Therapy for Depression in Patients with Multiple Sclerosis: A Systematic Review and Meta-Analysis https://journals.lww.com/md-journal/fulltext/2026/04170/effectivess_of_cognitive_behavioral_therapy_for.27.aspx STUDY: Physical Exercise Modulates T Cell Activity and Mitigates Synaptic Dysfunction in Multiple Sclerosis Through Vagus Nerve Engagement https://sciencedirect.com/science/article/abs/pii/S0889159126002710 UCSF Clinical Trials: Pregnancy Registry, Infants, Serum/Milk Analysis (PRISMA) https://clinicaltrials.ucsf.edu/trial/NCT06940323 AbleNOW https://ablenow.com JOIN: The RealTalk MS Facebook Group https://facebook.com/groups/realtalkms REVIEW: Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on X, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 453 Guest: Dr. Riley Bove Privacy Policy
Send us Fan MailStocks hit records and gold surges, but we can't shake the feeling that the real economy is cracking underneath. We start with the two-tier U.S. economy and a harsh leading indicator: auto loan delinquency. When people fall behind on car payments and repossessions rise, it's often a sign that rent, credit cards, and everything else are already under strain, especially for households making under $100,000. If consumer spending is increasingly carried by the top 10%, even a small pullback can tip the balance toward recession.From there, we follow two unexpected signals. First, a huge jump in LSAT registrations, echoing Great Recession behavior where people retreat into grad school when jobs evaporate. Then we talk about what makes this cycle different: the Grad PLUS loan cap, the risk of being pushed into private student loans, and how AI could reshape early-career legal work faster than most schools admit. We also dig into the “AI fake cases” problem and why verification and accountability may become the new bottleneck in law.Next we hit housing affordability and the mortgage-rate lock-in standoff, then move into health care as Affordable Care Act subsidies expire and premiums spike across multiple states. Finally, we zoom out to the political economy: how culture war outrage, including coordinated attacks on transgender people, can keep attention off wages, health insurance costs, and inequality. We close with the push for a taxpayer-funded White House ballroom, questions about contracting and incentives, and an interview on Jeffrey Epstein's ties to Peter Thiel and the power networks around tech, crypto, and intelligence. If this conversation helped you see the patterns more clearly, subscribe, share the show, and leave us a review. Support the show
Health Affairs Publishing's Jeff Byers welcomes Stacey Pogue of Georgetown University's McCourt School of Public Policy about her recent Forefront article examining proposed updates to health plan price transparency rules, focusing on efforts to improve data usability and the ongoing challenges in making healthcare costs more accessible and actionable.Join Health Affairs Publishing on May 13 for an exclusive Insider virtual event exploring individual coverage health reimbursement arrangements (ICHRAs) with Urban Institute's Jason Levitis. Related Links:Taking Stock Of Proposed Updates To Health Plan Price Transparency Rules (Health Affairs Forefront)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.
The Oklahoma State Legislature is taking steps to gain more control of the state's Medicaid payments, drawing concerns from tribal leaders and healthcare advocates. Cherokee Nation Principal Chief Chuck Hoskin Jr. warns that the predicted scaling back of expanded Medicaid eligibility enshrined in the state constitution in 2020 would disproportionately affect Native patients. He says dismantling the expansion would cost his tribe alone more than $162 million. The state's actions come as both tribal health providers and Medicaid recipients brace for looming federal funding cuts and stricter eligibility requirements. Also, we'll hear from Alannah Acaq Hurley (Yup'ik). The executive director of the United Tribes of Bristol Bay recently won the Goldman Environmental Prize for her work raising awareness about a controversial open-pit copper and gold mine in the Bristol Bay region of Southwest Alaska. GUESTS Chuck Hoskin Jr. (Cherokee), principal chief of the Cherokee Nation Yvonne Myers, Affordable Care Act and Medicaid consultant for Citizen Potawatomi Nation Health Services Alannah Acaq Hurley (Yup'ik), executive director for the United Tribes of Bristol Bay Break 1 Music: Thunder Medicine (song) Geneviève Gros-Louis (artist) Break 2 Music: Heartbreaker (song) Sage Lacapa (artist) Heartbreaker (single)
