Managed Care Cast

For years, first-relapse myeloma regimens have delivered just 1 to 2 years of progression-free survival and immunomodulatory drugs were dosed to the maximum tolerated dose. Iberdomide, the first CELMoD approved by the FDA and the first myeloma approval based on minimal residual disease negative status, changes this narrative. In this episode, we speak with Sagar Lonial, MD, FACP, FASCO, professor...

On this episode, AJMC spoke with Jaspreet Loyal, MD, about vitamin K refusals, which many clinicians believe may be a downstream effect of broader vaccine hesitancy.

Opaque benchmarks, payment lags of 12 to 18 months, and rules that changed mid-model led American Oncology Network (AON) to exit the Enhancing Oncology Model (EOM), according to AON Chief Medical Officer Stephen "Fred" Divers, MD. In this inaugural episode of The Business of Value, Divers tells host Lalan Wilfong, MD, chief medical officer of Navista, how 505(b)(2) drugs complicated practice finan...

Community oncology practices can close the gap between innovation and implementation by building patient feedback into real-time clinical pathways, using AI to speed up physician decision-making, and better supporting caregivers of patients on CAR T and bispecific therapies, according to leaders from the American Oncology Network (AON). In the first of 2 podcasts from Patient-Centered Oncology Car...

This week's Managed Care Cast episode features a conversation between The American Journal of Managed Care® (AJMC®) and Grace Mackleby, PhD, a research scientist at the USC Schaeffer Center, about her study, "Plan Switching Among Medicare Advantage Enrollees Dually Eligible for Medicaid," published in the September 2026 issue of AJMC. The study examined how often beneficiaries switched from one Me...

On this episode, I spoke with Jonathan Kimmelman, PhD, professor of biomedical ethics and associate member of the Department of Experimental Medicine at McGill University, about the ethical concerns surrounding Kalshi as it relates to clinical trial outcomes and FDA approvals.

During Suicide Prevention Month, UPMC experts discuss how lived experience, peer support, and connection strengthen suicide prevention.

September is Blood Cancer Awareness Month, and to mark it, we have a special Director's Cut episode of Managed Care Cast. My name is Maggie Shaw, lead editor at AJMC, and my guest today is Surbhi Sidana, MD, associate professor of medicine at Stanford University, where she leads the Myeloma Disease Focused Group and serves as associate director for clinical research in the BMT and Cell Therapy Div...

Health-system pharmacy is entering a decade of change, and Future-Proofing Pharmacy is built to keep asking what that future should look like. In this debut episode, host Mark Makhinson, PharmD, senior director of outpatient and specialty pharmacy at Mount Sinai Health System, introduces the podcast's mission: exploring how pharmacy leaders can build organizations that are clinically meaningful, s...

This week's Managed Care Cast episode features a conversation between The American Journal of Managed Care® and August 2026 authors Jeff Romine, PhD, and Kofi Essel, MD, MPH, about their study, "Insurance-Provided Grocery Assistance and Health Care Outcomes Among Patients With Diabetes." It examined the association between a commercial health plan's grocery assistance benefit and health care use a...

Socially vulnerable Medicare patients see dramatically better outcomes—such as fewer emergency department visits, fewer preventable hospital admissions, and 23.4% to 30% less use of high-risk medications—when their physicians take on full financial risk for their care compared with those in traditional fee-for-service Medicare. That's the core finding of a new study published in the June issue of...

UPMC and Birth Root Community Doula describe a 4-year partnership addressing food insecurity, housing, and maternal health disparities in Erie, Pennsylvania.

In this episode of Managed Care Cast, Alvin Thomas, PhD, clinical psychologist at the University of Wisconsin-Madison, discusses the mental health challenges facing Black and Latino boys and young men.

For this Managed Care Cast episode, The American Journal of Managed Care® (AJMC®) spoke with Anuraag R. Kansal, PhD, who leads health economics research at GRAIL, about his study, “State Medicaid Budgetary Implications of New Cancers," published in the July 2026 issue; it examined how new cancer diagnoses affected state Medicaid budgets. He conducted the study with Amanda C. Chen, PhD, of the USC...

Expanding Support Systems for Black Maternal Health by Managed Care Cast

On this episode of Managed Care Cast, The American Journal of Managed Care® (AJMC®) was joined by Erin L. Duffy, PhD, MPH, an author of a study published in the June 2026 issue. She is a health policy researcher at the Schaeffer Center for Health Policy & Economics at the University of Southern California, with a focus on health care affordability, access to care, and how health systems can better...

Most patients with metabolic dysfunction–associated steatotic liver disease (MASLD) go undiagnosed until significant liver damage has already occurred, despite the availability of simple, guideline-supported screening tools that remain notoriously underused in both primary care and weight management settings. That's according to a conversation between Naim Alkhouri, MD, chief medical officer at Su...

In this episode, Bhavana "Tina" Bhatnagar, DO, discusses how the field of acute myeloid leukemia has been fundamentally transformed; what this means for patients in rural, underserved settings; and where hematologic oncology is headed next.

Perry Halkitis, PhD, MS, MPH, dean of the Rutgers School of Public Health, watched epidemics emerge, witnessed governments fail to respond, and seen communities mobilize when institutions would not. From the early days of the AIDS crisis to COVID-19, Ebola, and beyond, he has drawn consistent lessons about what makes public health succeed and what causes it to collapse.

For patients with cancer, diagnosis doesn't just bring a physical battle. It can trigger a trauma response that can linger long after treatment ends, quietly reshaping how people sleep, think, and connect with the world around them.

Early detection of chronic kidney disease (CKD) means little if it does not lead to timely treatment, yet a significant gap persists between when CKD is found and when evidence-based therapies are started. That disconnect is the focus of the second episode of Beyond the Silo: Integrated Care Across the CRM Continuum, a podcast series from The American Journal of Managed Care®, in which Ralph Riell...

On this episode of Managed Care Cast, The American Journal of Managed Care® spoke with Jonathan Wrathall, PhD, a senior advanced analytics consultant at Elevance Health. He authored 2 studies published in the May 2026 issue, both of which centered on food insecurity: “Food Insecurity Identification Modeling for Medicare Enrollees Using Administrative Data” and “Making the Most of Limited Resources...

Psychiatrist and longtime psychedelic researcher Scott Shannon, MD, CEO of the Board of Psychedelic Medicine and Therapies, and founder of Wholeness Center, discusses how a new federal push to accelerate psychedelic therapies could reshape the future of mental health care.

Chronic kidney disease (CKD) affects an estimated 37 million Americans, yet most cases go undiagnosed until the disease has significantly progressed. A urine albumin-to-creatinine ratio (uACR) test can detect kidney damage years before a decline in the estimated glomerular filtration rate (eGFR), but it remains underutilized. In the first episode of Beyond the Silo: Integrated Care Across the CRM...

On this episode of Managed Care Cast, The American Journal of Managed Care® (AJMC®) was joined by Tim McDonald, PhD, MPP, and Bryan E. Dowd, PhD, authors of research published in the April 2026 issue. Their study, "Benefit Design and Consumer Information: Results From a Randomized Trial," found that reducing information barriers for consumers selecting primary care clinics in a tiered network desi...