Tradeoffs

Should People Who Want GLP-1s Have to Work for Them?

Thu, 16 Apr 2026 07:00:00 GMT

As demand for new weight loss drugs soars, some employers are making workers track their diet and exercise in hopes of limiting use and keeping costs down.

Guests:

Nick Miller
Ann Lewandowski, founder, Healthcare Rebel Alliance
Sean Scanlon, Connecticut Comptroller
Dr. Katherine Saunders, executive vice president and cofounder, Flyte Health
Christopher Whaley, associate director of the Center for Advancing Health Policy through Research, Brown University

Learn more and read a full transcript on our website.

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High Health Care Costs Are Fueling a New Fight Over Old Laws

Thu, 09 Apr 2026 07:00:00 GMT

The White House wants states to drop certificate of need laws in hopes of lowering health care costs. Researchers and state leaders are split.

Guests:

Nate Adler, founder, Gertie
Matthew Mitchell, senior fellow, Fraser Institute; senior affiliated scholar, Mercatus Center at George Mason University
Jill Horwitz, professor, Northwestern University Pritzker School of Law and Feinberg School of Medicine
Bo Watson, Tennessee state senator
Alyssa Black, Vermont state representative
Amy Cooper, founder, board president Green Mountain Surgery Center

Learn more and read a full transcript on our website.

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Trump's Pick to Quiet the Chaos at HHS

Thu, 02 Apr 2026 07:00:00 GMT

The administration is looking to former health care executive Chris Klomp to help RFK Jr. get Trump’s health agenda back on track.

Guest:

Dan Diamond, White House Reporter, Washington Post

Learn more and read a full transcript on our website.

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Generic Drugs Head to the Supreme Court

Thu, 26 Mar 2026 07:00:00 GMT

The Supreme Court is set to hear Hikma v. Amarin, a battle over drug patents that could raise costs for patients and change the way generic companies do business.

Guests:

Hans Sauer, adjunct professor, Georgetown Law; former vice president of intellectual property, Biotechnology Innovation Organization
Sean Tu, professor of law, University of Alabama
Dennies Varughese, partner; Sterne, Kessler, Goldstein and Fox
Leslie Walker, senior reporter, Tradeoffs

Learn more and read a full transcript on our website.

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Inside the Urgent Care Boom

Thu, 19 Mar 2026 07:00:00 GMT

Our friends at The Pulse from WHYY explore the economics behind the rise of urgent care and how it’s changing American medicine.

Learn more and read a full transcript on our website.

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‘It Sucks’: Spiking Health Insurance Costs Hit Small Businesses

Thu, 12 Mar 2026 07:00:00 GMT

An employer in Chicago describes how another year of rising premiums forced her to consider dropping her workers’ insurance.

Guest:

Rachel Bernier-Green, Founder and CEO, EJ Consortium

Learn more and read a full transcript on our website.

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'We Can’t Afford All These Humans’: A Doctor's Take on AI in Health Care

Thu, 05 Mar 2026 08:00:00 GMT

We talk with physician and writer Bob Wachter about why he’s cautiously optimistic that artificial intelligence will usher in a ‘golden age’ of medicine — and the questions he still has about these powerful new tools.

Guest:

Bob Wachter, Chair, Department of Medicine, UC San Francisco; Author, A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future

Learn more and read a full transcript on our website.

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Immigration Enforcement’s Twin Threats to Health Care

Thu, 26 Feb 2026 08:00:00 GMT

Patients are afraid to show up to medical appointments, while workers are being detained, deported or losing their visa statuses.

Guests:

Sahida Martinez, promotora, Enlace
Jadhira Sanchez, director of community health, Enlace
Steph Willding, CEO, CommunityHealth
Jordan Herring, Postdoctoral scholar, Emergency medicine, Stanford
Hannah Janeway, Emergency medicine physician, Los Angeles
Laura Messineo, CNO, WorldWide HealthStaff Solutions

Learn more and read a full transcript on our website.

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As States and CDC Split on Vaccines, What's Next?

Thu, 19 Feb 2026 08:00:00 GMT

Half of states have rejected federal vaccine guidance on childhood vaccines after controversial changes by the CDC. Public health experts say the split is sowing confusion and increasing the risk of outbreaks.

Guests:

Michelle Fiscus, physician, chief medical officer, Association of Immunization Managers
Jen Kates, senior vice president; director, global and public health policy, KFF
Tao Sheng Kwan-Gett, physician, health officer, Washington Department of Health
Philip Landrigan, physician and director, program for global public health and the common good, Boston College
Dorit Reiss, law professor, University of California, San Francisco

Learn more and read a full transcript on our website.

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A Better Way to Care for Older Adults with Opioid Addiction

Thu, 12 Feb 2026 08:00:00 GMT

How one addiction clinic in Baltimore has found success combining addiction care with support for the many other health problems older Americans often face.

Guests:

Malik Burnett, Medical Director, REACH Health Services
Lisa Clemans-Cope, Senior Research Fellow, Urban Institute
Renee Gray, Patient, REACH Health Services
Phyllis Lindsay, Peer Recovery Specialist, REACH Health Services
Maggie Lowenstein, Assistant Professor, Medicine, University of Pennsylvania Perelman School of Medicine
Vickie Walters, Executive Director, REACH Health Services

Learn more and read a full transcript on our website.

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Mental Illness Left Their Loved Ones on the Streets. California’s Big Fix Hasn’t Helped

Thu, 05 Feb 2026 08:00:00 GMT

How Gov. Gavin Newsom’s ambitious plan to force more people into treatment left many families still searching for help.

Guest(s):

June Dudas
Marisa Kendall, homelessness reporter, CalMatters

Read CalMatters full “Courting Disappointment” series here.

Learn more and read a full transcript on our website.

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One State's Sprint for its Share of $50 Billion for Rural Health: Part 2

Thu, 29 Jan 2026 08:00:00 GMT

Maryland finds out how much the state will get from a nationwide competition for federal rural health investment.

Guest(s):

Christina Koontz, paramedic
Elizabeth Kromm, assistant secretary for population health and strategic initiatives, Maryland Department of Health
Mike Salvadge, chief of emergency medical services, Allegany County, Md.
Meena Seshamani, Maryland secretary of health
Hemi Tewarson, executive director, National Academy for State Health Policy

Learn more and read a full transcript on our website.

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One State's Sprint for its Share of $50 Billion for Rural Health: Part 1

Thu, 22 Jan 2026 08:00:00 GMT

We follow Maryland's 52-day rush to convince the Trump administration to give the state new funding to transform rural health care.

Guests:

Bonita Baer, Maryland resident
Mark Boucot, president and CEO of Garrett Regional Medical Center and Potomac Valley Hospital
Elizabeth Kromm, assistant secretary for population health and strategic initiatives, Maryland Department of Health
Levi Lantz, ALL Produce & Greenhouse
Ken Ulman, former executive, Howard County, Maryland; president of Margrave Strategies

Learn more and read a full transcript on our website.

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Race to the Bottom: Where's the Cavalry?

Thu, 15 Jan 2026 08:00:00 GMT

Many potent new medicines pose a host of challenges for drug companies trying to copy and sell similar versions on the cheap. Can those companies find a sustainable path forward, or will patients get left stuck paying exorbitant prices?

Guests:

Christine Baeder, MBA, President, Apotex USA

Alfred Engelberg, JD, retired attorney and former counsel to the Generic Pharmaceutical Industry Association

Jeremy Greene, MD, PhD, Professor of Medicine and the History of Medicine, Johns Hopkins University

Candy Meyer, Patient

Bhaven Sampat, PhD, Professor, Arizona State University School for the Future of Innovation in Society

Marta Wosińska, PhD, Senior Fellow, Brookings Institution

Leslie Walker, Senior Reporter/Producer, Tradeoffs

Learn more and read a full transcript on our website.

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Breaking Down Trump’s $50 Billion Rural Health Fund

Mon, 12 Jan 2026 08:00:00 GMT

Rural health experts dig into the Trump administration’s effort to transform rural health care.

Guests:

Kevin Bennett, Director Center for Rural & Primary Healthcare; Professor, Family and Preventative Medicine, School of Medicine Columbia, University of South Carolina
Paula Chatterjee, Director of Health Equity Research, Penn LDI; Assistant Professor, Medicine, Perelman School of Medicine
Sarah Jane Tribble, Chief Rural Correspondent, KFF Health News
Rachel Werner, Executive Director, Leonard Davis Institute of Health Economics; Professor of Medicine, Perelman School of Medicine, University of Pennsylvania

Learn more and read a full transcript on our website.

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Race to the Bottom: Hard Bargain

Thu, 08 Jan 2026 08:00:00 GMT

America pays less, on average, than any other major country for our generic drugs. But selling essential drugs at such low prices comes with hidden costs — from quality problems to frequent shortages.

This is the second episode of Race to the Bottom, a three-part series by Tradeoffs on the problems plaguing the generic drugs we all rely on — and how we could fix them.

Guests:

Christine Baeder, MBA, President, Apotex USA

Laura Bray, MBA, Founder, Angels for Change

Craig Burton, Senior Vice President of Policy and Strategic Alliances, Association for Accessible Medicines

Iilun Murphy, MD, Director of the Office of Generic Drugs, FDA

Leslie Walker, Senior Reporter/Producer, Tradeoffs

Marta Wosińska, PhD, Senior Fellow, Brookings Institution

Learn more and read a full transcript on our website.

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Race to the Bottom: Boom Times

Thu, 01 Jan 2026 08:00:00 GMT

Generic drugs are, in many ways, the unsung hero of America’s health care system, bringing powerful medical innovations within the reach of millions more people. These cheaper copies of brand-name drugs — from pills that stop heart attacks to antibiotics that cure life-threatening infections — save America hundreds of billions of dollars a year. But will affordable, high-quality generic drugs continue to be there when we need them?

Some players are abandoning this business while others slash costs by cutting dangerous corners. Shortages of older generic drugs have become the norm, sending doctors scrambling. At the same time, crucial new medicines are proving tougher to copy on the cheap, saddling patients with brand-name prices.

Over the course of “Race to the Bottom,” our new three-part podcast series, we’ll explore why this industry that’s so essential to our health is in trouble — and what could change that.

In part one, we examine the history of this industry. Forty years ago this month, President Ronald Reagan signed groundbreaking, bipartisan legislation that gave birth to a new drug market. Lawmakers made choices back then that help explain the wild success and also the troubles we see today with generic medicines.

Guests:

Christine Baeder, MBA, President, Apotex USA

Alfred Engelberg, JD, retired attorney and former counsel to the Generic Pharmaceutical Association

Leslie Walker, Senior Reporter/Producer, Tradeoffs

Learn more and read a full transcript on our website.

Al Engelberg’s recently published memoir, “Breaking the Medicine Monopolies”, digs into the history of generic drugs.

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One Doctor’s Crusade to Improve Health Literacy

Thu, 25 Dec 2025 08:00:00 GMT

Black Americans report higher levels of mistrust in the health care system than white Americans and suffer worse outcomes in everything from maternal mortality to life expectancy. What if improving health literacy and demystifying health information could be the part of the solution?

This week, one doctor’s crusade to help more people understand their own health care and why insurers are starting to buy in.

Guests:

Lisa Fitzpatrick, MD, MPH, MPA, Founder and CEO, Grapevine Health

Keith Maccannon, Director of Marketing, Outreach and Community Relations, AmeriHealth Caritas District of Columbia

Yvonne Smith, Grapevine Client

Karen Dale, RN, MSN, Market President, AmeriHealth Caritas District of Columbia

Learn more and read a full transcript on our website.

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How Treating Teens’ Trauma Is Stopping Violence in Chicago

Thu, 18 Dec 2025 08:00:00 GMT

A Chicago violence prevention program is pairing cognitive behavioral therapy with intensive mentoring and wraparound support to help high-risk teens avoid incarceration.

Guests:

Nour Abdul-Razzak, Research Associate, University of Chicago Harris School of Public Policy; Research Director, University of Chicago Inclusive Economy Lab

Charles Branas, Professor and Chair, Department of Epidemiology, Columbia University Mailman School of Public Health

Toni Copeland, Director of Student Supports and Violence Prevention Programs, Chicago Public Schools

Jennifer Doleac, Executive Vice President of Criminal Justice, Arnold Ventures

Jasper Guilbault, Therapist, Brightpoint

Gary Ivory, President and CEO, Youth Advocate Programs

Julie Noobler, Director of Mental Health and Wellness, Brightpoint

T-Man

Learn more and read a full transcript on our website.

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One Scientist's Mission to Change How We Prevent Overdoses

Thu, 11 Dec 2025 08:00:00 GMT

A leading addiction expert explains how he’s driven by the memory of a friend who died, and why he believes giving data on the drug supply to people on the street is more important than using it to inform national drug policy.

Guest:

Nabarun Dasgupta, Epidemiologist, University of North Carolina Street Drug Analysis Lab and Opioid Data Lab

Learn more and read a full transcript on our website.

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A New Kind of Primary Care Comes to America

Thu, 04 Dec 2025 08:00:00 GMT

A group of nurses in Baltimore wants to bring basic care to every person in a neighborhood regardless of age, health, income or insurance.

Can this idea from abroad take root in the United States?

Guests:

Dawn Alley, PhD, Head of Scale, IMPaCT Care

Asaf Bitton, MD, MPH, Executive Director, Ariadne Labs

Regina Hammond, Founder, Rebuild Johnston Square Neighborhood Organization

Chris Koller, President, Milbank Memorial Fund

Terry Lindsay, Community Health Worker, Sisters Together and Reaching, Inc. (STAR)

Sarah Szanton, PhD, RN, FAAN, Dean, Johns Hopkins School of Nursing; Founder, Neighborhood Nursing

Learn more and read a full transcript on our website.

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One Economist’s Plan to Blow Up America’s Health Insurance System

Thu, 27 Nov 2025 08:00:00 GMT

Economist Amy Finkelstein has studied America’s patchwork of health insurance policies for more than 20 years. In a forthcoming book she concludes it’s time tear the whole system down.

This week, Dan talks with Amy about how she came to that conclusion and what a better system could look like.

Guest:

Amy Finkelstein, PhD, Professor of Economics, MIT

Learn more and read a full transcript on our website.

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Homeless Camp Sweeps Can Harm Health. Some Cities Are Trying a New Way.

Thu, 20 Nov 2025 08:00:00 GMT

Several cities and counties are addressing street homelessness with a new approach, which experts say can clear encampments while protecting the health of people who are forced to move.

Guests:

Josh Barocas, Associate Professor, University of Colorado Anschutz School of Medicine
Marc Dones, Policy Director, Benioff Homelessness and Housing Initiative, University of California San Francisco
Ryan Levi, Managing Editor, Tradeoffs
Matt Mahan, Mayor, City of San Jose
Jazmine Mapes
Peter Radu, Neighborhood Services Manager, City of Berkeley

Learn more and read a full transcript on our website.

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Rising Costs, Fewer Choices: What’s Up with Medicare Drug Plans?

Thu, 13 Nov 2025 08:00:00 GMT

Facing mounting financial pressures, insurance companies are changing the prescription drug coverage available to many consumers in Medicare Part D.

Guests:

Stacie Dusetzina, Professor of Health Policy, Vanderbilt University
Steven Hadfield, Medicare beneficiary
Mark Newsom, Managing Director, Avalere Health
Erin Trish, Co-Director, USC Schaeffer Center
Cindy Trish, Medicare beneficiary
Leslie Walker, Senior Reporter, Tradeoffs

Learn more and read a full transcript on our website.

If you know someone on Medicare, please encourage them to give their coverage a closer look before open enrollment ends on Dec. 7! People can find unbiased enrollment counseling through the federal SHIP program or review their options on Medicare.gov.

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The Quiet Cuts Making ACA Enrollment Harder

Thu, 06 Nov 2025 08:00:00 GMT

Higher premiums and penalties have made shopping for Obamacare plans more confusing this year. Federal funding cuts have left consumers in many states with fewer guides to help them navigate their options. “I don’t want people to just feel ghosted,” a West Virginia navigator told Tradeoffs.

Guest:

Jeremy Smith, director, West Virginia navigator program, First Choice Services.

Learn more and read a full transcript on our website.

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Should I Trust AI to Diagnose Me?

Thu, 30 Oct 2025 07:00:00 GMT

Physician and New Yorker writer Dhruv Khullar says artificial intelligence is a powerful tool to get quicker and more accurate diagnoses. But it can also be dangerous.

Guest:

Dhruv Khullar, Physician, Weill Cornell Medical College; Contributing Writer, The New Yorker

Learn more and read a full transcript on our website.

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Will Trump’s Prescription Drug Deals Really Lower Prices?

Thu, 23 Oct 2025 07:00:00 GMT

Facing unprecedented pressure from the Trump administration, some of the world’s top drugmakers promise to cut prices. But experts say the savings might not be what they seem.

Guests:

Michael Cannon, Director of Health Policy Studies, Cato Institute
Stacie Dusetzina, Professor of Health Policy, Vanderbilt University
Darius Lakdawalla, Chief Scientific Officer, USC Schaeffer Center
Pete Loftus, Reporter, Wall Street Journal
Ben Rome, Assistant Professor of Medicine, Harvard Medical School
Leslie Walker, Senior Reporter, Tradeoffs

Learn more and read a full transcript on our website.

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How New York Times Columnist Paula Span Navigates ‘The New Old Age’

Thu, 16 Oct 2025 07:00:00 GMT

Journalist Paula Span, who writes The New Old Age column for the New York Times, shares what she’s learned about how to age well.

Guest:

Paula Span, reporter and The New Old Age columnist for the New York Times

Learn more and read a full transcript on our website.

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The Future of Health Care Research: 'Federal Funding Really Is Irreplaceable'

Thu, 09 Oct 2025 07:00:00 GMT

What happens if President Trump cuts billions from research on how to make our health care system work better?

Guest(s):

Aaron Carroll, President and CEO, Academy Health

Stuart Buck, Executive Director, Good Science Project

Learn more on our website.

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How States Are Reckoning with Republican Health Reforms

Thu, 02 Oct 2025 07:00:00 GMT

It's been 90 days since Congress passed Trump’s megabill slashing health care spending and reshaping the Medicaid program. States are already knee-deep in dealing with the fallout.

Guests:

Hemi Tewarson, Executive Director, National Academy for State Health Policy

Leslie Walker, Senior Producer, Tradeoffs

Learn more on our website.

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BONUS: What Happens if Obamacare Subsidies Shrink?

Mon, 29 Sep 2025 07:01:00 GMT

Excerpts of a live conversation with two top health economists about how extra federal support has helped millions of Americans access health insurance, and what would happen if that aid went away.

Guests:

Katherine Baicker, Provost and Emmett Dedmon Distinguished Service Professor, University of Chicago

Jonathan Gruber, Ford Professor of Economics, MIT

Learn more on our website, and watch the full conversation on Penn LDI's YouTube page.

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A Closer Look at a Widely Despised Health Insurance Policy

Thu, 25 Sep 2025 07:00:00 GMT

Every year, millions of people’s medical care runs into the roadblock known as prior authorization, which requires an insurer to sign off before chemotherapy, surgery or countless other services can proceed. Who does this often onerous process help, who does it hurt and how could it work better for everyone?

Guests:

Tom Roberts, Oncologist, Mass General Cancer Center

Aaron Schwartz, Assistant Professor, Department of Medical Ethics and Health Policy and Department of Medicine, University of Pennsylvania

Kathleen, Caregiver

Learn more on our website.

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Why Are People With Mental Illness Starving to Death in Jail?

Thu, 18 Sep 2025 07:00:00 GMT

Pulitzer Prize winning journalist Sarah Stillman explains why so many people with mental illness are starving to death in U.S. jails, who is profiting, and what can be done to prevent it.

Guest:

Sarah Stillman, Staff Writer, New Yorker; Founder, Yale Investigative Reporting Lab

Learn more on our website.

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Obamacare Premiums Are About to Soar. How’d We Get Here?

Thu, 11 Sep 2025 07:00:00 GMT

Federal subsidies for Affordable Care Act health plans are scheduled to shrink next year. Many shoppers are expected to be priced out of the market, leaving those who stay with higher premiums. It’s a dynamic that threatens to repeat, leaving markets with fewer and more expensive options as insurers exit, too. How did we get here?

Guest(s):

Jonathan Kolstad, professor, Haas School of Business, University of California, Berkeley
Nance L. Schick, employment attorney, founder of Third Ear Conflict Resolution

Learn more on our website.

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This Federal Experiment Is Pouring Money into Mental Hospitals. Will It Work?

Thu, 04 Sep 2025 07:00:00 GMT

As states struggle to meet the needs of people with serious mental illness, some are signing on to a federal pilot project that’s funneling new funding into institutional care.

Guests:

Alex Barnard, Assistant Professor of Sociology, New York University
Danny Pasquini, patient
Teresa Pasquini, Advocate
Tyler Sadwith, Medicaid Director, California Department of Health Care Services
Morgan Shields, Assistant Professor, Washington University in St. Louis
Ruth Shim, Professor of Clinical Psychiatry, UC Davis

Learn more on our website.

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Getting Health Care to Undocumented Immigrants in Trump's America

Thu, 28 Aug 2025 07:00:00 GMT

Worrying about deportation can literally make people sick. Health care providers are scrambling to cut through their undocumented patients’ panic about President Trump’s new immigration policies.

Guests:

Maria

Steph Willding, CEO, CommunityHealth

Emily Hendel, Director of Clinical Services, CommunityHealth

Samantha Artiga, Vice President and Director for Racial Equity Health Policy Program, KFF

Learn more on our website.

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Trump Forced Hospitals and Insurers to Reveal Their Prices. What Happened?

Thu, 21 Aug 2025 07:00:00 GMT

A mandate to make health care prices public was one of President Trump’s signature health policies in his first term. But forcing hospitals to publish prices hasn’t yet helped patients shop around for medical care.

Guest:

Melanie Evans, Producer, Tradeoffs

Learn more and read a full transcript on our website.

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How One Company Gamified Health Insurance

Thu, 14 Aug 2025 07:00:00 GMT

One organization turns to a game to get employees to debate and decide together what health care they most value.

Guests:

Paul Fronstin, Ph.D., Director, Health Benefits Research, Employee Benefits Research Institute

Jeanette Janota, Senior Research Associate, American Speech-Language-Hearing Association

Tavril Saint Jean, Senior Research Associate, American Speech-Language-Hearing Association

Janet McNichol, Chief Human Resources Officer, American Speech-Language-Hearing Association

Evan Reid, Senior Director of Analytics, American Speech-Language-Hearing Association

Julia Reilly-Edwards, Data Scientist, American Speech-Language-Hearing Association

Learn more and read a full transcript on our website.

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The Medicaid Policy Red and Blue States Agree On

Thu, 07 Aug 2025 07:00:00 GMT

More than half of states — from deep blue California to solidly red Louisiana — want to bring Medicaid behind bars in hopes of saving the lives of people as they leave jail and prison.

Guests:

Lee Reed

Shira Shavit, MD, Professor of Family and Community Medicine, University of California San Francisco; Executive Director, Transitions Clinic Network

Jacey Cooper, Director, California Medicaid Program

Cindy Beane, MSW, LCSW, Commissioner, West Virginia Bureau of Medical Services

Amy Katzen, JD, MPP, Director of Policy and Strategy, Rhode Island Executive Office of Health and Human Services

Mike Levine, Medicaid Director, MassHealth

Dana Flannery, Former Senior Policy Advisor, Arizona Health Care Cost Containment System

Khalil Cumberbatch, MSW, Director of Strategic Partnerships, Council on Criminal Justice

Learn more and read a full transcript on our website.

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One Scientist's Mission to Change How We Prevent Overdoses

Thu, 31 Jul 2025 07:00:00 GMT

Guest:

Nabarun Dasgupta, Epidemiologist, University of North Carolina Street Drug Analysis Lab and Opioid Data Lab

Learn more and read a full transcript on our website.

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A Rural Hospital in Kentucky Prepares for Medicaid Losses

Thu, 24 Jul 2025 07:00:00 GMT

Harrison Memorial Hospital in Cynthiana, Kentucky is already taking a hard look at its budget in light of Republican cuts to Medicaid. Here’s what that looks like.

Guest:

David Asher, Chief Strategy Officer at Harrison Memorial Hospital in Cynthiana, KY

Learn more and read a full transcript on our website.

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What It’s Like to Be Transgender in Trump’s America

Thu, 17 Jul 2025 07:01:00 GMT

How the federal government has restricted health care access for transgender Americans, and how those shifts in policy and rhetoric are changing life for one Alabama family.

Guests:

Orion Rummler, LGBTQ+ Reporter, The 19th

Harleigh Walker

Jeff Walker

Learn more and read a full transcript on our website and see highlights from our conversation with Harleigh and Jeff Walker here.

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As the Big Beautiful Bill Becomes Law, States Face a ‘Daunting’ Rollout

Thu, 10 Jul 2025 07:00:00 GMT

North Carolina’s former health secretary explains the heavy lift and hard choices ahead of states as they rush to put Republicans' new health reforms in place.

Guest:

Kody Kinsley, Senior Policy Advisor, Johns Hopkins School of Nursing; former North Carolina secretary of health and human services

Learn more and read a full transcript on our website.

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How Two Supreme Court Rulings Affect the ACA, Planned Parenthood and the Future of Preventive Care

Thu, 03 Jul 2025 07:00:00 GMT

Health law expert Katie Keith helps us break down what a pair of big court decisions mean for RFK Jr.’s power and for people's access to abortion, cancer screening and many other kinds of care.

Guest:

Katie Keith, Director, Health Policy and the Law Initiative at the O’Neill Institute for National and Global Health Law

Learn more and read a full transcript on our website.

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Unpacking the Health Impacts of Republicans' 'Big Beautiful Bill'

Thu, 26 Jun 2025 07:00:00 GMT

On June 18, Tradeoffs moderated an online event with economists and doctors examining why this legislation could cost so many people their health coverage — or even their lives.

Guests:

Eric Roberts, Associate Professor, Department of General Internal Medicine, Perelman School of Medicine

Aditi Vasan, Assistant Professor, Department of Pediatrics, Perelman School of Medicine

Rachel Werner, Executive Director, Leonard Davis Institute of Health Economics, University of Pennsylvania

Learn more and read a full transcript on our website.

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Trump’s Policies Could Undermine the Fight to End America’s HIV Epidemic

Thu, 19 Jun 2025 07:00:00 GMT

The White House is asking Congress to sharply roll back federal spending on HIV prevention, a reversal from President Trump’s first term, when he championed investment to end the epidemic in America within a decade.

Guests:

Hana Fields, outreach manager, Health Outreach Prevention Education

Dr. Patrick Sullivan, professor of epidemiology, Emory University Rollins School of Public Health

Brad Sullivan

Jeremiah Johnson, executive director, PrEP4All

Dr. John T. Brooks, former chief medical officer for the Centers for Disease Control and Prevention Division of HIV/AIDS Prevention

Dr. Brett P. Giroir, former assistant secretary for health, U.S. Department of Health and Human Services

Learn more and read a full transcript on our website.

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RFK Jr. Just Replaced the Experts Guiding U.S. Vaccines. Now What?

