Podcasts about social determinants

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Best podcasts about social determinants

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Latest podcast episodes about social determinants

Congratulations Pine Tree
391 - Funeral Dirge

Congratulations Pine Tree

Play Episode Listen Later Jun 11, 2026 48:26


We talk about the election results, a couple events we went to, a protest that kate went to, and safe injection facilities. Decriminalize drugs!!!! Huge spoilers for I Love Boosters, the new Boots Riley movie!The music in this episode is from the I Love Boosters (Original Motion Picture Score)Supervised consumption explained: types of sites and servicesSupervised injection facilities in Canada: past, present, and future The Law (and Politics) of Safe Injection Facilities in the United StatesSupervised Injection Facilities and International LawNew Strategies Are Needed to Stop Overdose Fatalities: The Case for Supervised Injection FacilitiesCircumstances of First Injection Among Illicit Drug Users Accessing a Medically Supervised Safer Injection FacilityChanges in injecting practices associated with the use of a medically supervised safer injection facilitySituating the Continuum of Overdose Risk in the Social Determinants of Health: A New Conceptual FrameworkThe public health impacts of supervised injection sites in Canada: Moving beyond social acceptability and impacts on crimeFabulosa BooksWhat Is Reverse Tolerance and Why Does It Matter in Recovery?Bay Area Artists Connect Hosted on Acast. See acast.com/privacy for more information.

Continuum Audio
Social Determinants of Health and Their Impacts on Stroke Prevention and Outcomes With Dr. Nneka Ifejika

