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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

21:08

Iora Health's Novel Approach to Delivering Primary...

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

2015/12/09

Listen NowMuch of the health care industry's effort to improve health care payment and delivery centers around improving primary care. This is largely because Americans suffer more disease/disease burden throughout their life spans compared to individuals in other industrialized countries. This therefore makes obvious sense since primary care is the foundation upon which an effective and efficient health care/medical care program is built. When done well primary care promotes wellness, prevents

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24:50

Expectations for 2016 ACA Marketplace Enrollment: A...

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

2015/11/30

Listen NowJanuary 1st will mark the Affordable Care Act's (ACA) third health insurance expansion year. Under the ACA individuals with income below 400% of poverty are eligible for insurance subsidies and individuals with incomes below 138% of the federal poverty level are eligible for state Medicaid coverage (or in the 31 states that have to date chosen to expand Medicaid coverage). As of 2015 the ACA has expanded coverage to approximately 12 million Americans. Medicaid expansion has added

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18:34

Will Medicare Ever Cover Telehealth & Remote...

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

2015/11/19

Listen NowTelehealth and remote monitoring services generally enable physicians to treat patients and monitor their health status remotely. Because of advances in wireless communication and biosensor technology these services are increasingly being used in the commercial health care market and as well in the Medicaid program and the VA because research shows these services can reduce acute care visits and lengths of stay, iatrogenic harm and improve patient adherence to care. Nevertheless, the

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19:22

The Jimmo Settlement: Its Importance and...

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

2015/11/11

Listen Now In 2011 a 78 year old blind, amputated Vermont woman, Ms. Glenda Jimmo, was denied physical therapy services under Medicare because her condition was determined to not likely improve. Because Medicare therapy services via skilled nursing, home health and outpatient care never required the patient "improve" in order to receive services and because thousands of other Medicare beneficiaries along with Ms. Jimmo had been denied therapy the Center for Medicare Advocacy and Vermont Legal Aid

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30:53

Is the Intensive Use of Herbicides on Genetically...

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

2015/10/21

Listen NowBeyond numerous other benefits derived by genetically modifying foods is herbicide resistance. This allows farmers the ability to control for weed growth without killing their crop, for example, corn and soybeans. While a foreseeable unintended consequence, the increasing or intensive use of the herbicides, specifically glyphosate, the primary ingredient in the widely used product Roundup, has caused weeds to develop resistance. As a result glyphosate is now beginning to be used in

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22:47

Bundled Payment and CMS's Proposal To Mandate...

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

2015/09/29

Listen Now Bundled or episodic health care payment for a clinically defined medical episodes of care has been used since at least the 1980s. However, recently CMS has initiated two bundled payment demonstrations, the Bundled Payment for Care Improvement Demonstration (BPCI) that bundles care for 48 (DRG) episodes of care began in 2013 and more recently CMS proposed the Chronic Care for Joint Replacement (CCJR) demonstration this past July. Considered the middle ground between fee for service

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22:35

Medicare, Home Health and Value-Based Purchasing: A...

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

2015/09/10

Listen NowThis past July CMS announced a proposed demonstration that would either reduce or increase a Medicare home health agency's reimbursement based on quality performance. With a rapidly aging and growing Medicare population home health utilization and costs have risen significantly over the past decade. Per MedPAC, between 2000 and 2012 total Medicare home health spending increased 64 percent. However, home health agency quality performance has been limited. For example, again per MedPAC,

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21:56

The White House's July Conference on Aging: A...

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

2015/08/19

Listen NowThis past July 13th the White House convened its sixth Conference on Aging. The meeting's purpose is to identify elder care needs over the next 10 years. More specifically the meeting is, or is typically, held to discuss improvements to the Older Americans Act (OAA). The OAA was signed into law in 1965 by President Johnson and has historically enjoyed Congressional support having been amended over ten times. This Conference, the 6th, however was held despite the fact the Congress

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19:07

Tracking Implantable Medical Devices with a UDI: A...

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

2015/07/24

Listen NowFor the past eight years the federal government has been working to create a unique medical device identification (UDI) number that would identify a medical device's manufacturer, the device's make and model, its expiration date and other information for the purposes of improving or ensuring patient safety and product improvement. While progress has been made in establishing a UDI tracking system, we have still not implemented the use of UDIs in medical claims forms and in electronic

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28:23

"Person-Centered" Health Analytics: A Conversation...

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

2015/07/15

Listen NowHealth care analytics has typically referred to modeling insurer or payer risk or to predict patient utilization or to segment patient populations. However, because of advances in personal or wearable medical devices, supporting software applications and the increasing use of electronic health records, individuals or patients now have the opportunity to gather their own health and medical data and information and use it to better manage their health status and/or medical needs. This

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27:55

"The Medical Industrial Complex": A Conversation with...

