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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

35:04

Are Federal Regulators Panicked Over the Increased...

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

2019/04/24

Listen NowThe e-cigarette market, or what the FDA formally terms Electronic Nicotine Delivery Systems or ENDS, has grown since 2004 to approximately 11 million American consumers. Recent survey data published in February in JAMA has shown use of e-cigarettes (or vaping) among underage youths or middle and high school students has increased significantly since 2011. Beyond potentially serving as a gateway to the use of combustible or tobacco cigarettes, there is research to suggest nicotine can

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28:49

Ann Neumann Discusses Mercy Killings or...

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

2019/04/16

Listen NowIn 2017 more than 47,000 Americans committed suicide. While suicide rates decreased during the 1980s and 1990s, they have increased by 33% over the past two decades. Today they are one of the top ten causes of death. Suicide or suicide-homicides, where the spouse or partner kills their loved one and frequently and immediately themselves, are unsurprising for several reasons. Among others, the US has no universal long term care policy. (The ACA attempted to create a voluntary long

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27:38

Harold Miller Discusses Improving Medicare's...

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

2019/04/10

Listen NowMedicare's Fee for Service Alternative Payment Models (APMs), a creation of 2015 MACRA legislation, currently 12 in number with participation largely voluntary, requires Medicare providers to assume financial risk, based on historical spending and quality measurement performance, beyond a "nominal amount." The flagship APM is the ACA's Medicare Shared Savings Program, more commonly termed Accountable Care Organizations (ACOs). Though in its 8th year, the ACO program, that currently

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28:30

Interview with America's Health Insurance Plans'...

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

2019/03/20

Listen NowDespite gains made under the ACA, health insurance coverage in the US remains fraught with problems. Over 28 million non-elderly remain uninsured. Health care spending is extreme. Health care coverage is the most expensive worldwide in absolute terms and relative to average incomes – despite the fact Americans consume no more or fewer health care resources than our comparative peers. In 2018, an insurance premium for a family of four was $19,616 or almost one-third of median household

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37:15

David Wallace Wells Discusses His Just-Published "The...

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

2019/03/01

Listen NowFor this, my 168th interview, David Wallace Wells discusses his just-published book, "The Uninhabitable Earth, Life After Warming." Listeners may recall I interviewed Mr. Wallace Wells on August 2, 2017 shortly after his published his July 2017 New York Magazine article by the same title, "The Uninhabitable Earth." (At: http://nymag.com/intelligencer/2017/07/climate-change-earth-too-hot-for-humans.html.) (In the recent past, or since last October, I've also interviewed Jessica Wolff,

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28:30

ATAP's Dr. Robert Levin Discusses Reforming Drug...

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

2019/02/19

Listen NowThe administration and the Congress are currently discussing various proposals to reform drug pricing policy. Drug prices, as listeners are likely well aware, have risen substantially over the past two decades. For example, between 1997 and 2007 they tripled and currently year-over-year Medicare Part D drug spending is expected to grow through 2026 at twice the 2007 through 2013 growth rate. The administration formally began its effort last May with the announcement of its drug pricing

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23:58

Remote Area Medical's Free Health Care Clinics: A...

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

2019/02/01

Listen NowOver 40 million Americans live in poverty or upwards of 14% of the population. Those living in extreme poverty number 18 million and over 5 million live in absolute poverty. The US also has the highest youth poverty rate among OECD countries. This reality is made worse by the fact the US is the only highly developed country in the world that lacks universal health care coverage. Despite passage of the ACA in 2010 that reduced the number of non-elderly uninsured from 44 million to 27

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24:05

The Current Ebola Outbreak in the Congo: A...

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

2019/01/18

Listen NowThis past summer the the Democratic Republic of the Congo (DRC) began experiencing its 10th Ebola outbreak. (The virus, with a mean mortality rate of 50 percent, is endemic in that country.) To date, the current outbreak has claimed approximately 400 lives. The World Health Organization (WHO) expects the outbreak to persist for another six months, in part, because current political turmoil in the DRC is effecting the ability of health officials to contain the spread of the disease to

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32:41

Dr. Jeremy Hess Discusses Lancet's "Countdown:...

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

2018/12/14

Listen NowIn late November, Lancet published its 2018 "Countdown: Tracking Progress on Health and Climate Change." The 36-page report (link below), authored by nearly 70 scientists, including Dr. Jeremy Hess, provides an assessment of health and economic effects of climate change and global warming as well as provides an assessment of the world's green house gas emissions and current global efforts to reduce our carbon footprint all via 41 data indicators reported under five domains. Among other

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34:35

Rosemary Gibson Discusses Her Recent Work, "China Rx"...

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

2018/12/10

Listen NowDuring this 31 minute discussion Rosemary Gibson unpacks her latest work, co-authored with Janardan Prasad Singh, titled, China, Rx, "Exposing the Risks of America's Dependence on China For Medicine. As the title suggests the authors discuss the problems with relying on China for the production of essential ingredients for thousands of medicines, or the implications of relying on China regarding the quality and availability of essential drugs. Rosemary Gibson is Senior Adviser at The

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33:46

Dave Chase Discusses His New Work, "The Opioid Crisis...

