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All Episodes

The Healthcare Labyrinth — 126 episodes

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Title
1

126. Medicare Reforms Hit Potholes

2

125. Medicare Advantage: Cutting Through the Noise

3

124. 2027 MA Rates: Relief and Displeasure

4

123. Final 2027 MA and Part D Rule Has Major Star Changes

5

122. With the Feds Failing, States Take the Lead to Fight Healthcare Costs

6

121. Dr. Oz's CMS Revolution

7

120. The 2026 Midterms: The Affordability Election

8

119. Reports of Medicare Advantage's Death Are Greatly Exaggerated

9

118. PBM Reform Explosion: What Just Happened — And What It Really Means

10

117. The Medicare Advantage Open Season – Good News, Bad News And What The Numbers Really Say

11

116. The 2027 ACA Exchange Rule – Structural Reset or Risky Gamble?

12

115. Is Value-Based Care Real … Or Just Healthcare's Favorite Myth?

13

114. 2027 Rate Advance Notice Bad News For Medicare Advantage

14

113. Warning Signs: 2024 National Healthcare Data

15

112. Donald Trump's "Great Healthcare Plan" Falls Short

16

111. Diving Deep On GLP-1 Coverage and Drug Price Reform Models

17

110. Affordability Will Dominate The Midterms

18

109. The Importance of Primary Care and Managing Disease States

19

108. The 2025 Healthcare Year in Review and Predictions for 2026

20

107. Open Enrollment Shows The Affordability Crisis

21

106. It Is Time For Healthcare Reform: A Review

22

105. 2027 Medicare Advantage and Part D Draft Rule Explained

23

104. CMS Wants Tougher MA Star Ratings Program

24

103. Will UnitedHealthcare Study Spawn Vertical Integration Scrutiny

25

102. On Drug Rebate Reform and GLP-1 Price Discounts

26

101. Say It Isn't So! Another GOP Push To Real Obamacare?

27

100. Judge Tosses Risk Adjustment Data Validation Rule in Medicare Advantage

28

99. Could An Exchange Subsidy Compromise Be In The Works?

29

98. 2026 Medicare Advantage Star Ratings Results

30

97. Is Big Pharma Hoodwinking The President?

31

96. Special Needs Plan Growth and Operational Risks

32

95. Healthcare Price Disparity and Health Plan Landscape

33

94. The No Surprise Act Needs Reform

34

93. We Do Need Accountability: Not All Big Beautiful Bill Cuts Were Bad Policy

35

92. My Biggest Worry … Erosion of Coverage

36

91. What Will Happen to Medicare Advantage in 2026?

37

90. What Explains The Insurer Meltdown?

38

89. Direct Primary Care and Other Employer Coverage Reform

39

88. House MA Hearing Shows What's In Store For Insurers

40

87. 2024 Medicare Advantage and Part D Program Audit Enforcement Report Out: What Does It Tell Us?

