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Managed Care Cast: A Podcast From The American Journal of Managed Care provides insights from faculty at meetings, features in-depth reports, and offers a new format in which to consume the media offered on AJMC.com.

Managed Care Cast: A Podcast From The American Journal of Managed Care provides insights from faculty at meetings, features in-depth reports, and offers a new format in which to consume the media offered on AJMC.com.
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Location:

United States

Description:

Managed Care Cast: A Podcast From The American Journal of Managed Care provides insights from faculty at meetings, features in-depth reports, and offers a new format in which to consume the media offered on AJMC.com.

Language:

English


Episodes

This Week in Managed Care—Life Expectancy Disparities and Other Health News

7/20/2019
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Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included CMS pushing for bundled payments in radiation oncology; reports detailing deficiencies in hospice care; a study finding widening disparities in life expectancy among white Americans. Read more about the stories in this podcast: CMS Proposes Bundled Payments for Radiation Oncology:...

Duration:00:06:24

Addressing the Unintended Consequences of Co-Pay Accumulator Adjustment Programs

7/18/2019
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Pharmaceutical manufacturers sought to improve patient access to treatments through the use of co-payment assistance cards. But, while these cards reduce the out-of-pocket cost for enrollees, employers worry that they could result in increased medication use and associated expenditures, thus negating efforts made with benefit designs. To mitigate the issue, pharmacy benefit managers have introduced co-pay accumulator adjustment programs, which prevent pharmaceutical manufacturer subsidies...

Duration:00:11:29

Biosimilars Are Being Approved but Not Reaching the Market

7/16/2019
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Just halfway through the year, and 2019 has been busy for biosimilars with new guidance and approvals, but the loss of a big advocate of biosimilars from the FDA. In this episode of Managed Care Cast, Kelly Davio, senior editor of The Center for Biosimilars®, a sister site of The American Journal of Managed Care®, discusses new approvals, what the loss of Scott Gottlieb, MD, as FDA commissioner means, the reality of pay-for-delay deals, and more. Learn more about biosimilars at...

Duration:00:10:44

This Week in Managed Care—ACA Individual Mandate Uncertainty and Other Health News

7/13/2019
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Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included uncertainty surrounding the fate of the Affordable Care Act's individual mandate; a study finding Medicare beneficiaries may be paying more for some generics than brand-name drugs; the Trump administration proposing 5 new payment models to transform kidney disease care. Read more about the...

Duration:00:05:42

Assessing the Extent of Implicit, Explicit Gender Bias in Healthcare Careers

7/9/2019
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While many women in healthcare report experiencing subtle or not-so-subtle bias and microaggressions at work, a recently published study sought to determine how healthcare professionals associate men and women with career and family, and also how surgeons associate men and women with surgery and family medicine. In this podcast, we speak with the lead author, Arghavan Salles, MD, PhD, about the findings, as well as other issues affecting women in healthcare.

Duration:00:22:54

This Week in Managed Care—The Top Managed Care News From the First Half of 2019

7/7/2019
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Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, we recap the top managed care news from the first half of 2019, including outcomes from some of the biggest diabetes trials, research into the annual Medicare wellness visit, and an experimental treatment in Parkinson disease. Read more about the stories in this podcast: Medicare Annual Wellness Visit Association With...

Duration:00:05:33

Working Toward More Transparency in Healthcare

7/2/2019
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Working Toward More Transparency in Healthcare by Managed Care Cast

Duration:00:19:32

This Week in Managed Care—Hospital Pricing Transparency and Other Health News

6/29/2019
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Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included President Trump issuing an executive order for more healthcare transparency; provisional data indicating that overdose deaths may be falling; the Supreme Court agreeing to hear insurers' Affordable Care Act lawsuit. Read more about the stories in this podcast: Trump Issues Executive Order...

Duration:00:05:24

What's Behind the Medical Cost Trend for 2020?

6/25/2019
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Today on Managed Care Cast, we speak with Benjamin Isgur, leader of PwC’s Health Research Institute, about their latest report, Medical Cost Trend Report 2020: Beyond the Numbers. We talk about what is making the medical cost trend start to move upwards and what employers are trying to do about it.

