Fierce Healthcare

Podnosis

A Medicine , Health & Fitness and Mental Health podcast

#92 in Medicine · 🇸🇬 #154 in Health & Fitness · 🇰🇷

About the show

Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.

Newest episodes

Recapping the headwinds and tailwinds from Q3

Nov 11, 2026 30 min

For-profit payers and providers have wrapped up yet another round of earnings calls. Insurance executives cited positive signs in the Medicaid space and plenty of policy uncertainty as open enrollment season gets underway, while providers noted softer surgical volumes and ongoing pressure from declining ACA enrollment. Editor Dave Muoio, Senior Reporter Paige Minemyer and Reporter Cailey Gleeson sit down to discuss the key takeaways from third-quarter earnings reports. To learn more about the topics in this episode: Tenet Healthcare sails past Q3 earnings estimates, boosts 2026 guidance Humana pacing ahead of expectations during Medicare enrollment window, CEO says Cigna offers investors a look at its new Lead to One strategy CVS Health plans to split pharmacy business from Aetna, Caremark Community Health Systems logs $86M net loss in Q3, hopes for return of 'pent-up' electives in 2027 UnitedHealth Group execs detail continued improvements at Optum Health HCA Healthcare tops Q3 expectations on strong demand, but warns of persistent payer mix issues Universal Health Services headed for 'lower end' of 2026 guidance after Q3's volume growth, softer m… Why Centene's CEO sees opportunity for 'long-term growth' in Medicaid Elevance Health poised for Medicaid improvements in 2027 See omnystudio.com/listener for privacy information.

How to Evaluate Clinical AI Beyond the Demo (Sponsored)

Nov 9, 2026 13 min

Clinical AI must prove its value beyond a controlled demo. In this sponsored episode of Podnosis, host Irena Luo speaks with Chad Dodd, vice president of product management at Athenahealth, about how healthcare leaders can evaluate AI governance, safety and performance. Dodd explains why organizations should examine how a solution handles real-world data, edge cases and workflow variation, not only its ideal output. He discusses governance across the product development lifecycle, including testing for bias, accuracy and data validity, as well as validation across specialties, datasets and patient samples. The conversation also covers practical clinician oversight through clear labeling of AI-generated information and links to source content. After deployment, Dodd says organizations should monitor model outputs, drift, telemetry, feature adoption and user feedback. For practices comparing AI partners, the discussion highlights four priorities: demonstrated workflow value, data privacy and security, transparent failure points, and evidence that the technology delivers its intended result safely and compliantly. Listen to the full podcast to learn more. See omnystudio.com/listener for privacy information.

Wearables, AI and women's heart health

Nov 4, 2026 19 min

Cardiovascular disease is the leading cause of death among women. Conditions like heart disease and stroke kill more women each year than breast cancer, lung cancer and chronic lung disease combined. As awareness of cardiovascular risk grows, one cardiologist argues that wearable technology could play an increasingly important role in women's heart health. Ami Bhatt, M.D., is chief medical officer of WHOOP and former chief innovation officer at the American College of Cardiology. Senior Writer Anastassia Gliadkovskaya talks with Bhatt about the potential of wearable health data and why including women in the development of new technologies is so important. To learn more about the topics in this episode: Medical societies release female-specific framework for cardiovascular disease prevention, care Whoop expands Advanced Labs to non-members, adds Grail’s multi-cancer detection test to lineup ARPA-H launches $63M effort to build FDA-authorized AI agents for heart failure care See omnystudio.com/listener for privacy information.

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All episodes

Recapping the headwinds and tailwinds from Q3

Nov 11, 2026 30 min

How to Evaluate Clinical AI Beyond the Demo (Sponsored)

Nov 9, 2026 13 min

Wearables, AI and women's heart health

Nov 4, 2026 19 min

Connecting the dots to improve pediatric developmental care

Oct 28, 2026 27 min

Pediatric developmental care is notoriously difficult to navigate. Providers often find it challenging to accept insurance, and provider shortages mean long waitlists for families at a time when every day without care counts. One startup operating in Southern California aims to simplify pediatric therapy and improve care coordination. Village offers a two-sided platform that streamlines communication between providers and families and brings documentation together in one secure place. Families can find providers through Village, while providers can manage their practices and collaborate with others. To explain the model, Fierce Healthcare Senior Writer Anastassia Gliadkovskaya sits down with Brandon Terry, co-founder and CEO of Village. To learn more about the topics in this episode: Survey: Parents struggle to navigate fragmented pediatric, specialty care UnitedHealthcare expands behavioral coaching program for youths Amid spending growth scrutiny, CMS unveils toolkit for states to safeguard autism care See omnystudio.com/listener for privacy information.

The hidden and not-so-hidden costs of the patient trust gap

Oct 21, 2026 23 min

Breakdowns in patient navigation can have consequences beyond patient frustration, contributing to missed appointments, avoidable emergency department visits and lost revenue for healthcare organizations. Nichole Davis, founder and CEO of Wayfinder Patient Advocates, believes healthcare organizations should treat these breakdowns, which she calls "trust leaks," as operational problems that can be identified, measured and addressed. Her approach focuses on improving care coordination, equipping patients to make informed decisions and translating patient feedback into meaningful changes. In this week's episode of "Podnosis," Fierce Healthcare Senior Writer Anastassia Gliadkovskaya speaks with Davis about the connection between patient trust and organizational performance, practical strategies for improving care navigation and why these efforts are particularly important as healthcare organizations face growing financial pressures. To learn more about the topics in this episode: Who do Americans believe have the most influence in healthcare? Three-quarters of Americans disillusioned with costs, say healthcare is defining voting issue Industry Voices—Return to trust: How lack of transparency can damage relationships in healthcare See omnystudio.com/listener for privacy information.

Redesigning prior authorization around the patient (Sponsored)

Oct 15, 2026 15 min

Prior authorization touches nearly every part of healthcare, yet patients, providers, health plans and pharmacy benefit managers experience its friction differently. In this sponsored episode of Podnosis, host Kelly Hogan speaks with Adriana Ramirez, president and chief operating officer of Abarca Health, about insights from Abarca Forward, where stakeholders worked together to rethink the process. Ramirez shares why the discussion revealed more alignment than expected and outlines a framework centered on experience, infrastructure and performance. The episode explores the need for greater transparency at the point of care, shared standards and structured criteria, and better coordination across medical and pharmacy benefits. It also considers why measures such as turnaround times, approvals and denials are not enough to show whether prior authorization is delivering value. Watch the full interview to learn how time to therapy, treatment abandonment, clinical outcomes and total cost of care can provide a clearer view of performance, and why trust, accountability and collaboration are essential to meaningful redesign. Download the white paper to see the full framework. See omnystudio.com/listener for privacy information.

