Expanded Coverage of Weight Loss Drugs? Diabetes Advocates Say Yes

Medicare just announced that it will pay for weight loss drugs if patients using them also have heart disease and need to reduce the risk of future heart attacks and strokes. Medicare has already been covering the costs of the GLP-1 class of drugs to treat diabetes problems. However, Medicare Part D plans are still restricted by law from covering obesity medications used for chronic weight management alone.

It’s a decision the American Diabetes Association would like to see overturned. “It really is important that we try to get upstream of diseases…we know that obesity is a disease and it’s a bigger driver to the increasing number of people developing diabetes…it’s important that people have access to treatments that are effective. Medicare isn’t covering that [obesity] treatment and that’s something we’ve been advocating for,” says Dr. Robert Gabbay, chief scientific and medical officer for the American Diabetes Association

Dr. Gabbay also tells hosts Mark Masselli and Margaret Flinter that anybody with diabetes on insulin should have access to a continuous glucose monitor and the ADA is proud that it helped secured Medicare coverage for such monitors.

Young Deaths from Colorectal Cancer Skyrocket as New Research Emerges

The recent death of former college football player Craig Roh from colon cancer at age 33 has brought attention to the “alarming” increase of colorectal cancer in young people. The American Cancer Society reports colon cancer is now the most common cause of cancer deaths in men under 50 and second for women under 50.

Dr. Alan Venook at the University of California-San Francisco is one of the nation’s leading colorectal cancer researchers. March is Colorectal Cancer Awareness Month and Dr. Venook explains to “Conversations on Health Care” hosts Mark Masselli and Margaret Flinter how to stem the rise in cases among young people.

Dr. Venook also talks about his research that found there’s no compromise in colorectal cancer patient survival or the risk of recurrent cancer over time with less radiation—a finding that goes against conventional wisdom.

Super Sperm Donors - America’s Underground Surrogacy Movement: Author Explains Her Journey

The family planning revolution has a new chapter and journalist Valerie Bauman is both documenting it and participating in it. She and others pursuing alternatives say they’re frustrated with fertility clinics because of the cost, what they call the discriminatory nature of the system and the lack of insurance coverage. Bauman explains how she met her sperm donor and why others like her say it makes sense for them.

Hosts Mark Masselli and Margaret Flinter interview Bauman about her upcoming book “Inconceivable: Super Sperm Donors, Off-the-Grid Insemination, and Unconventional Family Planning.”

IVF Fallout: Top Biden Health Official Sees Dangers Beyond Reproductive Rights

Originally broadcast on March 4, 2024

Even as Alabama scrambles to enact a law protecting in vitro fertilization in the state, the Biden-Harris Administration sees additional challenges that legislation may not be able to quickly fix. Carole Johnson leads the Health Resources and Services Administration, the part of the U.S. Health and Human Services Department tasked with strengthening the health workforce and connecting skilled professionals to rural, urban and tribal underserved communities.

Johnson explains that some health care providers were already reluctant to work in states with restrictive reproductive legislation and the Alabama situation presents a new challenge.

In rejecting Alabama’s Supreme Court decision she says, “It should not be the case that young women in this generation have less rights than I did growing up and we need to change that. We will continue to lean in as an administration supporting women.”

Nurses Ask: Where is the respect?

Americans say nursing is the most respected profession, but nurses say their challenges tell a different story. They’re sounding the alarm on staffing shortages, violence in the workplace and racism (63% of nurses say they have personally experienced an act of racism in the workplace).

The American Nurses Association is also fighting an American Medical Association policy recommending advanced practice registered nurses be licensed and regulated by both state medical and nursing boards.

Our guest to tackle these issues is the president of the American Nurses Association, Jennifer Mensik Kennedy, Ph.D., MBA, MBA, RN, NEA-BC, FAAN. Join hosts Mark Masselli and Margaret Flinter for this important conversation.

Better Primary Care: What Will It Take to Get the U.S. to Wake Up to the Need?

U.S. spending on primary care fell again, to a mere 4.6% of total health care dollars spent. Primary Care Collaborative is the only national multi-stakeholder organization focused on whole-person primary care.

Primary Care Collaborative President & CEO Ann Greiner joins hosts Mark Masselli and Margaret Flinter to discuss better compensation and reimbursement for primary care clinicians and efforts to increase training, expanding access to community health centers, and opportunities for primary care to help as the country faces a mental health crisis.

