Managed Care Cast

Every week, The American Journal of Managed Care® (AJMC®) 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 study demonstrating that diabetes drug canagliflozin cuts the risk of renal failure and death; the FDA approving the first targeted therapy for metastatic bladder cancer; approximately half of all cancer deaths are attributable to modifiable risk factors. Read more about the stories in this podcast: CREDENCE: Canagliflozin Cuts Risk of Renal Failure, Death 30% in Patients With Type 2 Diabetes, CKD: https://www.ajmc.com/newsroom/credence-canagliflozin-cuts-risk-of-renal-failure-death-30-in-patients-with-type-2-diabetes-ckd FDA Approves Erdafitinib, First Targeted Therapy for Metastatic Bladder Cancer: https://www.ajmc.com/newsroom/fda-approves-erdafitinib-first-targeted-therapy-for-metastatic-bladder-cancer Nearly Half of Cancer Deaths Attributable to Modifiable Risk Factors: https://www.ajmc.com

Understanding the Impact of Inappropriate Opioid Prescribing Practices by Managed Care Cast

As the prevalence of burnout among healthcare providers has increased over the last few years, it has raised attention to the issue. Burnout includes overwhelming exhaustion, feelings of cynicism and detachment from the job, and a sense of ineffectiveness and a lack of accomplishment. Among physicians, common drivers include excessive workloads, clerical burdens, organizational structures, and leadership culture. Greater attention to the issue, and the impact it can have on patient outcomes, has led to more organizations to implement interventions to address and alleviate burnout in healthcare. Bernadette Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN, vice president for health promotion, chief wellness officer and professor and dean of the college of nursing at The Ohio State University, highlighted the need for a chief wellness officer, same as healthcare has chief technology and quality officers, and some interventions being implemented. Learn more about burnout: Making The Case For The Chief Wellness Offi

Every week, The American Journal of Managed Care® (AJMC®) 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 CDC clarifying its opioid guidelines for chronic pain; pharmacy benefit managers testifying before a Senate committee; Sanofi expanding its insulin savings program starting in June. Read more about the stories in this podcast: Oncologists, Hematologists Welcome CDC Clarification on Opioid Therapy for Chronic Pain: https://www.ajmc.com/newsroom/oncologists-hematologists-welcome-cdc-clarification-on-opioid-therapy-for-chronic-pain PBM Executives Tout Value Before Senate Finance Committee: https://www.ajmc.com/newsroom/pbm-executives-tout-value-before-senate-finance-committee Sanofi Offer Sets Monthly Price of $99 for Insulin Supply: https://www.ajmc.com/newsroom/sanofi-offers-set-monthly-price-of-99-for-insulin-supply Doctors More Likely to Overprescribe Antibiotics for Children During Telemedicine

As a former chief operating officer for a national diabetes supply, education, and support company, Tom Milam created programs for people with diabetes that served more than 100,000 members nationwide. His experience also includes a federal appointment providing advisory service to Medicare. His extensive experience and knowledge within the diabetes space allows Tom to offer us an expert view of CMS’ Competitive Bidding Program.

Every week, The American Journal of Managed Care® (AJMC®) 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 courts rejecting multiple health initiatives from the Trump administration; Congress heard more about rising insulin prices; a new agreement seeks standards for reporting social determinants of health. Read more about the stories in this podcast: Federal Judge Strikes Down Medicaid Work Rules in Kentucky, Arkansas: https://www.ajmc.com/newsroom/federal-judge-strikes-down-medicaid-work-rules-in-kentucky-arkansas Judge Rules Trump's DOL Tried to Create "End Run" Around ACA With Association Health Plans: https://www.ajmc.com/newsroom/judge-rules-trumps-dol-tried-to-create-end-run-around-aca-with-association-health-plans Healthcare Availability, Affordability Most Pressing Worry, Gallup Poll Says: https://www.ajmc.com/newsroom/healthcare-availability-affordability-most-pressing-worry-gallup-poll-says

Dr. Elizabeth Mynatt, the executive director of the Institute for People and Technology and a professor in the College of Computing at the Georgia Institute of Technology discusses an app she and her team developed called MyPath that uses artificial intelligence to help guide a patient’s cancer journey.