Duration:00:26:40

This Week in Managed Care—Reducing Low-Value Care and Other Health News

6/22/2019
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Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included a report finding slow progress in reducing low-value care; a study finding savings by accountable care organizations may be overstated; CMS proposing a rule to allow for electronic prior authorization in Part D drugs. Read more about the stories in this podcast: Analysis Finds Progress in...

Duration:00:05:57

KOL Corner: Amy Ellis Discusses Value-Based Care Programs With Brian Kern of Friar Levitt

6/20/2019
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Value-based care has been a big prerogative of CMS for the last decade, and it's not going away, Brian Kern, a lawyer with Frier Levitt, told Amy Ellis, director of quality and value-based care at Northwest Medical Specialties. The government programs, such as the Bundled Payments for Care Improvement, Medicare Shared Savings Program, and Oncology Care Model, are important because practices learn from them and hopefully take these similar models to private payers, which transform healthcare....

Duration:00:22:05

How the OB Hospitalist Group Benefits Patients, Hospitals

6/18/2019
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Today we’re speaking with Dr Mark Simon, the chief medical officer of OB Hospitalist Group. OB Hospitalist contracts with hospitals across the United States to create OB emergency departments. The group employs more than 600 experienced OBs who are available 24 hours a day, 7 days a week to ensure that an OB is always in the hospital, rather than on call. OB Hospitalist also works with hospitals to reduce costs by being an outsourced provider of obstetricians.

Duration:00:20:30

This Week in Managed Care—USPSTF Recommends PrEP for HIV and Other Health News

6/15/2019
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Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included the Community Oncology Alliance submitting an alternative to the Oncology Care Model; more study results demonstrating diabetes drugs can prevent renal failure; US task force recommending pre-exposure prophylaxis for HIV prevention. Read more about the stories in this podcast: COA Submits...

Duration:00:04:57

Does Chemotherapy Still Have a Role to Play in Cancer Care?

6/13/2019
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The rate of innovation in oncology has been impressive, with novel therapies, such as chimeric antigen receptor T-cell therapies, and new diagnostics that make it easier to understand which patients will benefit from certain targeted therapies. With all of these innovations coming to market and being tested in clinical trials, it might make sense that some people are ready to move on from the treatments of the past. In a new commentary published in the June issue of The American Journal of...

Duration:00:09:38

Discharging Medical Debt Through Charity

6/12/2019
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The burden of medical expenses, whether incurred through a catastrophic illness or surprise medical bills, affects the uninsured and insured alike. A 5-year-old charity called RIP Medical Debt buys medical debt incurred, so far, by more than 250,000 Americans. We talk to one of the cofounders and coauthors of "End Medical Debt," the book they wrote about the issue.

Duration:00:33:48

This Week in Managed Care—New Diabetes Cases on the Decline and Other Health News

6/8/2019
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Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included the American Society of Clinical Oncology discussing drug pricing; community oncologists seeking a delay in taking on downside risk in the Oncology Care Model; CDC finding a drop in new diabetes cases in the United States. Read more about the stories in this podcast: ASCO Town Hall Brings...

Duration:00:06:14

Heard at ISPOR: Debating the Benefits and Pitfalls of the QALY

6/6/2019
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Heard at ISPOR: Debating the Benefits and Pitfalls of the QALY by Managed Care Cast

Duration:00:19:47

An Update From the Medicaid Transformation Project

6/4/2019
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We sit down with David Smith, the executive director of the Medicaid Transformation Project, to get an update about the integration challenges health systems are facing, including system issues, infrastructure issues, coding and payment issues, and more.

Duration:00:25:31

This Week in Managed Care—The $2 Million Gene Therapy and Other Health News

6/1/2019
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Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included the FDA's approval of a $2.1 million gene therapy; a study revealing that the worldwide need for palliative care will nearly double by 2060; the FDA granting priority review to Amarin’s Vascepa for a cardiovascular indication. Read more about the stories in this podcast: FDA Approves Gene...

Duration:00:05:16

KOL Corner: Amy Ellis Discusses Practice Transformation With Jess Quiring at NMCC

5/30/2019
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In the first of a series of interviews with key opinion leaders, Amy Ellis, director of quality and value-based care at Northwest Medical Specialties, discusses practice transformation with Jess Quiring, a patient navigator at New Mexico Cancer Center. During the converation, Quiring explained how her practice modified the depression and distress screening tools for the different populations it treated. For instance, it changed the language based on what was more acceptable to Native...

Duration:00:19:14