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Health Affairs Pathways

Health Affairswww.healthaffairs.org
Health Affairs Pathways explores the avenues and alleyways of the health care system through a variety of storytelling – from investigative journalism and health policy explainers to long-form interviews. Unique series are created by fellows at Health Affairs Podcast Fellowship Program, designed to support early to mid-stage professionals pursue an audio project, tell a unique health care story, and highlight voices that may not be heard otherwise. Join the Health Affairs Podcast Fellows on their journey to unearth a new health care story on such topics as health care consolidation, independent primary care, behavioral health, climate change, health equity, and more. Health Affairs, the leading journal of health policy research, offers a nonpartisan forum to promote analysis and discussions on improving health.
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Episodes

Research and Justice For All: Health Care Role in Health Equity

This is a special publication of the first season of the new Health Affairs podcast, Research and Justice For All . The first season, "Private Sector Solutions," is sponsored by CVS Health. The six-episode season will publish Wednesdays. Guest: Thomas Sequist, Chief Medical Officer at Massachusetts General Brigham In the first episode of Research and Justice For All , CVS Health’s Sree Chaguturu and Joneigh Khaldun interview Thomas Sequist from Massachusetts General Brigham on the important role...

Sep 06, 202338 minEp. 25

A Conversation with Tracy Fasolino

Health Affairs' Jeff Byers interviews Tracy Fasolino about her experience with creating the podcast series No One Gets Out of Here Alive for the Health Affairs Podcast Fellowship.

Feb 27, 202317 minEp. 24

No One Gets Out Of Here Alive: The Future of Palliative and Hospice Care Policy

In the final episode of No One Gets Out of Here Alive, Clemson University ’s Tracy Fasolino addresses the four challenges facing palliative care and hospice services and highlights some of the legislative bills that may fill the needs for patients and caregivers dealing with serious illness. Guests on this episode include Edo Banach, Dr. Betty Ferrell from City of Hope , Dr. Wayne Hollinger, Mr. Pat Coyne from Medical University of South Carolina , and Ginger Marshal, CEO of Hospice & Pallia...

Feb 22, 202327 minEp. 23

No One Gets Out Of Here Alive: Experiences with Home-Based Care

Welcome back to No One Gets Out of Here Alive, where we spend time talking about various legislation that impacts delivery of palliative care and hospice services right now. In this episode, we hear from one family as they share their story in dealing with the serious illness of chronic obstructive pulmonary disease. Host Tracy Fasolino of Clemson University presents four challenges facing palliative care and hospice services right now. No One Gets Out of Here Alive was produced by Tracy Fasolin...

Feb 15, 202321 minEp. 22

No One Gets Out Of Here Alive: Palliative and Hospice Care

Welcome to No One Gets Out of Here Alive, the fifth series from Health Affairs Pathways . In this series, Clemson University 's Tracy Fasolino unpacks some of the legislative and policy issues associated with palliative care and hospice services through the lens of a nurse. To start, Tracy peers into the past and tells the history of hospice legislation and the evolution of palliative care. She highlights the key players in the creation of the hospice benefit and shares insights on the growth of...

Feb 08, 202321 minEp. 21

A Conversation with Michael Shen

Health Affairs' Jeff Byers interviews Dr. Michael Shen about his experience with creating the podcast series A Disproportionate Share for the Health Affairs Podcast Fellowship. Related Links: A Disproportion Share - Episode 1 A Disproportion Share - Episode 2

Jan 30, 202315 min

A Disproportionate Share: The Future of Safety Net Hospitals & Payment Policies

In A Disproportionate Share , NYC Health + Hospitals's Michael Shen , a primary care doctor and Chief Creative Officer for the medical education podcast Core IM , explores the role of safety net hospitals in caring for America's vulnerable populations. In the final episode, Shen discusses why supplemental payments for safety net hospitals might be at risk and look at policy approach that could bolster the safety net. He interviews individuals from NYC Health + Hospitals , America's Essential Hos...

Jan 25, 202322 minEp. 20

A Disproportionate Share: A Complex Patchwork of Supplemental Payments

In A Disproportionate Share , NYC Health + Hospitals's Michael Shen , a primary care doctor and Chief Creative Officer for the medical education podcast Core IM , explores the role of safety net hospitals in caring for America's vulnerable populations. In this episode, Shen discusses how we pay for essential care for low income patients delivered through our safety net hospitals and the complex patchwork of supplemental payments for such care. He interviews individuals from America's Essential H...

Jan 18, 202317 minEp. 19

A Disproportionate Share: Meditations on Safety Net Hospitals & How We Pay For Them

Welcome back to Health Affairs Pathways , the podcast fellowship program from Health Affairs. In 2023, we have two exciting seasons for listeners, one on safety net hospitals and another on palliative and hospice care. In A Disproportionate Share , NYC Health + Hospitals's Michael Shen , a primary care doctor and Chief Creative Officer for the medical education podcast Core IM , explores safety net hospitals and how we pay for them. In this first episode, Shen looks at the closure of Hahnemann U...