Integrating care for people with serious mental illness

Oct 14, 2026 31 min

Serious mental illness (SMI) is challenging to address. Individuals with SMI die significantly earlier and are nearly twice as likely to have co-occurring physical health conditions as the general population. Yet the current system remains geographically inaccessible, fragmented and burdened by unaddressed social determinants of health. Sonia Garcia, co-founder and chief growth officer of Amae Health, has seen the system's shortcomings firsthand while caring for her own family. Amae is trying to transform SMI care by combining psychiatry with medical care, nutrition, behavioral coaching and long-term monitoring. To explain the approach, Fierce Healthcare senior writer Anastassia Gliadkovskaya talks with Garcia. To learn more about the topics in this episode: Behavioral health utilization is up with anxiety disorders leading demand, report finds Amae Health teams up with Google Health to integrate wearables data into SMI care Psychiatrists' use of biomarkers could open a new window into mental health diagnoses See omnystudio.com/listener for privacy information.

The future of independent contracting in healthcare

Oct 7, 2026 25 min

A growing number of clinicians are looking to work in healthcare as independent contractors, giving them more flexibility over when and how they work. While this can sound straightforward in theory, a lack of clarity around worker classification can complicate opportunities for these professionals. The Department of Labor has proposed a new rule, currently undergoing final review, that could change how businesses engage with independent contractors. One expert argues the change would be for the better. To explain what the rule could mean for healthcare workers and employers, Senior Writer Anastassia Gliadkovskaya sits down with Regan Parker, chief legal and public affairs officer at ShiftKey, a platform that connects independent healthcare workers with open shifts at healthcare facilities. To learn more about the topics in this episode: Department of Labor's proposed foreign worker wage increases are more tough news for healthcare staf… See omnystudio.com/listener for privacy information.

The strategic shift reshaping payment integrity (Sponsored)

Oct 6, 2026 21 min

As health plans confront rising medical and administrative costs, payment integrity is evolving from a collection of discrete interventions into an enterprise-wide strategic capability. In this sponsored episode of Podnosis, host Irena Luo speaks with Michael Axt, CEO of ClarisHealth, about why adding specialized vendors alone does not guarantee stronger performance. Without orchestration and end-to-end visibility, payers risk duplicative findings, missed savings, fragmented workflows and greater provider abrasion. Axt explains how technology and AI can help payers improve payment accuracy, move more determinations earlier in the payment cycle and coordinate interactions with providers. He also considers how orchestration platforms such as Pareo can connect data, give internal teams a shared workspace and provide vendor-agnostic analytics for stronger program oversight. His perspective points toward a future in which payment integrity, utilization management, risk adjustment and other cost-management functions converge around a more connected view of the claim and episode-of-care lifecycle. Listen to the interview to learn more about the operating model shaping the future of payer performance. See omnystudio.com/listener for privacy information.

How Providence is tackling its climate footprint

Sep 30, 2026 28 min

For years, health systems have been working to address their environmental impact. These efforts are largely voluntary and require systemwide buy-in to be effective. Some organizations are more sophisticated in setting sustainability goals and further along in putting them into practice. Senior Writer Anastassia Gliadkovskaya talks with Beth Schenk, Ph.D., chief environmental stewardship officer at Providence, about the climate impacts she has witnessed as a nurse and her health system’s sustainability journey. To learn more about the topics in this episode: New procurement guide for hospitals, payers takes aim at AI's environmental impact In next phase of sustainability, UCI Health, Kaiser Permanente, and others turn to electric hospital… How policy, reimbursement incentives, could help healthcare address its climate footprint 'We can't do this alone': Hospitals share lessons from Hurricane Helene to prepare for extreme weath… See omnystudio.com/listener for privacy information.

Breast cancer and Black women: Investigating the disparities

Sep 23, 2026 24 min

Racial disparities in breast cancer have persisted for years. Though Black women have a slightly lower incidence of breast cancer, they face a mortality rate that is 38% higher than that of white women. One researcher in Georgia is focused on addressing those inequities in her community. Lauren McCullough, Ph.D., an epidemiology researcher, is running several studies investigating disparities across breast and gynecologic cancers. She also founded a peer support community to elevate the voices of marginalized patients going through cancer treatment. Senior Writer Anastassia Gliadkovskaya talks with McCullough about these efforts and what they could mean at scale. To learn more about the topics in this episode: Women's oncology market will reach $110B by 2030 across therapeutics, diagnostics and care delivery The cold cap coverage gap and a cancer survivor’s push for change Breast cancer tops list of most-studied diseases for 5th year in a row: report Not all patient care access is equal when it comes to mammograms, CDC report finds See omnystudio.com/listener for privacy information.

Healthcare's alignment gap isn't what you think (Sponsored)

Sep 21, 2026 15 min

Payers and providers agree on many of healthcare's most pressing challenges. Yet despite broad consensus around rising costs, workforce shortages and administrative complexity, operational friction continues to slow progress. Why? According to Yusuf Qasim, president of payments optimization at Zelis, alignment on the problem does not automatically create alignment on the solution. In this episode of Podnosis, Qasim discusses findings from Zelis' State of the Healthcare Financial Experience Report and examines where collaboration opportunities remain untapped. He explains why the industry has no shortage of data or analytical capabilities, but often struggles to connect insights across organizations. The conversation explores persistent pain points, including payment reconciliation, claims processing, denials, appeals and administrative burden, while highlighting practical steps healthcare stakeholders can take to improve transparency and strengthen collaboration. The discussion also looks at how organizations should evaluate new technology investments, why reducing manual work may be one of the most important success metrics, and where payers and providers can make meaningful progress over the next several months. For healthcare leaders focused on operational efficiency, stakeholder trust and financial experience, this episode offers a timely perspective on turning shared priorities into measurable results. See omnystudio.com/listener for privacy information.

