Health & Veritas
Howard Forman and Harlan Krumholz, two Yale physician-professors, discuss the latest news and ideas in healthcare and seek out the truth amid the noise.
Produced with the Yale School of Management and the Yale School of Public Health. New episodes are available every Thursday.
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Episodes
- PodcastEpisode 126Duration 37:59
Scott Berkowitz: Value-Based Care and Population Health
Howie and Harlan are joined by Scott Berkowitz ’03, cardiologist and chief population health officer at Johns Hopkins Medicine, to discuss the necessity of moving from fee-for-service to value-based care delivery to improve outcomes for all. Harlan highlights the dangers of misinformation about Ivermectin. Howie reports on the potential conflicts of interest created by device manufacturers’ payments to cardiologists.
Links:
Johns Hopkins Community Health Partnership
“Association of a Care Coordination Model With Health Care Costs and Utilization”
“Planning for the Future of Population Health: The Johns Hopkins Medicine Experience”
“Califf’s long day on Capitol Hill”
“The FDA Deleted Its Viral Ivermectin Tweets. Now There’s Even More Misinformation”
“Philly Nonprofit Awarded $48 Million to Apply AI in Search for New Uses for Approved Drugs”
“Effect of Early Treatment with Ivermectin among Patients with Covid-19”
“FDA settles lawsuit over ivermectin content that doctors claimed harmed their practice”
Learn more about the MBA for Executives program at Yale SOM.
- PodcastEpisode 125Duration 38:40
Atheendar Venkataramani: Opportunity, Hope, and Health
Howie and Harlan are joined by Atheendar Venkataramani, a physician, health economist, and director of the Perelman School of Medicine’s Opportunity for Health Lab, to discuss the powerful role of economic opportunity in population health outcomes. Harlan reports on two studies where treatments’ unexpected benefits leapt ahead of understanding why they work. Howie reflects on the business model of the pharma industry and the market reaction to anti-obesity drugs.
Links:
“Officer-Involved Killings of Unarmed Black People and Racial Disparities in Sleep Health“
Behavioral Risk Factor Surveillance System | Home
“Building Black Wealth — The Role of Health Systems in Closing the Gap“
KFF | Understanding Mergers Between Hospitals and Health Systems in Different Markets
“In Hospitals, Affordable Housing Gets the Long-Term Investor It Needs”
American College of Cardiology 73rd Annual Scientific Session & Expo
“Semaglutide in Patients with Obesity-Related Heart Failure and Type 2 Diabetes“
“A Placebo-Controlled Trial of PCI for Stable Angina“
“Trial of Lixisenatide in Early Parkinson’s Disease“
“The Cream of The Crop: 5 Biotechs That Outrank Most Stocks”
“How High Can Eli Lilly Stock Go? $1,000 A Share, One Analyst Says”
Learn more about the MBA for Executives program at Yale SOM.
- PodcastEpisode 124Duration 31:08
Kate McEvoy: How Medicaid Is Driving Healthcare Innovation
Howie and Harlan are joined by Kate McEvoy, executive director of the National Association of Medicaid Directors, to discuss the programs’ underappreciated advances in holistically addressing health, housing, and food security. Reflecting on the upcoming election, Harlan notes that facts matter, whether in medicine or politics. Howie reports on the dangers of glyoxylic acid in hair straightening products.
Links:
“Trump Leads Biden in Six of Seven Swing States, WSJ Poll Finds”
“Takeover: Hitler’s Final Rise to Power”
“The Forgotten History of Hitler’s Establishment Enablers”
The Future of Health Policy in a Partisan United States
“Netflix blockbuster ‘3 Body Problem’ divides opinion and sparks nationalist anger in China”
“The Future of American Democracy Depends on Improving U.S. Health”
Kidney Injury and Hair-Straightening Products Containing Glyoxylic Acid
American Cancer Society | Formaldehyde and Cancer Risk
Kaiser Family Foundation | Medicaid Postpartum Coverage Extension Tracker
Moral Injuries in Healthcare Workers: What Causes Them and What to Do About Them?
NCDHHS | Healthy Opportunities Pilots
Learn more about the MBA for Executives program at Yale SOM.
- PodcastEpisode 123Duration 32:29
Margo Harrison: Women’s Health as a Path to Empowerment
Howie and Harlan are joined by Margo Harrison, an OB-GYN and femtech entrepreneur, to discuss how innovative solutions to women’s health problems offer deeper understanding and expanded choices. Harlan and Howie each offer a caveat emptor for lightly regulated, unproven supplements and treatments such as Prevagen and hydration spas.
