PODCAST

Managed Care Cast

Podcast by Managed Care Cast

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00:49:03

Rebuilding Trust in Healthcare With the ABIM Foundation

Managed Care Cast ·

2019/09/10

Relationships in healthcare are important and trust is crucial to those relationships. However, it has been on the decline in the United States. We speak with the executive vice president of the ABIM Foundation and representatives from the 8 winning organizations of the foundation's Trust Practice Challenge about the programs they implemented to rebuild trust. Read more: ABIM Foundation Trust Practice Challenge:

00:05:44

This Week in Managed Care—Opioid Prescribing Trends,...

Managed Care Cast ·

2019/09/07

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 diabetes drug showing positive results in treating heart failure; new lipid guidelines promoting the use of proprotein convertase subtilisin/kexin type 9 inhibitors; and a study finding doctors are more likely to prescribe opioids if they are in a hurry. Read more about the stories in this

00:33:41

What's Gone Astray in American Healthcare and Pricing

Managed Care Cast ·

2019/09/03

On this episode of Managed Care Cast, we speak with the author of a new book that discusses the price and cost of American healthcare. Martin Makary, MD, MPH, a surgical oncologist and chief of the Johns Hopkins Islet Transplant Center, talked about what he found while writing The Price We Pay: What Broke American Health Care—and How to Fix It. Makary discusses spurious billing practices, overtreatment, and the opioid issue, as well as efforts by some providers and employers to reshape primary

00:05:52

This Week in Managed Care—Opioid Ruling and...

Managed Care Cast ·

2019/08/31

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 a huge ruling against one opioid maker and a settlement offer from another; an expert panel calling for broader screening for hepatitis C; a review showing there are more fatal events linked to a multiple sclerosis drug than previously known. Read more about the stories in this podcast: What

00:11:05

Quantifying and Communicating the ROI of Addressing SDOH

Managed Care Cast ·

2019/08/27

As advocates for addressing social determinants of health (SDOH) look to get buy in from stakeholders, there's a need for building evidence base to show that initiatives addressing these determinants work. To discuss the importance of both quantifying and communicating the return on investment of these initiatives, we spoke with Susan Mani, MD, vice president of Clinical Transformation and Ambulatory Quality at LifeBridge Health. Read more about building an evidence base for SDOH

00:05:13

This Week in Managed Care—BRCA Testing Recommendation...

Managed Care Cast ·

2019/08/24

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 in managed care, the top news included outcomes results in treating heart failure; US prevention experts said more women should get BRCA testing; the American Heart Association offered an advisory on treating high triglycerides with prescription omega-3 fatty acids. Read more about the stories in this podcast: AstraZeneca's

00:09:48

Costs, Quality, Access, and More: The Challenges of...

Managed Care Cast ·

2019/08/20

Employers are the single largest provider and purchaser of healthcare insurance in the United States and they represent a potential force for change in the US healthcare system. In order to control costs and provide better care to their employees, employers have been banding together through local coalitions. Many coalitions across the country have coalesced under the National Alliance of Healthcare Purchaser Coalitions. At the National Alliance’s recent Leadership Summit, held at the end of June

00:05:43

This Week in Managed Care—Limiting Surprising Medical...

Managed Care Cast ·

2019/08/17

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 the Trump administration looking to bar legal immigrants from using public benefits; a study in The American Journal of Managed Care® finding that a law to limit surprise medical bills is working; data on Affordable Care Act enrollment showing the effect of subsidies. Read more about the

00:31:20

How Are Oncology Practices Communicating Value-Based...

Managed Care Cast ·

2019/08/13

On this episode of Managed Care Cast, we’re bringing you a portion of a panel discussion about the Oncology Care Model, held in July 2019 during a meeting of The Institute for Value-Based Medicine (IVBM), an initiative of The American Journal of Managed Care®. At IVBM events, we gather thought leaders to share best practices across medicine, pharmacy, and management in regional locations around the country. This podcast is taken from our meeting focusing on Innovation and Quality in Oncology

00:05:28

This Week in Managed Care—Pancreatic Cancer Screening...

Managed Care Cast ·

2019/08/10

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 CMS giving chimeric antigen receptor T-cell payments a boost; a US task force announcing that those at risk for pancreatic cancer should be screened; FDA revealing Novartis withheld data about a high-cost gene therapy. Read more about the stories in this podcast: CMS Gives CAR T Payments

00:21:29

KOL Corner: Amy Ellis Discusses Viewing Value-Based...