How connected data can help patients navigate healthcare

Sep 16, 2026 26 min

There are a lot of disparate systems in healthcare that don’t always talk to each other. That can make navigating specialties like behavioral health particularly challenging for patients. One company believes both payers and providers share responsibility for helping patients navigate to services. Bamboo Health offers a platform that ingests data from traditionally siloed sources to give stakeholders real-time visibility into how patients are moving through the healthcare system so they can act at the appropriate time. Senior Writer Anastassia Gliadkovskaya talks to Vatsala Kapur, Bamboo’s SVP of market access, policy and partnerships, about the outcomes the company is seeing and why the future of value-based care has to involve data and AI. To learn more about the topics in this episode: Delaware sees results following recent launch of behavioral health coordination platform Watershed Health rolls out large-scale data sharing platform across Austin, Texas region See omnystudio.com/listener for privacy information.

How video games are changing medical education

Sep 9, 2026 25 min

Video games are a massive industry, and they’re successful because they have mastered the art of player engagement. What if you could apply those same tactics to engage doctors? Sam Glassenberg, EVP at Relevate Health Games, formerly Level Ex, helps design video games for medical professionals and, more recently, patients. The goal is to equip them with new knowledge and skills to improve care delivery or build healthier habits. Senior Writer Anastassia Gliadkovskaya sits down with Glassenberg to discuss the company’s latest innovations, engagement data and the future of video games in healthcare. To learn more about the topics in this episode: Level Ex study shows efficacy of game-based training for experienced dermatologists See omnystudio.com/listener for privacy information.

The stories behind the 2026 Fierce 50

Sep 2, 2026 23 min

The 2026 Fierce 50 brings together scientists, physicians, public health leaders, patient advocates and organizations working in very different ways to move healthcare and the life sciences forward. This year’s honorees are developing new medicines, closing gaps in access and representation, tackling health literacy and misinformation, rethinking disease prevention and finding new ways to bring public health information into the communities that need it. In this episode of "Podnosis," Fierce Healthcare and Life Sciences Editor-in-Chief Ayla Ellison looks at some of the stories that stood out from this year’s honorees, from Revolution Medicines’ bet on the once “undruggable” RAS cancer target and the protein-design work of David Baker, Ph.D., to Michael Osterholm, Ph.D., and his decision to delay stepping back from public health. The episode also explores how honorees including Lisa Fitzpatrick, M.D., Hip Hop Public Health, Eric Topol, M.D., and Mary Owen, M.D., are rethinking trust, communication, prevention and health equity. To learn more about the topics in this episode: Fierce 50 of 2026 See omnystudio.com/listener for privacy information.

Primary care’s AI opportunity depends on new payment models

Aug 26, 2026 33 min

The U.S. is facing a rapidly aging population alongside a dearth of primary care physicians, who play a crucial role in catching health issues early and keeping costs low. Everyone agrees technology should play a role in filling care gaps, but where its value truly lies is up for debate. Senior Writer Anastassia Gliadkovskaya talks to David Carmouche, M.D., chief medical and commercial officer of Lumeris, a health tech company that supports providers. Carmouche shares creative ways providers can use technology more effectively and the payment models needed to support those efforts long term. He also discusses lessons learned from leading Walmart Health centers, which shuttered in 2024, and his current work on a federal healthcare advisory committee to the Department of Health and Human Services. To learn more about the topics in this episode: Walmart Health's shutdown underscores major challenges for retail health 'disruptors' Weekly Rundown: Lumeris adds symptom-checking tool to AI platform; DeepIntent rolls out agentic AI t… Primary care is in trouble. So doctors band together to boost their market power See omnystudio.com/listener for privacy information.

Why early CAR-T conversations matter in multiple myeloma (Sponsored)

Aug 24, 2026 37 min

This podcast episode is sponsored by Johnson & Johnson and Legend Biotech. Dr. Paresh Patel and multiple myeloma patient Julia P. have been compensated by Johnson & Johnson and Legend Biotech for their time to participate in this podcast. In this episode of Podnosis: The Pulse of the Healthcare Industry, listeners hear a candid conversation about multiple myeloma from the patient and physician perspectives. A patient who underwent CAR-T therapy and her community oncologist, Dr. Paresh Patel, share how early education, trust and collaboration shaped her treatment journey. The patient walks through her experience from diagnosis to CAR-T, describing how informed decision-making and self-advocacy helped her navigate an evolving treatment landscape. She reflects on the emotional and practical challenges of multiple myeloma therapies, the importance of caregiver support and what the possibility of a treatment-free interval meant to her. Dr. Patel discusses the role of community oncologists in managing complex diseases like multiple myeloma, emphasizing why CAR-T should remain part of the treatment conversation early on. He explores timing, referral considerations and the value of clear communication as patients move between local care and specialized centers. At its core, this episode is about partnership and what is possible when patients and care teams navigate complexity together. See omnystudio.com/listener for privacy information.

Bringing preventive care into the home

Aug 19, 2026 28 min

Consumer wearables are popular for a reason. People like to have their health data on demand. These insights can encourage healthy habits and may flag early signals of an underlying illness. The problem is interpretability. Without a doctor’s input, many people are left to puzzle over their results and what they imply. Timely medical advice is important, yet often missing. Reperio Health aims to address that gap. It combines at-home health screenings, an app and virtual clinical visits to help patients make sense of it all. Senior Writer Anastassia Gliadkovskaya sits down with Reperio’s co-founder and CEO, Travis Rush, to explain. To learn more about the topics in this episode: At-home testing company Reperio teams up with Amazon One Medical on preventive care Doctronic, Simple HealthKit partner to connect at-home screening with AI-powered clinical care Noom launches at-home biomarker test kit for metabolic health monitoring See omnystudio.com/listener for privacy information.

The biggest payer and provider trends from Q2

Aug 12, 2026 34 min

Elevated medical costs and policy turmoil continued to affect the financial performance of payers and providers in the second quarter. Providers are still feeling the sting of fluctuations in ACA plan enrollment, while payers pointed to the No Surprises Act’s arbitration process as a major challenge. Fierce Healthcare editor Dave Muoio and senior writer Paige Minemyer sit down for another deep dive into the biggest trends emerging from second-quarter earnings calls. To learn more about the topics in this episode: Insurers see positive results in managing health costs in Q2 Ardent Health offsets Q2 volume stumble by tightening costs, renegotiating contracts CVS enhances supports for patients taking GLP-1s Universal Health Services tops Q2 expectations, but dials back full-year earnings Tenet Healthcare shrugs off ACA headwinds with sweeping Q2 outperformance, boosts 2026 guidance HCA Healthcare's H1 ACA volume dropoffs 'almost one for one' shifted to uninsurance UnitedHealthcare exec says 'ineffective' No Surprises Act IDR process demands reform See omnystudio.com/listener for privacy information.