Every week, The American Journal of Managed Care® (AJMC®) 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 the Department of Justice siding with a federal judge in striking down the Affordable Care Act; FDA Commissioner Scott Gottlieb, MD, calling for stricter oversight of electronic health records; and a study finding that healthy eating in Medicare and Medicaid is cost effective. Read more about the stories in this podcast: DOJ Reverses Course, Sides With Judge Striking Down ACA: https://www.ajmc.com/focus-of-the-week/doj-reverses-course-sides-with-judge-striking-down-aca House Democrats Unveil Bill Aimed at Shoring Up ACA Patient Protections, Affordability: https://www.ajmc.com/newsroom/house-democrats-unveil-bill-aimed-at-shoring-up-aca-patient-protections-affordability What We're Reading: EHR Oversight; Medicaid Expansion and CRC; Arkansas Work Requirements: https://www.ajmc.com/newsroom/what-were

In this week’s bonus podcast, we have a conversation from the Association of Community Cancer Centers (ACCC) 45th Annual Meeting & Cancer Center Business Summit, which was held March 21-22 in Washington, DC. The meeting marked the end of Tom Gallo’s year as president and the beginning of the yearlong presidency of Ali McBride, PharmD. At the meeting, Gallo and McBride sat down to discuss how ACCC’s members feel about the state of cancer delivery, as well as recent trends that were highlighted in an annual report and their presidential themes. Related articles: Envisioning the Future of Cancer Care: https://www.ajmc.com/conferences/accc-2019/envisioning-the-future-of-cancer-care Digital Health Lessons From Around the World: https://www.ajmc.com/conferences/accc-2019/digital-health-lessons-from-around-the-world Different Vantage Points, but Similar Goals of High-Value Care, Patient Satisfaction: https://www.ajmc.com/conferences/accc-2019/different-vantage-points-but-similar-goals-of-highvalue-care-patient-sat

The presence of loneliness among older patients is significant and has gained the attention of healthcare stakeholders, with some warning that it could become and epidemic. Growing research has pointed to loneliness as a risk factor for adverse health outcomes, and stakeholders around the coutnry have taken on the challenge of addressing the issue. In 2017, CareMore Health introduced their Togetherness Program to focus on these patients’ psychological, social, and physical health.  During this podcast, we sit down with Sachin Jain, MD, president of CareMore Health, to find out more about the health effects of loneliness and how their togetherness program is impacting seniors. Related articles: Efforts to Target Loneliness Reap Health Benefits, CareMore Finds: https://www.ajmc.com/focus-of-the-week/efforts-to-target-loneliness-reap-health-benefits-caremore-finds CareMore's Prescription for Loneliness Removes Barriers to Togetherness: https://www.ajmc.com/focus-of-the-week/caremores-prescription-for-lonelines

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 new primary prevention guidelines that could increase the use of some diabetes drugs; the FDA expanded criteria for which patients can take part in clinical trials; a summit on value-based insurance design showed the need for tough conversations with stakeholders. Read more about the stories in this podcast: Cardiovascular Prevention Guidelines Call for Less Aspirin, More SGLT2s, GLP-1s for Type 2 Diabetes: https://www.ajmc.com/conferences/acc-2019/cardiovascular-prevention-guidelines-call-for-less-aspirin-more-sglt2s-glp-1s-for-type-2-diabetes Giant Study Suggests Apple Watch Accurately Catches Atrial Fibrillation: https://www.ajmc.com/conferences/acc-2019/giant-study-suggests-apple-watch-accurately-catches-afib DECLARE: Dapagliflozin Offers Benefits for Diabetes Patients With Heart Failure: https://www.

Ensuring Access to Generic Medications by Managed Care Cast

Every week, The American Journal of Managed Care® (AJMC®) 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 the 2020 budget plan proposing a mix of healthcare spending cuts and increases; the FDA approving the first immunotherapy regimen for breast cancer; and researchers uncovering how sodium glucose co-transporter-2 inhibitors work. Read more about the stories in this podcast: Proposed 2020 White House Budget Includes Block Grants, Medicaid Work Rules, Increased HIV Funding: https://www.ajmc.com/focus-of-the-week/proposed-2020-white-house-budget-includes-block-grants-medicaid-work-rules-increased-hiv-funding FDA Approves Atezolizumab Combination for Triple-Negative Breast Cancer: https://www.ajmc.com/newsroom/fda-approves-atezolizumab-combination-for-triplenegative-breast-cancer SGLT2 Inhibitors Work by Inducing Fasting State, Joslin Center Scientist Says: https://www.ajmc.com/newsroom/sglt2-inhibitor

