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Each month on Last Month In Healthcare, producer Nathaniel joins me to discuss the previous month's podcasts, headlines, and listener-submitted questions.
This month, we're joined by Jeff Bak from Imagine360!
Together, we react to the latest headlines from March, including the new CMS rule enforcing actual dollar amounts in hospital price transparency files. We also discuss Medicare expanding coverage for GLP-1s to treat obesity, Roche's massive $65M investment in NVIDIA AI chips for drug discovery, and the Department of Labor's new PBM fee disclosure rules. Plus, we react to the shocking story of two insurance executives sentenced to 20 years for a $233 million ACA enrollment fraud scheme.
Then, Jeff and I play a game of "Blind Ranking" where we have to rank the worst practices in health insurance (like PBM spread pricing, ER upcoding, and surprise balance billing) without knowing what is coming next.
Finally, we answer a listener question about the viability of ICHRAs (Individual Coverage HRAs) as an alternative to brutal fully-insured renewals in 2026.
Thank you to our sponsor, Walk On Clinic! Visit walkonclinic.com to learn more about their on-site health clinics.
Chapters:
0:00 - Intro & Live Show Announcement
3:08 - CMS Enforces Dollar-Amount Price Transparency
6:54 - Medicare Expands GLP-1 Coverage to Obesity
12:15- Roche Buys $65M in NVIDIA AI Chips for Drug Discovery
15:45 - The DOL Proposes New PBM Fee Disclosure Rules
19:40 - Insurance Execs Sentenced to 20 Years for $233M ACA Fraud
22:20 - Game: Blind Ranking the Worst Practices in Health Insurance
30:41 - Ask Spencer: Are ICRAs a Smart Option After Huge Renewals?