Closing the gaps in MS care during pregnancy

Aug 5, 2026 24 min

Multiple sclerosis is a chronic autoimmune disease that requires proactive early intervention and treatment to achieve the best long-term outcomes. But recommendations for MS patients who are pregnant can be murky. Driven by knowledge gaps and concerns about the effects of disease-modifying therapies on the fetus, providers have often advised MS patients not to become pregnant. However, emerging research shows that patients can safely continue certain MS medications during pregnancy. Katrina Bawden, a family nurse practitioner and MS-certified nurse at Rocky Mountain MS Clinic, is working to fill the research gap by tracking pregnancies among women with MS. She discusses the outcomes she is seeing with Senior Writer Anastassia Gliadkovskaya. To learn more about the topics in this episode: 'We want to feel heard': Jamie-Lynn Sigler on how pharmas can better serve patients As Roche eyes busy 2026, Vabysmo undershoots targets and Tecentriq fails early lung cancer study Fewer than 1% of clinical trials in the US include pregnant patients, study finds See omnystudio.com/listener for privacy information.

A look at CVS’ march toward a simpler patient experience

Jul 29, 2026 20 min

It’s no secret that healthcare is complicated. Patients face escalating costs and significant complexity as they try to navigate their own health journeys. That’s why CVS Health is making significant investments to improve the consumer experience and simplify patients’ interactions with the healthcare system. Amy Compton-Phillips, M.D., the company’s chief medical officer, joins senior writer Paige Minemyer to unpack initiatives such as CVS Health 100 and discuss what the ideal patient experience might look like. To learn more about the topics in this episode: CVS unveils Health 100, its new Google-powered consumer engagement platform A look at how CVS is leaning on 'agentic twins' in developing consumer tech Inside Aetna's investments to build provider trust Consumers' satisfaction with health plan apps improves with familiarity: JD Power See omnystudio.com/listener for privacy information.

HaloMD's Patrick Velliky explains why No Surprises Act IDR enforcement matters (Sponsored)

Jul 27, 2026 11 min

In this sponsored episode of Podnosis, host Irena Luo speaks with Patrick Velliky, chief external affairs officer at HaloMD, about the No Surprises Act and the ongoing challenges surrounding the independent dispute resolution process. Velliky reflects on the original expectations behind the legislation, including the goal of creating a fair arbitration framework where insurers and providers could resolve payment disputes in good faith. He discusses concerns that have emerged around arbitration award payments, highlighting how delayed or missing payments can affect providers despite favorable rulings. The conversation examines potential enforcement pathways, including regulatory oversight and bipartisan legislative proposals intended to address compliance gaps and establish clearer penalties. Velliky also shares his perspective on the financial pressures facing physician practices and how reimbursement challenges may influence healthcare consolidation trends. Listen in for an expert discussion on the evolving implementation of the No Surprises Act, the future of IDR enforcement and what these developments could mean for providers, payers and patients. See omnystudio.com/listener for privacy information.

A more connected approach to prenatal care

Jul 22, 2026 22 min

Despite the importance of prenatal care, recent CDC data show that access is declining. Fewer women are beginning prenatal care in the first trimester, while the share starting later in pregnancy or receiving no prenatal care is rising. Unified Women’s Healthcare supports women’s health practices and provides fertility services, maternity analytics, care coordination and other technology-enabled services. The company is exploring how those tools can help patients enter care earlier and receive more tailored support throughout pregnancy. Unified Chief Medical Officer Elizabeth Cherot, M.D., joins Senior Writer Anastassia Gliadkovskaya to discuss the company’s approach, the barriers keeping patients from prenatal care and the role technology can play in expanding access. To learn more about the topics in this episode: Family health provider Nest Health launches in-home prenatal services Why UnitedHealth Group is betting big on doulas Wavelet Medical, Aegis Ventures partner on first AI non-invasive fetal EEG monitoring platform New Medicaid-focused doula provider Malama launches with $9.2M See omnystudio.com/listener for privacy information.

Why clinician-led IT is the future of care (Sponsored)

Jul 20, 2026 17 min

As healthcare organizations look to ease clinician burden and improve care delivery, health IT is becoming a strategic lever, not just an operational tool. In this episode of Podnosis, Chad Dodd, vice president of product management at Athenahealth, shares a practical perspective on how technology can address some of the industry’s most persistent workflow challenges. Dodd explains how AI-powered documentation, automated insights and emerging agent-based tools can help reduce administrative friction while giving clinicians more time to focus on patients. He also outlines where technology has limits, including workforce shortages, reimbursement pressures and other systemic issues that require broader industry action. A central theme is the importance of clinician-led innovation. Athenahealth’s development model brings clinicians, engineers and data scientists together to build tools that reflect real workflows rather than adding complexity to them. The conversation also explores why trust, transparency and optionality are essential to AI adoption. For healthcare leaders, technology stakeholders and anyone shaping the future of care delivery, this episode offers a grounded look at how health IT can move from promise to practical impact. Click play to hear how clinician collaboration is redefining the next era of healthcare technology. See omnystudio.com/listener for privacy information.

OpenAI’s health AI chief: ‘Bet on the models getting better’

Jul 15, 2026 28 min

For millions of people, AI chatbots have become a new front door to health information. More than 230 million people use ChatGPT each week for health and wellness questions. With healthcare now OpenAI’s biggest and fastest-growing use case, the company is making a major push into the sector, rolling out enterprise tools for hospitals and personal health assistants for consumers. OpenAI has set a bold goal of ensuring that AI “improves health for all humanity,” and Karan Singhal is driving that work. A leading artificial intelligence researcher who previously worked at Google, Singhal joined OpenAI two years ago as head of Health AI and Artificial General Intelligence. His team is focused on improving the quality of ChatGPT’s health-related responses. In a wide-ranging interview with Executive Editor Heather Landi, Singhal shared his perspective on why healthcare is a strategic priority for OpenAI and how the company is rapidly improving its health capabilities. He makes the case for AI becoming a “silent background companion” for clinicians and patients and explains how it can serve as a bridge in a fragmented healthcare system. To learn more about the topics in this episode: OpenAI launches ChatGPT for Clinicians, a free AI tool for physicians, NPs and pharmacists OpenAI acquires healthcare startup Torch to build out ChatGPT Health OpenAI launches ChatGPT Health to connect data from health apps, medical records AI chatbot use for health information up 16% from 2024: Rock Health survey 40M people use ChatGPT to get answers to healthcare questions, OpenAI says See omnystudio.com/listener for privacy information.