Understanding Barriers to Accessing Specialty Care Under Medicaid Expansion by Managed Care Cast

The federal government has been releasing a number of policies and proposals that will affect care delivery and are aimed at rising costs of care and prescription drugs. Ted Okon, executive director of the Community Oncology Alliance (COA), sat down with Managed Care Cast to discuss a number of policies affecting COA’s members, including proposals around chimeric antigen receptor T-cell therapies, pharmacy benefit managers, and the Oncology Care Model. Read more about the stories in this podcast: CMS Proposes That Patients Be Enrolled in Studies to Get Coverage for CAR T-Cell Therapy: https://www.ajmc.com/newsroom/cms-proposes-that-patients-be-enrolled-in-studies-to-get-coverage-for-car-tcell-therapy Ted Okon on Policy Priorities for COA in 2019: https://www.ajmc.com/conferences/coapayersummit2018/ted-okon-on-policy-priorities-for-coa-in-2019 COA's OCM 2.0: Moving Toward a Universal Payment Model: https://www.ajmc.com/conferences/coapayersummit2018/coas-ocm-20-moving-toward-a-universal-payment-model More Th

Every week, The American Journal of Managed Care® (AJMC®) 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 Scott Gottlieb, MD, resigning as FDA commissioner; Eli Lilly offering a discounted version of Humalog; another study dispels the myths around autism and the measles, mumps, and rubella vaccine. Read more about the stories in this podcast: Dr Scott Gottlieb to Resign as FDA Commissioner: https://www.ajmc.com/newsroom/dr-scott-gottlieb-to-resign-as-fda-commissioner-reports-say Lilly to Launch Half-Price Version of Humalog: https://www.ajmc.com/newsroom/lilly-to-launch-halfprice-version-of-humalog What We're Reading: HIV Cured in Second Patient; Patients Question FDA; China Creating Ethics Committee: https://www.ajmc.com/newsroom/what-were-reading-hiv-cured-in-second-patient-patients-question-fda-china-creating-ethics-committee HIV Compendium: https://www.ajmc.com/compendium/hiv In Wake of Measles Ou

Realigning Accountability to Improve Population Healthcare Delivery Under MIPS by Managed Care Cast

Every week, The American Journal of Managed Care® (AJMC®) 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 pharmaceutical executives appearing before a Senate drug pricing hearing; HHS finalizing a Title X rule change; and an analysis that found travel and wait times for healthcare services come with a high price. Read more about the stories in this podcast: Senate Committee Discusses the Burden of High Drug Prices and Potential Solutions: https://www.ajmc.com/newsroom/senate-committee-discusses-the-burden-of-high-drug-prices-and-potential-solutions Pharma Executives Call for Reforms to Medicare, Rebate System in Senate Hearing: https://www.ajmc.com/focus-of-the-week/pharma-executives-call-on-reforms-to-medicare-rebate-system-in-senate-hearing HHS Rule Bars Clinics That Perform Abortion, Make Referrals From Receiving Title X Funds: https://www.ajmc.com/newsroom/hhs-rule-bars-clinics-that-perform-aborti

Improving Oncology Practices With Value Based Care by Managed Care Cast

Every week, The American Journal of Managed Care® (AJMC®) 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' proposal to cover chimeric antigen receptor T-cell therapy; a study faulting the FDA’s handling of fentanyl oversight; and breast surgeons calling for genetic testing for all patients with breast cancer. Read more about the stories in this podcast: CMS Proposes That Patients Be Enrolled in Studies to Get Coverage for CAR T-Cell Therapy: https://www.ajmc.com/newsroom/cms-proposes-that-patients-be-enrolled-in-studies-to-get-coverage-for-car-tcell-therapy Study Criticizes FDA Safety Oversight of Rapid-Release Fentanyl: https://www.ajmc.com/newsroom/study-criticizes-fda-safety-oversight-of-rapidrelease-fentanyl Breast Surgeons Seek Genetic Testing for All Patients With Breast Cancer: https://www.ajmc.com/newsroom/breast-surgeons-seek-genetic-testing-for-all-patients-with-breast-cancer Greater Die