Thu, 12 Jun 2025 07:00:00 GMT

The Health and Human Services chief’s latest action on vaccinations is unprecedented, and quickly drew condemnation from medical groups who said his dismissal of the vaccine advisory committee put public health at risk. Here’s why the members of that committee are so important.

Guest:

Ron Balajadia, Hawaii Department of Health immunization branch chief

Dorit Reiss, University of California, San Francisco, professor of public health law

Dr. Sarah Long, former member of the Advisory Committee on Immunization Practices and Drexel University, professor of pediatric infectious disease

Dr. Paul Offit, director of the Vaccine Education Center at Children's Hospital of Philadelphia.

Richard Hughes IV, attorney with Epstein Becker Green

Per Fischer, CEO, MinervaX

Learn more and read a full transcript on our website.

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How Treating Teens’ Trauma Is Stopping Violence in Chicago

Thu, 05 Jun 2025 07:00:00 GMT

A Chicago violence prevention program is pairing cognitive behavioral therapy with intensive mentoring and wraparound support to help high-risk teens avoid incarceration.

Guests:

Nour Abdul-Razzak, Research Associate, University of Chicago Harris School of Public Policy; Research Director, University of Chicago Inclusive Economy Lab

Charles Branas, Professor and Chair, Department of Epidemiology, Columbia University Mailman School of Public Health

Toni Copeland, Director of Student Supports and Violence Prevention Programs, Chicago Public Schools

Jennifer Doleac, Executive Vice President of Criminal Justice, Arnold Ventures

Jasper Guilbault, Therapist, Brightpoint

Gary Ivory, President and CEO, Youth Advocate Programs

Julie Noobler, Director of Mental Health and Wellness, Brightpoint

T-Man

Learn more and read a full transcript on our website.

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Helping Some of America’s Costliest Patients Could Get A Lot Harder

Thu, 29 May 2025 07:00:00 GMT

Some patients’ lives are so complicated by trauma, poverty and other social problems that routine conditions like diabetes and asthma regularly turn into $10,000 hospital visits. America’s health care leaders have spent years trying to help this small but costly group of patients. What have they learned?

Guests:

Jeff Brenner, MD, CEO, The Jewish Board

Arthur Brown, Client, Camden Coalition

Amy Finkelstein, PhD, Professor of Economics, MIT; Co-Scientific Director, J-PAL North America

Allison Hamblin, MSPH, President and CEO, Center for Health Care Strategies

Paula Lantz, PhD, Professor of Health Policy, University of Michigan

Larry Moore, Client, Camden Coalition

Kathleen Noonan, JD, President and CEO, Camden Coalition

Dottie Scott, Community Health Worker, Camden Coalition

Brian Thompson, Housing Coordinator, Camden Coalition

Leslie Walker, Senior Producer/Reporter, Tradeoffs

Learn more and read a full transcript on our website.

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What Cuts to Medicaid and Obamacare Could Mean for Hospitals, Insurers and You

Thu, 22 May 2025 07:00:00 GMT

As Republicans consider major changes to Medicaid and Obamacare, we asked a leading economist about the shockwaves these sharp policy shifts could send throughout the entire health care system.

Guests:

Jonathan Gruber, Ford Professor of Economics, MIT

Learn more and read a full transcript on our website.

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What Happens When Cops Refuse to Respond to Mental Health Calls?

Thu, 15 May 2025 07:00:00 GMT

Why are a handful of sheriff’s departments in California refusing to respond to some 911 calls that involve a person with mental illness?

Guest:

Lee Romney, Journalist and co-host of November In My Soul

Learn more and read a full transcript on our website.

Check out Lee's full coverage for CalMatters.

Be sure to listen to Tradeoffs special series The Fifth Branch that examines what it looks like when one community dramatically changes how it responds to people in crisis.

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Presenting: First Opinion: The Invisibility of Good Public Health Work

Tue, 13 May 2025 07:00:00 GMT

Guests:

Torie Bosch, Editor, First Opinion, STAT News

Michelle Taylor, Shelby County Division Director for Health Services, Shelby County, Tennessee

Raynard Washington, director of Mecklenburg County Public Health, Mecklenburg County, North Carolina

Learn more here.

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Fighting Measles and Anti-Vax Views in West Texas

Thu, 08 May 2025 07:00:00 GMT

Katherine Wells, the public health director in Lubbock, Texas, describes her fight to stop a multi-state measles outbreak despite a chaotic reorganization of federal health agencies.

Guest:

Katherine Wells, Director, Lubbock Public Health

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What Republican Health Cuts Could Mean for People with Disabilities

Thu, 01 May 2025 07:00:00 GMT

We talk with Harvard researcher Ari Ne’eman about why the sharp policy shifts underway in Washington pose a unique threat to people with disabilities.

Guest:

Ari Ne’eman, Assistant Professor of Health Policy and Management, Harvard T.H. Chan School of Public Health

Learn more and read a full transcript on our website.

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Medicaid Work Requirements Are Back. What You Need To Know

Thu, 24 Apr 2025 07:00:00 GMT

Work requirements led to thousands in Arkansas losing their Medicaid during the first Trump administration. Policymakers say they’ve learned lessons to avoid mistakes this time.

Guests:

Trevor Hawkins, former Staff Attorney at Legal Aid of Arkansas

Angela Rachidi, Senior Fellow, American Enterprise Institute

Ray Hanley, former CEO of the Arkansas Foundation for Medical Care

Barbara Sears Roshon, Ohio Medicaid Director (2016-2019)

Ben Sommers, Huntley Quelch Professor of Health Care Economics, Harvard T.H. Chan School of Public Health; Professor of Medicine, Harvard Medical School

Maureen Corcoran, Ohio Medicaid Director

Ryan Levi, Reporter/Producer, Tradeoffs

Learn more and read a full transcript on our website.

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Obamacare Heads to the Supreme Court … Again

Thu, 17 Apr 2025 07:00:00 GMT

The latest threat to the Affordable Care Act could strike down a popular provision that gives 180 million Americans access to free preventive care for conditions including HIV and cancer.

Guest:

Nicholas Bagley, JD, Professor of Law, University of Michigan

Learn more and read a full transcript on our website.

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How RFK Jr. is Upending Public Health

Thu, 10 Apr 2025 07:00:00 GMT

Two months on the job, Health and Human Services Secretary Robert F. Kennedy Jr. has plowed forward with mass firings, funding cuts and new policies. The most immediate effect is across state and local health agencies, where officials say they see new cracks in safeguards against diseases.

Guests:

Dr. Phil Huang, director, Dallas County Health and Human Services

Ryan Jury, acting senior deputy, North Carolina Department of Health and Human Services Division of Public Health

Chrissie Juliano, executive director, Big Cities Health Coalition

Emily Broad Leib, faculty director, Harvard Law School Food Law and Policy Clinic

Dr. Tom Frieden, president and CEO, Resolve to Save Lives; former director of the Centers for Disease Control and Prevention

Learn more and read a full transcript on our website.

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Making Sense of Sweeping Changes at HHS

Thu, 03 Apr 2025 07:00:00 GMT

Veteran health care reporter Julie Rovner breaks down the massive cuts and reorganization at HHS and answers listeners’ questions about what to expect next.

Guest:

Julie Rovner, Chief Washington Correspondent, KFF Health News

Learn more and read a full transcript on our website.

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This Budget Cut Would Save Medicare Patients Money. But Can Rural Hospitals Afford It?

Thu, 27 Mar 2025 07:00:00 GMT

Medicare often pays clinics owned by hospitals double the amount it pays independent clinics for the exact same medical care. Ending that practice could save the federal government up to $150 billion over 10 years, but critics say it could push rural hospitals over the brink.

Guests:

Tim Rye, chief strategic development officer, Peterson Health

Carrie Cochran-McClain, chief policy officer, National Rural Health Association

Loren Adler, fellow and associate director at the Center on Health Policy, Brookings Institution

Dean Clancy, senior health policy fellow, Americans for Prosperity

Ali Moghtaderi, assistant professor of health policy and management, Milken Institute School of Public Health at the George Washington University.

Learn more and read a full transcript on our website.

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Medicare and Medicaid Under Dr. Oz: What to Expect

Thu, 20 Mar 2025 07:00:00 GMT

A closer look at the surgeon-turned-TV-star President Trump wants in charge of Medicare, Medicaid and Obamacare.

Guests:

Tara Bannow, Reporter, STAT News

Tom Scully, CMS Administrator (2001-2004)

Learn more and read a full transcript on our website.

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The Cost of Cutting NIH Research: Voices from the Frontlines

Thu, 13 Mar 2025 07:00:00 GMT

A candid conversation between a professor and a Ph.D. candidate about potential NIH funding cuts and their impact on the future of medical research.

Guests:

Yvonne Commodore-Mensah, Associate Professor, Associate Dean of Research, Johns Hopkins School of Nursing

Laura Mata López, PhD Candidate, Johns Hopkins School of Nursing

Learn more and read a full transcript on our website.

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One Doctor’s Quest to Improve Health Care for People with Disabilities

Thu, 06 Mar 2025 08:00:00 GMT

As adults with intellectual and developmental disabilities strive to live more freely and fully than ever before, many of America’s doctors, hospitals and insurers are getting in the way. We get an inside look at one doctor’s quest to improve health care for people with conditions like Down Syndrome, cerebral palsy and autism.

Guests:

Alison Barkoff, JD, Administration for Community Living, HHS

Kevin Carlson

Clarissa Kripke, MD, Clinical Professor of Family and Community Medicine and Director of the Office of Developmental Primary Care; University of California, San Francisco

Marjorie Ongpauco, BSN, RN, Nursing Consultant

Harold Pollack, PhD, Professor of Social Work, Policy and Practice; University of Chicago

Donna Valencia, BSN, RN, MSN, Administrator, Group Home Administrator

Leslie Walker, Senior Producer/Reporter, Tradeoffs

Learn more and read a full transcript on our website.

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Lots of Hospitals Are Using AI. Few Are Testing For Bias

Thu, 27 Feb 2025 08:00:00 GMT

New research sheds light on how many hospitals are using artificial intelligence, what they’re using AI for, and what it means for patients and policymakers.

Guest:

Paige Nong, PhD, Assistant Professor, University of Minnesota School of Public Health

Learn more and read a full transcript on our website.

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Getting Health Care to Undocumented Immigrants in Trump's America

Thu, 20 Feb 2025 08:00:00 GMT

Worrying about deportation can literally make people sick. Health care providers are scrambling to cut through their undocumented patients’ panic about President Trump’s new immigration policies.

Guests:

Maria

Steph Willding, CEO, CommunityHealth

Emily Hendel, Director of Clinical Services, CommunityHealth

Samantha Artiga, Vice President and Director for Racial Equity Health Policy Program, KFF

Learn more on our website.

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As Trump Targets USAID, What’s at Stake for U.S. and Global Health?

Thu, 13 Feb 2025 08:00:00 GMT

The Trump administration’s swift and sweeping efforts to dismantle the U.S. Agency for International Development is creating chaos across global public health efforts. One doctor working to halt an Ebola outbreak in Uganda reflects on consequences, now and long-term, of America’s abrupt change in policy.

Guest:

Dr. James Lawler, Director of International Programs and Innovation, Global Center for Health Security at the University of Nebraska Medical Center

Learn more and read a full transcript on our website.

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RFK Jr. Wants to Change What Americans Eat. He's Not The First

Thu, 06 Feb 2025 08:00:00 GMT

The fight to improve Americans’ nutrition could get new momentum from Robert F. Kennedy Jr., but he will face practical and political limits to changing U.S. food supply if he’s confirmed to lead the Health and Human Services Department.

Guests:

Laura Schmidt, professor at the University of California at San Francisco Philip R. Lee Institute for Health Policy Studies; Department of Humanities and Social Sciences; and School of Medicine.

Susan Mayne, former director of the Food and Drug Administration Center for Food Safety and Applied Nutrition 2015-2023; Yale University adjunct professor of epidemiology.

Christina Roberto, director of the Center for Food and Nutrition Policy at the University of Pennsylvania

Learn more and read a full transcript on our NEW website.

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The Powerful Vaccine Committee RFK Jr. Could Soon Control

Thu, 30 Jan 2025 08:00:00 GMT

If the Senate confirms Robert F. Kennedy Jr. — a vaccine skeptic — to lead the Department of Health and Human Services, he would control a powerful group of federal vaccine advisors.

Guests:

Ron Balajadia, Hawaii Department of Health immunization branch chief

Dorit Reiss, University of California, San Francisco, professor of public health law

Dr. Sarah Long, former member of the Advisory Committee on Immunization Practices and Drexel University, professor of pediatric infectious disease

Dr. Paul Offit, director of the Vaccine Education Center at Children's Hospital of Philadelphia.

Richard Hughes IV, attorney with Epstein Becker Green

Per Fischer, CEO, MinervaX

Learn more and read a full transcript on our website.

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RFK Jr. Is Headed to Capitol Hill. A Former HHS Secretary Lays Out the Stakes

Tue, 28 Jan 2025 08:00:00 GMT

Former HHS Secretary Kathleen Sebelius shares what the country’s top health official can and can’t do, and what she wants senators to consider ahead of RFK’s confirmation hearings.

Read our new story about an obscure but extremely influential vaccine committee that Kennedy, if confirmed. would control.

Guest:

Kathleen Sebelius, Former U.S. Secretary of Health and Human Services Secretary

Learn more and read a full transcript on our website.

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Why Many Republicans Think Shrinking Medicaid Will Make it Better

Thu, 23 Jan 2025 08:00:00 GMT

Many Republicans have singled out Medicaid as a policy that could see big changes under the new administration and Congress. We take a closer look at why many conservatives think less Medicaid will mean better Medicaid.

Guests:

Josh Archambault, Senior Fellow, Cicero Institute

Brian Blase, President, Paragon Health Institute

Michael Cannon, Director of Health Policy Studies, Cato Institute

Elizabeth Matney, Iowa Medicaid Director (2021-2024)

Barbara Sears Roshon, Ohio Medicaid Director (2016-2019)

Tom Scully, CMS Administrator (2001-2004)

Learn more on our website.

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Biden’s Medicaid Director Reflects on Lessons Learned and Worries for the Future

Thu, 16 Jan 2025 08:00:00 GMT

With Medicaid poised for potential cuts from Republicans in Washington, Dan Tsai reflects on what he's learned running Medicaid for the Biden administration — and his hopes and concerns for the program's future.

Guest:

Dan Tsai, Deputy Administrator and Director of Center for Medicaid and CHIP Services, CMS

Learn more on our website.

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The Fifth Branch: The Last Line of Care

Thu, 09 Jan 2025 08:00:39 GMT

Alternative response teams are being asked to tackle vexing problems: mental illness, homelessness, addiction. How much can they actually do? We explore how Durham grapples with connecting people to long-term care and support, and where the city draws the line between crisis response and social services.

Guests:

Ryan Smith, Director, Durham Community Safety Department

Sammetta Cutler, Peer Support Specialist, Durham Community Safety Department

Sarah Hall, Durham resident

David Prater, Peer Support Specialist, Durham Community Safety Department

John Warasila, Real estate developer and architect, Alliance Architecture

Bo Ferguson, Deputy City Manager, Durham

Patrice Andrews, Police Chief, Durham Police Department

Christie Thompson, Staff Writer, The Marshall Project

Allison Casey, EMT, Durham Community Safety Department

EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch.

Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness.

To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.

How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country.

Learn more on our website.

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The Fifth Branch: Keeping People Safe

Thu, 02 Jan 2025 08:00:47 GMT

How do you keep everyone safe? We look at HEART’s impact on the safety of Durham residents in crisis, the mental health workers responding, and the police.

Guests:

David Prater, Peer Support Specialist, Durham Department of Community Safety

Ryan Smith, Director, Durham Department of Community Safety

Yolanda, Durham resident

Sgt. Dan Leeder, Durham Police Department

Patrice Andrews, Police Chief, Durham Police Department

Christie Thompson, Staff Writer, The Marshall Project

To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.

The Marshall Project's Christie Thompson reports on the state of alternative crisis response across the country.

Learn more about this series, which first ran in July, 2024 on our website.

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The Fifth Branch: Convincing the Cops

Thu, 26 Dec 2024 08:00:31 GMT

How do you convince police officers that it makes sense to send unarmed mental health workers to some 911 calls?

Guests:

Patrice Andrews, Police Chief, Durham Police Department

Ryan Smith, Director, Durham Department of Community Safety

Sgt. Dan Leeder, Durham Police Department

Abena Bediako, Clinical Manager, Durham Department of Community Safety

Christie Thompson, Staff Writer, The Marshall Project

To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.

Learn more about this series, which first ran in July, 2024, on our website.

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Trump Forced Hospitals and Insurers to Reveal Their Prices. What Happened?

Thu, 19 Dec 2024 08:00:33 GMT

Guest:

Melanie Evans, Producer, Tradeoffs

Learn more and read a full transcript on our website.

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Everyone’s Mad at Health Insurers, But 'There’s Plenty of Blame to Go Around'

Thu, 12 Dec 2024 08:00:35 GMT

The murder of UnitedHealthcare's CEO put a violent point on the frustration and rage some Americans feel toward health insurance companies. But insurers are just one piece of America’s broken and expensive health care system.

Guest:

Aaron Carroll, CEO, Academy Health

Learn more and read a full transcript on our website.

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Presenting: First Opinion: Mark Cuban

Thu, 05 Dec 2024 08:00:13 GMT

Businessman and entertainer Mark Cuban has long had an interest in health care, and a mission to disrupt the pharmaceutical industry.

Torie Bosch, host of First Opinion, a podcast from STAT News, speaks with Cuban about one of his latest ventures Cost Plus Drugs - Mark’s efforts to drive down prescription drug prices.

Guests:

Torie Bosch, Editor, First Opinion, STAT News

Matt Herper, Senior Writer, Medicine, STAT News

Mark Cuban, Co-Founder Cost Plus Drugs Entrepreneur

Learn more and read a full transcript on here.

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Can the U.S. Put an End to Surprise Ambulance Bills?

Thu, 28 Nov 2024 08:00:38 GMT

Congress banned most surprise medical bills back in 2020, with one major exception: ambulance rides. Most people agree that patients should be shielded from these unexpected charges. But who should pick up the tab instead? As state and federal policymakers grapple with that question, we delve into why finding a fair solution is harder than you’d think.

Guests:

Tara Bannow, Reporter, STAT

Precious Mae Clark, patient

Dia Gainor, Executive Director, National Association of State EMS Officials

Zach Gaumer, Principal, Health Management Associates

James Gelfand, JD President and CEO, ERISA Industry Committee

Bob Herman, Reporter, STAT

Pete Lawrence, Deputy Chief, Oceanside Fire

Butch Oberhoff, President, Texas EMS Alliance

Leslie Walker, Senior Reporter/Producer, Tradeoffs

Matt Zavadsky, At-Large Director, National Association of EMTs

Learn more and read a full transcript on our website.

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What Could RFK Jr. Do As Head of HHS? We Asked Someone Who’s Done the Job

Thu, 21 Nov 2024 08:00:48 GMT

Former HHS Secretary Kathleen Sebelius shares what the country’s top health official can and can’t do, and what she wants senators to consider ahead of RFK’s confirmation hearings.

Guest:

Kathleen Sebelius, Former U.S. Secretary of Health and Human Services Secretary

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Health Care for Transgender Youth Goes to the Supreme Court

Thu, 14 Nov 2024 08:00:47 GMT

Twenty-six states have passed bans on gender-affirming care for transgender minors, and the Supreme Court is set to hear arguments in December about Tennessee's ban. We take a closer look at gender-affirming care and the legal arguments that could influence how accessible that care is.

Meredithe McNamara, MD, Assistant Professor of Pediatrics, Yale School of Medicine

Katie Eyer, JD, Professor of Law, Rutgers Law School

James Blumstein, LLB, University Distinguished Professor of Constitutional Law and Health Law & Policy, Vanderbilt University Law School

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How Did Picking a Medicare Plan Get So Hard?

Thu, 07 Nov 2024 08:00:38 GMT

It’s Medicare open enrollment season, and in this episode first aired in 2021, we explain why shopping for a new plan is often tougher than it seems.

Guests:

Lilyan Grossman, Medicare beneficiary

Tricia Neuman, ScD, Senior Vice President and Executive Director of the Program on Medicare Policy, Kaiser Family Foundation

Amal Trivedi, MD, Professor of Medicine and Health Services, Policy, and Practice, Brown University

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What the Election Could Mean for Obamacare

Thu, 31 Oct 2024 07:00:39 GMT

One of the nation’s leading experts on the Affordable Care Act breaks down its track record and weighs in on the stakes the historic health care law faces in the lead-up to the election.

Guest:

Larry Levitt, Executive Vice President for Health Policy, KFF

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3 Health Care Decisions Awaiting the Next President

Thu, 24 Oct 2024 07:00:28 GMT

The next U.S. president will have to make consequential choices about the Affordable Care Act, prescription drug prices and abortion. We compare the positions of candidates Kamala Harris and Donald Trump on these major health policy issues. (NOTE: This episode has been updated to clarify the number of people who would lose health coverage if Affordable Care Act enhanced subsidies expired.)

Guests:

Michael Cannon, Director of Health Policy Studies, Cato Institute

Ederlina Co, JD, Associate Professor of Law, University of the Pacific

Cynthia Cox, Vice President and Director of Program on the ACA, KFF

Stacie Dusetzina, PhD, Professor of Health Policy, Vanderbilt University Medical Center

Benedic Ippolito, PhD, Senior Fellow, American Enterprise Institute

Ryan Levi, Reporter/Producer, Tradeoffs

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How New York Times Columnist Paula Span Navigates ‘The New Old Age’

Thu, 17 Oct 2024 07:00:35 GMT

Journalist Paula Span, who writes The New Old Age column for the New York Times, shares what she’s learned about how to age well.

Guest:

Paula Span, reporter and The New Old Age columnist for the New York Times

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Why Employers Are Turning to Primary Care as Health Care Costs Soar

Thu, 10 Oct 2024 07:00:40 GMT

U.S. companies spend more than $1 trillion annually on health care for their employees. To get this budget-busting figure under control, some companies are experimenting with cutting out insurers, and investing in primary care clinics at the office.

Guests:

Amy Cooper, NP, Vera Whole Health

Bob Galvin, MD, former Chief Medical Officer, General Electric and Board Chairman, Catalyst for Payment Reform

Dan Mendelson, CEO, Morgan Health

Ann O’Malley, MD, MPH, Senior Fellow, Mathematica

Matt Ohrt, Co-founder, Self Fund Health

Lee Sagraves, Employee, JPMorganChase

Gwen Sagraves

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The Best Way to Fight Meth Addiction? Gift Cards

Thu, 03 Oct 2024 07:00:28 GMT

For decades, the most effective treatment for addiction to methamphetamine or cocaine has been mired in stigma and mostly limited to small research studies. But with deaths involving meth and cocaine on the rise, policymakers across the country are turning to gift cards to fight drug use.

This story has been updated to clarify the research on long-term effects of contingency management and the eligibility requirements to deliver contingency management through CalAIM.

Credits:

Stephen Higgins, PhD, Professor of Psychology and Psychiatry, University of Vermont

Richard Rawson, PhD, Professor Emeritus, UCLA Department of Psychology

Andrew Dertien, Contingency Management Coordinator, HealthRIGHT 360

Bernard Groves

Ayesha Appa, MD, Assistant Professor of Medicine, UCSF and San Francisco General Hospital

Tyler Sadwith, Medicaid Director, California Department of Health Care Services

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Race to the Bottom: Where's the Cavalry?

Thu, 26 Sep 2024 07:00:02 GMT

Guests:

Christine Baeder, MBA, President, Apotex USA

Alfred Engelberg, JD, retired attorney and former counsel to the Generic Pharmaceutical Industry Association

Jeremy Greene, MD, PhD, Professor of Medicine and the History of Medicine, Johns Hopkins University

Candy Meyer, Patient

Bhaven Sampat, PhD, Professor, Arizona State University School for the Future of Innovation in Society

Marta Wosińska, PhD, Senior Fellow, Brookings Institution

Leslie Walker, Senior Reporter/Producer, Tradeoffs

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Race to the Bottom: Hard Bargain

Thu, 19 Sep 2024 07:00:39 GMT

This is the second episode of Race to the Bottom, a three-part series by Tradeoffs on the problems plaguing the generic drugs we all rely on — and how we could fix them.

Guests:

Christine Baeder, MBA, President, Apotex USA

Laura Bray, MBA, Founder, Angels for Change

Craig Burton, Senior Vice President of Policy and Strategic Alliances, Association for Accessible Medicines

Iilun Murphy, MD, Director of the Office of Generic Drugs, FDA

Leslie Walker, Senior Reporter/Producer, Tradeoffs

Marta Wosińska, PhD, Senior Fellow, Brookings Institution

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Race to the Bottom: Boom Times

Thu, 12 Sep 2024 07:00:44 GMT

Over the course of “Race to the Bottom,” our new three-part podcast series, we’ll explore why this industry that’s so essential to our health is in trouble — and what could change that.

Guests:

Christine Baeder, MBA, President, Apotex USA

Alfred Engelberg, JD, retired attorney and former counsel to the Generic Pharmaceutical Association

Leslie Walker, Senior Reporter/Producer, Tradeoffs

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How One Company Gamified Health Insurance

Thu, 05 Sep 2024 07:00:13 GMT

One organization turns to a game to get employees to debate and decide together what health care they most value.

Guests:

Paul Fronstin, Ph.D., Director, Health Benefits Research, Employee Benefits Research Institute

Jeanette Janota, Senior Research Associate, American Speech-Language-Hearing Association

Tavril Saint Jean, Senior Research Associate, American Speech-Language-Hearing Association

Janet McNichol, Chief Human Resources Officer, American Speech-Language-Hearing Association

Evan Reid, Senior Director of Analytics, American Speech-Language-Hearing Association

Julia Reilly-Edwards, Data Scientist, American Speech-Language-Hearing Association

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‘She Didn’t Want to Die. But She Didn’t Want to Suffer.’

Thu, 29 Aug 2024 07:00:45 GMT

A handful of states allow terminally ill people to take life-ending medications prescribed by a doctor instead of waiting for death. This week, we talk with journalist Steven Petrow about his sister’s choice to use medical aid in dying.

Guest:

Steven Petrow, Journalist and author

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Presenting: Lost Patients: Churn

Thu, 22 Aug 2024 07:00:13 GMT

In The Fifth Branch, Tradeoffs explored new ways to respond to people in a mental health crisis, this week we have look at another area of the mental health crisis the country is grappling with. 'Lost Patients', a new podcast from KUOW and The Seattle Times, dives into why so many people with mental illness live on the streets, and lack long-term care.

Heidi Aurand has watched her son Adam spiral from one psychiatric crisis to the next for about eight years, bouncing between emergency rooms, jails, and homelessness. Now, after treatment at the state's largest psychiatric hospital, Adam was just released back onto the streets of downtown Seattle. A mother asks: How could her son pass through so many institutions and none are able to stop his decline?

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What to Expect When Medicare and Pharma Finally Negotiate Drug Prices

Thu, 15 Aug 2024 07:00:54 GMT

The Inflation Reduction Act gave Medicare historic new power to directly negotiate the prices of some of the costliest prescription drugs. Now the federal agency must grapple with a difficult question: What makes a drug price fair?

