The pandemic led to an explosion in telehealth use. Now, as we start going back into the doctor’s office, more people are still using telehealth than ever would have before the pandemic. As insurers and plan sponsors look to cash in on this shift to virtual care, Paige Minemyer interviews Teladoc's Rob Bressler about the challenge of striking the balance between virtual care and traditional brick-and-mortar services. 

Also on Podnosis, Anastassia Gliadkovskaya spoke with Mariana Socal, M.D., Ph.D., physician and Johns Hopkins scientist, about tackling the drug pricing crisis in the U.S, where prices are among the highest in the world. A 2018 Department of Health and Human Services study found that drugs in the U.S. were between 170% and 779% more expensive than in the 32 other similar countries included in the research. We dig into ways to make drugs more affordable, like switching up PBMs' business model and efforts like billionaire entrepreneur Mark Cuban's new company Cost Plus Drugs. 

To learn more about topics in this episode:

• Teladoc's Gorevic bullish on fending off Amazon, rivals in telehealth space 
• Amwell exploring $200M buyout of online therapy provider Talkspace: media report 
• How Philips, HealthAlliance health system teamed up to bring leading-edge tech to rural communities 
• 2 new PBM launches aim to bring greater transparency to the market 
• FTC launches investigation into major pharmacy benefit managers' business practices 
• Mark Cuban Cost Plus Drug Company announces first health plan partner, Capital Blue Cross 
• HHS: More than 1,200 drugs' prices rose past inflation in 2021

Podnosis is produced by senior multimedia producer Teresa Carey with managing editor Querida Anderson and senior editors Heather Landi and Paige Minemyer. The sound engineer is Caleb Hodgson. The stories are by all our “Fierce” journalists. Like and subscribe wherever you listen to your podcasts.

See omnystudio.com/listener for privacy information.

The U.S. doesn’t have universal healthcare, as most industrialized countries do. Most of us get health benefits through employers. Why? In World War II, the government slapped wage controls on corporations. To lure workers, companies began offering healthcare benefits. After the war, an effort to create a national healthcare system was met with resistance. Fierce Healthcare writer Frank Diamond talks with Elizabeth Mitchell, the president and CEO of the Purchaser Business Group on Health. It is a nonprofit group of employers purchasing healthcare services for over 21 million Americans.

Also, everyone knows the U.S. healthcare system is a broken one. But few have ideas on how to fix it—or where to even begin. To better understand what Americans want from their care, nonprofit United States of Care spent three years talking to thousands around the country. It then identified policy agenda goals that it has since been working on with lawmakers. Anastassia Gliadkovskaya talks with the organization’s co-founder, Natalie Davis, to find out how that work is going.  

To Learn more about topics in this episode:

• SDOH solution Unite Us teams up with data analytics firm on predictive modeling of consumer behavior 
• Congress is back. Here are 4 things to watch out for, from postponing pay cuts to mental health reform 
• U.S. employers brace for healthcare costs to rise next 3 years 
• Consumers seeking personalized, integrated care post-COVID, CVS survey finds
• PBGH is launching a new committee to further integrate public purchasers. Here's why
• This is now the biggest driver of employers' healthcare costs, survey shows
• New playbook aims to help employers, plan sponsors negotiate hospital prices
• Consumers concerned about rising healthcare costs as open enrollment period draws near

Podnosis is produced by senior multimedia producer Teresa Carey with managing editor Querida Anderson and senior editors Heather Landi and Paige Minemyer. The sound engineer is Caleb Hodgson. The stories are by all our “Fierce” journalists. Like and subscribe wherever you listen to your podcasts.

See omnystudio.com/listener for privacy information.

While many states have embraced the shift to modular Medicaid Enterprise Systems, the journey to modularity does not come without risks. In this Fierce Healthcare podcast, Rajesh Sharma, vice president and general manager of Gainwell Technologies’ systems integration, data analytics and interoperability product offering, provides practical and proven strategies to help states navigate the various opportunities and challenges that modernization presents.

See omnystudio.com/listener for privacy information.

The U.S. is in a pregnancy care crisis. The country has the highest maternal mortality rate among comparable wealthy countries, according to Centers for Disease Control and Prevention data. Senior editor Heather Landi spoke with Alison Cowan, M.D., head of medical affairs at personalized pregnancy startup Mirvie and a practicing OB-GYN, about how to improve and modernize the U.S. healthcare system for pregnant women.