Continuum Audio

Play Episode Listen Later Jun 10, 2026 23:35


Social determinants of health, including housing, food access, insurance status, and structural inequities, significantly influence stroke prevention, recovery, and long term outcomes. These factors affect biological risk, treatment adherence, and disparities in care, even when traditional clinical measures are addressed. This episode highlights practical strategies for integrating screening, leveraging multidisciplinary teams, and identifying opportunities for advocacy to improve patient outcomes. In this episode, Teshamae Monteith, MD, FAAN, speaks with Nneka L. Ifejika, MD, MPH, author of the article "Social Determinants of Health and Their Impacts on Stroke Prevention and Outcomes" in the Continuum® June 2026 Cerebrovascular Disease issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Ifejika is an adjunct professor of physical medicine and rehabilitation at UT Southwestern Medical Center in Dallas, Texas, and the chief scientific officer of the Division of Academics at Ochsner Health System in New Orleans, Louisiana. Additional Resources Read the article: Social Determinants of Health and Their Impacts on Stroke Prevention and Outcomes Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Full episode transcript available here Dr Monteith: Two patients have the same stroke, but when they return, they have very different outcomes. We can look into some of their comorbidities, but something we don't spend enough time talking about is the social determinants of health. Stay tuned to this discussion. I promise you, you'll become a better neurologist. Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: This is Dr. Teshamae Monteith. Today I'm interviewing Dr. Nneka Ifejika about her article on social determinants of health and their impacts on stroke prevention and outcomes. This article appears in the June 2026 Continuum issue on cerebrovascular disease. How are you? Welcome to our podcast. Dr Ifejika: Thanks for having me. I'm doing great. Dr Monteith: Great. So, can you introduce yourself to our audience? Dr Ifejika: Sure. I'm Dr. Nneka Ifejika. I am the Chief Scientific Officer of Ochsner Health System in New Orleans, Louisiana. But I'm also a cerebrovascular rehabilitation doctor. I've been practicing for about nineteen years, and am happy and honored to be a contributor to this Continuum Neurology article. It's a really important topic. Dr Monteith: Great. So, what got you into this field, first of all? Dr Ifejika: Well, I was deciding between PM&R and neurology, and I was putting in both match lists. And I thought about it and I leaned toward PM&R, but stroke still had a grasp on my heart and my mind. And so, after I finished my residency, I joined the UT Houston stroke team, and I did a, thankfully did a two-year fellowship and became cross-trained in stroke as well as physical medicine rehab. So, I am a jack of both trades. Dr Monteith: So, you got your way in a way. Dr Ifejika: I did. Dr Monteith: You know, we have a lot of learners that are listening, so it's always, uh, nice for them to be inspired, I think, by people's career paths. So why don't we talk about the objectives of your article? Dr Ifejika: Sure. So, one of the most important things that we wanted to do was make sure that medical students, residents, faculty, and fellows understood the impact of social determinants of health on stroke recovery and stroke rehabilitation. It's not as simple as you have hypertension, hyperlipidemia, we're going to manage your stroke risk factors. Oh, you had an ischemic stroke. You presented in time for the window. We're going to give you endovascular therapy and then modified Rankin scale at hospital discharge in ninety days. No, no, no. The stroke survivor and their caregivers and their family have a lot more to deal with outside of what we look at during the acute stroke hospitalization and post-acute rehabilitation. Things like, can they afford the medication that we're prescribing? Antiplatelet agents or anticoagulation can be extremely expensive. Do they have housing insecurity? Is there food insecurity? What's going on behind the scenes that we are not addressing that can directly impact the admission rate and the readmission rate after we take care of a stroke survivor? Dr Monteith: I love the article because you took a real deep dive into social determinants of health, what they are, why they matter, and what we can do about them. And so why don't we talk a little bit about the NINDS framework for social determinants of health? I think many of us might not be familiar with the framework per se. Dr Ifejika: So, the framework consists of multiple domains specifically that relate to social determinants of health that were published in Neurology a couple of years ago. So, I do hope that people who are hearing this recording actually read them. There are interpersonal domains, there are classic medical domains, there are indeterminate domains, and there are six total domains. And health domains are the last domain. So, things like when it comes to housing insecurity, food insecurity, that's a domain of social determinants of health. When it comes to chronic racism, when it comes to biases that patients experience, those actually impact outcomes. So, there are six separate indices that we're going to get into in detail and how we address them as clinicians, whether it be at the medical student level, resident level, faculty level, to integrate the social determinants of health in our care plans, because we could be doing a much better job. And I think it'll be really important from the interpersonal perspective when we really relate to our patients and their families that we ask these questions. For example, if we're prescribing someone to have treatment for their diabetes mellitus and ha- and, and be taking insulin, if they have housing insecurity and they're in a homeless shelter, they have to leave the homeless shelter during the day. So, what happens to the insulin that we prescribe? These are variables that we are not considering on a regular basis, but they directly relate to compliance. Dr Monteith: Great. So that was one thing I wanted to bring up. We're very good at measuring blood pressure and trying to determine, uh, the association between stroke outcomes and things that we can measure, glucose, lipids, blood pressure. What is the evidence for social determinants of health and stroke outcome? Dr Ifejika: The evidence is growing, and there have been many publications that have come out that are, are going to be highlighted in this article related to structural determinants of health inequities, like structural racism, as well as disparities related to ethnicity and race. There's geographical disparities. For example, a lot of patients are, are primarily concerned about rural versus urban, whether you have access to different post-acute rehabilitation, whether you have access to secondary stroke prevention because you simply don't have the transportation from a, a rural area to get to a drugstore to get things available to you. Social status. There are actually publication related to socioeconomic status and the concerns when it comes to air pollution. So particulate matter 2.5, we know that that has a direct impact on stroke outcomes and health overall, but we don't really think about it as a structural determinant of health inequity. There's several multiple layers of research that have gone on specifically that have been cited in the literature that relate directly to social determinants of health and how we can address them moving forward. Dr Monteith: And what I found interesting in your article in that you gave at least a few examples where social factors like income, education were controlled for, and maybe in large part it is, but even when you control for some of these very obvious social risk factors, you still have inequities. Dr Ifejika: Absolutely. And I think it was really important to show that we had strong peer review evidence behind this, as it wasn't just something that we were creating or hypothesizing about. There have been studies that have been done over this over decades of time, showing the impacts of social determinants of health on outcomes. But the question and concern that we have is we know this growing body of literature continues to expand. What are we doing about it when it comes to education of the future generations of providers who will be caring for this population? Dr Monteith: Before we get into how, you know, what we're going to do about that, let's just kind of put that link, cause the evidence is there. How does it drive biology? Dr Ifejika: It's a great question. So, for example, particulate matter 2.5 in air pollution has been shown to have an existing impact on hypertension, raising your blood pressure. So that's a direct effect of a social determinant of health related to socioeconomic status because people who live in areas with higher air pollution are... They're not green spaces. They live near highways. Those are areas that unfortunately are also impacted by food deserts. Food deserts, if you're not able to get fresh fruits, vegetables, whole foods, increases your risk of developing diabetes, hyperlipidemia, also increases your sodium intake, again, increasing hypertension. These things are all connected to biological determinants. It's just that we're not asking about them necessarily within the social history when we're taking people into the hospital, but they have direct effects. Dr Monteith: Great. Neurologists tend to be busy and, you know, we're... have all of these things that we're being asked to do and chart and click and all of that stuff. And so how can we more readily integrate screening for social determinants of health and that conversation into the work we do? We recognize it's important. We recognize it's an important risk factor. There's a lot of these determinants. So, what is a good way to do so? And I, I know that in the paper you've, you've given different roles to different team players, so I want you to talk about that too, but just kind of even a regular routine office visit. Walk us through a way we can more easily integrate that kind of conversation. Dr Ifejika: It's an excellent question, and what I've recommended that we do in a standard office visit is utilize the time before the visit to send out screeners. So, for example, usually with an electronic medical record, you can send documents before the visit even starts, where people can check off whether they have any concerns regarding housing, food insecurity. They can check out their location of where they live, whether they live near a highway or not near a highway. It's specifically related to socioeconomic status. We can ask about insurance status, whether they have insurance, insured versus uninsured, but then also types of insurance, whether they have Medicaid insurance versus Medicare insurance. Then even drilling even further, type of Medicare insurance, Medicare Advantage versus traditional Medicare, cause all of those things actually play a role in this. Dr Ifejika: And evaluate these things and don't take time during your office visit. Send these screeners out beforehand. Have them be assimilated by your medical staff. Make sure you're utilizing every resource that you have at your disposal to help streamline things, so by the time the person comes in for the visit, you've primed the pump. You have this information already in your hands at your fingertips cause it was sent out in advance, and you have your medical staff already have an understanding of. If they didn't fill it out electronically, give it to them in the lobby. Make sure they have a handwritten copy in the lobby so that when they come into the office visit, you have the information at your fingertips. Dr Monteith: Are there any particular resources that you recommend for those types of screeners? Dr Ifejika: What I've used in the past, if you have patient-reported outcomes, so the PROMIS instruments, that's a good start. It doesn't get into the details of housing insecurity, food insecurity, but it's a good start to help prime questions and to start the conversation during your office visit. In my clinics, I do a PROMIS 27 on every patient, as well as a PHQ-9 for depression on everyone. And then I collect data longitudinally, and I can always drill down on factors that I noticed that could become a problem moving forward. Dr Monteith: Yeah. And then also in your article, you spoke a bit about this impact from the acute presentation in the hospital to rehab. Dr Ifejika: Yeah. Dr Monteith: So why don't you talk about these different entry points where we can really engage our patients and try and help reduce their burden? Dr Ifejika: Sure. So, healthcare can be quite fragmented, and the stroke patient, stroke survivor, and their family member have no grasp of that. They've had a stroke, and they may be going from the ER to the ICU to the stroke unit to the floor to the rehab unit, and we see it as multiple levels of care, multiple types of providers. They see it as one hospital. And the concern that we have is, at those branch points, things get dropped, and we have the opportunity to pick things up at those branch points. So, during the acute care hospitalization-Primarily, that's the establishment of what has happened, how we're gonna treat it, what are the variables that we can control for right now to address those determinants of health moving forward, and to specifically looking at whether they were taking medications before, whether they could afford medications before, what that looks like at hospital discharge. Is there any duplication of medications? If a person is taking Coreg and you prescribe metoprolol, but they still have the Coreg at home, should we have really prescribed the metoprolol? We're just spending money that they may have concerns when it comes to access to care and the cost of these prescriptions. So, it's the responsibility of the acute care physician to kind of look at that. Those are subtle things that we think are subtle, but they add up quickly for the family when it comes to having one group of medications that's the same class and having to buy another type. When it comes to post-acute rehabilitation, it's really an important time to screen for whether the caregiver can handle what's occurring. So specifically, if the caregiver is already burning out and the average length of stay for a stroke patient is five days and they've come to rehab for two weeks, what's gonna happen in the next two years or the next four years? So, during the post-acute rehabilitation phase, it's time to kind of look at that and drill down on those kind of questions. Also, the levels of care, Dr Ifejika: it's really important to look at other levels of rehabilitation, so skilled nursing facilities, making sure people have access to that if they need to, if the caregiver is burned out and they don't have the ability to go straight home. Because acute inpatient rehab, the goal of it afterwards, is to go straight home. It's not to go to another facility. So, you need to have that screener in place when it comes to whether the family can take care of this person, and whether the family can do it in an effective way to prevent them being readmitted. Dr Monteith: Great. I also like that you spoke about kind of the team approach and different roles, both for screening and for intervention, both being very important, especially the intervention. And so why don't you give us a few examples how the team could break up the responsibility and how also for the intervention component that can be done. Dr Ifejika: Sure. So, I broke up the team into several levels. So, the team medically is the medical student, resident, and faculty physician. However, the team also includes the support staff, so your case manager, your social worker, the therapist, physical therapy, occupational therapy, speech therapy, the pastoral services, all these members of the team. You know, sometimes as physicians, we don't read those notes. There's a lot of information in the notes from social work, care coordination, and the therapist. They get down to subtleties cause they're asking questions, for example, "What kind of equipment do you have at home? How many stairs do you have at home? What level of house do you have, one story, two story? If you live in an apartment, do you have an elevator access?" That's important for someone with hemiparesis. When it comes to medications, when it comes to insurance status, when it comes to your ability to have the mechanisms to pay for care as an outpatient, social workers are required to ask these questions cause they have to figure out resources for the patient and their family to help facilitate improved outcomes. So, they have to ask questions regarding these tasks. The concerns are, do we read what they're saying? So, it's really important to interact with them, and if it's not something that you're looking at in the chart, cause we're all so tied to our computers, find where they are in the hospital. Walk by their office and have a chat. Run your list with them, especially for people who you're concerned have vulnerabilities, and make sure that you're setting an example for your medical students with your faculty doing so. If you're looking at it from the medical student, resident, faculty perspective, medical students, listen. This is your opportunity to really contribute to the team as well as learn about social determinants of health and research in their fields. You are the boots on the ground for the medical team. You are the ones who should be priming the pump and asking these questions of the family members. We're sending you into the rooms to do a history and physical. Social determinants of health should be a part of your history and physical, and you should be taking what we're saying in this article and asking these questions and tying it into your resident. Now, the resident is the work person of the hospital. We all know this. Things run through the resident. Things run through the fellow. It's really important that they have this information in a manner that is negotiable. The list keeps getting longer, and a resident doesn't need to be overburdened. It needs to be synthesized in a manner that can help facilitate the resident being able to act as well as communicate any concerns to the faculty. And at the faculty level, we are the voices that can affect change. So, if there's any concerns when it comes to advocacy, research, making sure that people are accessing care in a way that makes sense, particularly when it comes to the ability for us to galvanize change on a national level, that's kind of our job. Dr Monteith: Great, and so let's talk about intervention. What are things that, let's say, the neurologist can do to deal with some of these social factors? Dr Ifejika: From the neurology perspective, I think it's really important to identify missed opportunities and making sure that we address them. For example, the conversations around the ability to have access to care related to insurance versus no insurance. There are many, many ways that neurologists are able to advocate for a person being able to get to Medicare insurance, particularly in the outpatient setting. When we see patients in clinic, it takes two years, them, to qualify for Medicare, two years at a minimum. But there's a gap there that can be filled by us making sure that we document what's happened, contact their providers, facilitate communication with their employers, if they're employees, they can get some short-term disability benefits to help bridge that gap prior to receiving Medicare insurance. It behooves us to do this because if we do not, they fall into the gap and they get readmitted and they're back on service anyway. So, what's important is the outpatient that we really kind of focus on things that we can impact and things like insurance and getting people transitioned from having employer-based insurance versus getting to Medicare is a really important way that we can effect change in a, in a way that's viable and, and replicable. So, in the outpatient setting, neurologists have a wonderful opportunity to effect change in social determinants of health. When it comes to employed persons, who had a stroke transitioning to Medicare, it takes two years to do so. So, in the outpatient clinic, if you have an employed person, make sure that you fill out their short-term disability benefits forms, their long-term disability benefits form. Bridge the gap. Get that information to their employer so they can maintain constant coverage. Because if they do not, if they have to choose between refilling medications and putting food on the table, they're going to choose putting food on the table, and that's going to directly impact their outcomes if they're not taking the medication that we recommend. Dr Monteith: I think that's a great point. I mean, there's a lot that we can do, and in some ways, it may not take that much to document and to be able to ask the questions and to include some of that information into the assessment and plan is really a, a great idea. Dr Ifejika: And you know, if we don't bring these things up and have these conversations, it doesn't get addressed. And that's why I'm very, very thankful that I had the opportunity to do so, cause this is a part of what I do all day. I think that if I wasn't integrating these kind of conversations into my practice, I wouldn't have the ability to share these tips and these abilities to move things forward in a manner that will be constructive for our field overall and for our patients. Dr Monteith: And towards the end of the article, you brought up something I think we don't see in many articles, and that's the role of advocacy and getting involved in health policy. So, can you talk a little bit about that? Dr Ifejika: You know, it's really important to facilitate change when you see that there are things that need to be changed. And the best way to do that is through advocacy at the local or state or federal level. A lot of these variables that we're dealing with can be addressed through legal changes. I'll give you an example. End-stage renal disease, if you have immediate hemodialysis and you have that requirement upon hospital discharge, you qualify for Medicare immediately. Immediately. Before you even leave the hospital. Why wouldn't something be similar for a stroke? Well, the reason why is because there was a level of advocacy that came around end-stage renal disease and a member of Congress's wife had hemodialysis requirements. And so, a law was passed to make sure Medicare covered it immediately after hospital discharge. So, it requires advocacy in some significant ways to get things done, but we have the bandwidth to do this. We take care of a population that has some of the highest rates of preventable disability. That's not going away. We need to make sure that we're effecting change for this group to make sure that they have the best possible outcomes they can experience. Dr Monteith: So, any final messages for our listeners? Dr Ifejika: I look forward to hearing everyone's feedback about our issue. I am thankful for the opportunity to talk about, address, and write about this important topic, and look forward to everyone's feedback. Dr Monteith: Well, thank you so much for being on our podcast. It was a really wonderful summary and we had a very thorough conversation, but you didn't give away too much, so I think they're going to have to read the article. Dr Ifejika: You're going to have to read the article. And we want medical students, residents, fellows, faculty, all of our ancillary staff within the hospitals, please read this article. We really appreciate it. Dr Monteith: Again today, I've been interviewing Dr. Nneka Ifejika about her article on social determinants of health and their impacts on stroke prevention and outcomes. This article appears in the June 2026 Continuum issue on cerebrovascular disease. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

