Podcasts about Health Affairs

Health Affairs Publishing's Jeff Byers welcomes Alison Barkoff of George Washington University to the pod to explore the evolving landscape of Medicaid work requirements. They break down who is impacted by these policies, how the requirements are structured across states, and the real-world challenges of implementation. The conversation also explores concerns about administrative burden, potential coverage losses, and what these changes mean for beneficiaries, policymakers, and providers.Topics covered:What Medicaid work requirements are and how they workWho qualifies—and who may lose coverageState-level variations and policy designAdministrative complexity and compliance challengesPotential impacts on access to care and health outcomesJoin 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:Medical Frailty Rule Contravenes HR 1, Burdens The Health Care System, And Threatens Public Health (Health Affairs Forefront)States balk at the high price of Medicaid work requirements amid budget crunch (POLITICO PRO)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

Health Affairs Publishing's Rob Lott speaks to Yashaswini Singh of Brown University about her recent paper that explores how private equity acquisitions in primary care are associated with changes in utilization, spending, and workforce composition.Order the June 2026 issue of Health Affairs.Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Dennis is a passionate and recognized national expert on nonprofit leadership and board governance with over four decades of experience. He founded and chaired DCM Associates Inc., from 2007 to 2024, a highly successful and nationally recognized executive search firm for nonprofit CEOs and C-Suite leaders. As the former president and chief executive officer of Somerset Medical Center and Foundation in New Jersey from 1999 to 2004, his reputation as a respected healthcare executive resulted in numerous honors including becoming the Chair of the Board of Trustees for the Center for Health Affairs, Inc. in Princeton, and served in a leadership capacity on many other nonprofit boards.Dennis earned his Fellowship in the American College of Healthcare Executives – ACHE – was recognized by the Somerset County Business Partnership as the Business Leader of the Year, awarded by the Boy Scouts as Citizen of the Year, inducted into the Hall of Fame by St. Joseph Regional High School where he chaired their first ever capital campaign and became Chairman of the Board, and many other honors and awards from business trade associations.Dennis obtained his undergraduate degree from Rutgers University graduating Phi Beta Kappa and master's degree in public health administration from Columbia University's Mailman School of Public Health. Passionate about leadership and governance, Dennis was the Founder of the Center for Excellence in Leadership, Governance and Philanthropy at Fairleigh Dickinson University, the largest private university in New Jersey.Dennis is the author of five books on nonprofit organization success: A Guide to Achieving New Heights: The Four Pillars of Successful Nonprofit Leadership; The Nonprofit Board Therapist: A Guide to Unlocking Your Organization's True Potential; The Power of Strategic Alignment: A Guide to Energizing Leadership and Maximizing Potential in Today's Nonprofit Organizations; A Guide to Recruiting Your Next CEO: The Executive Search Handbook for Nonprofit Boards; and The Importance of Nonprofit Board Leadership: A Guide to Creating a Highly Successful Nonprofit Board. Dennis is also a regular columnist for many of America's leading nonprofit business publication and blogs.In his compelling autobiography, Moppin' Floors to CEO: From Hopelessness and Failure to Happiness and Success, Dennis mixes together the right ingredients for an engaging, illuminating and inspiring, gut-honest recount of his highly eventful life; lots of engaging stories; and some valuable life lessons.

Health Affairs Publishing's Jeff Byers welcomes Sarah Jane Tribble of KFF Health News to the pod to discuss the Rural Health Transformation Fund, highlighting how it aims to improve infrastructure and access in rural communities amid ongoing challenges like hospital closures, workforce shortages, and Medicaid cuts. To learn more about the Rural Health Transformation Fund, join us on June 8 for a free event featuring Kate Sapra and Katherine Ornstein highlighting state initiatives focusing on improving care for older adults.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:Rural Health Payout Series (KFF Health News)Rural America at a Glance (U.S. Department of Agriculture)Federal Budget Cuts Won't Hit All Hospitals Equally: How States Can Better Analyze Hospital And Health System Financial Data (Health Affairs Forefront)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

Health Affairs Publishing's Rob Lott speaks to Abe Sutton, Director of the Center for Medicare and Medicaid Innovation, about the ACCESS model and broader efforts to test payment and delivery reforms aimed at improving affordability, expanding digital health, and generating real-world evidence in Medicare. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Health Affairs Publishing's Jeff Byers welcomes Andrew Rundle of the Columbia University Mailman School of Public Health to the pod to discuss his recent Forefront article about Medicare's upcoming ACCESS model and its potential to expand digital health for chronic disease management. They discuss why the program could spur rapid growth in health tech while highlighting key challenges, including serving an older population with varying degrees of digital literacy and adapting to a new, evidence-driven marketplace. Related Links:The ACCESS Model May Set Off A Health Tech Gold Rush, But New Markets Bring Serious Obstacles (Health Affairs Forefront)A deeper dive into the ACCESS Model—Who's participating, potential headwinds and how it could spur health plan adoption (Fierce Healthcare)ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model (CMS)ACCESS Model Accepted Applicants (CMS)Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

