Podcast by Managed Care Cast
…
continue reading
1
Dr Rick Chapman Discusses Key Insights From the Center’s Rare Disease Project
15:36
15:36
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
15:36
On this episode of Managed Care Cast, we're talking with Rick Chapman, PhD, chief science officer of the Center for Innovation & Value Research, formerly known as the Innovation and Value Initiative (IVI).We discussed the Center's Rare Disease project, including the primary goals, key discoveries from Phase 1, and what to expect moving forward.…
…
continue reading
1
Sustaining Compassionate Trauma Care Across Communities
19:56
19:56
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
19:56
To help celebrate and recognize National Recovery Month, we have brought you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In this final episode, we speak with Lyndra Bills, MD, senior medical director, and Shari Hutchison, MS, director of program evaluation and outcomes, both with Communit…
…
continue reading
1
Frameworks for Advancing Health Equity: Community Wellness Centers
17:48
17:48
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
17:48
Delia Orosco, MS, director of Community Wellness Centers at Inland Empire Health Plan (IEHP), shares insight into innovative initiatives like the mobile mammogram clinics.Managed Care Cast
…
continue reading
1
Uplifting Rural Communities
33:57
33:57
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
33:57
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 4, Amy Herschell, PhD, associate vice president, Program Implementation and Evaluation, Community Care Behavioral Health Organization, and Jessica Meyers, MSEd, senior advisor …
…
continue reading
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 tim…
…
continue reading
1
Frameworks for Advancing Health Equity: Youth Behavioral Health Program
17:47
17:47
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
17:47
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…
…
continue reading
1
Healing Wounds Through Peer Support
20:24
20:24
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
20:24
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 Commun…
…
continue reading
1
Providing Patients a Voice in Their Recovery
25:07
25:07
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
25:07
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 West…
…
continue reading
1
Combatting the Opioid Epidemic: Insights From the Front Lines
29:47
29:47
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
29:47
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 t…
…
continue reading
1
Obesity Uncovered: Dr Eden Miller on US Obesity Epidemic, Insurance Shortcomings
15:42
15:42
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
15:42
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 in…
…
continue reading
1
Effective Strategies to Enhance Medicare Advantage Star Ratings
18:06
18:06
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
18:06
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. Loo…
…
continue reading
1
Building Trust, Breaking Barriers: Health Care Leaders Tackle Primary Care Challenges
34:59
34:59
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
34:59
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 car…
…
continue reading
1
Bridging the Vaccination Gap: Insights on Global Immunization Challenges
20:18
20:18
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
20:18
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.Managed Care Cast
…
continue reading
1
Dr Jason Spangler on Enhancing Equity in Health Technology Assessment
29:29
29:29
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
29:29
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 …
…
continue reading
1
Frameworks for Advancing Health Equity: Health Equity by Design
12:09
12:09
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
12:09
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.…
…
continue reading
1
Insurance Insights: Dr Jason Shafrin Estimates DMD Insurance Value
10:55
10:55
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
10:55
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 Rar…
…
continue reading
1
Managed Care Cast Presents: Challenges of Diagnosing and Managing PNH
25:41
25:41
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
25:41
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 …
…
continue reading
1
Exploring Pharmaceutical Innovations, Trust, and Access With CVS Health's CMO
20:39
20:39
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
20:39
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…
…
continue reading
1
Frameworks for Advancing Health Equity: LGBTQIA+ Affirming Provider Designation
12:45
12:45
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
12:45
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.Managed Care Cast
…
continue reading
1
Maternal Health Inequities: Improving Access to Postpartum Depression Treatment
19:09
19:09
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
19:09
Douglas Weber, MD, explains how zuranolone has changed the landscape for postpartum depression treatment, addressing a gap in care within the specialty.Managed Care Cast
…
continue reading
1
Frameworks for Advancing Health Equity: Trans and Gender Diverse Health Care
15:40
15:40
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
15:40
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.Managed Care Cast
…
continue reading
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-de…
…
continue reading
1
Cultivating Equality in the Garden State
27:10
27:10
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
27:10
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.Managed Care Cast
…
continue reading
1
Shining the Spotlight on Queer Joy and Resilience in LGBTQ+ Youth
26:55
26:55
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
26:55
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.Managed Care Cast
…
continue reading
1
