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Health Affairs
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A Health Podyssey

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.

Latest Episodes

BEST OF: What Most Favored Nation Drug Pricing Would Mean for the US
Jul 14, 2026

A Health Podyssey is on vacation in July. We will return with new episodes in August 2026.

This episode originally aired on April 14, 2026.

Health Affairs' Rob Lott interviews James Robinson of the University of California Berkeley about his recent paper exploring most favored nation drug pricing, weighing its feasibility, likely effects on drug launch prices, and implications for global pharmaceutical innovation and investment.

Order the April 2026 issue of Health Affairs.

BEST OF: Will AI Fix Health Care? Robert Wachter Weighs In
Jul 7, 2026

This episode originally aired on February 3, 2026.

Health Affairs' Rob Lott interviews Dr. Robert Wachter, Professor and Chair of the Department of Medicine at UCSF, about his new book A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future. Wachter reflects on his own daily use of AI as a clinician, the reasons he has grown optimistic about its potential, and the challenges of regulating fast‑evolving technologies.

Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast for everyone.

How ACO Conveners Are Changing the Medicare Shared Savings Program (MSSP) Behind the Scenes
Jun 23, 2026

Health Affairs Publishing’s Rob Lott speaks to Adam Markovitz of the University of Michigan about his recent paper exploring the growing role of third-party firms in Medicare ACOs, highlighting how they have contributed to wider participation and more geographically dispersed networks while raising questions about how these structures relate to shared savings outcomes.

Order the June 2026 issue of Health Affairs.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Why Medicare’s Hospital Wage Index Exceptions Jumped 60%
Jun 16, 2026

Health Affairs Publishing’s Rob Lott speaks to Geoffrey Hoffman of the University of Michigan about his recent paper exploring the structure of Medicare’s hospital wage index and discusses the growth of exceptions over time, exploring their implications for how the system functions and whether it meets its intended policy objectives.

Order the June 2026 issue of Health Affairs.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Private Equity in Primary Care: Costs, Care, and Impact
Jun 9, 2026

Health Affairs Publishing’s Rob Lott speaks to Yashaswini Singh of Brown University about her recent paper that explores how private equity acquisitions in primary care are associated with changes in utilization, spending, and workforce composition.

Order the June 2026 issue of Health Affairs.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Inside CVS Caremark: The Role of PBMs in Drug Costs & Access | SPONSORED
Jun 3, 2026

THIS SPONSORED PODCAST EPISODE IS BROUGHT TO YOU BY CVS HEALTH.

In this sponsored episode, James Margiotta, Chief Growth Officer at CVS Caremark, joins Health Affairs Publishing's Jessica Bylander to unpack the role of pharmacy benefit managers (PBMs), their impact on prescription drug costs, and the value PBMs bring to the health care system.

James has nearly 35 years of experience driving innovation, operational excellence, and enterprise value across the healthcare system. In his current role, James leads the team responsible for partnering with clients to identify their unique needs and bringing forward strategic solutions to meet their objectives.

Throughout his career at CVS Health, James has scaled businesses across CVS Caremark, CVS Accountable Care, Minute Clinic, Aetna, and CVS Pharmacy — each with its own challenges, cultures, and market dynamics.

James and Jessica's conversation explores how PBMs help employers, health plans, governments, and unions manage rising prescription drug costs while balancing affordability, transparency, and member experience. James explains CVS Caremark’s approach to controlling costs, dives into the growing demands for price transparency, and how artificial intelligence may transform pharmacy benefits and member navigation services.

Inside CMS: How Medicare Innovation Models Are Working to Lower Costs & Scale Digital Health
Jun 2, 2026

Health Affairs Publishing’s Rob Lott speaks to Abe Sutton, Director of the Center for Medicare and Medicaid Innovation, about the ACCESS model and broader efforts to test payment and delivery reforms aimed at improving affordability, expanding digital health, and generating real-world evidence in Medicare.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

Policy Changes Reshaping Family Caregiving
May 27, 2026

Welcome to a new, limited podcast series exploring major policy changes affecting older adults. This episode is part of our Age-Friendly Health series, which explores topics at the intersection of aging, health, health care, and health policy.

In our third and final episode for the series in 2026, host Katherine Ornstein welcomes Alison Barkoff of George Washington University to the program to discuss the rising economic and social importance of family caregiving, recent federal policy shifts affecting Medicaid and caregiver programs, and new interventions at the state and private‑sector levels.

Support for the Age-Friendly Health series is provided by The John A. Hartford Foundation.

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Extreme Heat’s Impact on Healthcare Use and Spending
May 26, 2026

Health Affairs Publishing’s Rob Lott speaks to Jeff Romine of Carelon Research about his recent paper exploring new research on how extreme heat affects health care use and costs, finding consistent increases in emergency department visits and some hospitalizations, but little change in outpatient care.

Order the May 2026 issue of Health Affairs.

Sign up for our free Health Affairs newsletters to stay up to date on health policy news and analysis.

How the Healthcare Workforce Is Responding to New Aging Policies | Age-Friendly Health Series
May 20, 2026

Welcome to a new, limited podcast series exploring major policy changes affecting older adults. This episode is part of our Age-Friendly Health series, which explores topics at the intersection of aging, health, health care, and health policy.

In our second episode, host Katherine Ornstein welcomes Bianca Frogner, director of the Center for Health Workforce Studies at the University of Washington to discuss the role of direct care workers in long‑term care, workforce shortages, policy shifts affecting Medicaid, immigration, labor standards, and more.

Support for the Age-Friendly Health series is provided by The John A. Hartford Foundation.

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