This week, we revisit our 2023 episode explaining how this negotiation process works and the impact it could have.

Guests:

Anton Avanceña, PhD, Assistant Professor of Health Outcomes, University of Texas

Darius Lakdawalla, PhD, Professor of Pharmaceutical Economics and Public Policy, University of Southern California

Lauren Neves, JD, Deputy Vice President, PhRMA

Steve Pearson, MD, MSc, Founder and President, Institute for Clinical and Economic Review (ICER)

Ben Rome, MD, MPH, physician and researcher, Harvard Medical School

Meena Seshamani, MD, PhD, Deputy Administrator, Centers for Medicare and Medicaid Services

Leslie Walker, Senior Producer/Reporter, Tradeoffs

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Hope, Hype or Harm? What We Know About New Cancer-Screening Tools

Thu, 08 Aug 2024 07:00:47 GMT

Companies claim they can catch cancer sooner with new blood tests and full-body MRI scans. What are the risks and benefits?

Guest:

Ishani Ganguli, MD, MPH, Assistant Professor of Medicine, Harvard Medical School; primary care physician, Brigham and Women's Hospital

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The Fifth Branch: The Last Line of Care

Thu, 01 Aug 2024 07:01:24 GMT

Guests:

Ryan Smith, Director, Durham Community Safety Department

Sammetta Cutler, Peer Support Specialist, Durham Community Safety Department

Sarah Hall, Durham resident

David Prater, Peer Support Specialist, Durham Community Safety Department

John Warasila, Real estate developer and architect, Alliance Architecture

Bo Ferguson, Deputy City Manager, Durham

Patrice Andrews, Police Chief, Durham Police Department

Christie Thompson, Staff Writer, The Marshall Project

Allison Casey, EMT, Durham Community Safety Department

To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.

Learn more on our website.

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The Fifth Branch: Keeping People Safe

Thu, 25 Jul 2024 07:00:59 GMT

How do you keep everyone safe? We look at HEART’s impact on the safety of Durham residents in crisis, the mental health workers responding, and the police.

Guests:

David Prater, Peer Support Specialist, Durham Department of Community Safety

Ryan Smith, Director, Durham Department of Community Safety

Yolanda, Durham resident

Sgt. Dan Leeder, Durham Police Department

Patrice Andrews, Police Chief, Durham Police Department

Christie Thompson, Staff Writer, The Marshall Project

To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.

The Marshall Project's Christie Thompson reports on the state of alternative crisis response across the country.

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The Fifth Branch: Convincing the Cops

Thu, 18 Jul 2024 07:00:55 GMT

How do you convince police officers that it makes sense to send unarmed mental health workers to some 911 calls?

Guests:

Patrice Andrews, Police Chief, Durham Police Department

Ryan Smith, Director, Durham Department of Community Safety

Sgt. Dan Leeder, Durham Police Department

Abena Bediako, Clinical Manager, Durham Department of Community Safety

Christie Thompson, Staff Writer, The Marshall Project

To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.

Learn more on our website.

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Tradeoffs Presents: The Fifth Branch

Thu, 11 Jul 2024 07:00:39 GMT

To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.

How did Durham pull off what so many cities have struggled to do? Join Tradeoffs and The Marshall Project for our new series The Fifth Branch as we examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country. Episodes drop July 18, July 25 and August 1.

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BONUS: The Court’s Big Abortion Decisions Are Out. What Now?

Fri, 28 Jun 2024 07:00:45 GMT

In this special bonus episode, we break down the Supreme Court’s recent abortion rulings with help from health reporter Shefali Luthra.

Guest:

Shefali Luthra, Health Reporter, The 19th

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Why Supporting Caregivers Could Make A Difference in Dementia Care

Thu, 27 Jun 2024 07:00:16 GMT

Medicare is betting that taking care of the caregiver will help dementia patients stay at home longer. Patients and their caregivers are often left to navigate the confusing world of dementia by themselves, but Medicare is launching a new program to change that.

Guests:

Malaz Boustani, MD, PhD, Founding Director, Sandra Eskenazi Center for Brain Care Innovation; Professor of Aging Research, Indiana University School of Medicine

Rosanne Corcoran, Caregiver

Liz Fowler, PhD, JD, Director of CMMI and Deputy Administrator, Centers for Medicare and Medicaid Services

Cindi Hart, Caregiver

Alex Olgin, Reporter/Producer, Tradeoffs

Lauren Sullivan, Care Coordinator, Eskenazi Health

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More Hospitals Move to Confront Medical Errors Head On

Thu, 20 Jun 2024 07:00:57 GMT

One out of every four Medicare patients in the hospital is the victim of a medical error. Over the past 20 years, a growing number of hospitals have adopted practices that discuss medical mistakes and offer support to the people who must cope with the often tragic consequences. We examine why experts are calling on the Biden Administration to make patient safety a national priority.

Guests:

Jack Gentry, patient

Naomi Kirtner and Jeff Goldenberg, patient’s family and Founders of Talia’s Voice

Tom Gallagher, MD, Director, UW Medicine Center for Scholarship in Patient Care Quality and Safety

Stephen Kuracheck, MD, Former Chief of Critical Care and Medical Director of Quality at Children’s Minnesota

Julie Morath, RN, Member of the President’s Council of Advisors on Science and Technology’s Working Group on Patient Safety

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Ozempic Hype Forces Employer Calls on Obesity Coverage

Thu, 13 Jun 2024 07:00:01 GMT

Employers are facing a big dilemma: how do they pay for the new highly effective and popular obesity medications without breaking the bank? This week, the questions are forcing companies to re-examine their attitudes on obesity as the understanding of the disease deepens.

Guests:

Sean Scanlon, Connecticut Comptroller

Jeff Levin-Scherz, WTW population health leader

Mike Thompson, President of the National Alliance of Healthcare Purchaser Coalitions

Olivia Quagliani, Patient

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube!

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A New Kind of Primary Care Comes to America

Thu, 06 Jun 2024 07:00:57 GMT

A group of nurses in Baltimore wants to bring basic care to every person in a neighborhood regardless of age, health, income or insurance.

Can this idea from abroad take root in the United States?

Guests:

Dawn Alley, PhD, Head of Scale, IMPaCT Care

Asaf Bitton, MD, MPH, Executive Director, Ariadne Labs

Regina Hammond, Founder, Rebuild Johnston Square Neighborhood Organization

Chris Koller, President, Milbank Memorial Fund

Terry Lindsay, Community Health Worker, Sisters Together and Reaching, Inc. (STAR)

Sarah Szanton, PhD, RN, FAAN, Dean, Johns Hopkins School of Nursing; Founder, Neighborhood Nursing

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A Telehealth Report Card: What’s Worked and What Hasn’t

Thu, 30 May 2024 12:32:42 GMT

As Congress figures out the future of telehealth, we get a reality check from a top researcher about what this care has and has not delivered.

Guest:

Ateev Mehrotra, MD, MPH, Professor, Brown University School of Public Health

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How ‘Random Acts of Medicine’ Shape Our Health Care

Thu, 23 May 2024 07:00:29 GMT

Just like the rest of us, when clinicians are short on time and overwhelmed by complex decisions, their brains look for corners to cut, numbers to round, patterns to repeat. This week, Dan talks with Harvard physician and economist Bapu Jena about the surprising impact these mental shortcuts can have on our health care.

Guest:

Bapu Jena, MD, PhD, Professor of Health Care Policy, Harvard Medical School; Physician, Massachusetts General Hospital

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Is Private Equity Ruining Health Care? It's Complicated.

Thu, 16 May 2024 07:00:27 GMT

While stories of private equity firms running amok in health care are easy to find, new research paints a more nuanced picture.

Guests:

Ambar La Forgia, PhD, Professor of Management of Organizations, Berkeley Haas School of Business

Rachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics, University of Pennsylvania

Yashaswini Singh, PhD, Professor of Health Services, Policy and Practice, Brown University School of Public Health

Atul Gupta, PhD, Professor Health Care Management, Wharton School, University of Pennsylvania

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The Hunt for Lasting Fixes to America’s Medical Debt Crisis

Thu, 09 May 2024 07:00:16 GMT

A major new study throws cold water on a popular approach to relieving medical debt, but leading experts say the research also reveals a promising path forward.

Guests:

Henry Harrell, MD, Physician

Neale Mahoney, PhD, Professor of Economics, Stanford University

Allison Sesso, President and CEO, Undue Medical Debt

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Patients Push to Shape the Future of AI

Thu, 02 May 2024 07:00:32 GMT

One advocate’s vision for the crucial role patients must play in the future of health care AI.

Andrea Downing, President and Co-Founder, The Light Collective

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How Do You Help Patients Who Show Up in the ER 100 Times a Year?

Thu, 25 Apr 2024 07:00:53 GMT

Guests:

Jeff Brenner, MD, CEO, The Jewish Board

Arthur Brown, Client, Camden Coalition

Amy Finkelstein, PhD, Professor of Economics, MIT; Co-Scientific Director, J-PAL North America

Allison Hamblin, MSPH, President and CEO, Center for Health Care Strategies

Paula Lantz, PhD, Professor of Health Policy, University of Michigan

Larry Moore, Client, Camden Coalition

Kathleen Noonan, JD, President and CEO, Camden Coalition

Dottie Scott, Community Health Worker, Camden Coalition

Brian Thompson, Housing Coordinator, Camden Coalition

Leslie Walker, Senior Producer/Reporter, Tradeoffs

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An Insurance Company Bought This Doctor’s Practice. She’s Worried About Her Patients

Thu, 18 Apr 2024 07:00:02 GMT

One doctor debates whether to work for the nation's largest insurance company after it purchased the independent practice she worked for in Oregon.

Guest:

Gwen O'Keefe, MD, Assistant Professor of Medicine, Department of Anesthesiology & Perioperative Medicine, OHSU

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92,000 Transgender People Took This Survey. Here’s What We Learned

Thu, 11 Apr 2024 07:00:09 GMT

As lawmakers around the country take aim at transgender rights, we dig into findings from the largest survey ever of trans Americans.

Guest:

Sandy E. James, JD, PhD, Lead Researcher, 2022 U.S. Transgender Survey

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Girls Are in a Mental Health Crisis. What Can Schools Do?

Thu, 04 Apr 2024 07:00:20 GMT

Girls in the U.S. are in the midst of a growing mental health crisis, and schools are on the front line of finding solutions. But will Black and Latina girls get left behind?

Guests:

Monica Bhatt, PhD, Senior Research Director, University of Chicago Education Lab

Sheretta Butler-Barnes, PhD, Professor, Washington University

Kathleen Ethier, PhD, Director, CDC Division of Adolescent and School Health

Ngozi Harris, LCPC, Working on Womanhood Director of Program and Staff Development, Youth Guidance

Shekinah Jackson, Working on Womanhood Participant

Nora-Lisa Malloy, Working on Womanhood Counselor, Youth Guidance

Heidi Sipe, EdS, Superintendent, Umatilla School District (OR)

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Surprise! Plans To Resolve High Medical Bills Are Still a Mess

Thu, 28 Mar 2024 07:00:48 GMT

Patients are now mostly protected from surprise bills, but doctors and insurers are still fighting about the prices.

Guest:

Benjamin Chartock, PhD, Assistant Professor of Economics, Bentley University

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One Doctor’s Quest to Improve Health Care for People with Disabilities

Thu, 21 Mar 2024 07:00:32 GMT

Guests:

Alison Barkoff, JD, Administration for Community Living, HHS

Kevin Carlson

Clarissa Kripke, MD, Clinical Professor of Family and Community Medicine and Director of the Office of Developmental Primary Care; University of California, San Francisco

Marjorie Ongpauco, BSN, RN, Nursing Consultant

Harold Pollack, PhD, Professor of Social Work, Policy and Practice; University of Chicago

Donna Valencia, BSN, RN, MSN, Administrator, Group Home Administrator

Leslie Walker, Senior Producer/Reporter, Tradeoffs

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Can Washington Make Medicare and Medicaid Work Better Together?

Thu, 14 Mar 2024 07:00:57 GMT

A bipartisan bill takes aim at a $500 billion health care problem that few people have ever heard of. Will it make care better for some of the country’s sickest, poorest patients?

Guests:

U.S. Senator Bill Cassidy (R-LA)

Saleema Render-Hornsby, Dually eligible patient

Allison Rizer, MBA, Executive Vice President, ATI Advisory

Eric Roberts, PhD, Associate Professor, University of Pennsylvania Perelman School of Medicine

Casey Schwarz, JD, Senior Counsel, Medicare Rights Center

Hong Truong, Caregiver of dually eligible patient

Leslie Walker, Senior Reporter, Tradeoffs

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How Patient Privacy Could Hurt AI

Thu, 07 Mar 2024 08:00:35 GMT

There are a lot of concerns about the dangers artificial intelligence could pose to your health privacy. AI expert Nicholson Price explains why he thinks too much concern over privacy could make health care AI worse.

Guest:

Nicholson Price, JD, PhD, Professor of Law, University of Michigan

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How Pushing Hospitals to Give Away More Free Care Could Backfire

Thu, 29 Feb 2024 08:00:27 GMT

With high health bills drowning patients in debt, some lawmakers want nonprofit hospitals to give away more free care. But experts warn that could wind up being worse for patients.

Guests:

Ge Bai, PhD, CPA, Professor of Accounting at Carey Business School, Professor of Health Policy at Bloomberg School of Public Health at Johns Hopkins University

Jill Horwitz, PhD, JD, MPP, David Sanders Professor of Law and Medicine and Founding Faculty Director, Lowell Milken Center for Philanthropy and Nonprofits, UCLA

Donna Lynne, DrPH, Denver Health CEO

Bruce Siegel, MD, MPH, President and CEO of America’s Essential Hospitals

Gary Young, PhD, JD, Director of the Center for Health Policy and Healthcare Research at Northeastern University

Learn more and read a full transcript on our website.

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Email us at info@tradeoffs.org.

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‘She Didn’t Want to Die. But She Didn’t Want to Suffer.’

Thu, 22 Feb 2024 08:01:50 GMT

Guest:

Steven Petrow, Journalist and author

Learn more and read a full transcript on our website.

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Hope, Hype or Harm? What We Know About New Cancer-Screening Tools

Thu, 15 Feb 2024 08:00:58 GMT

Companies claim they can catch cancer sooner with new blood tests and full-body MRI scans. What are the risks and benefits?

Guest:

Ishani Ganguli, MD, MPH, Assistant Professor of Medicine, Harvard Medical School; primary care physician, Brigham and Women's Hospital

Learn more and read a full transcript on our website.

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Email us at info@tradeoffs.org.

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Tradeoffs LIVE! Rooting Out Racial Bias in Health Care AI

Thu, 08 Feb 2024 08:00:40 GMT

A live conversation between a top federal health official and a health care executive about how they must work together to keep AI from exacerbating racial bias in health care.

Guests:

Micky Tripathi, PhD, MPP, National Coordinator for Health Information Technology, U.S. Department of Health and Human Services

James Ellzy, MD, Chief Health Officer, Oracle Health Government Services

Learn more and read a full transcript on our website.

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Email us at info@tradeoffs.org.

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5 Ways America's Courts Could Change Health Care in 2024

Thu, 01 Feb 2024 08:00:34 GMT

Key court decisions in 2024 about prescription drug prices, abortion bans, gender affirming care and the Affordable Care Act could change the way health care is delivered in America.

Guests:

Zach Baron, Co-director of Health Policy and the Law Initiative, O’Neill Institute for National and Global Health at Georgetown University Law Center

Katie Eyer, Professor at Rutgers Law School

Laurie Sobel, Associate Director of Women's Health Policy at KFF

Learn more and read a full transcript on our website.

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Email us at info@tradeoffs.org.

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Why Are People Afraid of the Most Popular Opioid Addiction Treatment?

Thu, 25 Jan 2024 08:00:31 GMT

Fentanyl killed 75,000 people in 2022. Now it’s making one of the few treatments for opioid addiction harder to use.

Guests:

Eric Ezzi, Certified Recovery Specialist, Penn Medicine

Ashish Thakrar, MD, Assistant Professor of Medicine, University of Pennsylvania

Leslie Suen, MD, Assistant Professor of Medicine, University of California San Francisco

Ryan Levi, Reporter/Producer, Tradeoffs

Learn more and read a full transcript on our website.

Subscribe to our weekly newsletter.

Email us at info@tradeoffs.org.

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Tradeoffs in 2024

Thu, 18 Jan 2024 08:00:22 GMT

We've got a lot to share with you in 2024!

We're looking into how fentanyl and other synthetic opioids are upending long established treatments for opioid addiction, and what clinicians and policymakers are doing to adapt.

There are a bunch of cases in the courts this year that have the potential to change Americans' access to care, and restrict the power of federal health agencies.

And nearly 25 years after a landmark case, declaring that people with intellectual and developmental disabilities have a right to live outside state-run institutions, we examine how doctors, hospitals and insurers are failing many of them … and one woman's work to forge a better path.

New episodes start 25 January, 2024!

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What to Expect When Medicare and Pharma Finally Negotiate Drug Prices

Thu, 11 Jan 2024 05:00:54 GMT

Last fall, the federal government named its first 10 targets for historic drug price negotiations with big pharma. Those negotiations are expected to heat up this February when federal officials make their opening price offers.

This week, we offer a refresher on how this negotiation process will work and the impact it could have.

Guests:

Anton Avanceña, PhD, Assistant Professor of Health Outcomes, University of Texas

Darius Lakdawalla, PhD, Professor of Pharmaceutical Economics and Public Policy, University of Southern California

Lauren Neves, JD, Deputy Vice President, PhRMA

Steve Pearson, MD, MSc, Founder and President, Institute for Clinical and Economic Review (ICER)

Ben Rome, MD, MPH, physician and researcher, Harvard Medical School

Meena Seshamani, MD, PhD, Deputy Administrator, Centers for Medicare and Medicaid Services

Leslie Walker, Senior Producer/Reporter, Tradeoffs

Learn more and read a full transcript on our website.

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Losing a Hospital

Thu, 04 Jan 2024 08:00:19 GMT

More than 130 hospitals have closed in rural America over the last decade. Reporter Sarah Jane Tribble spent a year embedded in one small Kansas town as they dealt with their own hospital closure.

Guest: Sarah Jane Tribble, Senior Correspondent, Kaiser Health News

Read a transcript of this conversation: https://tradeoffs.org/2020/10/08/losing-a-hospital/

Hear more of Sarah Jane's reporting about Fort Scott on the first season of Where It Hurts: whereithurts.show

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Presenting STAT’s First Opinion: How Two Abortion Providers Grapple with Their Post-Roe Reality

Thu, 28 Dec 2023 08:00:58 GMT

From where medical students are choosing to train to how doctors are caring for women in reproductive health crises, the Supreme Court's decision to overturn Roe has had major ripple effects on the field of medicine. In this conversation from our friends at STAT's First Opinion podcast, host Torie Bosch talks with two abortion providers about what it's like to practice medicine in post-Roe America.

Learn more and read a full transcript on our website.

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One Economist’s Plan to Blow Up America’s Health Insurance System

Thu, 21 Dec 2023 08:00:20 GMT

Economist Amy Finkelstein has studied America’s patchwork of health insurance policies for more than 20 years. In a forthcoming book she concludes it’s time tear the whole system down.

This week, Dan talks with Amy about how she came to that conclusion and what a better system could look like.

Guest:

Amy Finkelstein, PhD, Professor of Economics, MIT

Learn more and read a full transcript on our website.

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Rooting Out Racial Bias in Health Care AI, Part 2

Thu, 14 Dec 2023 08:00:50 GMT

There’s growing excitement that artificial intelligence can make health care better by speeding up care, improving diagnoses and easing the burden on a burned out workforce. But there are also concerns that these powerful new tools will perpetuate biases and inequities long baked into our health care system.

In Part 2 of our special series on racial bias in health care AI, we dig into what the Biden administration is doing to keep biased algorithms from getting to the bedside.

Guests:

Emily Sterrett, MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics

Mark Sendak, MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation

Minerva Tantoco, Chief AI Officer, New York University McSilver Institute for Poverty, Policy and Research

Carmel Shachar, JD, MPH, Executive Director, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School

Kathryn Marchesini, JD, Chief Privacy Officer, Office of the National Coordinator for Health Information Technology

Melanie Fontes Rainer, JD, Director, HHS Office for Civil Rights

Learn more and read a full transcript on our website.

Dan Gorenstein will moderate three one-on-one discussions featuring industry leaders and top officials from ONC, FDA, and HHS’ Office of Civil Rights over two plenary sessions, you can watch them here.

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Rooting Out Racial Bias in Health Care AI, Part 1

Thu, 07 Dec 2023 08:00:20 GMT

In the first of two back-to-back episodes on racial bias in health care AI, we explore the challenge of diagnosing bias in AI and what one health system is trying to do about it.

Guests:

Emily Sterrett, MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics

Mark Sendak, MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation

Ganga Moorthy, MD, Global Health Fellow, Duke Pediatric Infectious Disease Program

Paige Nong, PhD Candidate, University of Michigan School of Public Health

Learn more and read a full transcript on our website.

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The Stories That Made an Impact in 2023

Thu, 30 Nov 2023 08:00:53 GMT

In this special episode we reflect on a few of our favorite stories of 2023 and hear how they’re making a difference for patients and policymakers.

Guests:

Hannah Neprash, PhD, Assistant Professor, University of Minnesota School of Public Health

Jami Snyder, MA, president and chief executive officer of consulting firm JSN Strategies

Learn more and read a full transcript on our website. And take a look at our full impact report!

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More Hospitals Move to Confront Medical Errors Head On

Thu, 16 Nov 2023 08:00:07 GMT

Guests:

Jack Gentry, patient

Naomi Kirtner and Jeff Goldenberg, patient’s family and Founders of Talia’s Voice

Tom Gallagher, MD, Director, UW Medicine Center for Scholarship in Patient Care Quality and Safety

Stephen Kuracheck, MD, Former Chief of Critical Care and Medical Director of Quality at Children’s Minnesota

Julie Morath, RN, Member of the President’s Council of Advisors on Science and Technology’s Working Group on Patient Safety

Learn more and read a full transcript on our website.

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Can the U.S. Put an End to Surprise Ambulance Bills?

Thu, 09 Nov 2023 08:00:05 GMT

Guests:

Tara Bannow, Reporter, STAT

Precious Mae Clark, patient

Dia Gainor, Executive Director, National Association of State EMS Officials

Zach Gaumer, Principal, Health Management Associates

James Gelfand, JD President and CEO, ERISA Industry Committee

Bob Herman, Reporter, STAT

Pete Lawrence, Deputy Chief, Oceanside Fire

Butch Oberhoff, President, Texas EMS Alliance

Leslie Walker, Senior Reporter/Producer, Tradeoffs

Matt Zavadsky, At-Large Director, National Association of EMTs

To learn more, read a full transcript on our website and check out our reporting partner STAT's story, too.

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What Brings You In Today?

Thu, 02 Nov 2023 07:00:13 GMT

Health care leaders are spending more time and money trying to improve the way doctors and nurses talk with their patients, to build more trust. Are those efforts working? We eavesdrop on some difficult conversations between patients and providers, and meet researchers who are measuring the power of using just the right words.

This episode first aired in 2019 and remains as relevant as ever.

Guests:

Andrea Anderson, MD, Medical Director, Unity Health Care

Sumeera Baig, MD, Physician, R-Health

Calvin Chou, MD, Professor, University of California, San Francisco

Lisa Cooper, MD, MPH, Bloomberg Distinguished Professor, Equity in Health and Healthcare, Johns Hopkins University School of Medicine

Hannah Herman, DO, Resident, The Wright Center for Graduate Medical Education

Lauren Howe, PhD, Postdoctoral Scholar, Stanford University

Natalie Levinson, patient

Jeff Milstein, MD, Regional Medical Director, Penn Primary Care

Kathy Trow, MSN, APN-C, Nurse Practitioner, Penn Medicine

Jessika Welcome, mother of patient Natalie Levinson

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube!

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Growing Pains as California Adds Social Services to Medicaid

Thu, 26 Oct 2023 07:00:08 GMT

California’s Medicaid program is two years into the nation’s most ambitious effort yet to cover non-traditional health care services like housing and food for some of the state’s sickest and most vulnerable residents. Everyone expected this transformation — known as CalAIM — to take some time to hit its stride. We dig into CalAIM’s early challenges and what’s being done to right the ship.

Guests:

Pooja Bhalla, DNP, RN, CEO, Illumination Foundation

Jacey Cooper, Medicaid Director, California Department of Health Care Services

Kelly Bruno-Nelson, MSW, Executive Director of Medi-Cal/CalAIM, CalOptima Health

Learn more and read a full transcript on our website.

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Medical or Recreational? States Debate Where Psychedelics Belong

Thu, 19 Oct 2023 07:00:10 GMT

A wave of new research is showing the promise of psychedelics to help with mental health conditions — like depression and post traumatic stress disorder. The federal government continues to say it’s illegal to use these substances for treatment, but states like Oregon and Colorado are attempting to roll out regulated use. We talk with Mason Marks about the latest research, regulation, and legal gray areas on psychedelics.

Guests:

Mason Marks, JD MD Project Lead on the Project on Psychedelics Law and Regulation at the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School.

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube!

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Medicare’s Open Enrollment Mess

Thu, 12 Oct 2023 07:00:53 GMT

Every fall, an avalanche of advertising bombards the phones, televisions and mailboxes of the country’s 65 million Medicare beneficiaries.

Private insurance companies and brokers unleash this flurry of marketing in hopes of persuading as many people as possible to switch plans during Medicare’s open enrollment period.

This week, we explore how too many choices, too little help and an alarming amount of deception combine to lead many of America’s most vulnerable older adults astray.

Guests:

Gretchen Jacobson, PhD, Vice President, Commonwealth Fund

Lauren Lachs, Volunteer, Medicare Rights Center

Leslie Montgomery, Medicare and Medicaid beneficiary

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube!

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Ransomware Attacks: Bad for Hospitals, Deadly for Patients

Thu, 05 Oct 2023 07:00:21 GMT

In 2021, University of Minnesota health economist Hannah Neprash listened to a Tradeoffs story on ransomware in health care and was inspired to study whether cyberattacks actually harm patients. This week, she shares her striking findings, and we revisit the inside story of a ransomware negotiation that sparked her work.

Guests:

Karen Sprenger, CISSP, GCFE, Chief Operating Officer and Chief Ransomware Negotiator, LMG Security

Hannah Neprash, PhD, Assistant Professor, University of Minnesota School of Public Health

Learn more and read a full transcript on our website.

We're also excited to share that you can now find Tradeoffs on YouTube!

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Ozempic Hype Forces Employer Calls on Obesity Coverage

Thu, 28 Sep 2023 07:00:26 GMT

Guests:

Sean Scanlon, Connecticut Comptroller

Jeff Levin-Scherz, WTW population health leader

Mike Thompson, President of the National Alliance of Healthcare Purchaser Coalitions

Olivia Quagliani, Patient

Learn more and read a full transcript on our website.