There's a quiet belief running through the social impact space that being too visible somehow cheapens the work. That good organizations should let their impact speak for itself. But the orgs that get the funding, the talent, and the momentum aren't always the ones doing the best work; they're the ones who've made their work visible. This episode makes the case that visibility matters more than impact, and that staying humble is a belief most orgs can no longer afford.Episode Highlights:[00:00:00] Visible orgs outperform high-impact orgs [00:02:30] The humility trap and the "scrappy org" fallacy [00:03:30] Why the most funded orgs are the most visible, not the most effective [00:08:30] Visibility as the most underleveraged strategy in social impact [00:10:00] The visibility test: can people describe what you do? [00:17:00] Building visibility into every program from the start [00:25:00] From skeptic to podcast host: Jonathan's visibility journey [00:31:30] Using media to scale your face time with future donorsNotable Quotes:Eric Ressler [00:01:05]: "Orgs who are consistently good at visibility outperform and are more successful, generally speaking, than orgs who are really good at impact."Jonathan Hicken [00:02:25]: "There is just some sort of moral objection to maybe if we're too visible that devalues the sincerity or the authenticity of the impact. There's a sort of humility thing in there."Eric Ressler [00:14:00]: "Visibility, man. At least you get the chance. If you have no visibility, you don't even have a chance."Resources & Links:Seymour Marine Discovery Center — Jonathan Hicken's organization at UC Santa CruzScience Solutions Santa Cruz — Jonathan's new video podcast.Gallup Poll: What's in a Name? Affordable Care Act vs. ObamacareObamacare/ACA polling data — Measures of public opinion of the Affordable Care Act (ACA)Hosted by Eric Ressler, Founder & Creative Director of Cosmic, with co-host Jonathan Hicken, Executive Director of the Seymour Marine Discovery Center. New episodes every Tuesday.→ Subscribe: designingtomorrow.show → Work with Cosmic: designbycosmic.comListeners, now you can text us your comments or questions by clicking this link.*** If you liked this episode, please help spread the word. Share with your friends or co-workers, post it to social media, “follow” or “subscribe” in your podcast app, or write a review on Apple Podcasts. We could not do this without you!We love hearing feedback from our community, so please email us with your questions or comments — including topics you'd like us to cover in future episodes — at podcast@designbycosmic.comThank you for all that you do for your cause and for being part of the movement to move humanity and the planet forward.
Greg Bluestein and Tia Mitchell answer listener questions about the flood of campaign ads in Georgia's governor's race and why many focus more on attacks and endorsements than policy details. They break down what low turnout at a JD Vance event in Athens could signal about youth engagement, and why Democrats are targeting long-shot challenges in Georgia Supreme Court races. The conversation also examines warning signs for Republicans ahead of November and the political stakes of expiring Affordable Care Act subsidies, including new comments from Senator Raphael Warnock. They also discuss former Mayor Keisha Lance Bottoms' memoir rollout and the growing influence and limits of the State Election Board. Have a question or comment for the show? Call or text the 24-hour Politically Georgia Podcast Hotline at 770-810-5297. We'll play back your question and answer it during our next Monday Mailbag segment. You can also email your questions at PoliticallyGeorgia@ajc.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
Health Affairs Publishing's Jeff Byers welcomes Senior Editor Michael Gerber back to the pod to discuss recent federal action on prior authorization, including CMS's proposal to expand response-time requirements to prescription drugs. The conversation also covers insurer efforts to reduce prior auth volume, the promise of AI and prior authorization, and what increased transparency could reveal about costs.To learn more, check out our recent Insider trend report on the current prior authorization landscape. And if you haven't already, join Insider today to get access to exclusive events, newsletters, cheat sheets, and reports.Related Links:CMS proposes new deadlines for prior authorizations for drugs (Healthcare Dive)2026 CMS Interoperability Standards and Prior Authorization for Drugs Proposed Rule (CMS)A Rule by the Centers for Medicare & Medicaid Services on 02/08/2024 (Federal Register)Health Plans Reduce Prior Authorization, Support Continuity of Care and Enhanced Consumer Communications (Blue Cross Blue Shield)AI speeds up prior auth, coding while driving higher costs for health systems: PHTI report (Fierce Healthcare)Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.
