Managed Care Cast

Every week, The American Journal of Managed Care® recaps the top managed care news of the week.

This week, the top managed care news included the effects of wildfires and the pandemic on health; a conversation on Ochsner Health’s Connected Maternity Online Monitoring Program; a preview of discussions at Patient-Centered Oncology Care® 2020.

Read more about the stories in this podcast:

Concurrent Wildfire, Pandemic Hazards Test US Mental, Physical Health: https://www.ajmc.com/view/concurrent-wildfire-pandemic-hazards-test-us-mental-physical-health

Dr Joseph Biggio Discusses Ochsner Health's Connected MOM Program, COVID-19 Pregnancy Challenges: https://www.ajmc.com/view/dr-joseph-biggio-discusses-ochsner-health-s-connected-mom-program-covid-19-pregnancy-challenges

Patient-Centered Oncology Care 2020 Pre-Conference Videos: https://www.ajmc.com/conference/pcoc

Patient-Centered Oncology Care 2020 Registration: https://event.ajmc.com/event/a8831e3f-8e98-4837-88fc-780d4f4eca61/regProcessStep1

Pain 1 of 3 in a Cluster of Symptoms Affecting Men After Prostate Cancer: https://www.ajmc.com/view/pain-1-of-3-in-a-cluster-of-symptoms-affecting-men-after-prostate-cancer

ECTRIMS: European Committee for Research and Treatment in Multiple Sclerosis Conference Coverage: https://www.ajmc.com/conference/ectrims

Long-term Cost Effects of Collaborative Care for Late-life Depression: https://www.ajmc.com/view/feb08-2835p095-100

Surprise Medical Bills Drive Up Health Premiums for All by Managed Care Cast

As the coronavirus disease 2019 (COVID-19) continues to spread throughout the country, practices and health systems are transforming care to limit exposure to those who may be at greater risk of severe complications. At Ochsner Health, the largest non-profit academic healthcare system in Louisiana, providers are leveraging the system’s Connected Maternity Online Monitoring (MOM) digital medicine program to minimize expectant mothers’ risks of contracting COVID-19.

To learn more about this program, we spoke with Joseph Biggio Jr. MD, MS, the system co-chair of Women’s Services and system chair for Maternal-Fetal Medicine at Ochsner Health. Dr. Biggio, an obstetrician gynecologist, specializes in provision of high-risk pregnancy care and has been involved with provision of care related to women with medical complications, obstetric complications, and fetal complications in pregnancy.

On this episode of Managed Care Cast, Dr. Biggio explains how the Connected MOM program functions and lays out the challenges expectant mothers face during a pandemic.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week.

This week, the top managed care news included identification of insomnia as a risk factor for type 2 diabetes; a look at the growth of telehealth during coronavirus disease 2019; an overview of the speakers who will appear at Patient-Centered Oncology Care 2020.

Read more about the stories in this podcast:

Study Finds Insomnia as New Risk Factor for Type 2 Diabetes: https://www.ajmc.com/view/study-finds-insomnia-as-new-risk-factor-for-type-2-diabetes

The Growth of Telehealth During COVID-19 and Its Future After: Dr Patricia Salber Interviews Dr Joseph Kvedar: https://www.ajmc.com/view/the-growth-of-telehealth-during-covid-19-and-its-future-after-dr-patricia-salber-interviews-dr

PCOC 2020: Cancer Care Transformation Continues During COVID-19: https://www.ajmc.com/view/pcoc-2020-cancer-care-transformation-continues-during-covid-19

Equity in Care Delivery Still at Top of PCOC 2020 Agenda, Amid “Undue Burden”: https://www.ajmc.com/view/equity-in-care-delivery-still-at-top-of-pcoc-2020-agenda-amid-undue-burden

PCOC20 registration: https://event.ajmc.com/event/a8831e3f-8e98-4837-88fc-780d4f4eca61/regProcessStep1

FDA Clears Targeted Therapy, Diagnostic for Metastatic RET Fusion-Positive NSCLC: https://www.ajmc.com/view/fda-clears-targeted-therapy-diagnostic-for-metastatic-ret-fusion-positive-nsclc

The Promise and Perils of Big Data in Healthcare: https://www.ajmc.com/view/the-promise-and-perils-of-big-data-in-healthcare

Telehealth has been around for years in the United States, but it was not until the coronavirus disease 2019 (COVID-19) pandemic that it became regularly used. The growth of telehealth was fueled by the inability to see patients in person at the beginning of the pandemic and a move by the government to temporarily relax regulations.

Joseph Kvedar, MD, president of the American Telemedicine Association, professor of Dermatology at Harvard Medical School, co-chair of the American Medical Association's Digital Medicine Payment Advisory Group, and editor-in-chief of npj Digital Medicine, explained that some of those relaxations might continue on after the pandemic passes, but some may get rolled back.

In conversation with Patricia Salber, MD, MBA, of The Doctor Weighs In, Kvedar also discussed how breakthroughs in technology have helped make virtual visits possible, the future of telehealth, and more.