Also, senior editor Paige Minemyer talks to Chinni Pulluru, M.D., vice president of clinical operations at Walmart Health and Wellness, about lessons since the retail giant launched its first health clinics in 2019. With retail’s push into healthcare, these companies promise a more convenient experience, but traditional providers have expressed some concerns as Walmart and others edge onto their turf. 

To learn more about topics in this episode:

• Mirvie mRNA study predicts premature births 2 months in advance
• US women face worse outcomes, higher costs than in other wealthy countries
• Maternal deaths continued to rise nationwide in 2020, especially among Black and older mothers
• Walmart Health plans to open 16 more Florida clinics next year
• CVS plans to make a major primary care play by the end of 2022
• Walgreens, Alphabet's Wing kick off drone delivery service in major metro area

Podnosis is produced by senior multimedia producer Teresa Carey with managing editor Querida Anderson and senior editors Heather Landi and Paige Minemyer. The sound engineer is Caleb Hodgson. The stories are by all our “Fierce” journalists. Like and subscribe wherever you listen to your podcasts.

See omnystudio.com/listener for privacy information.

There are sides of pregnancy not seen on social networks or "new mom" newsletters. In this podcast, we hear the side of "expecting" that's not often spoken about in public. This is part 1 of a 4-part series. To hear more, search for "The Invisible Weight" wherever you listen to podcasts.

See omnystudio.com/listener for privacy information.

Nonprofit hospitals in the U.S. are required to provide community benefits as a condition of their tax exemption status. But research suggests those dollars represent only about 2% or 3% of the total expenses that hospitals report. Some say this isn’t enough to warrant the tax breaks they enjoy.  Fierce Healthcare's Dave Muoio talks with Dr. Christopher Goodman from Prisma Health. He and his co-authors reviewed hospitals’ charity care policies from 2019 to 2021 to track changes in charity care policy.   

COVID-19’s impacts are still rocking the industry. Healthcare workers and leaders face some of the largest challenges that have ever been put before them, and this is especially true for women. The Fierce Healthcare team is recognizing 10 women making a big impact on healthcare. We'll discuss this year's honorees. 

To learn more about topics in this episode: 

• Nonprofit hospitals expanded charity care policies after COVID. But some changes raise red flags, study finds
• California attorney general scolds hospitals for withholding charity care policy info from patients
• AHA: Nonprofit hospitals provided community benefits 9 times higher than 2019 tax exemptions
• Fierce Healthcare's 2022 Women of Influence Awards

Podnosis is produced by senior multimedia producer Teresa Carey with managing editor Querida Anderson and senior editors Heather Landi and Paige Minemyer. The sound engineer is Caleb Hodgson. The stories are by all our “Fierce” journalists. Like and subscribe wherever you listen to your podcasts.

See omnystudio.com/listener for privacy information.

The American Data Privacy and Protection Act says it would protect “any information that describes or reveals the past, present or future physical health, mental health, disability, diagnosis or healthcare treatment of an individual.” The bill, introduced in July, comes at a time when more tech companies are breaking into the healthcare space and eyes are turning to the protection of reproductive health data. To gain insight into the bill’s uncertain future, Fierce’s Annie Burky spoke with Deven McGraw, lead of data stewardship and sharing at medical genetic company Invitae.

And listen in on a snippet from a panel senior editor Heather Landi moderated at Digital Pharma East on leveraging digital health tools and social determinants data to improve patients’ health.

To learn more about topics in this episode: 

• Post-Dobbs data privacy law in flux as experts, providers and tech companies rethink how to protect patient information
• Post Dobbs fallout tracker—Nationwide legal abortions declined 6% from April to August, report estimates
• Most physicians unclear on 'life-threatening emergencies' under abortion bans: survey
• Backlash against CVS, Walgreens raises questions about role of retail in post-Dobbs world
• Deloitte: Health inequities cost industry $320B per year, signal unsustainable crisis
• RISE 2022: Health plans grapple with how to acquire, implement health equity data
• DarioHealth lands $30M deal with Sanofi to expand commercial reach of its digital therapeutics
• Digital Pharma East

Podnosis is produced by senior multimedia producer Teresa Carey with managing editor Querida Anderson and senior editors Heather Landi and Paige Minemyer. The sound engineer is Caleb Hodgson. The stories are by all our “Fierce” journalists. Like and subscribe wherever you listen to your podcasts.

