Managed Care Cast

Examining How Mergers and Acquisitions Are Shaking Up Healthcare by Managed Care Cast

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 that found uninsured rates were on the rise in 2017; an analysis of rising health insurance costs for families; predictions for cardiology trends in 2019. Read more about the stories in this podcast: Rate of Uninsured Increased in 2017 for the First Time Since 2014: https://www.ajmc.com/newsroom/rate-of-uninsured-increased-in-2017-for-the-first-time-since-2014 Health Insurance Cost Burden Increased Sharply in 2017 for Families: https://www.ajmc.com/focus-of-the-week/health-insurance-cost-burden-increased-sharply-in-2017-for-families What We're Reading: ACA Sign-Ups Surge; Zika Developmental Delays; Breastfeeding and Liver Disease: https://www.ajmc.com/newsroom/what-were-reading-aca-signups-surge-zika-developmental-delays-breastfeeding-and-liver-disease Cardiologists See More Direct Oral Anticoagu

Using Cost Variation to Identify Savings Opportunities Under the OCM by Managed Care Cast

Who sets the price for medications and other supplies used in hospitals and why are there shortages of some of these items? Martin Makary, MD, MPH, a surgical oncologist and chief of the Johns Hopkins Islet Transplant Center as well as executive director of Choosing Wisely, discussed this issue and its ramifications for healthcare costs.

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 CDC report that found life expectancy in the United States declined again; telemedicine use among physicians remains low; another study added to the debate over who should take statins. Read more about the stories in this podcast: CDC Data: Life Expectancy Decreases as Deaths From Suicide, Drug Overdose Increase: www.ajmc.com/focus-of-the-week/cdc-data-life-expectancy-decreases-as-deaths-from-suicide-drug-overdose-increase Report Uncovers Rising Death Rates Among Whites at Midlife, Citing Addiction, Suicide, and Pain: www.ajmc.com/focus-of-the-week/report-uncovers-rising-death-rates-among-whites-at-midlife-citing-addiction-suicide-and-pain Telemedicine Use Among Physicians Remains Relatively Low: https://www.ajmc.com/focus-of-the-week/telemedicine-use-among-physicians-remains-relatively-low New Study Ad

Attention deficit hyperactivity disorder, or ADHD, is one of the most common conditions in childhood and is often treated by primary care providers. Earlier this year, the Agency for Healthcare Research and Quality published a comparative effectiveness review called Attention Deficit Hyperactivity Disorder: Diagnosis and Treatment in Children and Adolescents. The lead author of the report, Alex R. Kemper, MD, MPH, MS, discussed the key findings with Managed Care Cast. Kemper, a board-certified pediatrician and chief of the division of ambulatory pediatrics at Nationwide Children’s Hospital, talked about what doctors and families need to know in order to understand the best treatment options.

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 CMS plan for changes in drug coverage that brought a wave of criticism; a government task force recommended more people at risk for HIV take pre-exposure prophylaxis, known as PrEP; the American College of Cardiology issued an Expert Consensus Pathway on treatment of patients with type 2 diabetes and atherosclerotic cardiovascular disease. Read more about the stories in this podcast: CMS Aims at Drug Prices Through Part D, MA Step Therapy, Pharmacy Rebates: https://www.ajmc.com/newsroom/cms-aims-at-drug-prices-through-part-d-ma-step-therapy-pharmacy-rebates CMS Finalizes New Structure to Move Home Health to Value-Based Payment: https://www.ajmc.com/newsroom/cms-finalizes-new-structure-to-move-home-health-to-valuebased-payment USPSTF Recommends Clinicians Prescribe HIV PrEP to All High-Risk Patients: htt

Using Data to Combat the Opioid Epidemic by Managed Care Cast

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 Secretary Alex Azar hinting that the government may get more involved in addressing social needs impacting health; work rules in Arkansas cost thousands their Medicaid coverage; research finds a shorter course of hepatitis C treatment may be just as effective as the full course of treatment. Read more about the stories in this podcast: Azar: CMMI Will Get More Involved in Addressing Social Needs Driving Health Issues: www.ajmc.com/focus-of-the-week/azar-cmmi-will-get-more-involved-in-addressing-social-needs-driving-health-issues Advocates Lambast Growing Number of Uninsured in Arkansas Due to Work Rules: www.ajmc.com/newsroom/advocates-lambast-growing-number-of-uninsured-in-arkansas-due-to-work-rules Shortening Treatment Time Maintains Efficacy, Saves Costs in Hepatitis C: www.ajmc.com/newsroom/shorte

A lot of healthcare is simply exchange of information, but the current healthcare system doesn’t allow for that exchange to happen in a convenient way. The Network for Excellence in Health Innovation (NEHI) has released a new roadmap that reinvents healthcare in the United States through the use of technology. Susan Dentzer, president and CEO of NEHI, discusses the Health Care Without Walls model of care, how it would improve care, as well as physician work satisfaction, and what it would take to implement such a system. Read more about NEHI and telehealth: NEHI Recommends Implementing Value-Based Contracts With High-Cost Oncology Treatments: https://www.ajmc.com/newsroom/nehi-recommends-implementing-valuebased-contracts-with-highcost-oncology-treatments- Getting Telehealth Right: Engaging Patients and Providers: https://www.ajmc.com/conferences/acr-2016/getting-telehealth-right--engaging-patients-and-providers-virtually-in-health-wellness-and-treatment More Patients Willing to Switch to Telehealth Provider