A Health Podyssey
Private Equity in Primary Care: Costs, Care, and Impact

A Health Podyssey

Play Episode Listen Later Jun 9, 2026 20:31 Transcription Available


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.

A Health Podyssey
Inside CMS: How Medicare Innovation Models Are Working to Lower Costs & Scale Digital Health

A Health Podyssey

Play Episode Listen Later Jun 2, 2026 31:22 Transcription Available


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.

A Health Podyssey
Policy Changes Reshaping Family Caregiving

A Health Podyssey

Play Episode Listen Later May 27, 2026 23:03 Transcription Available


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

A Health Podyssey
Extreme Heat's Impact on Healthcare Use and Spending

A Health Podyssey

Play Episode Listen Later May 26, 2026 18:47 Transcription Available


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.

A Health Podyssey
How the Healthcare Workforce Is Responding to New Aging Policies | Age-Friendly Health Series

A Health Podyssey

Play Episode Listen Later May 20, 2026 30:24


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.Related LinksHealth Care Workforce Pay Gaps: COVID-19 Modestly Compressed Wage Disparities, 2015–24The AWARD NetworkPHI

A Health Podyssey
The Deadly Rise of Cold-Related Illness at the Intersection of Social Inequality

A Health Podyssey

Play Episode Listen Later May 19, 2026 20:00 Transcription Available


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.