See omnystudio.com/listener for privacy information.

Medicare’s annual enrollment window is underway. That means a flurry of activity for health insurers, which are aiming to grow their reach in the very hot Medicare Advantage market. Paige Minemyer talks with executives at the Fierce Health Payer summit to discuss how payers are shifting their sales and outreach approach. 

Paige also hosted a panel to discuss what the post-pandemic landscape looks like for social determinants of health and the latest innovations MA players can bring to the table to address those social needs.  

To learn more about topics in this episode: 

• Fierce Health Payer Forum
• Medicare Advantage at the tipping point: A preview of 2023 open enrollment
• ACHP: Nonprofit Medicare Advantage plans made up one-third of 5-star options
• House progressive bill wants to take Medicare out of Medicare Advantage's name
• Humana joins forces with USAA for new co-branded MA plan for veterans
• Medicare Advantage star ratings show steep declines for 2023 as pandemic flexibilities go away

Podnosis is produced by senior multimedia producer Teresa Carey with managing editor Querida Anderson and senior editors Heather Landi and Paige Minemyer. The sound engineer is Caleb Hodgson. The stories are by all our “Fierce” journalists. Like and subscribe wherever you listen to your podcasts.

See omnystudio.com/listener for privacy information.

Home tests are becoming more popular, so companies have to think outside the box to stay competitive. We talked with Liz Kwo, the chief medical officer at Everly Heath, a company that offers a virtual diagnostics-driven care platform, about where home testing started out, and where it’s headed. Also under discussion is open enrollment for next year’s Medicare Advantage program, and the key issues and trends we're seeing.

To learn more about topics in this episode: 

• Healthcare startups roll out at-home COVID-19 test kits amid testing lag
• Medicare to cover at-home COVID-19 tests this spring after backlash from lawmakers
• Everly Health taps Anthem exec to lead clinical strategy as startup builds out home health testing
• Blood test may help identify patients at risk for long COVID: study
• Medicare open enrollment is on the horizon. Here's what 5 major payers have planned
• Medicare Advantage at the tipping point: A preview of 2023 open enrollment
• Medicare Advantage star ratings show steep declines for 2023 as pandemic flexibilities go away

Podnosis is produced by senior multimedia producer Teresa Carey with managing editor Querida Anderson and senior editors Heather Landi and Paige Minemyer. The sound engineer is Caleb Hodgson. The stories are by all our “Fierce” journalists. Like and subscribe wherever you listen to your podcasts.

See omnystudio.com/listener for privacy information.

At Fierce Healthcare, we aim to spotlight some of the important contributions made by people of color across health systems, physicians' offices, health tech and insurance companies.  For the past three years, Fierce Healthcare has selected 10 leaders to honor for the measurable impact they have made on the healthcare industry. 

Also under discussion is what retail corporations are doing in healthcare. Healthcare is a $4 trillion industry. And companies with deep pockets are trying to get a slice of the pie by providing medical services. We'll make sense of how the sector has evolved in the last two years with our guest Natalie Schibell, vice president and research director at Forrester, a global market research company.

To learn more about topics in this episode: 

• Fierce Healthcare's most influential minority executives in healthcare for 2022
• Amazon Care shutdown is a strategic play, not a failure, some healthcare experts say 
• 2022 forecast: Competition in retail healthcare will heat up. Here's what to expect from Amazon, CVS and Walgreens
• Healthcare industry will face higher medication errors, declining patient trust in 2022: Forrester
• Healthcare plays by CVS, Walgreens and Amazon will drive more partnerships, tech investment, experts say
• Fierce Health Payer Forum

Podnosis is produced by senior multimedia producer Teresa Carey with managing editor Querida Anderson and senior editors Heather Landi and Paige Minemyer. The sound engineer is Caleb Hodgson. The stories are by all our “Fierce” journalists. Like and subscribe wherever you listen to your podcasts.

See omnystudio.com/listener for privacy information.