Primary care’s AI moment

Jul 8, 2026 24 min

Artificial intelligence is here to stay, and physicians should be learning how to use it thoughtfully. That’s the argument Shawn Martin, CEO of the American Academy of Family Physicians, makes in a conversation with Senior Writer Anastassia Gliadkovskaya. Martin discusses the findings of a recent AAFP survey on clinician AI use, why primary care is especially ripe for tech disruption and what physicians should be doing now to understand and responsibly deploy AI. To learn more about the topics in this episode: Primary care doctors say AI saves time and helps them provide better care: survey AI playing a major role in consumers' healthcare decision-making, survey finds Perplexity rolls out AI-powered medical records search; Doximity survey examines how docs use AI See omnystudio.com/listener for privacy information.

ACCESS Model: behavioral health edition

Jul 1, 2026 34 min

A new value-based care program for chronic condition management begins July 5. The Advancing Chronic Care with Effective Scalable Solutions Model, or ACCESS, offers vendors outcome-aligned payments for managing qualifying chronic conditions. In total, 150 digital health companies are participating, including some in the behavioral health track. How does behavioral health fit into ACCESS, and what types of services are participants offering? Senior Writer Anastassia Gliadkovskaya talks with two behavioral health companies about the elements needed for success and what the model signals about where payments for these services could be headed. First, you’ll hear her conversation with Wes Knepper, vice president of clinical excellence at SonderMind. Then, you’ll hear her conversation with Jenna Glover, Ph.D., chief clinical officer at Headspace. To learn more about the topics in this episode: A deeper dive into the ACCESS Model—Who’s participating, potential headwinds and how it could spur h… CMS taps 150 digital health companies, providers for ACCESS Model See omnystudio.com/listener for privacy information.

Badges, bots and blind spots

Jun 24, 2026 24 min

Cybersecurity has long been a priority for hospitals, but the risks are shifting as AI, biometrics and digital identity tools become more deeply embedded in care delivery. For health systems, the challenge is not just keeping hackers out. It is making sure clinicians can quickly access the tools they need while guarding against new threats, including AI agents that can move through systems at machine speed. Senior Writer Anastassia Gliadkovskaya talks with Sean Kelly, M.D., chief medical officer of Imprivata, a digital identity security company, about why hospitals need to rethink access management, treat AI as a high-risk third party and build stronger guardrails around the vendors and tools connecting to their systems. To learn more about the topics in this episode: An emerging cyberthreat: vishing ECRI flags misuse of AI chatbots as a top health tech hazard in 2026 How healthcare ransomware attacks shifted in 2025 See omnystudio.com/listener for privacy information.

Why one life insurer is going big on health incentives

Jun 17, 2026 30 min

Life insurance may not be the first thing that comes to mind when thinking about healthcare. But some life insurers are increasingly interested in incentivizing healthy habits. John Hancock has invested in its health and wellness program for more than a decade. The program’s goal is to reward policyholders for things like exercise and preventive health screenings. There’s actually a simple business rationale behind this approach. To explain, Senior Writer Anastassia Gliadkovskaya talks with John Hancock CEO Brooks Tingle. To learn more about the topics in this episode: Mercer survey: Employers eye cost-shifting strategies as health benefit spend rises Only 1 in 4 employers able to ‘absorb’ increasing health benefit costs without impacting business See omnystudio.com/listener for privacy information.

UnitedHealthcare exec talks AI, affordability and member engagement

Jun 10, 2026 26 min

As healthcare costs rise and access challenges persist, health plans face growing pressure to engage members more effectively. Employers and plan sponsors expect their plans to play a critical role in that effort. In this episode of “Podnosis,” Senior Writer Paige Minemyer talks with Dan Kueter, CEO of UnitedHealthcare Employer & Individual, about what employers are asking for in today’s commercial insurance market and how UnitedHealthcare is using digital tools, AI and more personalized benefit design to support member engagement. Kueter also discusses the push for greater affordability, the role of consumer choice and where he sees the employer-sponsored insurance market heading as health plans look to bring more customization into the member experience. To learn more about the topics in this episode: UnitedHealth Group spotlights AI investments as part of operational turnaround A look at how UnitedHealthcare is developing, deploying AI solutions UnitedHealthcare unveils direct-to-consumer tool to shop for health and wellness programs Claims for younger adults are on the rise: UnitedHealthcare, HAC study See omnystudio.com/listener for privacy information.

The watchdog overseeing the integrity of HHS programs

Jun 3, 2026 26 min

What does the Department of Health & Human Services’ Office of Inspector General do? Today, Senior Writer Anastassia Gliadkovskaya sits down with Assistant Regional Inspector General Scott Perry to find out. They dive into the agency’s work, the findings of a few recent audits and what providers can do to ensure they are in compliance. The latest inpatient rehab facilities report discussed in this episode can be found here. The hospital compliance report can be found here. A general compliance guide is also available. To learn more about the topics in this episode: OIG: Jury still out on impacts of vertical consolidation in Part D More than half of patient harm events missed by hospital surveillance systems: HHS OIG OIG: Medicare Advantage, Medicaid managed care plans often offer limited behavioral health networks See omnystudio.com/listener for privacy information.

An insider’s look at LillyDirect

May 27, 2026 28 min

It’s been more than two years since Eli Lilly announced LillyDirect, a platform that combines telehealth and pharmacy services to provide access to Lilly’s portfolio of diabetes, migraine and obesity medications. The goal is to offer a more transparent and affordable way to access certain drugs. The platform has quickly drawn attention from both consumers and lawmakers. To understand LillyDirect’s growth and where it’s headed, Senior Writer Anastassia Gliadkovskaya spoke with Jen Mazur, senior vice president and general manager of U.S. LillyDirect and Consumer Services. To learn more about the topics in this episode: Eli Lilly launches oral GLP-1 drug across US through Lilly Direct, telehealth providers Lilly makes website to simplify access to obesity drug Zepbound, plus diabetes and migraine meds 'Abuse of power': Senators call out 'shady tactics' after investigating Pfizer, Lilly DTC platforms See omnystudio.com/listener for privacy information.

