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.

What happens when Medicare Advantage plans receive lower payments under a new risk adjustment model?

Health Affairs Publishing’s Rob Lott speaks to Niru Ghoshal-Datta of the University of California, Berkeley about his recent paper exploring CMS’s updated Medicare Advantage risk adjustment model. They discuss how the policy change reduced payments to Medicare Advantage plans, had little effect on premiums and cost sharing, and led to modest reductions in some supplemental benefits

 
Order the September 2026 issue of Health Affairs.

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Subscribe to Semafor Healthcare for free.

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 Emily Dore of Tufts University School of Medicine about her recent paper exploring COVID-era WIC policy flexibilities, increased program participation, and what those findings mean for the future of safety net programs.

 
Order the September 2026 issue of Health Affairs.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Subscribe to Semafor Healthcare for free.

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 Debra Lipson, health policy analyst and consultant, about her recent paper that explores how new federal limits on Medicaid state directed payments could force significant Medicaid spending cuts in many states, potentially reshaping provider funding and access to care.

 
Order the September 2026 issue of Health Affairs.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Subscribe to Semafor Healthcare for free.

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.

Are we ready for the next public health emergency?

Rob Lott speaks with physician, researcher, and New Yorker writer Dhruv Khullar about the state of U.S. public health preparedness, the growing challenges facing infectious disease surveillance, and the connection between chronic and infectious disease.

The conversation also explores Khullar’s work as a clinician, health policy researcher, and journalist, including his research on health care consolidation, Medicare Advantage, and the commercialization of medicine.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Subscribe to Semafor Healthcare for free.

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 Grace Mackleby of the University of Southern California about her recent paper that explores how vertically integrated Medicare Advantage plans and hospital systems set prices, finding that most affiliated and unaffiliated plans pay similar rates, with notable variation in certain markets.

 
Order the August 2026 issue of Health Affairs.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Subscribe to Semafor Healthcare for free.

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 Jiebing Wen of The University of Texas at Austin about her recent paper exploring how hospice acquisitions by investor-owned firms were associated with lower care staffing intensity and fewer patient visit minutes, especially in patients' final days.

 
Order the August 2026 issue of Health Affairs.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Subscribe to Semafor Healthcare for free.

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 Keith Ericson of Boston University about his recent paper exploring how inflation-adjusted spending benchmarks would provide a more accurate picture of state health care cost growth.

Order the August 2026 issue of Health Affairs.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Subscribe to Semafor Healthcare for free.

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 Betsy Cliff from the University of Chicago about her paper in the July 2026 issue of Health Affairs exploring trends in US healthcare spending by income.

Order the July 2026 issue of Health Affairs.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Subscribe to Semafor Healthcare for free.

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.

A Health Podyssey is on vacation in July. We will return with new episodes in August 2026.

This episode originally aired on April 18, 2023

Health Affairs Editor-in-Chief Alan Weil interviews Michael Chernew from the Harvard Medical School on his recently-published paper examining the effects of lower Medicare Advantage benchmarks on plan generosity and benefits.

The authors found that a $1,000 per year decrease in the benchmarks would lead to only moderate increases in annual premiums, deductibles and co-pays.

Order the April 2023 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.

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Subscribe to Semafor Healthcare for free.

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.

A Health Podyssey is on vacation in July. We will return with new episodes in August 2026.

This episode was originally aired on August 15, 2023.

In a crossover episode with Health Affairs' Policy Spotlight event series, Editor-in-Chief Alan Weil interviews Meena Seshamani, director at the Center for Medicare at CMS. They discuss the evolution of Medicare Advantage, value-based programs, and more.

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.