Links:
“Prevagen Review: A Word of Caution”
“NY Jury Rules Some Claims About Prevagen Are Misleading”
“Effects of a Supplement Containing Apoaequorin on Verbal Learning in Older Adults in the Community”
Margo Harrison, MD: Assistant Adjoint Professor, OB-GYN-Basic Repro Science
“Use of Cesarean Birth at Mizan Tepi University Teaching Hospital, Mizan Aman, Ethiopia”
“Warnings grow about risky IV drips and injections at unregulated med spas”
- PodcastEpisode 122Duration 33:48
Zack Cooper: High Healthcare Costs: Who Pays, Who Benefits
Howie and Harlan are joined by Yale health economist Zack Cooper to discuss his work on surprise medical bills and the impact of high healthcare costs on households, wages, and the economy. Harlan reports on Hippocratic AI’s efforts to develop AI nurses. Howie looks at the global effort to eradicate tuberculosis.
Links:
“Polaris: A Safety-focused LLM Constellation Architecture for Healthcare”
Yale | Eli Whitney Students Program
Touching the Dragon: And Other Techniques for Surviving Life’s Wars
The Price Ain’t Right? Hospital Prices and Health Spending on the Privately Insured
“Costs Can Go Up Fast When E.R. Is in Network but the Doctors Are Not”
“Bankrupt Envision Healthcare approved to split in two, cut debt”
“The Company Behind Many Surprise Emergency Room Bills”
Surprise! Out-of-Network Billing for Emergency Care in the United States
“Medical LLM developer Hippocratic AI gets $53M at $500 valuation”
World Health Organization | World Tuberculosis Day
Partners In Health | Tuberculosis
“WHO urges investments for the scale up of tuberculosis screening and preventive treatment”
“The latest twist in John Green’s anti-tuberculosis story: working with governments”
Learn more about the MBA for Executives program at Yale SOM.
- PodcastEpisode 121Duration 30:16
Robert Alpern: Creating an Inspired Medical School
Howie and Harlan are joined by Robert Alpern, a Yale nephrologist and the former dean of the Yale School of Medicine, to discuss the importance of a fiscal base for enabling a medical school to deliver top-quality training, research, and clinical care. Harlan asks whether widespread norovirus is a reason to call it quits on shaking hands. Howie reports on a study of the increased mortality among those with ADHD.
“Nephrologist Robert Alpern Named Dean of Yale School of Medicine”
“UT Southwestern: From Army” Shacks to Research Elites”
“National Clinician Scholars Program”
“A ‘bittersweet’ end: Historic merger creates one of the nation’s largest hospitals”
“Yale New Haven Health: Smilow Cancer Hospital”
“Alpern will not seek a fourth term as School of Medicine dean”
“Alpern to Step Down After Current Term as Dean”
“State of Affairs: March 12: Flu, measles, norovirus, and interesting Pew results”
“Norovirus has entered the chat”
“ADHD Pharmacotherapy and Mortality in Individuals With ADHD”
“Overdiagnosis of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents”
Learn more about the MBA for Executives program at Yale SOM.
- PodcastEpisode 120Duration 31:45
Robert Rohrbaugh: Bringing Antiracist Tools to Clinical Practice
Howie and Harlan are joined by Robert Rohrbaugh, professor of psychiatry and deputy dean for professionalism and leadership at the Yale School of Medicine, to discuss his work training doctors in antiracist practices and ensuring the wellbeing of clinicians during the pandemic. Harlan reports on the problematic history of medical journals promoting eugenics; Howie highlights a cyberattack that has paralyzed Change Healthcare, the country’s largest payments processing hub.
Links:
Antiracist Documentation Practices — Shaping Clinical Encounters and Decision Making
American Psychological Association | Implicit Bias
“YSM Ranks #1 in U.S. News Survey for Psychiatry”
COVID-19 Traumatic Disaster Appraisal and Stress Symptoms Among Health Care Workers
Application of Artificial Intelligence on Psychological Interventions and Diagnosis: An Overview
Is AI the Future of Mental Healthcare?
