Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.
Elevated medical costs and policy turmoil continued to affect the financial performance of payers and providers in the second quarter. Providers are still feeling the sting of fluctuations in ACA plan enrollment, while payers pointed to the No Surprises Act’s arbitration process as a major challenge.
Fierce Healthcare editor Dave Muoio and senior writer Pai...
Multiple sclerosis is a chronic autoimmune disease that requires proactive early intervention and treatment to achieve the best long-term outcomes. But recommendations for MS patients who are pregnant can be murky.
Driven by knowledge gaps and concerns about the effects of disease-modifying therapies on the fetus, providers have often advised MS patients not to become pregnant. However, emerging research shows that patients can saf...
It’s no secret that healthcare is complicated. Patients face escalating costs and significant complexity as they try to navigate their own health journeys.
That’s why CVS Health is making significant investments to improve the consumer experience and simplify patients’ interactions with the healthcare system. Amy Compton-Phillips, M.D., the company’s chief medical officer, joins senior writer Paige Minemyer ...
In this sponsored episode of Podnosis, host Irena Luo speaks with Patrick Velliky, chief external affairs officer at HaloMD, about the No Surprises Act and the ongoing challenges surrounding the independent dispute resolution process.
Velliky reflects on the original expectations behind the legislation, including the goal of creating a fair arbitration framework where insurers and providers could resolve payment disputes in good fa...
Despite the importance of prenatal care, recent CDC data show that access is declining. Fewer women are beginning prenatal care in the first trimester, while the share starting later in pregnancy or receiving no prenatal care is rising.
Unified Women’s Healthcare supports women’s health practices and provides fertility services, maternity analytics, care coordination and other technology-enabled services. The company is...
As healthcare organizations look to ease clinician burden and improve care delivery, health IT is becoming a strategic lever, not just an operational tool. In this episode of Podnosis, Chad Dodd, vice president of product management at Athenahealth, shares a practical perspective on how technology can address some of the industry’s most persistent workflow challenges.
Dodd explains how AI-powered documentation, automated insi...
For millions of people, AI chatbots have become a new front door to health information. More than 230 million people use ChatGPT each week for health and wellness questions. With healthcare now OpenAI’s biggest and fastest-growing use case, the company is making a major push into the sector, rolling out enterprise tools for hospitals and personal health assistants for consumers.
OpenAI has set a bold goal of ensuring that AI ...
Artificial intelligence is here to stay, and physicians should be learning how to use it thoughtfully. That’s the argument Shawn Martin, CEO of the American Academy of Family Physicians, makes in a conversation with Senior Writer Anastassia Gliadkovskaya.
Martin discusses the findings of a recent AAFP survey on clinician AI use, why primary care is especially ripe for tech disruption and what physicians should be doing now to...
A new value-based care program for chronic condition management begins July 5.
The Advancing Chronic Care with Effective Scalable Solutions Model, or ACCESS, offers vendors outcome-aligned payments for managing qualifying chronic conditions.
In total, 150 digital health companies are participating, including some in the behavioral health track. How does behavioral health fit into ACCESS, and what types of services are participants ...
Cybersecurity has long been a priority for hospitals, but the risks are shifting as AI, biometrics and digital identity tools become more deeply embedded in care delivery. For health systems, the challenge is not just keeping hackers out. It is making sure clinicians can quickly access the tools they need while guarding against new threats, including AI agents that can move through systems at machi...
Life insurance may not be the first thing that comes to mind when thinking about healthcare. But some life insurers are increasingly interested in incentivizing healthy habits.
John Hancock has invested in its health and wellness program for more than a decade. The program’s goal is to reward policyholders for things like exercise and preventive health screenings. There’s actually a simple business rationale behind this...
As healthcare costs rise and access challenges persist, health plans face growing pressure to engage members more effectively. Employers and plan sponsors expect their plans to play a critical role in that effort.
In this episode of “Podnosis,” Senior Writer Paige Minemyer talks with Dan Kueter, CEO of UnitedHealthcare Employer & Individual, about what employers are asking for in today’s commercial insurance m...
What does the Department of Health & Human Services’ Office of Inspector General do? Today, Senior Writer Anastassia Gliadkovskaya sits down with Assistant Regional Inspector General Scott Perry to find out.
They dive into the agency’s work, the findings of a few recent audits and what providers can do to ensure they are in compliance.
The latest inpatient rehab facilities report discussed in this episode can be fou...
It’s been more than two years since Eli Lilly announced LillyDirect, a platform that combines telehealth and pharmacy services to provide access to Lilly’s portfolio of diabetes, migraine and obesity medications. The goal is to offer a more transparent and affordable way to access certain drugs. The platform has quickly drawn attention from both consumers and lawmakers.
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Is AI in health care overhyped — or underutilized? In this sponsored episode of Podnosis, host Irena speaks with Sanjay Subramanian, SVP & Head of Healthcare Payer Business at Cognizant at Cognizant, about where artificial intelligence is delivering measurable ROI today and why many organizations struggle to scale adoption.
Sanjay explains that back‑office functions such as claims processing, prior authorization and reven...
As almost 1 in 4 American teens identify as LGBTQ, affirming therapy can be life-saving. Yet availability is shrinking. Access to mental healthcare for LGBTQ youth dropped from 80% to 60% from late 2023 to late 2024, according to The Trevor Project. In 2025, though 84% of LGBTQ youth wanted mental healthcare, 44% could not get it.
In a recent collaboration between Fierce Healthcare and Uncloseted Media, Anastassia Gliadkovsk...
Payers and providers felt the upheaval and instability on the Affordable Care Act exchanges in the first quarter of this year.
Marketplace plans saw significant enrollment declines alongside tier shifts, while providers felt the impact in both volumes and payer mix.
Fierce Healthcare's Dave Muoio and Paige Minemyer sit do...
Fertility services—and conversations about them—are expanding across the U.S. But the sector remains underregulated, expensive and, in some cases, outdated.
These factors are reshaping how Americans seek care, sometimes in ways that may put quality and safety at risk. Where are the biggest gaps? And what would make the system safer?
In this sponsored episode of Podnosis, experts examine how molecular residual disease testing is transforming how clinicians assess recurrence risk in triple-negative breast cancer. Drawing on new data from the NSABP B-59 substudy presented at SABCS and AACR, the discussion highlights how circulating tumor DNA is providing earlier and more precise insight into patient outcomes.
Dr. Priya Rastogi, chief medical officer of the...
Condoms can be purchased almost anywhere, from big retailers to small convenience stores. The same can’t be said for female birth control. One company is trying to change that.
Cadence OTC sells the morning-after pill, a cheaper alternative to Plan B. Recognizing that many communities in the U.S. are pharmacy deserts, the company is pursuing atypical distrib...
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