41

86. Will The New 100% RADV Audits Be Fair To Medicare Advantage Plans?

42

85. Healthcare Developments Beyond The One Big Beautiful Bill

43

84. The One Big Beautiful Bill Passes

44

83. Are There Smarter Healthcare Cuts?

45

82. Will Health Plan Pain Continue?

46

81. How Mighty Big Healthcare Has Fallen

47

80. Republicans Are In Stealth Mode On Healthcare Coverage Cuts, But The Impact Is Real

48

79. Managed Care Enters New Cycle; Medicare Advantage Needs To Pivot To Thrive

49

78. The Budget Reconciliation Saga

50

77. Donald Trump Goes All In On Drug Price Reform

51

76. Diving Into The 2026 Final Announcement And 2026 Rule For Medicare Advantage and Part D

52

75. Tariffs Could Have An Ugly Impact On Healthcare Costs And Access

53

74. Medicaid "Outlier" States And Their "Over-Expansion" Stuck In The Craw Of Conservatives

54

73. Donald Trump Comes Out Strong On Drug Price Reform

55

72. Fetterman Is Right On GLP-1s, But Now Is Not The Time To Expand In Medicare

56

71. All About Special Needs Plans And Their Recent Growth

57

70. With The Cigna-HCSC Sale, Who Is Right About Medicare Advantage?

58

69. 2025 Medicare Advantage Enrollment Shows Struggle Of Industry

59

68. Lessons From Oz: What Does The Future CMS Head Tell Us About Trump Healthcare Policy?

60

67. In Budget Reconciliation, GOP Lawmakers Seek To Thread The Needle on Healthcare Cuts

61

66. Time For Medical Price Reform To Help Employers

62

65. Is Trump Stretching Article 2 Of The Constitution?

63

64. Trump's Populism Could Spell Trouble For Big Pharma

64

63. Round 2 of Medicare Drug Negotiations Has Begun. What Will Trump Do?

65

62. Some Signs Healthcare Cuts May Be Tempered

66

61. What Are The Possible Healthcare Cost Reductions in 2025?

67

60. The Torch Has Been Passed At The White House: A Republican's Reflection On Biden's Healthcare Accomplishments

68

59. 2026 Rate and Policy Changes For Medicare Advantage and Part D

69

58. What Could The First 100 Days Of Trump 47 Look Like From A Budget Perspective?

70

57. 2024 Healthcare Year in Review and 2025 Predictions Special

71

56. Release of The 2023 National Healthcare Expenditures Data Report

72

55. Reforming The Medicare Advantage Minimum Medical Loss Ratio

73

54. What Americans' Experiences During Open Enrollment Tell Us About The Broken Healthcare System

74

53. The Medicare Advantage and Part D Rule For 2026 Is Out With Major Changes

75

52. MA's Challenges, Its Future, And Its Value

76

51. Why Trump And The GOP Should Safeguard The ACA

77

50. What The Election Outcome Means To Healthcare

78

49. Big Healthcare Has Troubles And Its Future Is Unknown

79

48. It Is Time For A Permanent Physician Rate Fix In Medicare

80

47. CMS Must Institute A Special Enrollment Period in 2025 For MA and Part D Enrollees To Safeguard Their Healthcare

81

46. Another Bad Year For Medicare Advantage Star Ratings in 2025

82

45. The Biggest Lie From The Recent VP Debate Came From JD Vance When He Said Trump Salvaged The ACA. What?

83

44. Commonwealth Fund "Mirror Mirror" Report Says U.S. Healthcare In Desperate Need Of Reform.

84

43. Employer Coverage Healthcare Trends Driven By Drug Spending

85

42. Is America Getting The Value It Deserves From Part D?

86

41. My Exhaustive Hunt For My GLP-1 Drug To Treat My Diabetes!

87

40. A Study Shows Hospitals Can Make Money By Being More Efficient. They Need to Be Reformed.

88

39. Toward a More Accountable Medicare Advantage Program

89

38. The Big Pharma Apocalypse Did Not Happen

90

37. Would Insurers Fare Better Under A Trump or Harris Administration?

91

36. Are the Democrats in for an October Healthcare Surprise?

92

35. CMS And Congress Now Must Tackle Agent-Broker Compensation Reform In Medicare Advantage

93

34. Medicare Advantage Plans Need To Take Concerns On Supplemental Benefits Seriously

94

33. The Need For Comprehensive Site Neutral Payment Policies

95

32. The Supreme Court's Chevron Decision Will Upend Regulatory Rulemaking in America

96

31. Investigating TukeyGate and CMS' Recalculation of 2024 Medicare Advantage Star Ratings

97

30. Digging Into My Modest Election-Year Proposal For Healthcare Reform: Part 3 — Driving To Affordable Universal Access

98

29. Digging Into My Modest Election-Year Proposal For Healthcare Reform: Part 2— Pivoting To Care Management From Our Obsession With Utilization Management

99

28. Digging Into My Modest Election-Year Proposal For Healthcare Reform: Part 1—The Importance Of Price Reform

100

27. My Modest Proposal For Healthcare Reform for Election Year 2024

101

26. Election '24 is close for the presidency and control of Congress. Will healthcare play a role?

102

25. MA Plans Should Ready For Changes To Risk Adjustment Submissions?

103

24. Healthcare Trends And Their Impact On Health Plan Finances and Economics

104

23. How Falling Medicaid Enrollment is Impacting Health Plans and Providers Alike

105

22. Enhanced Subsidies Key To Exchange Stability

106

21. The No Surprises Act Will Drive Costs Upward

107

20. 2025 Medicare Advantage Rates and Policy Changes Finalized

108

19. My Courageous Daughter Is Having Brain Surgery!

109

18. The PBM transparency movement is rising for good reason.

110

17. What happened when Change Healthcare suffered a major cyberattack and what will it mean to the broader healthcare system moving forward?

111

16. Biden goes on the offensive on healthcare issues, but what about entitlement reform?

112

15. What Does King Charles' Cancer Diagnosis Tell Us About Access To Treatment Around The World?

113

14. The Importance of Price Transparency

114

13. Medicare Advantage Compliance and Regulatory Trends in 2024

115

12. Medicare Advantage Stars Explained

116

11. Value-Based Care Payments and Arrangements Explained

117

10. Comparing And Contrasting Major Healthcare Policies of President Biden and Former President Trump

118

9. Is Medicare Advantage Collapsing After Its Boom Or Simply Adjusting

119

8. MA Enrollment Growth From 2023 to 2024

120

7. A profile of the biggest, publicly traded insurers in America

121

6. The GOP Primaries – Marc's views on the Republican candidates from a healthcare and non-healthcare perspective

122

5. Modeled In Part On Processes In Other Developed Countries, The Medicare Drug Price Negotiations Should Save Money, Promote Better Outcomes, And Have Little Impact On Innovation

123

4. The Healthcare Labyrinth's Healthcare Review for 2023 and Predictions for 2024

124

3. Trump Gives Democrats Issue By Raising Repeal of Obamacare

125

2. World Healthcare System Types and How America Fits In

126

1. The Debut of The Healthcare Labyrinth Podcast