Tradeoffs

The Inflation Reduction Act gives Medicare historic new powers to control prescription drug prices. We go inside the government’s race to implement these new powers — and the pharmaceutical industry’s efforts to blunt their impact.

Guests:

Alice Valder Curran, JD, Partner, Hogan Lovells

Sean Dickson, JD, MPH, Director of Health Policy, West Health Policy Center

Amber Jessup, PhD, Chief Economist, Office of Inspector General, Department of Health and Human Services

Mark Newsom, Founder and Principal, Health Evaluations

Learn more and read a full transcript on our website.

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The Biden administration is trying to close a gap in the Affordable Care Act that blocks 5 million people from getting affordable health care.

Guests: 

Liana Wolk, teacher

Owen Marshall, musician

Katie Keith, JD, MPH; Director, Health Policy and the Law Initiative at the O’Neill Institute at the Georgetown University Law Center.

Learn more and read a full transcript on our website.

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Why are a growing number of private insurance companies starting to invest in medical respite — a decades-old idea to care for homeless people who are too healthy to be in the hospital, but too sick to be on the streets?

Guests:

Henry Jones, former medical respite patient

Janelle Goetcheus, MD, Founder and Medical Director, Christ House

Julia Dobbins, MSW, Director of Medical Respite, National Health Care for the Homeless Council

Jack Kline, LICSW, LCSW-C, Former Executive Program Director, Hope Has A Home

Karyn Wills, MD, Chief Medical Officer, CareFirst Blue Cross Community Health Plan, DC

Learn more about medical respite and read a full transcript on our website.

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Letting private insurers offer Medicaid coverage was supposed to lower costs and improve care. We dig into the research on Medicaid managed care.

Guests:

Sayeh Nikpay, PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota

Kathleen Adams, PhD, Professor of Health Policy and Management, Rollins School of Public Health at Emory University

Allan Baumgarten, JD, Independent Health Policy Analyst

Read more of the research on Medicaid managed care and find a full transcript on our website: https://tradeoffs.org/2021/11/04/medicaid-managed-care/

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The U.S. health care system is responsible for 8.5% of the country’s greenhouse gas emissions. We discuss how health care contributes to climate change, how some hospitals are trying to reduce their carbon footprint and what more needs to be done.

Guest:

Gary Cohen, co-founder and president of Health Care Without Harm

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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The overdose crisis in the U.S. is as deadly as it’s ever been. In response, the Biden administration is embracing a controversial strategy known as harm reduction, which seeks to keep drug users safe even as they continue using. We explore how harm reduction has become more mainstream and what kind of impact we can expect it to have on the overdose crisis.

Guests:

Ricky Bluthenthal, PhD, Associate Dean for Social Justice; Keck School of Medicine, University of Southern California

Keith Humphreys, PhD, Esther Ting Memorial Professor of Psychiatry and Behavioral Services, Stanford University

Beau Kilmer, PhD, Director of the RAND Drug Policy Research Center

Kimberly Sue, MD, PhD, Assistant Professor of Medicine, Yale School of Medicine

Maia Szalavitz, Journalist and Author, Undoing Drugs: The Untold Story of Harm Reduction and the Future of Addiction

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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We explore the impacts of charging Medicaid enrollees premiums and how phasing out premiums may affect Montana's Medicaid expansion program.

Guests:

Katharine Bradley, Principal Researcher, Mathematica

Heather O'Loughlin, Co-Director, Montana Budget & Policy Center

Ed Buttrey, State Representative, Montana

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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Independent abortion funds have been flooded with donations since Roe v. Wade was overturned. How do these funds work and what role will they play in a post-Roe world?

Guests:

Brittany Mostiller, Leadership Development Coordinator, National Network of Abortion Funds

Gretchen Ely, PhD, MSW, Director of PhD Program, University of Tennessee College of Social Work

Kim Floren, Director, Justice Through Empowerment Network

Erin Smith, Executive Director, Kentucky Justice Health Network

Read a full transcript and dig deeper into our reporting here.

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To mark the launch date of 988, America's new mental health crisis line, we're sharing a segment from The Takeaway, a public radio show and podcast produced by WNYC Studios and PRX, featuring Tradeoffs host Dan Gorenstein talking about our reporting on 988.

Read a full transcript and dig deeper into our reporting here.

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In Part 3 of our special series on 988, we go on the ground to hear from individuals working in their communities to prepare for America’s new mental health crisis line to go live.

Guests: 

Natalie Krebs, Health reporter, Iowa Public Radio

Emily Blomme, Chief Executive Officer, Foundation 2 Crisis Services

Christine Herman, Managing editor, Side Effects Public Media

Mike Sunseri, Deputy Executive Director, Kentucky Office of Homeland Security

Carter Barrett, Reporter, Side Effects Public Media

Benjamin Kowalczyk, Living Room patient

Read a full transcript and dig deeper into our reporting here.

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