On July 4th, 2025, President Donald Trump signed the “One Big Beautiful Bill Act” into law. In this “minisode,” host Rachel (Rae) Woods unpacks the sweeping implications of the most significant healthcare legislation since the Affordable Care Act. From enhanced subsidies expiring to major cuts to Medicaid and ACA marketplace coverage on the horizon, Rae explores what this legislation means for providers, payers, and the broader healthcare ecosystem. Listen to this short policy update for strateg...
Jul 08, 2025•6 min
In this special live episode from the 2025 Advisory Board Summit, host Rachel (Rae) Woods sits down with a leader well-versed in bold transformation: Paul Markovich. After more than a decade as President and CEO of Blue Shield of California, Paul now leads Ascendiun—a new nonprofit parent company that includes Blue Shield of California, its clinical services firm Altais, and the newly launched health services business, Stellarus. Together, they explore the mounting pressures facing health plans ...
Jul 01, 2025•46 min
Healthcare executives are closely watching legislative activity in Congress—anticipating shifts in government-funded insurance, new economic headwinds, and regulatory changes. And while change is certainly coming, what remains uncertain is how these forces will shape market dynamics and organizational finances. To help hospitals and health systems prepare, Advisory Board’s quantitative experts developed an impact estimator to size the financial impact of Congress’s ‘One Big Beautiful Bill’. This...
Jun 24, 2025•31 min
When experts warn that the economy could be headed for a recession, people working across different corners of the economy get nervous. People working in healthcare, maybe less so. That’s because of a longstanding idea that healthcare is impervious to recession. Okay, maybe that’s overstating it. Healthcare is less susceptible than other industries. But did this notion hold up during the pandemic? During the Great Recession? More importantly, will it hold up now? This week on Radio Advisory, hos...
Jun 17, 2025•40 min
Artificial intelligence (AI) continues to generate excitement across healthcare, promising to reduce clinician burnout, fuel innovation, and ease financial pressures. But despite the hype, AI is far from a “plug-and-play” solution—and simply investing in AI won’t guarantee success. This week, host Rachel (Rae) Woods is joined by Advisory Board AI expert Ty Aderhold to explore what it really takes to see value from AI in healthcare. Together, they unpack: The current reality of AI’s return on inv...
Jun 10, 2025•30 min
Stay tuned to the end of the episode for a policy update on the bill containing Medicaid cuts that is making its way through Congress, and the recent MAHA Commission Report. If you were to ask any healthcare leader what the top challenges in our industry are, it’s a fair bet that “improving patient access to care” would be on the list. There have been so many investments made in the industry to improve access—especially since the Covid-19 pandemic. With this level of investment, we should be mov...
Jun 03, 2025•29 min
In this special live episode from the 2025 Advisory Board Summit, Ardent Health Services President & CEO Marty Bonick and Chief Digital and Transformation Officer Anika Gardenhire recount the harrowing story of a ransomware attack that brought their 30-hospital system to a standstill on Thanksgiving Day 2023. Cyberattacks on healthcare systems are becoming more frequent, more sophisticated, and more devastating. Just 60 days into her role, Anika led the charge to contain the breach, extract ...
May 27, 2025•41 min
5/22 Update: The House early Thursday narrowly passed the One Big Beautiful Bill Act, a budget bill that includes a number of healthcare provisions that could have a significant impact on Medicaid, Medicare, and the Affordable Care Act. It has been over 100 days since President Donald Trump began his second term. During that time, Radio Advisory has received a steady stream of questions from leaders seeking guidance in an uncertain policy and business environment. With looming funding cuts, the ...
May 20, 2025•40 min
Believe it or not, 60% of healthcare payments in the US are tied to value. But it’s still surprisingly hard to find examples of health systems that have been doing VBC at scale, successfully, over time. So that’s what Advisory Board researchers set out to do. And across 66 conversations with 44 systems, we found four systems with approaches worth emulating. This week, we’re unpacking the approach at one of those systems: Advocate Health. Host Abby Burns sits down with Don Calcagno, Chief Populat...
May 13, 2025•34 min
(This episode originally aired on October 22, 2024.) For years, the best word to describe Medicare Advantage (MA) was “untouchable.” Hugely popular among seniors, profitable for health plans—the hybrid public-private payment model grew to the point that it now covers more seniors than traditional Medicare. But in the past few years, the tide has started to change. And if you’ve been paying attention in recent months, you’ll have seen headlines announcing that payers that are scaling back their M...
