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Managed Care Cast

Podcast by Managed Care Cast

science

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00:18:45

New Collaborative to Address Chronic Disease...

Managed Care Cast ·

2022/04/05

In January 2022, Vanderbilt University Medical Center, Meharry Medical College, and the University of Miami Miller School of Medicine announced the receipt of a $12.4 million grant from the National Institutes of Health to develop the Southeast Collaborative for Innovative and Equitable Solutions to Chronic Disease Disparities. The center’s work aims to reduce disparities seen in the southeast United States, with particular focus on cardiovascular disease, obesity, diabetes, and other related

00:28:01

What’s Coming Up Next in Interoperability With Dr...

Managed Care Cast ·

2022/03/29

An unprecedented level of detail and robustness around interoperability standards is on its way, and on this episode of Managed Care Cast, we speak with Donald Rucker, MD, the former National Coordinator for Health Information Technology in HHS, about what the opportunities and responsibilities for payers are. The change is precipitated by 2020 rulemaking regarding the 21st Century Cures Act requirement regarding application programming interfaces. The new requirement will enable access to

00:25:24

Removing Barriers to Rural Health Care Equity

Managed Care Cast ·

2022/03/22

Within Virginia, one of 13 states that fall within the Appalachian region of the United States, the current overall poverty rate is 10.6%, giving the state a 10th place ranking on a list of the top 10 states with the lowest poverty rates. However, the average poverty rate of the southwest corner of the state, which includes the 6 counties of Buchanan, Dickenson, Russell, Lee, Scott, and Wise, is double that of the state, at 21.9%. Supported entirely by grants and donations, The Health Wagon has

00:27:31

Investigating How Care Fragmentation May Affect...

Managed Care Cast ·

2022/03/20

CMS first implemented the Comprehensive Primary Care Plus, or CPC+, Initiative in January 2017. The medical home model is a large-scale redesign effort meant to improve primary care through payer reform and care delivery transformation. However, an interim data analysis of the initiative’s first 3 years among Medicare fee-for-service beneficiaries did not demonstrate improvements in either care continuity or care fragmentation. On this episode of Managed Care Cast, we speak with Lori Timmins, PhD,

00:16:44

The Economic Impact of Conversion Therapy Harms in...

Managed Care Cast ·

2022/03/15

Sexual orientation and gender identity change efforts (SOGICE), more commonly known as conversion therapy, is a discredited practice opposed by a number of medical, mental health, and human rights organizations, including the American Academy of Pediatrics and the American Academy of Child and Adolescent Psychiatry. Yet annually, the practice’s harms lead to estimated direct and indirect costs of $9.23 billion in the United States, according to a new study published in JAMA Pediatrics. SOGICE can

00:16:53

Caravan Health’s Tim Gronniger on Boosting ACO...

Managed Care Cast ·

2022/03/09

On this episode of Managed Care Cast, we speak with Tim Gronniger, the CEO of Caravan Health, about what to look for as accountable care organizations (ACOs) and policy makers try to encourage more providers to join value-based care arrangements.

00:26:13

Dr Marcelina Silva Outlines an Alternative Approach...

Managed Care Cast ·

2022/03/03

Since 1999, nearly 841,000 Americans have died of drug overdoses, according to data from the CDC, while opioids serve as the main driver of these deaths. Synthetic opioids account for 73% of opioid-involved overdose deaths. The COVID-19 pandemic exacerbated the opioid epidemic as individuals encountered disruptions in routine treatment, alongside steep increases in depression and anxiety rates. One group of individuals susceptible to opioid use disorder are those with chronic, non-cancer pain

00:19:51

A Look at Racial Disparities in HPV Vaccine Uptake

Managed Care Cast ·

2022/03/01

Human papillomavirus, or HPV, is the most common sexually transmitted infection in the United States and causes the majority of cervical cancer cases in the country. But screening for HPV can catch the virus early and potentially prevent it from developing into cervical cancer. In addition, safe and effective vaccines against HPV exist, essentially making cervical cancer a preventable disease. However, uptake of HPV vaccines remains sporadic throughout the United States compared with other

00:24:26

Understanding Complexity, Utilization Patterns of...

Managed Care Cast ·

2022/02/25

Providers who treat high-need, high-cost patients can face challenges to deliver efficient and effective care. Health centers funded by the Health Resources and Services administration (HRSA)—otherwise known as federally qualified health canters or FQHCs— provide care to nearly 30 million Americans, many of whom are uninsured or underinsured. Because data on these patients’ complexity and utilization patterns are limited, researchers set out to better define these patient populations using

00:17:17

The Disproportionate Impact of the Pandemic on Health...