Kathleen Sebelius was in charge of the U.S. Department of Health and Human Services when the Affordable Care Act became law. Now, she and a bipartisan group are putting their best thinking forward for how to fix rural health care. Their report from Aspen Institute's Health Strategy Group calls the rural mortality gap a “moral […] The post Kathleen Sebelius Ran HHS. Now, She's Tackling Rural Health appeared first on Healthy Communities Online.
Tonight on NJ Spotlight News, nearly seventy-thousand people have dropped their health insurance coverage under the Affordable Care Act, as premiums have rising, and the Sherrill Administration says Washington is to blame. Plus, today is Earth Day, so how is the state handling its environmental challenges? We'll talk with one advocate. Also, officials say the state's economy is ‘strong and stable' but residents may disagree, according to the latest polls. And, we talk with one Rabbi about the realities of antisemitism in New Jersey.
When House of Representatives Speaker Emerita Nancy Pelosi announced her retirement last year, USA Today called her “the most powerful woman in the history of the United States.” The first woman to become speaker and one of the most consequential legislators of her era, Pelosi has represented San Francisco for nearly four decades. First elected to Congress in 1987, Pelosi has described her journey as going from “kitchen to Congress, housewife to House Speaker.” She says she was first driven to run for office out of concern over child poverty. Among the proudest achievements she cites are shepherding passage of the Affordable Care Act and passing the American Rescue Plan Act in response to the COVID-19 pandemic. She also points to her leadership on climate issues, including the Inflation Reduction Act of 2022— the largest climate investment in American history. In this Commonwealth Club World Affairs program, Pelosi will reflect on her career, the turning points that defined her leadership, and the future of American democracy. From her years in Washington's power centers to the upheavals of recent political history, she joins us to talk about her legacy and her view of the road ahead—including this year's midterm elections and 2028 presidential race. Learn more about your ad choices. Visit megaphone.fm/adchoices
For many Americans approaching retirement, financial planning means more than just maximizing savings and deciding when to claim Social Security. If you're not yet eligible for Medicare and rely on health coverage through the Affordable Care Act (ACA), your Social Security claiming decision at age 62 could have a dramatic effect on your insurance costs. On the show this week, I explore the nuances of how your income, and especially the timing of your Social Security benefits, can impact your eligibility for ACA premium tax credits—and what you can do to avoid costly surprises. You will want to hear this episode if you are interested in... [00:00] Retirement income and tax planning [03:35] Understanding ACA tax credits [07:44] Managing income for ACA tax credits [10:38] Social Security and tax calculations [14:57] Strategies for tax-free income access Are ACA Premium Tax Credits, and Why Do They Matter? Premium tax credits, often referred to as ACA subsidies, are financial incentives designed to make health insurance more affordable for individuals and families who purchase coverage through healthcare.gov or a state exchange. These credits are contingent on your income, specifically your household's Modified Adjusted Gross Income (MAGI). For 2026, a single person can qualify for ACA subsidies if their MAGI is between 100% and 400% of the federal poverty level (FPL)—$62,600 in 2026 for an individual, and $84,600 for a couple. If you earn even $1 above this ceiling, you lose your entire premium subsidy—a phenomenon known as the "subsidy cliff". With millions of Americans currently receiving subsidies, understanding how your retirement income decisions could threaten this benefit is essential for sound financial planning. How Income Is Calculated for ACA Subsidies Not all income is created equal when it comes to ACA subsidies. The government uses your MAGI, which is your Adjusted Gross Income (AGI)—the number found on your tax return—plus certain items like tax-exempt bond interest and non-taxable Social Security benefits. This includes: Wages and self-employment income Social Security benefits (both taxable and non-taxable portions) Retirement account distributions (except Roth IRAs or Roth 401ks) Rental, interest, and dividend income Capital gains Additionally, some deductions, like contributions to IRAs, HSAs, and student loan interest, can reduce