Jan 11, 202318 minEp. 18

The Earth Disease: What The Government Can Do About Climate Change

In the fourth and final episode of The Earth Disease, journalist Jared Downing explores the carrots and sticks that the federal government can use to curb climate change. Jared produced this series in 2021 as part of the Health Affairs Podcast Fellowship Program. Guests on this episode include Dr. Ashish Jha, Howard Frumkin from the University of Washington School of Public Health , and Arsenio Mataka from the Office of Climate Change and Health Equity at the Department of Health and Human Servi...

May 05, 202215 minEp. 17

The Earth Disease: Social Determinants of Health & Climate Change

In the third episode of The Earth Disease, journalist Jared Downing discusses how social determinants of health programs intersect with climate and health policy. Jared produced this series in 2021 as part of the Health Affairs Podcast Fellowship Program. Guests in this episode include Aaron Bernstein from the Harvard T.H. Chan School of Public Health , Megan Sandel from Boston Medical Center , Adam Abdul Musawir from Good Food Markets , and Gary Cohen from Healthcare Without Harm . Works Cited:...

May 04, 202217 minEp. 16

The Earth Disease: Offsetting the Health Care Industry's Carbon Footprint

The health care industry is among the most carbon-intensive service sectors in the industrialized world. It is responsible for 4.4–4.6 percent of worldwide greenhouse gas emissions and similar fractions of toxic air pollutants, largely stemming from fossil fuel combustion. In the second episode of The Earth Disease, journalist Jared Downing explores ways that the health care industry is working to curb its carbon footprint. Jared produced this series in 2021 as part of the Health Affairs Podcast...

Apr 28, 202220 minEp. 15

The Earth Disease: At the Intersection of Climate Change and Health Policy

Health Affairs Pathways explores the avenues and alleyways of the health care system through a variety of storytelling – from investigative journalism and health policy explainers to long-form interviews. Unique series are created by fellows at the Health Affairs Podcast Fellowship Program, designed to support early to mid-stage professionals pursue an audio project, tell a unique health care story, and highlight voices that may not be heard otherwise. Our third and final series for the 2021 coh...

Apr 27, 202220 minEp. 14

While We Wait: What’s Next - The emPATH Way Forward

On the final episode of While We Wait, Avni Kulkarni and Sania Ali explore emergency psychiatric assessment, treatment & healing - or emPATH - units, and how they could re-imagine care emergency psychiatric treatment delivery. The featured guest on this episode is Scott Zeller, formerly from the American Association for Emergency Psychiatry and currently the vice president of Acute Psychiatry at Vituity . While We Wait was produced by Sania Ali and Avni Kulkarni for Health Affairs. Theme mus...

Apr 20, 202218 minEp. 13

While We Wait: De-escalation - The Right Response to Crisis Response

DISCLAIMER: This episode contains information on excessive use of police force and the death of Elijah McClain. The US mental health care system is facing an emergency. How do we respond? In the penultimate episode of While We Wait, Sania Ali and Avni Kulkarni explore different models for crisis response and first responders, including law enforcement, EMTs, and social workers. Guests on this episode include Thom Dunn from the University of Northern Colorado and Anthony Hall from the DC Departme...

Apr 13, 202219 minEp. 12

While We Wait: Community Part 2 - The CCBHC One-Stop Shop

How do we translate policy solutions into practice? Avni Kulkarni and Sania Ali learn about the next generation of mental health policy: the certified behavioral health clinic (CCBHC). CCBHCs are one-stop shops for integrated mental health care that are tailoring treatment to fit you rather than fitting yourself into treatment. Sania and Avni speak with two CCBHC executives hailing from two very different parts of the country: New York City and Nowata, Oklahoma. Guests on this episode include Ya...

Apr 06, 202214 minEp. 11

While We Wait: Community Part 1 - Mental Health Meets Primary Care

Integrated care is eliminating the goose chase for mental health services. On today's episode of While We Wait, Sania Ali and Avni Kulkarni interview two members of the Behavioral Health Integration (BHI) Task Force about the current state of our mental health care system and policy solutions. The interview points to a promising opportunity to coordinate mental health services with the foundation of health care services: primary care. Guests on this episode include Kenna Chic and Marilyn Serafin...

Mar 30, 202214 minEp. 10

While We Wait: Into the Archives - The History of Mental Health Policy

DISCLAIMER: This episode contains outdated and potentially offensive language to describe mental illness. While We Wait co-hosts Avni Kulkarni and Sania Ali step outside the hospital and dive headfirst into the archives to learn about a seismic shift in mental health policy that’s left the health care system scrambling to fill the cracks for decades. They examine words like “parity,” “deinstitutionalization,” and “non-quantitative treatment limits.” Listen as Sania and Avni go back in time to ma...

