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PODCAST

The Healthcare Policy Podcast ® Produced by David Introcaso

David Introcaso, Ph.D.

Podcast interviews with health policy experts on timely subjects. The Healthcare Policy Podcast website features audio interviews with healthcare policy experts on timely topics. An online public forum routinely presenting expert healthcare policy analysis and comment is lacking. While other healthcare policy website programming exists, these typically present vested interest viewpoints or do not combine informed policy analysis with political insight or acumen. Since healthcare policy issues

government & organizations national

All Episodes

28:39

Harvard's Dr. Renee Salas Discusses the 2019 "Lancet...

The Healthcare Policy Podcast ® Produced by David... ·

2019/12/13

Listen NowThe 2019 Lancet Countdown on Health and Climate Change (subtitled, Ensuring That the Health of a Child Born Today is not Defined by a Changing Climate), released in mid-November, identifies 41 indicators in five domains: climate change impacts, exposures and vulnerability; adaption, planning and resilience for health; mitigation actions and health co-benefits; economics and finance; and, public and political engagement. Since this interview focuses on the first three domains, concerning

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32:09

SIDM's Paul Epner Discusses the Pervasive Problem of...

The Healthcare Policy Podcast ® Produced by David... ·

2019/12/04

Listen NowTwenty years ago last month the National Academy of Sciences published the landmark report, “To Err Is Human, Building a Safer Health System.” The report found upwards of 98,000 people die each year in hospitals alone as a result of medical errors. One specific medical error, diagnostic error, was, and remains today, a substantial contributor. Defined as a wrong, delayed or missed diagnosis, misdiagnoses continue to constitute a major public health problem, adversely affecting more than

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27:36

190th Podcast Interview: the FDA's Captain Valerie...

The Healthcare Policy Podcast ® Produced by David... ·

2019/11/21

Listen NowOn October 31st, the FDA released the agency's Congressionally-mandated report titled, “Drug Shortages: Root Causes and Potential Solutions.” The 124-pg report found drug shortages are increasing, persistent, i.e., the duration longer, with both the intensity and public health impact high. These shortages can, the FDA found, “have a devastating effect,” by prolonging patient suffering, contributing to disease progression & increased morbidity. Concerning root causes, the FDA found

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29:59

Chris Palmieri Discusses CCA's Efforts to Provide Its...

The Healthcare Policy Podcast ® Produced by David... ·

2019/11/15

Listen NowAs has been widely reported the US spends upwards of twice what other OCED countries on medical care however with worse or similar outcomes. What explains this is in part the fact the US spends about one-third of what other OECD countries spend on social services such as food aid, housing assistance and transportation. This despite knowing research shows basic measures of health are more closely and positively associated with social service spending. “It’s hard to escape the

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32:37

CMS' Dr. Kate Goodrich Discusses Measuring and...

The Healthcare Policy Podcast ® Produced by David... ·

2019/11/14

Listen NowOn November 1st, the Centers for Medicare and Medicaid Services (CMS) published the agency's final 2020 Quality Payment Program (QPP) rule that announced beginning in 2021 CMS will begin instituting MVPs, or Merit-based Incentive Payment System Value Pathways. These value pathways will be created to financially incent and reward, as CMS states, “high value clinicians.” This means CMS will begin to measure and financially reward Medicare physician performance based on value or spending

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34:05

Dr. Azra Raza Discusses Her Recently Published Book,...

The Healthcare Policy Podcast ® Produced by David... ·

2019/11/04

Listen NowDr. Azra Raza's recently published book, The First Cell and the Human Costs of Pursing Cancer to the Last, has been described as a "searing account of how both medicine and our society (mis)treat cancer, how we can do better, and why we must." It has been termed "a clarion call . . . [that] repudiates the approach . . . that biomedical science has taken to attempt to find new treatments and curers." The lack of progress in treating cancer is "an embarrassment" and "equally embarrassing

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28:39

Dr. Rick Doblin Discusses the Potential/Real...

The Healthcare Policy Podcast ® Produced by David... ·

2019/11/01

Listen NowPsychedelic agents or drugs, for example Lysergic Acid Diethylamide or LSD (a cereal fungus and first synthesized in 1938), were widely researched for their therapeutic potential through the 1950s. Among other noted users of these agents was the actor, Cary Grant. However, when these drugs escaped the research lab in the 1960s, moral panic set in. America's youth would, it was feared, "turn on, tune in and drop out" (a phrase popularized the Berkeley/Harvard psychologist Timothy Leary)

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32:31

NHCHC's Bobby Watts and Barbara DePietro Discuss...

The Healthcare Policy Podcast ® Produced by David... ·

2019/10/25

Listen NowThough difficult to accurately calculate for obvious reasons, the Department of Housing and Urban Development's (HUD's) 2018 point-in-time survey identified over 550,000 individuals living in emergency shelters, transitional housing or were unsheltered. One-third were families, a disproportionate number were African American and/or veterans and a growing number were victims of wildfires or a severe climate event (think: Hurricane Florence or Michael). The homelessness problem is

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24:31

Catalyst for Payment Reform's Suzanne Delbanco...

The Healthcare Policy Podcast ® Produced by David... ·

2019/09/24

Listen NowLargely with the exception of the 2010 passage of the ACA, federal legislative (and regulatory) efforts to reform health care over the past few decades has lagged. This is the result of an increasingly dysfunctional Congress. For example, Congressional productivity, measured by the number of enacted laws, has decreased every decade since 1990 by over 20 percent. For this reason and because states are required to balance their annual budgets (with the exception of Vermont and possibly

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26:01

Harvard's Michael Chernew Discusses the...