Learn more:

Contributor: Telehealth Claim Lines Increased 4132% Nationally From June 2019 to June 2020: https://www.ajmc.com/view/contributor-telehealth-claim-lines-increased-4132-nationally-from-june-2019-to-june-2020

Continuation of Routine Screenings, Care Is Crucial During COVID-19 Pandemic: https://www.ajmc.com/view/continuation-of-routine-screenings-care-is-crucial-during-covid19-pandemic

ACR Position Statement Supports Use of Telemedicine After COVID-19 Crisis​: https://www.ajmc.com/view/acr-position-statement-supports-use-of-telemedicine-after-covid19-crisis

Which Telehealth Changes Will Become Permanent? Hints May Come Next Month​: https://www.ajmc.com/view/which-telehealth-changes-will-become-permanent-hints-may-come-next-month

In-person Visits Are Invaluable, but Telehealth Is Here to Stay​: https://www.ajmc.com/view/inperson-visits-are-invaluable-but-telehealth-is-here-to-stay

In this episode of Managed Care Cast, we talk with Michael N. Abrams, a cofounder and managing partner of Numerof & Associates, about the fifth annual report on the state of population health.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week.

This week, the top managed care news included HHS defending a CDC change limiting coronavirus disease 2019 (COVID-19) testing for asymptomatic people; an inside look at the Facing Metastatic Breast Cancer Together campaign; a conversation with Kashyap Patel, MD, on his new book.

Read more about the stories in this podcast:

Amid Controversy, HHS Defends Change in COVID-19 Testing Guidance: https://www.ajmc.com/view/amid-controversy-hhs-defends-change-in-covid-19-testing-guidance

Being Each Other’s Hero: Facing MBC Together: https://www.ajmc.com/view/being-each-others-hero-facing-mbc-together

When the Topic Is Dying: A Conversation With Kashyap Patel, MD: https://www.ajmc.com/view/when-the-topic-is-dying-a-conversation-with-kashyap-patel-md

How Virtual Care, Back-to-School Support, Health Inequities Are Influencing Employer Action: https://www.ajmc.com/view/how-virtual-care-back-to-school-support-health-inequities-are-influencing-employer-action

After FDA Approval, EMA Accepts Marketing Authorization Application for First Oral SMA Therapy: https://www.ajmc.com/view/after-fda-approval-ema-accepts-marketing-authorization-application-for-first-oral-sma-therapy

Forgotten Patients: ACO Attribution Omits Those With Low Service Use and the Dying: https://www.ajmc.com/view/forgotten-patients-aco-attribution-omits-those-with-low-service-use-and-the-dying

If there is any issue that has encapsulated the gravity of social determinants of health (SDOH) better than the coronavirus disease 2019 (COVID-19) pandemic, you'd probably be hard pressed to find a public health official able to name one.

On this episode of Managed Care Cast, we share a little bit of our interview with the head of the American Public Health Association, which will appear in the September issue of The American Journal of Managed Care®.

As schoolchildren, teachers, essential workers and others try to adjust to the changes wrought by this novel infectious disease this year, Georges C. Benjamin, MD, speaks about the "need to have a new societal compact for health."

Every week, The American Journal of Managed Care® recaps the top managed care news of the week.

This week in managed care, the top news includes survival improves among wait-listed heart transplant candidates, the Trump administration offers a progress report on its kidney care initiative, and panelists say choice is vital to the biosimilar savings picture.

Read more about the stories in this podcast:

Survival Improves Among Wait-listed Heart Transplant Candidates: https://www.ajmc.com/view/survival-improves-among-wait-listed-heart-transplant-candidates

Administration Offers Progress Report on Kidney Care Initiative: https://www.ajmc.com/view/administration-offers-progress-report-on-kidney-care-initiative

Choice Is Vital to Biosimilar Savings Picture, Panelists Say: https://www.ajmc.com/view/choice-is-vital-to-biosimilar-savings-picture-panelists-say

Do ICD-10 Codes Accurately Reflect COVID-19 Symptoms? https://www.ajmc.com/view/do-icd-10-codes-accurately-reflect-covid-19-symptoms

For Short Bouts of Acute Pain, Avoid Opioids, Guidelines Caution: https://www.ajmc.com/view/for-short-bouts-of-acute-pain-avoid-opioids-guidelines-caution

Population Targeting and Durability of Multimorbidity Collaborative Care Management: https://www.ajmc.com/view/population-targeting-and-durability-of-multimorbidity-colloborative-care-management

The coronavirus disease 2019 (COVID-19)pandemic has created one of the most rapidly changing environments to ever hit health care. The pandemic has put a strain on hospitals and staff, but people are also worried about the impact COVID-19 is having on preventive care and the management of chronic illness.

Scott Hayworth, MD, president and CEO of New York-based CareMount Medical, discussed how his medical group handled the pandemic in what had been the epicenter of the US outbreak back in the spring, as well as what changes the group has made that will permanently alter the way it delivers care, during a conversation with Patricia Salber, MD, MBA, of The Doctor Weighs In.

Learn more:

Continuation of Routine Screenings, Care Is Crucial During COVID-19 Pandemic: https://www.ajmc.com/view/continuation-of-routine-screenings-care-is-crucial-during-covid19-pandemic

Cancer Care in the Age of COVID-19: Dr Patricia Salber Interviews Dr Bobby Reddy: https://www.ajmc.com/view/cancer-care-in-the-age-of-covid-19-dr-patricia-salbers-interviews-dr-bobby-reddy