Mar 23, 202223 minEp. 9

While We Wait: Ready, Set, Stall - ED Clinicians on the Boarding Crisis

DISCLAIMER: This episode contains information about suicide. If you or a loved one is thinking about suicide, call the National Suicide Prevention Lifeline (Lifeline) at 1-800-273-TALK (8255) or text the Crisis Text Line (text HELLO to 741741). Both services are free and available 24 hours a day, seven days a week. All calls are confidential. You can also call 911. In today’s episode, Avni Kulkarni and Sania Ali head to the emergency department (ED) to learn how our nation’s safety net is strugg...

Mar 16, 202225 minEp. 8

While We Wait: Get On Board - The Mental Health Boarding Crisis

Welcome to While We Wait, the second series from Health Affairs Pathways. In this series, Sania Ali and Avni Kulkarni explore the mental health boarding crisis. To start, Avni and Sania introduce you to the story of Karin Broadhurst and her son who waited for 36 days in the hospital for psychiatric treatment in Boston. Long delays in care are commonplace for mental health patients who arrive in the emergency department (ED). Rather than a safety net, the ED can be a place with no progression in ...

Mar 09, 202226 minEp. 7

Health Affairs Pathways Programming Note

This week, we begin the second season of Health Affairs Pathways. Sania Ali and Avni Kulkarni present "While We Wait," a look at mental health boarding in the emergency department.

Mar 07, 202235 sec

Piecemeal: Balancing Physician Employment, Autonomy & Burnout

In the final episode of Piecemeal, Dr. Lalita Abhyankar discusses the delicate balance between physician burnout, autonomy, employment, quality of care, negotiating power, and the continuity of the physician-patient relationship. Guests include Dr. Jonathan Zhang from McMaster University; Dr. Farzad Mostashari, CEO of Aledade ; Dr. Umar Bowers from Dawson Med ; and Dr. Kyle Leggot from the University of Colorado School of Medicine . Piecemeal was produced by Dr. Lalita Abhyankar for Health Affai...

Mar 02, 202219 minEp. 6

Piecemeal: Vertical Consolidation, Antitrust & Your Physician

In the penultimate episode of Piecemeal, Dr. Lalita Abhyankar interviews Dr. Cory Capps from Bates White Economic Consulting to dive into vertical integration, antitrust policy, the challenges of antitrust enforcement in the health care space, and what might be next. Piecemeal was produced by Dr. Lalita Abhyankar for Health Affairs. Works Cited: Your Doctor/Pharmacist/Insurer Will See You Now: Competitive Implications of Vertical Consolidation in the Healthcare Industry (Senate Committee on the ...

Feb 23, 202222 minEp. 5

Piecemeal: Who Employs Your Physician?

Who do you want your physician to be employed by? That's the question Lawrence Casalino from the Weill Cornell School of Medicine asks at the top of the latest Piecemeal episode. In this episode, Dr. Lalita Abhyankar explores the relationship between negotiating power among large provider groups and insurers, capitation, the role of private equity in the health care system and independent primary care, and consolidation in the primary care market. Guests include Lawrence Casalino from Weill Corn...

Feb 16, 202223 minEp. 4

Piecemeal: Primary Care Pivoting In The Age of COVID-19

In this episode of Piecemeal, Dr. Lalita Abhyankar discusses the ongoing organizational pressures that independent primary care practices face in the wake of the COVID-19 pandemic and how some pivoted their business models. Guests include Wayne Strouse, Tina Philip, Gail Guerrero and Cathy Romero from Gila Valley Clinic , and Arun Villivalam from Los Gatos Doc . Piecemeal was produced by Dr. Lalita Abhyankar for Health Affairs. Music produced by So Brown and Jack Mason ....

Feb 09, 202217 minEp. 3

Piecemeal: Policy Issues That Promote Consolidation

On the second episode of Piecemeal, Dr. Lalita Abhyankar explores the policy issues that promote health care consolidation. She explores the fee-for-service payment model, various value-based payment models, the challenges of telehealth, payment reimbursement negotiations, and the complex balance of managing patient visits. Guests include Dr. Farzad Mostashari, CEO of Aledade ; Dr. Gary Price, President of The Physicians Foundation ; and Dr. Kyle Leggot from the University of Colorado School of ...

Feb 02, 202222 minEp. 2

Piecemeal: Health Care Consolidation and Independent Primary Care

Welcome to Health Affairs Pathways . Health Affairs Pathways explores the avenues and alleyways of the health care system through a variety of storytelling – from investigative journalism and health policy explainers to long-form interviews. Unique series are created by fellows at the Health Affairs Podcast Fellowship Program, designed to support early to mid-stage professionals pursue an audio project, tell a unique health care story, and highlight voices that may not be heard otherwise. Our fi...

Jan 26, 202219 minEp. 1

Welcome to Health Affairs Pathways

Welcome to Health Affairs Pathways, which explores the avenues and alleyways of the health care system through a variety of storytelling – from investigative journalism and health policy explainers to long-form interviews. Our first season is a six-part series from Lalita Abhyankar , a physician and storyteller based in San Francisco, CA. Her series, titled Piecemeal, examines how consolidation in health care is affecting independent primary care. The first episode will be published on January 2...

Jan 18, 202252 sec
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