We discuss the most impactful health policy and healthcare finances developments shaping the US Healthcare system now and in the future. We also discuss personal development for physician executives. Co-hosts Dr Anthony Paravati and Dr Amar Rewari.
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Dr. Amar Rewari And Dr. Anthony Paravati Podcasts
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Decoding US Healthcare Policy Challenges Amid a Shutdown
54:31
54:31
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54:31From a government shutdown halting FDA approvals to the looming expiration of ACA subsidies threatening to raise insurance premiums for millions, the American healthcare system is facing a perfect storm. These mounting US healthcare policy challenges are creating unprecedented uncertainty for patients, providers, and innovators alike. In this episo…
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PBMs: They Make More When You Spend More: Inside the PBM Business Model (VHV fundamentals episode)
20:23
20:23
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20:23One of America's largest pharmacy benefit managers (PBMs) just announced they'll stop taking rebates from drug manufacturers. The Senate's response? "Not impressed." Why? Because rebates are just one of five profit driving "tricks" PBMs use to quietly inflate your drug costs. In this episode, Dr. Anthony Paravati breaks down the real money flow beh…
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Ep. 21 340B Drug Pricing Program: Controversy & Reform
1:03:33
1:03:33
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1:03:33The 340B drug pricing program was created to help safety-net hospitals and clinics stretch their resources to care for low-income and uninsured patients. But has it spiraled out of control? Originally a modest plan, the program has exploded into a $130 billion market, leading to a fierce debate over who truly benefits from the massive discounts. Is…
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Ep. 20 Navigating Cancer Care in Uncertain Times with ACCC's Meagan O'Neill
51:50
51:50
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51:50How do we deliver high-quality cancer care in a system under pressure? Meagan O'Neill, Executive Director of the Association of Cancer Care Centers (ACCC), joins us to talk about workforce empowerment, technology as a multiplier, and building sustainable oncology systems for the future. Meagan shares her journey from oncology business consulting to…
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Ep. 19 AMA President Dr. Bobby Mukkamala: Fighting for Physicians and Patients from the Front Lines
57:23
57:23
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57:23Dr. Bobby Mukkamala, President of the American Medical Association and practicing ENT surgeon in Flint, Michigan, joins Value Health Voices to discuss the critical challenges facing American healthcare from both the physician and patient perspective. As a solo practice physician treating cancer patients while leading the nation's largest physician …
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Ep 18 Supercut: Medicare Proposed Rules' Impact on Radiation Oncology: ASTRO & ACRO Presidents' Analysis
36:52
36:52
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36:52The presidents of ASTRO and ACRO provide focused analysis of CMS's 2026 proposed rules and their specific implications for radiation oncology practice. This executive briefing examines key policy changes without background context, concentrating on immediate implementation concerns and the September 12 comment period. Key Topics Covered: Critical A…
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Ep. 18 Medicare Proposed Rules: ASTRO & ACRO Presidents Analyze Key Changes
58:31
58:31
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58:31The presidents of ASTRO and ACRO join the VHV guys to provide expert analysis of CMS's newly released 2026 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS) proposed rules. Dr. Sameer Keole (ASTRO President) and Dr. Brian Lally (ACRO President) join us one week after the July 2025 release to examine t…
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Ep 17. Healthcare's 4X Return Secret: How Hospitals Survive Budget Cuts with Alice Ayres AHP
41:53
41:53
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41:53Alice Ayres, President and CEO of the Association for Healthcare Philanthropy, reveals the critical funding lifeline that most people don't know exists. As Congress slashes healthcare budgets and millions face losing Medicaid coverage, Alice exposes how healthcare philanthropy returns $4.16 for every dollar invested and why it's becoming the differ…
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Ep. 16: Senate's $3.3 Trillion Healthcare Debacle: Dr. Bricker Breaks Down the Dismantling of Medicaid
46:43
46:43
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46:43Dr. Eric Bricker returns for Part 2 of our analysis of the "One Big Beautiful Bill" and the timing couldn't be more critical. Just as the Senate moves toward a final vote, the nonpartisan Congressional Budget Office reported Sunday (6/29/25) that the Senate version would add at least $3.3 trillion to the national debt over the next decade. This int…
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Ep 15: With Dr Eric Bricker. How Hospitals Live or Die by Medicaid 'Tricks of the trade' Nobody Talks About
46:00
46:00
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46:00Dr. Eric Bricker, the powerhouse behind AHealthcareZ's 400+ healthcare finance videos with 100,000+ subscribers, joins Value Health Voices to decode the labyrinthine money flows that determine which hospitals succeed with Medicaid—and which avoid it entirely. This internal medicine physician and former co-founder of Compass Professional Health Serv…
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Ep 14: Medicare's Privatization Path & The $83 Billion Question with Tricia Neuman (KFF)
48:00
48:00
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48:00RECORDED BEFORE THE HOUSE RECONCILIATION BILL PASSED - Tricia Neuman of KFF's predictions proved accurate THE REALITY: 55% of Medicare beneficiaries are now in private Medicare Advantage plans, yet Medicare pays $83 BILLION more annually for these enrollees than similar patients in traditional Medicare. That's more than what Medicare spends on ALL …
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Ep 13. Why Healthcare Markets Fail: MedPAC Chair Michael Chernew on Medicare's Future & Payment Reform
59:54
59:54
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59:54Michael Chernew is a distinguished Harvard economist, Chair of MedPAC, and leading healthcare policy expert with decades of experience in healthcare economics. In this episode, Michael provides a masterclass on why healthcare economics differs fundamentally from other markets, unpacking information asymmetry, moral hazard, and adverse selection in …
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Ep 12. The most powerful committee in US healthcare that you've never heard of
