Tradeoffs

California’s Medicaid program is two years into the nation’s most ambitious effort yet to cover non-traditional health care services like housing and food for some of the state’s sickest and most vulnerable residents. Everyone expected this transformation — known as CalAIM — to take some time to hit its stride. We dig into CalAIM’s early challenges and what’s being done to right the ship.

Guests:

Pooja Bhalla, DNP, RN, CEO, Illumination Foundation

Jacey Cooper, Medicaid Director, California Department of Health Care Services

Kelly Bruno-Nelson, MSW, Executive Director of Medi-Cal/CalAIM, CalOptima Health

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A wave of new research is showing the promise of psychedelics to help with mental health conditions — like depression and post traumatic stress disorder. The federal government continues to say it’s illegal to use these substances for treatment, but states like Oregon and Colorado are attempting to roll out regulated use. We talk with Mason Marks about the latest research, regulation, and legal gray areas on psychedelics.     

Guests:

Mason Marks, JD MD Project Lead on the Project on Psychedelics Law and Regulation at the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School.

Learn more and read a full transcript on our website.

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Every fall, an avalanche of advertising bombards the phones, televisions and mailboxes of the country’s 65 million Medicare beneficiaries.

Private insurance companies and brokers unleash this flurry of marketing in hopes of persuading as many people as possible to switch plans during Medicare’s open enrollment period.

This week, we explore how too many choices, too little help and an alarming amount of deception combine to lead many of America’s most vulnerable older adults astray.

Guests:

Gretchen Jacobson, PhD, Vice President, Commonwealth Fund

Lauren Lachs, Volunteer, Medicare Rights Center

Leslie Montgomery, Medicare and Medicaid beneficiary

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube! 

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In 2021, University of Minnesota health economist Hannah Neprash listened to a Tradeoffs story on ransomware in health care and was inspired to study whether cyberattacks actually harm patients. This week, she shares her striking findings, and we revisit the inside story of a ransomware negotiation that sparked her work.

Guests:

Karen Sprenger, CISSP, GCFE, Chief Operating Officer and Chief Ransomware Negotiator, LMG Security 

Hannah Neprash, PhD, Assistant Professor, University of Minnesota School of Public Health

Learn more and read a full transcript on our website.

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Employers are facing a big dilemma: how do they pay for the new highly effective and popular obesity medications without breaking the bank? This week, the questions are forcing companies to re-examine their attitudes on obesity as the understanding of the disease deepens.

Guests:

Sean Scanlon, Connecticut Comptroller

Jeff Levin-Scherz, WTW population health leader

Mike Thompson, President of the National Alliance of Healthcare Purchaser Coalitions

Olivia Quagliani, Patient

Learn more and read a full transcript on our website.

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Many of America’s poorest and sickest patients are stuck navigating two separate insurance programs — Medicare and Medicaid — to get the care they need.

Guests:

Jose Figueroa, MD, MPH, Assistant Professor of Health Policy and Management, Harvard T.H. Chan School of Public Health

Jean Minkel, PT, ATP, Senior Vice President of Rehab and Mobility Services, Independence Care System

Rochelle Render, advocate and mother of Saleema Render-Hornsby

Saleema Render-Hornsby, dually eligible person

Allison Rizer, Principal, ATI Advisory

Leslie Walker, Senior Producer/Reporter, Tradeoffs

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube! 

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Girls in the U.S. are in the midst of a growing mental health crisis, and schools are on the front line of finding solutions. But will Black and Latina girls get left behind?

Guests:

Monica Bhatt, PhD, Senior Research Director, University of Chicago Education Lab

Sheretta Butler-Barnes, PhD, Professor, Washington University

Kathleen Ethier, PhD, Director, CDC Division of Adolescent and School Health

Ngozi Harris, LCPC, Working on Womanhood Director of Program and Staff Development, Youth Guidance

Shekinah Jackson, Working on Womanhood Participant

Nora-Lisa Malloy, Working on Womanhood Counselor, Youth Guidance

Heidi Sipe, EdS, Superintendent, Umatilla School District (OR)

Learn more and read a full transcript on our website.

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This summer, our research reporter Soleil Shah added a new role to his resume: first-year medical resident. Now he spends his days alternating between making the rounds on hospital patients and reading up on the latest health policy research for the Tradeoffs newsletter. 

Guest:

Soleil Shah, MD, MSc, Research Reporter, Tradeoffs; Resident Physician, Brigham and Women's Hospital

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube! 

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Nearly two decades ago, Dr. Jeff Brenner hypothesized that nurses and social workers could guide the country's most complicated patients toward better health ... and cut expensive hospital admissions along the way. Was he right?

Jeff Brenner, Camden Coalition of Health Care Providers

Amy Finkelstein, Economist, MIT

Kathleen Noonan, Camden Coalition of Health Care Providers

Allison Hamblin, Center for Health Care Strategies

Jensen Skinner, Nurse, Camden Coalition of Health Care Providers

Larry Moore, Patient

Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep7

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About half of people on Medicare use hospice care before they die, but as the popular benefit turns 40 this year, it is struggling with waste, access and inequity issues. 

This week, we look at a federal experiment revamping Medicare's hospice policy, and how it could ultimately change the way millions of people die.

Guests:

Vince Mor, PhD, Professor of Health Services, Policy & Practice, Brown University

Bethany Snider, MD, Chief Medical Officer, Hosparus Health

David Stevenson, PhD, Professor of Health Policy, Vanderbilt University School of Medicine

Leslie Walker, Senior Producer, Tradeoffs

Learn more and read a full transcript on our website.

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