Content Amplified
Why personalization is dead and anticipation is the next era of marketing

Content Amplified

Play Episode Listen Later May 19, 2026 17:12


Personalization is still reactive, and that is why it stopped working. In this episode of Content Amplified, Katie Carroll, VP of Product Strategy at Businessolver, makes the case for moving past variable tags and behavioral triggers into anticipation: helping people before they know what to ask. Katie walks through findings from Businessolver's eighth annual Benefits Insights Report, including the counterintuitive idea that "quiet" (no clicks, no engagement, no support tickets) might be the real success metric, and how an in-house AI hit 91% instant resolution by reading the path a user is already on. She uses concrete examples (an HSA nudge after a pediatrician visit, an auto-enrollment in a prescription management program, a Social Determinants of Health lookup that connects a parent to childcare) to show what anticipation looks like in practice. She also explains why AI SDRs flopped, why marketers have to lean hard into data analytics in 2026, and why the easiest brand to interact with is the one that wins. If you want a practical starting point for building anticipation into your marketing, this one is for you.About KatieKatie Carroll is the VP of Product Strategy at Businessolver, a benefits administration tech company that powers the platform employees use to enroll in their benefits. She has spent her whole career in tech, starting on the consumer side at companies like eBay before moving into B2B, which gives her a rare cross-pollinated view of how people actually want to interact with software. Katie sees the healthcare and benefits space as a personal mission, drawing on the universal frustration most Americans have with the system to push her team toward more anticipatory, helpful user experiences.Show Notes- Connect with Katie on LinkedIn: https://www.linkedin.com/in/katie--carroll/- Businessolver Benefits Insights Report: https://businessolver.com/benefits-insights/Text us what you think about this episode!

A Health Podyssey
How the One Big Beautiful Bill Changes Medicaid for Older Adults and State Health Policy | Age-Friendly Health Series

A Health Podyssey

Play Episode Listen Later May 13, 2026 34:35 Transcription Available


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 to discuss how 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.

A Health Podyssey
Tenant Protections At The Intersection Of Climate And Health

A Health Podyssey

Play Episode Listen Later May 12, 2026 20:49 Transcription Available


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.

A Health Podyssey
How Climate Change Is Affecting Farmers' And Ranchers' Mental Health

A Health Podyssey

Play Episode Listen Later May 5, 2026 21:27


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.

A Health Podyssey
Behind The Pages: Climate, Health, and Equity with Sacoby Wilson

A Health Podyssey

Play Episode Listen Later May 4, 2026 21:08 Transcription Available


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.

A Health Podyssey
What Drives Administrative Costs in U.S. Health Insurance?

A Health Podyssey

Play Episode Listen Later Apr 28, 2026 17:00 Transcription Available


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.

A Health Podyssey
Which Star Ratings Are Driving Medicare Advantage Quality Gains

A Health Podyssey

Play Episode Listen Later Apr 21, 2026 20:59 Transcription Available


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.

A Health Podyssey
What Most Favored Nation Drug Pricing Would Mean for the US

A Health Podyssey

Play Episode Listen Later Apr 14, 2026 23:55 Transcription Available


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.

A Health Podyssey
2027 Medicare Advantage Final Payment Rule: Key Changes Explained | David Meyers

A Health Podyssey

Play Episode Listen Later Apr 10, 2026 16:50


On a special emergency pod episode of Health Affairs This Week coming to you on the A Health Podyssey feed, 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.To view an Insider Cheat Sheet on the MA rule, purchase Insider.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)

The Health Literacy 2.0 Podcast
Episode 65 - Helping Employees Navigate Obesity Treatments and Health Choices in the Workplace - with Dr. Laure DeMattia

The Health Literacy 2.0 Podcast

Play Episode Listen Later Apr 8, 2026 25:30


In this episode of The Health Literacy 2.0 Podcast, host Seth Serxner welcomes obesity medicine expert Dr. Laure DeMattia to unpack the complexities of obesity treatment, GLP-1 medications, and the evolving landscape of health literacy.With over two decades of experience in obesity medicine, Laure DeMattia brings both personal and professional insight to the conversation. Having lived with obesity herself, she was drawn to the field early, before it became a board-certified specialty. Her current work spans primary care within the Indian Health System and telehealth for post-bariatric surgery patients. Driven by a passion to improve patient outcomes, she advocates for individualized approaches rooted in medical science, compassion, and practical guidance.Seth Serxner and Laure DeMattia discuss:☑️ Understanding GLP-1s: These medications have been transformative for diabetes and obesity but require ongoing medical supervision for safety and efficacy.☑️ Medication Mindset: Many patients hope for a quick fix, but obesity is a lifelong, relapsing condition—medications like GLP-1s are a long-term commitment, not a temporary solution.☑️ Safety Concerns: The rise of online, gray market, and over-the-counter sales for GLP-1s poses risks of dosage inaccuracies and non-sterile products, emphasizing the importance of physician-directed treatment.☑️ Disease vs. Willpower: Obesity is a complex, multifactorial disease—not simply a matter of willpower. Genetic predisposition plays a large role.☑️ Beyond BMI: Reliance on BMI for diagnosis is limited; true assessment considers body composition, genetics, and clinical factors.☑️ Social Determinants & Environment: Where you live and social factors can profoundly impact your ability to manage obesity and overall health.☑️ Health Literacy & Advocacy: Empowering patients through health literacy, credible resources, and ongoing support helps combat misinformation and stigma.☑️ Individualized Care: There is no one-size-fits-all. Success means finding sustainable strategies tailored to the patient's genetics, environment, and personal needs.☑️ Pursuit of Health vs. Thinness: The goal should be strength, wellness, and self-care, not simply weight loss for appearance's sake.The conversation highlights the need for compassionate, data-driven approaches, whether it's medication, lifestyle modification, or navigating a complex healthcare system.Learn About EdLogicsWant to see how EdLogics' gamified platform can boost health literacy, drive engagement in health and wellness programs, and help people live happier, healthier lives?Visit the EdLogics website: www.edlogics.com.

A Health Podyssey
Ashish Jha on Public Health Policy, Affordability & Preparedness

A Health Podyssey

Play Episode Listen Later Apr 7, 2026 26:45 Transcription Available


Health Affairs Publishing's Rob Lott interviews Dr. Ashish Jha about the future of public health education, the growing threat of engineered pathogens and building a bio-intelligence company, and practical approaches to slowing health care spending while preserving access and innovation.

A Health Podyssey
What Rising Disenrollment Rates Reveal About Medicare Advantage

A Health Podyssey

Play Episode Listen Later Mar 31, 2026 20:02 Transcription Available


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.