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The 12 Million People Lost in a Maze of Medicare and Medicaid

Thu, 21 Sep 2023 07:00:10 GMT

Many of America’s poorest and sickest patients are stuck navigating two separate insurance programs — Medicare and Medicaid — to get the care they need.

Guests:

Jose Figueroa, MD, MPH, Assistant Professor of Health Policy and Management, Harvard T.H. Chan School of Public Health

Jean Minkel, PT, ATP, Senior Vice President of Rehab and Mobility Services, Independence Care System

Rochelle Render, advocate and mother of Saleema Render-Hornsby

Saleema Render-Hornsby, dually eligible person

Allison Rizer, Principal, ATI Advisory

Leslie Walker, Senior Producer/Reporter, Tradeoffs

Learn more and read a full transcript on our website.

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Girls Are in a Mental Health Crisis. What Can Schools Do?

Thu, 14 Sep 2023 07:00:53 GMT

Girls in the U.S. are in the midst of a growing mental health crisis, and schools are on the front line of finding solutions. But will Black and Latina girls get left behind?

Guests:

Monica Bhatt, PhD, Senior Research Director, University of Chicago Education Lab

Sheretta Butler-Barnes, PhD, Professor, Washington University

Kathleen Ethier, PhD, Director, CDC Division of Adolescent and School Health

Ngozi Harris, LCPC, Working on Womanhood Director of Program and Staff Development, Youth Guidance

Shekinah Jackson, Working on Womanhood Participant

Nora-Lisa Malloy, Working on Womanhood Counselor, Youth Guidance

Heidi Sipe, EdS, Superintendent, Umatilla School District (OR)

Learn more and read a full transcript on our website.

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When Research and the Realities of Practicing Medicine Collide

Thu, 07 Sep 2023 07:00:52 GMT

This summer, our research reporter Soleil Shah added a new role to his resume: first-year medical resident. Now he spends his days alternating between making the rounds on hospital patients and reading up on the latest health policy research for the Tradeoffs newsletter.

Guest:

Soleil Shah, MD, MSc, Research Reporter, Tradeoffs; Resident Physician, Brigham and Women's Hospital

Learn more and read a full transcript on our website.

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Better Care at Lower Costs: The Quest for Health Care’s Holy Grail

Thu, 31 Aug 2023 07:00:55 GMT

Nearly two decades ago, Dr. Jeff Brenner hypothesized that nurses and social workers could guide the country's most complicated patients toward better health ... and cut expensive hospital admissions along the way. Was he right?

Jeff Brenner, Camden Coalition of Health Care Providers

Amy Finkelstein, Economist, MIT

Kathleen Noonan, Camden Coalition of Health Care Providers

Allison Hamblin, Center for Health Care Strategies

Jensen Skinner, Nurse, Camden Coalition of Health Care Providers

Larry Moore, Patient

Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep7

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Hospice Care’s Midlife Crisis

Thu, 24 Aug 2023 07:00:17 GMT

About half of people on Medicare use hospice care before they die, but as the popular benefit turns 40 this year, it is struggling with waste, access and inequity issues.

This week, we look at a federal experiment revamping Medicare's hospice policy, and how it could ultimately change the way millions of people die.

Guests:

Vince Mor, PhD, Professor of Health Services, Policy & Practice, Brown University

Bethany Snider, MD, Chief Medical Officer, Hosparus Health

David Stevenson, PhD, Professor of Health Policy, Vanderbilt University School of Medicine

Leslie Walker, Senior Producer, Tradeoffs

Learn more and read a full transcript on our website.

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The Push to Bring Medicaid Behind Bars

Thu, 17 Aug 2023 07:00:41 GMT

People leaving jail and prison are at extremely high risk of hospitalization and death. This week, why policymakers from deep blue California to solidly red Utah think bringing Medicaid behind bars could help.

Guests:

Lee Reed

Shira Shavit, MD, Professor of Family and Community Medicine, University of California San Francisco; Executive Director, Transitions Clinic Network

Jacey Cooper, Director, California Medicaid Program

Cindy Beane, MSW, LCSW, Commissioner, West Virginia Bureau of Medical Services

Amy Katzen, JD, MPP, Director of Policy and Strategy, Rhode Island Executive Office of Health and Human Services

Mike Levine, Medicaid Director, MassHealth

Dana Flannery, Former Senior Policy Advisor, Arizona Health Care Cost Containment System

Khalil Cumberbatch, MSW, Director of Strategic Partnerships, Council on Criminal Justice

Learn more and read a full transcript on our website.

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States’ Uphill Battle to Stop Runaway Health Care Costs

Thu, 10 Aug 2023 07:00:56 GMT

One year of health insurance premiums for a family of four now costs as much as a car. Nine states are trying to lower those costs in an aggressive way - by holding hospitals and insurance companies accountable for high spending. In this episode we look to see if any of those efforts have bent the cost curve.

Guests:

Leemore Dafny, PhD, Harvard University economist

Michael Bailit, MBA President and Founder Bailit Health

David Seltz, Executive Director Massachusetts Health Policy Commission

Amy Rosenthal, MPH, MPA Executive Director Health Care For All

Learn more and read a full transcript on our website.

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One Doctor’s Crusade to Improve Health Literacy

Thu, 03 Aug 2023 07:00:38 GMT

This week, one doctor’s crusade to help more people understand their own health care and why insurers are starting to buy in.

Guests:

Lisa Fitzpatrick, MD, MPH, MPA, Founder and CEO, Grapevine Health

Keith Maccannon, Director of Marketing, Outreach and Community Relations, AmeriHealth Caritas District of Columbia

Yvonne Smith, Grapevine Client

Karen Dale, RN, MSN, Market President, AmeriHealth Caritas District of Columbia

Learn more and read a full transcript on our website.

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What to Expect When Medicare and Pharma Finally Negotiate Drug Prices

Thu, 27 Jul 2023 07:00:22 GMT

This week, we explain how this negotiation process will work and the impact it could have.

Guests:

Anton Avanceña, PhD, Assistant Professor of Health Outcomes, University of Texas

Darius Lakdawalla, PhD, Professor of Pharmaceutical Economics and Public Policy, University of Southern California

Lauren Neves, JD, Deputy Vice President, PhRMA

Steve Pearson, MD, MSc, Founder and President, Institute for Clinical and Economic Review (ICER)

Ben Rome, MD, MPH, physician and researcher, Harvard Medical School

Meena Seshamani, MD, PhD, Deputy Administrator, Centers for Medicare and Medicaid Services

Leslie Walker, Senior Producer/Reporter, Tradeoffs

Learn more and read a full transcript on our website.

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What White House COVID Coordinator Ashish Jha Learned on the Job

Thu, 20 Jul 2023 07:00:39 GMT

Ashish Jha shifted from the role of academic theorizing about health policy into a calm, reassuring voice leading the White House’s COVID response. Now, he’s back in the world of studies and scholarship leading Brown University's School of Public Health. This week, what he learned from his time in Washington.

Guest:

Ashish Jha, Dean of Brown University’s School of Public Health and former White House COVID-19 Response Coordinator

Learn more and read a full transcript on our website.

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Progress and Pain Points in National Crisis Line's First Year

Thu, 13 Jul 2023 07:00:35 GMT

It’s been one year since 988, the country’s new mental health crisis line, went live with hopes of transforming crisis services in America. So far, call volumes are up, wait times are down, and reviews are mixed.

This week, we check in on what’s working, what’s not, and what’s next for 988.

Content warning: This episode includes mentions of suicide. If you or someone you know is in crisis, please call, text or chat with the Suicide and Crisis Lifeline at 988, or contact the Crisis Text Line by texting TALK to 741741.

Guests:

Naomi

Monica Johnson, Director of the 988 & Behavioral Health Crisis Coordinating Office, SAMHSA

Shawn Kinney, 988 Crisis Counselor, First Choice Services

Deborah Turner, Director of Crisis and Referral Services, Goodwill of the Finger Lakes

Hannah Wesolowski, Chief Advocacy Officer, National Alliance on Mental Illness

Tia Dole, PhD, Chief 988 Suicide and Crisis Lifeline Officer, Vibrant Emotional Health

Kellan Baker, PhD, Executive Director, Whitman-Walker Institute

Learn more and read a full transcript on our website.

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One Economist’s Plan to Blow Up America’s Health Insurance System

Thu, 06 Jul 2023 07:00:26 GMT

Economist Amy Finkelstein has studied America’s patchwork of health insurance policies for more than 20 years. In a forthcoming book she concludes it’s time tear the whole system down.

This week, Dan talks with Amy about how she came to that conclusion and what a better system could look like.

Guest:

Amy Finkelstein, PhD, Professor of Economics, MIT

Learn more and read a full transcript on our website.

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1.5 Million People Have Lost Medicaid. How Worried Should We Be?

Thu, 29 Jun 2023 07:00:57 GMT

More than 1.5 million people have lost Medicaid coverage since April 1 as states start purging people from the rolls for the first time in three years.

This week, we check in on the “Medicaid unwinding” with a leading researcher, and get an up- close look at what it’s like to fall through the unwinding cracks.

Guests:

Adrianna McIntyre, PhD, MPP, MPH, Assistant Professor of Health Policy and Politics, Harvard T.H. Chan School of Public Health

Farah Yousry, Managing Editor, Side Effects Public Media

Bobby Summers, Medicaid recipient

Kathryn Bamberger, Outreach & Enrollment Coordinator, Southeast Healthcare Services

Joel Potts, Executive Director, Ohio Job and Family Services Directors’ Association

Cindy Gauder, Caseworker, Greene County Department of Jobs and Family Services

Learn more and read a full transcript on our website.

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‘No Place Else To Go’: Inside a Former Abortion Clinic

Thu, 22 Jun 2023 07:00:48 GMT

One year after the Supreme Court overturned Roe v. Wade, 15 states have effectively banned abortion. Dozens of clinics in those states have shut their doors or moved to states where abortion is still legal.

This week, Politico’s Alice Miranda Ollstein takes us to an Alabama clinic that stayed put. She wanted to learn what happens when an abortion clinic can no longer provide abortions.

Guest:

Alice Miranda Ollstein, Health Care Reporter, Politico

Learn more and read a full transcript on our website.

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The Meteoric Rise of Private Medicare Advantage Insurance

Thu, 15 Jun 2023 07:00:21 GMT

Medicare is in the midst of a pretty dramatic transformation. Before long, two out of every three enrollees will likely have a private Medicare Advantage plan.

This week, we look at what’s gained and what’s lost when private insurers manage so much of the nation’s Medicare program — and where we go from here.

Guests:

Carol Berman, Medicare Advantage enrollee

Rick Gilfillan, MD, MBA, independent consultant, former hospital and insurance executive and former Medicare official

Michael McWilliams, MD, PhD, Professor of Health Care Policy, Harvard Medical School; Professor of Medicine, Brigham and Women's Hospital

Learn more and read a full transcript on our website.

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What Gas Stoves, Minimum Wage Laws and the Military Teach Us About Health Policy

Thu, 08 Jun 2023 07:00:47 GMT

Next week many of the country’s health economists will gather in St. Louis to share new research at the annual meeting of the American Society of Health Economists. This week health economist Sayeh Nikpay gives us a sneak peek at some of the most exciting papers coming out of this conference.

Guest:

Sayeh Nikpay, PhD, MPH, Tradeoffs Senior Research Advisor; Associate Professor, University of Minnesota School of Public Health

Links to more info on the studies mentioned in today's episode:

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Rooting Out Racial Bias in Health Care AI, Part 2

Thu, 01 Jun 2023 07:00:19 GMT

In Part 2 of our special series on racial bias in health care AI, we dig into what the Biden administration is doing to keep biased algorithms from getting to the bedside.

Guests:

Emily Sterrett, MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics

Mark Sendak, MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation

Minerva Tantoco, Chief AI Officer, New York University McSilver Institute for Poverty, Policy and Research

Carmel Shachar, JD, MPH, Executive Director, Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School

Kathryn Marchesini, JD, Chief Privacy Officer, Office of the National Coordinator for Health Information Technology

Melanie Fontes Rainer, JD, Director, HHS Office for Civil Rights

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Rooting Out Racial Bias in Health Care AI, Part 1

Thu, 25 May 2023 07:00:01 GMT

In the first of two back-to-back episodes on racial bias in health care AI, we explore the challenge of diagnosing bias in AI and what one health system is trying to do about it.

Guests:

Emily Sterrett, MD, Associate Professor of Pediatrics, Director of Improvement Science, Duke University School of Medicine Department of Pediatrics

Mark Sendak, MD, MPP, Population Health & Data Science Lead, Duke Institute for Health Innovation

Ganga Moorthy, MD, Global Health Fellow, Duke Pediatric Infectious Disease Program

Paige Nong, PhD Candidate, University of Michigan School of Public Health

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The Hurdles Facing Black Families Navigating Serious Illness

Thu, 18 May 2023 07:00:34 GMT

Black Americans are at higher risk for many serious illnesses like dementia and kidney failure. But data show they are less likely to have their pain treated and less likely to access services like hospice and palliative care that can reduce suffering, especially at the end of life.

This week, we explore what stops seriously ill Black patients and their families from getting the care they want in life and in death.

Guests:

Deborah Brunson, PhD, Caregiver and Professor Emeritus, University of North Carolina Wilmington

Karen Bullock, PhD, LCSW, Professor, Boston College School of Social Work

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The ‘Reverse Disparity’ in Psychosis Care

Thu, 11 May 2023 07:00:56 GMT

Every year, 100,000 Americans — mostly teens and young adults — experience their first psychotic episode. Research shows getting specialized, holistic treatment early can help, but most people don’t get that care. KQED’s April Dembosky shares her reporting on why early treatment for psychosis can be so hard to get.

Guest

April Dembosky, Health Correspondent, KQED News

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The Wonky Policy That’s Got Hospitals on High Alert

Thu, 04 May 2023 07:00:06 GMT

Medicare could soon pay hospitals much less for common outpatient services like x-rays and checkups.

This week, we explain an old policy gathering new steam in Washington, how it could save Medicare and patients billions of dollars a year, and why it has hospitals worried.

Guests:

Loren Adler, MS, Fellow and Associate Director, USC-Brookings Schaeffer Initiative for Health Policy

Joe Antos, PhD, Senior Fellow, American Enterprise Institute

Amol Navathe, MD, PhD, Associate Professor of Health Policy and Medicine, University of Pennsylvania

Hannah Neprash, PhD, Assistant Professor, University of Minnesota School of Public Health

Ashley Thompson, MHA, Senior Vice President, American Hospital Association

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How ‘Random Acts of Medicine’ Shape Our Health Care

Thu, 27 Apr 2023 07:01:27 GMT

Guest:

Bapu Jena, MD, PhD, Professor of Health Care Policy, Harvard Medical School; Physician, Massachusetts General Hospital

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The Drugs Changing How We Treat Obesity

Thu, 20 Apr 2023 07:00:26 GMT

A new class of drugs can help people lose up to one-fifth of their body weight and manage serious health conditions associated with obesity. But they’re also raising difficult questions. This week, we talk with STAT reporter Elaine Chen about how these breakthrough treatments are changing how we view and treat obesity.

Guest:

Elaine Chen, Cardiovascular Disease Reporter, STAT

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Hospice Care’s Midlife Crisis

Thu, 13 Apr 2023 07:00:05 GMT

About half of people on Medicare use hospice care before they die, but as the popular benefit turns 40 this year, it is struggling with waste, access and inequity issues.

This week, we look at a federal experiment revamping Medicare's hospice policy, and how it could ultimately change the way millions of people die.

Guests:

Vince Mor, PhD, Professor of Health Services, Policy & Practice, Brown University

Bethany Snider, MD, Chief Medical Officer, Hosparus Health

David Stevenson, PhD, Professor of Health Policy, Vanderbilt University School of Medicine

Leslie Walker, Senior Producer, Tradeoffs

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The Latest Threat to the Affordable Care Act

Thu, 06 Apr 2023 07:00:15 GMT

The Affordable Care Act faces yet another in a long string of legal challenges. Last Thursday's ruling, by a conservative federal judge who has targeted the ACA before, jeopardizes a provision in the law that gives 150 million Americans access to free preventive care for conditions like HIV and cancer.

Guest:

Nicholas Bagley, JD, Professor of Law, University of Michigan

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The Treacherous Transition Awaiting Millions Losing Their Medicaid

Thu, 30 Mar 2023 07:00:43 GMT

We dig into three research papers to make sense of what will happen to 15 million people set to lose their Medicaid over the next year.

Guests:

Sayeh Nikpay, PhD, Tradeoffs Senior Research Advisor; Associate Professor of Health Policy and Management, University of Minnesota

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When Home Becomes a Hospital

Thu, 23 Mar 2023 07:00:18 GMT

The pandemic pushed Medicare to start paying for “hospital-at-home” care for the first time, launching the largest test ever of home-based hospital care. This week, we look at what we’ve learned from the hospital-at-home explosion and questions about home-based care remain unanswered.

Guests:

Bruce Leff, MD, Director, The Center for Transformative Geriatric Research, Johns Hopkins

David and Melanie Mercurio

Constantinos “Taki” Michaelidis, MD, Medical Director, Hospital at Home Program, UMass Memorial Health

Michelle Mahon, RN, Assistant Director of Nursing Practice, National Nurses United

Nathan Starr, DO, Medical Director for Home Services, Castell; Director of Telehospitalist Program, Intermountain Healthcare

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‘A Shocking Amount of Misery’: Medical Debt in America

Thu, 16 Mar 2023 07:00:36 GMT

Even though more Americans than ever have health insurance, medical debt is a pervasive problem in the United States.

Guests:

Noam Levey, Senior Correspondent, Kaiser Health News

Wesley Yin, PhD, Associate Professor of Economics, UCLA

Learn more and read a full transcript on our website.

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The Conservative Clash Over Abortion Bans

Thu, 09 Mar 2023 08:00:50 GMT

Less than a year after the Supreme Court overturned Roe v. Wade, some states are rethinking their abortion bans.

This week, reporter Alice Miranda Ollstein introduces us to a Republican lawmaker pushing to add exceptions to the ban he helped pass, and we consider how well exceptions work - or don't - in practice.

Guests:

Alice Miranda Ollstein, Health Care Reporter, Politico

State Sen. Richard Briggs, MD, Tennessee General Assembly

Yarnell Beatty, JD, Senior Vice President and General Counsel, Tennessee Medical Association

Will Brewer, JD, Director of Government Relations, Tennessee Right to Life

Katrina Kimport, PhD, Associate Professor, ANSIRH, University of California San Francisco

Katie May

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BONUS: The Return of Our Research Newsletter

Tue, 07 Mar 2023 11:00:51 GMT

Meet the man behind our revamped research newsletter bringing you the latest health policy studies, original analysis, interviews with leading researchers and more every Tuesday.

Subscribe at tradeoffs.org/research

Guest:

Soleil Shah, Research Reporter, Tradeoffs

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SCOTUS Weighs Medicaid Recipients' Right to Sue

Thu, 02 Mar 2023 08:00:18 GMT

Later this year the Supreme Court is set to decide whether to close a legal pathway that Medicaid recipients have used for more than 50 years. This week, we talk with Farah Yousry about the potential consequences of this decision.

Guests:

Farah Yousry, Health Equity Reporter, Side Effects Public Media

Susie Talevski, patient

Chris Schandevel, Senior Counsel, Alliance Defending Freedom

Jane Perkins, Litigation Director, National Health Law Program

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The Push to Bring Medicaid Behind Bars

Thu, 23 Feb 2023 08:00:07 GMT

Guests:

Lee Reed

Shira Shavit, MD, Professor of Family and Community Medicine, University of California San Francisco; Executive Director, Transitions Clinic Network

Jacey Cooper, Director, California Medicaid Program

Cindy Beane, MSW, LCSW, Commissioner, West Virginia Bureau of Medical Services

Amy Katzen, JD, MPP, Director of Policy and Strategy, Rhode Island Executive Office of Health and Human Services

Mike Levine, Medicaid Director, MassHealth

Dana Flannery, Former Senior Policy Advisor, Arizona Health Care Cost Containment System

Khalil Cumberbatch, MSW, Director of Strategic Partnerships, Council on Criminal Justice

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Medicare Director Meena Seshamani on CMS' New Drug Pricing Powers

Thu, 16 Feb 2023 08:00:48 GMT

Medicare’s historic plan to slow prescription drug spending is taking shape. Last Thursday federal health officials began detailing how one of two major drug price reforms contained in the Inflation Reduction Act will work and who it will affect.

This week, we talk with Medicare director Meena Seshamani about the “opportunity of a lifetime” to put these unprecedented policies into action.

Guest:

Meena Seshamani, MD, PhD, Director of the Center for Medicare and Deputy Administrator, Centers for Medicare and Medicaid Services

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States’ Uphill Battle to Stop Runaway Health Care Costs

Thu, 09 Feb 2023 08:00:11 GMT

Guests:

Leemore Dafny, PhD, Harvard University economist

Michael Bailit, MBA President and Founder Bailit Health

David Seltz, Executive Director Massachusetts Health Policy Commission

Amy Rosenthal, MPH, MPA Executive Director Health Care For All

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One Doctor’s Crusade to Improve Health Literacy

Thu, 02 Feb 2023 08:00:37 GMT

This week, one doctor’s crusade to help more people understand their own health care and why insurers are starting to buy in.

Guests:

Lisa Fitzpatrick, MD, MPH, MPA, Founder and CEO, Grapevine Health

Keith Maccannon, Director of Marketing, Outreach and Community Relations, AmeriHealth Caritas District of Columbia

Yvonne Smith, Grapevine Client

Karen Dale, RN, MSN, Market President, AmeriHealth Caritas District of Columbia

Learn more and read a full transcript on our website.

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BONUS: CMS Approves Medicaid Coverage for Inmates

Fri, 27 Jan 2023 08:01:52 GMT

Popping into the feed with a bit of breaking news on a story we've been reporting on for months: For the first time ever, some people incarcerated in jail or prison will have access to Medicaid. We'll have a full episode on this dramatic policy change in February.

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The End of Humira’s $200 Billion Drug Monopoly

Thu, 26 Jan 2023 08:00:47 GMT

After 20 years, Humira – the best selling drug of all time – is finally facing direct competition. Typically, once generic drugs arrive on a market they dominate sales and deliver big savings. But Humira’s competitors, known as biosimilars, aren’t like most other generics.

This week, what makes this prescription drug showdown so unusual – and so important.

Guest:

Marta Wosińska, PhD, Visiting Fellow, Brookings Institution

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Three Health Policy Stories to Watch in 2023

Thu, 19 Jan 2023 08:00:44 GMT

A congressional ban on removing anyone from Medicaid will expire early next year. What will happen to people who lose their coverage, and how are states preparing for this unprecedented undertaking?

Guests:

Elizabeth Nash, Principle Policy Associate, State Issues

Cindy Mann, Partner, Manatt Health

Rachel Cohrs, Washington Correspondent, STAT

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Tradeoffs in 2023

Thu, 12 Jan 2023 08:00:10 GMT

We've got a lot to share with you in 2023!

We're looking into what might happen to the marketplace as Humira, the best selling prescription drug in history, goes generic; and profile a woman pioneering a new strategy to help people better manage their own health, a strategy that has insurance companies whispering.

The FDA has approved another controversial Alzheimer’s drug, Medicare is gearing up to negotiate drug prices, millions of Americans could lose their Medicaid…and, of course, abortion. Tradeoffs is here to take you through the health care year ahead. We’ll explore the policies and programs, and we’ll introduce you to the people whose lives they shape.

New episodes start 19 January, 2023!

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Turning Long-Term Care Into a Long-Term Career

Thu, 05 Jan 2023 08:00:40 GMT

There’s a severe shortage of people to care for older Americans in their homes and nursing facilities. And it’s only expected to get worse. Could providing long-term care workers with new career pathways be part of the solution?

Guests:

Serena Maria, Manager of Care Teams, Homebridge

Mark Burns, Executive Director, Homebridge

Natasha Bryant, Senior Director of Workforce Research and Strategy, LeadingAge LTSS Center at UMass Boston

Jonathan Gruber, PhD, Ford Professor of Economics, MIT

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California Bets Big on Housing in Medicaid

Thu, 29 Dec 2022 08:00:10 GMT

California is in the early days of one of the most ambitious initiatives ever to address Medicaid patients’ social needs in hopes of improving their health. This week, we trace the origins, early results and challenges of “CalAIM.”

Guests:

Jacey Cooper, Director, California Medicaid Program

Bradley Gilbert, MD, MPP, Former Chief Medical Officer and CEO, Inland Empire Health Plan

Lacy McClellan

Dale Stout

Anthony Wright, Executive Director, Health Access California

Paula Lantz, PhD, James B. Hudak Professor of Health Policy, University of Michigan Gerald R. Ford School of Public Policy

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The Race to Prepare for Medicare’s New Drug Pricing Powers

Thu, 22 Dec 2022 08:00:55 GMT

The Inflation Reduction Act gives Medicare historic new powers to control prescription drug prices. We go inside the government’s race to implement these new powers — and the pharmaceutical industry’s efforts to blunt their impact.

Guests:

Alice Valder Curran, JD, Partner, Hogan Lovells

Sean Dickson, JD, MPH, Director of Health Policy, West Health Policy Center

Amber Jessup, PhD, Chief Economist, Office of Inspector General, Department of Health and Human Services

Mark Newsom, Founder and Principal, Health Evaluations

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Abortion Funds’ Growing Role Post-Roe

Thu, 15 Dec 2022 08:00:54 GMT

Independent abortion funds have been flooded with donations since Roe v. Wade was overturned. How do these funds work and what role will they play in a post-Roe world?

Guests:

Brittany Mostiller, Leadership Development Coordinator, National Network of Abortion Funds

Gretchen Ely, PhD, MSW, Director of PhD Program, University of Tennessee College of Social Work

Kim Floren, Director, Justice Through Empowerment Network

Erin Smith, Executive Director, Kentucky Justice Health Network

Read a full transcript and dig deeper into our reporting here.

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What Research Says About a Post-Roe World

Thu, 08 Dec 2022 08:00:37 GMT

The leader of a landmark abortion study shares what research and her own family experience suggest will happen to people who are denied abortions in a post-Roe world.

Guests:

Diana Foster Green, director of research at Advancing New Standards in Reproductive Health

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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Best Health Care Podcasts of 2022

Thu, 01 Dec 2022 05:00:01 GMT

Our annual look back at some of the best health care podcast episodes of the year with help from a few of our podcast host friends.

Guests:

Dr. Abdul El-Sayed, Policymaker in Residence, University of Michigan's Gerald R. Ford School of Public Policy and host of America Dissected

Keris Myrick, Vice President of Partnerships, Inseparable and host of Unapologetically Black Unicorn

Learn more and read a full transcript on our website.

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Local Officials Grapple With How to Spend Opioid Settlement Dollars

Thu, 17 Nov 2022 08:00:46 GMT

More than $50 billion in opioid settlement dollars from drugmakers, distributors and pharmacies is starting to flow to state and local governments and they need to figure out how to spend it.

Guests:

Dave Baker, Minnesota State Representative and chair of the state’s Opioid Epidemic Response Advisory Council

Sara Whaley, Opioid Policy Researcher at Johns Hopkins Bloomberg School of Public Health @saraewhaley

Learn more and read a full transcript on our website.

