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Health Affairs This Week

Health Affairs
Medicaid
Affordable Care Act
Medicare
Medicare Advantage
Health Policy
Health Equity
Trump Administration
Pharmacy Benefit Managers
Value-Based Care
Primary Care
Food Insecurity
FDA
Artificial Intelligence
Public Health
CMS
U.S. Healthcare System
Health Plan Price Transparency
Health Insurance
Medical Debt
Healthcare Spending

Health Affairs This Week places listeners at the center of health policy’s proverbial water cooler. Join host Jeff Byers, editors from Health Affairs Publishing, and guests as they discuss health policy’s most pressing news and trends.

PublishesTwice weeklyEpisodes285Founded6 years ago
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Health & FitnessNews

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Artwork for Health Affairs This Week

Latest Episodes

This episode is brought to you by Semafor Healthcare.

Delivered weekly from David Lim, Semafor Healthcare connects the dots between decisions in government, business, and technology to reveal how they impact the future of healthcare. Each edition wi... more

This episode is brought to you by Semafor Healthcare.

Delivered weekly from David Lim, Semafor Healthcare connects the dots between decisions in government, business, and technology to reveal how they impact the future of healthcare. Each edition wi... more

YouTube

This episode is brought to you by Semafor Healthcare.

Delivered weekly from David Lim, Semafor Healthcare connects the dots between decisions in government, business, and technology to reveal how they impact the future of healthcare. Each edition wi... more

YouTube

This episode is brought to you by Semafor Healthcare.

Delivered weekly from David Lim, Semafor Healthcare connects the dots between decisions in government, business, and technology to reveal how they impact the future of healthcare. Each edition wi... more

YouTube

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Recent Guests

Meg Winchester
Health Affairs Publishing's expert on health policy and markets
Health Affairs Publishing
Episode: ACA Marketplace Turbulence: Fraud, Brokers, and Coverage Loss
Allison Rizer
Chief Growth and Innovation Officer
ATI Advisory
Episode: Is Medicare-Medicaid Integration Working? Depends On Who You Ask
Jack Hoadley
Professor at Georgetown University on health policy
Georgetown University
Episode: The $22 Billion Surprise Inside the No Surprises Act | Jack Hoadley
Dan Arnold
Researcher discussing autism treatment and Medicaid policy
Brown University
Episode: The Business of Autism: Private Equity, Medicaid & the Cost of Care
Erica Socker
Georgetown University researcher discussing Clover v. CMS
Georgetown University
Episode: Medicare Advantage's $16 Billion Quality Bonus Program: Litigation, Reform, and Rising Costs
David Betts
Chair of the board and founder for StoryFlight Labs, former Deloitte employee
StoryFlight Labs
Episode: AI and the Future of Patient Empowerment
Kent Anderson
Consultant and publishing industry expert, former founder of Scholarly Kitchen
Scholarly Kitchen (past)
Episode: When Academic Research Meets The Attention Economy
Joy Moore
Publishing industry veteran
The American Medical Association / Silverchair (past)
Episode: When Academic Research Meets The Attention Economy
Troyen Brennan
Former CMO of CVS Health and author of the book "Wonderful and Broken, The Complex Reality of Primary Care in the US"
Harvard T.H. School of Public Health
Episode: BEST OF: Future of Primary Care: Bright or Broken? w/ Troyen Brennan

Host

Jeff Byers
Host of Health Affairs This Week

Reviews

4.8 out of 5 stars from 41 ratings
  • Professionally done and informative!

    Great topics, useful insights, good audio, and reasonable length. Very helpful to stay on top of health policy topics. Grateful!

    Apple Podcasts
    5
    BeaSpada
    United States2 years ago
  • I keep trying to give this a chance,

    ….but I really do wish you were not so blatantly partisan. Balance perspective-wise would be very refreshing and maybe help us be a less divided world. Please.

    Apple Podcasts
    2
    abp4567891234
    United States4 years ago
  • Great podcast!

    A great complement to the written journal— I particularly appreciated the episode on hospital price transparency.

    Apple Podcasts
    5
    Pete.in.dc
    United States5 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Professionally done and informative!
I wish you were not so blatantly partisan.
Great podcast!, hospital price transparency episode was insightful

Talking Points

Recent interactions between the hosts and their guests.

ACA Marketplace Turbulence: Fraud, Brokers, and Coverage Loss
Q: So what else has the administration done to combat fraud?
Meg Winchester outlines an executive order that created a task force to address fraud, waste, and abuse in healthcare, highlighting efforts like post-payment and medical reviews, risk adjustment validation in Medicare Advantage, and the use of AI to automate processes.
Is Medicare-Medicaid Integration Working? Depends On Who You Ask
Q: Is there churn in dual-eligible populations between Medicaid and Medicare, and how does that affect coverage decisions?
There is churn in Medicaid eligibility and in the partial versus full dual-eligible categories, with people moving between states of coverage; Medicare eligibility tends to be more stable, but the overall movement across programs complicates seamless care and coordination.
Medicare Advantage's $16 Billion Quality Bonus Program: Litigation, Reform, and Rising Costs
Q: What kinds of reforms to the program do experts and policymakers discuss?
Experts discuss moving toward more clinically meaningful outcomes, potentially reducing reliance on process measures, and possibly shifting to local plan-level quality scores, or even altering the overall pay-for-performance structure, including budget-neutral options or elimination of the program.
Medicare Advantage's $16 Billion Quality Bonus Program: Litigation, Reform, and Rising Costs
Q: What was the practical outcome of the recalculation for Clover and other plans?
Clover's star rating rose from 3.5 to 4.5 stars, which increased their potential quality bonus payments for the next year, while other plans faced a mix of revised measures under CMS guidance.
Medicare Advantage's $16 Billion Quality Bonus Program: Litigation, Reform, and Rising Costs
Q: Can you explain what the Clover decision actually challenged in CMS's star-rating program?
The Clover decision argued that CMS exceeded its statutory authority by using measures not explicitly named in the statute and not collected for the purpose of the quality bonus program, in addition to a procedural dispute over rulemaking. This led to a recalculation of Clover's star rating and a higher expected bonus.

Audience Metrics

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Frequently Asked Questions About Health Affairs This Week

What is Health Affairs This Week about and what kind of topics does it cover?

This program centers on health policy, healthcare delivery, and health system reform, with frequent guests who are researchers, policy advocates, and industry professionals. Episodes explore topics like value-based care, Medicaid rules, rural health challenges, drug pricing, and the role of technology and AI in healthcare. The show often features discussions on policy implications, implementation hurdles, and real-world impacts for patients, providers, and payers. Notable can't-miss moments include practical policy explanations, first-hand accounts from researchers and advocates, and critical takes on how reforms would play out in practice. The format is informative and policy-forward, making it useful for listeners who want actionable insi... more

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Which podcasts are similar to Health Affairs This Week?

These podcasts share a similar audience with Health Affairs This Week:

1. What the Health? From KFF Health News
2. Tradeoffs
3. A Health Podyssey
4. An Arm and a Leg
5. Becker’s Healthcare Podcast

How many episodes of Health Affairs This Week are there?

Health Affairs This Week launched 6 years ago and published 285 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Health Affairs This Week?

Recent guests on Health Affairs This Week include:

1. Meg Winchester
2. Allison Rizer
3. Jack Hoadley
4. Dan Arnold
5. Erica Socker
6. David Betts
7. Kent Anderson
8. Joy Moore

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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