PODCAST

Managed Care Cast

Podcast by Managed Care Cast

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00:08:29

Exploring Consumer Perspectives on Network Adequacy...

Managed Care Cast ·

2024/09/19

On this episode of Managed Care Cast, we're talking with Simon F. Haeder, PhD, MPA, associate professor of public health at Texas A&M University.His study, "When is a Network Adequate? Consumer Perspectives on Network Adequacy Definitions," explored the factors that consumers consider essential for an adequate provider network, including travel times, inclusive care, and language access.

00:17:47

Frameworks for Advancing Health Equity: Youth...

Managed Care Cast ·

2024/09/17

Chris Barton, senior director of Integrated Systems of Care & Network Innovation at Horizon Blue Cross Blue Shield of New Jersey, discusses how the Youth Behavioral Health Strategy program focuses on addressing the specific needs of youth with mental health and substance use issues through a comprehensive approach

00:20:24

Healing Wounds Through Peer Support

Managed Care Cast ·

2024/09/16

To recognize National Recovery Month, we are bringing you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In episode 3, we speak with Kim MacDonald-Wilson, ScD, CPRP, senior director, Recovery and Wellness Transformation, and Tracy Carney, CPS, CPRP, senior recovery specialist, both at Community Care Behavioral Health Organization, part of the UPMC Insurance Services Division.

00:25:07

Providing Patients a Voice in Their Recovery

Managed Care Cast ·

2024/09/09

To recognize National Recovery Month, we are bringing you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In episode 2, we speak with Rebekah Sedlock, DSW, LCSW, Community Care Behavioral Health Organization, part of the UPMC Insurance Services Division, and Mandy Fauble, PhD, LCSW, UPMC Western Behavioral Health at Safe Harbor.

00:29:47

Combatting the Opioid Epidemic: Insights From the...

Managed Care Cast ·

2024/09/02

To recognize National Recovery Month, we are bringing you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In episode 1, we speak with Michael Lynch, MD, associate professor of emergency medicine at the University of Pittsburgh and an attending emergency physician and medical toxicologist at the University of Pittsburgh Medical Center.

00:15:42

Obesity Uncovered: Dr Eden Miller on US Obesity...

Managed Care Cast ·

2024/08/22

On this episode of Managed Care Cast, we're talking with Eden Miller, DO, founder of the Diabetes and Obesity Care clinic in Bend, Oregon, which provides high-level obesity intervention and diabetes treatment and prevention.Her study, "Inadequate Insurance Coverage for Overweight/Obesity Management," reviews the US obesity epidemic and discusses insufficient insurance coverage for obesity management.

00:18:06

Effective Strategies to Enhance Medicare Advantage...

Managed Care Cast ·

2024/08/15

On this episode of Managed Care Cast, we're talking with Marge Ciancetta, the product manager of Cotiviti's Star Intelligence solution, which helps health plans and providers improve their Medicare Advantage Star Ratings.We discussed all things Star Ratings, including their importance, how they are calculated, and their impact on plans in 2024. Looking ahead, we also discussed strategies to improve ratings for 2025, especially for smaller plans.

00:34:59

Building Trust, Breaking Barriers: Health Care...

Managed Care Cast ·

2024/08/08

On this episode of Managed Care Cast, we're talking with Sreekanth Chaguturu, MD, chief medical officer of CVS Health; Cathy Moffitt, MD, FAAP, CHIE, chief medical officer of Aetna; and Joneigh Khaldun, MD, MPH, FACEP, chief health equity officer of CVS Health.We discuss various topics, including the current challenges in primary and preventive care engagement, the role of trust in patient-provider relationships, and how community-based approaches and partnerships are improving care access

00:20:18

Bridging the Vaccination Gap: Insights on Global...

Managed Care Cast ·

2024/07/30

On this episode of Managed Care Cast we speak with Jeffery A. Goad, PharmD, MPH, 2024-2025 president of the National Foundation for Infectious Diseases, on the recent report from the World Health Organization and UNICEF on public immunization rates, with national and global health implications.

00:29:29

Dr Jason Spangler on Enhancing Equity in Health...

Managed Care Cast ·

2024/07/25

On this episode of Managed Care Cast, we're talking with Jason Spangler, MD, MPH, the CEO of the Center for Innovation and Value Research, formerly known as the Innovation and Value Initiative (IVI). We discuss the strengths and limitations of health technology assessment (HTA), one major limitation being its lack of equity. We also touch on IVI's recent rebrand to the Center for Innovation and Value Research on July 16 and how people can get involved.