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

2018/11/18

Listen NowListeners may recall, I have previously discussed the opioid epidemic this past February 2 with Dr. Steve Passik concerning abuse deterrent formulations and on November 16, 2016 with Dr. Ann Lembke regarding her work, "Drug Deal MD." Tragically, the opioid epidemic continues unabated. In 2017 there were 72,000 drug overdose deaths, among these 29,000 were from synthetic opioids, predominately fentanyl. While Mr Chase's work examines the cause of the opioid epidemic and what could be

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29:40

Professor Kristie Ebi Discusses the IPCC Report's...

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

2018/11/15

Listen Now The below November 7th podcast post provides a link to an essay that, in part, provides an overview of the United Nation's International Panel on Climate Change's (IPCC's) recent report titled, "Global Warming of 1.5°C." As noted in the essay, what is particularly noteworthy about the IPCC's report is its conclusion that keeping or holding temperature increases to below 2°C, the goal of the Paris climate accord, would not avoid the more serious effects of global warming. For example, at

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27:56

Status of the 9/11 Victim Compensation Fund, Will It...

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

2018/10/30

Listen NowSoon after the 9/11 attacks the Congress created the Victim Compensation Fund (VCF). Initially, the VCF was created to award moneys to 9/11 victims or their families. Awards were made through 2004. In 201o1 the Congress passed the James Zadroga 9/11 Health and Compensation Act, named after a 34-year old NYC policeman who died in 2006 of 9/11 related illness, was created to compensate first responders and individuals who later developed 9/11-related health problems including numerous

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29:41

Jessica Wolff Discusses Efforts to Reduce The Health...

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

2018/10/25

Listen NowEarlier this month the United Nation's Inter-governmental Panel on Climate Change (IPPC), the world's definitive body on the subject, concluded we have just 12 years, or until 2030, to avoid global temperatures rising above 1.5 degrees Celsius (or 2.7F). We've already warmed by 1C. Among other consequences, if we warm to 2.0C (or 3.6F) we will lose 99 percent of our coral reefs. We are presently on track to warm to 4C by the end of this century - that the Trump administration, via a

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31:21

150th Interview: Tim Gronniger Discusses the Current...

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

2018/10/04

Listen NowCurrently, CMS is accepting public comment on a proposed Medicare Shared Savings Program (MSSP), known more commonly as the Accountable Care Organization (ACO) program, rule. The MSSP, created under the 2010 Affordable Care Act, is Medicare's flagship pay or performance program currently providing care to over 10 million Medicare beneficiaries. MSSP or ACO performance, or to the extent the program has reduced Medicare spending growth, has been widely debated largely because CMS has

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24:58

Utah's Alliance for the Derterminants of Health...

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

2018/09/28

Listen NowDespite the fact social circumstances and environmental factors account for approximately 20% of an individual's health status, twice that of medical care at approximately 10%, social circumstances or social determinants of health are frequently unaddressed by health or medical care providers. This is largely because medical care providers are neither trained to provide social service supports such as housing and transportation nor compensated for doing so. As a result persons left with

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25:16

Accelerating Telehealth Adoption: A Conversation with...

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

2018/09/23

Listen NowIn the recent past the federal government has made several efforts to expand the use of telehealth and Remote Patient Monitoring (RPM) services. Related provisions can be found, for example, in the 2017 CONNECT Act, the Bipartisan Budget Act of 2018 and in federal regulatory rule making, for example, the current 2019 proposed Medicare Physician Fee Schedule (PFS) rule, and in payment waivers for certain Medicare pay for performance models, for example, ACOs, where telehealth "originating

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35:40

Medicare For All: A Conversation with Professor...

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

2018/08/09

Listen NowAccording to a recent Kaiser/Washington Post survey 59 percent of Americans support Medicare for All (M4A). Per a March New England Journal of Medicine poll 61 percent of physicians said single payer would make it easier for them to deliver cost-effective, quality health care. Currently, before the House is legislation titled the "Expanded and Improved Medicare for All Act" with over 120 sponsors. (The legislation has been introduced every session since 2003.) The House has recently

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27:55

Reforming the Physician Self-Referral Law (Stark...

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

2018/08/01

Listen NowOver the past several years the Congress and Medicare regulators have discussed reforming the 1989 Ethics in Patient Referral Act. Otherwise known as the physician self-referral or more commonly termed Stark law (named after the former California House member, Pete Stark, the initial sponsor of the bill). Stark law is today widely viewed as an impediment to care coordination or payment models that financially incent providers to improve care, care coordination and reduce spending growth,

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26:07

HCCI's President, Mr. Niall Brennan, Discusses...

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

2018/07/18

Listen NowWhile coverage under the Affordable Care Act (ACA), Medicare and Medicaid enjoy, deservedly, a great deal of discussion and debate, employer-sponsored insurance (ESI) insures approximately 55% of the non-Medicare eligible population, or approximately 152 million Americans. (Medicaid insures 19.5% of the population and Medicare 16%). Larger employers, or those with over 500 employees, are moreover (82%) self insured, 26% of smaller employers are as well. What we know about ESI and what

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