This week’s episode covers the ongoing federal government shutdown and its implications for health systems, including lapses in telehealth and hospital-at-home flexibilities, paused Medicaid payments, and the potential loss of coverage for millions if ACA subsidies expire. It also explores major insurers’ contraction in Medicare Advantage markets, Evolent Health’s sale of its ACO to Privia Health, and new visa fees that could intensify physician shortages by restricting international medical hiring.