Elevating Equitable Health Care for the LGBTQ+ Community
22:20
22:20
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
22:20
For June, we are bringing you a limited-edition podcast series to celebrate Pride Month. In our third episode, we speak with Patrick McGovern, CEO of Callen-Lorde since August of 2023 and an outspoken advocate for HIV, LGBTQ+, and community health.Managed Care Cast
…
continue reading
1
Frameworks for Advancing Health Equity: Immigrant Health
14:28
14:28
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
14:28
In this interview, we discuss immigrant health with Kheir Mugwaneza, the lead project manager of the Immigrant and Refugee Health Program at Allegheny Health Network.Managed Care Cast
…
continue reading
1
Unveiling the AI Equity Gap: A Wake-Up Call for Health Care Systems
11:34
11:34
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
11:34
On this episode of Managed Care Cast, we're talking with Dr Paige Nong, the author of a study published in the Health IT bonus issue. Her study, "Equity and AI Governance at Academic Medical Centers," found that academic medical centers show minimal consideration for equity when developing governance for AI technologies; this highlights the need fo…
…
continue reading
1
Fighting for the Future of LGBTQ Pride at Rutgers
22:59
22:59
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
22:59
For June, we are bringing you a limited-edition podcast series to celebrate Pride Month. In our second episode, we speak with Perry Halkitis, PhD, MS, MPH, dean and Hunterdon Professor of Public Health & Health Equity at the Rutgers School of Public Health and founder and director of the Center for Health, Identity, Behavior & Prevention Studies at…
…
continue reading
1
Exploring the Importance of Biomarker Testing to Identify Genetic Variants, Correct Treatments
14:48
14:48
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
14:48
On this episode of Managed Care Cast, we're talking with Kristine Ashcraft, the president and founder of YouScript, a tool that helps to predict adverse drug events and personalize patient care.We discuss the lack of awareness of genetic variants among patients and the recent adoption of biomarker testing legislation in some states. This legislatio…
…
continue reading
1
Celebrating Pride Month With Lancaster Pride
19:14
19:14
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
19:14
For June, we are bringing you a limited-edition podcast series to celebrate Pride Month. In this, our first episode, we speak with Tiffany Shirley, president of Lancaster Pride.Managed Care Cast
…
continue reading
1
From Polypharmacy to Personalized Care: Dr Nihar Desai Discusses Holistic Cardiovascular Care
22:32
22:32
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
22:32
In this episode of Managed Care Cast, Nihar Desai, MD, MPH, cardiologist and vice chief of Cardiology at the Yale School of Medicine, discusses therapies for cardiovascular conditions as they relate to patient adherence, polypharmacy, and health access.Managed Care Cast
…
continue reading
1
Cancer Care Crisis: Experts Discuss CMS Restrictions Impacting Rural Patients With Cancer
32:07
32:07
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
32:07
On this episode of Managed Care Cast, we're talking with Illinois CancerCare's Pankaj Kumar, MD, and Stephanie Parker, PharmD, 2 authors of a commentary published in the May 2024 issue of The American Journal of Managed Care.Their commentary, "Access Denied: CMS’ Action Hurts Patients With Cancer in Rural America," discusses how recent CMS rules re…
…
continue reading
1
Frameworks for Advancing Health Equity: Urban Health Outreach
17:51
17:51
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
17:51
In the series debut episode of Frameworks for Advancing Health Equity, Mary Sligh, CRNP, and Chelsea Chappars, of Allegheny Health Network, explain how the Urban Health Outreach program aims to improve health equity for individuals experiencing homelessness.Managed Care Cast
…
continue reading
1
CMS Medicare Final Rule: Advancing Benefits, Competition, and Consumer Protection
18:52
18:52
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
18:52
On this episode of Managed Care Cast, we're talking with Karen Iapoce, senior director of government products and programs at ZeOmega. We discussed CMS's recent Medicare Part D and Medicare Advantage final rule and how it affects enrollees and health plans.Managed Care Cast
…
continue reading
1
Tackling Health Inequality: The Power of Education and Experience
22:35
22:35
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
22:35
To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our final episode of this limited series and our conversation with Janine Jelks-Seale, MSPPM, director of health equity at UPMC Health Plan.…
…
continue reading
1
Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
24:01
24:01
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
24:01
On this episode of Managed Care Cast, we're talking with the University of Pennsylvania's Ravi Parikh, MD, MPP, and Aaron Schwartz, MD, PhD, 2 authors of a study published in the April 2024 issue of The American Journal of Managed Care®.Their study, "Trends in Low-Value Cancer Care During the COVID-19 Pandemic," discusses how rates of low-value can…
…
continue reading
1
Empowering Community Health Through Wellness and Faith
13:00
13:00
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
13:00
To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our third episode and our conversation with Camille Clarke-Smith, EdD, MS, CHES, CPT, program director of quality improvement/Medicare/SNP STARs at UPMC Health Plan…
…
continue reading
1
Overcoming Employment Barriers for Lasting Social Impact: Freedom House 2.0 and Pathways to Work
16:19
16:19
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
16:19
