Managed Care Cast

Addressing coronavirus disease 2019 (COVID-19) means addressing racism, wrote Ingrid Katz, MD, assistant professor at Harvard Medical School, and Abraar Karan, MD, MPH, DTM&H, an internist at the Brigham and Women's Hospital and Harvard Medical School, in an opinion piece published in British Medical Journal. In the latest Managed Care Cast, they speak with Patricia Salber, MD, MBA, of The Doctor...

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 President Donald Trump’s discharge from the hospital; a poll finds Americans trust Joe Biden to lead the US health care system; Nobel Prize awarded to scientists who discovered the hepatitis C virus. Read more about the stories in this podcast: Trump to Be D...

Metastatic breast cancer is the most advanced stage of breast cancer; it is treatable but not curable. Men with breast cancer comprise less than 1% of all patients with the disease, and most of their treatments are based on study results seen among female patients. This year alone, experts predict that 276,480 women and 2620 men will receive a breast cancer diagnosis. The American Journal of Manag...

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 the president testing positive for coronavirus disease 2019 (COVID-19); progress in diabetes technology coverage and access for Medicare beneficiaries; an inside look into how colleges and universities addressed the COVID-19 pandemic. Read more about the sto...

Despite decades of experimentation, there have not been large increases in health care quality in the United States. What will move the needle? In this week’s Managed Care Cast, Elizabeth McGlynn, PhD, speaks with Patricia Salber, MD, MBA, of The Doctor Weighs In, about health care quality in the United States, quality measurement and incentives, what the United States can do to drive quality impr...

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 a Supreme Court vacancy that could shape the fate of the Affordable Care Act; the pandemic’s effects on access to care; a look at the opportunities presented by the virtual format of Patient-Centered Oncology Care® 2020. Read more about the stories in this p...

Allison Brennan, MPP, senior vice president of government affairs at the National Association of Accountable Care Organizations (NAACOS) discusses legislation that would impact ACOs, the impact coronavirus disease 2019 had on ACOs, and the fall NAACOS meeting. Learn more: NAACOS Partner Page on AJMC.com: https://www.ajmc.com/partners/naacos NAACOS Fall 2020 Conference Agenda: https://www.naacos.co...

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 the effects of wildfires and the pandemic on health; a conversation on Ochsner Health’s Connected Maternity Online Monitoring Program; a preview of discussions at Patient-Centered Oncology Care® 2020. Read more about the stories in this podcast: Concurrent W...

Surprise Medical Bills Drive Up Health Premiums for All by Managed Care Cast

As the coronavirus disease 2019 (COVID-19) continues to spread throughout the country, practices and health systems are transforming care to limit exposure to those who may be at greater risk of severe complications. At Ochsner Health, the largest non-profit academic healthcare system in Louisiana, providers are leveraging the system’s Connected Maternity Online Monitoring (MOM) digital medicine p...

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 identification of insomnia as a risk factor for type 2 diabetes; a look at the growth of telehealth during coronavirus disease 2019; an overview of the speakers who will appear at Patient-Centered Oncology Care 2020. Read more about the stories in this podca...

Telehealth has been around for years in the United States, but it was not until the coronavirus disease 2019 (COVID-19) pandemic that it became regularly used. The growth of telehealth was fueled by the inability to see patients in person at the beginning of the pandemic and a move by the government to temporarily relax regulations. Joseph Kvedar, MD, president of the American Telemedicine Associa...

In this episode of Managed Care Cast, we talk with Michael N. Abrams, a cofounder and managing partner of Numerof & Associates, about the fifth annual report on the state of population health.

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 HHS defending a CDC change limiting coronavirus disease 2019 (COVID-19) testing for asymptomatic people; an inside look at the Facing Metastatic Breast Cancer Together campaign; a conversation with Kashyap Patel, MD, on his new book. Read more about the stor...

If there is any issue that has encapsulated the gravity of social determinants of health (SDOH) better than the coronavirus disease 2019 (COVID-19) pandemic, you'd probably be hard pressed to find a public health official able to name one. On this episode of Managed Care Cast, we share a little bit of our interview with the head of the American Public Health Association, which will appear in the S...

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 includes survival improves among wait-listed heart transplant candidates, the Trump administration offers a progress report on its kidney care initiative, and panelists say choice is vital to the biosimilar savings picture. Read more about the stories in this podc...

The coronavirus disease 2019 (COVID-19)pandemic has created one of the most rapidly changing environments to ever hit health care. The pandemic has put a strain on hospitals and staff, but people are also worried about the impact COVID-19 is having on preventive care and the management of chronic illness. Scott Hayworth, MD, president and CEO of New York-based CareMount Medical, discussed how his...

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...

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 ep...

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...

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 pa...

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 Th...

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 "remarkabl...

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.

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 abo...