your AGI, and thereby your MAGI, giving you potential tools for staying below the subsidy cliff. The Social Security Timing Dilemma Collecting Social Security early at age 62 may sound appealing, but it comes with strings attached for ACA recipients. A critical point is that not all of your Social Security benefits are necessarily taxable. However, when calculating MAGI for ACA purposes, you must add back even the non-taxable portion, which can push your income above the subsidy threshold. For example, if you take a modest IRA distribution and also begin Social Security, the cumulative MAGI could surprise you. Strategies to Preserve Your ACA Subsidy Given the high stakes, careful income planning is essential for anyone under 65 not covered by Medicare and receiving an ACA subsidy. You could delay Social Security, as waiting to claim benefits may help keep your income lower. You could also draw from Roth accounts or savings, withdrawals from Roth IRAs or 401(k)s—provided they're qualified—don't count as income. Likewise, using savings or HSA reimbursements has no impact on MAGI. IRA, HSA, and 401(k) contributions can reduce your MAGI, especially if you miscalculated and need to lower your income late in the year. The most important thing to do is plan withdrawals: Time your IRA or 401(k) distributions and capital gains so they don't coincide with years when you're dependent on ACA subsidies. Avoiding the "Subsidy Cliff" Surprise Perhaps the most important lesson is to monitor your income projections carefully throughout the year and to report your expected MAGI precisely when applying for coverage. Exceeding the threshold by even a small amount can cause you to lose your subsidy, resulting in thousands of dollars in unexpected premium costs come tax time. Retirement planning requires a big-picture approach that balances income sources, tax implications, and healthcare costs. If you're considering Social Security at 62 and not yet on Medicare, pay close attention to how your income choices will affect your ACA subsidy—because when it comes to the "subsidy cliff," every dollar counts. Resources Mentioned Retirement Readiness Review Subscribe to the Retire with Ryan YouTube Channel Download my entire book for FREE Episode 267: Surviving the ACA Subsidy Cliff Connect With Morrissey Wealth Management www.MorrisseyWealthManagement.com/contact Subscribe to Retire With Ryan
Comprehensive coverage of the day's news with a focus on war and peace; social, environmental and economic justice. Trump extends ceasefire with Iran hours before deadline, US blockade of Iran continues; Democrats plan Wednesday vote on another War Powers resolution to end Trump war; Divided European Union rejects proposed suspension of trade ties with Israel, issue likely to return next month; Trump pick for Fed Chair, Warsh, grilled by Dems over undisclosed assets and links to Trump, refuses to say Trump lost 2020 election; Dems blast Health Secretary Kennedy over vaccination policy, Affordable Care Act, during Senate hearing The post Trump extends ceasefire with Iran hours before deadline; Dems plan Wednesday vote on another War Powers resolution to end Iran war – April 21, 2026 appeared first on KPFA.
Health care policy expert Lanhee Chen joins Margaret Hoover to unpack the paradox at the heart of American medicine: the best care in the world—and some of the highest costs. What's broken, and why hasn't Washington been able to fix it?Chen—a Hoover Institution fellow who has advised Republican leaders from George W. Bush to Mitt Romney—traces how a patchwork system evolved into one that's both expensive and confusing. He lays out a market-based vision for reform, aimed at putting patients—not insurers or government—in control of spending.From new tax-advantaged health accounts to price transparency and expanding the supply of doctors and facilities, Chen argues that better incentives—not more regulation—are the key to lowering costs.He also offers a candid critique of his own party, acknowledging that Republicans spent years attacking the Affordable Care Act without offering a clear alternative—and reflects on whether meaningful reform is even possible in today's polarized political climateSupport for Firing Line with Margaret Hoover is provided by Robert Granieri, Vanessa and Henry Cornell, The Fairweather Foundation, The Tepper Foundation, Peter and Mary Kalikow, The Beth and Ravenel Curry Foundation, Pritzker Military Foundation, Cliff and Laurel Asness, The Margaret and Daniel Loeb Foundation, Katharine J. Rayner, Charles R. Schwab, Lindsay and George Billingsley, The Meadowlark Foundation, Jared Stone, Al and Kathy Hubbard, and Craig Newmark Philanthropies.
