PODCAST

Managed Care Cast

Podcast by Managed Care Cast

science

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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.

00:19:28

Mental Health Awareness: Transforming Workplace...

Managed Care Cast ·

2025/05/20

Explore how employers enhance workplace mental health by fostering a culture of support and engagement, focusing on holistic well-being strategies in this interview with Jim Kinville, University of Pittsburgh Medical Center.

00:10:31

Inside the Center's MDD Value Model and Its Use of...

Managed Care Cast ·

2025/05/13

On this episode of Managed Care Cast, The American Journal of Managed Care® speaks with Larragem Raines, MS, director of research at the Center for Innovation & Value Research, about her organization's open-source value model for major depressive disorder (MDD). She also defines dynamic pricing and explains how it is incorporated into the MDD value model, topics she expands upon in a recent contributor article. Looking ahead, Raines discusses the potential of artificial intelligence (AI) to

00:14:06

Frameworks for Advancing Health Equity: Food as Medicine

Managed Care Cast ·

2025/05/09

Colleen Ereditario, MPH, RD, LDN, program manager, shares how the “Food as Medicine” approach of Allegheny Health Network (AHN) addresses food insecurity and guides patients to improve their health.

00:20:42

New Research Challenges Assumptions About...

Managed Care Cast ·

2025/04/21

On this episode of Managed Care Cast, The American Journal of Managed Care® speaks with Brady Post, PhD, assistant professor at Northeastern University and lead author of a study published in this month's issue.His study, "Impact of Hospital-Physician Integration on Medicare Patient Mix," found no evidence that hospital-employed physicians treated a higher proportion of complex patients, at least among those enrolled in traditional Medicare. During the conversation, Post shares the inspiration

00:20:58

Personalized Care Key as Tirzepatide Use Expands Rapidly

Managed Care Cast ·

2025/04/15

Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes. Overall, their findings show a significant uptick in tirzepatide dispensations, alongside other glucose- and weight-lowering medications, including semaglutide.

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