Health & Veritas Yale School of Management

Howie and Harlan are joined by Greg Licholai, a Yale SOM lecturer and biotech entrepreneur, to discuss his career and his work at the contract research organization ICON, which performs clinical trials for pharmaceutical companies. Harlan reports on new research illustrating the dangerous consequences of asking patients to share the costs of life-saving drugs; Howie provides the good news and the bad news from the annual Medicare Trustees Report. 
Links:
Cost-Sharing and Mortality
“The Health Costs Of Cost-Sharing”
“The Boys of January”
Greg Licholai
ICON plc
Greg Licholai in Forbes
Boston Children's Hospital: Sickle Cell Disease
The State of the Medicare Trust Fund
Medicare: Coverage Gap
2024 Medicare Trustees Report
KFF: FAQs on Medicare Financing and Trust Fund Solvency
KFF: What to Know about Medicare Spending and Financing
Health & Veritas Live on May 30
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Howie and Harlan discuss health and healthcare headlines. From flatlining telehealth to Walmart closing retail clinics to months-long waits for healthcare appointments, they try to untangle the challenges in delivering healthcare. Also considered, H5N1 bird flu increasing the risks of drinking unpasteurized milk, promising research on open-source moderation of misinformation on social media.
Links:
Yale Repertory Theater | The Far Country
CDC | H5N1
“US bird flu outbreak spreads to chickens, cattle, raises concerns over human infections”
“Raw Milk Is Being Legalized in More States. Is It Safe?”
“Recipe for a Healthy Gut: Intake of Unpasteurised Milk Is Associated with Increased Lactobacillus Abundance in the Human Gut Microbiome“
“Long-time Teladoc leader departs as virtual care provider struggles with post-COVID tumble”
“Teladoc sinks $13.7B loss in 2022 tied to plummeting value of Livongo acquisition”
“Optum layoffs: naviHealth CEO out; Virtual care business shuttered”
Connecticut | Certificate of Needs
Characteristics of X (Formerly Twitter) Community Notes Addressing COVID-19 Vaccine Misinformation
“Walmart is closing down its health centers. What’s that mean for Amazon, Walgreens and CVS?”
“Walgreens narrows profit outlook for 2024, takes $6B hit in Q2 from VillageMD investment”
“Why It Takes Forever to Get a Doctor’s Appointment”
Yale Innovation Summit 2024
Link for the Health & Veritas Livestream at the Yale Innovation Summit
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Howie and Harlan are joined by Arthur Caplan, Drs. William F. and Virginia Connolly Mitty Professor of Bioethics and founding head of the division of medical ethics at NYU Grossman School of Medicine, to discuss the ethical failings of the pharmaceutical industry and how a community-focused ethos prioritizing justice and protection of the vulnerable would have reshaped the COVID response. Harlan reports on developments in synthetic proteins. Howie recognizes World Malaria Day.
Links:
Division of Medical Ethics: NYU Langone
“‘You’ve got bad blood’: The horror of the Tuskegee syphilis experiment”
“When Evil Intrudes”
“Surgeons Perform World’s First Combined Heart Pump And Pig Kidney Transplant—Latest Breakthrough Involving Pig Organ”
“Biden trolls Trump on injecting bleach anniversary”
Frequently Asked Questions on Oregon’s Death With Dignity Act (DWDA)
“A quiet revolution in organ transplant ethics”
Center for Healthcare Ethics: The Provider-Patient Relationship
“Ex-Stanford President’s AI Drug Startup Pulls In $1 Billion in Commitments”
“Protein wrangler, serial entrepreneur, and community builder: Inside David Baker’s brain”
Baker Lab: Home Page
“Atomically accurate de novo design of single-domain antibodies”
National Cancer Institute: Definition of a Monoclonal Antibody
Malaria: World Health Organization 
CDC: Malaria’s Impact Worldwide
UNICEF: Ten things you didn’t know about malaria
Yale Innovation Summit 2024
Link for the Health & Veritas Livestream at the Yale Innovation Summit
Learn more about the MBA for Executives program at Yale SOM.
Email Howie and Harlan comments or questions.

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 Medicine: Home
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
Posted on March 12, 2024”
“Effect of Early Treatment with Ivermectin among Patients with Covid-19”
“Effect of Ivermectin vs Placebo on Time to Sustained Recovery in Outpatients With Mild to Moderate COVID-19”
“Effect of Higher-Dose Ivermectin for 6 Days vs Placebo on Time to Sustained Recovery in Outpatients With COVID-19”
“Systematic review and meta-analysis of ivermectin for treatment of COVID-19: evidence beyond the hype”
Ivermectin and Covid
“FDA settles lawsuit over ivermectin content that doctors claimed harmed their practice”
“Intravascular Microaxial Left Ventricular Assist Device Manufacturer Payments to Cardiologists and Use of Devices”
“Impact of Industry Payments on Prescribing Patterns for Tumor Necrosis Factor Inhibitors Among Medicare Beneficiaries”
Yale Innovation Summit 2024
Learn more about the MBA for Executives program at Yale SOM.
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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:
Opportunity for Health | Home
“College Affirmative Action Bans and Smoking and Alcohol Use among Underrepresented Minority Adolescents in the United States: A Difference-in-differences Study”
“Police Killings and Their Spillover Effects on the Mental Health of Black Americans: A Population-based, Quasi-experimental Study”
“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“
“Coronary sinus reducer for the treatment of refractory angina (ORBITA-COSMIC): a randomised, placebo-controlled trial”
“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.
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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”
Wikipedia | Glyoxylic acid
Kidney Injury and Hair-Straightening Products Containing Glyoxylic Acid
American Cancer Society | Formaldehyde and Cancer Risk
Kaiser Family Foundation | 10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision
Kaiser Family Foundation | Medicaid Postpartum Coverage Extension Tracker
CMS | NHE Fact Sheet
Moral Injuries in Healthcare Workers: What Causes Them and What to Do About Them?
NCDHHS | Healthy Opportunities Pilots
HealthTech4Medicaid | About
Learn more about the MBA for Executives program at Yale SOM.
Email Howie and Harlan comments or questions.