AI in health care: From hype to enterprise value (Sponsored)

May 21, 2026 12 min

Is AI in health care overhyped — or underutilized? In this sponsored episode of Podnosis, host Irena speaks with Sanjay Subramanian, SVP & Head of Healthcare Payer Business at Cognizant at Cognizant, about where artificial intelligence is delivering measurable ROI today and why many organizations struggle to scale adoption. Sanjay explains that back‑office functions such as claims processing, prior authorization and revenue cycle management are seeing the strongest results, thanks to data‑rich workflows and clear operational metrics. He also outlines why more complex use cases, including autonomous clinical decision‑making, remain constrained by fragmented data, regulatory requirements and trust challenges. The discussion explores common mistakes leaders make when funding AI initiatives, including chasing disconnected use cases, underestimating data readiness and focusing on pilots instead of enterprise outcomes. Looking ahead, Sanjay describes how connected intelligence, responsible AI governance and human‑in‑the‑loop models will shape the next phase of health care transformation — and why AI’s future lies in augmenting decision‑making, not replacing it. Guest Bio Sanjay Subramanian is a transformational leader with over 29 years of expertise in profit and loss management, sales and delivery across management consulting, systems integration and outsourcing. He is recognized for guiding CXO clients through strategic business decisions and digital transformation, consistently delivering measurable outcomes in challenging environments. Sanjay has led successful turnarounds, managed large teams exceeding 5000 members and originated transformative outsourcing contracts totaling over $8 billion with Fortune 100 clients. His experience spans Asia Pacific, the UK and North America, across industries including healthcare, life sciences, automotive, manufacturing, retail, energy, utilities, transportation and logistics. He has built and scaled businesses, launched new...

The broken pipeline of mental healthcare for LGBTQ teenagers

May 20, 2026 34 min

As almost 1 in 4 American teens identify as LGBTQ, affirming therapy can be life-saving. Yet availability is shrinking. Access to mental healthcare for LGBTQ youth dropped from 80% to 60% from late 2023 to late 2024, according to The Trevor Project. In 2025, though 84% of LGBTQ youth wanted mental healthcare, 44% could not get it. In a recent collaboration between Fierce Healthcare and Uncloseted Media, Anastassia Gliadkovskaya and Sam Donndelinger dive into the barriers to mental health access for queer youth. In this week’s episode of “Podnosis,” they discuss their reporting process and introduce listeners to trans teens and the experts featured in the project. Read the full story at FierceHealthcare.com or UnclosetedMedia.com. To learn more about the topics in this episode: The broken pipeline of mental healthcare for LGBTQ teenagers NYU Langone Health says it received grand jury subpoena over gender-affirming care Texas Children's Hospital agrees to launch nation's first 'detransition clinic' to settle state, DOJ investigation Executives examine the benefit of DEI practices for building trust in healthcare See omnystudio.com/listener for privacy information.

ACA exchanges take spotlight in Q1

May 13, 2026 28 min

Payers and providers felt the upheaval and instability on the Affordable Care Act exchanges in the first quarter of this year. Marketplace plans saw significant enrollment declines alongside tier shifts, while providers felt the impact in both volumes and payer mix. Fierce Healthcare's Dave Muoio and Paige Minemyer sit down this week on “Podnosis” to break down those trends and other first-quarter throughlines, including the effect of winter storms on provider finances and signs of a rebound in Medicare Advantage. To learn more about the topics in this episode: The ACA exchanges dominated Q1 earnings calls. Here's what payer, health system execs had to say Tenet Healthcare met Q1's volume curveballs with 'old-fashioned discipline' Cigna to exit ACA market, pursue strategic alternatives for eviCore unit Universal Health Services' Q1 2026 earnings growth dampened by volume hits Centene swings to $1.5B profit as Medicaid business improves even as ACA membership falls by 2 million HCA Healthcare executives shrug off Q1 volumes disruptions, reaffirm FY2026 guidance See omnystudio.com/listener for privacy information.

Inside the gaps in fertility and surrogacy systems

May 6, 2026 29 min

Fertility services—and conversations about them—are expanding across the U.S. But the sector remains underregulated, expensive and, in some cases, outdated. These factors are reshaping how Americans seek care, sometimes in ways that may put quality and safety at risk. Where are the biggest gaps? And what would make the system safer? Senior Writer Anastassia Gliadkovskaya breaks it down with Brian Levine, M.D., founding partner and practice director of CCRM Fertility of New York and founder of Nodal, a platform connecting surrogates and intended parents. To learn more about the topics in this episode: Trump admin takes aim at the cost of IVF with new coverage guidance Women's health sector could grow to $600B industry by 2030: PwC report Emotional support crucial in addition to financial support for fertility journey, Maven finds See omnystudio.com/listener for privacy information.

How MRD Testing Is Reshaping Breast Cancer Risk Assessment (Sponsored)

May 4, 2026 9 min

In this sponsored episode of Podnosis, experts examine how molecular residual disease testing is transforming how clinicians assess recurrence risk in triple-negative breast cancer. Drawing on new data from the NSABP B-59 substudy presented at SABCS and AACR, the discussion highlights how circulating tumor DNA is providing earlier and more precise insight into patient outcomes.Dr. Priya Rastogi, chief medical officer of the NSABP Foundation, explains how MRD testing can detect residual disease that standard tools may miss, often months or years before clinical recurrence. The conversation explores key findings, including the strong correlation between post-surgical ctDNA positivity and recurrence risk, as well as the prognostic value of ctDNA status earlier in the treatment pathway. See omnystudio.com/listener for privacy information.