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

2015/06/24

Listen NowWith the health care industry now accounting for 18.5 percent of the nation's GDP, or a far greater percentage than any comparable nation, combined with ever continuing access, coverage (now possibly moreover the issue of under-insurance) and quality (including the frequency of patient or iatrogenic harm) health care policy students are left to wonder to what extent has health care delivery or legitimate health care delivery been compromised or even undermined by medical commerce.

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19:51

The Re-emergence of Community Health Workers & Peer...

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

2015/06/16

Listen NowThe use of community health workers (CHW) dates back to the 1800s. The impetus for these workers today is to provide peer support largely in poor or under-served communities since these communities typically suffer disparities in health care access, in the quality of health care delivery and consequently experience higher morbidity and mortality rates. The ACA via the Center for Medicare and Medicaid Innovation is supporting CHW demonstration projects, states are testing their use via

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21:59

Potential Republican Party Responses to King v....

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

2015/05/29

Listen NowShortly before the Supreme Court recesses in early July the Court will rule on David King v. Sylvia Burwell, the case where the plaintiffs argue the Affordable Care Act only allows for tax credit subsidies via state-run exchanges or only those, as the ACA states, "established by the state." If the court rules in favor of the plaintiff an estimated 5 to 8 million newly insured will lose their coverage absent a subsidy because to date only 16 states plus the District of Columbia have set up

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23:46

What Is Risk Adjustment and How Is It Accomplished...

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

2015/05/14

Listen NowRisk adjustment is a statistical method by which payers can reasonably predict how much a patient's care needs are expected to cost in any given year. In so called Fee-For-Service Medicare this matter is essentially moot since since providers are simply paid for the reimbursable services they provide their patients. However, health care payment is rapidly moving towards fixed or pre-arranged reimbursement models. For example, Medicare Advantage plans are paid a pre-determined or fixed

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21:20

Mt. Sinai's Hospital At Home Demonstration: A...

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

2015/05/08

Beyond hospital care's considerable expense and at times questionable quality, it can be often times unnecessary. We spend over $900 billion, or one-third of all health care spending, on hospital care annually. Despite these costs the quality of hospital care can be poor if not harmful. A 2013 study published in the Journal of Patient Safety concluded between 210,000 and 440,000 patients hospitalized annually are fatally harmed. Beyond cost and quality, according to federal Agency for Healthcare

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26:20

The State of Alzheimer's Funding and Research: A...

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

2015/05/01

Listen NowAlzheimer's Disease accounts for approximately 70% of all dementia diagnoses. The disease affects over five million Americans or upwards of 35 million worldwide. Disease burden is currently estimated to grow to 16 million patients in the US by 2050 with projected costs estimated at over $1 trillion. Patients diagnosed with Alzheimer's survive three to nine years. The disease kills 500,000 deaths annually, making it the 6th leading cause of death. The risk of the disease is believed to

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19:29

Care Provided by Visiting Nurses: A Conversation with...

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

2015/04/20

Listen NowVisiting nurse services have been delivering home-based health care since the late 19th century providing everything from maternal and child health to geriatric care. Today their services are more frequently being sought due to an ever-increasing emphasis on keeping patients out of the hospital (and emergency department), improving care coordination, comprehensiveness and patient satisfaction and paying for care that improves quality and care outcomes and that is more cost efficient

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18:15

Street Sense's Effort to End Homelessness in DC: A...

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

2015/04/14

Listen NowStreet Sense is a tabloid newspaper that has been sold biweekly by the District of Columbia's homeless residents for the past 12 years. The publication's focus is on homelessness and related issues confronting the poor. DC has one the highest rates of homelessness in the country with over 2,000 individuals and families sleeping on the streets on any given night, a quarter of whom are veterans. Unemployment, obviously a major cause of the problem, is 7.8 percent in the nation's capital

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21:47

What's the Status of "Pay for Value" Contracting: A...

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

2015/03/18

Listen NowHealth care payment is solidly moving, or moving once again, toward pay for value or value-based contracting. This means a health care provider's reimbursement is incented or tied to a predetermined (typically annual) financial amount and/or is based on attaining certain quality care metrics. The Medicare Shared Savings Program and private sector "accountable care organizations" are both endeavoring to lower health care cost growth and improve quality and patient outcomes via these

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22:38

What Health Care Coverage Do Immigrants Get?: A...

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

2015/02/19

Listen NowOver 20 million immigrants live in the US, approximately half of whom, or 11 million, are undocumented. Because immigrants are frequently employed in low-wage jobs they largely lack health care coverage. Legally residing residents are able to acquire coverage via the ACA's state marketplaces however they are typically required to wait five years to apply to qualify for Medicaid. Undocumented immigrants are neither able to buy marketplace coverage even if they pay the full premium nor are

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328 results

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