It's Indicators of the Week. Our weekly look at some of the most fascinating economic numbers from the news. On today's episode: the drama behind the Fed Chair nominee's wealth; the shoe company Allbirds is becoming an AI firm; and a drop in how many people are paying for their Affordable Care Act plans.The Indicator is launching a newsletter! Be among the first and sign-up now: npr.org/indicatornewsletterCome see Planet Money live on stage! 12 cities. Details and tix here: planetmoneybook.com/#tourRelated episodes: One Fed battle after anotherThe ghosts of Obamacare past, present and futureAllbirds: Tim Brown & Joey ZwillingerFor sponsor-free episodes of The Indicator from Planet Money, subscribe to Planet Money+ via Apple Podcasts or at plus.npr.org. Fact-checking by Sierra Juarez. Music by Drop Electric. Find us: TikTok, Instagram, Facebook, Newsletter.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy
At a moment when there's a lot of political attention around questions of affordability, rising health care costs are a growing concern for many Americans. That's especially true for those who are worried about being able to afford insurance premiums after an expansion of subsidies for the Affordable Care Act expired. But they're not the only ones struggling with this. Stephanie Sy reports. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy
At a moment when there's a lot of political attention around questions of affordability, rising health care costs are a growing concern for many Americans. That's especially true for those who are worried about being able to afford insurance premiums after an expansion of subsidies for the Affordable Care Act expired. But they're not the only ones struggling with this. Stephanie Sy reports. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy
Health Affairs Publishing's Jeff Byers welcomes Deputy Editor Jessica Bylander back to the pod to explore the White House's proposed FY 2027 HHS budget, outlining major cuts to health agencies and research programs and the emphasized investment on the Make America Healthy Again initiative.Related Links:Celebrating Big Wins of the Trump Administration (HHS)President's Fiscal Year 2027 Budget Proposal Released (NAWDP)White House seeks 12% cut to HHS in 2027 (Healthcare Dive)Sign up for Health Affairs' free newsletters to stay up to date on health policy news and analysis.
In episode 248, Coffey talks with Damon Thompson about how student loan debt impacts employees and how employers can help reduce that burden through benefits programs and federal subsidies. They discuss the history and evolution of federal student loan programs before and after the Affordable Care Act; rising college costs and lack of borrowing caps driving massive student debt growth; financial stress and productivity loss caused by high monthly loan payments; how income-driven repayment and federal subsidy programs reduce employee loan obligations; employer-sponsored student loan repayment benefits under Section 127 tax advantages; complexities and low success rates navigating Department of Education programs independently; public service loan forgiveness eligibility and long-term debt elimination strategies; how personal circumstances influence repayment calculations beyond income alone; the role of third-party services in optimizing loan subsidies and compliance; and the connection between student debt, employee retention, and delayed life milestones. For HR teams who discuss this podcast in their team meetings, we've created a discussion starter PDF to help guide your conversation. Download it here https://goodmorninghr.com/EP248 Good Morning, HR is brought to you by Imperative—Bulletproof Background Checks. For more information about our commitment to quality and excellent customer service, visit us at https://imperativeinfo.com. If you are an HRCI or SHRM-certified professional, this episode of Good Morning, HR has been pre-approved for half a recertification credit. To obtain the recertification information for this episode, visit https://goodmorninghr.com. About our Guest: After graduating from Austin College (Sherman Texas) in 1979 Damon immediately began his career working directly with the owners of closely held businesses and their H.R. teams. Understanding the needs of both the employer and the employee he knows that not all employee benefits are “insurance” benefits needing employer funding. Being familiar with Comprehensive Major Medical, Workers Compensation as well as Administration systems & software has allowed him to develop unique solutions for owners of those closely held companies and their HR teams. This has also led to many speaking engagements in organizations such as Texas A&M Graduate School of Business, Work with Texas Legislators & Attorney General, Private Equity Association Convention (PEG-aplooza), and Numerous Chambers of Commerce across Texas. Damon Thompson can be reached at https://www.finnita.com/ About Mike Coffey: Mike Coffey is an entrepreneur, licensed private investigator, business strategist, HR consultant, and registered yoga teacher. In 1999, he founded Imperative, a background investigations and due diligence firm helping risk-averse clients make well-informed decisions about the people they involve in their business. Imperative delivers in-depth employment background investigations, know-your-customer and anti-money laundering compliance, and due diligence investigations to more than 300 risk-averse corporate clients across the US, and, through its PFC Caregiver & Household Screening brand, many more private estates, family offices, and personal service agencies. Imperative has been named a Best Places to Work, the Texas Association of Business' small business of the year, and is accredited by the Professional Background Screening Association. Mike shares his insight from 25+ years of HR-entrepreneurship on the Good Morning, HR podcast, where each week he talks to business leaders about bringing people together to create value for customers, shareholders, and community. Mike has been recognized as an Entrepreneur of Excellence by FW, Inc. and has twice been recognized as the North Texas HR Professional of the Year. Mike serves as a board member of a number of organizations, including the Texas State Council, where he serves Texas' 31 SHRM chapters as State Director-Elect; Workforce Solutions for Tarrant County; the Texas Association of Business; and the Fort Worth Chamber of Commerce, where he is chair of the Talent Committee. Mike is a certified Senior Professional in Human Resources (SPHR) through the HR Certification Institute and a SHRM Senior Certified Professional (SHRM-SCP). He is also a Yoga Alliance registered yoga teacher (RYT-200) and teaches multiple times each week. Mike and his very patient wife of 28 years are empty nesters in Fort Worth. Learning Objectives: Understand how federal student loan programs evolved and why debt has increased significantly Identify the impact of student loan debt on employee productivity, retention, and financial wellbeing Evaluate employer strategies, including tax-advantaged benefits, to help employees manage student loans
Max Baucus served for more than 35 years in the United States Senate before becoming the United States Ambassador to China. The longest-serving U.S. Senator in Montana history, Senator Baucus was the Chairman of the Senate Finance Committee - one of the most powerful positions in Congress - and played a central role in shaping the Affordable Care Act. Senator Baucus joins Adam to share his journey and his best lessons and advice. Senator Baucus and Adam discuss leadership, career success, negotiations and dealmaking, decision making, trust, and much more.