The push to expand access to emergency contraception

Apr 29, 2026 27 min

Condoms can be purchased almost anywhere, from big retailers to small convenience stores. The same can’t be said for female birth control. One company is trying to change that. Cadence OTC sells the morning-after pill, a cheaper alternative to Plan B. Recognizing that many communities in the U.S. are pharmacy deserts, the company is pursuing atypical distribution channels such as convenience stores and gas stations to get emergency contraceptives into the hands of more Americans. Cadence is also advocating for a daily birth control pill to be made available over the counter. Senior Writer Anastassia Gliadkovskaya sits down with Cadence OTC co-founder and CEO Samantha Miller to discuss how this approach could reshape reproductive healthcare and what policy and awareness challenges remain. To learn more about the topics in this episode: Insurers not covering 12-month contraception supply as required: study The quiet collapse of America's reproductive health safety net Perrigo's over-the-counter birth control launch takes flight in the US Amid Trump victory, women's health providers see flood of orders for contraception, abortion pills See omnystudio.com/listener for privacy information.

Why UnitedHealth Group is betting big on doulas

Apr 22, 2026 17 min

Maternal and infant health remains a significant challenge across the country. To support better outcomes for both pregnant women and their babies, industry giant UnitedHealth Group is investing in doulas. Its insurance arm recently expanded a doula support program nationwide in its employer plans. In this episode, Fierce Senior Writer Paige Minemyer sits down with Catherine Anderson, senior vice president for health optimization strategy at UnitedHealth Group, to discuss how doulas can support the pregnancy journey and the role they can play in broader community health efforts. To learn more about the topics in this episode: UnitedHealthcare expands doula benefit to employers nationwide Exclusive: Medicaid insurers can do more to improve maternal health access, HHS report says Doulas, once a luxury, are increasingly covered by Medicaid—even in GOP states Massachusetts Blues launches new doula pilot program, caregiving support See omnystudio.com/listener for privacy information.

One man’s journey from gambling addiction to recovery and advocacy

Apr 15, 2026 28 min

Mike Sciandra grew up around gamblers. It wasn’t long before he became one. He gambled for more than 20 years, declaring bankruptcy twice. He knew he had a problem, but it wasn’t until he entered treatment that he realized it was a gambling addiction. In today’s episode, you’ll hear Sciandra tell his story to Senior Writer Anastassia Gliadkovskaya. The interview was recorded as part of a story published this week on the state of gambling addiction in the U.S. To learn more about the topics in this episode: ‘The next opioid epidemic’: Gambling legalization outpaces public health response to addiction Gambling addiction startup Birches Health to expand offerings, provider training under new clinical VP If you or someone you know is struggling, contact 1-800-MY-RESET for the National Problem Gambling Helpline. See omnystudio.com/listener for privacy information.

How CVS Caremark is using innovative technology to simplify the prior authorization process (Sponsored)

Apr 13, 2026 10 min

Prior authorization is often cited as a major pain point in healthcare—but it doesn’t have to be. In this conversation, Dr. Michelle Gourdine, Chief Medical Officer at CVS Caremark, shares how Caremark is transforming the prior authorization experience through automation, clinical rigor and responsible use of artificial intelligence. Dr. Gourdine explains why prior authorization remains an important tool for ensuring medications are used safely and appropriately while acknowledging the burden it can place on providers and patients. She details how Caremark has reduced median processing times from hours to minutes, processed millions of requests at scale and proactively renewed approvals to avoid treatment disruptions. The discussion also explores how AI is being applied in a clinician‑decides model, supporting faster decisions without ever being used to deny care. From specialty drugs to high‑cost therapies like GLP‑1s, Dr. Gourdine outlines how clinical evidence, affordability and patient outcomes guide every decision. The result is a more efficient, transparent approach to prior authorization that keeps care moving forward. See omnystudio.com/listener for privacy information.

Shadow AI: Dos and don’ts for healthcare orgs

Apr 8, 2026 27 min

How many doctors are using AI tools in a healthcare setting? It’s a question everyone wants answered, and one that’s impossible to pin down exactly. But recent data may offer a clue. Wolters Kluwer, which creates evidence-based clinical decision support tools for physicians, conducted a survey of more than 500 health professionals, finding that 40% have encountered unauthorized AI tools at work and 17% have used them. But a blanket ban may not necessarily be the best approach. The unauthorized use of AI tools is referred to as “shadow AI” in a report on the findings. To explain what organizations can do to protect themselves, their providers and their patients, Senior Writer Anastassia Gliadkovskaya speaks with Alex Tyrrell, CTO of Wolters Kluwer Health. To learn more about the topics in this episode: 57% of healthcare professionals have encountered or used unauthorized AI tools at work ECRI flags misuse of AI chatbots as a top health tech hazard in 2026 Microsoft unveils Copilot Health as an AI health companion for consumers OpenEvidence clinches $250M series D as AI platform sees explosive growth with doctors Some doctors are using public AI chatbots like ChatGPT in clinical decisions. Is it safe? See omnystudio.com/listener for privacy information.

Clinicians are burnt out. Peer support can help

Apr 1, 2026 23 min

The COVID-19 pandemic spotlighted burnout in healthcare. While not new, the challenge was compounded by the toll of caring for patients on the frontlines. Burnout rates have swelled since then, and addressing them is not simple. A recent Johnson & Johnson survey of more than 1,500 surgeons across five countries found that half experience burnout, and 43% have seriously considered leaving surgery. To understand the implications of the findings, Senior Writer Anastassia Gliadkovskaya speaks with Africa Wallace, M.D., vice president of medical affairs, surgery and medtech at Johnson & Johnson. She also speaks with Angela Chaudhari, M.D., associate professor and vice chair of faculty affairs at Northwestern University Feinberg School of Medicine. Chaudhari discusses a clinician peer support initiative she directs at Northwestern and the role it plays in mitigating burnout. To learn more about the topics in this episode: Nearly all doctors suffer burnout, survey finds, but many cautiously hopeful that AI could help 5 years later: A look back at the COVID-19 pandemic and how healthcare has changed See omnystudio.com/listener for privacy information.

The evolving state of exome and genome sequencing

Mar 25, 2026 25 min

Rare diseases, defined in the U.S. as conditions affecting fewer than 200,000 people, can take years, if not decades, to diagnose. About 10,000 rare diseases affect 30 million Americans, and half of those patients are children. What if rare diseases could be identified early and treated proactively before they progress? That is becoming more possible thanks to advances in genetic testing. One company, GeneDx, is on a mission to address diagnostic challenges through faster, more affordable genome testing. To explain the evolution of this technology, how it is changing lives and where it may go in the future, Senior Writer Anastassia Gliadkovskaya speaks with GeneDx CEO Katherine Stueland. To learn more about the topics in this episode: RNA sequencing spots 40% more cancer mutations in children than standard genetic tests: study Regeneron, Illumina and more back Truveta for 10M genome sequencing project Survey: Many rare disease patients struggle to navigate care See omnystudio.com/listener for privacy information.

