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    Science

    A Health Podyssey

    Each week, Health Affairs’ Rob Lott brings you in-depth conversations with leading researchers and influencers shaping the big ideas in health policy and the health care industry.

    A Health Podyssey goes beyond the pages of the health policy journal Health Affairs to tell stories behind the research and share policy implications. Learn how academics and economists frame their research questions and journey to the intersection of health, health care, and policy. Health policy nerds rejoice! This podcast is for you.

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    Copyright: © Health Affairs

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    Latest Episodes:
    Optum’s Vertical Integration: Impact on Healthcare Pricing & Referrals Mar 03, 2026
    Show notes

    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' 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 for everyone.


    Subscribe to Semafor Healthcare for free.


    How Drug Price Negotiation Is Reshaping Clinical Trial Pipelines Feb 24, 2026
    Show notes

    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' 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 for everyone.


    Subscribe to Semafor Healthcare for free.


    Ghost Doctors in the Medicaid System Feb 17, 2026
    Show notes

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

    Order the February 2026 issue of Health Affairs.

    Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast for everyone.


    Subscribe to Semafor Healthcare for free.


    Medical Debt After Hospitalization: The Financial Fallout Feb 10, 2026
    Show notes

    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' 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 for everyone.


    Subscribe to Semafor Healthcare for free.


    Medicaid vs. 340B: A Drug Pricing Clash (Sayeh Nikpay) Jan 27, 2026
    Show notes

    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' 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 for everyone.


    Subscribe to Semafor Healthcare for free.


    How Oregon’s Hospital Payment Cap Brought Stability Amid Change Jan 20, 2026
    Show notes

    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' 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 for everyone.


    Subscribe to Semafor Healthcare for free.


    US Health Care Spending 2009–2019: What Changed? (Sherry Glied) Jan 13, 2026
    Show notes

    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' 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 for everyone.


    Subscribe to Semafor Healthcare for free.


    BEST OF: J. Michael McWilliams on the Effects of Patient Survey Data on Risk Adjustment Dec 30, 2025
    Show notes

    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' Senior Deputy Editor Rob Lott interviews J. Michael McWilliams of Harvard Medical School and Brigham and Women's Hospital on his recent paper that explores opportunities for the use of patient health survey data for risk adjustment to limit distortionary coding incentives in Medicare.

    Order the January 2025 issue of Health Affairs.

    Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.


    Subscribe to Semafor Healthcare for free.


    BEST OF: Steven Lieberman on The Meteoric Rise Of Medicare Advantage Dec 23, 2025
    Show notes

    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' Rob Lott interviews Steven M. Lieberman of the University of Southern California, Los Angeles on his recent paper that explores how Medicare Advantage has seen significant enrollment growth and what reform efforts can be attempted to rebalance traditional Medicare and MA.

    Order the August 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 for everyone.


    Subscribe to Semafor Healthcare for free.


    BEST OF: Zirui Song on Private Equity’s Effect on Hospital Costs and Utilization Dec 16, 2025
    Show notes

    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' Senior Deputy Editor Rob Lott interviews Zirui Song of Harvard University and Massachusetts General Hospital on his recent paper that explores how private equity acquisition impacts hospital costs and utilization and what variations were seen throughout 2005–19.

    Order the February 2025 issue of Health Affairs.

    Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.


    Subscribe to Semafor Healthcare for free.


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