University of Iowa College of Public Health
Healthy JoCo: How Local Data Shapes Real Public Health Change

University of Iowa College of Public Health

Play Episode Listen Later Mar 27, 2026 20:26


What does a local health department actually do and how do they decide what matters most in a community? In this episode of Plugged In to Public Health, we sit down with Jamie Gade, Social Determinants of Health Coordinator at Johnson County Public Health, to talk about Healthy JoCo, the county's community health assessment and improvement initiative. Jamie walks us through how public health teams combine national data sources with local surveys, focus groups, and lived experiences to understand what is really happening in their community. From measuring loneliness to assessing food insecurity, this work highlights how much nuance can be missed in large-scale data and why local insight is essential. We also explore how public health departments partner with organizations across sectors, including food systems, transportation, and libraries, to address complex challenges that no single group can solve alone. The conversation highlights the importance of storytelling alongside data, especially when communicating with policymakers and the public. Throughout the episode, Jamie shares examples of how this work translates into real impact, from supporting grant funding to connecting individuals with mental health resources. At its core, this episode offers a grounded look at public health as both a long-term strategy and a deeply human process. If you have ever wondered how community health priorities are set or how data actually turns into action, this episode offers a clear and practical perspective. A transcript of this episode will be available here soon. Have a question for our podcast crew or an idea for an episode? You can email them at CPH-GradAmbassador@uiowa.edu You can also support Plugged in to Public Health by sharing this episode and others with your friends, colleagues, and social networks. #publichealth #healthcare #HealthyJoCo #socialdeterminantsofhealth #sdoh #communityhealth #mentalhealth #healthpolicy #storytelling #iowacity

GeriPal - A Geriatrics and Palliative Care Podcast
CMS's Age-Friendly Hospital Measure: Julia Adler-Milstein, Stephanie Rogers, and Shari Ling

GeriPal - A Geriatrics and Palliative Care Podcast

Play Episode Listen Later Mar 26, 2026 46:25


In 2025, the Centers for Medicare and Medicaid Services (CMS) began requiring hospitals participating in the Hospital Inpatient Quality Reporting (IQR) program to report on a new "Age-Friendly Hospital Measure."  The hope is that, by attesting to this measure, hospitals will develop evidence-based processes to improve care for older adults in hospital settings. On this week's podcast, we explore this new measure with Sheri Ling, CMS's Deputy Chief Medical Officer serving in the Center for Clinical Standards and Quality (CCSQ). We've also invited some returning guests from our past Age Friendly Health Systems podcast, Julia Adler-Milstein and Stephanie Rogers, to discuss how they are thinking about this new measure and how we should operationalize it. We go over everything you will want to know about the new measure, including: How does this CMS measure differ from both Age-Friendly Health Systems and the 4Ms movement we've been hearing about for years (and that we did the podcast on in 2020 here) Why is CMS finally making "Age-Friendly" a formal, structural requirement for hospitals now? What is an attestation measure vs outcome measure, and why is this one an attestation measure? A deeper dive into the 5 domains to the measure (Eliciting Patient Goals, Medication Management, Frailty Screening, Social Determinants of Health, and Leadership/Governance. Lastly, here are some great resources if you want to help get this started at your hospital: A report by JAHF, Julia and others on how to think about different dimensions of measure performance Health Affairs Scholar paper on related the 4Ms to the 5 domains Two CMS resources with detailed information on how to meet and report on the five domains of this measure: Age-Friendly Hospital Specifications (July 2025) Age-Friendly Hospital Measure Attestation Guide  

A Health Podyssey
Medicare, Disability Insurance & Mortality During A Two-Year Waiting Period

A Health Podyssey

Play Episode Listen Later Mar 24, 2026 23:05 Transcription Available


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.

A Health Podyssey
How AI Changed Cardiac Clinical Practice and Outcomes

A Health Podyssey

Play Episode Listen Later Mar 17, 2026 20:41 Transcription Available


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

A Health Podyssey
Zeke Emanuel on Rethinking Longevity, Wellness & Aging

A Health Podyssey

Play Episode Listen Later Mar 10, 2026 28:41 Transcription Available


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

A Health Podyssey
Optum's Vertical Integration: Impact on Healthcare Pricing & Referrals

A Health Podyssey

Play Episode Listen Later Mar 3, 2026 21:25


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

The Barbell Rehab Podcast
Low Back Pain & Social Determinants with Emily Walker PhDc | Ep 52

The Barbell Rehab Podcast

Play Episode Listen Later Feb 27, 2026 65:23


In this episode of the Barbell Rehab Podcast, we sit down with Emily Walker, PhD candidate & exercise physiologist, to discuss her research around low back pain. We examine different ways to look at the problem of low back pain and concerns around siloing the biopsychosocial model into discrete categories of biology, psychology, or sociology. We discuss patient-led goal setting and rolling-with-resistance strategies. We conclude by discussing Emily's newest publication around social determinants of health, why these are relevant, and how clinicians can help. You can find Emily on Instagram at @emwalker_exphys and on ResearchGate at https://www.researchgate.net/profile/Emily-Walker-71. We hope you enjoy this episode! Explore Barbell Rehab Live Certifications We offer three in-person, hands-on certification courses for rehab and fitness professionals. Compare all courses and view upcoming dates: barbellrehab.com/certification-comparison/ Each course is 2 days, 15 CEU hours, and CEU approved. Free Resource Research Roundup Email Series A free monthly email breaking down recent studies in rehab, pain, and strength training with practical takeaways.

A Health Podyssey
How Drug Price Negotiation Is Reshaping Clinical Trial Pipelines

A Health Podyssey

Play Episode Listen Later Feb 24, 2026 20:32 Transcription Available


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

Bioethics in the Margins
Commercial Determinants of Health

Bioethics in the Margins

Play Episode Listen Later Feb 23, 2026 55:06


Season 9 is off to an exceptionally strong start with our recent discussion with Dr. Nicholas Freudenberg, Distinguished Professor Emeritus of Public Health at the City University of New York (CUNY) School of Public Health. Dr. Freudenberg is Senior Faculty Fellow and co-founder of the CUNY Urban Food Policy Institute (www.cunyurbanfoodpolicy.org). He is a leading expert in Commercial Determinants of Health, authoring two key books in the field; At What Cost: Modern Capitalism and the Future of Health (Oxford, 2021) and Lethal but Legal: Corporations, Consumption, and Protecting Public Health (Oxford, 2014 and 2016). He was a contributor to the landmark Lancet series on the topic: https://www.thelancet.com/series-do/commercial-determinants-health.Commercial Determinants of Health can be understood as the ways that market actors influence health and disease globally. Commercial Determinants of Health are related to Social Determinants of Health and Political Determinants of Health, which together form a system that influences patterns of human health and disease. The term developed in the early 2000s, emerging from an earlier concept of Corporate Determinants of Health, recognizing that a small number of multinational global corporations dominate the world economy. Dr. Freudenberg explains that changing behavior of businesses and corporations can achieve public health gains at a much greater scale that traditional individual behavioral change approaches, citing successful policies regulating the tobacco industry and smaller gains changing the business opportunities to favor alternatives to the fossil fuel industry. One of the largest commercial determinants of health is the food industry, where there are multiple opportunities for change. Dr. Freudenberg discusses the importance of coordination between activists and public health professionals to counterbalance the influence of corporations on policy. What is the role of bioethicists? Listen and find out! Bibliography:https://www.annualreviews.org/content/journals/10.1146/annurev-publhealth-052220-020447https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00011-9/abstracthttps://global.oup.com/academic/product/at-what-cost-9780190078621?cc=us&lang=en&https://global.oup.com/academic/product/lethal-but-legal-9780199937196?cc=us&lang=en&

