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PODCAST

A Health Podyssey

Each week, Health Affairs" Rob Lott brings you in-depth conversations with leading researchers and influencers shaping the big ideas in health policy and the health care industry. A Health Podyssey goes beyond the pages of the health policy journal Health Affairs to tell stories behind the research and share policy implications. Learn how academics and economists frame their research questions and journey to the intersection of health, health care, and policy. Health policy nerds rejoice! This

health & fitness non-profit

All Episodes

26:33

Racism & Health In US Medicine, A Conversation with...

A Health Podyssey ·

2022/02/28

In a bonus episode of A Health Podyssey, Harriet Washington discusses the history of racism in medicine and research with Vabren Watts, Health Affairs’ director of health equity, and Aletha Maybank, chief health equity officer and senior vice president of the American Medical Association. Washington is the author of several books on medical ethics, including Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present. This featured

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32:08

Monica Simpson Examines Black Women's Lived...

A Health Podyssey ·

2022/02/22

Racism manifests in different ways for different people in different environments.For many Black women, experiences with sexual and reproductive health reveal cross-cutting themes of racism, sexism, and classism, all expressed in the context of strong social norms and prejudices regarding Black women and reproduction. Attention to poor health outcomes for Black women has grown recently in part due to stories of negative maternity experiences of prominent Black women, such as Serena

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33:05

Narrative Matters: Honoring Dr. Shalon Irving, A...

A Health Podyssey ·

2022/02/17

Listen to this bonus episode from Health Affairs' Narrative Matters podcast, which highlights personal stories from the front lines of care. In this episode, host Jessica Bylander interviews Wanda Irving, chair of the board of Dr. Shalon’s Maternal Action Project, before Irving reads an essay from the February 2022 issue of Health Affairs, dedicated to the theme of racism and health.This essay remembers the life and legacy of Shalon Irving, whose 2017 death brought national attention to

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30:45

Ruqaiijah Yearby Reviews Structural Racism in US...

A Health Podyssey ·

2022/02/15

"Members of racial and ethnic minority groups have long suffered from health inequities in the United States. These inequities result, in large part, from racial and ethnic minority populations' inequitable access to health care, which persists because of structural racism in health care policy.Racism includes a complex array of social structures, interpersonal interactions, and beliefs by which the group in power categorizes people into socially constructed 'races' and creates a racial

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26:18

Michael Sun on Racial Biases Hiding in EHRs

A Health Podyssey ·

2022/02/08

The February 2022 issue of Health Affairs focuses entirely on racism and health. It includes papers that trace the long history of racism to present day policies and practices that are the reasons for large and sustained health disparities.Racism and bias come in many forms and given the social stigma associated with them, they can be difficult to study. When a study comes along that provides new empirical data on bias, it makes a major contribution to our understanding of this important

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28:02

George Wehby on Mask Mandates and How Health Services...

A Health Podyssey ·

2022/02/01

The COVID-19 pandemic has made the relationship among research, policy, and public health strikingly clear. People who may have given little thought to health policy and research began following the latest study results to guide their own behavior and push governments and businesses to make decisions that reflect a combination of science and their own values and risk tolerance.Health journals like Health Affairs responded by accelerating editorial processes and publishing free content to

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24:55

Kayte Spector-Bagdady on Racial Diversity and...

A Health Podyssey ·

2022/01/25

Precision medicine is built on a platform of big data, or large data bases that permit analysis of correlations among environmental and personal factors, treatments, and health outcomes.Data bases that once included only paper records now include tissue samples, air and water samples, and more. There's vast potential for significant advances in health care from precision medicine.But existing large data bases tend to be drawn almost entirely from European and Asian populations, limiting the

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26:13

Keren Ladin on Why Medicare's Advance Care Planning...

A Health Podyssey ·

2022/01/18

Advance care planning is a term used to describe when a person prepares for future management of serious or terminal illness, including developing an advance care directive or what is sometimes is called a living will.Beginning in January of 2016, Medicare made it possible for certain clinicians to bill for their work for patients to develop advance care plans.Despite the new billing option, uptake has been quite slow.In health care, we often use financial incentives to motivate behavior

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48:56

LIVE with Sherry Glied and Craig Garthwaite on...

A Health Podyssey ·

2022/01/11

"Let us hope that this is a one in a hundred years pandemic. We don't want to build our health care system to operate at all times as if tomorrow will be COVID." - Sherry GliedOn December 15, Health Affairs published ahead-of-print, “National Health Care Spending In 2020: Growth Driven By Federal Spending In Response To The COVID-19 Pandemic,” the annual national health expenditures article prepared by the Centers for Medicare and Medicaid Services (CMS) Office of the Actuary. Always one of

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25:02

Esther Friedman Explains Home Care and Nursing Home...

A Health Podyssey ·

2021/12/14

When you think of the health care workforce, nurses and physicians are probably the first professions which come to mind.But there are actually more personal care aides in the US than physicians. Together with home health aides and nursing assistants, personal care aides comprise one-fifth of the US health care workforce. These workers provide essential supports to people who face limitations in basic activities such as eating, bathing, and moving around.As the US population ages, the

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24:08

Jennifer Attonito on Lessons Learned from the...

