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Tired of being baffled by healthcare policy? McGuireWoods Consulting presents Complications: Health Policy Unraveled, your solution to the policy puzzle. With our host, Stephanie Kennan, discover the ins and outs of healthcare policy and gain insights crucial for providers and investors. Let's simplify the complex together. Follow us in your favorite podcast app and never miss a healthcare update by subscribing to host and JD Supra’s #1 healthcare author Stephanie Kennan’s Washington Healthc ...
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Abigail Meller is an aspiring activist, feminist, and a couple of other –ists, with a passion for health policy, advocacy work, and civil rights. Join her as she discusses current public health, healthcare policy, and social justice issues on Generation Invincible, a bi-weekly podcast by a millennial, for millennials.
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What happens when robots, AI, and big data enter the hospital? Glenn Cohen (a professor and deputy dean at Harvard Law School) is unpacking that question in this exploration of biotechnology, ethics, medical law, and health care policy. Each week, he’ll interrogate a single technology – such as digital pills, AI-powered decision support algorithms, or digital health apps – through the lens of ethical concerns like informed consent, liability, and privacy.
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In mid-August, the Biden administration announced it had completed negotiations for the first 10 drugs in Medicare’s price program and that the new prices will be implemented in 2026. The achievement marks decades of effort and is a stellar achievement for the Democrats and the administration. But Medicare already receives discounts and rebates on …
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In an ironic move, it’s likely that Medicare Part D insurance premiums will rise next year even as a 2022 law sought to lower costs for patients, but the administration is planning on implementing a program to stabilize the market. Under the 2022 law, insurers must now make up the difference between costs formerly covered by patients and are raisin…
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A revolution in the use of psychedelic drugs to treat mental health issues experienced a setback in early August when the FDA declined to approve MMDA as a treatment for post-traumatic stress disorder. Host Stephanie Kennan provides important context to the FDA’s decision, which came as the agency has faced criticism for approving therapies without…
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Congress is teeing up discussions on a controversial issue that strikes at the heart of the Medicare system: how physicians are paid. Lawmakers are weighing changes to the Medicare Physician Fee Schedule for the first time since 2015, and host Stephanie Kennan lays out the landscape. She provides background on the pay schedule, describes reforms un…
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“Site-neutral” is a short name for a proposal that has bipartisan interest in Congress, but is being fiercely fought by hospitals. Host Stephanie Kennan explores the divisive issue of site-neutral payment reform, an approach to healthcare spending that would align Medicare payments for outpatient services across care settings. Amid growing bipartis…
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The National Institutes of Health (NIH) has been under scrutiny since COVID-19, so it is not surprising that members of Congress have released NIH reform initiatives. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan provides a summary of NIH reform recommendations, starting with the white paper released by Republican…
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“The 340B Drug Discount Program is the second largest government pharmaceutical program based on net drug spending and is only behind Medicare Part D. It's been the subject of a lot of legislation and hearings in Congress because of its growth and because of the confusion over contract pharmacies.” In this episode of Complications: Health Policy Un…
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In 2022, the Supreme Court of the United States heard arguments related to Medicare’s Disproportionate Share Hospital Payments. Now that issue is before the court again. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan discusses an upcoming SCOTUS case involving hospitals and the Department of Health and Human Servic…
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Medicaid is complicated. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the newly finalized regulations concerning Medicaid, specifically as they pertain to the Managed Care Rule. These new regulations aim to increase transparency and improve access in states' Medicaid programs. Key points discussed inclu…
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The Center for Medicaid & Medicare Services (CMS) recently released new guidelines that will affect the Medicare drug price negotiation process beginning in 2026. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan provides a summary of the new CMS guidelines, including the new requirements for drug manufacturers and Pa…
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As part of the 2024 Developmental Disabilities Conference, three leaders of the disability community - Max Barrows, Matteo Musso, and Elizabeth Grigsby - provide insights into the barriers faced by people with disabilities to access healthcare. They review programmatic, communication and physical barriers and offer their ideas for solutions. Series…
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Recently, some consumers have found that their health plans had been changed without their knowledge, impacting their coverage and their finances. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan explores unauthorized plan switching related to Affordable Care Act health plans. Consumers are being unknowingly switched…
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The Congressional Review Act has been used to overturn 20 rules since it was enacted. Will a Biden administration healthcare rule be next? In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan explores the intricacies of the Congressional Review Act (CRA) and its significance for healthcare policy. She explains how the CR…
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Congress has a number of important healthcare issues currently pending, but whether any get resolved before the end of the term is still to be seen. In this episode of Complications: Health Policy Unraveled, Stephanie Kennan explores key healthcare policy issues before Congress, including PBM reform, healthcare transparency, cybersecurity, insulin …