The Public Health Millennial Career Stories Podcast
257: An Arts in Public Health Career Journey with Jennifer Kuo, MPH, CHES

The Public Health Millennial Career Stories Podcast

Play Episode Listen Later Feb 19, 2026 68:05


Omari Richins, MPH of Public Health Careers podcast talks with Jennifer Kuo, MPH, CHES.In this episode, Jennifer Kuo shares her journey at the intersection of arts and public health - and why creative approaches are essential to building healthier communities. She breaks down social prescribing and its growing role in the U.S. healthcare system, highlighting how arts and culture support well-being, connection, and healing.Jennifer discusses her path from the arts into public health, her academic and professional experiences, and what her day-to-day work looks like in the field of creative health. The conversation explores community engagement, social determinants of health, and how to design and evaluate inclusive, arts-based health initiatives. She also reflects on personal growth, leadership, and offers practical advice for aspiring public health professionals looking to find their niche in this evolving space.Link to shownotes

A Health Podyssey
Medical Debt After Hospitalization: The Financial Fallout

A Health Podyssey

Play Episode Listen Later Feb 10, 2026 19:10 Transcription Available


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

A Health Podyssey
Will AI Fix Health Care? Robert Wachter Weighs In

A Health Podyssey

Play Episode Listen Later Feb 3, 2026 29:05 Transcription Available


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

A Health Podyssey
Medicaid vs. 340B: A Drug Pricing Clash (Sayeh Nikpay)

A Health Podyssey

Play Episode Listen Later Jan 27, 2026 29:05 Transcription Available


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

Talk Ten Tuesdays
2026 National Coding Roundup

Talk Ten Tuesdays

Play Episode Listen Later Jan 27, 2026 31:48


While many of you might have been enjoying the holiday season, thebeat of healthcare keeps on beating.Much has happened in the world of medical coding and that is whythe producers of Talk Ten Tuesday are dedicating the next liveedition of the popular national Internet broadcast to the topic ofcoding.And that's why Dr. James S. Kennedy, a trained medical professionalwho loves coding, will be the Talk Ten Tuesday special guest.The popular Internet broadcast will also feature these additionalinstantly recognizable panelists, who will report more news duringtheir segments:POV: Penny Jefferson, Manager of Coding & Clinical Documentation Integrity Services for the University of DavisMedical Center, is the new cohost of Talk Ten Tuesday. Shewill share her point of view (POV) during the broadcast.The Coding Report: Christine Geiger, Assistant Vice Presidentof Acute and Post-Acute Coding Services for First ClassSolutions, will report on the latest coding news.Social Determinants of Health: Tiffany Ferguson, CEO forPhoenix Medical Management, Inc., will report on the news thatis happening at the intersection of medical record auditing andthe SDoH.CDI Report: Cheryl Ericson, Director of Clinical DocumentationIntegrity (CDI) for the vaunted Brundage Group, will have thelatest CDI updates.The Coding Report: Christine Geiger, Assistant Vice Presidentof Acute and Post-Acute Coding Services for First ClassSolutions, will report on the latest coding news.News Desk: Timothy Powell, ICD10monitor nationalcorrespondent, will anchor the Talk Ten Tuesdays News Desk.

A Health Podyssey
How Oregon's Hospital Payment Cap Brought Stability Amid Change

A Health Podyssey

Play Episode Listen Later Jan 20, 2026 24:26


Health Affairs' Rob Lott interviews Roslyn Murray of Brown University to discuss her paper exploring how Oregon's 2019 hospital payment cap saved $50 million annually while having little impact on hospital finances, operations, or patient care. Order the December 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast

Public Health Review Morning Edition
1052: Strengthening Access to Care: Community Health Workers, Medicaid, and Rural Health

Public Health Review Morning Edition

Play Episode Listen Later Jan 14, 2026 8:03


Community health workers (CHWs) play a critical role in bridging the gap between health systems and the communities they serve, especially in rural and underserved areas. In this episode, ASTHO Senior Director of Population Health, Alex Kearly, explains who CHWs are, how they build trust and address both health and social needs, and why Medicaid reimbursement can help make these roles sustainable. The conversation also explores the unique access challenges facing rural communities, from provider shortages to hospital closures, and the policy tools states can use to respond, including telehealth, workforce initiatives, and systems-of-care models. Looking ahead to 2026, the episode highlights what states should watch as new federal rural health programs begin to take shape.Policy Trends Shaping Access to Care in 2026 | ASTHOBraiding and Layering Funding to Address the Social Determinants of Health | ASTHOWebinar Registration - ZoomCMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States | CMS

A Health Podyssey
US Health Care Spending 2009–2019: What Changed? (Sherry Glied)

A Health Podyssey

Play Episode Listen Later Jan 13, 2026 27:12 Transcription Available


Health Affairs' Rob Lott interviews Sherry Glied of New York University on her paper that explores how U.S. health spending growth slowed to less than half its historical rate, driven by lower utilization, slower price growth, and shifts in care delivery and administration.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

Agriculture Today
2092 - Factors of Life Expectancy...Social Determinants

Agriculture Today

Play Episode Listen Later Jan 8, 2026 28:01


How Where You Live Impacts Life Expectancy, Part 1 How Where You Live Impacts Life Expectancy, Part 2 Creating Thriving Soil   00:01:05 – How Where You Live Impacts Life Expectancy, Part 1: Today's show begins with Zaira Ruiz, Kansas 4-H regional specialist and faculty at the Southwest Research and Extension Center in Garden City, as she explains how social determinants impact health. She lists the various social factors.   00:12:05 – How Where You Live Impacts Life Expectancy, Part 2: Zaira continues the show discussing examples of social determinants in Kansas and superfund sites. Links for More Information: Social Determinants, A Tale of Two Zip Codes, Havard Study, Epidemic of Loneliness, General Surgeon Social Connection, Wichita Life Expectancy, American Heart Association - Midwest Region, EPA Superfund Sites, Iola Case Study   00:23:05 – Creating Thriving Soil: Pottawatomie County Extension Agent, Shannon Blocker, ends the show sharing ways to improve soil to boost resilience, create a thriving landscape and provide long-term soil vitality.      Send comments, questions or requests for copies of past programs to ksrenews@ksu.edu.   Agriculture Today is a daily program featuring Kansas State University agricultural specialists and other experts examining ag issues facing Kansas and the nation. It is hosted by Shelby Varner and distributed to radio stations throughout Kansas and as a daily podcast.   K‑State Extension is a short name for the Kansas State University Agricultural Experiment Service, a program designed to generate and distribute useful knowledge for the well‑being of Kansans. Supported by county, state, federal and private funds, the program has county Extension offices statewide. Its headquarters is on the K‑State campus in Manhattan. For more information, visit www.ksre.ksu.edu. K-State Extension is an equal opportunity provider and employer

Ditch The Labcoat
Real Talk with Pediatrician and Media Personality Dr. Alok Patel