How CVS Caremark is shaping the future of pharmacy benefits (Sponsored)

Mar 23, 2026 29 min

In this sponsored episode of Podnosis, CVS Caremark Senior Vice President and Chief Growth Client Success Officer James Margiotta joins host Chris Hayden for an in‑depth look at the rapidly changing pharmacy benefits landscape. Drawing on more than 35 years across payer, PBM, pharmacy and healthcare delivery roles, Margiotta shares what employers and plan sponsors need most in 2026 and beyond: strategic partnership, transparency, affordability and a seamless member experience.The conversation explores how accelerating drug costs, GLP‑1 utilization, specialty spend and biosimilars are forcing a new, more integrated approach to benefit design. Margiotta highlights how CVS Caremark is leading with technology, AI, clinical rigor and deep connections to the provider ecosystem—helping plan sponsors navigate disruption while improving outcomes and reducing friction for members.Tune in to learn what meaningful transparency looks like, which cost‑management strategies actually work, and how data and digital innovation are redefining the future of pharmacy benefits. See omnystudio.com/listener for privacy information.

Inside the economics of emergency medicine

Mar 18, 2026 18 min

Emergency departments are required by law to treat anyone who comes through the door. But the financial model behind that guarantee is under strain. In this episode of "Podnosis," Fierce Healthcare and Life Sciences Editor-in-Chief Ayla Ellison talks with Tony Cirillo, M.D., president of the American College of Emergency Physicians, about the business of emergency medicine—who pays, how much, and what happens when the math stops working. To learn more about the topics in this episode: Without new financial support, emergency departments, physicians struggle to meet rising demand: RAND Op-ed: What if the ER is the emergency? Op-ed: Emergency physicians are holding the line, but we can't do it alone See omnystudio.com/listener for privacy information.

The Fierce Healthcare team on the Fierce 15 of 2026

Mar 11, 2026 22 min

Fierce Healthcare's Fierce 15 is one of our favorite projects each year. Now in its eighth year, the list highlights companies bringing new ideas and innovation to some of healthcare’s most persistent challenges. In this episode, members of the Fierce Healthcare editorial team discuss the Fierce 15 of 2026 and the trends shaping this year’s honorees—from AI-powered clinical tools to companies tackling insurance denials, behavioral health integration and early cancer detection. The conversation also looks at what these companies reveal about the direction of healthcare, including the growing role of AI, the push for accountability across the system and the different paths startups are taking to build sustainable businesses. To learn more about the topics in this episode: Fierce Healthcare's Fierce 15 of 2026 Fierce Healthcare highlights Fierce 15 of 2026 honorees at NYSE See omnystudio.com/listener for privacy information.

Healthcare’s mixed Q4, plus insights from the Lake Nona Impact Forum

Mar 4, 2026 45 min

Healthcare earnings season is offering a mixed picture of the industry. In the latest episode of "Podnosis," Fierce Healthcare's Dave Muoio and Paige Minemyer break down the highlights from fourth-quarter earnings, where providers signaled growth while payers warned of financial headwinds amid a shifting policy landscape. The episode also features an interview from the Lake Nona Impact Forum, where Fierce Healthcare’s Anastassia Gliadkovskaya spoke with Jeff DiLullo, head of Philips North America, about how health systems are thinking about AI, technology and the push to bring care closer to home. To learn more about the topics in this episode: UnitedHealth Group was the most profitable payer in a difficult 2025 for the industry After 2025's volumes shortfall, Universal Health Services says capacity, headcount investments will pay off in 2026 Community Health Systems' hospital divestiture streak likely isn't over Tenet Health outperforms in Q4, projects solid 2026 despite ACA exchange headwinds HCA Healthcare unveils bullish 2026 guidance despite $600M-$900M ACA exchanges hit Lake Nona Impact Forum: There can't be longevity without tech Philips to invest $150M in US manufacturing base, including ultrasound site expansion Philips rolls out major AI upgrades for cardiac ultrasound platforms Philips launches new point-of-care ultrasound system for critical care See omnystudio.com/listener for privacy information.

Inside Advocate Health’s ‘hospital room of the future’

Feb 25, 2026 20 min

In five to 10 years, a hospital room could look very different. Advocate Health is beginning to build that room of the future today. The concept integrates advanced artificial intelligence capabilities, virtual nursing and audio, video and sensor data for intelligent patient monitoring, creating an extra set of eyes and ears for care teams. Nurses and clinicians can respond more quickly and proactively, while patients receive real-time assistance. Virtual technology also allows family members to participate in care from outside the room. Advocate Health is piloting the room of the future at two hospitals in Charlotte, North Carolina, and Fierce Healthcare got a firsthand look at the initiative. On site, Executive Editor Heather Landi spoke with Molly McColl, Advocate Health’s vice president of virtual health and clinical transformation, about how the tech-enabled hospital room supports care teams, improves the patient experience and expands access to care, particularly in rural communities. To learn more about the topics in this episode: A conversation with Eugene Woods, the architect of 'Applied Hope' See omnystudio.com/listener for privacy information.

The building blocks behind measurement-based behavioral healthcare

Feb 18, 2026 21 min

Measurement-based care is increasingly referenced in conversations across the behavioral health industry. Providers recognize the value of patient-reported outcomes as a way to track progress. Yet there are important considerations in doing measurement-based care well. To understand what those are, Senior Writer Anastassia Gliadkovskaya speaks with Two Chairs’ Chief Clinical Officer Colleen Marshall about the company’s approach to clinician training, its internal culture of measurement and the outcomes it has seen. To learn more about the topics in this episode: Employers can do more to track the efficacy of mental health benefits, study says How tech, incentives could push measurement-based care in behavioral health A closer look at the impact of measurement-based care in behavioral health See omnystudio.com/listener for privacy information.

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Podcast details

Created by: Fierce Healthcare
Status: Active
Latest episode: Nov 11, 2026
Episodes: 100
Release period: Weekly
Avg. episode length: 24 min
Explicit: No
Language: English

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