A Health Podyssey

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Why Medicare’s Hospital Wage Index Exceptions Jumped 60% Jun 16, 2026

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This episode is brought to you by Semafor Healthcare.

Delivered weekly from David Lim, Semafor Healthcare connects the dots between decisions in government, business, and technology to reveal how they impact the future of healthcare. Each edition will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free.

Health Affairs Publishing’s Rob Lott speaks to Geoffrey Hoffman of the University of Michigan about his recent paper exploring the structure of Medicare’s hospital wage index and discusses the growth of exceptions over time, exploring their implications for how the system functions and whether it meets its intended policy objectives.

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Private Equity in Primary Care: Costs, Care, and Impact Jun 09, 2026

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This episode is brought to you by Semafor Healthcare.

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.

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Inside CVS Caremark: The Role of PBMs in Drug Costs & Access | SPONSORED Jun 03, 2026

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This episode is brought to you by Semafor Healthcare.

THIS SPONSORED PODCAST EPISODE IS BROUGHT TO YOU BY CVS HEALTH.

In this sponsored episode, James Margiotta, Chief Growth Officer at CVS Caremark, joins Health Affairs Publishing's Jessica Bylander to unpack the role of pharmacy benefit managers (PBMs), their impact on prescription drug costs, and the value PBMs bring to the health care system.

James has nearly 35 years of experience driving innovation, operational excellence, and enterprise value across the healthcare system. In his current role, James leads the team responsible for partnering with clients to identify their unique needs and bringing forward strategic solutions to meet their objectives.

Throughout his career at CVS Health, James has scaled businesses across CVS Caremark, CVS Accountable Care, Minute Clinic, Aetna, and CVS Pharmacy — each with its own challenges, cultures, and market dynamics.

James and Jessica's conversation explores how PBMs help employers, health plans, governments, and unions manage rising prescription drug costs while balancing affordability, transparency, and member experience. James explains CVS Caremark’s approach to controlling costs, dives into the growing demands for price transparency, and how artificial intelligence may transform pharmacy benefits and member navigation services.

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Inside CMS: How Medicare Innovation Models Are Working to Lower Costs & Scale Digital Health Jun 02, 2026

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This episode is brought to you by Semafor Healthcare.

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.

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Policy Changes Reshaping Family Caregiving May 27, 2026

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This episode is brought to you by Semafor Healthcare.

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 Initiative
National Strategy to Support Family Caregivers
Nation Alliance for Caregiving's Caregiver Nation Coalition

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Extreme Heat’s Impact on Healthcare Use and Spending May 26, 2026

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This episode is brought to you by Semafor Healthcare.

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.

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How the Healthcare Workforce Is Responding to New Aging Policies | Age-Friendly Health Series May 20, 2026

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This episode is brought to you by Semafor Healthcare.

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.

The Deadly Rise of Cold-Related Illness at the Intersection of Social Inequality May 19, 2026

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This episode is brought to you by Semafor Healthcare.

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.

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How the One Big Beautiful Bill Changes Medicaid for Older Adults and State Health Policy | Age-Friendly Health Series May 13, 2026

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This episode is brought to you by Semafor Healthcare.

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.

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Tenant Protections At The Intersection Of Climate And Health May 12, 2026

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This episode is brought to you by Semafor Healthcare.

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.

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