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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

The Low-Wage Trap of Healthcare Aides and the Vacancy Crisis in Elder Care

10/15/2019
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Who will care for America's growing aged population in the coming decades? Today on the podcast, we're speaking with PHI, a New York-based nonprofit organization that works to improve long-term services and care for the elderly and those with disabilities by focusing on the job quality of those providing day-to-day hands-on care—low-paid home health care aides and nursing assistants.

Duration:00:41:02

This Week in Managed Care—Medicare Executive Order and Other Health News

10/12/2019
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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 an effort by the Trump administration to bolster Medicare Advantage; an abortion case from Louisiana reached the Supreme Court; the study of adapting to changing oxygen levels wins the Nobel Prize. Read more about the stories in this podcast: Trump Executive Order Bolsters Medicare, MA to Compete Against "Medicare for All" Proposals:...

Duration:00:05:06

Examining Variation in Orphan Drug Coverage Among Commercial Plans

10/10/2019
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This month’s issue of The American Journal of Managed Care® took a look at differences in coverage of orphan and nonorphan drugs to get insight into variation in orphan drug coverage across the largest commercial plans in the United States. The study, which analyzed a data set of private health plan coverage decisions for specialty drugs in 3 ways, found that health plans restrict access to orphan drugs about one-third of the time and that restrictions vary across plans. To get more insight...

Duration:00:17:12

Exploring the Rise of Obesity-Related Cancers: A Conversation With Dr Debra Patt

10/8/2019
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Exploring the Rise of Obesity-Related Cancers: A Conversation With Dr Debra Patt by Managed Care Cast

Duration:00:14:00

This Week in Managed Care—Hospital Readmission and Other Health News

10/5/2019
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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 Medicare cuts hospital payments over readmissions; a second-generation chimeric antigen receptor T-cell therapy shows promise; a diabetes drug is approved to prevent kidney failure for the first time. Read more about the stories in this podcast: What We're Reading: Medicare Issues...

Duration:00:05:48

Digging Deeper Into the Increasing Use of Telehealth

10/1/2019
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Digging Deeper Into the Increasing Use of Telehealth by Managed Care Cast

Duration:00:14:47

This Week in Managed Care—State, Federal Crackdowns on Vaping, and Other Health News

9/28/2019
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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 state and federal crackdowns on vaping that forced out the president of Juul; FDA approved a groundbreaking diabetes treatment; Medicare Advantage premiums will decline for 2020. Read more about the stories in this podcast: What We're Reading: Walmart Removes E-Cigs; Sutter Health...

Duration:00:06:06

Dissecting OCM Performance Period 4 Results and Their Implications

9/24/2019
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Now 3 years into the Oncology Care Model, practices participating in the episode-based model have recently received results from performance period 4, representing care delivered in the first half of 2018. Results from the previous 2 performance periods have some practices concerned because there was little improvement; During both performance period 2 and 3 approximately 30% of practices achieved savings. With performance period 4 results out now, it’s a transformative point in the model in...

Duration:00:13:49

This Week in Managed Care—HIV Screening Rates and Other Health News

9/21/2019
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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 stories included Purdue Pharma filing for bankruptcy; new data showing the number of people who get screened for HIV at least once falls far short of what CDC recommends; findings that most US hospital markets are now highly concentrated. Read more about the stories in this podcast: What We're Reading:...

Duration:00:05:31

Exploring Reference-Based Pricing as a Method for Lowering Healthcare Costs

9/17/2019
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Exploring Reference-Based Pricing as a Method for Lowering Healthcare Costs by Managed Care Cast

Duration:00:16:23

This Week in Managed Care—Uninsured Rate on the Rise and Other Health News

9/14/2019
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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 showing the US uninsured rate rose in 2018; the Trump administration indicating it will ban all flavors of e-cigarettes except for tobacco; new research showing the prevalence of hemophilia is 3 times larger than originally believed. Read more about the stories in this podcast:...