00:12:09

Frameworks for Advancing Health Equity: Health Equity...

Managed Care Cast ·

2024/07/23

Melissa Clarke, MD, CMQ, the chief health equity officer at Elevance Health, explains "Health Equity by Design" and how Elevance Health is committed to ensuring a personalized and intentional approach for all its members, regardless of race or ethnicity, sexual orientation, gender identity, disability, and geographic or financial access.

00:10:55

Insurance Insights: Dr Jason Shafrin Estimates DMD...

Managed Care Cast ·

2024/07/18

On this episode of Managed Care Cast, we're talking with Jason Shafrin, PhD, the senior managing director of FTI Consulting's Center for Healthcare Economics and Policy and an adjunct professor in the University of Southern California's Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences.His study, "Quantifying the Insurance Value for Rare Diseases: Duchenne Muscular Dystrophy," estimates the insurance value of novel Duchenne muscular dystrophy (DMD) treatment from a survey of

00:25:41

Managed Care Cast Presents: Challenges of Diagnosing...

Managed Care Cast ·

2024/07/17

Today we are bringing you a conversation between 3 experts on paroxysmal nocturnal hemoglobinuria (PNH). Ryan Haumschild, PharmD, MS, MBA, vice president of Pharmacy at Emory Healthcare and Winship Cancer Institute, spoke with Jamie Koprivnikar, MD, of John Theurer Cancer Center; David Dingli, MD, PhD, of Mayo Clinic; and Brian P. Mulherin, MD, of American Oncology Network. The topics of conversation for today’s podcast include the pathophysiology of PNH, complement inhibitors, treatment

00:20:39

Exploring Pharmaceutical Innovations, Trust, and...

Managed Care Cast ·

2024/07/11

On this episode of Managed Care Cast, we're talking with Sreekanth Chaguturu, MD, the chief medical officer of CVS Health. We discuss the impact of recent pharmaceutical innovations, namely glucagon-like peptide-1 (GLP-1) receptor agonists and biosimilars, on patient health outcomes. Also, we explore the role of trust between patients and providers in adopting new medications, along with initiatives used to reduce drug prices and improve access.

00:12:45

Frameworks for Advancing Health Equity: LGBTQIA+...

Managed Care Cast ·

2024/07/09

Kim Zynn, vice president of UPMC Health Plan's provider network and development relations team, shares how physicians can become LGBTQIA+ affirming providers, which is designated within the health plan.

00:19:09

Maternal Health Inequities: Improving Access to...

Managed Care Cast ·

2024/07/01

Douglas Weber, MD, explains how zuranolone has changed the landscape for postpartum depression treatment, addressing a gap in care within the specialty.

00:15:40

Frameworks for Advancing Health Equity: Trans and...

Managed Care Cast ·

2024/06/28

Charlie Borowicz, manager of trans and gender diverse health at Allegheny Health Network, shares how the program offers comprehensive patient-first care to those in the LGBTQ and gender diverse community.

00:09:30

Double Trouble: High-Deductible Plans Raise Maternity...

Managed Care Cast ·

2024/06/27

On this episode of Managed Care Cast, we're talking with the University of Southern California's Erin Duffy, PhD, MPH, an author of a study published in the June 2024 issue of The American Journal of Managed Care®.Her study, "Deductible Double Jeopardy: Patients May Pay More Out of Pocket When Pregnancy Crosses 2 Years" discusses how annual high-deductible insurance plans may increase maternity care costs when pregnancies cross 2 calendar years, causing patients to hit their cost-sharing limits

00:27:10

Cultivating Equality in the Garden State

Managed Care Cast ·

2024/06/26

In this fifth, and final, special bonus episode of our Pride Month series, we speak with Lauren Albrecht, director of advocacy and organizing, and Layla Orlando, director of health equity and wellness, at Garden State Equality, the largest LGBTQ+ advocacy organization in New Jersey.

00:26:55

Shining the Spotlight on Queer Joy and Resilience in...

Managed Care Cast ·

2024/06/25

In our fourth Pride Month podcast episode, we are speaking with Domenico Ruggerio, executive director of We Are Family, in Charleston, South Carolina, the state's oldest nonprofit, which provides life-affirming and life-saving programs for LGBTQ+ youth.

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