What will it take to get the United States to wake up to the need for better primary care? Tune into this week’s conversation to learn more.

Damning Research Reveals Extent of Pediatrics Care Gap: Children of Color Receive Worse Treatment

Across the board, children of color in America receive less treatment and fewer life-saving interventions than white children, according to a research review published in Lancet Child and Adolescent Health. The data find that strongest disparities between whites and children of color involved pain management; kids of color are less likely than their white peers to get painkillers for a broken arm or leg, for appendicitis or for migraines.

Dr. Nia Heard-Garris, pediatrician and researcher at the Feinberg School of Medicine at Northwestern University, helped lead the project. She explains that the research also shows white children are sometimes overtreated, which is also not good for their health. Join hosts Mark Masselli and Margaret Flinter as they examine the findings and look for policy solutions.

Mental Health’s AI Revolution: What It Means for Patients & Providers

How is the long-held image of a psychiatrist with a couch in an office being replaced by artificial intelligence? And what are the promises and perils of using technology to help treat depression and anxiety? Dr. Jodi Halpern is a psychiatrist, noted author and co-founder of the University of California’s Berkeley Group for Ethics and Regulation of Innovative Technologies.

Research shows that 26% of adult Americans have a diagnosable mental health situation each year, and private industry is rushing to provide AI and bots to help patients navigate these issues. However, Dr. Halpern explains the ethical problems that are arising from the marketing of these services. Join us for this insightful “Conversations on Health Care” with hosts Mark Masselli and Margaret Flinter.

A Roadmap to Improve Health Outcomes By Investing In Green and Healthy Homes

There are many ways to address the social determinants of health but do we need to pay more attention to the one right in front of us? The Green and Healthy Homes Initiative thinks so, and it’s focused on addressing health inequities by making homes healthier, safer and more energy efficient.

Helping Community Health Workers Succeed: Ideas From an Innovative Program

Experts praise community health workers as the keys to building a more equitable and fair health care system in America. Is there a way to unlock more success for hiring and retaining them?

Dr. Shreya Kangovi thinks so; she developed the IMPaCT Care program, which is saving money and quickly growing. “Conversations on Health Care” hosts Mark Masselli and Margaret Flinter talked to her about how it’s a standardized, scalable program that transforms the effectiveness of the community health workforce by reimagining each step.

She Helped Design Pres. Biden’s AI Bill of Rights—How Does It Protect Patients?

Less than three months ago, Alondra Nelson, Ph.D., proudly watched as President Biden unveiled the administration’s blueprint for an artificial intelligence bill of rights, which is focused on ensuring safe, secure and trustworthy technology. Nelson had a big role in developing the strategy as she served as deputy assistant to the president and acting director of the White House Office of Science and Technology Policy. Since then, major health care companies have agreed to work toward solutions that advance health equity, expand access to care, make care affordable and other commitments.

But there’s anxiety about clinical algorithms showing racial bias and privacy worries. Nelson joins hosts Mark Masselli and Margaret Flinter to explain how the health care sector, including its employees, can benefit if AI is thoughtfully deployed.

(Alondra Nelson Photo/Dan Komoda)

Are You Up to Date on Health Care Policy & Innovation as 2024 Kicks Off? We Can Help.

A new year brings hope for breakthroughs for our most complex health care issues. The leading thinkers have been sharing their perspectives with us. We’ve captured the highlights from our recent interviews covering vaccinations, abortion, mental health and all the top stories. Plus, we have important updates for 2024. Click below to join hosts Mark Masselli and Margaret Flinter for “Conversations on Health Care.”

Long COVID: 2023’s Enduring Medical Mystery

The diagnosis and treatment of Long COVID made many advancements in the past 12 months and “Conversations on Health Care” covered all of them. We’ve collected the most important insights from leading researchers and clinicians as this medical mystery continues. Join hosts Mark Masselli and Margaret Flinter as they highlight the perspectives of guests ranging from NIH researchers and patients, to the leader of the Mayo Clinic’s COVID Activity Rehabilitation Program.

Any Hope to Avoid Govt. Shutdown in ’24? Health Care Reporters Assess the Chances

The advice from one of Washington’s health care policy reporters is to rest up and enjoy the holidays because 2024 is going to be a very intense time. The top items on the agenda include a federal fight over the budget (including health care) that could lead to a government shutdown at the beginning of the year, a presidential campaign that will place health issues at the forefront, continuing concerns about AI and health, and a Supreme Court decision expected by June on medication abortion.

