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Managed Care Cast

Health & Wellness Podcasts

Podcast by Managed Care Cast

Podcast by Managed Care Cast

Location:

United States

Description:

Podcast by Managed Care Cast

Language:

English


Episodes

This Week in Managed Care—Black, White Mortality Disparities in Rural America and Other Health News

8/15/2020
Every week, The American Journal of Managed Care® recaps the top managed care news of the week. This week in managed care, the top news included all-cause mortality disparities among Black and White men in rural areas; vaping as a risk factor for COVID-19 in young adults; how the pandemic presents an opportunity for value-based care delivery. Read more about the stories in this podcast: All-Cause Mortality Disparities Persist Among Black, White Men Living in Rural US:...

Duration:00:07:04

Inside the Hidden World of Phase 1 Drug Testing

8/11/2020
In the world of drug development, it is typically the outcomes of phase 3 clinical trials that get the most attention. With the possibility of game-changing treatments for a myriad of diseases, they garner the most headlines, especially as the world waits on vaccines and effective treatment for the coronavirus disease 2019 pandemic. But what happens during the early phase of testing? On today’s episode of Managed Care Cast, we speak with Jill A. Fisher, PhD, author of a new book, Adverse...

Duration:00:21:53

This Week in Managed Care—CMS Proposes Policy, Payment Changes and Other Health News

8/8/2020
Every week, The American Journal of Managed Care® recaps the top managed care news of the week. This week, the top managed care news included CMS updates on telehealth and more; COVID-19 vaccine developments and remaining challenges; a study examines the impact of state policies on life expectancy. Read more about the stories in this podcast: CMS Releases E&M Updates, Expands Telehealth, Makes ACO Changes:...

Duration:00:06:45

Can a Community-Based Care Management Program Reduce Costs, Visits Among Medicaid Enrollees?

8/6/2020
On this episode of Managed Care Cast, we speak with Krisda H. Chaiyachati, MD, MPH, MSHP, about the study he co-wrote entitled “Economic Outcomes of Insurer-Led Care Management for High-Cost Medicaid Patients.” In the study, Chaiyachati and co-authors aim to evaluate the impact of the Community-Based Care Management program on total costs of care and utilization among adult high-need, high-cost patients enrolled in a Medicaid managed care organization. The program included teams of community...

Duration:00:11:10

Cancer Care in the Age of COVID-19: Dr Patricia Salber Interviews Dr Bobby Reddy

8/5/2020
While there remain a lot of unknowns about coronavirus disease 2019 (COVID-19) and the risk of infection patients with cancer face, it is known that when they do contract the virus, they are at a higher risk of mortality, explained Sandeep “Bobby” Reddy, MD, an oncologist at Harbor-UCLA Medical Center and chief medical officer of NantHealth, during an interview with Patricia Salber, MD, MBA, of The Doctor Weighs In. Reddy discussed the clinical care of cancer patients in the age of COVID-19,...

Duration:00:42:46

This Week in Managed Care—Executive Order to Lower Drug Prices and Other Health News

8/1/2020
Every week, The American Journal of Managed Care® recaps the top managed care news of the week. This week, the top managed care news included top pharmaceutical executives refuse to attend a Trump meeting after executive orders on costs; a survey shows concerns about reopening schools, toll of COVID-19 split by party lines, background; a review of 20 years of data concludes vaccines are "remarkably safe." Read more about the stories in this podcast: Trump Signs 4 Executive Orders in Effort...

Duration:00:07:11

Expanding Support for Independent Primary Care Practices in Massachusetts

7/28/2020
On this episode of Managed Care Cast, we speak with the senior vice president of Network Payment Innovation and Contract Management for Blue Cross Blue Shield of Massachusetts, which is launching new value-based payment approach for independent primary care practices. The pilot project will reward practices for keeping patients healthy while providing extra support during the pandemic.

Duration:00:13:32

This Week in Managed Care—Promising Experimental COVID-19 Vaccines and Other Health News

7/25/2020
Every week, The American Journal of Managed Care® recaps the top managed care news of the week. This week, the top managed care news included states suing the Trump administration over an HHS rule on nondiscrimination; experimental vaccines show promise against coronavirus disease 2019 (COVID-19) in healthy subjects; diagnostic delays from COVID-19 may increase cancer-related deaths. Read more about the stories in this podcast: States Sue Trump Administration for Changing Nondiscrimination...

Duration:00:07:46

Pandemic Lessons and Advice for Public Health Workers From NC Health Secretary

7/21/2020
On today’s episode of Managed Care Cast, we feature a short excerpt of an upcoming interview in the August issue of The American Journal of Managed Care® with Mandy K. Cohen, MD, MPH, North Carolina's secretary of the Department of Health and Human Services, as part of our yearlong Q&A series. We discussed the state's upcoming transition to Medicaid managed care, the pandemic, her advice to public health workers in the face of criticism, and how what is learned from the pandemic can help...

Duration:00:11:35

This Week in Managed Care—New COVID-19 Hospital Data Protocol Raises Eyebrows and Other Health News

7/20/2020
Every week, The American Journal of Managed Care® recaps the top managed care news of the week. This week, the top managed care news included states facing COVID-19 spikes reporting health coverage losses; new COVID-19 data protocol raises concerns; and experts discuss key steps to reduce racial inequities in cancer care. Learn more about the stories in this podcast: States Facing COVID-19 Spikes Report Greatest Health Insurance Coverage Losses:...