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The Hurdles Facing Black Families Navigating Serious Illness

Thu, 10 Nov 2022 08:01:17 GMT

This week, we explore what stops seriously ill Black patients and their families from getting the care they want in life and in death.

Guests:

Deborah Brunson, PhD, Caregiver and Professor Emeritus, University of North Carolina Wilmington

Karen Bullock, PhD, LCSW, Professor, Boston College School of Social Work

Learn more and read a full transcript on our website.

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‘A Shocking Amount of Misery’: Medical Debt in America

Thu, 03 Nov 2022 07:00:31 GMT

Even though more Americans than ever have health insurance, medical debt is a pervasive problem in the United States.

Guests:

Noam Levey, Senior Correspondent, Kaiser Health News

Wesley Yin, PhD, Associate Professor of Economics, UCLA

Learn more and read a full transcript on our website.

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Medicare’s Prescription Drug Plan Makeover

Thu, 27 Oct 2022 07:00:38 GMT

An overhaul of Medicare’s prescription drug benefit will lower costs for seniors while changing incentives for insurers and drugmakers.

Guests

Therese Humphrey Ball, Multiple sclerosis patient and advocate.

Juliette Cubanski, Deputy Director for Program on Medicare Policy at the Kaiser Family Foundation.

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Turning Long-Term Care Into a Long-Term Career

Thu, 20 Oct 2022 07:00:59 GMT

Guests:

Serena Maria, Manager of Care Teams, Homebridge

Mark Burns, Executive Director, Homebridge

Natasha Bryant, Senior Director of Workforce Research and Strategy, LeadingAge LTSS Center at UMass Boston

Jonathan Gruber, PhD, Ford Professor of Economics, MIT

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The ‘Wild West’ of Health Workforce Policy

Thu, 13 Oct 2022 07:00:58 GMT

Early in the pandemic, state officials unleashed a flood of emergency orders relaxing the rules that limit the care each health profession can provide. Now these temporary measures are expiring and health professionals from pharmacists to physician assistants are jockeying to shape the next wave of workforce reforms.

Guests:

Susanna Storeng, DMSc, PA-C, Physician Assistant, High Plains Community Health Center

Bianca Frogner, PhD, Professor and Director of the Center for Health Workforce Studies, University of Washington

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The Next Chapter in Democratizing America’s Health Data

Thu, 06 Oct 2022 07:00:10 GMT

Starting Oct. 6, providers must begin giving patients electronic access to more of their health care data than ever before. But the federal regulations forcing this change are fraught with implementation challenges and privacy risks.

This week we talk with Micky Tripathi, the federal official overseeing this push to democratize America’s health data, about its promise and perils.

Guest

Micky Tripathi, PhD, MPP, National Coordinator for Health Information Technology, U.S. Department of Health and Human Services

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The Push to End Cancer Screening Purgatory

Thu, 29 Sep 2022 07:00:28 GMT

Initial screenings for breast, lung and cervical cancer are free, but expensive secondary tests can leave patients in screening purgatory.

Guests:

Mark Fendrick, MD, Professor of Medicine and public health at the University of Michigan, Director of the Center for Value Based Insurance Design.

Gloria Coronado, PhD, epidemiologist and health disparities researcher, Kaiser Permanente Center for Health Research

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California Bets Big on Housing in Medicaid

Thu, 22 Sep 2022 07:00:55 GMT

Guests:

Jacey Cooper, Director, California Medicaid Program

Bradley Gilbert, MD, MPP, Former Chief Medical Officer and CEO, Inland Empire Health Plan

Lacy McClellan

Dale Stout

Anthony Wright, Executive Director, Health Access California

Paula Lantz, PhD, James B. Hudak Professor of Health Policy, University of Michigan Gerald R. Ford School of Public Policy

Learn more and read a full transcript on our website.

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Presenting The Nocturnists: Hello Shame

Thu, 15 Sep 2022 07:00:47 GMT

This week, we’re sharing the first episode of a new 10-part series from The Nocturnists podcast, called “Shame in Medicine: The Lost Forest.”

What is shame? And how does it manifest in medical culture? The Nocturnists teams up with two shame experts to investigate these questions.

Read a full transcript of this episode on our website.

Learn more about this episode and the Shame in Medicine series at https://www.thenocturnists-shame.org/.

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The Race to Prepare for Medicare’s New Drug Pricing Powers

Thu, 08 Sep 2022 07:00:02 GMT

Guests:

Alice Valder Curran, JD, Partner, Hogan Lovells

Sean Dickson, JD, MPH, Director of Health Policy, West Health Policy Center

Amber Jessup, PhD, Chief Economist, Office of Inspector General, Department of Health and Human Services

Mark Newsom, Founder and Principal, Health Evaluations

Learn more and read a full transcript on our website.

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Fixing the Obamacare 'Glitch' That Pushed One Couple to Divorce

Thu, 01 Sep 2022 07:00:07 GMT

The Biden administration is trying to close a gap in the Affordable Care Act that blocks 5 million people from getting affordable health care.

Guests:

Liana Wolk, teacher

Owen Marshall, musician

Katie Keith, JD, MPH; Director, Health Policy and the Law Initiative at the O’Neill Institute at the Georgetown University Law Center.

Learn more and read a full transcript on our website.

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Too Healthy for the Hospital, Too Sick for the Streets

Thu, 25 Aug 2022 07:00:07 GMT

Why are a growing number of private insurance companies starting to invest in medical respite — a decades-old idea to care for homeless people who are too healthy to be in the hospital, but too sick to be on the streets?

Guests:

Henry Jones, former medical respite patient

Janelle Goetcheus, MD, Founder and Medical Director, Christ House

Julia Dobbins, MSW, Director of Medical Respite, National Health Care for the Homeless Council

Jack Kline, LICSW, LCSW-C, Former Executive Program Director, Hope Has A Home

Karyn Wills, MD, Chief Medical Officer, CareFirst Blue Cross Community Health Plan, DC

Learn more about medical respite and read a full transcript on our website.

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Has Medicaid Managed Care Delivered On Its Promise?

Thu, 18 Aug 2022 07:00:51 GMT

Letting private insurers offer Medicaid coverage was supposed to lower costs and improve care. We dig into the research on Medicaid managed care.

Guests:

Sayeh Nikpay, PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota

Kathleen Adams, PhD, Professor of Health Policy and Management, Rollins School of Public Health at Emory University

Allan Baumgarten, JD, Independent Health Policy Analyst

Read more of the research on Medicaid managed care and find a full transcript on our website: https://tradeoffs.org/2021/11/04/medicaid-managed-care/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

Support this type of journalism today, with a gift. If you give before Dec. 31, 2021, your donation will be doubled thanks to a match from the Institute for Nonprofit News: https://tradeoffs.org/donate

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Health Care’s Climate Change Contradiction

Thu, 11 Aug 2022 07:00:46 GMT

The U.S. health care system is responsible for 8.5% of the country’s greenhouse gas emissions. We discuss how health care contributes to climate change, how some hospitals are trying to reduce their carbon footprint and what more needs to be done.

Guest:

Gary Cohen, co-founder and president of Health Care Without Harm

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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Harm Reduction’s Road From Fringe to Federal Drug Policy

Thu, 04 Aug 2022 07:00:04 GMT

The overdose crisis in the U.S. is as deadly as it’s ever been. In response, the Biden administration is embracing a controversial strategy known as harm reduction, which seeks to keep drug users safe even as they continue using. We explore how harm reduction has become more mainstream and what kind of impact we can expect it to have on the overdose crisis.

Guests:

Ricky Bluthenthal, PhD, Associate Dean for Social Justice; Keck School of Medicine, University of Southern California

Keith Humphreys, PhD, Esther Ting Memorial Professor of Psychiatry and Behavioral Services, Stanford University

Beau Kilmer, PhD, Director of the RAND Drug Policy Research Center

Kimberly Sue, MD, PhD, Assistant Professor of Medicine, Yale School of Medicine

Maia Szalavitz, Journalist and Author, Undoing Drugs: The Untold Story of Harm Reduction and the Future of Addiction

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

Please take a couple of minutes to help us learn more about you by filling out our listener survey.

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A New Era in the Fight Over Medicaid Premiums

Thu, 28 Jul 2022 07:00:33 GMT

We explore the impacts of charging Medicaid enrollees premiums and how phasing out premiums may affect Montana's Medicaid expansion program.

Guests:

Katharine Bradley, Principal Researcher, Mathematica

Heather O'Loughlin, Co-Director, Montana Budget & Policy Center

Ed Buttrey, State Representative, Montana

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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Abortion Funds’ Growing Role Post-Roe

Thu, 21 Jul 2022 07:00:33 GMT

Independent abortion funds have been flooded with donations since Roe v. Wade was overturned. How do these funds work and what role will they play in a post-Roe world?

Guests:

Brittany Mostiller, Leadership Development Coordinator, National Network of Abortion Funds

Gretchen Ely, PhD, MSW, Director of PhD Program, University of Tennessee College of Social Work

Kim Floren, Director, Justice Through Empowerment Network

Erin Smith, Executive Director, Kentucky Justice Health Network

Read a full transcript and dig deeper into our reporting here.

Please take a couple of minutes to help us learn more about you by filling out our listener survey.

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BONUS: Talking 988 with The Takeaway

Sat, 16 Jul 2022 07:00:16 GMT

To mark the launch date of 988, America's new mental health crisis line, we're sharing a segment from The Takeaway, a public radio show and podcast produced by WNYC Studios and PRX, featuring Tradeoffs host Dan Gorenstein talking about our reporting on 988.

Read a full transcript and dig deeper into our reporting here.

Please take a couple of minutes to help us learn more about you by filling out our listener survey.

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Answering the Call, Part 3: America's New Crisis Line Goes Live

Thu, 14 Jul 2022 07:00:58 GMT

In Part 3 of our special series on 988, we go on the ground to hear from individuals working in their communities to prepare for America’s new mental health crisis line to go live.

Guests:

Natalie Krebs, Health reporter, Iowa Public Radio

Emily Blomme, Chief Executive Officer, Foundation 2 Crisis Services

Christine Herman, Managing editor, Side Effects Public Media

Mike Sunseri, Deputy Executive Director, Kentucky Office of Homeland Security

Carter Barrett, Reporter, Side Effects Public Media

Benjamin Kowalczyk, Living Room patient

Read a full transcript and dig deeper into our reporting here.

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Answering the Call, Part 2: Struggling to Staff the Nation’s New Crisis Line

Wed, 13 Jul 2022 07:00:59 GMT

In Part 2 of our special series on 988, we explore the scramble to staff the country’s new mental health crisis line and the workforce lessons 988 can learn from 911.

Learn more about how 988 came to be, what’s at stake and what it will take to succeed in the first episode in our series.

Guests:

Rebecca Neusteter, PhD, Executive Director, Health Lab, University of Chicago

Rita Salazar, 911 call-taker, Valley Communications Center

Michelle Lilly, PhD, Associate Professor of Clinical Psychology, Northern Illinois University

Jennifer Battle, MSW, Director of Access, Harris Center for Mental Health and IDD Services

Lata Menon, MSW, CEO, First Choice Services

Courtney Colwell, 988 Program Manager, Volunteers of America Western Washington

Read a full transcript and dig deeper into all our coverage of 988 here.

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Answering the Call, Part 1: America’s New Mental Health Crisis Line

Tue, 12 Jul 2022 07:00:04 GMT

Starting July 16, 2022, anyone in the U.S. experiencing a mental health crisis will be able to dial 988 for help. We explore what it will take for this new nationwide hotline to meet the needs of millions of people struggling with suicide, addiction and mental illness.

Guests:

Andrea Harrison, Helpline Specialist, First Choice Services

Madhuri Jha, LCSW, MPH, Director, Kennedy-Satcher Center for Mental Health Equity, Morehouse School of Medicine

Ben Miller, PsyD, President, Well Being Trust

Hannah Wesolowski, MPA, Chief Advocacy Officer, National Alliance on Mental Illness

Read a full transcript and dig deeper into all our coverage of 988 here.

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Good Intentions Gone Awry

Thu, 07 Jul 2022 07:00:35 GMT

Why has a little-known program designed to help hospitals and clinics that serve low-income people become one of the most controversial health policies in the country?

Guests:

Sayeh Nikpay, PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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What Research Says About a Post-Roe World

Thu, 30 Jun 2022 07:00:36 GMT

The leader of a landmark abortion study shares what research and her own family experience suggest will happen to people who are denied abortions in a post-Roe world.

Guests:

Diana Foster Green, director of research at Advancing New Standards in Reproductive Health

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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The Personal and Political Fight to Keep Abortion Legal in Michigan

Thu, 23 Jun 2022 07:00:07 GMT

A personal and political fight to keep abortion legal in Michigan is in full swing. Michigan is one of more than 20 states poised to ban abortion if Roe v. Wade falls. Politico’s Alice Miranda Ollstein speaks with one woman who got an illegal abortion in Michigan and outlines the political levers state leaders have to to preserve abortion rights.

Guests:

Alice Miranda Ollstein, health care reporter, POLITICO

Renee Chelian, Executive Director, Northland Family Planning Centers

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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America’s Chronic Drug Shortage Problem

Thu, 16 Jun 2022 07:00:36 GMT

How one hospital is scrambling to deal with a shortage of a critical drug, and what changes are needed to fix chronic problems with the U.S. medical supply chain.

Guests:

Kierstin Kennedy, Chief Medical Officer, University of Alabama Birmingham Hospital

Erin Fox, Senior Pharmacy Director, University of Utah Health

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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Pain, Fear and Waste: The Costs of Unnecessary Care

Thu, 09 Jun 2022 07:00:37 GMT

We explore “cascades of care” — how a clinician's desire to be thorough can snowball into a harmful spiral of unnecessary care.

Guests:

Meredith Niess, MD, MPH, Clinical Academic Resource Director, University of North Carolina School of Medicine and Novant Health

Ishani Ganguli, MD, MPH, Assistant Professor of Medicine, Harvard Medical School and Brigham and Women’s Hospital

Cheryl Damberg, PhD, MPH, Principal Senior Economist and Director, RAND Center of Excellence on Health System Performance

Scott Weingarten, MD, MPH, Professor of Medicine, Cedars-Sinai Medical Center; Chief Innovation Officer, SCAN Health Plan

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

Support this type of journalism today by making a donation.

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Answering the Call, Part 2: Struggling to Staff the Nation’s New Crisis Line

Thu, 02 Jun 2022 07:00:29 GMT

In Part 2 of our special series on 988, we explore the scramble to staff the country’s new mental health crisis line and the workforce lessons 988 can learn from 911.

Learn more about how 988 came to be, what’s at stake and what it will take to succeed in the first episode in our series.

Guests:

Rebecca Neusteter, PhD, Executive Director, Health Lab, University of Chicago

Rita Salazar, 911 call-taker, Valley Communications Center

Michelle Lilly, PhD, Associate Professor of Clinical Psychology, Northern Illinois University

Jennifer Battle, MSW, Director of Access, Harris Center for Mental Health and IDD Services

Lata Menon, MSW, CEO, First Choice Services

Courtney Colwell, 988 Program Manager, Volunteers of America Western Washington

Learn more and read a full transcript on our website.

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Can More Time on Medicaid Lower Maternal Deaths?

Thu, 26 May 2022 07:00:09 GMT

The country’s high rates of pregnancy-related deaths and complications, and the potential impact Biden’s push to expand Medicaid coverage for pregnant people may have.

Guests:

Stacey Roussel, Deputy Director, Louisiana Budget Project

Frankie Robertson, Founder & President, The Amandla Group

Usha Ranji, Associate Director for Women’s Health Policy at Kaiser Family Foundation

Learn more and read a full transcript on our website.

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Fixing the Obamacare 'Glitch' That Pushed One Couple to Divorce

Thu, 19 May 2022 07:00:28 GMT

The Biden administration is trying to close a gap in the Affordable Care Act that blocks 5 million people from getting affordable health care.

Guests:

Liana Wolk, teacher

Owen Marshall, musician

Katie Keith, JD, MPH; Director, Health Policy and the Law Initiative at the O’Neill Institute at the Georgetown University Law Center.

Learn more and read a full transcript on our website.

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Presenting Color Code: Dismantling Medical Racism Starts in the Classroom

Thu, 12 May 2022 07:00:38 GMT

Medical education is in the midst of a revolution. Students and educators want their education ingrained in antiracism and hope that by acknowledging and teaching about bias and systemic discrimination in the medical field, the next generation of doctors will be better equipped to dismantle racism within health care. STAT's “Color Code” takes a look at the groundswell of antiracism work in medicine and medical education, and explores the backlash these endeavors have received, which span from institutional repercussions to protests from hate groups

Guests:

Jerrel Catlett: An MD/PhD student at the Icahn School of Medicine at Mount Sinai.

Rebecca Zhou: A peer in medical school at Mt. Sinai.

Jennifer Dias: An MD candidate at the Icahn School of Medicine at Mount Sinai.

Michelle Morse: Chief Medical Officer of the NYC Dept. of Health and Mental Hygiene.

Aysha Khoury: Assistant Professor at the Morehouse School of Medicine.

Read a full transcript on our website.

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How One Doctor Is Prepping for a World Without Roe

Thu, 05 May 2022 07:00:00 GMT

We talk with a Michigan OB-GYN determined to make sure her hospital is ready if abortion becomes illegal in her state.

Learn more and read a full transcript on our website.

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Too Healthy for the Hospital, Too Sick for the Streets

Thu, 28 Apr 2022 07:01:08 GMT

Guests:

Henry Jones, former medical respite patient

Janelle Goetcheus, MD, Founder and Medical Director, Christ House

Julia Dobbins, MSW, Director of Medical Respite, National Health Care for the Homeless Council

Jack Kline, LICSW, LCSW-C, Former Executive Program Director, Hope Has A Home

Karyn Wills, MD, Chief Medical Officer, CareFirst Blue Cross Community Health Plan, DC

Learn more about medical respite and read a full transcript on our website.

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The Sky-High Price of Insulin and What Lawmakers Are Trying to Do About It

Thu, 21 Apr 2022 07:00:04 GMT

We explore the high cost of insulin in the U.S. and Congress’ latest push to address those prices with Kaiser Health News reporter Bram Sable-Smith.

Guest:

Bram Sable-Smith, Midwest Correspondent, Kaiser Health News

Have a look at some additional resources and a full transcript.

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How One Alzheimer’s Drug Is Changing the U.S. Drug Approval Conversation

Thu, 14 Apr 2022 07:00:44 GMT

After Medicare’s decision to restrict coverage of the controversial new Alzheimer’s drug Aduhelm, we look at how this one drug has forced the nation to reexamine how to balance the needs of desperate patients, incomplete evidence and larger economic realities.

Guests:

Phil Gutis, Alzheimer’s patient and advocate

Holly Fernandez Lynch, JD, MBe, John Russell Dickson, MD Presidential Assistant Professor of Medical Ethics, University of Pennsylvania

Have a look at some additional resources and a full transcript.

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Immunocompromised in a COVID-Weary World

Thu, 07 Apr 2022 07:00:15 GMT

An immunosuppressed physician explains what navigating her life – and her workplace – is like in this COVID-fatigued world.

Guest:

Lindsay Ryan, MD, San Francisco VA Medical Center

Have a look at some additional resources and a full transcript.

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Inside Big Health Insurers’ Side Hustle

Thu, 31 Mar 2022 07:00:47 GMT

America’s largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country’s biggest employers. What could go wrong?

Join us for a wild, wonky journey into the world of third-party administrators.

Guests:

Christin Deacon, JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of Treasury

Brian Hufford, JD, Partner, Zuckerman Spaeder LLP

Ken Janda, JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine

Sandy Peters, retiree

Have a look at more of Leslie's reporting on TPAs.

Support this type of journalism today, with a gift: https://tradeoffs.org/donate

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Health Care’s Climate Change Contradiction

Thu, 24 Mar 2022 07:00:07 GMT

NOTE: This episode has been updated to clarify Practice Greenhealth's operating model.

Guest:

Gary Cohen, co-founder and president of Health Care Without Harm

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

Support this type of journalism today by making a donation.

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A New Era in the Fight Over Medicaid Premiums

Thu, 17 Mar 2022 07:00:20 GMT

We explore the impacts of charging Medicaid enrollees premiums and how phasing out premiums may affect Montana's Medicaid expansion program.

Guests:

Katharine Bradley, Principal Researcher, Mathematica

Heather O'Loughlin, Co-Director, Montana Budget & Policy Center

Ed Buttrey, State Representative, Montana

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

Support this type of journalism today by making a donation.

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Presenting Sick: Screaming in the Shower

Thu, 10 Mar 2022 08:00:30 GMT

Jails and prisons are one of the few places in the United States where health care is a right. But for many incarcerated people, that care often falls short. This is the story one of those people: Princola Shields.

This episode was originally produced for the podcast Sick, a production of Side Effects Public Media.

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

Support this type of journalism today by making a donation.

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Pain, Fear and Waste: The Costs of Unnecessary Care

Thu, 03 Mar 2022 08:00:21 GMT

We explore “cascades of care” — how a clinician's desire to be thorough can snowball into a harmful spiral of unnecessary care.

Guests:

Meredith Niess, MD, MPH, Clinical Academic Resource Director, University of North Carolina School of Medicine and Novant Health

Ishani Ganguli, MD, MPH, Assistant Professor of Medicine, Harvard Medical School and Brigham and Women’s Hospital

Cheryl Damberg, PhD, MPH, Principal Senior Economist and Director, RAND Center of Excellence on Health System Performance

Scott Weingarten, MD, MPH, Professor of Medicine, Cedars-Sinai Medical Center; Chief Innovation Officer, SCAN Health Plan

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

Support this type of journalism today by making a donation.

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff.

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Peter Lee on Obamacare, Covered California and Where We Go Next With Health Care

Thu, 24 Feb 2022 08:00:30 GMT

As Peter Lee prepares to step down after a decade of running California's Obamacare exchange, he reflects on his experience, the strengths and weaknesses of the Affordable Care Act, and what the next frontier for health care should be in the U.S.

Guest:

Peter Lee, Executive Director, Covered California

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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The FDA Super Bowl

Thu, 17 Feb 2022 08:00:18 GMT

Every 5 years, the FDA has to renegotiate billions of dollars in user fees with the drug and medical device companies it regulates. This is one of those years, and Congress has to pass the latest user fee agreements by the end of September to keep FDA running. We break down this controversial process and what other health policies could pass in its wake.

Guest:

Sarah Karlin-Smith, Senior Writer, Pink Sheet

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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Off Script: One Pharmacist's COVID Woes and Wins

Thu, 10 Feb 2022 08:00:01 GMT

This week, a pharmacist and co-owner of an independent pharmacy in Iowa shares what life is like nearly two years into the pandemic.

Guest:

Kelly Kent, RPh, PharmD, pharmacist and chief operating officer, Towncrest Pharmacy.

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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Answering the Call, Part 1: America’s New Mental Health Crisis Line

Thu, 03 Feb 2022 08:00:09 GMT

Guests:

Andrea Harrison, Helpline Specialist, First Choice Services

Madhuri Jha, LCSW, MPH, Director, Kennedy-Satcher Center for Mental Health Equity, Morehouse School of Medicine

Ben Miller, PsyD, President, Well Being Trust

Hannah Wesolowski, MPA, Chief Advocacy Officer, National Alliance on Mental Illness

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

Support this type of journalism today by making a donation.

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff.

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Harm Reduction’s Road From Fringe to Federal Drug Policy

Thu, 27 Jan 2022 08:00:03 GMT

Guests:

Ricky Bluthenthal, PhD, Associate Dean for Social Justice; Keck School of Medicine, University of Southern California

Keith Humphreys, PhD, Esther Ting Memorial Professor of Psychiatry and Behavioral Services, Stanford University

Beau Kilmer, PhD, Director of the RAND Drug Policy Research Center

Kimberly Sue, MD, PhD, Assistant Professor of Medicine, Yale School of Medicine

Maia Szalavitz, Journalist and Author, Undoing Drugs: The Untold Story of Harm Reduction and the Future of Addiction

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

Support this type of journalism today by making a donation.

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Medicare’s Unprecedented Alzheimer’s Drug Decision

Thu, 20 Jan 2022 08:00:47 GMT

Last week, Medicare took an unprecedented step to restrict patients’ access to the first new Alzheimer’s disease treatment in nearly 20 years. We talk with a doctor, a patient and a former federal official about this unusual move and its wide-ranging implications.

Guests:

Jay Reinstein, Alzheimer’s disease patient and advocate

Sharon Sha, MD, MS, Clinical Associate Professor of Neurology and Neurological Sciences, Stanford University

Sean Tunis, MD, MSc, Senior Fellow, Tufts Center for Evaluation of Value and Risk in Health, former FDA advisor and former CMS official

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

Support this type of journalism today by making a donation.

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What's Ahead for Tradeoffs

Thu, 13 Jan 2022 08:00:21 GMT

We've got a lot to share with you in 2022!

We're looking into new strategies to battle overdose deaths; the unfolding saga of the new Alzheimer's drug; and the rollout of a new national hotline for mental health emergencies.

Tradeoffs is here to take you through the health care year ahead. We’ll explore the policies and programs, and we’ll introduce you to the people whose lives they shape.

New episodes start 20 January, 2022!

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One Woman’s Year Surviving the Pandemic with a Disability

Thu, 06 Jan 2022 08:00:38 GMT

A young woman living with cerebral palsy shares the struggles, fears and silver linings she’s experienced during the pandemic.

Guest: Jeiri Flores, disability rights advocate

Read a full transcript and dig deeper into the issues explored in today's episode on our website.

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A New Era of Gun Violence Research

Thu, 30 Dec 2021 08:00:06 GMT

As gun violence surges, researchers are using new federal funding to search for solutions.

Emmy Betz, MD, MPH, Associate Professor of Emergency Medicine and Director of the Firearm Injury Prevention Initiative, University of Colorado

Jonathan Jay, DrPH, JD, Assistant Professor of Community Health Sciences, Boston University

Autumn Parkin, gun owner and advocate

If you or someone you know is having suicidal ideation, please call the Suicide Prevention Hotline: 800 273 8255

For more information about gun violence research visit our website.

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Health Care's Ransomware Wake-Up Call

Thu, 23 Dec 2021 08:00:58 GMT

Health care has long lagged behind other industries when it comes to cybersecurity. But with ransomware attacks against the industry on the rise, providers are quickly trying to close the gap and protect their systems and patients.

Guests:

Karen Sprenger, CISSP, GCFE, Chief Operating Officer and Chief Ransomware Negotiator, LMG Security

M. Eric Johnson, PhD, Ralph Owen Dean and Bruce D. Henderson Professor of Strategy, Vanderbilt University Owen Graduate School of Management

Anahi Santiago, Chief Information Security Officer, ChristianaCare

Saad Chaudhry, MPP, Chief Information Officer, Luminis Health

Read a full transcript, dig into the numbers, and learn more about ransomware negotiator Karen Sprenger on our website.

