The Gist Healthcare Podcast

One study finds administering certain medicines outside of the hospital could save insurance plans $4 billion a year. The Trump administration is considering a proposal that includes monitoring behavior of people with mental illness to predict violence. A Senate bill includes more funding for the National Institutes of Health.

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Optum is combining its data and care delivery businesses. The government is trying to a new approach to catch Medicare and Medicaid fraud before it happens. The infamous graphic showing the astronomical growth of administrators in healthcare is wrong.

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A federal judge approved a hospital sale of hundreds of residency spots. A contract dispute between an insurer and physician staffing company over reimbursement rates could impact 18 states. And people are turning to Groupon to afford CT scans and mammograms.

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Everyone agrees, hospital mergers have been happening more frequently. Whether it’s good for patients and reduces prices garners less consensus. The American Hospital Association is out with a study saying mergers reduce costs, but academics are critical of those findings.

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Presidential candidate Bernie Sanders wants to make billions of dollars of medical debt disappear for Americans. Walmart is bringing everyday low prices to medical care. Insurers aren’t happy about a new type of Medicare Advantage audit estimated to save as much as $1 billion.

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As the number of independent medical practices is shrinking, two companies in California are teaming up to try and help. Consolidation in the insurance industry continues with two Michigan insurers merging. With open enrollment six weeks away, Louisiana still hasn’t finalized Medicaid contracts because of an ongoing dispute. 

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A favorite Bernie Sanders statistic about Americans going bankrupt because medical bills is not accurate. California lawmakers are targeting one hospital system with transparency legislation. And Medicare has been paying twice for some of the same drugs.

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In a new ad tied to his healthcare plan, Vice President Joe Biden, talks about his family's medical struggles. NBC reports the family who owns Purdue Pharma is offering a settlement to several opioid lawsuits. Medicare unveils a new online shopping tool ahead of open enrollment.

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An Oklahoma judge ruled Johnson & Johnson has to pay $572 million dollars for its part in fueling the opioid crisis. Doctors’ groups, including some backed by private equity firms, are pouring money into ads opposing surprise billing legislation. In addition to its public charge rule, the Trump administration sent states guidance about including a sponsor when considering an immigrant’s Medicaid eligibility.

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Introducing Gist Healthcare Daily - the weekday health policy and business news podcast from Gist Healthcare. 

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