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 third and final episode for the series in 2026, host Katherine Ornstein welcomes Alison Barkoff of George Washington University to the program to discuss the rising economic and social importance of family caregiving, recent federal policy shifts affecting Medicaid and caregiver programs, and new interventions at the state and private‑sector levels.Support for the Age-Friendly Health series is provided by The John A. Hartford Foundation.Related Links:Reflections On Caregiving Policy: Progress, Challenges, And Opportunities (Health Affairs Forefront)History Repeats? Faced With Medicaid Cuts, States Reduced Support For Older Adults And Disabled People (Health Affairs Forefront)Long Term Services and Supports InitiativeNational Strategy to Support Family CaregiversNation Alliance for Caregiving's Caregiver Nation Coalition

Health Affairs Publishing's Rob Lott speaks to Jeff Romine of Carelon Research about his recent paper exploring new research on how extreme heat affects health care use and costs, finding consistent increases in emergency department visits and some hospitalizations, but little change in outpatient care. Order the May 2026 issue of Health Affairs.Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Trigger Warning: This episode includes discussion of youth mental health challenges, including suicide and self-harm. Listener discretion is advised.Health Affairs Publishing's Kathleen Haddad welcomes Caroline Figueroa of Stanford University to the pod to discuss how teens are using AI chatbots for mental health support and the factors driving that use, including access and stigma. It also discusses emerging concerns and potential approaches to improving safety, design, and oversight of these tools. 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.Also, learn more about the upcoming AcademyHealth 2026 Annual Research Meeting from May 30 to June 2 featuring Caroline Figueroa as part of the panel, A Responsible Approach to AI Innovation to Support the Mental Health of Young People.Related Links:Responsible AI for Youth Mental Health (Hopelab)Talk, Trust, and Trade-Offs: How and Why Teens Use AI Companions (common sense media)One in Eight Adolescents and Young Adults Use AI Chatbots for Mental Health Advice (RAND)Towards responsible AI for adolescent mental health and well-being2026 CHATBOT LEGISLATION TRACKERSign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.

In this episode of Inspiring Women, Laurie McGraw speaks with Dr. Veronica Mallett, a physician, educator, and trailblazer with four decades of experience advancing health equity and workforce representation in American medicine. Dr. Mallett is Senior Vice President and Chief Administrative Officer of the More in Common Alliance, a 10-year, $100 million partnership between Morehouse School of Medicine and CommonSpirit Health created to expand representation in medicine and close the physician shortage in underserved communities. Dr. Mallett shares the story behind her drive, growing up in Detroit as the daughter of two educators and civil rights leaders, who taught her that education was "the great leveler" and that having a principle means being prepared to stand alone. She talks about deciding at age 9 to become a doctor, navigating Barnard College and medical training as one of very few women of color in the room, and learning to turn individual setbacks into collective action. In this conversation, Dr. Mallett discusses: - Why the More in Common Alliance is doubling the class size at Morehouse School of Medicine and building regional medical campuses and graduate medical education sites in underserved areas - The work happening in communities like Bakersfield and Kern County, California — one of the most medically underserved regions in the state - Why she believes the promise that women "can have it all" was a myth, and what to build instead: a real support system and intentional choices - Her case for leaning into leadership roles — and how the autonomy that comes with them benefits your family, not just your career - Managing a blended family of six children, and what work-life balance actually means in practice - Overcoming imposter syndrome at every level, and the mantra her sister gave her: "Who I am is enough" Dr. Mallett previously served as Senior Vice President of Health Affairs and Dean of the School of Medicine at Meharry Medical College, and as President and CEO of Meharry Medical College Ventures. Earlier in her career she helped launch a new medical school at Texas Tech University in El Paso. She is board certified in obstetrics and gynecology and in female pelvic medicine and reconstructive surgery, earned her medical degree at Michigan State University, and holds a master's in Medical Management from Carnegie Mellon University. Inspiring Women, hosted by Laurie McGraw, features candid conversations with women leaders about the choices, setbacks, and turning points behind their careers. Full conversation with Dr. Veronica Mallett on Inspiring Women.

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.