35:11
35:11
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35:11Even seasoned healthcare leaders—those with decades of clinical, financial, or operational experience—often miss the two most powerful levers behind how care gets paid for: the CPT process and the RUC committee. These aren't just billing codes and obscure meetings. They're the gatekeepers of what and how much is paid for care in the U.S. healthcare…
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Ep 11. Reimagining Home-Based Care: Insights from Dr. Vipan Nikore
42:29
42:29
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42:29In this episode of Value Health Voices, Dr. Vipan Nikore discusses his journey as an entrepreneur in the healthcare sector, focusing on the innovative concept of Home Care Hub. He shares insights on the challenges and opportunities in home-based care, the importance of metrics in measuring outcomes, and the regulatory hurdles faced in the industry.…
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Ep 10. Navigating hospital/physician direct to employer contracting, truly value-based care
52:07
52:07
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52:07As the cost of healthcare continues to rise, more employers are turning to direct employer contracting and self-insured models to take control of their healthcare costs. But how do these models compare to fully insured arrangements? And what are the key considerations for health systems, PBMs, and employers looking to engage in value-based care? In…
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Ep 9. Attorney and healthcare regulatory insider Matt Wetzel joins the podcast
45:00
45:00
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45:00In this episode of Value Health Voices, hosts Anthony Paravati and Amar Rewari welcome Matt Wetzel, a trustee at the American Health Law Institute, to discuss the complex regulatory environment surrounding healthcare. The conversation covers insights from the JPMorgan Healthcare Conference, changes in NIH grant funding, Medicaid spending, and the f…
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Ep. 8 Site neutrality, whatever happened there?
21:52
21:52
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21:52In episode 8 Dr. Anthony Paravati and Dr. Amar Rewari explore the concept of "site neutrality" in U.S. healthcare finance, discussing the disparities in reimbursement rates for the same medical services based on the location of care. They delve into the legislative efforts aimed at achieving site neutrality, the implications for healthcare provider…
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Ep 7. The scourge of private equity ownership of hospitals (and physician practices)
30:22
30:22
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30:22In this episode, Dr. Anthony Paravati and Dr. Amar Rewari discuss the aggressive expansion of private equity (PE) in the U.S. healthcare system, highlighting its detrimental effects on quality care and patient safety. They explore how PE firms prioritize profits over patient care, leading to significant financial burdens on healthcare facilities. T…
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Ep 6. AI in healthcare: payer/provider battleground or force for good?
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32:29
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32:29We are back after the holiday break with Episode 6 which covers the rapidly evolving landscape of AI in healthcare. Is AI just another weapon for payers and providers to bludgeon each other or will it becpme a force for immeasurable public good? In this episode, Dr Anthony Paravati and Dr Amar Rewari discuss the transformative impact of AI in healt…
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Ep 5. Demystifying Medicare's Annual Payment Cuts: The Budget Rules That Force December Drama
26:49
26:49
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26:49Every November, Medicare proposes physician pay cuts and every December, Congress tries to walk them back. But why? Dr Anthony Paravati and Dr Amar Rewari break down the hidden budget rules forcing specialties to fight over a fixed pie, why the much-celebrated MACRA law of 2015 did nothing to fix it, and how successful health systems are adapting t…
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Ep 4. RFK Jr.: The Good, The Bad, and the Ugly
39:26
39:26
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39:26In this episode, Drs. Amar Rewari and Anthony Paravati discuss the nomination of RFK Jr. as the head of the Department of Health and Human Services. They explore his controversial views on vaccines, public health implications, agricultural policies, and the pharmaceutical industry. The conversation delves into the complexities of chronic disease ma…
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Ep 3. The Games Insurers Play: Utilization Management and Prior Authorization
45:22
45:22
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45:22In this week's episode of the VHV podcast we'll take a comprehensive look at utilization management (UM) and prior authorization (PA). Utilization management is the healthcare industry term for the various techniques health insurance companies employ to pay for care on their terms, according to their guidelines. Many times, their utilization manage…
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Election 2024: Trump vs. Harris: How Their Healthcare Policies Could Reshape the United States
30:37
30:37
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30:37In this timely episode, Dr. Anthony Paravati and Dr. Amar Rewari break down the healthcare implications of a Trump or Harris presidency. From prescription drug pricing and Medicare reforms to Medicaid block grants and the Affordable Care Act, this episode provides a nonpartisan, in-depth analysis of each candidate's position on healthcare. Discover…
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Ep 1. Medicare (dis)Advantage. Does it suck? It depends.
32:24
32:24
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32:24Drs. Anthony Paravati and Amar Rewari delve into the complexities of Medicare Advantage, exploring its appeal to seniors, the financial mechanisms behind its low premiums, and the challenges faced by providers. They discuss the demographics of Medicare Advantage enrollees, the revenue structures that sustain these plans, and the implications for he…
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Ep. 1: Explaining the basics of Medicare and Medicare Advantage
14:07
14:07
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14:07In this VHH fundamentals episode, we provide a primer on the basics of Traditional Medicare (Parts A, B, and D) and Medicare Advantage (Part C) for physicians and healthcare leaders. We explore key differences in out-of-pocket costs, premiums, and coverage between the two, preparing you for a deeper dive into health policy and healthcare finance on…
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