Managed Care Cast ·

2019/08/08

Transitioning to value-based care is a marathon, not a race, and should be viewed as a mission and a culture, Jeff Hunnicutt, chief executive officer at Highlands Oncology Group, told Amy Ellis, director of quality and value-based care at Northwest Medical Specialties. In order to successfully transform a practice, there needs to be a clear message and set values ingrained in the mindset of staff at the frontline of patient care.

00:17:07

A Discussion on Managing and Treating Type 2 Diabetes

Managed Care Cast ·

2019/08/06

As a progressive disease diabetes presents an ongoing challenge for physicians to provide adequate control of patients’ diabetes, and new agents with novel mechanisms of action help reduce the burden in the management of diabetes. In a recent Peer Exchange discussion, Dr Peter Salgo, of Columbia University College of Physicians and Surgeons and NewYork-Presbyterian Hospital, led a discussion on novel agents and their role in treating patients with and with cardiovascular disease. On the panel was

00:05:41

This Week in Managed Care—Drug Importation Plan and...

Managed Care Cast ·

2019/08/03

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 HHS laying out a plan for importing certain prescription drugs from other countries; a potential new standard of care for chronic lymphocytic leukemia; 3 insulin makers get subpoenaed over their pricing practices. Read more about the stories in this podcast: HHS, FDA Outline Foundation for

00:27:46

Overcoming Challenges With Implementing Precision...

Managed Care Cast ·

2019/07/30

While precision medicine has started to inch its way to becoming a norm in healthcare, there are still barriers holding back widespread implementation amomg providers and organizations. From reimbursement challenges to primary use in oncology to proving the return on investment of implementing a precision medicine program, addressing these barriers could open the door to more providers and oragnizations embracing precision medicine in their practice. To discuss these challenges and ways to

00:07:35

This Week in Managed Care—Gottlieb Discusses...

Managed Care Cast ·

2019/07/29

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 bipartisan Senate bills taking aim at drug prices, especially insulin; a study linking payer refusal to pay for proprotein convertase subtilisin/kexin type 9 inhibitors with heart attacks and deaths; and a former FDA commissioner visiting The American Journal of Managed Care®. Read more about

00:18:07

Addressing the Complexities of Value-Based Payment...

Managed Care Cast ·

2019/07/23

Addressing the Complexities of Value-Based Payment Models by Managed Care Cast

00:06:25

This Week in Managed Care—Life Expectancy Disparities...

Managed Care Cast ·

2019/07/20

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 CMS pushing for bundled payments in radiation oncology; reports detailing deficiencies in hospice care; a study finding widening disparities in life expectancy among white Americans. Read more about the stories in this podcast: CMS Proposes Bundled Payments for Radiation Oncology:

00:11:30

Addressing the Unintended Consequences of Co-Pay...

Managed Care Cast ·

2019/07/18

Pharmaceutical manufacturers sought to improve patient access to treatments through the use of co-payment assistance cards. But, while these cards reduce the out-of-pocket cost for enrollees, employers worry that they could result in increased medication use and associated expenditures, thus negating efforts made with benefit designs. To mitigate the issue, pharmacy benefit managers have introduced co-pay accumulator adjustment programs, which prevent pharmaceutical manufacturer subsidies put toward

00:10:45

Biosimilars Are Being Approved but Not Reaching the...

Managed Care Cast ·

2019/07/16

Just halfway through the year, and 2019 has been busy for biosimilars with new guidance and approvals, but the loss of a big advocate of biosimilars from the FDA. In this episode of Managed Care Cast, Kelly Davio, senior editor of The Center for Biosimilars®, a sister site of The American Journal of Managed Care®, discusses new approvals, what the loss of Scott Gottlieb, MD, as FDA commissioner means, the reality of pay-for-delay deals, and more. Learn more about biosimilars at

00:05:42

This Week in Managed Care—ACA Individual Mandate...

Managed Care Cast ·

2019/07/13

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 uncertainty surrounding the fate of the Affordable Care Act's individual mandate; a study finding Medicare beneficiaries may be paying more for some generics than brand-name drugs; the Trump administration proposing 5 new payment models to transform kidney disease care. Read more about the

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