Hosted by Michael Tetreault | Editor-in-Chief, Concierge Medicine Today Episode Overview In one of the most comprehensive episodes in DocPreneur Leadership Podcast history, host Michael Tetreault takes an honest, evidence-based, and encouraging look at the cash-pay and subscription-based primary care landscape — who it serves, how it works, where it's heading, and what every physician and advanced practice clinician needs to understand before making a career-defining decision. This episode doesn't take sides. It takes a clear-eyed look at the full picture — including the parts that don't always make it into the conference keynote. What's Covered in This Episode The Foundation Not all subscription-based primary care models are the same. Two models operating in this space share surface-level similarities but are structurally distinct businesses with different economic logic, different patient populations, and different long-term trajectories. Understanding which one you're considering — and why — changes everything about how you plan. A Lesson From Healthcare History Before committing to any practice model, it helps to understand what happened to the movements that came before it. This episode traces three instructive parallels: the micropractice and ideal medical practice movement of the early 2000s; the decades-long fight for healthcare price transparency and what happened when physicians finally got it; and the rise and reality check of retail health — what scaled, what didn't, and why. The common thread in every model that has achieved durable scale in American healthcare is the same: structural fit with the economic environment, not ideological purity. Two Pathways, One Brand Name The episode walks through both economic models in the cash-pay primary care space — the purist, cash-only, no-insurance model and the employer-integrated model — explaining how each works, who each serves, and what the financial picture actually looks like for physicians considering either path. The revenue math is done out loud. The sustainability data from peer-reviewed research is cited. The patient demographic fit for each model is examined honestly and specifically. Who Each Model Serves — and Where Other Models Fit Better A detailed breakdown of the patient populations each model genuinely serves well — and an honest, evidence-based look at the patient populations where other models may be a better structural fit. Including Medicare-eligible patients, patients with complex chronic disease, lower-income households, and employees of small and mid-sized businesses. The Overlooked Opportunity — NPs, PAs, and Advanced Practice Clinicians One of the most significant and underexplored opportunities in subscription-based healthcare delivery today is the direct-care model as a pathway for nurse practitioners, physician assistants, and other advanced practice clinicians. The evidence on NP and PA-led primary care outcomes is strong and peer-reviewed. The physician shortage projections make the need urgent. And the organizational infrastructure for advanced practice clinician-led direct-care practices is largely unbuilt — which means the opportunity belongs to whoever moves first. The Organizational Landscape An honest look at what the multiplicity of organizations, coalitions, and alliances in the cash-pay primary care space tells us — and what research on professional association dynamics says about the long-term implications of organizational fragmentation for legislative effectiveness and individual practice planning. One Brand, Two Directions Drawing on four documented historical parallels from the history of American medicine — the AMA and managed care, osteopathic medicine's identity divide, family medicine's emergence as a separate specialty, and the micropractice movement — the episode makes the case that two communities with genuinely different economic interests and regulatory priorities currently sharing a brand name may, consistent with historical precedent, find their own distinct professional homes over time. This is presented as pattern recognition grounded in verified historical evidence — and as practical planning context for physicians building practices today. The Tax and Structuring Update A clear, practical summary of the 2025 "One Big Beautiful Bill" Act changes — effective January 2026 — and what they mean for HSA eligibility of cash-pay membership fees. What qualifies, what doesn't, and why legal counsel is essential before making any representations to patients about tax-advantaged payment options. Eight Questions Before You Commit A practical pre-decision checklist — eight specific questions every physician or advanced practice clinician should be able to answer clearly before committing to any cash-pay practice pathway. Key Takeaways Cash-pay primary care and concierge medicine are not the same model, do not serve the same patient populations, and should not be evaluated as interchangeable alternatives. The purist cash-pay model has grown from approximately 100 practices in 2009 to over 2,100 by 2023 — real and meaningful growth. The financial sustainability data, however, reflects consistent challenges that peer-reviewed research has documented specifically in lower-income markets and solo practice settings. The employer-integrated pathway has stronger structural sustainability — multiple revenue streams, embedded benefit relationships, and documented employer cost reductions of 12 to 20 percent over three to five years. A December 2025 Johns Hopkins study found concierge and cash-pay primary care practices combined grew 83.1 percent between 2018 and 2023. The employer-integrated model is the primary driver of that growth trajectory. Concierge medicine — particularly the PCM model — is not retreating. The global concierge medicine market is projected to surpass $34 billion by 2032 and is growing at a compound annual rate that outpaces most healthcare market segments. The National Academy of Medicine's 2021 Future of Nursing report, AAMC physician shortage projections, and peer-reviewed NP/PA outcomes research collectively point to advanced practice clinician-led direct-care models as one of the most significant underexplored opportunities in subscription-based healthcare delivery. Pattern recognition from healthcare history — price transparency, retail health, the micropractice movement — consistently shows that the distance between a compelling healthcare idea and durable scaled impact is longer and more complicated than early advocacy suggests. Models that have achieved durable scale in American primary care share one characteristic: structural fit with the economic environment, not independence from it. Sources and Citations All claims in this episode are supported by published, verifiable sources. Full citations below. Micropractice and Practice Model History Moore, G. (2002). "Accountability and Improvement in Physician Practice." Family Medicine. Moore, G. & Showstack, J. (2003). "Primary Care Medicine in Crisis." Health Affairs. healthaffairs.org AAFP TransforMED Initiative. (2006). aafp.org Nutting, P.A. et al. (2010). "Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home." Annals of Family