 |
Healthcare NationWelcome to Healthcare Nation, the podcast for enthusiasts passionate about the healthcare sector and eager to explore its current state and future trajectory. Author: Rick Gannotta
Welcome to Healthcare Nation, the podcast for enthusiasts passionate about the healthcare sector and eager to explore its current state and future trajectory. Join us as we delve into the heart of the healthcare, biotech, and MedTech industries with the help of top thought leaders. I'm your host, Rick Gannotta, with over four decades of experience in healthcare, spanning from the hospital bedside to the boardroom, C-Suite roles in renowned health systems, advising game-changing startups and established companies, and educating the next generation of healthcare leaders. In each episode, we'll bring you conversations with distinguished guests, including innovators, scholars, practitioners, and influencers shaping the healthcare landscape. Gain valuable insights from their perspectives and stay updated on the latest developments, trends, and noteworthy news. Join us on this exciting journey and become a part of the Healthcare Nation community. Subscribe now on Apple Podcasts, Spotify, or your favorite podcast platform to stay in the loop. Language: en Genres: Health & Fitness, Medicine, Technology Contact email: Get it Feed URL: Get it iTunes ID: Get it Trailer: |
Listen Now...
How Washington Is Repricing Healthcare, Medicare Advantage Headwinds & AI
Episode 55
Monday, 24 August, 2026
We speak with Hedgeye’s Emily Evans about how healthcare policy is increasingly driving market outcomes, arguing Wall Street is underestimating policy’s impact. They discuss Medicaid work requirements as a renewed eligibility philosophy that may also reduce fraud, waste, and abuse, with managed Medicaid insurers (e.g., Centene, Molina, UnitedHealth, Elevance) most exposed to enrollment declines. Evans explains how the IRA redesign of Medicare Part D shifts risk away from federal reinsurance, likely raising standalone Part D premiums after the 2023 premium subsidy/risk corridor ends, potentially worsening adverse selection and pushing beneficiaries toward Medicare Advantage amid rural provider tensions. They cover AI’s near-term use in administrative battles and productivity within hospitals, skepticism about “AI cures cancer” hype, and a bearish view on hospitals and Medicare Advantage, bullishness on big pharma and GLP-1s (including direct-to-consumer channels), bearishness on biotech, and the market implications of expanding price transparency, including the Patients Deserve Price Tags Act.00:00 Welcome and Setup00:14 Policy Drives Markets01:50 Meet Emily Evans03:28 What Markets Misprice06:01 Wall Street Policy Blindspots10:03 Medicaid Work Requirements18:20 Who Bears Medicaid Risk20:13 Part D Risk Shift23:47 Premiums and Adverse Selection27:30 AI and EHR Power29:03 AI Capital Cycle35:51 Lightning Round Outlook43:58 Price Transparency Shock48:58 Wrap Up and Disclaimer