The wellness industry has a problem, and Ezekiel Emanuel is one of the few people willing to call it out. In his new book, Eat Your Ice Cream: A Contrarian’s Guide to Living Longer, Healthier, and Happier, the bioethicist, oncologist, and former White House health advisor challenges both the influencers selling unproven supplements and the culture of wellness-as-self-punishment. In this episode, Emanuel makes a compelling research-backed case that the single most powerful determinant of health, longevity, and happiness is social connection, not sleep scores, protein intake, or VO2 max. Drawing on the Harvard Adult Development Study, the longitudinal study, going strong after 88 years, and other research worldwide, he explains why loneliness is biologically dangerous, and why doctors almost never ask about it. He also makes important points about retirement. When 40 hours of purposeful work becomes 40 hours of passive television, the brain pays a price. Emanuel argues that retirement requires deliberate design to replace the cognitive challenge, social contact, and structured schedule that work once provided. And he offers Ben Franklin, inventor of bifocals at 79, and still inventing at 81, as a model for what staying fully alive in later life actually looks like. Ezekiel Emanuel joins us from Washington, DC. ________________________ For More on Ezekiel Emanuel Eat Your Ice Cream: A Contrarian’s Guide to Living Longer, Healthier, and Happier Website ________________________ Bio Ezekiel J. Emanuel, MD, PhD, is the Vice Provost for Global Initiatives and the Diane v.S. Levy and Robert M. Levy University Professor. An oncologist and world leader in health policy and bioethics, he is a Special Advisor to the Director General of the World Health Organization, Senior Fellow at the Center for American Progress, and member of the Council on Foreign Relations. He was the founding chair of the Department of Bioethics at the National Institutes of Health and held that position until August 2011. From 2009 to 2011, he served as a Special Advisor on Health Policy to the Director of the Office of Management and Budget and National Economic Council. In this role, he was instrumental in drafting the Affordable Care Act. Dr. Emanuel is the most widely cited bioethicist in history. He has over 350 publications and has authored or edited 15 books. His recent publications include Which Country Has the World's Best Health Care (2020), Prescription for the Future (2017), Reinventing American Health Care: How the Affordable Care Act Will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System (2014) and Brothers Emanuel: A Memoir of an American Family (2013). In 2008, he published Healthcare, Guaranteed: A Simple, Secure Solution for America, which included his own recommendations for health care reform.Dr. Emanuel regularly contributes to The New York Times, The Washington Post, The Wall Street Journal, and The Atlantic and often appears on BBC, NPR, CNN, MS NOW and other media outlets. He has received numerous awards, including election to the Institute of Medicine (IOM) of the National Academy of Science and awards from the American Academy of Arts and Sciences, the Association of American Physicians, and the Royal College of Medicine (UK). He has been named a Dan David Prize Laureate in Bioethics and is a recipient of the AMA-Burroughs Wellcome Leadership Award, the Public Service Award from the American Society of Clinical Oncology, the Lifetime Achievement Award from the American Society of Bioethics and Humanities, the Robert Wood Johnson Foundation David E. Rogers Award, the President's Medal for Social Justice from Roosevelt University, and the John Mendelsohn Award from the MD Anderson Cancer Center, as well as honorary degrees from Icahn School of Medicine at Mount Sinai, Union Graduate College, the Medical College of Wisconsin, and Macalester College. Dr. Emanuel is a graduate of Amherst College. He holds a M.Sc. from Oxford University in Biochemistry and received his M.D. from Harvard Medical School and a Ph.D. in political philosophy from Harvard University. ________________________ Retirement Podcast Conversations You’ll Also Love The Good Life – Marc Schulz, PhD Retiring: Creating a Life That Works for You – Teresa Amabile How Not to Age – Dr. Michael Greger _________________________ About The Retirement Wisdom Podcast There are many podcasts on retirement, often hosted by financial advisors with their own financial motives, that cover the money side of the street. This podcast is different. You'll get smarter about the investment decisions you'll make about the most important asset you'll have in retirement: your time. About Retirement Wisdom I help people who are retiring, but aren't quite done yet, discover what's next and build their custom version of their next life. A meaningful retirement doesn't just happen by accident. Schedule a call today to discuss how the Designing Your Life process created by Bill Burnett & Dave Evans can help you make your life in retirement a great one — on your own terms. About Your Podcast Host Joe Casey is an executive coach who helps people design their next life after their primary career and create their version of The Multipurpose Retirement.™ He created his own next chapter after a 26-year career at Merrill Lynch, where he was Senior Vice President and Head of HR for Global Markets & Investment Banking. Joe has earned Master's degrees from the University of Southern California in Gerontology (at age 60), the University of Pennsylvania, and Middlesex University (UK), a BA in Psychology from the University of Massachusetts at Amherst, and his coaching certification from Columbia University. In addition to his work with clients, Joe hosts The Retirement Wisdom Podcast, ranked in the top 1% globally in popularity by Listen Notes, with over 2 million downloads. Business Insider recognized Joe as one of 23 innovative coaches who are making a difference. He's the author of Win the Retirement Game: How to Outsmart the 9 Forces Trying to Steal Your Joy. __________________________ Wise Quotes On Wellness “Wellness should be about joie de vivre — about joy in life. It should not be only self-deprivation…Most of wellness is about don’t do stupid stuff — and most of it, we already know.” On Retirement “Most people when 40 hours of work drops out, 40 hours of TV comes in. Very passive. Not very intellectually challenging. That’s not retirement — that’s a slow decline…We don’t spend nearly enough time thinking about the brain part of retirement. Your brain is probably more important than your money.” On Willpower vs. Habits “If you have to use your willpower every time you do something, you can forget it. You have to make the wellness activity part of your habit. Doing it three to four times a week for about six weeks, that’s about what you need for a new activity to become ingrained.”
This episode was sponsored by Cardiff & MJN Insurance Services, Inc. LightSpeed VT: https://www.lightspeedvt.com/ Dropping Bombs Podcast: https://www.droppingbombs.com/ Today's Dropping Bombs episode features Michael Notte, the insurance adviser helping small business owners save serious money through a little-known tax program buried inside the Affordable Care Act. Michael breaks down how employers can quietly pocket thousands, sometimes tens of thousands of dollars a year in tax savings, while actually putting more money in their employees' pockets at the same time. That's real money, and it's recurring, and it costs nothing. From broke college grad chasing a music career to building a thriving insurance practice and qualifying for New York Life's Chairman's Council, Michael's story is proof that the backup plan sometimes becomes the main event. If you own a business or you're hungry for a real commission-based opportunity with recurring income, this one's for you. The money is already there — Michael just shows you where to find it.
Looking for an exclusive pastel Trader Joe's mini tote? How about the latest Labubu? Once a staple of sneaker and streetwear, the “limited drop” release model is popping up all over the place. In this episode, find out why every brand seems to be chasing the “drop.” Later, we spill the tea on office gossip and what it's like to run a dance studio. Also: A new survey shows 9% of Affordable Care Act enrollees are now uninsured after subsidies expired.Every story has an economic angle. Want some in your inbox? Subscribe to our daily or weekly newsletter.Marketplace is more than a radio show. Check out our original reporting and financial literacy content at marketplace.org — and consider making an investment in our future.