Medicine. Rittenhouse, D.R. et al. (2009). "Primary Care and Accountable Care." New England Journal of Medicine. Rittenhouse, D.R. & Shortell, S.M. (2009). "The Patient-Centered Medical Home." JAMA. Price Transparency Research Pathak, Y. & Muhlestein, D. (2024). "Public Awareness and Use of Price Transparency: Report From a National Survey." West Health Institute / Gallup. pmc.ncbi.nlm.nih.gov Parente, S.T. (2023). "Estimating the Impact of New Health Price Transparency Policies." Inquiry.pmc.ncbi.nlm.nih.gov ScienceDirect. (2025). "Outcomes of Price Transparency Policies for Healthcare Services in the United States: A Systematic Review." sciencedirect.com Retail Health Fein, A.J. (2017). "Retail Clinic Check Up: CVS Retrenches, Walgreens Outsources, Kroger Expands." Drug Channels. drugchannels.net CNBC. (2024). "Why Walmart, Walgreens, CVS Retail Health Clinic Experiment Is Struggling." cnbc.com Healthcare Finance News. (2023). "Retail Clinics Seeing Utilization Soar, Popularity Grow." healthcarefinancenews.com MedCity News. (2023). "Retail Clinics Are Gaining Momentum." medcitynews.com Cash-Pay and Subscription Primary Care Market Data MedCity News. (March 2026). "DPC Is Scaling — The Financing Architecture Isn't Ready." medcitynews.com Johns Hopkins. (December 2025). Study on concierge and cash-pay practice growth 2018–2023. As cited in MedCity News, March 2026. Liaw, W. et al. (2024). "Direct Primary Care: Financial Analysis and Potential to Reshape the U.S. Healthcare Landscape." Journal of General Internal Medicine. springer.com Lujan, D.Y. (2025). "Why Direct Primary Care Models Fail." KevinMD. kevinmd.com Doan, L. et al. (2019). "Physician Perspectives on Direct Primary Care." Family Medicine. Eskew, P.M. & Klink, K. (2015). "Direct Primary Care: Practice Distribution and Cost Across the Nation." Health Affairs. healthaffairs.org Tseng, P. et al. (2018). "Administrative Costs Associated With Physician Billing and Insurance-Related Activities." JAMA Internal Medicine. Medscape Physician Compensation Report. (2023). medscape.com Employer-Integrated Model Spann, S.J. et al. (2020). "Employer-Sponsored Direct Primary Care." Journal of Occupational and Environmental Medicine. National Alliance of Healthcare Purchaser Coalitions. (2021). purchaseralliance.org Kaiser Family Foundation. (2023). Employer Health Benefits Annual Survey. kff.org National Business Group on Health. (2022). businessgrouphealth.org Employers Health Coalition. (2022). employershealthcoalition.org Patient Demographics and Population Health Anderson, G.F. (2010). "Chronic Conditions: Making the Case for Ongoing Care." Johns Hopkins Bloomberg School of Public Health. Tikkanen, R. & Abrams, M.K. (2020). "U.S. Health Care from a Global Perspective." Commonwealth Fund.commonwealthfund.org Collins, S.R. et al. (2022). "Paying for It: How Health Insurance and Healthcare Costs Are Shaping the Lives of American Adults." Commonwealth Fund. commonwealthfund.org Bureau of Labor Statistics. (2023). "Contingent and Alternative Employment Arrangements." bls.gov Petterson, S. et al. (2012). "Unequal Distribution of the U.S. Primary Care Workforce." Annals of Family Medicine. Advanced Practice Clinicians and Nursing Laurant, M. et al. (2019). "Revision of Professional Roles and Quality Improvement in Primary Care." New England Journal of Medicine. Naylor, M.D. & Kurtzman, E.T. (2010). "The Role of Nurse Practitioners in Reinventing Primary Care." Health Affairs. healthaffairs.org National Academy of Medicine. (2021). "The Future of Nursing 2020–2030." nationalacademies.org AAMC. (2021). "The Complexities of Physician Supply and Demand: Projections from 2019–2034." aamc.org Legal, Tax, and Compliance Eischen, J. (2025). Legal Commentary on Cash Practice Structuring. eischenlawoffice.com DLA Piper. (2025). "Paying for Direct Primary Care Arrangements With HSAs." dlapiper.com IRS Notice 26-05. irs.gov CMS. "Opt-Out Affidavits and Private Contracts." cms.gov Organizational and Professional Identity Research Hoff, T.J. (2010). Practice Under Pressure: Primary Care Physicians and Their Medicine in the Twenty-First Century. Rutgers University Press. Scott, W.R. (2008). Institutions and Organizations: Ideas and Interests. SAGE Publications. Freidson, E. (2001). Professionalism: The Third Logic. University of Chicago Press. Wolinsky, H. & Brune, T. (1994). The Serpent on the Staff: The Unhealthy Politics of the American Medical Association. Putnam. Gevitz, N. (2004). The DOs: Osteopathic Medicine in America. Johns Hopkins University Press. Stephens, G.G. (1989). "Family Medicine as Counterculture." Journal of Family Practice. Colwill, J.M. (1992). "Where Have All the Primary Care Applicants Gone?" New England Journal of Medicine. Meltzer, D.O. & Chung, J.W. (2014). "The Population-Based Physician Workforce." Health Affairs.healthaffairs.org Bodenheimer, T. & Pham, H.H. (2010). "Primary Care: Current Problems and Proposed Solutions." Health Affairs. healthaffairs.org Grumbach, K. & Grundy, P. (2010). "Outcomes of Implementing Patient Centered Medical Home Interventions." JAMA. Concierge Medicine Market Data Grand View Research. (2022). Concierge Medicine Market Size & Growth Report. grandviewresearch.com Precedence Research. (2023). U.S. Concierge Medicine Market Size and Forecast. globenewswire.com MDVIP. (2020). Personalized Primary Care Reduces ER Visits, Hospitalizations, and Outpatient Expenditures.mdvip.com AAPP / Software Advice. (2023). "Concierge Medicine Salary and Definition." softwareadvice.com Disclaimer The DocPreneur Leadership Podcast is produced by Concierge Medicine Today, LLC, an independent healthcare leadership publication. This episode and its accompanying summary are intended for educational and informational purposes only. Nothing in this episode or summary constitutes medical, legal, financial, or accounting advice. The information presented reflects publicly available research, published data, and editorial observation, and is not intended to replace the guidance of qualified medical, legal, financial, or business professionals. All factual claims are supported by named, verifiable third-party sources, which are cited in full above. Concierge Medicine Today makes no guarantee regarding the completeness or currency of external sources cited and encourages listeners to verify information independently. References to specific organizations, publications, legal decisions, or market data are provided for educational context only. Mention of any organization, publication, or individual does not constitute endorsement, and no commercial relationship exists between Concierge Medicine Today and any source cited in this episode unless otherwise disclosed. Physicians, nurse practitioners, physician assistants, and other clinicians considering any practice model change are strongly encouraged to seek qualified legal counsel with specific experience in healthcare compliance, tax structuring, and the applicable regulatory environment in their state before making any practice or business decisions. © 2007–2026 Concierge Medicine Today, LLC. All rights reserved. Reproduction or distribution of this content without written permission is prohibited.

