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Managed Care Cast

Podcast by Managed Care Cast

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00:29:35

Dr. Anders Kolb on Leading Blood Cancer United Into a...

Managed Care Cast ·

2025/09/25

Dr. Anders Kolb on Leading Blood Cancer United Into a New Era by Managed Care Cast

00:18:58

Practical Implications of Racial Bias in Electronic...

Managed Care Cast ·

2025/09/23

On this episode of Managed Care Cast, expert Mary Catherine Beach, MD, MPH, a professor of medicine at the Johns Hopkins University School of Medicine, discusses the practical implications of bias in electronic health care records.

00:30:01

Transforming Addiction Care: From Stigma to Support

Managed Care Cast ·

2025/09/16

For National Recovery Month, we are joined by Matthew O. Hurford, MD, vice president, Behavioral Health, UPMC Insurance Services Division, and Michael Lynch, MD, an attending emergency physician and medical toxicologist at UPMC. Among the topics we hit on are the 4 crucial dimensions of recovery; understanding that addiction is a brain disease, not a moral failing; and the challenges and opportunities they encounter in providing behavioral health services to millions of Pennsylvanians.

00:32:34

Navigating the Alzheimer Disease Blood Test Revolution

Managed Care Cast ·

2025/09/09

We discuss the May 16 FDA approval of the first blood test to diagnose Alzheimer disease. This landmark approval marks a significant shift in how Alzheimer disease is identified, moving away from more traditional methods or invasive methods. Our guests, Howard Fillit, the Alzheimer’s Drug Discovery Foundation, and Anthony “Nino” Sireci, MD, MSc, Eli Lilly and Company, help us understand this “huge accomplishment" and how it may be able to transform the diagnostic landscape from one of nihilism to

00:16:20

AI in Health Care: Balancing Governance, Innovation,...

Managed Care Cast ·

2025/09/02

Committed to building safe, reliable, and value-driven AI solutions that enhance health care delivery and the member experience, UPMC Health Plan's approach to AI is grounded in strong governance, balancing innovation with critical ethical concerns. In this conversation, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.

00:21:49

Infertility Coverage Boosts ART Use and Pregnancy...

Managed Care Cast ·

2025/08/26

On this episode of Managed Care Cast, The American Journal of Managed Care® speaks with Richard A. Brook, MS, MBA, president of Better Health Worldwide, Inc., and author of a study published in the August 2025 issue.His retrospective analysis, "The Impact of Health Benefit Design on Patients With Infertility," examined how benefit design influences infertility treatment use and pregnancy outcomes. The study found that coverage for infertility treatment was associated with significantly higher use

00:12:37

The Breakdown: Breast Cancer Research Awareness Day

Managed Care Cast ·

2025/08/18

Breast cancer is the second most common cancer among women and the second leading cause of cancer-related deaths among women in the US. In light of Breast Cancer Research Awareness Day, the American Journal of Managed Care® breaks down the most recent advancements in breast cancer prevention, screening, and therapies.

00:31:05

Hope on the Horizon for Underserved Patients With...

Managed Care Cast ·

2025/08/12

On this episode, Mary Caffrey, Executive Editor of AJMC and Evidence-Based Oncology (EBO), is joined by Joseph Mikhael, MD, MEd, FRCPC, FACP, FASCO Chief Medical Officer of the International Myeloma Foundation (IMF), was the primary interviewee and source for a recent EBO article. His insights in that piece highlight how the IMF’s M-Power initiative builds trust and awareness through its 3-pillar approach: community engagement, primary care education, and improving care for patients. During the

00:18:30

What It Takes to Improve Guideline-Based Heart...

Managed Care Cast ·

2025/08/05

Heart failure remains one of the most urgent challenges in health care, affecting millions of individuals and imposing a significant burden on families and the broader health system. Although guideline-directed medical therapy (GDMT) has been shown to improve clinical outcomes and reduce hospitalizations, adoption of these therapies remains suboptimal nationwide. Addressing this treatment gap is essential not only for enhancing survival and quality of life but also for mitigating the rising economic

00:23:55

High Costs, Coverage Variability Limit Access to...

