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A Health Podyssey

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Rating
★★★★★
4.8
from
42 reviews
This podcast has
319 episodes
Language
English
Explicit
No
Date created
2020/09/29
Latest episode
2026/11/04
Average duration
23 min.
Release period
6 days

Description

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

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How Stimulants Are Reshaping the Overdose Crisis | SPONSORED
2026/11/04
THIS SPONSORED PODCAST IS BROUGHT TO YOU BY THE COBRE ON OPIOIDS AND OVERDOSE AT RHODE ISLAND HOSPITAL. The US overdose crisis is changing. While opioid-related overdose deaths have begun to decline, researchers are seeing a growing role for stimulants, including cocaine and methamphetamine, in overdose risk. In this sponsored episode, Leslie Erdelack speaks with Dr. Jaclyn White Hughto from Brown University about what researchers are learning from the evolving overdose epidemic. They discuss findings from the POINTS (Preventing Overdoses Involving Stimulants) study, a CDC-funded project examining stimulant-involved overdoses in Massachusetts and Rhode Island. The conversation explores: How the US overdose epidemic has evolved, from prescription opioids to fentanyl and stimulant involvementWhy stimulant-involved overdoses differ from opioid overdosesThe rise of stimulant-only overdose deathsWhat researchers learned from interviews with people who use drugsMisconceptions about fentanyl contamination in the stimulant supplyHow people who use stimulants perceive and manage overdose riskThe role of fentanyl test strips, naloxone, and other harm-reduction toolsCommunity-driven strategies to improve overdose preventionChallenges surrounding Good Samaritan laws and emergency responseWhy surveillance data and public health monitoring remain criticalNew research examining potent stimulants and opportunities for earlier interventionDr. Hughto also discusses ongoing NIH-funded research aimed at understanding rising stimulant-only overdoses and identifying ways policymakers, clinicians, and communities can respond more effectively. RELATED LINKS: The Center of Biomedical Research Excellence on Opioids and OverdoseThe POINTS (Preventing Overdoses Involving Stimulants) study
Medicare Is Moving Surgeries Out of Hospitals (And Possibly Saving Billions) | David Howard
2026/11/03
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. What happens when Medicare stops requiring certain surgeries to be performed in hospitals? In this episode of A Health Podyssey, host Rob Lott speaks with David H. Howard about new research estimating that removing procedures from Medicare’s inpatient-only list shifted care to outpatient settings and reduced spending by billions of dollars. The paper raises important questions about patient care, hospital incentives, and the future of Medicare payment policy. Order the November 2026 issue of Health Affairs. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
Do Provider-Owned Health Plans Lower Healthcare Costs? New Evidence on Vertical Integration | Mitchell Mead
2026/10/27
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. Hospital systems are increasingly becoming both providers and insurers, but what does that mean for healthcare prices? In this episode of A Health Podyssey, host Rob Lott speaks with University of Michigan's Mitchell Mead about his new Health Affairs research examining whether provider-sponsored health plans negotiate healthcare prices differently than traditional insurers. Drawing on hospital price transparency data and national health system datasets, Mead explains how vertically integrated payer-provider organizations have grown since the Affordable Care Act and why Medicare Advantage has become a major driver of that trend. The discussion explores the finding that provider-sponsored health plans negotiated lower prices for 44 of 46 healthcare services studied. The conversation also examines what these findings mean for policymakers grappling with healthcare affordability, consolidation, antitrust oversight, and the future of vertically integrated healthcare organizations. Order the October 2026 issue of Health Affairs. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
The Real Savings From Generic Drugs: What Medicare Part D Data Reveals | CBO's Scott Laughery
2026/10/20
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. Health Affairs Publishing’s Rob Lott speaks to Scott Laughery of the Congressional Budget Office about new research examining how generic drug entry affects net prescription drug prices and spending in Medicare Part D.  Their conversation explores the often-hidden role of rebates, how generic competition reshapes drug markets, and what newly available data reveal about savings after loss of exclusivity. Order the October 2026 issue of Health Affairs. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
Why Prior Authorization Still Frustrates Everyone: DrFirst's Colin Banas on What's Changing | SPONSORED
2026/10/15
THIS SPONSORED PODCAST EPISODE IS BROUGHT TO YOU BY DrFIRST. In this sponsored episode, Dr. Colin Banas, chief medical officer at DrFirst, joins Health Affairs Publishing's Rob Lott to discuss prior authorization, why the process continues to create delays and administrative burden, and the future of prior authorization in the health care ecosystem. Colin Banas joined DrFirst in 2019 after spending 17 years as CMIO at VCU Health System, where he also practiced as an internal medicine hospitalist. He has testified before the U.S. Senate on health IT and meaningful use and previously served as a health IT Fellow at the ONC.  At DrFirst, Dr. Banas drives innovation in medication workflows, focusing on non-disruptive decision support that creates better experiences for providers and patients, including how AI can reduce clinical burnout and improve patient outcomes.  This conversation explores the root causes of prior authorization challenges, from fragmented workflows and outdated technology to the competing incentives facing providers and payers. Dr. Banas and Lott also discuss how automation, interoperability, and artificial intelligence are beginning to reshape prior authorization and help organizations reduce friction while maintaining appropriate oversight of care.
Diagnosing Dementia: Confidence Gaps Across the Health Care Workforce
2026/10/13
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. Health Affairs Publishing’s Rob Lott speaks to Sumedha Gupta of Indiana University about new research on the dementia care workforce and how clinician experiences vary across provider types. They examine what those differences could mean for access, diagnosis, and care as dementia prevalence increases in the years ahead. Order the October 2026 issue of Health Affairs. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
Building Forefront: 20 Years of Shaping Health Policy Conversations