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Artificial intelligence continues to be a focus for Congress and federal agencies. Are you keeping up with the latest developments that impact the healthcare sector? In episode 22 of Complications: Health Policy Unraveled, host Stephanie Kennan provides updates on legislative and regulatory affairs concerning artificial intelligence. With the forma…
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What does fishing have to do with healthcare? Currently before SCOTUS is Loper Bright Enterprises, a case involving federal oversight of herring fishing which could impact the government's regulatory power broadly and thus, the healthcare sector. In episode 21 of Complications: Health Policy Unraveled, host Stephanie Kennan explores Loper Bright En…
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AI is dividing members of Congress based on how they feel it should be regulated. As a result, Congress may concede regulatory power to the Biden Administration, which has proven more efficient in developing regulatory framework for AI. In episode 20 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses AI-related congressional…
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Professor Glenn Cohen, Faculty Director of the Petrie-Flom Center at Harvard Law School interviews Dr. Rochelle Walensky, 19th Director of the Centers for Disease Control and Prevention and Senior Academic Fellow at the Petrie-Flom Center. They discuss Dr. Walensky’s career as an infectious disease clinician focused on HIV/AIDS, her experience lead…
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With the recent exponential growth of artificial intelligence technologies, the Biden administration is trying to help guide the nation in the development and deployment of safe, secure, and transparent AI technologies across all sectors, including healthcare. In episode 19 of Complications: Health Policy Unraveled, host Stephanie Kennan explores t…
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“Medicare Advantage has come under scrutiny related to mental health providers in their networks and related to broker's fees.” Proposed changes seek to remedy that. In episode 18 of Complications: Health Policy Unraveled, host Stephanie Kennan details the changes to Medicare Advantage Plans recently proposed by the Senate Finance Committee and CMS…
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Change is on the horizon for the health plan marketplace. In episode 17 of Complications: Health Policy Unraveled, host Stephanie Kennan describes the new standards proposed by the Centers for Medicare and Medicaid Services for qualified health plans in health insurance marketplaces. These changes include bringing state marketplaces in line with th…
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As we come to year-end, healthcare policy is in flux. In episode 16 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the possible absence of an end-of-year healthcare package due to the appropriations process deadlines. She also discusses some of the initiatives Congress wants to do when they can do a healthcare package. B…
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The Centers for Medicare & Medicaid Services (CMS) has made a small change that has a large impact. In episode 15 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the updated CMS billing policy, which now allows insurers to pay street medicine providers for their services. This move gives providers the flexibility to see h…
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The Centers for Medicare & Medicaid Services (CMS) has announced that Medicare premiums are expected to increase in 2024. In episode 14 of Complications: Health Policy Unraveled, host Stephanie Kennan breaks down all the expected Medicare premium increases and what’s behind these rate hikes. Because the Supreme Court held that cuts to drug reimburs…
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Should Social Robots be Used to Provide Emotional Support? PARO is a cuddly baby seal used as an emotional companion robot in elder care. Emotional companion robots provide some of the benefits of therapy animals, without the attendant challenges of a live animal. But while emotional companion robots can provide comfort to older adults, they might …
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The regulatory landscape for telehealth prescribing of controlled substances is evolving. In episode 13 of Complications: Health Policy Unraveled, host Stephanie Kennan covers the DEA's recent extension of pandemic-era telehealth prescribing flexibilities for controlled substances through 2024, marking the second extension. Originally set to expire…
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How Should We Regulate Digital Health Technology? The current digital health marketplace has been described as a wild west. Every day, consumer products making strong claims are brought to market without sufficient evidence and often withdrawn only when enforcement actions are brought against them. There are already apps that claim to detect melano…
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How AI Bias Is Affecting Health Care—And What We Can Do About It People are biased, and people build AI, so AI are biased, too. When AI is used in hospitals to treat patients, that bias comes to health care. For example, a 2019 paper in Science found that a commercial risk-prediction tool was less likely to refer equally sick Black people than whit…
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The No Surprises Act has had some difficulties in the implementation process, and those difficulties are raising issues. In episode 12 of Complications: Health Policy Unraveled, host Stephanie Kennan provides an update on the No Surprises Act, a law passed by Congress in December 2020 to protect patients from excessive surprise medical bills. The l…
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How secure is data collected by digital pills? Ingestible electronic sensors (IESs or “digital pills”) can be taken with or as a part of a drug in order to collect and record patient data, such as medication adherence or physiological metrics. This information can then be shared with relevant parties, including the patient, family members, and heal…
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Who Is Liable When AI Injures a Patient? Medical errors happen; doctors are only human. And when doctors make mistakes, the law pertaining to who is liable is usually clear-cut. But what happens if the mistake was made by an AI, included one embedded in a device or a robot? This episode will explore who is liable. Is it the hospital? The developer …
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Pharmacy benefit managers (PBMs) continue to be a topic which causes angst in Congress. However, PBM reform is not far off, and is likely to come before the end of the year. In episode 11 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the bipartisan introduction of the Patients Before Middlemen Act in the Senate, which i…
