Stay ConnectedTradeoffs explores the toughest choices in health care, diving into issues like the cost of care, health equity, insurance, mental health and artificial intelligence. We connect policy to practice, uncovering the data and personal stories that help audiences understand the stakes — and the potential solutions.
Learn more about us, find transcripts for each episode and additional reporting at https://tradeoffs.org.
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Early in the pandemic, state officials unleashed a flood of emergency orders relaxing the rules that limit the care each health profession can provide. Now these temporary measures are expiring and health professionals from pharmacists to physician assistants are jockeying to shape the next wave of workforce reforms.
Guests:
Susanna Storeng, DMSc, PA-C, Physician Assistant, High Plains Community Health Center
Bianca Frogner, PhD, Professor and Director of the Center for Health Workforce Studies, University of Washington
Learn more and read a full transcript on our website.
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Starting Oct. 6, providers must begin giving patients electronic access to more of their health care data than ever before. But the federal regulations forcing this change are fraught with implementation challenges and privacy risks.
This week we talk with Micky Tripathi, the federal official overseeing this push to democratize America’s health data, about its promise and perils.
Guest
Micky Tripathi, PhD, MPP, National Coordinator for Health Information Technology, U.S. Department of Health and Human Services
Learn more and read a full transcript on our website.
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Initial screenings for breast, lung and cervical cancer are free, but expensive secondary tests can leave patients in screening purgatory.
Guests:
Mark Fendrick, MD, Professor of Medicine and public health at the University of Michigan, Director of the Center for Value Based Insurance Design.
Gloria Coronado, PhD, epidemiologist and health disparities researcher, Kaiser Permanente Center for Health Research
Learn more and read a full transcript on our website.
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California is in the early days of one of the most ambitious initiatives ever to address Medicaid patients’ social needs in hopes of improving their health. This week, we trace the origins, early results and challenges of “CalAIM.”
Guests:
Jacey Cooper, Director, California Medicaid Program
Bradley Gilbert, MD, MPP, Former Chief Medical Officer and CEO, Inland Empire Health Plan
Lacy McClellan
Dale Stout
Anthony Wright, Executive Director, Health Access California
Paula Lantz, PhD, James B. Hudak Professor of Health Policy, University of Michigan Gerald R. Ford School of Public Policy
Learn more and read a full transcript on our website.
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This week, we’re sharing the first episode of a new 10-part series from The Nocturnists podcast, called “Shame in Medicine: The Lost Forest.”
What is shame? And how does it manifest in medical culture? The Nocturnists teams up with two shame experts to investigate these questions.
Read a full transcript of this episode on our website.
Learn more about this episode and the Shame in Medicine series at https://www.thenocturnists-shame.org/.
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The Inflation Reduction Act gives Medicare historic new powers to control prescription drug prices. We go inside the government’s race to implement these new powers — and the pharmaceutical industry’s efforts to blunt their impact.
Guests:
Alice Valder Curran, JD, Partner, Hogan Lovells
Sean Dickson, JD, MPH, Director of Health Policy, West Health Policy Center
Amber Jessup, PhD, Chief Economist, Office of Inspector General, Department of Health and Human Services
Mark Newsom, Founder and Principal, Health Evaluations
Learn more and read a full transcript on our website.
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The Biden administration is trying to close a gap in the Affordable Care Act that blocks 5 million people from getting affordable health care.
Guests:
Liana Wolk, teacher
Owen Marshall, musician
Katie Keith, JD, MPH; Director, Health Policy and the Law Initiative at the O’Neill Institute at the Georgetown University Law Center.
Learn more and read a full transcript on our website.
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Why are a growing number of private insurance companies starting to invest in medical respite — a decades-old idea to care for homeless people who are too healthy to be in the hospital, but too sick to be on the streets?
Guests:
Henry Jones, former medical respite patient
Janelle Goetcheus, MD, Founder and Medical Director, Christ House
Julia Dobbins, MSW, Director of Medical Respite, National Health Care for the Homeless Council
Jack Kline, LICSW, LCSW-C, Former Executive Program Director, Hope Has A Home
Karyn Wills, MD, Chief Medical Officer, CareFirst Blue Cross Community Health Plan, DC
Learn more about medical respite and read a full transcript on our website.
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Letting private insurers offer Medicaid coverage was supposed to lower costs and improve care. We dig into the research on Medicaid managed care.
Guests:
Sayeh Nikpay, PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota
Kathleen Adams, PhD, Professor of Health Policy and Management, Rollins School of Public Health at Emory University
Allan Baumgarten, JD, Independent Health Policy Analyst
Read more of the research on Medicaid managed care and find a full transcript on our website: https://tradeoffs.org/2021/11/04/medicaid-managed-care/
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The U.S. health care system is responsible for 8.5% of the country’s greenhouse gas emissions. We discuss how health care contributes to climate change, how some hospitals are trying to reduce their carbon footprint and what more needs to be done.
Guest:
Gary Cohen, co-founder and president of Health Care Without Harm
Read a full transcript and dig deeper into the issues explored in today's episode on our website.
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