Ditch The Labcoat

Play Episode Listen Later Dec 24, 2025 48:39


In this episode, Dr. Mark Bonta sits down with pediatrician and medical journalist Dr. Alok Patel to unpack what it really means to keep kids healthy in a chaotic healthcare system and a distracted digital world. Starting with a story about Mark's nine year old getting injured at hockey, they dive into how parents can respond to injuries and illness without panicking, how to check your own emotions first, and when a situation truly belongs in the emergency department versus urgent care or a clinic visit.Drawing on his frontline pediatric experience, Dr. Patel breaks down practical red flags for parents to watch for, like increased work of breathing or changes in mental status, and explains why ER waits feel so brutal yet often reflect deeper system issues like staffing and bed shortages. He shares behind the scenes stories from “The Pitt” and his work on the official HBO companion podcast, highlighting how accurately the show captures social determinants of health and the emotional reality of modern emergency care.From there, the conversation moves into vaccines, flu season, and the very human fact that even doctors sometimes struggle to follow all their own advice. Mark and Alok talk candidly about phones, social media, Roblox, and why today's kids are essentially part of a live experiment in screen exposure. They close with a focus on what actually protects kids long term: safe, nonjudgmental adults, honest conversations about mental health, limits around screens, and a home environment that values connection over perfection.Dr. Alok Patel's https://www.alokpatelmd.com/Episode Takeaways1. Parent First, Patient Second: Kids borrow their reaction from you, so the first step in any injury or illness is to calm your own emotions before you decide what to do.2. ER vs Clinic: Not every vomit, bump, or fever is life threatening, and learning when to use urgent care or outpatient clinics can spare families long, stressful ER waits.3. Triage Reality Check: Emergency departments prioritize the sickest patients first, which means long waits for minor issues are frustrating but often a sign the system is doing its job.4. Medicine Behind the Camera: The Pit shows how accurate medical details can sit in the background while stories focus on the real emotional chaos of patients, families, and staff.5. Social Determinants in Real Time: Two kids with the same diagnosis can have completely different outcomes depending on housing, income, family support, and access to care.6. Doctors Are Human Too: Even physicians miss flu shots, struggle with habits, or feel guilty, which can actually make their public health messages more relatable, not less credible.7. Screens and Social Media: The real risk is not one device but a constant digital environment that shapes brain development, sleep, self esteem, and social skills in ways we are only starting to understand.8. Safe Adults Save Lives: The most powerful protection for teens is a nonjudgmental adult who listens, normalizes hard conversations, and gives kids a place to bring their worst thoughts without fear.Episode Timestamps02:06 – Hockey Rink Medicine: How Doctors Triage Their Own Kids04:07 – Parents First: Calming Yourself Before You React to Injury06:50 – ER, Urgent Care, or Clinic: How to Decide Where Your Child Belongs09:37 – Waiting Room Reality: Triage, Delays, and Why Sickest Kids Go First12:34 – Inside “The Pit”: TV Emergency Medicine, Accuracy, and Chaos24:50 – Flu Shots, Doctor Guilt, and Why Practice Often Lags Advice31:06 – Kids, Phones, and Social Media: The Live Experiment on Their Brains37:08 – Teen Mental Health Red Flags: Subtle Signs and Safe Adult Spaces >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

Talk Ten Tuesdays
CMS Conditions of Coverage: A Deep Dive

Talk Ten Tuesdays

Play Episode Listen Later Dec 9, 2025 28:10


Anyone who has been working within the scope of hospital case/utilization management for any period of time has heard of the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation.But are you familiar with the CMS Conditions for Coverage?  Sometimes referred to as “conditions of payment,” these requirements must be met in order for federal health plans to pay a healthcare facility for a submitted claim.Welcome to the live edition of Talk Ten Tuesday, Dec. 9, 10 Eastern. That's when Dr. Juliet Ugarte Hopkins, Chief Medical Officer for Phoenix Medical Management, Inc., will explain how failure to meet some aspects of the CoPs doesn't mean there is a failure in Conditions for Coverage (CfC).The broadcast will also feature these instantly recognizable panelists, who will report more news during their segments:Social Determinants of Health: Tiffany Ferguson, CEO for the aforementioned Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest CDI updates.The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.

Talk Ten Tuesdays
Welcome to the Coding and CDI Congress

Talk Ten Tuesdays

Play Episode Listen Later Dec 2, 2025 30:51


They were once called “clinical documentation improvement” specialists, charged with correcting the medical record to identify an overlooked diagnosis that carried the potential to increase revenue. Later, the description was changed to clinical documentation “integrity” (CDI) specialists. But that was then. This is now.Today, the job description continues to change. CDI professionals are being asked to take on more and more responsibilities.And that is why the producers of Talk Ten Tuesday have invited Penny Jefferson, a longtime CDI professional, to be the special guest during the next live edition of the weekly Internet broadcast.The broadcast will also feature these instantly recognizable panelists, who will report more news during their segments:·      Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.·      CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest CDI updates.·      The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.·      News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.·      MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.

Healthy Wealthy & Smart
Dr. Sara Tariq: Advocating for Holistic Patient Care

Healthy Wealthy & Smart

Play Episode Listen Later Nov 26, 2025 39:15


In this episode of the Healthy, Wealthy, and Smart podcast, host Karen Litzy welcomes Dr. Sara Tariq, MD, to discuss holistic patient care. Dr. Tariq shares her journey from academia to concierge medicine, emphasizing the importance of understanding patients' social and environmental contexts. She highlights the significance of addressing the whole person, including mental health, lifestyle, and social determinants of health. The conversation also covers women's health, particularly challenges faced during perimenopause and menopause, and the need for personalized, empathetic healthcare. Takeaways Dr. Tariq emphasizes the importance of understanding patients' social and environmental contexts. She transitioned from academia to concierge medicine to provide more personalized care. Holistic care includes addressing mental health, lifestyle, and social determinants of health. Women's health, especially during perimenopause and menopause, requires personalized attention. Dr. Tariq advocates for longer patient interactions to understand their unique needs. She highlights the role of social history in understanding patient health. Empathy and active listening are crucial in building patient trust. Dr. Tariq discusses the impact of zip code on health outcomes. She encourages patients to advocate for themselves in healthcare settings. The episode underscores the need for healthcare systems to support holistic patient care. Chapters 00:00:00 Introduction and Guest Welcome 00:00:00 Dr. Tariq's Journey from Academia to Concierge Medicine 00:00:00 Holistic Patient Care and Social Determinants 00:00:00 Women's Health: Perimenopause and Menopause 00:00:01 Building Trust and Empathy in Healthcare 00:00:01 Advocating for Holistic Patient Care More About Dr. Tariq: With over two decades of experience in internal medicine Dr. Tariq is passionate about helping patients feel their best. She builds genuine connections, focuses on preventing illness, and supports managing chronic conditions with care tailored to each person. Her goal is to help every patient take charge of their health with confidence. Dr Tariq is multi-lingual and offers exceptional patient support in English, Spanish, Urdu and Hindi. Dr. Tariq is committed to helping her patients feel their best and take charge of their health. She provides care for chronic conditions like diabetes, obesity, and high blood pressure, while also focusing on women's health, mental well-being, and weight management. Patients appreciate her warm, supportive approach and her dedication to making healthcare feel personal and approachable. Before joining NVFP, Dr. Tariq spent over 20 years caring for patients and mentoring future doctors. At the University of Arkansas for Medical Sciences (UAMS), she held leadership roles where she taught thousands of physicians the importance of building trust and connection with their patients. Beyond her clinical work, she is also committed to sharing knowledge with the community, offering insights on public health topics through social media and local programs. Resources from this Episode: Dr. Tariq Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

