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Managed Care Cast

Podcast by Managed Care Cast

science

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00:08:56

Preventing Chronic Disease in Employees With Early...

Managed Care Cast ·

2019/11/14

Chronic disease affects most employees in the United States, and today, on World Diabetes Day, Managed Care Cast speaks with the lead author of a study about chronic disease that appears in the November issue of The American Journal of Managed Care®. Author Maren S. Fragala, PhD, CSCS.D, talks about how employer-sponsored health screenings can help identifiy previously undiagnosed disease, enabling early detection and treatment, and help keep workers healthier.

00:24:45

Personal and Professional: One Doctor's Experience...

Managed Care Cast ·

2019/11/12

During this week’s podcast, we sit down with Mark Lewis, MD, a gastrointestinal oncologist at Intermountain Healthcare. In addition to being a practicing oncologist, Lewis has been living with cancer himself with a hereditary tumor syndrome that’s been passed down in his family, giving him a unique experience that has driven his approach to treating his own patients. During the interview, Lewis discusses his personal history with cancer, how he’s seen the cancer landscape change over the last 2

00:05:39

This Week in Managed Care—Life After the Oncology...

Managed Care Cast ·

2019/11/09

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 started planning for life after the Oncology Care Model; a judge blocked a rule requiring immigrants to have health coverage; Election Day brought news for Medicaid work rules. Read more about the stories in this podcast: CMS, CMMI Seek Feedback on Oncology Care First, Successor to OCM:

00:27:31

State Pioneer Connects Veterans to Their Health...

Managed Care Cast ·

2019/11/06

In 2002, Bill Allman, working for Washington State, heard from a widow with a $75,000 bill from Medicaid, which was incurred as part of his long-term care costs. Like Allman, the man was a veteran. On this episode of Managed Care Cast, we learn how Allman, who is retiring at the end of 2019, launched a program to connect veterans to health benefits they didn't know they had, and in the process, figured out that states could reduce Medicaid spending.

00:16:17

Discussing the ACO Learning Curve and Ochsner's...

Managed Care Cast ·

2019/10/29

In 2018, the Ochsner Accountable Care Network was able to reduce expected costs of care by more than $12.78 million for its Medicare beneficiaries, and it increased its savings 12% over 2017. This comes amidst research and claims that accountable care organizations may not be successful at reducing costs while improving outcomes. David Carmouche, MD, president of the Ochsner Health Network and executive director of the Ochsner Accountable Care Network, explains how the Ochsner accountable care

00:04:49

This Week in Managed Care—GOP Releases Part of Its...

Managed Care Cast ·

2019/10/25

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 average Affordable Care Act premiums falling 4%; the FDA approving a triple combination treatment for cystic fibrosis; House Republicans releasing part 1 of their healthcare plan. Read more about the stories in this podcast: While Waiting for ACA Decision, HHS Says 2020 Benchmark Plan Premiums Mostly Lower:

00:33:55

The Many Uses of Big Data by Clinical Pharmacists

Managed Care Cast ·

2019/10/22

Healthcare is increasingly trying to use big data and clinical pharmacists are no exception. On today's episode of Managed Care Cast, we talk with an assistant professor at Geisinger’s Center for Pharmacy Innovation and Outcomes about his work with big data.

00:05:55

This Week in Managed Care—New Long-term Opioid Use...

Managed Care Cast ·

2019/10/19

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 new guide that balances curbs on opioid abuse with the needs of patients with chronic pain; HHS proposed reforming antikickback rules to help boost value-based care; a report found flaws with Medicaid work requirements.

00:20:46

The Low-Wage Trap of Healthcare Aides and the Vacancy...

Managed Care Cast ·

2019/10/15

Who will care for America's growing aged population in the coming decades? Today on the podcast, we're speaking with PHI, a New York-based nonprofit organization that works to improve long-term services and care for the elderly and those with disabilities by focusing on the job quality of those providing day-to-day hands-on care—low-paid home health care aides and nursing assistants.