Health Affairs Publishing's Rob Lott speaks to Dhara Patel of the Cambridge Health Alliance and Harvard Medical School about her recent paper exploring national trends in cold‑related illness hospitalizations and how climate change and social vulnerability shape health risks across the United States.Order the May 2026 issue of Health Affairs.Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

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.

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.

Health Affairs Publishing's Rob Lott speaks with Cynthia Strathmann of SAJE about her recent paper that examines how climate impacts such as extreme heat affect low‑income renters and what policymakers can do to balance climate adaptation with housing stability.Order the May 2026 issue of Health Affairs.Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

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.

Health Affairs Publishing's Rob Lott speaks with Maud Powell of Oregon State University about her recent paper examining stress and anxiety among farmers and ranchers and the interventions that may help address these challenges.Order the May 2026 issue of Health Affairs.Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

In this episode of Behind the Pages, Health Affairs Publishing's Margaret Winchester interviews theme issue advisor Sacoby Wilson of The University of Maryland about key themes from the May Health Affairs issue on climate, health, and equity, with a focus on community‑led approaches, health system interventions, and scalable policy solutions to address climate‑related health risks. Order the May 2026 issue of Health Affairs.Join Health Affairs Publishing on May 6th for a free virtual event discussing research, insights, data, and takeaways from the May 2026 theme issue on climate, health, and equity.Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

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.

Health Affairs Publishing's Rob Lott interviews Jason Buxbaum of Brown University about his recent paper that explores new research on administrative spending in U.S. health insurance and why it varies so widely across states and markets. Order the March 2026 issue of Health Affairs.'Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

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.

Health Affairs Publishing's Rob Lott interviews Andrew Anderson of Johns Hopkins University about his recent paper that explores new research on the Medicare Advantage Star Ratings program and how effectively it has driven quality improvement over time. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.Order the April 2026 issue of Health Affairs.

In this episode of ACC's Practice Made Perfect podcast, Drs. Brenton Bauer and Laura Onderko explore practical strategies for getting started in advocacy, with a particular focus on Fellows in Training and Early Career cardiologists. They are joined by Dr. Samuel O. Jones, IV, a current member of the ACC Board of Trustees and former Chair of Health Affairs, who brings extensive experience and insight from years of active engagement in health policy and advocacy efforts.   The conversation also highlights key policy issues shaping cardiovascular practice today, including the evolving landscape of noncompete laws and ongoing physician payment challenges that underscore the need for meaningful payment reform. The episode concludes with a look at the future of telehealth and its policy implications, as well as the growing impact of prior authorization on clinical practice. 

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.

Health Affairs' Rob Lott interviews James Robinson of the University of California Berkeley about his recent paper exploring most favored nation drug pricing, weighing its feasibility, likely effects on drug launch prices, and implications for global pharmaceutical innovation and investment. Order the April 2026 issue of Health Affairs.

