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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

24:47

Kristen O'Brien Discusses the Final 2018 MACRA Rule...

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

2017/12/19

Listen NowThis past November 16 CMS published the agency's final 2018 MACRA (Medicare Access and CHIP Reauthorization Act) rule (at 661 federal register pages). MACRA, authorized in 2015, formulates how approximately 1.5 million Medicare Part B physicians and other eligible clinicians are reimbursed. Annual MACRA proposed and final rule making is closely monitored since the law's MIPS (Merit-Based Incentive Payment System) and Advanced Payment Model (APM) pathway are the two formulas CMS uses to

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24:37

Clay Richards Discusses Medicare's Bundled Payments...

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

2017/12/12

Listen NowCMS has been experimenting with Medicare bundled payment arrangements, where the provider is reimbursed a total fee (either prospectively or reconciled retrospectively), for three decades. Under ACA authority CMS' Center for Medicare and Medicaid Innovation (CMMI) has launched several five-year bundled payment demonstrations, most notably BPCI that began in 2013. The BPCI demo allows providers to voluntary accept a bundled payment for any one of 48 Diagnosis Related Groups (DRGs), for

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30:00

Myra Christopher Discusses Under Treated Chronic Pain...

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

2017/12/07

Listen NowDespite the fact an estimated 100 million Americans suffer from chronic pain costing approximately $640 billion annually in medical expenses and lost productivity, the disease remains widely under treated. This is all the more true for ethnic and racial minorities independent of age, gender, education, wealth and pain intensity. Despite recent efforts by the Institute of Medicine, the DHHS, i.e., its 2016 "National Pain Strategy," and new payment models designed to improve care quality,

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28:10

Dr. Jim Rickards Discusses His Recent Work, "Our...

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

2017/11/17

Listen NowThis, my 125th interview, will discuss Oregon's Coordinated Care Organizations (CCOs) that have received considerable attention nation-wide for their ability to provide Medicaid beneficiaries with coordinated care, moreover primary care services integrated with mental/behavioral and oral health. The Oregon CCO model has also demonstrated over the past five years an ability to improve care quality while keeping spending below a targeted 3.4 percent annual growth rate via a capitated

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26:53

Dr. Ronald Epstein Discusses His Recent Work,...

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

2017/11/10

Listen NowOver the past 20 years Dr. Ronald Epstein has published on the topic he terms "mindful practice." "Mindful practice," he argues, enables physicians and other clinicians to have heightened self-awareness that allows in turn for greater attentiveness or greater presentness in caring for patients. It is what makes good providers, he says, great. During this 26-minute conversation Dr. Epstein discusses his recent work, Attending: Medicine, Mindfulness and Humanity, or moreover what

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28:34

Patient Safety Issues Associated with Electronic...

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

2017/11/01

Listen NowElectronic Health Records (EHRs) were largely adopted after 2009, or after the Congress passed the HITECH Act that appropriated $30 billion in financial incentives for hospital and physicians to migrate from paper to digital records. In theory the policy made/makes perfect sense. Adopting information technology/IT would over time create efficiencies, drive better care coordination and overall improve care quality and reduce unnecessary spending or reduce spending growth. However, for

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34:13

Eric Weinberg Discusses His Recent Work, "Blood On...

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

2017/09/29

Listen NowMr. Eric Weinberg is co-author with College of New Jersey Journalism Professor, Donna Shaw, of the recently published work, Blood On Their Hands, How Greedy Companies, Inept Bureaucracy, and Bad Science Killed Thousands of Hemophiliacs (Rutgers University Press). The book details how beginning in the late 1970s through the mid-1980s tens of thousands of hemophiliacs in the US (and tens of thousands more around the world) became infected with HIV via the use of life-saving plasma-based

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25:31

Dr. Haider Warraich Discusses His Recent Work,...

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

2017/09/27

Listen NowEarlier this year St. Martin's Press published Dr. Haider Warraich's Modern Death, How Medicine Changed the End of Life. As the dust jacket notes, "the mechanics and understanding" of dying, "the whys, wheres, whens and hows are almost nothing like what they were mere decades ago." Today, eight in ten Americans die at an advanced age, or under Medicare, die in a medical setting after suffering for some while from a chronic, eventually fatal disease or diseases. If lucky, how Americans

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29:08

The National Academy of Medicine's "Effective Care...

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

2017/08/08

Listen NowRecently the National Academy of Medicine (NAM) (formerly the Institute of Medicine) released it's "Effective Care for High-Need Patients, Opportunities for Improving Outcomes, Value and Health." The report attempts to address a long-standing problem in health care delivery, e.g., five percent of patients ("high-need" patients) account for, or consume, 50 percent of health care resources. That is if these patients were identified in a more timely manner and better managed overall health

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36:46

David Wallace-Wells Discusses His Recent Essay, "The...

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

2017/08/03

Listen NowApproximately three weeks ago New York Magazine published David Wallace-Well's 7,500 word essay "The Uninhabitable Earth, Famine, Economic Collapse, A Sun That Cooks Us: What Climate Change Could Wreak - Sooner Than You Think." The article has to date been downloaded over 4.5 million times. It is the most read essay the magazine has ever published. The essay begins with, "If your anxiety about global warming is dominated by fears of sea-level rise, you are barely scratching the surface

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20:17

Dr. Fischer-Wright Discusses Her Recent Work, "Back...