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Do You Own Your Personal Health Data? Every time you visit the doctor, heaps of personal health data are stored in electronic medical records, a mainstay of the modern health care industry. The rise of big data in healthcare comes with risks, however. Health data is now being sold to external companies and researchers. So, can you own your personal…
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Should We Tell Patients When AI is Being Used in Their Care? Increasingly, AI is being used in hospitals without patients’ knowledge of its use in their care, let alone their consent. For example, AI is being used to predict the likelihood that a cancer patient will die within the next six months. Hospitals and clinicians are deploying this technol…
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“The initial reaction to the rules is that they are much more restrictive than necessary and impose concerning limitations and burdens on clinicians and the patients they treat.” In episode 10 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the Drug Enforcement Agency’s telehealth proposed rules which could impact how pat…
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UC Santa Cruz developed a computational tool known as UShER that enables real-time SARS-CoV-2 tracking and helps researchers identify new lineages of the virus. The easy-to-use tool and online server creates an evolutionary tree that helps scientists understand genomic mutations by creating new branches, showing the relationships between virus samp…
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The concept of a federal consumer privacy framework is something that Congress has worked on for several years in both the House and Senate, but it's never come to fruition. In episode 9 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the American Data Privacy and Protection Act (ADPPA), which would, if passed, create a c…
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“More than 80% of the listed in-network mental health providers [that] staff tried to contact were ‘ghosts’ as they were either unreachable, not accepting new patients, or not a network.” In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan discusses “ghost networks” and Medicare Advantage plans. Based on a recent Senate…
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All this activity on PBM legislation ensures that something is likely to happen this year. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan walks through legislation pending in both the House and Senate aimed at addressing the practices of Pharmacy Benefit Managers (PBMs), the drug pricing middlemen many blame for hi…
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Here we go again. A year-end appropriations showdown is likely, despite promises earlier this year to have the process work on time for a change. In ep. 6 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the current appropriations battles, the timing of appropriations, and the process. You’ll learn about the hurdles in Con…
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In this episode of Complications: Health Policy Unraveled, Stephanie Kennan discusses the tax exemption status of nonprofit hospitals, the legal requirements for tax exemption, and the recommendations made by the General Accounting Office regarding this issue. Despite the lack of clarity from Congress, scrutiny on tax exemption status may increase …
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The debate on physician-owned hospitals is beginning again. Or maybe it never really stopped. In the latest episode of Complications: Health Policy Unraveled, host Stephanie Kennan shares the history behind the creation of physician-owned hospitals, and the current effort to loosen restrictions through legislation while the administration wants to …
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Healthcare is moving towards a more transparent future. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan explores the latest updates in hospital price transparency efforts. Delve into the strengthened enforcement process by CMS, exploring new requirements for corrective action plans, changes in the imposition of civi…
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In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan clarifies the complexities of the 340B Drug Discount Program, discussing its history, ongoing litigation, challenges from drug manufacturers and Congress, and its impact on healthcare providers serving low-income and uninsured patients. Meet Your Host Name: Stephanie K…
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In this inaugural episode of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the federal debt ceiling and its potential impact on healthcare. As Congress battles over the debt ceiling, healthcare providers and investors hang in the balance, facing delayed payments and potential access issues, in a high-stakes political game …
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Tired of being baffled by healthcare policy? McGuireWoods Consulting presents Complications: Health Policy Unraveled, your solution to the policy puzzle. With our host, Stephanie Kennan, discover the ins and outs of healthcare policy and gain insights crucial for providers and investors. Let's simplify the complex together. Follow us in your favori…
  continue reading
 
Since the mid 1970s, California policy makers have attempted to address the ever-growing problem of homelessness and incarceration of people with serious mental illness. Despite these efforts, the numbers of people who are homeless and incarcerated with mental illness have reached unprecedented highs. In this program, Dr. Joel Braslow, professor of…
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What's California doing to address the issue of chronic homelessness? Some say nothing while others point to many efforts at the local and state levels. In this discussion, Dr. Margot Kushel, State Senator John Laird, and Dr. Toby Ewing explore the ways in which California is addressing the problem of the chronically unsheltered, what barriers rema…
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The world has lived through 2+ years of the COVID-19 pandemic, heightening the awareness of the links between health and other aspects of life including education and the economy. Future pandemics are a real risk but there are a number of other threats to human health and well-being as well. These include climate change, the rise of obesity, invert…
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Disability rights activist Judy Heumann has been fighting for inclusion for over six decades, in ways that transformed legal and societal understandings of equality. Her life-long experience has included co-founding the organization Disabled in Action, working on Capitol Hill to shape landmark disability rights laws, co-organizing the extraordinary…
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