Health Affairs Publishing's Jeff Byers welcomes Senior Editor Kathleen Haddad back to the pod to discuss recent health policy developments, including a Supreme Court ruling on conversion therapy, renewed Democratic interest in Affordable Care Act reform, and key findings from MedPAC's latest Medicare payment report.On April 20th, join us for our upcoming Insider exclusive event exploring the evolution of the Medicare Advantage market featuring Sachin Jain, David Meyers, and Grace Mackleby.Related Links:2027 Medicare Advantage Final Payment Rule: Key Changes Explained | David Meyers (Health Affairs This Week)Chiles v. Salazar (Conversion Therapy) (SCOTUSblog)Senate Democrats lay out plans to overhaul health insurance after setbacks under Trump (STAT)March 2026 Report to the Congress: Medicare Payment Policy

On an emergency pod episode, Health Affairs Publishing's Jeff Byers welcomes Brown University's David Meyers to the pod to unpack the 2027 Medicare Advantage final payment rule, including the higher-than-anticipated rate increase, changes to risk adjustment models, what is V28, and the tradeoffs between market stability and long-term program sustainability. On April 20th, join us for our upcoming Insider exclusive event exploring the evolution of the Medicare Advantage market featuring Sachin Jain, David Meyers, and Grace Mackleby.Related Links:Assessing Recent Regulatory Action On Medicare Advantage (Health Affairs Forefront)

Health Affairs' Rob Lott interviews Em Balkan of Brown University about their recent paper showing that rapid disenrollment from Medicare Advantage plans tripled from 2017 to 2022, with higher rates among dual‑eligible beneficiaries and certain racial and ethnic groups  — raising questions about how well plans are meeting beneficiaries' needs.Order the March 2026 issue of Health Affairs.

Health Affairs' Jeff Byers welcomes Halle Tecco, investor, founder of Rock Health and professor at Columbia Business School, to the pod to discuss her new book, Massively Better Healthcare: The Innovator's Guide to Tackling Healthcare's Biggest Challenges. Their conversation explores why consumers are becoming a powerful force in healthcare, how innovation happens within complex systems, and what it takes to align technology, evidence, and incentives to drive meaningful change.Related Links:Order Massively Better Healthcare: The Innovator's Guide to Tackling Healthcare's Biggest ChallengesCheck out Halle's podcast, The Heart of Healthcare Podcast

Health Affairs' Rob Lott interviews David Powell of the University of Pennsylvania about his recent paper exploring new research showing SSDI beneficiaries face significantly elevated mortality during the mandatory two‑year waiting period for Medicare for such beneficiaries, why the waiting period exists, how it affects access to care, and what policy options could better serve this vulnerable population.Order the March 2026 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 for everyone.

Health Affairs' Jeff Byers welcomes Ben Ippolito of the American Enterprise Institute to the pod to discuss the growing debate over Medicare Advantage (MA) payments and coding intensity. They break down why MA plans typically receive higher federal payments than traditional Medicare, how diagnostic upcoding factors into that gap, and what a new study in Health Affairs Scholar reveals about policy changes aimed at reducing inflated coding. On March 24th, join us for our upcoming Insider exclusive event focusing on pharmacy benefit manager reform with Harvard Medical School's Benjamin Rome.Related Articles:An updated analysis of coding pattern differences in Medicare Advantage (Health Affairs Scholar)The Trouble With MedPAC (Wall Street Journal)The Higher Price Tag on Medicare Advantage (Wall Street Journal)Aligning The MedPAC And CMS Estimates Of Coding Intensity: The Importance Of The Risk Model And Trend (Health Affairs Forefront)Medicare Advantage growth decelerates as insurers shed members for 2026 (Healthcare Dive)

Health Affairs' Rob Lott interviews Anna Zink of Tufts University about on her recent paper examining studies of an FDA‑approved cardiac diagnostic AI tool, fractional flow reserve derived from computed tomography. They discuss how the tool shifts testing patterns, raises some costs, reduces invasive procedures, and may improve outcomes—along with what it all means for Medicare reimbursement and the future of AI regulation.Order the March 2026 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

Health Affairs' Jeff Byers welcomes Deputy Editor Leslie Erdelack back to the pod to break down recent turbulence at the FDA following the departure of Vinay Prasad, whose decisions around rare‑disease gene therapies courted controversy. They explore the fast‑growing rare disease therapeutics market, why traditional clinical trials often don't work for ultra‑rare genetic conditions, and the new FDA draft guidance for rare disease drug development. On March 24th, join us for our upcoming Insider exclusive event focusing on pharmacy benefit manager reform with Harvard Medical School's Benjamin Rome.Become an Insider to get access to this event, trend reports, cheat sheets, and exclusive newsletters.Related Articles:FDA vaccines chief who ran afoul of pharma to depart (Politico)Rare Disease Therapeutics Market to Surpass US$ 495.27 Billion by 2033 as Gene Therapy, RNA-based Drugs, and Biologics Transform Patient Care (PR Newswire)FDA NEWS RELEASE: FDA Launches Framework for Accelerating Development of Individualized Therapies for Ultra-Rare Diseases FDA illuminates new approval pathway for bespoke gene editing therapies (Fierce Biotech)One Pivotal Trial, the New Default Option for FDA Approval — Ending the Two-Trial Dogma (The New England Journal of Medicine)