May 06, 2025•22 min
The federal drug purchasing program known as 340B was created in 1992 to help select provider organizations stretch scarce resources to care for patients. More than three decades later, health systems of all shapes and sizes have come to rely on 340B for their financial sustainability. But the program has come under criticism. And in recent years, it’s been under more scrutiny, with manufacturers, state governments, and federal regulators proposing changes to how it operates. In this episode, ho...
Apr 29, 2025•32 min
In 2025, 6% of US adults are taking a GLP-1. But the popularity of weight-loss drugs isn’t the only thing changing the obesity care landscape. On Radio Advisory, we’ve talked about what comprehensive obesity care looks like, the reality of weight bias, and the strain high-cost drugs like GLP-1s are having on employers and plans. But we haven’t done an updated scan of the obesity care landscape, until now. To share the state of the Obesity market in 2025, host Rachel (Rae) Woods invites Advisory ...
Apr 22, 2025•35 min
Let’s face it: Hospitals and post-acute providers can find themselves at odds. Post-acute is an area of the industry that is often misunderstood and sometimes villainized. But when post-acute care struggles, it directly impacts hospital operations. The industry needs a solution. It starts with understanding that the post-acute space is not a monolith. Because only by understanding how different facilities struggle—and how systems can support or partner with them—can we unlock their potential. Th...
Apr 15, 2025•29 min
Every stakeholder in healthcare is getting squeezed by mounting financial pressures, and health plans are no exception. Higher utilization and rising treatment costs are hitting plans hard. At the same time, plans are facing heightened public scrutiny. It may seem like the wrong time for plans to focus on cost management, but the combination of market and public pressures is exactly why it is so important for plans to get a handle on their clinical costs. If not, they risk passing those costs on...
Apr 08, 2025•36 min
It feels like only yesterday that workforce challenges were the biggest problem facing the healthcare industry. While COVID-19-related staffing shortages may have declined, an inefficient workforce can still threaten health system operations and finances. Often, systems turn to staffing ratios or benchmarks to determine whether they need more cuts or more hires. However, systems need more than staffing ratios to make sure they have the right headcount and the right expertise in place to safely a...
Apr 01, 2025•33 min
In the first two months of the Trump administration, the political and regulatory environment have shifted considerably. Since the inauguration, we’ve fielded dozens of questions about the slew of executive orders, cuts to research funding, HHS layoffs, tariffs, and an unstable economic outlook. All of that is coupled with the potential for major payment cuts to government-funded healthcare and rising scrutiny over public health and the healthcare industry writ large. The sheer pace of change le...
Mar 25, 2025•47 min
There is a lot happening in federal policy that may affect healthcare payment transformation and care delivery. But we’ve said it before: healthcare leaders can’t afford to focus on fighting near-term fires at the expense of driving long-term success and sustainability. Amidst the uncertainty, it’s more important than ever to push forward conversations about how we can structurally evolve our systems to align incentives to patient health. So, in this episode, we’re talking about value-based care...
Mar 18, 2025•34 min
Partnerships between health systems and life sciences play a critical role in giving patients access to the best data, therapies, and technologies available in the market. However, these partnerships can be less fulfilling if both sides don’t align on purpose and expectations. This week, host Rachel (Rae) Woods invites Advisory Board expert Fanta Cherif to break down the current state of health system and life sciences partnerships, share the spectrum of collaboration options, and the strategic ...
Mar 11, 2025•25 min
On September 27, 2024, Ballad Health was forced to evacuate Unicoi Hospital in rural Tennessee due to a freak flash flood caused by Hurricane Helene. After two failed rescue attempts, an aerial operation managed to successfully airlift all 70 people who were trapped on the rooftop of the small community hospital. In an era where extreme climate events are increasingly common, more healthcare leaders are being forced to reckon with the reality of leading through natural disasters. This week, Lisa...
Mar 04, 2025•34 min
We’ve said it before on Radio Advisory: hospital volumes are back. But leaders know this isn’t necessarily a sigh of relief. With a lot of hospitals at—or even over—capacity, hospital leaders need to find ways to improve patient throughput and reduce length of stay. And trust me, they’ve been trying. The question is, why is it so hard to address capacity and length of stay, and what can leaders do about it in 2025? This week, host Rachel (Rae) Woods is joined by Advisory Board expert Isis Montei...