A Health Podyssey ·

2021/12/07

The availability of pharmacist-administered vaccination has grown in recent decades. Proximity to a pharmacy has found to be predictive of vaccine use. In Florida, Publix grocery stores were the first retail pharmacies to provide COVID-19 vaccinations to eligible members of the public. For more than a month after the initial rollout, Publix remained the sole retail pharmacy authorized to administer COVID-19 vaccines.Grocery stores seem like a natural place to reach a large share of the

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27:26

Is fee-for-service the smoking gun for U.S. health...

A Health Podyssey ·

2021/11/30

This episode originally aired on November 10, 2020.The U.S. health policy community recognizes that fee-for-service models incentivize physicians and health systems to perform more tasks than may be needed. And, these models can contribute to industry fragmentation as organizations chase revenue.But is fee-for-service really the smoking gun when it comes to the high levels of U.S. health care spending?The answer is, unsurprisingly, complicated. To discuss, Health Affairs Editor-in-Chief

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25:14

Sabrina Poon on the Controversial Two-Midnight Rule &...

A Health Podyssey ·

2021/11/16

Medical advances have enabled many people to be cared for appropriately in an outpatient setting rather than being admitted to a hospital.Yet, since Medicare payment rates are generally lower for outpatient visits than inpatient hospital stays, hospitals have a financial incentive to admit patients. Observing what were believed to be inappropriate admissions, in 2013 Medicare adopted the "two-midnight rule" stating that hospitals would only be paid inpatient rates if the patient was

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33:29

Ashish Jha on Healthcare Payment Reform, COVID-19 &...

A Health Podyssey ·

2021/11/09

When we launched A Health Podyssey in 2020, our goal was to take listeners beyond the research published in Health Affairs.For A Health Podyssey's one-year anniversary, we wanted to take listeners on an Excursion and speak with someone who epitomizes so much of what brings professionals into the fields of health policy and health services. Ashish Jha from the Brown University School of Public Health is a widely published researcher whose public voice arises from a combination of deep

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20:59

Susanna Trost on Addressing Perinatal Mental Health...

A Health Podyssey ·

2021/11/02

With about 700 pregnancy-related deaths every year, the United States has the worst maternal mortality rates among developed countries.One response to this crisis has been the creation of state and local maternal mortality review committees (MMRCs), which are multidisciplinary committees that examine the context in which maternal deaths occur.The October 2021 issue of Health Affairs is focused on the topic of perinatal mental health. MMRC reports provide a treasure trove of information that

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23:27

Sara Kornfield on Postpartum Depression, Mental...

A Health Podyssey ·

2021/10/26

Postpartum depression is a common condition among people who give birth. Within four weeks of childbirth, 13% of women experience postpartum depression with as many as 19% of women affected three months postpartum.Mothers who experienced postpartum depression are more likely to experience impaired mother-infant bonding, which has been linked to increased risk for infant maltreatment and socio-emotional behavior and cognitive problems.Now, acute stress during pregnancy can increase the risk

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28:00

Pathways to Equitable and Anti-Racist Maternal Mental...

A Health Podyssey ·

2021/10/19

Systems of oppression like racism, sexism, and classism lead to poor health outcomes. These factors are a source of poor mental health and have particular implications for pregnant and birthing people.Black women who face multiple axes of oppression experience higher rates of maternal mental health conditions than the population as a whole. Yet maternal mental health issues among black women are under reported and often under addressed.Isabel Morgan, director of the Birth Equity Research

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30:21

Perinatal Mental Illness is Very Common. How Can It...

A Health Podyssey ·

2021/10/12

Mental health conditions, such as mood and anxiety disorders are diagnosed in one of every five pregnant or postpartum people. Despite this high burden of morbidity and mortality and economic costs, perinatal mental illness is poorly addressed by the current US healthcare system.Jennifer Moore, founding executive director of the Institute for Medicaid Innovation, joins A Health Podyssey to discuss perinatal mental health and what we know about it. Moore was the advisor for the October issue

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26:19

The Health Benefits of Paid Sick Leave Reach Farther...

A Health Podyssey ·

2021/10/05

Most office workers think of paid sick leave as a benefit for them and their family members, but there are societal benefits to paid sick leave as well.Since 1993, the United States has guaranteed access to unpaid sick leave through the Family and Medical Leave Act (FMLA) but that guarantee leaves out a large number of workers. A growing number of US states and localities have sought to fill-in some gaps of the FMLA, but many remain.Jody Heymann from the University of California, Los

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28:52

How Dementia Care Integrates Formal and Informal Care...

A Health Podyssey ·

2021/09/28

Roughly 6 million adults ages 65 and older in the United States have dementia. That number is projected to more than double by 2050. Family caregivers play an essential role in caring for people with dementia, including help with dressing to eating assistance and more.In 2020, it's estimated that more than 11 million family members and other unpaid caregivers provided care to people with dementia. But what about those who don't have family members who can provide this needed care?HwaJung

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