Our American States | An NCSL Podcast

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The “Our American States” podcast—produced by the National Conference of State Legislatures—is where you can hear compelling conversations that tell the story of America’s state legislatures, the people in them, the politics that compel them, and the important work of democracy.

You can listen to the podcast on this page, you can subscribe through iTunes, Google Play, Spotify or Stitcher, or you can use the RSS icon at the right to copy a feed URL for your podcatcher. 


A new category of gene therapies is offering life-changing treatments to people with some forms of cancer and other rare disorders. These revolutionary treatments, however, come with a large price tag, sometimes exceeding millions of dollars for a single patient. Often, these costs fall on state Medicaid systems.

On this podcast we discuss how states are dealing with this challenge. One of our guests is Anne Winter, a Medicaid strategist with the national research and consulting firm Health Management Associates. Winter, who has particular expertise in pharmacy benefit management, discusses some of the strategies state are employing.

Our other guest is Colleen Becker, a policy expert at NCSL, who lays out the scope of the challenge facing states.

Colleen Becker, NCSLAnne Winter, Health Management Associates




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