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

2017/07/28

Listen NowDuring this 20 minute discussion Dr. Halee Fischer-Wright discusses her recently published work, "Back to Balance, The Art, Science and Business of Medicine." As the title suggests, Dr. Wright argues the practice of medicine has become dominated by the business and science aspects of care delivery both to the detriment of both the patient and the physician. Dr. Halee Fischer-Wright is currently President and CEO of MGMA (the Medical Group Management Association). Prior to, Dr. Wright

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24:49

Improving the Use of Evidence-Based Medicine: A...

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

2017/06/22

Listen Now A 2012 National Academy of Sciences (Institute of Medicine) study titled, "Best Care and Lower Cost," found about one quarter of all medical spending is wasted, much of this excessive spending going to pay for treatments that are of unknown effectiveness. With medical spending now accounting for one-sixth of the nation's GDP, or over $3 trillion annually, how do we limit spending to treatments that are proven effective or are of high value. How do we increase the use of evidence-based

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26:49

Extraordinary Altruism in Voluntarily Donating a...

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

2017/06/03

Listen NowApproximately 8,700 Americans die annually awaiting a kidney donation or become too ill to receive one. This is half the number of those who annually receive a kidney, or 17,000. Over 100,000 at any time are awaiting a kidney. The median wait time is over three and a half years. One-third of kidney donations are live donations typically from a child, parent, sibling, spouse or other relative. However, an increasing number of live donations are made by strangers voluntarily choosing

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25:41

AHCA In Context of Social Justice: A Conversation...

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

2017/06/02

Listen NowThis past May 4, US House or Representative Republicans passed the American Health Care Act (AHCA). The bill, defined by Republicans as a repeal of the Affordable Care Act (ACA), is now under debate among Senate Republicans. (Neither any House Democrat voted for the AHCA nor are there any Senate Democrats expected to vote for related Senate bill should it make the Senate floor.) Per the Congressional Budget Office's (CBO) estimate of the AHCA's spending and revenue effects, published May

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25:37

The Current Status of Employer-Based Insurance: A...

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

2017/04/28

Listen NowConsidering the debate over the past five months about repealing the ACA (and more generally reforming the Medicare program via premium support), it is worth remembering that approximately 55% of non-elderly Americans, or 155 million, still receive their health care coverage via their employer. In addition, as of 2016 the ACA requires employers with over 50 employees to either offer health benefits or face a financial penalty. The question remains what is the future of employer based

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22:27

"Teeth: The Story of Beauty, Inequality & the...

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

2017/04/12

Listen Now As former DHHS Secretary Louis Sullivan wrote in support of this work, "Mary Otto brings history, policy and painful personal realities together in this compelling and engaging book about our nation's highly preventable epidemic of oral disease. Teeth should be read by every policy maker and health professional who believes we can and must ace to reduce the current barriers to dental care." (Listeners of this podcast may be also interested in related interviews with Burton Edelstein,

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24:44

What Was Discussed at February's "Climate and Health"...

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

2017/04/03

Listen NowIn mid-January the CDC abruptly canceled a three-day "Climate and Health Summit" the Center had been planning for months. The meeting was intended to discuss public health risks caused by the climate crisis and steps being taken to reduce the emissions of carbon dioxide and other greenhouse gases or its adverse consequences on human health. (It was speculated the meeting was canceled because the CDC did not want to run afoul of the incoming president who has repeatedly called climate

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25:58

Does Pay for Performance Improve Care and Lower...

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

2017/03/13

Listen NowOver approximately the past decade the health care industry has become increasingly committed to financially incenting physicians and other clinicians, or tying performance to reimbursement. Commonly termed "pay for performance"(P4P), these arrangements are increasingly employed in the Medicare (i.e., under the Medicare Access and CHIP Reauthorization Act, or MACRA) and Medicaid programs and by commercial insurers, most notable accountable care models and bundled payment arrangements.

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24:57

Proposed House Republican Changes to Medicaid: A...

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

2017/03/07

Listen NowLate today, or within a few hours after this interview was completed, the House Republicans proposed ACA repeal or reconciliation legislation. The legislation includes repealing Medicaid expansion under the Affordable Care Act (ACA). More specifically, House Republicans propose repealing the federal enhanced match rate for eligible beneficiaries on December 31, 2019 though states can keep the enhanced match rate for those Medicaid eligible before January 1, 2020 but only for those that

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37:05

"The Case Against Sugar," A Conversation with the...

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

2017/02/07

Listen NowIn his recent work, The Case Against Sugar, Gary Taubes argues not all calories are alike. Sugar, or the consumption of sugar, causes elevated levels of insulin, or hyperinsulenema, and high levels of insulin drives fat accumulation. Rather than obesity causing diabetes, Taubes argues, hyperinsulinemia causes both. That there's been an 800% increase since 1960 in the consumption of sugar and approximate doubling of diagnosed cases of diabetes since 1990 cannot be a coincidence. (Per

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328 results

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