To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our second episode in which we learn all about Freedom House 2.0 and the Pathways to Work Program from its very own Dan LaVallee, senior director, Social Impact, UP…
…
continue reading
1
Making Giant Strides in Maternity Health Through Baby Steps
17:55
17:55
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
17:55
To help celebrate and recognize National Minority Health Month, we are kicking off a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our first episode, which is all about the Baby Steps Maternity Program and its mission to support women throughout every step of their pregnancy journey.…
…
continue reading
1
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
15:54
15:54
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
15:54
On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of the American Journal of Accountable Care® and a health policy professor at Penn State University. Topics we are discussing include President Biden's recent prescription drug proposals, prior authorization practices, price transparency, and the poten…
…
continue reading
1
Exploring Medicare Advantage Prior Authorization Variations
17:14
17:14
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
17:14
On this episode of Managed Care Cast, we're talking with the University of Minnesota School of Public Health's Hannah Neprash, PhD; John Mulcahy, a PhD candidate; and Ezra Golberstein, PhD, the authors of a study published in the March 2024 issue of The American Journal of Managed Care®.Their study, "The Extent and Growth of Prior Authorization in …
…
continue reading
1
Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
17:47
17:47
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
17:47
On this episode of Managed Care Cast, we're talking with J. Nwando Olayiwola, MD, MPH; Candy Magaña, MPA; and Bereket Kindo, PhD, the lead author, research and project lead, and data scientist of a study published in the February 2024 issue of The American Journal of Managed Care. Their study, "Screening for Health Literacy, Social Determinants, an…
…
continue reading
1
Drs Raymond Thertulien, Joseph Mikhael on Racial Disparities in Multiple Myeloma Care Access
28:05
28:05
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
28:05
In the wake of the 2023 American Society of Hematology Annual Meeting and Exposition, Raymond Thertulien, MD, PhD, of Novant Health, and Joseph Mikhael, MD, MEd, FRCPC, FACP, chief medical officer of the International Myeloma Foundation, discussed health equity research highlights from the meeting and drivers of racial disparities in multiple myelo…
…
continue reading
1
Editors of AJMC® Wrap Up the Year and Look to 2024
22:07
22:07
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
22:07
The editors in chief of The American Journal of Managed Care® discuss the managed care developments of 2023 and anticipate trends on the horizon.Managed Care Cast
…
continue reading
1
Updates on Adagrasib in CRC and the Importance of Genomic Testing With Dr Jun Gong
11:33
11:33
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
11:33
At the end of 2022, adagrasib received its first FDA approval for the treatment of adults with KRAS G12C-mutated locally advanced or metastatic non–small cell lung cancer. Research is ongoing into adagrasib, a KRAS G12C inhibitor, for other tumors.In today’s episode, we're joined by Jun Gong, MD, associate professor of medicine and the medical dire…
…
continue reading
1
Oncology Onward: A Conversation With Penn Medicine's Dr Justin Bekelman
28:34
28:34
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
28:34
Justin Bekelman, MD, director of the Penn Center for Cancer Care Innovation, sat with our hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, for our final episode of 2023 to discuss the importance of collaboration between academic medicine and community oncology and testing innovative cancer care delivery in these settings.…
…
continue reading
1
Insights on Primary Care Initiatives at Blue Cross and Blue Shield of North Carolina
20:44
20:44
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
20:44
Today, we bring you a podcast featuring insights from Blue Cross and Blue Shield of North Carolina. Sonny Goyal, chief strategy officer at Blue Cross NC, discusses some top priorities, as well as the insurer’s multiple investments in primary care and the workforce to improve value-based care.Managed Care Cast
…
continue reading
1
Managed Care Cast Presents: Insights Into Precision Medicine in NSCLC
30:51
30:51
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
30:51
Today we are bringing you a conversation between 3 experts on precision medicine in non–small cell lung cancer (NSCLC).Martin Socinski, MD, executive director of the AdventHealth Cancer Institute, spoke with Martin Dietrich, MD, PhD, medical oncologist of Florida Cancer Specialists and Research Institute, and Joshua Sabari, MD, medical oncologist w…
…
continue reading
1
Managed Care Cast Presents: Opportunities for Adalimumab Biosimilars, Part 2
19:35
19:35
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
19:35
Today we are bringing you part 2 of a 2-part podcast series on opportunities for biosimilars, specifically adalimumab biosimilars, in dermatology, gastroenterology, and rheumatology.The discussion was moderated by Ryan Haumschild, PharmD, director of Pharmacy Services at Emory Healthcare and Winship Cancer Institute. The topics of conversation for …
…
continue reading
1
Managed Care Cast Presents: Opportunities for Adalimumab Biosimilars, Part 1
19:56
19:56
Прослушать позже
Прослушать позже
Списки
Нравится
Нравится
19:56
Today we are bringing you part 1 of a 2-part podcast series on opportunities for biosimilars, specifically adalimumab biosimilars, in dermatology, gastroenterology, and rheumatology.The discussion was moderated by Ryan Haumschild, PharmD, director of Pharmacy Services at Emory Healthcare and Winship Cancer Institute. The topics of conversation for …
…
continue reading