The Gist Healthcare Podcast

A federal appeals court ruled the Affordable Care Act's individual mandate is unconstitutional. The order sends the case back to the lower court to decide which parts of the law can remain. Duke University Professor of Law and Business Barak Richman explains what the decision means.

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The first state to get federal permission to add Medicaid work requirements – ends them. The end of the year spending bill includes repeals of three Affordable Care Act taxes. And to deal with an organ transplant and donation shortages the government proposes new rules.

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CMS extended the open enrollment period for those buying coverage on the federal marketplace. One study finds measures to stop surprise billing could save 40 billion dollars a year. And former NFL players are charged with a healthcare fraud scheme. 

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Advocates are calling for an open enrollment extension because of outages to Healthcare.gov. CMS says it will pay hospitals back for site-neutral payment cuts. And Gist dives into the details of the new Medicare Direct Contracting model. 

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The House passes a bill to lower prescription drug prices. A new proposal to stop surprise billing has thrown a wrench into plans to pass legislation by the end of the year. And a report finds insurers may be making Medicare Advantage patients appear sicker to get more money.

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A House vote on Pelosi's drug pricing bill is expected Thursday. Two of the president’s top health officials are headed to the White House to resolve an ongoing feud. And the Justice Department reportedly opens a probe into Google’s purchase of Fitbit.

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House Speaker Nancy Pelosi compromises with progressive democrats on drug pricing legislation ahead of a vote. Civica Rx announces it will have eight generic drugs shipped by the end of the year. For the first time, female medical students are the majority.

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The Supreme Court will hear a case insurers say is about the integrity of the federal government. Details of the surprise billing compromise lawmakers reached over the weekend are coming out. And House Republicans introduce another drug pricing bill.

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A bipartisan group of lawmakers reached a deal on surprise billing legislation. This week lawmakers hold a hearing on proposals for universal coverage. And we talk to Dan Weissmann, host of the podcast, An Arm And A Leg, about the cost of healthcare.

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Nearly one in three high schoolers report having used one form of tobacco. Lawmakers are considering how to regulate all the health data from Fitbits and Apple watches. And one report finds value-based care initiatives haven’t made people that much healthier.

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