00:05:06

This Week in Managed Care—Medicare Executive Order...

Managed Care Cast ·

2019/10/12

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 an effort by the Trump administration to bolster Medicare Advantage; an abortion case from Louisiana reached the Supreme Court; the study of adapting to changing oxygen levels wins the Nobel Prize. Read more about the stories in this podcast: Trump Executive Order Bolsters Medicare, MA to Compete Against "Medicare for All" Proposals:

00:17:12

Examining Variation in Orphan Drug Coverage Among...

Managed Care Cast ·

2019/10/10

This month’s issue of The American Journal of Managed Care® took a look at differences in coverage of orphan and nonorphan drugs to get insight into variation in orphan drug coverage across the largest commercial plans in the United States. The study, which analyzed a data set of private health plan coverage decisions for specialty drugs in 3 ways, found that health plans restrict access to orphan drugs about one-third of the time and that restrictions vary across plans. To get more insight into the

00:14:01

Exploring the Rise of Obesity-Related Cancers: A...

Managed Care Cast ·

2019/10/08

Exploring the Rise of Obesity-Related Cancers: A Conversation With Dr Debra Patt by Managed Care Cast

00:05:48

This Week in Managed Care—Hospital Readmission and...

Managed Care Cast ·

2019/10/05

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included Medicare cuts hospital payments over readmissions; a second-generation chimeric antigen receptor T-cell therapy shows promise; a diabetes drug is approved to prevent kidney failure for the first time. Read more about the stories in this podcast: What We're Reading: Medicare Issues Readmission

00:14:47

Digging Deeper Into the Increasing Use of Telehealth

Managed Care Cast ·

2019/10/01

Digging Deeper Into the Increasing Use of Telehealth by Managed Care Cast

00:06:06

This Week in Managed Care—State, Federal Crackdowns...

Managed Care Cast ·

2019/09/28

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included state and federal crackdowns on vaping that forced out the president of Juul; FDA approved a groundbreaking diabetes treatment; Medicare Advantage premiums will decline for 2020. Read more about the stories in this podcast: What We're Reading: Walmart Removes E-Cigs; Sutter Health Antitrust

00:13:49

Dissecting OCM Performance Period 4 Results and Their...

Managed Care Cast ·

2019/09/24

Now 3 years into the Oncology Care Model, practices participating in the episode-based model have recently received results from performance period 4, representing care delivered in the first half of 2018. Results from the previous 2 performance periods have some practices concerned because there was little improvement; During both performance period 2 and 3 approximately 30% of practices achieved savings. With performance period 4 results out now, it’s a transformative point in the model in which

00:05:31

This Week in Managed Care—HIV Screening Rates and...

Managed Care Cast ·

2019/09/21

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care stories included Purdue Pharma filing for bankruptcy; new data showing the number of people who get screened for HIV at least once falls far short of what CDC recommends; findings that most US hospital markets are now highly concentrated. Read more about the stories in this podcast: What We're Reading: Purdue

00:16:23

Exploring Reference-Based Pricing as a Method for...

Managed Care Cast ·

2019/09/17

Exploring Reference-Based Pricing as a Method for Lowering Healthcare Costs by Managed Care Cast

00:06:58

This Week in Managed Care—Uninsured Rate on the Rise...

Managed Care Cast ·

2019/09/14

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included a report showing the US uninsured rate rose in 2018; the Trump administration indicating it will ban all flavors of e-cigarettes except for tobacco; new research showing the prevalence of hemophilia is 3 times larger than originally believed. Read more about the stories in this podcast: Despite

00:18:48

Examining Physician-Initiated Alternative Payment Models

Managed Care Cast ·

2019/09/12

To date, most alternative payment models (APMs) that have emerged in the shift toward value-based care have been initiated by payers and focused on primary care providers. However, there has recently been a new wave of payment reform in which providers, mostly specialists, are designing and implementing their own APMs in their practices. A study published in the September issue of The American Journal of Managed Care analyzed some of these new payment models to gain insight into what providers are

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Managed Care Cast

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