Health Affairs' Rob Lott interviews Dr. Ezekiel Emanuel about his new book, Eat Your Ice Cream: Six Simple Rules for a Long and Healthy Life. He explains why he wrote a wellness guide for the general public, what frustrates him about today's “wellness industrial complex,” and why evidence‑based habits — not trendy supplements or extreme routines — are key to long‑term health.Pick up a copy of his new book, Eat Your Ice Cream: Six Simple Rules for a Long and Healthy Life.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

Over the past 12 years the Affordable Care Act (ACA) has reduced the total number of uninsured Americans and low-income individuals more specifically by over 50% and by over 66% for young adults. In 2025 the ACA insured a record breaking 45 million Americans: 24 million through the federal and state exchanges; and, 21 million via the ACA's expansion of the Medicaid program. Having been under nearly continual attack by Republicans, the proposed 2027 ACA rule, announced February 9th (with comments due March 13), was highly anticipated. Within a week after it was announced, Professor Keith and her colleague Matthew Fielder authored three lengthy essays unpacking numerous proposed rule provisions. Top of line the authors noted the proposed, if finalized, will decrease marketplace enrollment by 2 million in 2027 (marketplace enrollment is already down this year by one million due to the Congress's refusal or failure to extend COVID-era enhanced premium tax credits) and will increase ACA-related reporting & record keeping by approximately $1.34 billion every year. The first of three Health Affairs' Forefront essays by Katie Keith and Matthew Fielder is at: https://www.healthaffairs.org/content/forefront/hhs-proposes-sweeping-changes-2027-marketplace-plans-part-1 The second is at: https://www.healthaffairs.org/content/forefront/hhs-proposes-sweeping-changes-2027-marketplace-plans-part-2The third is at: https://www.healthaffairs.org/content/forefront/hhs-proposes-sweeping-changes-2027-marketplace-plans-part-3The proposed rule is at: https://www.govinfo.gov/content/pkg/FR-2026-02-11/pdf/2026-02769.pdfCMS' related press release is at: https://www.cms.gov/newsroom/fact-sheets/hhs-notice-benefit-payment-parameters-2027-proposed-rule This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

Health Affairs' Jeff Byers welcomes Senior Editor Margaret Winchester to the pod to discuss Trump's recent State of the Union Address and unpacking its health care and health policy talking points, including most-favored nation drug pricing, health savings accounts, and if there's a path toward codification for either.On March 24th, join us for our upcoming Insider exclusive event focusing on pharmacy benefit manager reform with Harvard Medical School's Benjamin Rome.Related Articles:National Health Care Spending Increased 7.2 Percent In 2024 As Utilization Remained Elevated (Health Affairs)Trump's State of the Union trumpets healthcare greatest hits, but no new policies (Healthcare Dive)

Health Affairs' Rob Lott interviews Derek T. Lake on his recent paper exploring new research on Optum's acquisitions, finding the company tended to buy physician practices already using ambulatory surgery centers and that its ASC acquisitions were followed by higher prices for competing insurers.Order the February 2026 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

In this episode of Voices of Otolaryngology, Carol R. Bradford, MD, MS, AAO-HNS/F Past President and the Interim Executive Vice President for Health Affairs and Interim Dean of the Medical School at the University of Minnesota University, joins for an inspiring conversation with host and AAO-HNS/F Executive Vice President and CEO Rahul K. Shah, MD, MBA, about leadership, resilience, and building a career rooted in purpose. Dr. Bradford shares her journey as a head and neck cancer surgeon, researcher, and leader — spanning roles as department chair, dean, and Academy leader. She reflects on balancing career and parenthood, building a research career, and navigating leadership setbacks. Key themes include mentorship, patient-centered care, and staying grounded in your "why."

Health Affairs' Jeff Byers welcomes Brown University's Andrew Ryan to the pod to discuss his recent Forefront article that explores whether value-based payment and managed care can lead to addressing the core drivers of spending.Related Links:Value-Based Payment And Managed Care Will Not Solve The Affordability Crisis (Health Affairs Forefront)“All I Do Is Win”: Why Beating Benchmarks Doesn't Mean That ACOs Are Reducing Costs (Health Affairs Forefront)

Health Affairs' Rob Lott interviews So-Yeon Kang of Georgetown University about her recent paper exploring trends in biopharmaceutical clinical trials after The Inflation Reduction Act of 2022 authorized Medicare to negotiate prices for selected drugs. Order the January 2026 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

Health Affairs' Jeff Byers welcomes Christina Farr, CEO and editor-in-chief of Second Opinion Media, back to the pod to discuss her book, The Storyteller's Advantage: How Powerful Narratives Make Businesses Thrive. The conversation explores the value of storytelling in the health care and health policy space, how to invest in posting, the catch 22 of "spicy takes," recommendations for the reluctant poster, and Christina shares a quick look into what's interesting in the digital health investment space. 