Managed Care Cast ·

2022/02/22

There is already an enormous amount of concern and worry about the effect of the pandemic on cancer screening; for instance, a recent report from the American Association for Cancer Research found an 87% drop in breast cancer screening, an 84% decline in cervical cancer screening, and an 80% reduction in colon cancer screening. On this episode of Managed Care Cast, we discuss how health care inequities will make this problem worse, with Monica Soni, MD, associate chief medical officer at New

00:24:06

How Can Employers Leverage the DPP to Improve...

Managed Care Cast ·

2022/02/15

According to the CDC, 37.3 million individuals in the United States currently have diabetes, while of these, 8.5 million are undiagnosed. In addition, more than 1 in 3 Americans currently have prediabetes—or higher than normal blood sugar levels—but 80% of this population is unaware they even have the condition. The American Diabetes Association estimates diagnosed diabetes costs the country $327 billion annually. Obesity is a key risk factor for type 2 diabetes. Data from 2018 show 42.4% of the

00:27:36

New California Law Addresses STI Epidemic With...

Managed Care Cast ·

2022/02/08

On January 1, 2022, California law SB-306 went into effect with the aim of reducing soaring sexually transmitted infection (STI) rates in the state. As part of SB- 306, California now requires health insurance to cover at-home STI testing kits and requires syphilis screening during both the first and third trimester of pregnancy, in addition to other mitigation strategies. Even before the COVID-19 pandemic, US STI rates were reaching crisis levels, with CDC data showing an increase of nearly 20%

00:21:18

Lymphoma Research Foundation CEO on Biden’s Cancer...

Managed Care Cast ·

2022/02/03

This week’s Managed Care Cast conversation took place on the same day President Joe Biden announced the return of the Cancer Moonshot, a program he initiated when he was vice president in the Obama administration. The reinvigorated program aims to cut cancer deaths by 50% over the next 25 years and to increase cancer screening, which has dropped sharply during the pandemic. This Friday, February 4, is World Cancer Day, an initiative led by the Union for International Cancer Control (UICC), and

00:12:36

How Patient Descriptors Influence Racial Bias in the...

Managed Care Cast ·

2022/01/25

Although racism and bias have been long documented issues affecting health equity, findings of a recent study published in Health Affairs indicates these issues may be more embedded in the US health care system than originally thought. Examining electronic health records (EHRs) from an urban academic medical center, researchers found that negative descriptors were significantly more likely to appear in the records of Black patients compared with White patients. Other factors—such as insurance type,

00:16:23

The Challenges of Identifying and Mitigating Racial...

Managed Care Cast ·

2022/01/20

In recent years, predictive models in medicine have become increasingly popular what with the continued integration of artificial intelligence and data technology into health care. However, these models can carry the risk of bias depending on which individuals make up the data sets. The close relationship between health care and technology also raises a myriad of questions when it comes to regulation, accountability, and model implementation. In this month’s Health IT issue of the American

00:34:43

Understanding Surprise Billing in the US & How the No...

Managed Care Cast ·

2022/01/18

On December 30th, 2021 the No Surprises Act went into effect. Broadly speaking, the act aims to curb surprise bills Americans may incur when they receive care from an out-out-network provider. In response to the act’s implementation, the American Hospital Association, American Medical Association, and others sued, claiming the law jeopardizes patients’ access to care on the basis that providers and insurers must negotiate these costs when they arise, and if an agreement is not made, an

00:11:01

Gaps Persist in Physicians' ADA Knowledge

Managed Care Cast ·

2022/01/11

On this episode of Managed Care Cast, we interview the lead author of a paper in the January issue of Health Affairs about what physicians know and don't know regarding their responsibilities to accommodate patients with disabilities when they come in for an office visit.

00:09:06

Primary Care During COVID-19: Looking at Payer,...

Managed Care Cast ·

2022/01/04

On this episode of Managed Care Cast, we bring you part 1 of an 8-part video conversation with a payer and a primary health care provider about how they adapted to deliver health care in 2020 and 2021. We sat down with Tunde Sotunde, MD, MBA, the president and CEO of Blue Cross and Blue Shield of North Carolina, the largest insurer in that state covering more than 3.7 million members across all 100 counties, and Alan Story, MD, of Newtown Family Physicians, an independent primary care practice in

00:12:02

Heard at ASH 2021: Payers and RWE in CAR T-Cell Therapy

Managed Care Cast ·

2021/12/28

With key data presented at this year’s 63rd Annual American Society of Hematology Meeting and Exposition showing several CAR T-cell therapies as effective and safe options in the second- and even first-line setting for multiple myeloma and other cancers, discussions on when to best to use these therapies in the real-world setting has garnered increasing attention by payers and providers. At ASH 2021, we sat down with several key opinion leaders to discuss the use of real-world data for CAR T-cell

00:12:02

Heard at ASH 2021: Payers and RWE in CAR T-Cell Therapy

Managed Care Cast ·

2021/12/28

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