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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An immunosuppressed physician explains what navigating her life – and her workplace – is like in this COVID-fatigued world.
Guest:
Lindsay Ryan, MD, San Francisco VA Medical Center
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America’s largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country’s biggest employers. What could go wrong?
Join us for a wild, wonky journey into the world of third-party administrators.
Guests:
Christin Deacon, JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of Treasury
Brian Hufford, JD, Partner, Zuckerman Spaeder LLP
Ken Janda, JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine
Sandy Peters, retiree
Have a look at more of Leslie's reporting on TPAs.
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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.
NOTE: This episode has been updated to clarify Practice Greenhealth's operating model.
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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We explore the impacts of charging Medicaid enrollees premiums and how phasing out premiums may affect Montana's Medicaid expansion program.
Guests:
Katharine Bradley, Principal Researcher, Mathematica
Heather O'Loughlin, Co-Director, Montana Budget & Policy Center
Ed Buttrey, State Representative, Montana
Read a full transcript and dig deeper into the issues explored in today's episode on our website.
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Jails and prisons are one of the few places in the United States where health care is a right. But for many incarcerated people, that care often falls short. This is the story one of those people: Princola Shields.
This episode was originally produced for the podcast Sick, a production of Side Effects Public Media.
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We explore “cascades of care” — how a clinician's desire to be thorough can snowball into a harmful spiral of unnecessary care.
Guests:
Meredith Niess, MD, MPH, Clinical Academic Resource Director, University of North Carolina School of Medicine and Novant Health
Ishani Ganguli, MD, MPH, Assistant Professor of Medicine, Harvard Medical School and Brigham and Women’s Hospital
Cheryl Damberg, PhD, MPH, Principal Senior Economist and Director, RAND Center of Excellence on Health System Performance
Scott Weingarten, MD, MPH, Professor of Medicine, Cedars-Sinai Medical Center; Chief Innovation Officer, SCAN Health Plan
Read a full transcript and dig deeper into the issues explored in today's episode on our website.
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As Peter Lee prepares to step down after a decade of running California's Obamacare exchange, he reflects on his experience, the strengths and weaknesses of the Affordable Care Act, and what the next frontier for health care should be in the U.S.
Guest:
Peter Lee, Executive Director, Covered California
Read a full transcript and dig deeper into the issues explored in today's episode on our website.
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Every 5 years, the FDA has to renegotiate billions of dollars in user fees with the drug and medical device companies it regulates. This is one of those years, and Congress has to pass the latest user fee agreements by the end of September to keep FDA running. We break down this controversial process and what other health policies could pass in its wake.
Guest:
Sarah Karlin-Smith, Senior Writer, Pink Sheet
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This week, a pharmacist and co-owner of an independent pharmacy in Iowa shares what life is like nearly two years into the pandemic.
Guest:
Kelly Kent, RPh, PharmD, pharmacist and chief operating officer, Towncrest Pharmacy.
Read a full transcript and dig deeper into the issues explored in today's episode on our website.
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Starting July 16, 2022, anyone in the U.S. experiencing a mental health crisis will be able to dial 988 for help. We explore what it will take for this new nationwide hotline to meet the needs of millions of people struggling with suicide, addiction and mental illness.
Guests:
Andrea Harrison, Helpline Specialist, First Choice Services
Madhuri Jha, LCSW, MPH, Director, Kennedy-Satcher Center for Mental Health Equity, Morehouse School of Medicine
Ben Miller, PsyD, President, Well Being Trust
Hannah Wesolowski, MPA, Chief Advocacy Officer, National Alliance on Mental Illness
Read a full transcript and dig deeper into the issues explored in today's episode on our website.
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