The Healthcare Policy Podcast ® Produced by David... ·

2019/09/13

Listen NowIn CMS' proposed hospital outpatient rule published in the Federal Register in early August, the agency proposed requiring hospitals to make public a list of its negotiated rates for common items and services. The proposed rule is based on two White House executive orders and is an expansion of a related regulatory rule that went into effect this past January 1st that requires hospitals to make publicly available a list of current standard hospital charges (on their so called

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36:27

Dr. Lewis Cohen Discusses His Just-Published Book, "A...

The Healthcare Policy Podcast ® Produced by David... ·

2019/09/01

Listen NowMedical aid in dying is now legal in nine states and the District of Columbia or is available to approximately one-fifth of the US population. State medical societies allow physicians to provide treatment that comports with their conscience, survey data shows the practice enjoys substantial public support and the option is available in numerous foreign countries including the Netherlands where it is available to children with their parents' consent. Nevertheless, the practice remains

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27:55

Philip Alston, the United Nations' Special Rapporteur...

The Healthcare Policy Podcast ® Produced by David... ·

2019/08/29

Listen NowIn late June, Professor Philip Alston, the UN's Special Rapporteur on Extreme Poverty and Human Rights, published "Climate Change and Poverty." The 20-page report is unsparing in its criticism of the response, or lack thereof, by corporations, governments, NGOs and the human rights community to the climate crisis, moreover their response concerning the effect the crisis will have on the poor - whom will disproportionately bear the burden of climate emergency. "Government, and too many

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29:14

Dr. Georges Benjamin Discusses the Climate Crisis and...

The Healthcare Policy Podcast ® Produced by David... ·

2019/07/25

Listen NowThe news is grim. Our planet has just experienced its hottest June in recorded history and likely the hottest July. This year will likely join ten others since 2000 as the warmest ever recorded. Several studies just published in Nature and Nature Geoscience have concluded there has never been a period over the past 2,000 years when temperatures have changed as fast and extensive as in recent decades. To make matters worse, the climate crisis substantially explains the fact our planet

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32:38

Dr. Mark Fendrick Discusses Value-Based Insurance...

The Healthcare Policy Podcast ® Produced by David... ·

2019/07/21

Listen NowOne way to increase the value of insurance coverage is to eliminate or lower a patient's out of pocket costs (OOP), i.e., their co-pays and/or deductables, for health care services that are of high value, for example, vaccines and/or alternatively increase OOP costs for low value service, for example, certain imaging tests. The concept is based on the straight forward rationale that, based on clinical evidence, certain health care products or services are proven to be more effective than

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40:11

Katherine Eban Discusses Her Just-Published Work,...

The Healthcare Policy Podcast ® Produced by David... ·

2019/07/18

Listen NowNine in 10 prescriptions are today filled using a generic drug saving Americans tens of billions annually. A significant amount of generic drugs, along with active ingredients in all drugs, are manufactured overseas. However, how safely or to what quality standards are these ingredients and generics produced? Bottle of Lies, published in May, tells the story of appalling practices foreign generic manufacturers use to produce these drugs at the most minimal cost. The work moreover

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27:32

Brady President, Kris Brown, Discusses Current Policy...

The Healthcare Policy Podcast ® Produced by David... ·

2019/06/20

Listen NowUS gun violence is, in one word, obscene. It is widely considered an epidemic, even the always cautious AMA termed it a "public health crisis" in 2016. Through the first five months of this year there were 148 mass shootings that killed or wounded nearly 750 individuals. It is worth repeating comments I made in April 2018 to introduce Dr. Al-Abga (whom treated victims of the 1999 Columbine High School shooting). US gun deaths are 96 times higher than in Japan, 55 times higher than in

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26:54

Dr. Renee Salas Discusses Global Warming's Health...

The Healthcare Policy Podcast ® Produced by David... ·

2019/06/19

Listen NowThis past June 4th the 9th Circuit Court heard oral arguments concerning Juliana v. the US, a case filed in 2015 by 21 children seeking a jury verdict on whether the US government, by failing to address the climate crisis, is protecting the plaintiff’s rights to life, liberty and the pursuit of happiness. In its defense the US is arguing these children, now young adults, have “no fundamental constitutional right” to a “climate system capable of sustaining human life.” In a May 30th essay

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29:20

175th Interview: University of Michigan's Professor...

The Healthcare Policy Podcast ® Produced by David... ·

2019/06/12

Listen NowAmericans spend over $3.5 trillion or 6% of the GDP annually on health care. One third, or over $1 trillion, of that spending is considered waste, i.e., health care that does not improve our health status. Despite substantial efforts to improve health care value or spending efficiency via so called pay for value, performance based and alternative payment models, for example ACOs and bundled payment arrangements, health care providers, Medicare and other payers, do not generally measure

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26:36

Natural Climate Solutions: The Nature Conservancy's...

The Healthcare Policy Podcast ® Produced by David... ·

2019/05/12

Listen NowIt should go without stating "nature's contribution to people are vital to human existence." Nevertheless, this was the third line in the May 6th report by the UN Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services (IPBES). As the report notes, "70% of drugs used for cancer are natural or are synthetic products inspired by nature, four billion people reply primarily on natural medicines for their health and, among other examples, 70% of global food crops rely

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25:23

Kaiser's Kathy Gerwig Discusses Her Organization's...

The Healthcare Policy Podcast ® Produced by David... ·

2019/05/05

Listen NowAfter the food industry health care is considered this country's second largest emitter of green house gas (GHG) pollution. With emissions equal to approximately 655m metric tons of CO2 equivalents annually, if the health care industry was its own country it would rank 13th worldwide in GHG emissions. Yale researchers have estimated the industry's GHG emissions alone are “commensurate with” the 44,000 to 98,000 annual hospital deaths the Institute of Medicine estimated from preventable

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324 results

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