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Presenting An Arm and A Leg: The Insurance Warrior

Thu, 16 Dec 2021 08:00:55 GMT

Like Tradeoffs, An Arm and a Leg tells stories about our complicated health care system. Host Dan Weissmann tells the story of an engineer, who worked for Boeing for over 30 years. When he was diagnosed with a rare form of cancer, he needed surgery but his insurance denied the claim. That’s when his wife called Laurie Todd, the Insurance Warrior.

Check out more of this story.

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The Best Health Care Podcasts of 2021

Thu, 09 Dec 2021 08:00:52 GMT

We look back on some of the best health policy podcast episodes of the year with help from a few of our podcast host friends.

Guests:

Dr. Bapu Jean, host, Freakonomics, MD

Kimberly Seals-Allers, host, Birthright

Maiken Scott, host, The Pulse, WHYY

Dr. Celine Gounder, host, American Diagnosis and Epidemic

For a complete transcript and more recommendations.

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Presenting Playbook Deep Dive: Biden's Abortion Clash with the Catholic Church

Thu, 02 Dec 2021 08:00:27 GMT

Produced weekly by Politico, the Playbook Deep Dive podcast tells the stories behind the power, from Congress and the White House to bar stools and back rooms. This episode, considers what it means to be the nation’s second Catholic president. Playbook co-author Ryan Lizza talks with senior staff writer Ruby Cramer about how Joe Biden balances a very public role with the “private matter” of his faith at a time of deep division over abortion, and among the bishops in his own church.

Check out all of Politico's podcasts

Keep up with all Tradeoffs activity this month.

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Rethinking Telehealth's Role in Treating Addiction

Thu, 18 Nov 2021 08:00:19 GMT

COVID opened the door to treating addiction remotely. Now policymakers have to decide whether to keep telehealth around.

Guests:

Allie Grant, patient

Sarah Channell, MSN, APRN, CNP; Clinical Director of Addiction Services; Lower Lights Christian Health Center

Allison Lin, MD, Assistant Professor of Psychiatry, University of Michigan Addiction Center; Research Scientist, VA Ann Arbor Healthcare System

Read a full transcript and learn more about how telehealth policies have changed and the evidence on treating addiction remotely on our website: https://tradeoffs.org/2021/11/18/telehealth-virtual-care-opioids-addiction/

Support this type of journalism today, with a gift. Donations made through Dec. 31, 2021 will be doubled thanks to a generous match: https://tradeoffs.org/donate

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Let’s Make a Deal…on Drug Prices

Thu, 11 Nov 2021 08:00:41 GMT

Democrats are on the brink of passing a historic set of drug price reforms as part of the Build Back Better Act. How will they impact patients, insurers and the drug industry?

Guest:

Rachel Sachs, JD, Treiman Professor of Law, Washington University in St. Louis

Find a full transcript of this episode and additional research and reporting on these potential drug price reforms on our website: https://tradeoffs.org/2021/11/11/democrats-drug-price-reconciliation

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Has Medicaid Managed Care Delivered On Its Promise?

Thu, 04 Nov 2021 07:00:50 GMT

Letting private insurers offer Medicaid coverage was supposed to lower costs and improve care. We dig into the research on Medicaid managed care.

Guests:

Sayeh Nikpay, PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota

Kathleen Adams, PhD, Professor of Health Policy and Management, Rollins School of Public Health at Emory University

Allan Baumgarten, JD, Independent Health Policy Analyst

Read more of the research on Medicaid managed care and find a full transcript on our website: https://tradeoffs.org/2021/11/04/medicaid-managed-care/

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The Costly, Confusing Medicare Choices Facing 62 Million Americans

Thu, 28 Oct 2021 07:00:03 GMT

It’s Medicare open enrollment — the one chance each year that all 62 million beneficiaries have to shop for better coverage. But choosing a new plan is much harder and riskier than it seems.

Guests:

Lilyan Grossman, Medicare beneficiary

Tricia Neuman, ScD, Senior Vice President and Executive Director of the Program on Medicare Policy, Kaiser Family Foundation

Amal Trivedi, MD, Professor of Medicine and Health Services, Policy, and Practice, Brown University

Dig deeper into the research and tradeoffs of shopping around for Medicare plans: https://tradeoffs.org/2021/10/28/medicare-open-enrollment

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Biden's $400 Billion Bet on Caring for Older and Disabled Americans at Home

Thu, 21 Oct 2021 07:00:57 GMT

President Biden wanted to spend $400 billion to help older and disabled Americans get health care at home, but the proposal has been cut by more than half as Democrats work to pare back their $3.5 trillion spending package. [This episode was originally published on April 8, 2021.]

Guests:

Howard Gleckman, Senior Fellow, Urban Institute

Rachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics at the University of Pennsylvania

Learn more and read a full transcript of the episode: https://tradeoffs.org/2021/04/08/bidens-400-billion-bet-on-caring-for-older-and-disabled-americans-at-home/

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COVID's Push and Pull on the Public Health Workforce

Thu, 14 Oct 2021 07:00:45 GMT

The pandemic has pushed hundreds of public health officials to leave their jobs. It's also inspired thousands to pursue a career in public health. We listen in on a conversation between two women pushed in different directions by the pandemic.

Guests:

Jen Miller, RN, Former Communicable Disease Nurse Consultant, Montana Department of Public Health and Human Services

Nicole Snyder, PhD, Associate Professor of Chemistry, Davidson College; MPH Candidate, Gillings School of Global Public Health, University of North Carolina

Find a full transcript and more information about how the pandemic has impacted the public health workforce on our website: https://tradeoffs.org/2021/10/14/public-health-workforce-covid-burnout/

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Can Democrats Reconcile Their Health Policy Differences?

Thu, 07 Oct 2021 07:00:54 GMT

Congressional Democrats’ blockbuster spending bill could include some historic health reforms, but major political hurdles remain. Reporter Alice Miranda Ollstein joins us to discuss the tough health policy compromises facing Democratic lawmakers.

Guest:

Alice Miranda Ollstein, health care reporter, POLITICO

A complete transcript of our conversation with Alice Miranda Ollstein is on our website: https://tradeoffs.org/2021/10/07/house-reconciliation-bill-health

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How Do We Keep the Nursing Shortage From Getting Worse?

Thu, 30 Sep 2021 07:00:56 GMT

U.S. hospitals are facing a nursing crisis, but experts say it's not as bad as the nationwide shortage of the early 2000s. We talk with two experts about what needs to be done to prevent the current crisis from getting worse.

Guests:

Peter Buerhaus, PhD, RN, FAAN; Professor, Montana State University College of Nursing; Director, Center for Interdisciplinary Health Workforce Studies

Karen Lasater, PhD, RN; Assistant Professor of Nursing, University of Pennsylvania

Find more resources on nurse shortages and a full transcript of this episode: https://bit.ly/3ol0ROr

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Inside Big Health Insurers’ Side Hustle

Thu, 23 Sep 2021 07:00:31 GMT

America’s largest health insurance companies moonlight as obscure middlemen, managing billions in health care spending for many of the country’s biggest employers. What could go wrong?

Join us for a wild, wonky journey into the world of third-party administrators.

Guests:

Christin Deacon, JD, Senior Vice President, 4C Health Solutions; former Assistant Director, Division of Pension & Benefits, New Jersey Department of Treasury

Brian Hufford, JD, Partner, Zuckerman Spaeder LLP

Ken Janda, JD, Founder, Wild Blue Health Solutions; Adjunct Professor, University of Houston College of Medicine

Sandy Peters, retiree

Have a look at more of Leslie's reporting on TPAs: https://bit.ly/3CEg6pE

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Employers Grapple With Fear, Uncertainty and Vaccine Mandates

Thu, 16 Sep 2021 07:00:00 GMT

As President Biden ups the pressure on businesses to mandate COVID-19 vaccines for their employees, we talk with a preschool owner wrestling with the decision and a researcher with tips on how to make a mandate work.

Guests:

Lesia Daniel-Hollingshead, Co-owner, Funtime Clinton

Ashley Ritter, APRN, PhD; Director of Clinical Care Research, NewCourtland; Adjunct Assistant Professor, NewCourtland Center for Transitions in Health, University of Pennsylvania School of Nursing; CEO, Dear Pandemic

Find additional resources and reporting on vaccine mandates and read a full transcript of this episode on our website: https://tradeoffs.org/2021/09/16/employers-grapple-with-fear-uncertainty-and-vaccine-mandates/

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The Next Big Challenge to Abortion Rights

Thu, 09 Sep 2021 07:00:00 GMT

The Supreme Court just declined to block a controversial abortion ban in Texas. Now an even bigger case looms on their docket, and it could dramatically alter abortion access across the U.S.

Guests:

Laurie Sobel, JD, Associate Director, Women’s Health Policy, Kaiser Family Foundation
Alina Salganicoff, PhD, Senior Vice President and Director of Women’s Health Policy, Kaiser Family Foundation

There's more about these two laws and the imminent SCOTUS case on our website: https://tradeoffs.org/2021/09/09/the-next-big-challenge-to-abortion-rights/

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Schools Brace For Pandemic-Fueled Mental Health Needs

Thu, 02 Sep 2021 07:00:00 GMT

Kids are returning to in-person school this fall with increased rates of depression, anxiety and other pandemic-fueled mental health challenges, and schools are leaning on billions in new federal funding to meet the growing need.

Guests:

Kyron Harvell, Principal, Vivian Riddle Elementary School; Lansing, Michigan

Sharon Hoover, PhD, Co-Director, National Center for School Mental Health, University of Maryland School of Medicine

Learn more about the research behind youth and school mental health on our website: https://tradeoffs.org/2021/09/02/schools-brace-for-pandemic-fueled-mental-health-needs/

Read a transcript of this episode: https://tradeoffs.org/2021/09/02/schools-brace-for-pandemic-fueled-mental-health-needs-transcript/

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Catching America's Top Cancer Killer

Thu, 26 Aug 2021 07:00:00 GMT

New national guidelines say millions more Americans should get screened for lung cancer. The test can save lives, but it's inaccessible to many and harmful to some. How should we balance the promise and perils of lung cancer screening?

Guests:

Otis Brawley, MD, Professor of Oncology, Johns Hopkins University School of Medicine

Lisa Carter-Harris, PhD, APRN, Behavioral Scientist and Adult Nurse Practitioner, Memorial Sloan Kettering Cancer Center

Cherie Erkmen, MD, Professor of Thoracic Surgery and Director, Lung Cancer Screening Program, Temple University

Ella Kazerooni, MD, Professor of Radiology, University of Michigan

Ida Pittman, lung cancer patient, Temple University Hospital

Helena Price, Ida’s cousin and health care advocate

Gerard Silvestri, MD, Professor of Pulmonology, Medical University of South Carolina

Dig deeper into the research and tradeoffs of lung cancer screening on our website: https://tradeoffs.org/2021/05/27/catching-americas-top-cancer-killer/

Read a transcript of this episode: https://tradeoffs.org/2021/05/27/catching-americas-top-cancer-killer-transcript/

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Calling the Shots: Should Employers Mandate COVID Vaccines?

Thu, 19 Aug 2021 07:00:00 GMT

With more employers requiring their employees to get vaccinated against COVID-19, we dig into the research to help employers weigh the pros and cons. [This episode was originally published on May 20, 2021.]

Guests:

Sayeh Nikpay, PhD; Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota

Corey White, PhD; Assistant Professor of Economics; Cal Poly, San Luis Obispo

Brandyn Churchill, PhD Candidate, Vanderbilt University

Learn more about Corey and Brandyn's research and the pros and cons of employer mandates on our website: https://tradeoffs.org/2021/05/20/calling-the-shots-should-employers-mandate-covid-vaccines/

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Presenting The Nocturnists: Stories from a Pandemic

Thu, 12 Aug 2021 07:00:00 GMT

One of the hardest things about being healthcare workers going through this pandemic is that we've both experienced and borne witness to moments that nobody should have to go through alone. Who do we need by our side when everything falls apart? And what do we do when they can’t be there?

More information about this episode and The Nocturnists project: https://thenocturnists.com/stories-from-a-pandemic-part-2/2021/6/22/episode-3-by-my-side

Keep up with all Tradeoffs activity this month: https://tradeoffs.org/2021/08/05/august-hiatus-episodes

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Presenting The Pulse: The Impact of Maternity Ward Closures

Thu, 05 Aug 2021 07:00:00 GMT

Hosted by Maiken Scott and aired weekly on WHYY and other NPR member stations, The Pulse tells stories at the heart of health, science and innovation. This particular Pulse story, reported by Alan Yu and Nina Feldman, looks at a crisis of maternity ward closures that recently hit the city of Philadelphia, and the surprising alliances and unexpected outcomes that it catalyzed.

Dig deeper into The Pulse team's research: https://whyy.org/segments/how-philadelphia-escaped-disaster-in-the-face-of-a-dozen-shuttered-maternity-wards/

Keep up with all Tradeoffs activity this month: https://tradeoffs.org/2021/08/05/august-hiatus-episodes

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Health Care's Ransomware Wake-Up Call

Thu, 29 Jul 2021 07:00:00 GMT

Guests:

Karen Sprenger, CISSP, GCFE, Chief Operating Officer and Chief Ransomware Negotiator, LMG Security

M. Eric Johnson, PhD, Ralph Owen Dean and Bruce D. Henderson Professor of Strategy, Vanderbilt University Owen Graduate School of Management

Anahi Santiago, Chief Information Security Officer, ChristianaCare

Saad Chaudhry, MPP, Chief Information Officer, Luminis Health

Read a full transcript, dig into the numbers, and learn more about ransomware negotiator Karen Sprenger on our website: https://tradeoffs.org/2021/07/29/health-cares-ransomware-wake-up-call

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Sacrifices and Small Wins: The Fight Against Rising Gun Violence

Thu, 22 Jul 2021 07:00:00 GMT

As gun violence continues to soar in U.S. cities, one violence prevention specialist tries to stem the tide of homicides in his hometown.

Guest: J ames "JT" Timpson, Director for Community Partnerships and Safety, Roca Maryland and Roca Impact Institute

Read a full transcript and dig deeper into the issues explored in today's episode: https://tradeoffs.org/2021/07/22/sacrifices-and-small-wins-the-fight-against-rising-gun-violence/

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One Woman’s Year Surviving the Pandemic with a Disability

Thu, 15 Jul 2021 07:00:00 GMT

A young woman living with cerebral palsy shares the struggles, fears and silver linings she’s experienced during the pandemic.

Guest: Jeiri Flores, disability rights advocate

Read a full transcript and dig deeper into the issues explored in today's episode: https://tradeoffs.org/2021/07/15/one-womans-year-surviving-the-pandemic-with-a-disability

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Why Millions Could Lose Medicaid Next Year

Thu, 08 Jul 2021 07:01:00 GMT

A congressional ban on removing anyone from Medicaid is likely to expire early next year. What will happen to people who lose their coverage, and how are states preparing for this unprecedented undertaking?

Guests:

Sara Rosenbaum, JD, Harold and Jane Hirsh Professor of Health Law and Policy, Milken Institute School of Public Health, George Washington University

Jami Snyder, Director, AHCCCS

Dave Richard, Deputy Secretary, North Carolina Medicaid

Read a full transcript and see which states are working ahead to prepare for the end of the public health emergency and state-by-state estimates of how many people could lose coverage on our website: Dig deeper into the issues explored in today's episode: https://tradeoffs.org/2021/07/08/why-millions-could-lose-medicaid-next-year/

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One County’s 20-Year Effort to Decriminalize Mental Illness

Thu, 01 Jul 2021 07:00:00 GMT

Many cities across the United States are rethinking the role of police in responding to mental health emergencies. Miami-Dade County has spent the last two decades revamping their policing — along with many other aspects of how their criminal justice system treats people in crisis. What lessons have they learned?

Guests:

Steve Leifman, JD, Associate Administrative Judge, Eleventh Judicial Circuit Court of Florida; Founder, Miami-Dade County Criminal Mental Health Project

Carol Caraballo, MSW, MPA, LCSW, Vice President of Behavioral Health Services, Thriving Mind South Florida

Dig deeper into the issues explored in today's episode: https://tradeoffs.org/2021/07/01/one-countys-20-year-effort-to-decriminalize-mental-illness

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The Aducanumab Aftermath: The Industry

Fri, 25 Jun 2021 07:00:00 GMT

How is the pharmaceutical industry reacting to the FDA’s surprising approval of a controversial Alzheimer’s drug, and what do they make of its $56,000 price tag?

This is the last episode in our weeklong series examining the potentially sweeping consequences this drug, known as aducanumab, could have on millions of patients’ lives and billions of dollars in health care spending.

Guest:

Luke Timmerman, Journalist/Founder, Timmerman Report

Explore the full series and additional resources: https://tradeoffs.org/aducanumab

Read a transcript of this episode: https://tradeoffs.org/2021/06/25/the-aducanumab-aftermath-the-industry/

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The Aducanumab Aftermath: The Payer

Thu, 24 Jun 2021 07:00:00 GMT

A controversial new $56,000 Alzheimer’s drug could wreak financial havoc on insurers, seniors and taxpayers.

This episode is part of a special weeklong series examining the potentially sweeping consequences this drug, known as aducanumab, could have on millions of patients’ lives and billions of dollars in health care spending.

Guest:

Mark Miller, PhD, Executive Vice President for Health Care, Arnold Ventures

Explore the full series and additional resources: https://tradeoffs.org/aducanumab

Read a transcript of this episode: https://tradeoffs.org/2021/06/24/the-aducanumab-aftermath-the-payer/

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The Aducanumab Aftermath: The Patient

Wed, 23 Jun 2021 07:00:00 GMT

Desperate to slow her cognitive decline, one patient shares her hopes and concerns about the first new Alzheimer’s drug in nearly 20 years.

Guest: Arthena Caston, Alzheimer’s patient and advocate

Explore the full series and additional resources: https://tradeoffs.org/aducanumab

Read a transcript of this episode: https://tradeoffs.org/2021/06/23/the-aducanumab-aftermath-the-patient/

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The Aducanumab Aftermath: The Doctor

Tue, 22 Jun 2021 07:00:00 GMT

A costly, controversial new Alzheimer’s drug is sending shockwaves through the U.S. health care system. How are doctors grappling with questions about its safety and efficacy? This is the first episode in a special conversation series featuring different people reckoning with the potentially sweeping consequences this drug could have on millions of patients’ lives and billions of dollars in health care spending.

Guest: Winston Chiong, MD, PhD, Associate Professor of Neurology, University of California, San Francisco

Explore the full series and additional resources: https://tradeoffs.org/aducanumab

Read a transcript of this episode: https://tradeoffs.org/2021/06/22/aducanumab-doctor-transcript/

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Babies, Boats & Abstracts: An Insider's Guide to Health Policy Conferences

Thu, 17 Jun 2021 07:00:00 GMT

Health policy experts are kicking off the summer with back-to-back conferences: AcademyHealth's Annual Research Meeting and the 10th Annual Conference of the American Society of Health Economists (ASHEcon). Hop on the Tradeoffs Tours bus for conference tips, stories and exciting research with a conference veteran, Kosali Simon.

Guest: Kosali Simon, PhD, Herman B. Wells Endowed Professor, Associate Vice Provost for Health Sciences; Indiana University

Find links to the conferences' full agendas and an episode transcript on our website: https://tradeoffs.org/2021/06/17/babies-boats-abstracts-an-insiders-guide-to-health-policy-conferences/

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Drilling Into a Dentist's COVID Roller Coaster Ride

Thu, 10 Jun 2021 07:00:00 GMT

The pandemic forced dentists across the country to shut down last spring. We talk with one dentist about what that meant for her business, her patients, and what it’s been like to open back up.

Guest: Stacey Van Scoyoc, DDS, General Dentist, Co-Owner, Bloomington Family Dental

Find additional resources and a full transcript of today's episode on our website: https://tradeoffs.org/2021/06/10/drilling-into-a-dentists-covid-roller-coaster-ride/

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The FDA’s Pressure-Packed Alzheimer’s Drug Decision

Thu, 03 Jun 2021 07:00:00 GMT

The U.S. Food and Drug Administration faces a costly and consequential decision over whether to approve a controversial new Alzheimer’s drug.

Guest:

Caleb Alexander, Professor of Epidemiology and Medicine, Johns Hopkins Bloomberg School of Public Health

View the transcript for today's episode: https://tradeoffs.org/2021/06/03/the-fdas-pressure-packed-alzheimers-drug-decision

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Catching America’s Top Cancer Killer

Thu, 27 May 2021 07:00:00 GMT

Guests:

Otis Brawley, MD, Professor of Oncology, Johns Hopkins University School of Medicine

Lisa Carter-Harris, PhD, APRN, Behavioral Scientist and Adult Nurse Practitioner, Memorial Sloan Kettering Cancer Center

Cherie Erkmen, MD, Professor of Thoracic Surgery and Director, Lung Cancer Screening Program, Temple University

Ella Kazerooni, MD, Professor of Radiology, University of Michigan

Ida Pittman, lung cancer patient, Temple University Hospital

Helena Price, Ida’s cousin and health care advocate

Gerard Silvestri, MD, Professor of Pulmonology, Medical University of South Carolina

Dig deeper into the research and tradeoffs of lung cancer screening on our website: https://tradeoffs.org/2021/05/27/catching-americas-top-cancer-killer/

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Calling the Shots: Should Employers Mandate COVID Vaccines?

Thu, 20 May 2021 07:00:00 GMT

With about one-third of Americans still not convinced they need to be vaccinated for COVID-19, many employers are debating whether to require their workers to get vaccinated. We dig into the research to help employers weigh the pros and cons.

Guests:

Sayeh Nikpay, PhD; Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota

Corey White, PhD; Assistant Professor of Economics; Cal Poly, San Luis Obispo

Brandyn Churchill, PhD Candidate, Vanderbilt University

Learn more about Corey and Brandyn's research and the pros and cons of employer mandates on our website: https://tradeoffs.org/2021/05/20/calling-the-shots-should-employers-mandate-covid-vaccines/

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3 Employers, 2 Wonks and 1 Health Insurance Mess (LIVE!)

Thu, 13 May 2021 07:00:00 GMT

In this special live episode, policy experts and employers debate the best way to improve the health insurance that 150 million Americans get through work. This session was part of “The Promise of Health Reform and a Public Option in a Biden Administration,” a virtual conference put on by the Leonard Davis Institute of Health Economics at the University of Pennsylvania and United States of Care.

Guests:

Brian Blase, PhD, CEO, Blase Policy Strategies; Senior Fellow, Galen Institute; Senior Fellow, Foundation for Government Accountability

Suzanne Delbanco, PhD, MPH, Executive Director, Catalyst for Payment Reform

Allison Hoffman, JD, Professor of Law and LDI Senior Fellow, University of Pennsylvania

Shaundell Newsome, Founder, Sumnu Marketing; Co-Chair, Small Business for America’s Future

Sheila Savageau, U.S. Healthcare Leader, General Motors

Learn more about shortcomings of employer-based solution and the policies proposed in this episode on our website: https://tradeoffs.org/2021/05/13/3-employers-2-wonks-and-1-health-insurance-mess/

LISTEN BACK to our recent episode on how other employers are managing the cost of health care: https://tradeoffs.org/2021/02/18/the-high-price-of-lowering-health-costs/

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Presenting The Dose: Asian Americans and the Dual Pandemic

Thu, 06 May 2021 07:00:00 GMT

Racism against people of Asian descent is not a new problem, but it’s been exacerbated lately by politicians using racist rhetoric to describe the coronavirus. Asians in America are now facing a dual pandemic: a heightened fear of racist abuse, from verbal slurs to physical assault, on top of all the anxiety of living through COVID-19. A conversation from our colleagues at The Dose.

Guests:

Shanoor Servai, MPP, Researcher, Writer and Lead Podcast Producer; The Commonwealth Fund

Vivian Shaw, PhD, College Fellow, Department of Sociology at Harvard University; Lead Researcher, AAPI COVID-19 Project

Susanna Park, PhD Candidate in Global Health, Oregon State University

Read a full transcript and learn more information about the AAPI COVID-19 project on our website: https://tradeoffs.org/2021/05/06/presenting-the-dose-asian-americans-and-the-dual-pandemic/

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Public Option(al): What Happened to Biden's Big Idea?

Thu, 29 Apr 2021 12:39:14 GMT

Despite President Biden’s campaign promise to create a public option, the policy has been missing from his first 100 days in office. A handful of states, however, are forging ahead with public option legislation.

Guests:

Heather Howard, Princeton School of Public and International Affairs

Sabrina Corlette, JD, Georgetown University

Dig deeper into the research and tradeoffs of integrated care on our website: https://tradeoffs.org/2021/04/29/public-option-what-happened-to-bidens-big-idea

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Preventing HIV Just Got A Lot Cheaper. What Took So Long?

Thu, 22 Apr 2021 07:00:00 GMT

After nearly a decade of sky-high prices, generics have sent the price of the HIV prevention drug PrEP plummeting. What kept it so expensive for so long, and will the price drop help us finally eradicate HIV?

Guests:

Robin Feldman, Professor of Law, UC Hastings; Director of the Center for Innovation

Tahir Amin, Co-Executive Director, I-MAK

Oni Blackstock, MD, Primary care and HIV physician

Tim Horn, Director of Health Care Access, National Alliance of State and Territorial AIDS Directors

Craig Garthwaite, Director of Health Care, Kellogg School of Management, Northwestern Univ.

Dig deeper into the research and tradeoffs of prescription drug pricing on our website: https://tradeoffs.org/2021/04/22/preventing-hiv-just-got-a-lot-cheaper-what-took-so-long/

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Losing a Hospital

Thu, 15 Apr 2021 07:00:00 GMT

More than 130 hospitals have closed in rural America over the last decade. Reporter Sarah Jane Tribble spent a year embedded in one small Kansas town as they dealt with their own hospital closure.

Guest: Sarah Jane Tribble, Senior Correspondent, Kaiser Health News

Read a transcript of this conversation: https://tradeoffs.org/2020/10/08/losing-a-hospital/

Hear more of Sarah Jane's reporting about Fort Scott on the first season of Where It Hurts: whereithurts.show

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Biden's $400 Billion Bet on Caring for Older and Disabled Americans at Home

Thu, 08 Apr 2021 07:00:00 GMT

President Biden wants to spend $400 billion to help older and disabled Americans get health care at home as part of his $2 trillion infrastructure proposal, a huge investment in an often neglected part of the health care system.

Guests:

Howard Gleckman, Senior Fellow, Urban Institute

Rachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics at the University of Pennsylvania

Learn more and read a full transcript of the episode: https://tradeoffs.org/2021/04/08/bidens-400-billion-bet-on-caring-for-older-and-disabled-americans-at-home/

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A New Era of Gun Violence Research

Thu, 01 Apr 2021 07:00:00 GMT

As gun violence surges, researchers are using new federal funding to search for solutions.

Emmy Betz, MD, MPH, Associate Professor of Emergency Medicine and Director of the Firearm Injury Prevention Initiative, University of Colorado

Jonathan Jay, DrPH, JD, Assistant Professor of Community Health Sciences, Boston University

Autumn Parkin, gun owner and advocate

If you or someone you know is having suicidal ideation, please call the Suicide Prevention Hotline: 800 273 8255

For more information about gun violence research visit our website: https://tradeoffs.org/2021/04/01/a-new-era-of-gun-violence-research/

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No Simple Answers: A COVID Q&A With NYT's Apoorva Mandavilli

Thu, 25 Mar 2021 08:00:00 GMT

We sit down with one of the top pandemic reporters in the country to answer to answer listener questions.