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 research that showed cancer surpassed cardiovascular disease to be the leading cause of death in high-income counties; HHS Secretary Alex Azar announced a new mandatory payment model is coming to oncology; a policy change could make mental health treatment more available. Read more about the stories in this podcast: Cancer Surpasses CVD as Leading Cause of Death in High-Income Counties: https://www.ajmc.com/focus-of-the-week/cancer-surpasses-cvd-as-leading-cause-of-death-in-highincome-counties Azar Announces Mandatory Oncology Payment Model Is Coming: https://www.ajmc.com/newsroom/azar-announces-mandatory-oncology-payment-model-is-coming HHS Lifting IMD Exclusion for Medicaid Payment for Inpatient Mental Health Treatment: https://www.ajmc.com/newsroom/hhs-lifting-imd-exclusion-for-medicaid-payment-for-inp

Using Community-Based Care Management to Lower Service Use, Spending Among High-Risk Patients by Managed Care Cast

CGRP Inhibitors: A Promising New Class of Drugs for Migraine by Managed Care Cast

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 Medicaid expansion wins at the ballot box; new melanoma guidelines that promote recommended treatments and discuss genetic testing; research found high blood pressure in young adults predicts future cardiovascular events. Read more about the stories in this podcast: What We're Reading: Midterm Elections, Healthcare Edition—Medicaid Expansion, Ballot Measures, Single Payer: https://www.ajmc.com/newsroom/what-were-reading-midterm-elections-healthcare-edition-medicaid-expansion-ballot-measures-single-payer New Melanoma Guidelines Identify Recommended Treatments, Weigh in on Genetic Testing: https://www.ajmc.com/focus-of-the-week/new-melanoma-guidelines-identify-recommended-treatments-weigh-in-on-genetic-testing High Blood Pressure in Young Adults Indicative of CVD Events Later in Life: https://www.ajmc.co

Heard at Psych Congress: Clinical Impacts of Stigma Surrounding Mental Illness by Managed Care Cast

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 new included a proposal to allow Medicare to pay the same prices for certain drugs as what other countries pay; President Donald Trump signed a law to fight the opioid crisis; an FDA advisory panel voted narrowly to retain a 10-year-old guidance for safety trials for diabetes drugs. Read more about the stories in this podcast: Trump Proposes Allowing Medicare to Base Drug Prices on What Other Countries Pay: https://www.ajmc.com/newsroom/trump-proposes-allowing-medicare-to-base-drug-prices-on-what-other-countries-pay Will Bipartisan US Opioid Law Go Far Enough to Save Lives? https://www.ajmc.com/newsroom/will-bipartisan-us-opioid-law-go-far-enough-to-save-lives Narrow Vote Calls for Keeping Drug Safety Trials, but Many See Changes: https://www.ajmc.com/focus-of-the-week/narrow-vote-calls-for-keeping-drug-safety-trials-b

Recently, Barbara McAneny, MD, the current president of the American Medical Association (AMA), visited The American Journal of Managed Care® (AJMC®)’s office for a wide-ranging discussion on new payment models, transforming care, and the work of the AMA. McAneny is an oncologist who has been at the forefront of transforming care for patients with cancer. In 2012 she and her organization, Innovative Oncology Business Solutions, received a $19.76 million grant by the Center for Medicare and Medicaid Innovation to develop a community oncology medical home model. The model was implemented in 7 practices and aimed to improve patient care, outcomes, and satisfaction, while reducing costs. She will be the keynote speaker November 16 in Philadelphia at Patient-Centered Oncology Care®, AJMC®’s annual multistakeholder meeting featuring payers, providers, and patient advocates. Read more: The Future of Oncology? COME HOME, the Oncology Medical Home: https://www.ajmc.com/journals/evidence-based-oncology/2013/2013-1-v

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 the Trump administration giving governors the power to overhaul section 1332 waivers under the Affordable Care Act (ACA); CMS disclosed a breach in the portal that agents and brokers use to assist consumers signing up for health coverage under the ACA; about one-third of all US healthcare payments in 2017 were tied to alternative payment models. Read more about the stories in this podcast: Trump Administration Gives States More Power to Alter ACA Exchange Offerings: https://www.ajmc.com/newsroom/trump-administration-gives-states-more-power-to-alter-aca-exchange-offerings CMS Reports Data Breach in ACA Agent and Broker Portal: https://www.ajmc.com/focus-of-the-week/cms-reports-data-breach-in-aca-agent-and-broker-portal CMS Cuts Budget for ACA Marketing to $10 Million for 2019 Plan Year: https://www.ajmc.co

A survivor of chronic lymphocytic leukemia who participated in the first CAR T trial in 2010 looks back at his experience and also discusses his views on how patient-reported outcomes (PROs) should be used, if at all, by the Centers for Medicare and Medicaid (CMS).

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 the Trump administration unveiling plans to include drug prices in television ads; CMS touted Medicare Advantage at the beginning of open enrollment for Medicare; research found Medicare beneficiaries who live in housing with support services stay out of the hospital. Read more about the stories in this podcast: Trump Officials Outline Plan to Put Drug Prices in TV Ads: https://www.ajmc.com/newsroom/trump-officials-outline-plan-to-put-drug-prices-in-tv-ads Verma Talks Up Medicare Advantage Growth at Insurance Industry Meeting: https://www.ajmc.com/newsroom/verma-talks-up-medicaid-advantage-growth-at-insurance-industry-meeting CMS Will Allow Medicare Advantage Plans to Use Step Therapy to Negotiate Drug Prices: https://www.ajmc.com/newsroom/cms-will-allow-medicare-advantage-plans-to-use-step-therapy-to-neg