Duration:00:07:11

Continuation of Routine Screenings, Care Is Crucial During COVID-19 Pandemic

7/14/2020
Routine preventive screenings and vaccination rates have decreased due to the coronavirus disease 2019 (COVID-19) pandemic, while the Director of the National Cancer Institute recently warned delays in cancer screenings are likely to result in thousands of excess deaths. At the same time, a recent study found the pandemic could create losses of up to $15 billion for primary care practices. To find out what can be done about these setbacks, and to learn why it is so critical to continue...

Duration:00:13:34

This Week in Managed Care—Telemedicine Use During COVID-19 and Other Health News

7/11/2020
Every week, The American Journal of Managed Care® recaps the top managed care news of the week. This week, the top managed care news included CMS planning to pay more for at-home dialysis equipment; ACR supports continued use of telemedicine after the COVID-19 pandemic passes; coverage of AIDS 2020, the 23rd International AIDS Conference. Read more about the stories in this podcast: CMS Seeks Incentives for At-Home Dialysis in Wake of COVID-19:...

Duration:00:08:14

What Barriers Inhibit Oral Anticancer Medication Use?

7/9/2020
Medication access barriers and nonadherence significantly impact medication underuse in the United States. This issue is estimated to cost the country’s healthcare system between $100 billion to $290 billion annually, as patients who underuse medication are more likely to have complications, which can result in costly health care utilization. Recently, The Pharmacy Quality Alliance (PQA) and National Pharmaceutical Council (NPC) announced 2 research grants funding studies of patients’...

Duration:00:13:13

Why Amputations Are on the Rise in Some States, Even as Diabetes Care Improves

7/4/2020
The last decade has brought great strides in diabetes care. Better insulins and better technology can allow people with diabetes—both type 1 and type 2—to keep their blood sugar from rising and falling in ways that cause long-term damage to their eyesight and vascular systems. New classes of drugs for patients with type 2 diabetes have been shown to cut the risk of heart and renal failure, and more widespread use could help some patients avoid dialysis. But the good news is not felt by...

Duration:00:25:31

What Is the Current State of Mental Health in the US Workforce?

6/30/2020
The significant effect of the COVID-19 pandemic on mental health was spotlighted in a recent collaborative study conducted by the National Alliance of Healthcare Purchaser Coalitions, Total Brain, and One Mind. Compared with before the pandemic began, study findings indicate stark increases in rates of depression, anxiety, and stress, with women shown to be at a greater risk. On this episode of Managed Care Cast, we speak with Michael Thompson, president and CEO of the National Alliance, and...

Duration:01:39:17

This Week in Managed Care—COVID-19 Racial Disparities and Other Health News

6/27/2020
Every week, The American Journal of Managed Care® recaps the top managed care news of the week. This week, the top managed care news included CMS proposing rules for value-based contracting in Medicaid; claims data highlighting racial disparities in COVID-19 effects; an interview with Anthony Fauci, MD, on the progress made against HIV. Read more about the stories in this podcast: CMS Issues Rules to Promote Value-Based Contracting, Pay for High-Cost Therapies in Medicaid:...

Duration:00:06:42

Caring for Medicare Advantage, Medicaid Beneficiaries in Puerto Rico During COVID-19

6/23/2020
Older and poorer Americans are disproportionately affected by the coronavirus disease 2019 (COVID-19) pandemic. In this episode of Managed Care Cast, we speak with Richard Shinto, MD, MBA, president and CEO of InnovaCare Health, about the company’s care of their Medicare Advantage and Medicaid beneficiaries in Puerto Rico during the COVID-19 pandemic. He last spoke with us in 2018 about the effect that Hurricane Maria had on the organization and its members. In today’s podcast, he shares how...

Duration:00:21:43

This Week in Managed Care—Update on COVID-19 Vaccine Process and Other Health News

6/22/2020
Every week, The American Journal of Managed Care® recaps the top managed care news of the week. This week, the top managed care news included more details about the COVID-19 vaccine process; attempts to reinforce social distancing amid reopening; a recap of the American Diabetes Association 2020 Virtual Scientific Sessions. Read more about the stories in this podcast: US Releases More Details About COVID-19 Vaccine Process, Says Some Doses Will Be Free:...

Duration:00:06:20

Analyzing the Individual Marketplace for Health Benefits Amid COVID-19

6/16/2020
The ramifications of the COVID-19 pandemic has caused uncertainty among employers nationwide adjusting to this new normal. Notably, viable health care coverage has emerged as an essential necessity, with employees seeking favorable benefits. A recent analysis by Willis Towers Watson indicates that individual markets, once characterized as volatile, have emerged as an option now associated with stability and growth. On this episode of Managed Care Cast, we speak with John Barkett, MBA, senior...

Duration:00:20:49

Beneficiaries Face Limited Access to Medicare Diabetes Prevention Program

6/15/2020
In this episode of Managed Care Cast, we speak with the lead author of a study in the June issue of The American Journal of Managed Care® about the nationwide dearth of suppliers of the Medicare Diabetes Prevention Program, which aims to reach older adults with prediabetes. Natalie D. Ritchie, associate research scientist in the Denver Health and Hospital Authority Office of Research and an assistant professor at the University of Colorado School of Medicine and College of Nursing, discussed...

Duration:00:08:34