Guest: Apoorva Mandavilli, Science and Global Health Reporter, New York Times

NOTE: This episode incorrectly states that more than 125 million people had received vaccinations at the time the episode aired. More than 125 million doses had been administered, but fewer than 90 million people had received at least one dose.

Read a full transcript of this episode on our website: https://tradeoffs.org/2021/03/25/no-simple-answers-a-covid-qa-with-nyts-apoorva-mandavilli/

Read more of Apoorva's answers to listener questions, see what research health policy experts are reading right now, and get recommendations from our staff in our free weekly newsletter. Sign up now: bit.ly/tradeoffsnewsletter

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One Community Health Center’s COVID Recovery

Thu, 18 Mar 2021 07:00:00 GMT

One year ago, a community health center in Boston told us how COVID had wreaked havoc on their budget, staff and patient care. How are they doing now?

Guest:

Chuck Jones, MBA, President and CEO, Harbor Health

For more of this and our previous conversations with Jones: https://tradeoffs.org/2021/03/18/one-community-health-centers-covid-recovery

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How Will Biden’s Fix for Child Poverty Affect Kids’ Health?

Thu, 11 Mar 2021 08:00:00 GMT

The recently passed $1.9 trillion American Rescue Plan Act includes a sweeping expansion of the child tax credit, a policy change that could protect millions of kids from poverty—and the health risks that come with it.

Guests:

Deborah Frank, MD, Founding Director of the Grow Clinic at Boston Medical Center (retired); Professor of Child Health and Well-Being (retired), Boston University School of Medicine; and Founder and Principal Investigator, Children’s HealthWatch

Juell Frazier, advocate and health services professional

Tara Hayes, MPP, Director of Human Welfare Policy, American Action Forum

Hilary Hoynes, PhD, Professor of Public Policy and Economics, University of California Berkeley

Chuck Marr, MBA, Senior Director of Federal Tax Policy, Center on Budget and Policy Priorities

For more information on this topic: https://tradeoffs.org/2021/03/11/how-will-bidens-fix-for-child-poverty-affect-kids-health/

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Data and Door Knocking: One City's Push for Racial Equity in Vaccines

Thu, 04 Mar 2021 08:00:00 GMT

White Americans are getting vaccinated against COVID-19 at higher rates than Black and Latino people, even though communities of color have been hit hardest by the pandemic. We explore how Chicago is tackling this problem and what other city’s can learn from their efforts.

Guests:

Allison Arwady, MD, MPH, Commissioner, Chicago Department of Public Health

James Rudyk, Executive Director, Northwest Side Housing Center

Vanessa Valentin, Community Relations Director, 36th Ward Alderman’s Office

Adriane Casalotti, Chief of Government and Public Affairs, National Association of County and City Health Officials

Learn more about vaccine distribution inequities and read a full transcript of the episode on our website: https://tradeoffs.org/2021/03/04/data-and-door-knocking-one-citys-push-for-racial-equity-in-vaccines/

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Will the Federal Ban on Surprise Medical Bills Work?

Thu, 25 Feb 2021 08:00:00 GMT

At the end of 2020, Congress finally passed legislation protecting patients from surprise out-of-network medical bills. We dig into the research to understand what we can expect from this long-awaited policy fix.

Guests:

Sayeh Nikpay, PhD, Tradeoffs Contributing Research Editor; Associate Professor of Health Policy and Management, University of Minnesota

Benjamin Chartock, Associate Fellow, Leonard Davis Institute of Health Economics; PhD Candidate, Wharton School

Dig deeper into the research discussed in this episode: https://tradeoffs.org/2021/02/25/will-the-federal-ban-on-surprise-medical-bills-work

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The High Price of Lowering Health Costs for 150 Million Americans

Thu, 18 Feb 2021 08:00:00 GMT

Employers are clashing with hospitals, insurers and even their own workers over high health care prices. We meet some of the businesses, unions and advocates on the frontlines of this battle that could determine the fate of employer-based insurance.

Listener warning: This episode does contain sensitive language

Guests:

Marilyn Bartlett, CPA, CMA, CFM, Senior Policy Fellow, National Academy for State Health Policy, and former administrator of Montana state employee health plan

Mike Chernew, PhD, Leonard D. Schaeffer Professor of Health Care Policy, Harvard Medical School

Will Haynes, 32BJ union member

Elizabeth Mitchell, CEO, Purchaser Business Group on Health

Sara Rothstein, Director, 32BJ Health Fund

Gloria Sachdev, PharmD, President and CEO, Employers’ Forum of Indiana

Rep. Donna Schaibley, Indiana House of Representatives

Candace Shaffer, Senior Director of Benefits, Purdue University

Bob Smith, MBA, Executive Director, Colorado Business Group on Health

You can find more of our research online: https://tradeoffs.org/2021/02/18/the-high-price-of-lowering-health-costs

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Fixing Health Care's 'Leaky Pipes' Could Save the U.S. $340 Billion

Thu, 11 Feb 2021 08:00:00 GMT

The U.S. health care system is full of wasteful spending. A group of top health economists say a bunch of small changes could save the country big money.

Guests:

Zack Cooper, PhD, Associate Professor of Public Health and of Economics, Yale University

Mario Macis, PhD, Professor of Economics, Johns Hopkins Carey Business School

Fiona Scott Morton, PhD, Theodore Nierenberg Professor of Economics, Yale University

Neale Mahoney, PhD, Professor of Economics, Stanford University

Elizabeth Fowler, JD, PhD, Executive Vice President for Programs, Commonwealth Fund

Learn more about the 1% Project and read a full transcript of this episode on our website: https://tradeoffs.org/2021/02/11/fixing-health-cares-leaky-pipes-could-save-340-billion/

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Death, Disease and Denial: Combating COVID in the ER

Thu, 04 Feb 2021 08:00:00 GMT

Doctors and nurses can feel as if they’re living in two worlds. One in which patients are getting sick and dying from the coronavirus, and another in which people deny the virus is real. Emergency room physician Mike Hunihan describes what it’s like to live and work with that dissonance.

Guest:

Michael Hunihan, M.D.

View a full transcript of this episode: https://tradeoffs.org/2021/02/04/death-disease-and-denial-combating-covid-in-the-er/

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Xavier Becerra: Get to Know Biden's Pick to Lead HHS

Thu, 28 Jan 2021 08:00:00 GMT

Who is Xavier Becerra? We explore Becerra's health policy record, what drives his views and what he could do about the country's health care consolidation problem.

Guests:

Peter Lee, JD, Executive Director, Covered California

Richard Scheffler, PhD, Director, Nicholas C. Petris Center

Aditi Sen, PhD, Assistant Professor of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

Lanhee Chen, PhD, David and Diane Steffy Fellow in American Public Policy Studies, Hoover Institution

Learn more about Xavier Becerra and what HHS can do about consolidation in health care on our website: https://tradeoffs.org/2021/01/28/xavier-becerra-get-to-know-bidens-pick-to-lead-hhs/

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‘The Ten Year War’ Over Obamacare (and the Battles Ahead)

Thu, 21 Jan 2021 08:00:00 GMT

Democrats are returning to the White House and the Senate majority with a long health policy to-do list. Reporter Jonathan Cohn says the battle over Obamacare offers lessons and clues as to where the party’s “unfinished crusade for universal coverage” may head next.

Guest: Jonathan Cohn, HuffPost senior national correspondent and author of "The Ten Year War: Obamacare and the Unfinished Crusade for Universal Coverage"

You can find a complete transcript of this conversation on our website: https://tradeoffs.org/2021/01/21/the-ten-year-war-over-obamacare/

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We Need You

Thu, 14 Jan 2021 08:28:01 GMT

Nursing homes have been one of the epicenters of the COVID-19 pandemic. So why are so many nursing home workers hesitant to get vaccinated, and what can be done to turn those numbers around?

Guests: Tracey Couliboly, Director of Recreation, Jewish Home at Rockleigh

Carol Silver Elliott, CEO, Jewish Home at Rockleigh

Jasmine Travers, AGPCNP-BC CCRN, PhD, RN, Assistant Professor of Nursing, NYU Rory Meyers College of Nursing

Learn more about vaccine hesitancy in nursing homes and read a transcript of this episode: https://tradeoffs.org/2021/01/14/we-need-you/

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New Year, New Episodes!

Thu, 07 Jan 2021 08:00:00 GMT

2021 is shaping up to be a big year in health care: a new vaccine, new lawmakers with new policy agendas all over the country. Also on the horizon is a real reckoning with the health effects of racism, and a showdown between some of health care’s biggest players. Tradeoffs is here to take you through the health care year ahead. We’ll explore the policies and programs, and we’ll introduce you to the people whose lives they shape.

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The Price of Care

Thu, 31 Dec 2020 08:00:00 GMT

New federal rules requiring hospitals to post their prices are set to go into effect on Jan. 1, 2021. But will price transparency lower the cost of health care? [This episode was originally published on July 7, 2020.]

Guest: Margot Sanger-Katz, Health Care Reporter, New York Times

For more a complete transcript of Dan’s conversation with Margot: https://tradeoffs.org/2020/07/07/the-price-of-care/

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Meeting the Mental Health Need

Thu, 17 Dec 2020 08:00:00 GMT

Soaring numbers of Americans are feeling anxious, stressed and depressed. Could a reimagined approach to primary care help meet their needs? [This episode was originally published on July 28, 2020.]

Eboni Winford, PhD, Director of Research and Health Equity, Cherokee Health Systems

Parinda Khatri, PhD, Chief Clinical Officer, Cherokee Health Systems

Sandy Blount, EdD, Founding Director, Center for Integrated Primary Care, University of Massachusetts Medical School

Richard Frank, PhD, Margaret T. Morris Professor of Health Economics, Harvard Medical School

Robert, Patient, Cherokee Health Systems

Dig deeper into the research and tradeoffs of integrated care on our website: https://tradeoffs.org/2020/07/28/meeting-the-mental-health-need/

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Surprise! SCOTUS Bucks ERISA

Tue, 15 Dec 2020 08:00:00 GMT

In a surprise unanimous decision, the Supreme Court pushed back against the power of ERISA, a little known federal law that has stifled states’ attempts to regulate health care for decades. [NOTE: Part of this episode originally aired on Oct. 6]

Guest: Erin Fuse Brown, Associate Professor of Law; Director, Center for Law, Health & Society, Georgia State University

For a complete transcript of this conversation and more information on the case and ERISA: https://tradeoffs.org/2020/12/15/surprise-scotus-bucks-erisa/

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On the Job in the ICU

Thu, 10 Dec 2020 08:00:00 GMT

As medical interns step into their new roles as doctors, one resident gives us a window into her experiences in a COVID ICU. [This episode was originally published on July 30, 2020.]

Guest: Tamar Pounardjian, MD Resident, Brown Medical School, Internal Medicine Residency Program

Read a transcript of this episode: https://tradeoffs.org/2020/07/30/life-in-the-icu/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Core to Who I Am

Thu, 03 Dec 2020 08:00:00 GMT

This summer, the Trump administration tried to roll back some federal protections for transgender patients. We look at the fight to secure health care for trans Americans and explore the extent to which policies designed to expand access have delivered on their promise. [This episode was originally published on July 14, 2020.]

Guests:

Kellan Baker, PhD, Centennial Scholar, Johns Hopkins Bloomberg School of Public Health

Melvin Whitehead, PhD, Assistant Professor of Student Affairs Administration, Binghamton University

Katie Keith, Adjunct Professor of Law, Georgetown Law

Taylor Brown, Staff Attorney, ACLU LGBT & HIV Project

Read a transcript of the episode, see maps of which states offer legal protections to transgender patients, and more on our website: https://tradeoffs.org/2020/07/14/core-to-who-i-am/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

If you value independent nonprofit health care journalism, donate to Tradeoffs. And when you give through the end of 2020, your gift will be doubled: https://tradeoffs.org/donate

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Best of 2020

Tue, 01 Dec 2020 08:00:00 GMT

We look back on some of the best health policy podcast episodes of the year with help from a few of our podcast host friends.

Guests:

Julie Rovner, host, What the Health, Kaiser Health News

Dan Diamond, host, Pulse Check, Politico

Laura Carlson, host, Prognosis, Bloomberg

Max Jordan Nguemeni Tiako, host, Flip the Script

Alexandra Olgin, host, Gist Healthcare Daily, Gist Healthcare

For a complete transcript of this episode: https://tradeoffs.org/2020/12/01/best-of-2020/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Oyez! Oyez! ACA!

Thu, 05 Nov 2020 08:00:00 GMT

The Affordable Care Act is back in front of the Supreme Court. We explain the case and outline three ways this latest existential challenge to the law could end.

Guest: Katie Keith, JD, Adjunct Professor of Law, Georgetown Law; Author of Health Affairs “Following the ACA” Blog

For more on the latest challenge to the ACA and a complete transcript of this episode: https://tradeoffs.org/2020/11/05/oyez-oyez-aca/

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Straight to the People

Tue, 03 Nov 2020 08:00:00 GMT

From restricting abortion to legalizing marijuana, voters are weighing in on a variety of significant state health policy questions this election.

(CORRECTION: An earlier version of this episode said Washington D.C. was considering “decriminalizing” psychoactive plants like mushrooms. They were in fact only considering effectively decriminalizing them by directing police to make enforcing laws related to this issue a low priority.)

Guest: Kathleen Hoke, JD, Professor, University of Maryland Carey School of Law

For complete a transcript of this conversation: https://tradeoffs.org/2020/11/03/straight-to-the-people

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Mission Critical

Thu, 29 Oct 2020 07:00:00 GMT

With COVID-19 again bearing down on U.S. hospitals, a team of military doctors and disaster preparedness experts are racing to build a system to deploy critical care providers anywhere in an instant.

Guests:

Col. Jeremy Pamplin, MD, Director, U.S. Army Telemedicine & Advanced Technology Research Center (TATRC)

Ben Scott, MD, Associate Professor of Anesthesiology, University of Colorado

Doug Powell, MD, Assistant Professor of Critical Care Medicine, West Virginia University; and consultant to the Office of the U.S. Army Special Operations Command Surgeon

Lt. Col. Chris Colombo, MD, Director of Virtual Health and Telecritical Care, Madigan Army Medical Center

Jeremy Kahn, MD, Professor of Critical Care Medicine, University of Pittsburgh

Kristina Ieronimakis, RN, ICU Nurse, Madigan Army Medical Center

Lisa Lindgren, Vice President of Clinical Operations, Avera

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Good Intentions

Tue, 27 Oct 2020 07:00:00 GMT

With communities of color disproportionately impacted by COVID-19, drugmakers and public health officials are placing an unprecedented emphasis on diversity in vaccine clinical trials.

Guests:

Beau Garland, Vice President of Recruitment, Meridian Clinical Research

Jonathan Jackson, PhD, Director, CARE Research Center, Massachusetts General Hospital.

For complete complete transcript of this conversation: https://tradeoffs.org/2020/10/27/good-intentions/

To stay on top of all our coverage of the coronavirus and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs.

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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A Telehealth Checkup

Thu, 22 Oct 2020 07:00:00 GMT

The coronavirus pandemic forced public and private insurers to relax longstanding restrictions on telehealth, leading to a virtual care explosion. But how many of those changes are here to stay?

Guest: Chad Ellimoottil, MD, Assistant Professor of Urology and Director of the Telehealth Research Incubator at the University of Michigan

Read a transcript of this episode: https://tradeoffs.org/2020/10/22/a-telehealth-checkup/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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The Opioid Crisis Is Still Here

Tue, 20 Oct 2020 07:00:00 GMT

While the coronavirus pandemic has sucked up all the oxygen, the opioid crisis continues to get worse.

Guest: Michael Barnett, Assistant Professor of Health Policy Management at Harvard School of Public Health; Primary Care Physician at Brigham and Women’s Hospital

Read a transcript of this episode: https://tradeoffs.org/2020/10/20/the-opioid-crisis-is-still-here/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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The Medicare Cliff

Thu, 15 Oct 2020 07:00:00 GMT

One of Medicare's trust funds is set to run out of money within the next four years, but we've heard almost nothing about it the campaign trail. We explore what would happen, how it got this bad, and what can be done to fix it.

Guest: Marc Goldwein, Senior Vice President and Senior Policy Director, Committee for a Responsible Federal Budget

Learn more about Medicare and read a transcript of this episode: https://tradeoffs.org/2020/10/15/the-medicare-cliff/

Explore more of our coverage of the 2020 election: https://tradeoffs.org/trumpbiden/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Research Corner: Picking Plans

Tue, 13 Oct 2020 07:00:00 GMT

In the second installment of our Research Corner segment, health economist Sayeh Nikpay discusses two research papers about picking health insurance plans: why we're bad at it and why so many uninsured Americans who are eligible for low cost plans don't sign up.

Featuring:

Sayeh Nikpay, Associate Professor, School of Public Health, University of Minnesota

For complete complete transcript of this conversation: https://tradeoffs.org/2020/10/13/research-corner-picking-health-insurance-plans/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Losing a Hospital

Thu, 08 Oct 2020 07:00:00 GMT

More than 130 hospitals have closed in rural America over the last decade. Reporter Sarah Jane Tribble spent a year embedded in one small Kansas town as they dealt with their own hospital closure.

Guest: Sarah Jane Tribble, Senior Correspondent, Kaiser Health News

Read a transcript of this conversation: https://tradeoffs.org/2020/10/08/losing-a-hospital/

Hear more of Sarah Jane's reporting about Fort Scott on the first season of Where It Hurts: whereithurts.show

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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The Other SCOTUS Health Care Case

Tue, 06 Oct 2020 07:00:00 GMT

As the Supreme Court begins a new term, all eyes are on the ACA. But lurking in the wonky backwaters is another case with big implications for state health innovations and regulations.

Guest: Erin Fuse Brown, Associate Professor of Law; Director, Center for Law, Health & Society, Georgia State University

For a complete transcript of this conversation: https://tradeoffs.org/2020/10/06/the-other-scotus-health-care-case/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Debate Do-Over

Thu, 01 Oct 2020 07:00:00 GMT

Although health care consumed nearly one-third of the first presidential debate, the conversation left a lot to be desired. We asked a couple of experts to outline the key health policy questions they wish the candidates had covered.

Amitabh Chandra, PhD, Ethel Zimmerman Wiener Professor of Public Policy, Harvard University

Preeti Malani, MD, Chief Health Officer, University of Michigan

For a complete transcript of this conversation: https://tradeoffs.org/2020/10/01/debate-do-over/

Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Shifting Concerns

Tue, 29 Sep 2020 07:00:00 GMT

The 2020 election was supposed to be all about health care. Then 2020 happened. We check the latest polling on voters' attitudes on health care this election season.

Guest: Ashley Kirzinger, Associate Director of Public Opinion and Survey Research, Kaiser Family Foundation

Read a transcript of the episode and see chart's detailing KFF's latest polling on our website: https://tradeoffs.org/2020/09/29/shifting-concerns/

Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Biden and COVID-19

Thu, 24 Sep 2020 07:00:00 GMT

We ask the experts about Biden's plans to increase COVID-19 testing, shore up PPE and supply chains, and institute a national mask mandate. The seventh and final episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden.

Guests: Brooke Nichols, PhD, Assistant Professor of Global Health, Boston University School of Public health

Nicolette Louissaint, PhD, Executive Director, Healthcare Ready

Leana Wen, MD, Emergency Physician and Public Health Professor, George Washington University

Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/

Read a transcript of this episode: https://tradeoffs.org/2020/09/24/biden-and-covid-19/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Biden and the ACA

Tue, 22 Sep 2020 07:00:00 GMT

Joe Biden has big plans to build on the Affordable Care Act. How close will they get us to universal coverage? The sixth episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden.

Guest: Christine Eibner, PhD, Senior Economist, RAND Corporation

Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/

Read a transcript of this episode: https://tradeoffs.org/2020/09/22/biden-and-the-aca/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Trump and COVID-19

Fri, 18 Sep 2020 07:00:00 GMT

What do experts think of President Trump’s response to COVID-19? And what do they think a second Trump term would mean for health policy? The fifth episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden.

Guests: Ryan Levi, Producer, Tradeoffs

Lanhee Chen, PhD, David and Diane Steffy Fellow in American Public Policy Studies, Hoover Institution

Brian Blase, PhD, Former Special Assistant to President Trump for Health Policy

Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/

Read a transcript of this episode: https://tradeoffs.org/2020/09/18/trump-and-covid-19

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Trump and Reproductive Health

Thu, 17 Sep 2020 07:00:00 GMT

President Trump has pushed to limit access to abortion and contraception coverage. What impacts have those moves had? The fourth episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden.

Guest: Maya Manian, JD, Visiting Professor, American University Washington College of Law

Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/

Read a transcript of this episode: https://tradeoffs.org/2020/09/17/trump-and-reproductive-health

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Trump and Medicaid

Wed, 16 Sep 2020 07:00:00 GMT

Has President Trump made any lasting changes to the Medicaid program? The third episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden.

Guest: Robin Rudowitz, Co-Director, Kaiser Family Foundation Program on Medicaid and the Uninsured

Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/

Read a transcript of this episode: https://tradeoffs.org/2020/09/16/trump-and-medicaid/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Trump and Drug Prices

Tue, 15 Sep 2020 07:00:00 GMT

Lowering prescription drug prices continues to be one of President Trump’s top goals. What has he actually accomplished so far? The second episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden.

Guest: Ben Ippolito, PhD, Resident Scholar, American Enterprise Institute

Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/

Read a transcript of this episode: https://tradeoffs.org/2020/09/15/trump-and-drug-prices/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Trump and the ACA

Mon, 14 Sep 2020 07:00:00 GMT

What impact have Donald Trump’s policies had on the Affordable Care Act and the way health insurance works in the U.S.? The first episode in a special two-week series on health care and the presidential election, examining the health policy goals, actions and impacts of President Donald Trump and former Vice President Joe Biden.

Guests: Brian Blase, PhD, Former Special Assistant to President Trump for Health Policy

Emily Gee, PhD, Health Economist, Center for American Progress

Explore the candidates' health policy positions, what we know about them, plus expert analysis: https://tradeoffs.org/trumpbiden/

Read a transcript of this episode: https://tradeoffs.org/2020/09/14/trump-and-the-aca/

Sign up for our weekly newsletter to see what research health policy experts are reading right now, plus recommendations from our staff: bit.ly/tradeoffsnewsletter

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Doctors Coping with COVID, Pt. 2

Thu, 10 Sep 2020 07:00:00 GMT

The pandemic is exacerbating longstanding mental health issues among health care providers. In part two of our series, we examine why more doctors don’t seek help, and the costly consequences that distress can have.

Guests,

Mona Masood, MO, founder, Physician Support Line

Lotte Dyrbye, MD, MHPE, Mayo Clinic in Rochester, Minnesota

Katherine Gold, MD, Associate Professor, University of Michigan

For more information about physican mental health: https://tradeoffs.org/2020/09/10/doctors-coping-with-covid-part-2/

And stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs.

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Doctors Coping with COVID, Pt. 1

Tue, 08 Sep 2020 07:00:00 GMT

The pandemic is taking a toll on providers' mental health. Today, the first of a two-part series that begins with an ER doctor on the frontlines in Arizona.

Guest,

Mara Windsor, DO, Emergency Medicine Physician

For complete complete transcript of this episode: https://tradeoffs.org/2020/09/08/doctors-coping-with-covid-part-1/

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An Unpleasant Surprise

Thu, 03 Sep 2020 07:00:00 GMT

Surprise medical bills have become a major issue for Americans, but federal legislation to protect consumers continues to stall. Is Congress getting closer to halting this practice?

Guest: Nicholas Bagley, Professor of Law at the University of Michigan Law School in Ann Arbor

Learn more about how surprise bills work and proposals to curtail them, along with a transcript of the episode on our website: https://tradeoffs.org/2020/09/03/an-unpleasant-surprise

Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter

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Learning As We Go

Tue, 01 Sep 2020 07:00:00 GMT

How are educators and families navigating what we know, and don’t know, about the risks of restarting school during a pandemic?

Guest,

Emily Oster, Professor of Economics, Brown University

For complete complete transcript of this conversation: https://tradeoffs.org/2020/09/01/learning-as-we-go

Sign up for our weekly newsletter to get the latest research from experts and recommendations from our staff: bit.ly/tradeoffsnewsletter

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Tradeoffs Returns

Thu, 27 Aug 2020 23:27:42 GMT

It's been a busy couple of weeks, and we want to tell you all about it! New episodes are coming September 1st.

Subscribe to our weekly newsletter: tradeoffs.org

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On the Job in the ICU

Thu, 30 Jul 2020 07:00:00 GMT

As medical interns step into their new roles as doctors, one resident gives us a window into her experiences in a COVID ICU.

Guest: Tamar Pounardjian, Resident, Brown Medical School, Internal Medicine Residency Program

Read a transcript of this episode: https://tradeoffs.org/2020/07/30/life-in-the-icu/

Get Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter

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Meeting the Mental Health Need

Tue, 28 Jul 2020 07:00:00 GMT

Soaring numbers of Americans are feeling anxious, stressed and depressed. Could a reimagined approach to primary care help meet their needs?

Eboni Winford, PhD, Director of Research and Health Equity, Cherokee Health Systems

Parinda Khatri, PhD, Chief Clinical Officer, Cherokee Health Systems

Sandy Blount, EdD, Founding Director, Center for Integrated Primary Care, University of Massachusetts Medical School

Richard Frank, PhD, Margaret T. Morris Professor of Health Economics, Harvard Medical School

Robert, Patient, Cherokee Health Systems

Dig deeper into the research and tradeoffs of integrated care on our website: https://tradeoffs.org/2020/07/28/meeting-the-mental-health-need/

Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter

And to stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs.

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Summer Concerns

Thu, 23 Jul 2020 07:00:00 GMT

Five months into the global pandemic and with just over 100 days before the general election, we check in with the latest polling on how voters are feeling about health care in the U.S.

Guest:

Ashley Kirzinger, Associate Director of Public Opinion and Survey Research, Kaiser Family Foundation

Read the transcript and see charts detailing the latest polling from KFF on our website: https://tradeoffs.org/2020/07/23/summer-concerns/

Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter

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Listener Mailbag: Your COVID-19 Questions Answered

Tue, 21 Jul 2020 07:00:00 GMT

Will this be the end of fee-for-service? How should we price a COVID-19 vaccine? Bapu Jena and Sayeh Nikpay answer audience questions about the pandemic.

Guests:

Sayeh Nikpay, PhD, MPH, Assistant Professor, Health Policy, Vanderbilt University

Bapu Jena, MD, PhD, Ruth L. Newhouse Associate Professor of Health Care Policy, Harvard Medical School; Associate Professor of Medicine, Massachusetts General Hospital

Read a transcript of the episode on our website: https://tradeoffs.org/2020/07/21/listener-mailbag/

Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter

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Taking the Pulse of Insurers

Thu, 16 Jul 2020 07:00:00 GMT

Insurers have been on strong financial footing during the pandemic while doctors, hospitals and consumers have not been as lucky. Two researchers give us a behind the scenes looks at what insurers have experienced these past four months.