Managed Care Cast ·

2025/07/24

On this episode of Managed Care Cast, The American Journal of Managed Care® speaks with Jonathan Gabison, MD, DABOM, and Stephen Lott, PharmD, MS. At the University of Michigan, Gabison is an obesity medicine specialist and family physician, while Lott serves as director of the postgraduate year one managed care residency program and manager of the university's prescription drug plan.Their qualitative study, "Understanding Insurance Coverage Policies for Incretin Mimetics for Weight Management,"

00:32:02

Navigating Risk, Treatment, and Reimbursement in...

Managed Care Cast ·

2025/07/15

Precision medicine has long guided cancer treatment by matching therapies to tumor mutations, but the emerging field of predictive genomics aims to take this further by factoring in a patient’s genetics, health history, and environment to better predict drug response.Ask ChatGPT

00:06:14

Managed Care Cast News Roundup: July 8, 2025

Managed Care Cast ·

2025/07/08

Managed Care Cast News Roundup: July 8, 2025 by Managed Care Cast

00:11:50

Why Collaborative Care Is the Path Forward for Mental...

Managed Care Cast ·

2025/07/01

Explore how the Collaborative Care Model enhances mental health access in this episode featuring Anna Bob, executive director of the Path Forward coalition.

00:17:24

Addressing the Physical, Psychological Complexity of...

Managed Care Cast ·

2025/06/24

Gastropsychiatrist Eva Szigethy, MD, PhD, and Benjamin Cohen, MD, Cleveland Clinic, discuss quality of life improvement in terms of behavioral health and inflammatory bowel disease (IBD).

00:20:14

Stuck in Prior Auth Purgatory: The Hidden Costs of...

Managed Care Cast ·

2025/06/19

Delays, denials, and endless paperwork—prior authorization isn’t just a headache for providers; it’s a barrier for patients who need timely care. From shocking patient delays to the surprising role of fax machines in 2025, in this episode, we explore why prior auths are driving burnout, potentially harming outcomes, and what’s being done to streamline the process.

00:05:47

Managed Care Cast News Roundup: June 17, 2025

Managed Care Cast ·

2025/06/17

A quick roundup episode of major news and health policy developments from The American Journal of Managed Care.

00:08:16

Blister Packs May Help Solve Medication Adherence...

Managed Care Cast ·

2025/06/10

On this episode of Managed Care Cast, The American Journal of Managed Care® speaks with Julia Lucaci, PharmD, MS, the senior director of global health economics and outcomes research at Becton, Dickinson and Company (BD), an international medical technology company.Her commentary, "Should Payers Incentivize Pharmacies to Blister-Package Chronic Medications?" argues that payers should consider offering higher reimbursement rates and/or preferred network status to pharmacies that dispense chronic

00:03:22

Managed Care Cast News Roundup: June 3, 2025

Managed Care Cast ·

2025/06/03

A quick roundup episode of major health policy developments, from shifting COVID-19 vaccine guidance and scientific publishing controversies to rising cancer care costs and the impact of oncology biosimilars.

00:23:14

Laundromats as a New Frontier in Community Health,...

Managed Care Cast ·

2025/05/29

On this episode of Managed Care Cast, The American Journal of Managed Care® speaks with Lindsey Leininger, PhD, health policy professor and faculty director of the Center for Health Care at the Tuck School of Business at Dartmouth College, and Allister Chang, MPA, co-founder of Fabric Health, a social-impact startup that aims to improve community well-being by transforming everyday moments in laundromats into opportunities to build trust, support Medicaid recertification, and connect families with

00:09:19

Frameworks for Advancing Health Equity: Social Work...

Managed Care Cast ·

2025/05/27

Victor Murray, senior director of Community Engagement and Capacity Building at the Camden Coalition, discusses the evolving role of social workers, emphasizing their expanded scope to include systems change, health equity, and policy work. He highlights the Camden Core Model, which addresses complex health and social needs through trauma-informed care and holistic support.

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