Ryan Schwarz: Thinking Differently about the Primary Care Crisis
Release Date: 03/27/2025
Health & Veritas
Howie and Harlan discuss the outlook for U.S. healthcare spending over the next five years, the state of seasonal and avian flu, and an expensive AI-based cardiac test. Show notes: Life expectancy and expenditures ACOs and cost savings World Prematurity Day AI concerns Bird flu Cardiology and AI Free speech and drug promotion Medicare premiums In the Yale School of Management’s , you’ll get a full MBA education in 22 months while applying new skills to your organization in real time. Yale's offers a rigorous public health education for working...
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Howie and Harlan are joined by Harvard internist Jerry Avorn to discuss his research on the pharmaceutical industry and his work promoting evidence-based prescribing. Harlan highlights new results from the American Heart Association meeting, including a one-time CRISPR-based therapy for high cholesterol; Howie reports on an outbreak of infant botulism. Show notes: Research from the American Heart Association Meeting Jerry Avorn Infant Botulism In the Yale School of Management’s , you’ll get a full MBA education in 22 months while applying new skills to your...
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Howie and Harlan are joined by cardiologist Ali Rahimi, the founder of ALYKA Health, which uses a personalized mobile app to help patients manage their heart health between doctor's visits. Harlan discusses new developments in GLP-1 obesity drugs, including untested microdose treatments; Howie reviews a landmark study investigating whether broad prostate cancer screening saves lives. Show notes: GLP-1 Drugs Ali Rahimi New Evidence on Prostate Cancer Screening and Breast Cancer Treatment In the Yale School of Management’s , you’ll get a full MBA education in 22...
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Howie and Harlan are joined by Nate Wood, a Yale School of Medicine internist and trained chef, to discuss his work combining lifestyle guidance with hands-on training in making healthy, tasty food. Harlan shares new guidance on what counts as a healthy blood pressure; Howie provides an update on rising health insurance costs. Links: Blood Pressure Obesity Drugs Culinary Medicine Health Insurance Costs .
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Howie and Harlan are joined by Yale School of Medicine immunologist Akiko Iwasaki, a leading authority on vaccines and long COVID. Harlan reflects on America’s crisis of trust in federal agencies; Howie provides some good news about bird flu. Links: Losing Trust Akiko Iwasaki Bird Flu .
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Howie and Harlan are joined by Rajlakshmi Krishnamurthy, the Yale School of Medicine's associate dean for population health, to discuss her work building holistic systems for care at multiple institutions. Harlan discusses healthcare headlines including the launch of "TrumpRX"; Howie reports on a new study taking a novel approach to understanding the impact of the COVID-19 vaccine. Links: Healthcare Headlines Population Health The COVID-19 Vaccine .
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Howie and Harlan discuss the roots of the crisis in emergency departments, the lack of oversight for hydration spas, new approaches in blood pressure treatment, an ingenious method to prevent malaria, and the CDC’s backward steps on vaccines. Links: Emergency Departments The Revolving Door Hydration Spas New Developments in Blood Pressure Treatment AI in Medicine: Doximity, OpenEvidence, and UpToDate Congenital syphilis MMR Vaccine Nobel Prizes and Science at Yale .
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Howie and Harlan are joined by Vanessa Cooper, a Yale School of Medicine neurologist, to discuss the causes of migraines and promising new treatments for the disorder. Harlan discusses his approach as a journal editor to the use of AI in academic writing; Howie reports on the premium tax credits for insurance purchased through Affordable Care Act exchanges that are at stake in the government shutdown. Links: The Government Shutdown Headaches ACA Tax Credits and the Government Shutdown .
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Howie and Harlan are joined by Kate Heilpern, president of Yale New Haven Hospital, to discuss the innovation and adaption needed to lead NewYork-Presbyterian Hospital through the worst of the COVID-19 pandemic, and how Yale New Haven Health structures itself to provide quality care across five hospitals. Harlan reflects on the many biotech startups emerging from Yale; Howie responds to the Trump administration's assertion of a link between acetaminophen and autism. Links: Biotech at Yale and Beyond . Kate Heilpern Tylenol and Autism .
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Howie and Harlan are joined by Yale School of Medicine geriatrician Barry Wu, who provides a framework for family caregivers and physicians to understand the needs of older adults. Harlan reports on Congress's shifting approach to funding research; Howie reflects on a survey showing that many college students believe that violence is an acceptable way to protest a campus speaker. Links: Congressional Directives on Funding Research Supporting Older Adults Violence and Speech ACA Subsidies .
info_outlineHowie and Harlan are joined by Ryan Schwarz, a Yale-trained MD-MBA who oversees accountable care for the Massachusetts Medicaid program, to discuss new models for addressing the severe shortage of primary care doctors in the U.S. Harlan looks at the fallout from the bankruptcy of 23andMe; Howie reports on Match Day at Yale and medical schools around the country.
Links:
New Leadership
“Senate Confirms Bhattacharya and Makary to H.H.S. Posts”
“Keir Starmer Wants to Abolish N.H.S. England: What to Know About His Plan”
23andMe
“23andMe Files for Bankruptcy Amid Concerns About Security of Customers’ Genetic Data”
“Data Breach at 23andMe Affects 6.9 Million Profiles, Company Says”
“23andMe user data targeting Ashkenazi Jews leaked online”
“Attorney General Bonta Urgently Issues Consumer Alert for 23andMe Customers”
U.S. Senate Bill S.5433: Genomic Data Protection Act
Ryan Schwarz
“The Health of US Primary Care: 2025 Scorecard Report—The Cost of Neglect”
“Finger on the Pulse: The State of Primary Care in the U.S. and Nine Other Countries”
Massachusetts Health Insurance Survey
“Revisiting the Time Needed to Provide Adult Primary Care”
“How Algorithms Could Improve Primary Care”
Ryan Schwarz: “Primary Care Sub-capitation in Medicaid: Improving Care Delivery in the Safety Net”
MassHealth Primary Care Sub-Capitation: Program Overview
“The first community health centers: a model of enduring value”
Match Day
“Biggest Match Day ever: Here’s what the 2025 numbers reveal”
“Yale School of Medicine Celebrates Match Day”
Video: Match Day 2025: Winners & Losers Edition
Learn more about the MBA for Executives program at Yale SOM.