Guest,

Linda Blumberg, Fellow, Urban Institute

Kevin Lucia, Research Professor, McCourt School of Public Policy, Georgetown University

For more from Dan’s conversation with Linda and Kevin, https://tradeoffs.org/2020/07/16/taking-the-pulse-of-insurers/

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Core to Who I Am

Tue, 14 Jul 2020 07:00:00 GMT

The Trump administration recently rolled back some federal protections for transgender patients. We look at the fight to secure health care for trans Americans and explore the extent to which policies designed to expand access have delivered on their promise.

Guests:

Kellan Baker, PhD, Centennial Scholar, Johns Hopkins Bloomberg School of Public Health

Melvin Whitehead, PhD, Assistant Professor of Student Affairs Administration, Binghamton University

Katie Keith, Adjunct Professor of Law, Georgetown Law

Taylor Brown, Staff Attorney, ACLU LGBT & HIV Project

Read a transcript of the episode, see maps of which states offer legal protections to transgender patients, and more on our website: https://tradeoffs.org/2020/07/14/core-to-who-i-am/

Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter

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Leaving the WHO

Thu, 09 Jul 2020 07:00:00 GMT

President Trump says the U.S. is leaving the World Health Organization. What it might mean for public health in the U.S. and the world.

Guest: Lawrence Gostin, Director of the O’Neill Institute for National and Global Health Law

Read a transcript of the episode and learn more about the WHO on our website: https://tradeoffs.org/2020/07/09/leaving-the-who/

Stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs.

Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter

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The Price of Care

Tue, 07 Jul 2020 07:00:00 GMT

A recent court decision upheld federal rules requiring hospitals and insurers to post prices. But will price transparency lower the cost of health care?

Guest,

Margot Sanger-Katz, Health Care Reporter, New York Times

For more from Dan’s conversation with Margot, https://tradeoffs.org/2020/07/07/the-price-of-care/

Get more Tradeoffs in your inbox every Friday with our weekly newsletter: http://bit.ly/tradeoffsnewsletter

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Research Corner: Masks, Flint and Primary Care

Thu, 02 Jul 2020 07:00:00 GMT

Physician and economist Bapu Jena discusses a pair of interesting new health policy research papers with implications for COVID-19, primary care and more.

Guest:

Bapu Jena, MD, PhD, Harvard economist and physician

Read the episode transcript and find links to the research: https://tradeoffs.org/2020/07/02/research-corner-masks-flint

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Becoming a Doctor

Tue, 30 Jun 2020 07:00:00 GMT

Medical interns across the nation are starting their first days as doctors. One resident's hopes and fears before her first shift in the COVID ICU.

Guest:

Tamar Pounardjian, Resident, Brown Medical School, Internal Medicine Residency Program

For more of Tamar's story: https://tradeoffs.org/2020/06/30/becoming-a-doctor/

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Navigating Risk

Thu, 25 Jun 2020 07:00:00 GMT

With COVID-19 cases surging across the nation, how can Americans fight their coronavirus fatigue while staying safe?

Guest,

Ashish Jha, Director, Harvard Global Health Institute

More about Ashish and some of the research we used for this episode: https://bit.ly/2B9WxLP

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Leap of Faith

Tue, 23 Jun 2020 07:00:00 GMT

As the opioid crisis continues to ravage the country, some states are turning to controversial laws that force people into treatment. Are they part of the solution or could they make things worse?

This episode originally ran on Jan. 2, 2020.

Guests:

Dr. Abhishek Jain, forensic psychiatrist

Rep. Lauren Davis, Washington state

Merredith Cunniff, nurse, advocate and former civil commitment patient

Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep6

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Dealing With DACA and COVID

Fri, 19 Jun 2020 07:00:00 GMT

The Supreme Court says the Trump administration can’t end DACA, for now. What the decision means to one DACA recipient caring for those most vulnerable to COVID-19.

Guest: Esmeralda Tovar-Mora; Mental Health Case Manager, Nursing Home Medication Aide, DACA Recipient

Read the transcript and see photos of Esmeralda and her family: https://tradeoffs.org/2020/06/19/daca/

To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit http://bit.ly/coronavirustradeoffs.

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Prognosis: Understanding Silent Spreaders

Thu, 18 Jun 2020 07:00:00 GMT

A top World Health Organization official sparked controversy earlier this month when she said cases of asymptomatic carriers of COVID-19 spreading the virus are “very rare.” Bloomberg senior editor Jason Gale digs into what we know — and don’t know — about asymptomatic carriers of COVID-19, also known as “silent spreaders.”

Guests:

Jason Gale, Senior Editor, Bloomberg News

Dr. Sanjaya Senanayake, Associate Professor, Australia National University

Dr. Peter Collignon, Professor, Australia National University

Read a transcript of this episode: https://tradeoffs.org/2020/06/18/prognosis-silent-spreaders/

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What Brings You In Today?

Tue, 16 Jun 2020 07:00:00 GMT

The average doctor does more than 200,000 patient interviews in their career, making communication one of the most common procedures in medicine. How are we training providers for this and are those efforts working?

This episode originally aired on Nov. 13, 2019.

Get more content and resources on our website: https://bit.ly/tradeoffsep3

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Hard to Reach

Thu, 11 Jun 2020 07:00:00 GMT

New data suggest undocumented immigrants aren't being tested enough for COVID-19. What's standing in the way, and what's being done to address it?

Guests:

Ana

Matt Notowidigdo, PhD, University of Chicago Poverty Lab

Samantha Artiga, Director, Disparities Policy Project, Kaiser Family Foundation

Dawn Mautner, MD, MS, Medical Director, Oregon State Medicaid; Senior Health Advisor, Oregon Health Authority

Monica Juarez, MPH, Regional Outreach Coordinator, Oregon Health Authority

Special thanks to medical anthropologist Whitney Duncan who provided translation services and whose research on immigrant health connected us with Ana.

Learn more and read the episode transcript: https://tradeoffs.org/2020/06/11/hard-to-reach/

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California Dreamin'

Tue, 09 Jun 2020 07:00:00 GMT

Early in the pandemic, California was conducting just 2,000 coronavirus tests a day. Now the state is up to 60,000. How did they ramp up testing so quickly?

Guests:

Bob Kocher, Partner, Venrock

Charity Dean, Assistant Director of the California Department of Public Health

Paul Markovich, President of Blue Shield of California

For more about California’s response to the COVID-19 outbreak: https://tradeoffs.org/2020/06/09/california-dreamin/

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Without Precedent

Thu, 04 Jun 2020 07:00:00 GMT

A new, more conservative Supreme Court is about to rule on its first major cases involving reproductive health and rights. We review the cases and their consequences.

Guest:

Mary Ziegler, JD, Stearns Weaver Miller Professor of Law, Florida State University

For more about these two cases: https://tradeoffs.org/2020/06/04/without-precedent/

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It Takes A Toll

Tue, 02 Jun 2020 07:00:00 GMT

As the nation responds to the police killing of George Floyd, we explore the public health impacts of police violence and what a public health response could look like.

Guest: Rhea Boyd, MD, MPH, pediatrician and police violence researcher

Read the transcript and learn more on our website: https://tradeoffs.org/2020/06/02/police-violence/

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Home Sweet Hospital

Thu, 28 May 2020 07:00:00 GMT

With their business models upended by the coronavirus, hospitals are dusting off a decades-old idea: hospitalize patients in their own homes.

Guests:

Bruce Leff, MD, Director, The Center for Transformative Geriatric Research, Johns Hopkins

Travis Messina, MBA, Cofounder and CEO, Contessa

Kavita Patel, MD, MPH, Nonresident Fellow, Brookings Institution

Raphael Rakowski, Cofounder and CEO, Medically Home

David Zaas, MD, MBA, President, Duke Raleigh Hopsital

For more about hospital care at home: https://tradeoffs.org/2020/05/28/home-sweet-hospital/

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Science Under Pressure

Tue, 26 May 2020 07:00:00 GMT

Sites known as preprint servers post cutting-edge research in mere days. That speed has advantages during a health crisis, but it also comes with risks.

Guest:

Richard Sever, Cold Spring Harbor Laboratory Press

For more about preprints visit: https://tradeoffs.org/2020/05/26/science-under-pressure/

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Masking Problems

Thu, 21 May 2020 07:00:00 GMT

Requiring face masks in public during COVID-19 may be a good public health move but it may also be putting some people's health at risk.

Guest:

Dr. Gabriel Felix, Psychiatry Resident at Cambridge Health Alliance

For more of Gabriel’s story: https://tradeoffs.org/2020/05/21/masking-problems/

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The Home Run Approach

Tue, 19 May 2020 07:00:00 GMT

Some scientists argue we should intentionally infect volunteers with the coronavirus to get a vaccine sooner. How would it work?

Guests:

Lehua Gray, Challenge Trial Volunteer

Seema Shah, JD, Associate Director of Research Ethics, Lurie Children’s Hospital

Zeb Jamrozik, MD, PhD, Monash Bioethics Centre

Anna Durbin, MD, Professor of International Health, Johns Hopkins Bloomberg School of Public Health

Learn more about human challenge trials and read the transcript: https://tradeoffs.org/2020/05/19/challenge-trials

To stay on top of all our coverage of the coronavirus outbreak and our conversations with people who are being forced to make difficult decisions in the midst of it all, visit https://tradeoffs.org/coronavirus/

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Bill, Interrupted

Thu, 14 May 2020 07:00:00 GMT

The cosponsor of Colorado’s recently withdrawn public option bill shares what it was like to go from being on the eve of major health reform to the brink of an economic and health care catastrophe.

Guest:

Kerry Donovan, State Senator, Colorado District 5

For more information about Colorado's public option legislation: https://tradeoffs.org/2020/05/14/bill-interrupted/

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What the Fax?

Tue, 12 May 2020 07:00:00 GMT

America’s public health agencies are fighting the coronavirus with phones and faxes rather than the real-time data they desperately need.

Guests:

Janet Hamilton, Executive Director, Council of State and Territorial Epidemiologists

Richard Danila, Deputy Epidemiologist for the state of Minnesota

Katie O’Donnell, Larimer County Health Department

Arien Malec, former federal health IT official

Julia Adler-Milstein, Professor of Medicine at UCSF

For more information about the state of the data driving testing, tracing and surveillance: https://tradeoffs.org/2020/05/12/what-the-fax

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Disease Detectives

Thu, 07 May 2020 07:00:00 GMT

Inside one county's efforts to use contact tracing to flatten the COVID-19 curve.

Guest: Tair Kiphibane, nurse, director of the infectious disease bureau in Salt Lake County, Utah.

For more information about contact tracing: https://tradeoffs.org/2020/05/07/disease-detectives/

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The Medicaid Cliff

Tue, 05 May 2020 07:00:00 GMT

What happened to Medicaid during the last recession? And what can that teach us going into the next one?

Guests:

MaryAnne Lindeblad, Washington State Medicaid Director

Tom Betlach, Former Arizona Medicaid Director

Ben Sommers, MD, PhD, Professor of Health Policy and Economics, Harvard

Helen Levy, PhD, Research Professor, University of Michigan School

Get more information and read the transcript of this episode: https://tradeoffs.org/2020/05/05/medicaid-recession/

See all of our coronavirus coverage here: https://tradeoffs.org/coronavirus/

Support our show: https://tradeoffs.org/donate

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Return of the Risk Corridors

Thu, 30 Apr 2020 07:00:00 GMT

The U.S. Supreme Court just ruled that insurers are owed $12 billion for losses they incurred in the early days of the Affordable Care Act. What are the origins and implications of this case?

Guests:

Larry Levitt, Executive Vice President for Health Policy, Kaiser Family Foundation

For more of our conversation with Larry: https://tradeoffs.org/2020/04/30/risk-corridors

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Primary Care on the Mend

Tue, 28 Apr 2020 07:00:00 GMT

The coronavirus is straining our primary care system. But, for some, the situation is starting to look more robust.

Guests:

Chuck Jones, President and CEA, Harbor Health

For more information about how primary care services are faring in this climate, visit https://tradeoffs.org/2020/04/28/primary-care-on-the-mend/

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The COBRA Conundrum

Thu, 23 Apr 2020 07:00:00 GMT

Millions of Americans have recently lost their health insurance along with their jobs. What should be done to help them stay covered during this crisis?

Guests: Mayra Jimenez

Chris Holt, Director of Health Care Policy, American Action Forum

Jon Gruber, Professor of Economics, MIT

Jill Berk, Senior Researcher, Mathematica

For more information about COBRA v ACA: https://tradeoffs.org/2020/04/23/the-cobra-conundrum

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Getting on the Bus

Tue, 21 Apr 2020 07:00:00 GMT

How COVID-19 is threatening one man’s decades-long battle for sobriety and stability.

Guest: Antonio Matthews

Get more information and read the transcript of this episode: https://tradeoffs.org/2020/04/21/getting-on-the-bus/

See all of our coronavirus coverage here: https://tradeoffs.org/coronavirus/

Support our show: https://tradeoffs.org/donate

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(Almost) Everyone Is Doing It

Thu, 16 Apr 2020 07:00:00 GMT

What's the best way to convince people to practice social distancing?

Guests:

Syon Bhanot, PhD, Assistant Professor of Economics, Swarthmore College

Susanne Schwarz

Katy Milkman, PhD, Professor of Operations, Information and Decisions, Wharton School, University of Pennsylvania

Michael Sanders, PhD, Reader in Public Policy, Policy Institute at King’s College London

Get more information and read the transcript of this episode: https://tradeoffs.org/2020/04/16/almost-everyone-is-doing-it

See all of our coronavirus coverage here: https://tradeoffs.org/coronavirus/

Support our show: https://tradeoffs.org/donate

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Who Gets Care

Tue, 14 Apr 2020 07:00:00 GMT

In response to the coronavirus, experts are designing plans to ration resources and determine who should get care before someone else.

Guests: Douglas White, Professor of Critical Care Medicine at the University of Pittsburgh

Samuel Bagenstos, Frank G. Millard Professor of Law at the University of Michigan

Marie Baldiserri, Professor of Critical Care Medicine at the University of Pittsburgh

Learn more about triage philosophy practicalities, visit https://tradeoffs.org/2020/04/14/who-gets-care/

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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What Keeps Me Up at Night

Thu, 09 Apr 2020 07:00:00 GMT

Many older adults were already lonely and isolated before this crisis began. How are they faring now and what’s being done to help them?

Read the transcript: https://tradeoffs.org/2020/04/09/what-keeps-me-up-at-night/

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Coronavirus Conversations: Bob Wachter, Pt. 3

Wed, 08 Apr 2020 07:00:00 GMT

Is the coronavirus situation in San Francisco calm enough that one of its top hospitals could start sending doctors to help New York City?

Guest: Bob Wachter, Chair of the Department of Medicine at the University of California, San Francisco

Read the transcript: https://tradeoffs.org/2020/04/08/cc-wachter-3

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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After the Hospital

Fri, 03 Apr 2020 07:00:00 GMT

Is it a good idea for hospitals to send patients recovering from COVID-19 to nursing homes?

Guests:

David Grabowski, PhD, Professor of Health Care Policy, Harvard Medical School

Rachel Werner, MD, PhD, Executive Director, Leonard Davis Institute of Health Economics, University of Pennsylvania

Get more information and read the transcript of this episode: https://tradeoffs.org/2020/04/03/after-the-hospital/

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

Support our show: https://tradeoffs.org/donate

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Coronavirus Conversations: Daniela Lamas

Thu, 02 Apr 2020 07:00:00 GMT

A look at the experiences of patients in an ICU, who, due to new hospital policies, are unable to see family.

Guest: Daniela Lamas, a pulmonary and critical care doctor at the Brigham & Women's Hospital.

Read the transcript: https://tradeoffs.org/2020/04/02/cc-lamas/

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Coronavirus Conversations: David Reich

Tue, 31 Mar 2020 07:00:00 GMT

A view from inside a hospital at the epicenter of the U.S. coronavirus outbreak in New York City.

Guest: Dr. David Reich, President and Chief Operating Officer, Mount Sinai Hospital

Read the transcript: https://tradeoffs.org/2020/03/31/cc-reich

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Coronavirus Conversations: Amy Richardson

Sat, 28 Mar 2020 07:00:00 GMT

A doctor worries about the care her patients won't get because of the coronavirus.

Guest: Dr. Amy Richardson, OB-GYN

Read the transcript: h https://tradeoffs.org/2020/03/28/cc-richardson/

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Coronavirus Conversations: Mayra Jimenez

Fri, 27 Mar 2020 07:00:00 GMT

After the coronavirus takes her job and her insurance along with it, a woman living with a chronic condition navigates her new reality.

Guests: Mayra Jimenez and Linda White

Read the transcript: https://tradeoffs.org/2020/03/27/cc-jimenez/

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Coronavirus Conversations: Bob Wachter, Pt. 2

Thu, 26 Mar 2020 07:00:00 GMT

We check in again with Bob Wachter and find out how one hospital is dealing with difficult decisions in the wake of the coronavirus.

Guest: Bob Wachter, Chair of the Department of Medicine at the University of California, San Francisco

Read the transcript: https://tradeoffs.org/2020/03/26/cc-wachter-2

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Primary Care in Crisis

Wed, 25 Mar 2020 07:00:00 GMT

The coronavirus pandemic is putting a serious strain on the country's primary care system.

Guests: Michaela Keller, Manager, Federal Affairs, National Association of Community Health Centers

Chuck Jones, President and CEO, Harbor Health Services

Farzad Mostashari, MD, Co-founder and CEO, Aledade

Meredith Rosenthal, PhD, Professor of Health Economics and Policy, Harvard T.H. Chan School of Public Health

Read the transcript of this episode: https://tradeoffs.org/2020/03/25/primary-care-in-crisis

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

Support our show: https://tradeoffs.org/donate

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Match Day

Fri, 20 Mar 2020 07:00:00 GMT

Every year on Match Day, thousands of medical students find out where they will continue their medical training as residents. The U.S. spends billions each year on those residencies, so why aren't we getting the doctors we need where we need them?

Guests: Candice Chen, MD, MPH, Associate Professor in the Department of Health Policy and Management at George Washington University

Ted Epperly, MD, President and CEO of the Family Medicine Residency of Idaho

Atul Grover, MD, PhD, Executive Vice President of the Association of American Medical Colleges

Learn more about how the U.S. funds residency programs on our website: https://tradeoffs.org/2020/03/20/season-1-ep-12

Read the transcript of this episode: https://tradeoffs.org/episode-12-transcript/

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate

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Coronavirus Conversations: Chris Chen

Thu, 19 Mar 2020 07:00:00 GMT

How do you take care of "the old, the poor and the sick" during a global pandemic?

Guest: Chris Chen, CEO ChenMed

Read the transcript: https://tradeoffs.org/2020/03/19/cc-chen/

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Coronavirus Conversations: Pam Gueldner

Wed, 18 Mar 2020 07:00:00 GMT

As coronavirus closes down her café, a small business owner reckons with mounting financial challenges.

Guest: Pam Gueldner, co-owner of Manndible Cafe

Read the transcript: https://tradeoffs.org/2020/03/18/cc-gueldner/

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Coronavirus Conversations: Bob Wachter

Tue, 17 Mar 2020 07:00:00 GMT

How one hospital is dealing with difficult decisions in the wake of the coronavirus.

Guest: Bob Wachter, Chair of the Department of Medicine at the University of California, San Francisco

Read the transcript: https://tradeoffs.org/2020/03/17/cc-wachter/

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Coronavirus Conversations: The Social Distance Social

Mon, 16 Mar 2020 22:03:41 GMT

Dan joins a group of neighbors for their “social distance” stoop party and hears how they are experiencing this outbreak so far.

Guest: Alison Buttenheim, Associate Professor of Nursing and Health Policy at the University of Pennsylvania

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Coronavirus Conversations: Alison Buttenheim

Thu, 12 Mar 2020 19:35:36 GMT

Even public health experts are struggling to make the right decisions on whether to cancel plans in the midst of the coronavirus.

Guests: Alison Buttenheim, Associate Professor of Nursing and Health Policy at the University of Pennsylvania

Read the transcript: https://tradeoffs.org/2020/03/12/cc-buttenheim/

See all of our coronavirus coverage: https://tradeoffs.org/coronavirus/

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Medicarried Away? (LIVE)

Wed, 04 Mar 2020 08:00:00 GMT

As the country debates the best way to reform our health care system, we explore a blueprint for universal coverage that looks a lot different from the Medicare for All proposals we’ve heard most about. (Recorded in front of a live audience at the University of Pennsylvania on Feb. 21, 2020.)

Guests: Kate Baicker, PhD, University of Chicago Harris School of Public Policy

Amitabh Chandra, PhD, Harvard Kennedy School of Government and Harvard Business School

Julia Lynch, PhD, University of Pennsylvania

Learn more about the proposal and see photos from the live taping on our website: http://bit.ly/tradeoffsep11

Read the transcript of this episode: http://bit.ly/ep11-transcript

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate

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In Short Supply

Wed, 19 Feb 2020 08:00:00 GMT

Shortages of basic medical supplies have become a familiar pattern for hospitals around the U.S. What causes them? And how can we prevent them?

Guests: Dr. Eric Haas, Chief of Colorectal Surgery, Houston Methodist

Matt Grennan, Assistant Professor of Health Care Management, Wharton School at the University of Pennsylvania

Ozlem Ergun, Professor of Mechanical and Industrial Engineering, Northeastern University

Learn more about medical device and supplies shortages on our website: http://bit.ly/tradeoffsep10

Read the transcript of this episode: http://bit.ly/ep10-transcript

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate

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Primary Concerns

Wed, 05 Feb 2020 08:00:00 GMT

The Iowa caucuses were a mess. But one thing is clear: Health care is a top issue for Democratic voters in 2020. We dive into the polls and talk with voters to understand how and why health care is shaping this year's election.

Guests:

Ashley Kirzinger, Associate Director of Public Opinion and Survey Research, Kaiser Family Foundation

Ryan Levi, Producer, Tradeoffs

Dig deeper into the Kaiser Family Foundation's 2020 polling and see pictures of the voters on our website: http://bit.ly/tradeoffsep9

Read the transcript of this episode: http://bit.ly/ep9-transcript

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate

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The Price of Innovation

Wed, 22 Jan 2020 08:00:00 GMT

Every time the U.S. tries to rein in rising drug prices, we hear the same thing from pharma: Stymie our profits, and you’ll get less innovation and fewer breakthrough treatments. Does the evidence back up this constant refrain?

Guests:

Chaitan Khosla, Director of Stanford ChEM-H

Craig Garthwaite, Associate Professor of Strategy, Kellogg School of Management at Northwestern University

Stacie Dusetzina, Associate Professor of Health Policy, Vanderbilt University

Check out the research for yourself and learn more on our website: http://bit.ly/tradeoffsep8

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate

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The Sidebar: A Deeper Dive Into RCTs

Tue, 14 Jan 2020 16:26:26 GMT

In this debut edition of The Sidebar, your home for bonus Tradeoffs content, cohosts Dan and Sayeh take a closer look at the randomized controlled trial (RCT), a popular method for evaluating health interventions.

Learn more about the tradeoffs of RCTs on our website: http://bit.ly/the-sidebar1

Listen to our story on the widely discussed new “hot spotting” RCT here: https://apple.co/2t4T1yr

And tell us what you think about the episode @tradeoffspod

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'Hot Spotters' on Trial

Wed, 08 Jan 2020 22:01:34 GMT

Jeff Brenner, Camden Coalition of Health Care Providers

Amy Finkelstein, Economist, MIT

Kathleen Noonan, Camden Coalition of Health Care Providers

Allison Hamblin, Center for Health Care Strategies

Jensen Skinner, Nurse, Camden Coalition of Health Care Providers

Larry Moore, Patient

Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep7

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate

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Leap of Faith

Thu, 02 Jan 2020 08:00:00 GMT

As the opioid crisis continues to ravage the country, some states are turning to controversial laws that force people into treatment. Are they part of the solution or could they make things worse? (Note: This episode has been corrected to include the most updated number of states with compelled treatment laws.)

Guests:

Dr. Abhishek Jain, forensic psychiatrist

Rep. Lauren Davis, Washington state

Merredith Cunniff, nurse, advocate and former civil commitment patient

Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep6

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate

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The Good Stuff

Wed, 11 Dec 2019 08:00:00 GMT

Two friends have spent 20 years trying to redesign insurance around one simple but elusive goal: make the good stuff more accessible than the bad stuff.

Check out the research for yourself and learn more on our website: https://bit.ly/tradeoffsep5

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/donate

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Feeding the Sick

Wed, 27 Nov 2019 08:00:00 GMT

We know good nutrition is tied to good health. But is there evidence that food should be prescribed and paid for like medicine?

Guests: Bouba Dieme and Desirée Allen

David Waters, CEO of Community Servings

Dr. Mandy Cohen, Secretary of North Carolina's Department of Health and Human Services

Learn more and check out the evidence for yourself on our website: http://bit.ly/tradeoffsep4

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/#donate

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What Brings You In Today?

Wed, 13 Nov 2019 08:01:00 GMT

The average doctor does more than 200,000 patient interviews in their career, making communication one of the most common procedures in medicine. How are we training providers in it and are those efforts working?

Get more content and resources on our website: https://bit.ly/tradeoffsep3

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/#donate

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The Train Has Left the Station

Wed, 30 Oct 2019 07:01:00 GMT

Many hospitals have spent the last 30 years buying up their competitors big and small. What have these mergers and acquisitions done to the cost and quality of care, and where do we go from here?

Guests:

Jaime King, Associate Dean and Professor of Law, UC Hastings College of the Law

Bob Town, Professor of Economics, University of Texas

See more information and a full list of resources on our website: https://bit.ly/tradeoffsep2

Select Resources:

Overview of hospital consolidation and its impacts: https://bit.ly/36hngRp

How concentrated is your hospital market? https://bit.ly/36fYLEj

Fact sheet on California's lawsuit against Sutter Health: https://bit.ly/2Pwcr86

As they say in health care, there's no such thing as a free podcast. Support our show: https://tradeoffs.org/#donate

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The Town the Ballpark Is In

Wed, 16 Oct 2019 06:20:33 GMT

A team of economists and coders has built one of the most influential machines in health care—a machine almost no one has ever heard of. Their latest analysis may shake up the Democratic debate.

View our web story, photos, and more resources: http://bit.ly/2VOnSsT

Select Resources:

The full new report from the Urban Institute: https://urbn.is/31jYoEZ

Accompanying issue brief from the Commonwealth Fund: http://bit.ly/31iM9Zt

Interactive plan comparison tool from the Commonwealth Fund: http://bit.ly/2IVsbgR

As they say in health care, there’s no such thing as a free podcast. Support our show: https://tradeoffs.org/#donate

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Welcome to Tradeoffs

Fri, 20 Sep 2019 04:00:00 GMT

When it comes to fixing America's costly and complicated health care system, the truth is: there are no silver bullets, no cure-alls. There are only Tradeoffs. A new podcast about health care, policy, and people premiering October 16th.

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