Hosts Mark Masselli and Margaret Flinter get the health care policy prognosis for 2024 from: Joyce Frieden, who oversees MedPage Today's coverage of Washington and health policy; Caitlin Owens, a senior policy reporter for Axios; and Nathaniel Weixel. a health policy reporter for The Hill.

Holiday Blues & America’s Mental Health Crisis: Insights from NAMI’s Chief Medical Officer

This is a critically important time for Dr. Ken Duckworth as the chief medical officer for NAMI— the National Alliance on Mental Illness. It’s the nation's largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness. Yet the holidays often bring increased instances of depression, which is especially troubling for a country already experiencing the highest rates of suicide in over 80 years.

How Do We Get More Latinas Interested in Nursing? Ideas & Inspiration from Authors of New Book

Our guests were looking for a book that told real-life stories about Latinas in nursing, but they couldn’t find one. So they took the job upon themselves and wrote their own book, titled “Latinas in Nursing: Stories of Determination, Inspiration, and Trust.”

The book is a compilation of the beautiful stories of the challenges, growth and discovery influential Latina nurses share about their journeys, including during the COVID pandemic. Right now, Hispanics make up 19% of the total U.S. population but only about 8% of registered nurses are Latina.

Join us as Tina Loarte-Rodríguez and Zacnité Vargas-Avalos bring their book to life in conversation with hosts Mark Masselli and Margaret Flinter.

Environmental Leader Dr. Vanessa Kerry Delves Into Intersections of Health and Climate at COP28 Global Climate Gathering

The United Nations Climate Change Conference (known as COP28) is underway and on Dec. 3 it will feature a “Day of Health.” This is the first time the world leaders on climate change will devote an entire day to how climate change is affecting our physical, mental and emotional health.

Dr. Vanessa Kerry, the World Health Organization Director-General Special Envoy for Climate Change and Health, joined us with an overview of what to expect from the discussions, including ongoing efforts to reduce fossil fuels. In fact, new research shows using fossil fuels accounts for 5 million extra deaths a year worldwide.

Dr. Kerry also shared with hosts Mark Masselli and Margaret Flinter how she helps her dad, U.S. Special Presidential Envoy for Climate John Kerry, understand the urgent need to protect human health as temperatures continue to rise.

Can She Solve the Mystery of Long COVID? Dr. Lisa Sanders Searches for Clues

Dr. Lisa Sanders grew up reading Sherlock Holmes. Now, she’s looking to solve health care mysteries as the medical director of the Yale New Haven Long COVID Multidisciplinary Care Center. She recently explained her patients are getting better through a variety of approaches and she’s hopeful the caseload will continue to decrease. Dr. Sanders, well-known for writing The New York Times “Diagnosis” column, rejects Long COVID skepticism because she says she has seen clinical evidence of the condition. Join us for this encore presentation of the interview Mark Masselli and Margaret Flinter conducted with Dr. Sanders for “Conversations on Health Care.”

Is the Air We Breathe Safe? Award-Winning Scientist Linsey Marr & Green Building Council’s Peter Templeton Share Their Insights

Did you catch environmental engineer Linsey Marr, Ph.D., on “60 Minutes” explaining how she was confident she knew COVID was an airborne virus (even when the World Health Organization was saying otherwise)? Learn more about her insights and latest observations as she joins “Conversations on Health Care” this week.

Hosts Mark Masselli and Margaret Flinter also discuss air quality and energy efficiency with Peter Templeton, president and CEO of the U.S. Green Building Council, who explains their LEED green building rating systems.

New NACHC CEO Dr. Kyu Rhee: Top 3 Goals for Community Health Centers

Experienced health care executive Dr. Kyu Rhee, recently named as the president and CEO of the National Association of Community Health Centers, says member organizations are working on three big goals: Being the provider of choice, the employer of choice and the partner of choice.

As he and NACHC members focus on these items, they’re also nervously awaiting congressional action. In late September, Congress passed a short-term extension of funding for community health centers, National Health Services Corps and the Teaching Health Center Graduate Medical Education program. Without Congressional action, that money will expire on Nov. 17.

Dr. Rhee says he sees bipartisan support for community health centers on Capitol Hill but the coming days will be critical as the funding hurdles become clearer.

“Conversations on Health Care” hosts Mark Masselli and Margaret Flinter also discuss with Dr. Rhee workforce needs, value-based care and how centers are ready for the next pandemic, if and when it could occur.