A Health Podyssey
Job Lock's Hidden Health Costs w/ Tiffany Lemon

A Health Podyssey

Play Episode Listen Later Nov 25, 2025 31:00 Transcription Available


Health Affairs' Rob Lott interviews Tiffany Lemon of Arizona State University on her recent paper exploring the concept of job-lock as it pertains to employer-sponsored health insurance and its impacts on adult physical and mental health.Order the November 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast

Talk Ten Tuesdays
Improving Patient Care for Non-Medical Needs

Talk Ten Tuesdays

Play Episode Listen Later Nov 25, 2025 32:06


Since 80 percent of a person's health is influenced by factors outside of medical care, it is critical that a healthcare system has an understanding and appreciation for the circumstances of patients' daily lives that impact their health outcomes, referred to as the social determinants of health (SDoH). During the next live edition of Talk Ten Tuesday, Lauren Montwill, Vice President of Community Health and Social Impact for the UnitedHealth Group, will report on how her organization is collaborating on the delivery system to collect reliable SDoH data, as well as the effort to build health analytics infrastructure to benchmark, monitor, and track progress toward improving health outcomes and quality measures.The broadcast will also feature these instantly recognizable panelists, who will report more news during their segments:Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.

A Health Podyssey
Does UnitedHealthcare Pay Optum Providers Differently? w/ Dan Arnold

A Health Podyssey

Play Episode Listen Later Nov 18, 2025 25:10 Transcription Available


Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Rob Lott interviews Dan Arnold of Brown University to discuss his recent paper exploring higher payments within UnitedHealth's Optum network, which found UHC Paid Optum providers more than non-Optum Providers using price transparency data. Order the November 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

A Health Podyssey
How Employers Are Navigating Rising Health Care Costs

A Health Podyssey

Play Episode Listen Later Nov 11, 2025 26:16 Transcription Available


Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Rob Lott interviews Matthew Rae, Associate Director of the Health Care Marketplace Program at KFF, about his recent paper exploring the findings from the KFF Employer Health Benefits Survey, reporting on benefits in 2025. Order the November 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

Longevity by Design
Building Joyspan: How Purpose and Connection Extend Healthspan with Dr. Kerry Burnight

Longevity by Design

Play Episode Listen Later Nov 5, 2025 57:26


In this episode of Longevity by Design, host Dr. Gil Blander sits down with Dr. Kerry Burnight, Gerontologist, Chief Gerontologist, New York Times best-selling author, and researcher. They explore what it truly means to age well, focusing less on resisting the passage of time and more on embracing vitality, curiosity, and joy throughout life's second half.Dr. Burnight explains why the common “decline” mindset around aging misses the full story. She shares research showing that meaningful growth, strong social connections, adaptability, and a sense of giving can shape both how long and how well we live. Dr. Burnight offers practical examples for building these habits, from maintaining friendships across generations to finding purpose in everyday acts.Throughout the conversation, Dr. Burnight urges listeners to rethink their beliefs about aging and to prepare for later life with intention. She shows that nurturing joy and purpose is just as important as physical health, and that everyone can take steps to build a more satisfying, resilient, and joyful future. Guest-at-a-Glance 

A Health Podyssey
Protecting Public Health in a Politicized Era w/ Michael Osterholm

A Health Podyssey

Play Episode Listen Later Nov 4, 2025 34:36 Transcription Available


Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Rob Lott interviews Michael T. Osterholm, the director of the Center for Infectious Disease Research and Policy (CIDRAP), about the future of U.S. public health, the politicization of vaccine oversight, and why fragmented state guidance threatens pandemic preparedness. He also discusses his new book, The Big One: How We Must Prepare for Future Deadly Pandemics. Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

Diet Culture Rebel Podcast
227. Overeating, Indecision with Food Choices, and “Too Many” Calories as an Intuitive Eater (Q&A)

Diet Culture Rebel Podcast

Play Episode Listen Later Oct 15, 2025 37:51


"Intuitive eating is not about perfectly staying within a calorie number or a maintenance threshold. It is about developing trust with your body and using each eating experience as feedback, not a test of whether you pass or fail."Have you ever felt like you just can't stop eating certain foods, even when you're full? Or maybe you find yourself second-guessing every food choice, worried you're eating too much as you try to follow intuitive eating? These everyday struggles can leave you feeling stuck in guilt, confusion, and chaos around food.In this solo episode, I'm answering real and vulnerable questions Rebels sent me on Instagram. These are questions I hear all the time as a Registered Dietitian and Certified Intuitive Eating Counselor. From why we overeat “delicious” food, to how to handle food indecision and what it means to “eat too many calories” as an intuitive eater, I'm breaking down myths, normalizing the messiness, and offering practical, compassion-filled tools to help you trust your body again.You'll also hear a relatable story from fellow Rebel, Jaimie, who went from tracking every calorie and overeating while on vacation to truly enjoying food and stopping when full. Together, we'll look at the patterns that keep so many of us stuck, the real reasons eating can feel chaotic, and why permission, structure, and kindness are game-changers on your intuitive eating journey.What You'll Learn:Why honoring fullness isn't about willpower and what's really behind that “can't stop eating” feelingHow food rules and restriction actually make overeating more likely, and what to do about itPractical tools for navigating indecision and food guilt so eating can feel less chaoticThe mindset shifts that help you move away from perfectionism with food and listen to your body's unique needsWhy occasional overeating is normal (even for intuitive eaters) and how every eating experience is an opportunity to learnHow to zoom out and look at the big picture of health, beyond any single meal or calorie countRemember, Rebels - this work isn't about getting every food choice perfect. It's about showing up with curiosity, compassion, and a willingness to trust your body one step at a time. Thank you for being part of this community and letting me support you in finding more peace with food. Come back next week for another episode and connect with me over on Instagram at @diet.culture.rebel.Resources:Grab the free Honoring Fullness Checklist at DietCultureRebel.com/Checklist to start building a more positive relationship with food.View the 5 Social Determinants of HealthStruggling with food, but not sure where to start?You don't have to feel 100% ready to get support. If you're tired of obsessing over food or feeling stuck in the diet cycle, my team of Registered Dietitians is here to help. We offer one-on-one nutrition counseling—and we accept insurance! Spots are limited, so head to https://dietculturerebel.com/insurance to see if we're covered in your state and learn how to get started.