Feb 25, 2025•24 min
The cost and quality of care can vary dramatically—even within the same health system. This has real ramifications for patients and clinicians, not to mention system outcomes. But reducing unwarranted variation in clinical care is much easier said than done. In 2019, UNC Health launched a care redesign office to take on the job. They identified 24 sources of variation to target. And their efforts were so successful that five years later, it was time to set their sights on a new list of targets—t...
Feb 18, 2025•43 min
As hospitals face mounting financial pressure in 2025, health systems are reckoning with the fragility of their legacy business models. Ambulatory networks have long been considered an opportunity for growth, but legacy thinking still focuses on how ambulatory sites could drive inpatient volumes. That strategy is no longer working (and perhaps, never did). Savvy health leaders are now asking, how should we be evolving our ambulatory strategy in 2025, and setting ourselves up for 2035? To answer ...
Feb 11, 2025•31 min
Back in December, we discussed why leaders should re-envision their approach to digital change management. But to truly implement digital change, health systems must understand their organization’s success (or failure) to date. However, assessing digital progress is not a simple task. While models exist that measure digital maturity in other industries, there is a serious lack of tools to measure progress in the healthcare field—which is why we made our own. This week, host Rachel (Rae) Woods in...
Feb 04, 2025•43 min
Advisory Board experts Natalie Trebes and Max Hakanson rejoin host Abby Burns for part two of our conversation digging into the trends and challenges healthcare leaders need to pay attention to in 2025. Last week, our experts covered evolving power dynamics around network design, drug cost/spend, and cyber threats. This week, the group shifts their attention to unpack what’s happening with our core care delivery infrastructure. What is the state of health systems—and what’s in store for them? Th...
Jan 28, 2025•25 min
While the new year often feels like a time to reset and regroup, 2025 has started off in a sprint. As pressures continue to grow across all sectors of the industry, it’s no secret that leaders need to think and act differently in order to succeed in the new year. With so many swirling changes, it can be hard to sort through the most important topics, trends, and perspectives to focus on. That’s where Advisory Board—and Radio Advisory—come in. This week’s conversation is the first of a two-part s...
Jan 21, 2025•28 min
2024 was filled with upswings and downswings in the healthcare industry. Whether it was unprecedented cyberattacks, the continued rise of GLP-1 therapies, or the return of hospital volumes, healthcare leaders stayed busy. And things aren’t expected to slow down in 2025. To give you a preview of where we may be headed, this week, hosts Rachel (Rae) Woods and Abby Burns invite five Advisory Board experts to break down what their teams will be researching in 2025 and why these topics matter for hea...
Jan 14, 2025•18 min
A top podcast for healthcare leaders, with over one million downloads, Radio Advisory is your weekly download on how to untangle the industry's most pressing challenges to help leaders like you make the best business decisions for your organization. From unpacking major trends in care delivery—like site-of-care shifts and the rise of high-cost drugs—to demystifying stakeholder dynamics, to shining a spotlight on priorities that may get overlooked, we're here to help. Our hosts and seasoned resea...
Jan 07, 2025•2 min
The healthcare industry talks a lot about “change management,” the idea that through careful stewardship, the process of change can be made a little bit easier. The problem is, it’s a lot easier to talk about change than it is to manage it well. This is especially difficult when it comes to digital transformation, a space that is evolving almost too fast to keep up with. So how should leaders be thinking about navigating change in such a complex environment? To answer that question, in the first...
Dec 03, 2024•30 min
Employers have been saying for years that they can’t absorb any more cost growth for health insurance; health plans feel like they’ve squeezed about as much juice as possible out of traditional cost mitigation levers. Both are looking for creative alternatives to curb rising health costs. Enter ICHRAs. Usually, when we talk about the health insurance landscape, we focus on Medicare, Medicaid, or employer-sponsored insurance. But roughly 21 million people in the US are covered by individual marke...
Nov 26, 2024•31 min
Last week on Radio Advisory, we broke down what healthcare leaders need to know for 2025 and beyond following the recent elections. But before we move on from 2024 completely, we have to acknowledge that there’s been a lot moving in the policy space this year, and frankly, there have probably been a few important policy areas on your radar that we haven’t discussed. That’s why this week, host Abby Burns invites Advisory Board experts Gina Lohr , Sarah Roller , and Paul Trigonoplos to dive into t...
Nov 19, 2024•41 min