Health Affairs' Rob Lott interviews Jane Zhu of Oregon Health & Science University about her recent paper exploring how many physicians enrolled in Medicaid see few or no Medicaid beneficiaries as patients, highlighting a greater need for targeted policies to boost participation and improve access.Order the February 2026 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

Health Affairs' Jeff Byers welcomes Georgetown University's Katie Keith back to the podcast to break down the newly proposed HHS rule that could bring major changes to the ACA beginning in 2027.They discuss the proposal's biggest shifts, including a major push toward expanding catastrophic plans, new marketplace eligibility restrictions tied to the One Big Beautiful Bill Act, and potential impacts on premiums, marketplace enrollment, insurers, and consumers.Related Links:HHS Proposes Sweeping Changes for 2027 Marketplace Plans (Part 1) (Health Affairs Forefront)HHS Proposes Sweeping Changes for 2027 Marketplace Plans (Part 2) (Health Affairs Forefront)Trump Team's Planned ACA Rule Offers Its Answer to Rising Premium Costs: Catastrophic Coverage (KFF Health News)CMS proposes sweeping ACA exchange rule (Healthcare Dive)

Health Affairs' Jeff Byers welcomes dietitian Jenny Lo from Wellness and Sports Dietetics to discuss the recently revised dietary guidelines for Americans. They discuss what's changed, the emphasis on protein, the ambiguity over ultraprocessed foods, and the best advice she gives to new clients looking to make dietary changes. Related Articles:Panel behind new dietary guidelines had financial ties to beef, dairy industries (Stat News)Experts Who Advised on Diet Guidelines Say RFK Jr.'s Version Is Full of Errors (MedPage Today)A Multilayered Public Policy Approach To Ultraprocessed Foods (Health Affairs Forefront)MAHA says its new food pyramid is affordable and healthy. We asked experts (Stat News)

Health Affairs' Rob Lott interviews John Scott of the University of Washington about his recent paper exploring findings on the financial fallout from traumatic injuries, highlighting persistent medical debt burdens and the policy gaps that leave many patients unprotected. Order the February 2026 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

Health Affairs' Jeff Byers welcomes Senior Editor Kathleen Haddad back to the pod to discuss the recently passed $1.2 trillion spending appropriations bill, its included reforms for pharmacy benefit managers, the latest round of drugs slated for the Medicare Drug Negotiation program, TrumpRx, the upcoming flat rate for Medicare Advantage plan rates, and more recent health policy news.Related Articles:Congress Reins In Drug Middlemen In Effort to Lower Prescription Prices (The New York Times)Analyzing The Drugs Selected For The 2028 Medicare Drug Price Negotiation Cycle (Health Affairs Forefront)The No UPCODE Act: Considering A Simple Start To A Complex Problem (Health Affairs Forefront)PRESS RELEASE: CMS Announces Selection of Drugs for Third Cycle of Medicare Drug Price Negotiation Program, Including First-Ever Part B Drugs

Health Affairs' Rob Lott interviews Dr. Robert Wachter, Professor and Chair of the Department of Medicine at UCSF, about his new book A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future. Wachter reflects on his own daily use of AI as a clinician, the reasons he has grown optimistic about its potential, and the challenges of regulating fast‑evolving technologies. 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

Health Affairs' Rob Lott interviews Sayeh Nikpay of the University of Minnesota about her recent paper exploring how The Medicaid Drug Rebate Program and the 340B Program interact in ways that can unintentionally increase costs, the adoption of cost-saving strategies to mitigate these interactions, and how policymakers can act to balance Medicaid savings with revenue impacts on 340B-participating safety-net providers.Order the January 2026 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

Since Democrats decided to shut down the government over Affordable Care Act subsidies, now's a good time for a deep dive into what they're even talking about. John Hopkins professor Dr. Ge Bai walks us through the ACA subsidies, the hidden mechanics behind the Affordable Care Act, and its illusion of "affordability." Dr. Bai shows us how regulations and subsidies have quietly reshaped the healthcare market - and how the free market can make it work for patients again. Ge Bai, PhD, CPA is a Professor of Accounting at Johns Hopkins Carey Business School and Professor of Health Policy & Management (joint) at Johns Hopkins Bloomberg School of Public Health. An expert on health care accounting, finance, and policy, Dr. Bai has testified before the House Ways and Means Committee and the Senate HELP Committee, written for the Wall Street Journal and the Washington Post, and published her studies in leading academic journals such as the New England Journal of Medicine, JAMA, and Health Affairs. Find her on X at @GeBaiDC and read her recent WSJ oped here: https://www.wsj.com/opinion/let-the-obamacare-enhanced-premium-subsidies-expire-16ef7e1b