2026/10/07
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. This month marks a major milestone for Health Affairs. In October 2006, the Health Affairs Blog was launched as a new experiment in health policy dialogue. Twenty years later, that platform has evolved into Health Affairs Forefront, publishing hundreds of articles annually and serving as a leading venue for evidence-based analysis, commentary, and debate. On this special anniversary episode of A Health Podyssey, host Rob Lott sits down with Chris Fleming, Editor of Forefront, to reflect on two decades of growth, innovation, and influence. Together, they discuss the origins of the publication, its transformation from a fledgling blog into a respected policy forum, and the editorial principles that have guided its success. Sign up for our free Health Affairs newsletters to catch all the latest Forefront articles. Subscribe to Semafor Healthcare for free.
Dr. Alister Martin on the Future of Public Health in New York City
2026/10/06
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. A Health Podyssey host Rob Lott chats with Dr. Alister Martin, commissioner of the New York City Department of Health and Mental Hygiene, about his path from emergency medicine to public health leadership, his vision for improving health outcomes across New York City, and how the city's lessons in public health can be applied to other locales. Their conversation explores the local response to federal health policy changes, efforts to protect Medicaid coverage and reduce medical debt, and the public health challenges shaping New York City's future. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
How Much Do Americans Really Pay for Health Care?
2026/09/29
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. Health Affairs Publishing’s Rob Lott speaks to Irene Papanicolas of Brown University about her recent paper examining how Americans contribute to health care financing through taxes, premiums, and out-of-pocket spending. The conversation explores differences in those contributions across income groups and insurance status, and considers the implications for health care affordability and financing policy. Order the September 2026 issue of Health Affairs. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
Medicare Advantage Risk Adjustment: Why CMS's Payment Cuts Didn't Raise Premiums
2026/09/22
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. What happens when Medicare Advantage plans receive lower payments under a new risk adjustment model? Health Affairs Publishing’s Rob Lott speaks to Niru Ghoshal-Datta of the University of California, Berkeley about his recent paper exploring CMS’s updated Medicare Advantage risk adjustment model. They discuss how the policy change reduced payments to Medicare Advantage plans, had little effect on premiums and cost sharing, and led to modest reductions in some supplemental benefits  Order the September 2026 issue of Health Affairs. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
How Remote WIC Benefits Increased Enrollment
2026/09/15
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. Health Affairs Publishing’s Rob Lott speaks to Emily Dore of Tufts University School of Medicine about her recent paper exploring COVID-era WIC policy flexibilities, increased program participation, and what those findings mean for the future of safety net programs.  Order the September 2026 issue of Health Affairs. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
Medicaid Funding Fight: $52 Billion on the Chopping Block
2026/09/09
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. Health Affairs Publishing’s Rob Lott speaks to Debra Lipson, health policy analyst and consultant, about her recent paper that explores how new federal limits on Medicaid state directed payments could force significant Medicaid spending cuts in many states, potentially reshaping provider funding and access to care.  Order the September 2026 issue of Health Affairs. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
Dhruv Khullar on Public Health, Pandemic Preparedness & the Future of Healthcare
2026/09/01
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. Are we ready for the next public health emergency? Rob Lott speaks with physician, researcher, and New Yorker writer Dhruv Khullar about the state of U.S. public health preparedness, the growing challenges facing infectious disease surveillance, and the connection between chronic and infectious disease. The conversation also explores Khullar’s work as a clinician, health policy researcher, and journalist, including his research on health care consolidation, Medicare Advantage, and the commercialization of medicine. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
Hospital-Owned Medicare Advantage Plans: A Look at Pricing Patterns
2026/08/25
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. Health Affairs Publishing’s Rob Lott speaks to Grace Mackleby of the University of Southern California about her recent paper that explores how vertically integrated Medicare Advantage plans and hospital systems set prices, finding that most affiliated and unaffiliated plans pay similar rates, with notable variation in certain markets.  Order the August 2026 issue of Health Affairs. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.
Health Care Acquisitions: What Happens to Patient Care Intensity?
2026/08/18
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 will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free. Health Affairs Publishing’s Rob Lott speaks to Jiebing Wen of The University of Texas at Austin about her recent paper exploring how hospice acquisitions by investor-owned firms were associated with lower care staffing intensity and fewer patient visit minutes, especially in patients' final days.  Order the August 2026 issue of Health Affairs. Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis. Subscribe to Semafor Healthcare for free.

Podcast reviews

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4.8 out of 5
42 reviews
★★★★☆
kmbr0923 2026/10/20
Great content
The content of the podcast is great but the volume can change dramatically between ads and content so be careful if you’re listening on headphones
★★★★★
whcarson 2025/09/04
Beautiful but heartbreaking
Just listened to your wonderful interview with Dr. Lagu from October 2022. As a med student at Columbia, I keep learning just how much has changed in ...
★★★★★
abp4567891234 2023/02/17
Primary care and behavioral health
Nice piece on 2/14! So important to integrate this effectively. Long way to go, but value based payment incentives need to structured to strengthen.
★★★★★
maiag1993 2022/05/07
Love the show - very accessible, and great research highlighted!
I’m a huge fan of this show - appreciate the accessibility of the podcast for those who might not have budget for an HA subscription. Really appreciat...
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