Duration:00:06:58

Examining Physician-Initiated Alternative Payment Models

9/12/2019
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To date, most alternative payment models (APMs) that have emerged in the shift toward value-based care have been initiated by payers and focused on primary care providers. However, there has recently been a new wave of payment reform in which providers, mostly specialists, are designing and implementing their own APMs in their practices. A study published in the September issue of The American Journal of Managed Care analyzed some of these new payment models to gain insight into what...

Duration:00:19:26

Rebuilding Trust in Healthcare With the ABIM Foundation

9/10/2019
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Relationships in healthcare are important and trust is crucial to those relationships. However, it has been on the decline in the United States. We speak with the executive vice president of the ABIM Foundation and representatives from the 8 winning organizations of the foundation's Trust Practice Challenge about the programs they implemented to rebuild trust. Read more: ABIM Foundation Trust Practice Challenge:...

Duration:00:49:03

This Week in Managed Care—Opioid Prescribing Trends, and Other Health News

9/7/2019
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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, the top managed care news included a diabetes drug showing positive results in treating heart failure; new lipid guidelines promoting the use of proprotein convertase subtilisin/kexin type 9 inhibitors; and a study finding doctors are more likely to prescribe opioids if they are in a hurry. Read more about the stories in...

Duration:00:05:44

What's Gone Astray in American Healthcare and Pricing

9/3/2019
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On this episode of Managed Care Cast, we speak with the author of a new book that discusses the price and cost of American healthcare. Martin Makary, MD, MPH, a surgical oncologist and chief of the Johns Hopkins Islet Transplant Center, talked about what he found while writing The Price We Pay: What Broke American Health Care—and How to Fix It. Makary discusses spurious billing practices, overtreatment, and the opioid issue, as well as efforts by some providers and employers to reshape...

Duration:01:35:52

This Week in Managed Care—Opioid Ruling and Settlement, and Other Health News

8/31/2019
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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 stories included a huge ruling against one opioid maker and a settlement offer from another; an expert panel calling for broader screening for hepatitis C; a review showing there are more fatal events linked to a multiple sclerosis drug than previously known. Read more about the stories in this podcast:...

Duration:00:05:52

Quantifying and Communicating the ROI of Addressing SDOH

8/27/2019
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As advocates for addressing social determinants of health (SDOH) look to get buy in from stakeholders, there's a need for building evidence base to show that initiatives addressing these determinants work. To discuss the importance of both quantifying and communicating the return on investment of these initiatives, we spoke with Susan Mani, MD, vice president of Clinical Transformation and Ambulatory Quality at LifeBridge Health. Read more about building an evidence base for SDOH initiatives...

Duration:00:11:04

This Week in Managed Care—BRCA Testing Recommendation and Other Health News

8/24/2019
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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 in managed care, the top news included outcomes results in treating heart failure; US prevention experts said more women should get BRCA testing; the American Heart Association offered an advisory on treating high triglycerides with prescription omega-3 fatty acids. Read more about the stories in this podcast: AstraZeneca's...

Duration:00:05:13

Costs, Quality, Access, and More: The Challenges of Providing Healthcare to Employees

8/20/2019
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Employers are the single largest provider and purchaser of healthcare insurance in the United States and they represent a potential force for change in the US healthcare system. In order to control costs and provide better care to their employees, employers have been banding together through local coalitions. Many coalitions across the country have coalesced under the National Alliance of Healthcare Purchaser Coalitions. At the National Alliance’s recent Leadership Summit, held at the end of...

Duration:00:09:48

This Week in Managed Care—Limiting Surprising Medical Bills and Other Health News

8/17/2019
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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 stories included the Trump administration looking to bar legal immigrants from using public benefits; a study in The American Journal of Managed Care® finding that a law to limit surprise medical bills is working; data on Affordable Care Act enrollment showing the effect of subsidies. Read more about...

Duration:00:05:43