ChatGPT outperforms humans in emotional awareness evaluations
“Ridding the Race of His Defective Blood” — Eugenics in the Journal, 1906–1948
Problems Underlying Public Hospital Administration
Eugenics and Involuntary Sterilization: 1907–2015
“Cyberattack Paralyzes the Largest U.S. Health Care Payment System”
“Physicians beg for relief amid Change Healthcare payment crisis”
- PodcastEpisode 119Duration 42:18
A Cheating Scandal, Abandoned Research, and Other News
Howie and Harlan discuss health and healthcare headlines, including a cheating scandal that has led to the invalidation of hundreds of scores from Nepal on the U.S. Medical Licensing Examination, the problem of research that never sees the light of day, new anti-obesity medications, and Florida’s unorthodox approach to measles.
Links:
Standardized Testing
“Cheated out of the American Dream”
“MCAT scores and medical school success: Do they correlate?”
“Medical School Admissions — A Movable Barrier to Ending Health Care Disparities?”
“Yale Reinstates Standardized Test Score Requirement For Admissions”
“New SAT Data Highlights the Deep Inequality at the Heart of American Education”
Research at Universities
Good Science Project: Stuart Buck
“Why Are We Screwing Over Researchers Who Make Innovative Discoveries?”
Intellectual Property: Ownership and Protection in a University Setting
Measles in Florida
“From COVID-19 to Measles, Florida’s War on Public Health”
Obesity Drugs
“Heard on the Street: Viking Therapeutics Invades Eli Lilly’s Obesity Territory”
Unreleased Research Data
“The Ghost Research Haunting Nordic Medical Trials”
“Publication of NIH funded trials registered in ClinicalTrials.gov: cross sectional analysis”
Harlan Krumholz: “What have we learnt from Vioxx?”
A Transformative Gift
“$1 Billion Donation Will Provide Free Tuition at a Bronx Medical School”
IVF in Alabama
The Alabama Supreme Court’s Ruling
“Florida Suspends Bill to Protect ‘Unborn Child’ After I.V.F. Ruling”
Faculty for Yale
“The Need For Institutional Neutrality At Universities”
Learn more about the MBA for Executives program at Yale SOM. - PodcastEpisode 118Duration 30:35
Lucila Ohno-Machado: AI and the Art of Medicine
Howie and Harlan are joined by Lucila Ohno-Machado, the Yale School of Medicine’s deputy dean for biomedical informatics. She explains how expanding use of data science, informatics, AI, and technology could enable doctors to spend more time with patients. Harlan celebrates mentorship while marking the death of Irwin Birnbaum, a mentor to many in his time as COO of the Yale Medical School and long after retiring. Howie discusses the mixed evidence from a study on vaping as a tool for helping cigarette smokers quit.
Links:
“Lucila Ohno-Machado, MD, PhD, MBA, Will Lead Biomedical Informatics and Data Science”
“Lucila Ohno-Machado: Yale Medicine Profile”
“Halıcıoğlu Data Science Center”
“2024 AI in Medicine Symposium at Yale School of Medicine”
“Doctors Vs. ChatGPT: Which Is More Empathetic?”
“A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy”
- PodcastEpisode 117Duration 38:22
Farzad Mostashari: Aligning Incentives to Fix Primary Care
Howie and Harlan are joined by Farzad Mostashari, co-founder and CEO of Aledade, an "accountable care organization" that seeks to align patient-provider incentives so doctors can make a profit by prioritizing preventive care. Harlan discusses a study suggesting that physical exercise may be protective from severe COVID. Howie highlights the introduction of Apple’s VR headset and the importance of further study to understand the technology’s capacity to “rewire” our brains.
Links:
“Farzad Mostashari: Man On A Digital Mission”
“Health Reform and Physician-Led Accountable Care:The Paradox of Primary Care Physician Leadership”
“Staggering Rise in Catheter Bills Suggests Medicare Scam”
“Accountable Care Organizations (ACOs): General Information”
“Prepandemic Physical Activity and Risk of COVID-19 Diagnosis and Hospitalization in Older Adults”
“2024 Outlook: Despite hurdles, stakeholders bullish on VR in behavioral health”
“AI therapy and ICU training: A first look at health apps for Apple Vision Pro”
“Virtual Reality for Management of Pain in Hospitalized Patients: Results of a Controlled Trial”
“Virtual Reality Reduces Pain in Laboring Women: A Randomized Controlled Trial”
Learn more about the MBA for Executives program at Yale SOM.
Learn more about the Pozen-Commonwealth Fund Fellowship in Health Equity Leadership.