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 Than 300 Groups Seek Halt to CMS' Plans for Global Drug Pricing Index: https://www.ajmc.com/newsroom/more-than-300-groups-seek-halt-to-cms-plans-for-global-drug-pricing-index

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

HHS Proposes to End Drug Rebates in Medicare, Medicaid Managed Care: https://www.ajmc.com/newsroom/hhs-proposes-to-end-drug-rebates-in-medicare-medicaid-managed-care

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 Outbreaks, Another Study Dispels Myths Surrounding MMR Vaccine: https://www.ajmc.com/newsroom/in-wake-of-measles-outbreaks-another-study-dispels-myths-surrounding-mmr-vaccine

HIV, Vaccine Refusal, Delays Among Greatest Threats to Global Health, Says WHO: https://www.ajmc.com/newsroom/hiv-vaccine-refusal-delays-among-greatest-threats-to-global-health-says-who

The American Journal of Managed Care—March 2019: https://www.ajmc.com/journals/issue/2019/2019-vol25-n3

Common Elements in Opioid Use Disorder Guidelines for Buprenorphine Prescribing: https://www.ajmc.com/journals/issue/2019/2019-vol25-n3/common-elements-in-opioid-use-disorder-guidelines-for-buprenorphine-prescribing

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-abortion-make-referrals-from-receiving-title-x-funds

HPV Vaccines Cut Cervical Cancer Rates, Study Shows: https://www.ajmc.com/newsroom/hpv-vaccination-safeguarding-against-cervical-cancer

Travel, Wait Times for Healthcare Services Cost $89 Billion Annually: https://www.ajmc.com/focus-of-the-week/travel-wait-times-for-healthcare-services-cost-89-billion-annually

American Academy of Allergy, Asthma and Immunology 2019: https://www.ajmc.com/conferences/aaaai-2019

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 Diet Drink Consumption Heightens Stroke Risk in Postmenopausal Women: https://www.ajmc.com/newsroom/greater-diet-drink-consumption-heightens-stroke-risk-in-postmenopausal-women

Advancing Quality Oncology Care in the Evolving Value-Based Care Landscape: https://www.ajmc.com/ivbm-dallas

Improving Care While Reducing Costs Through ACOs and Other Value-Based Efforts 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 increased demand for long-acting contraception since President Trump took office; a payer decision on an insulin pump alarmed diabetes advocates; and despite being involved in cancer treatment decisions, many primary care providers don't feel prepared to do so.

Read more about the stories in this podcast:

Demand for Long-Acting Contraception Increased in Wake of Concerns About Birth Control Access: https://www.ajmc.com/focus-of-the-week/demand-for-longacting-contraception-increased-in-wake-of-concerns-about-birth-control-access

JDRF Alarmed by Extension of UnitedHealthcare-Medtronic Pact to Youth With Type 1 Diabetes: https://www.ajmc.com/focus-of-the-week/jdrf-alarmed-by-extension-of-unitedhealthcaremedtronic-pact-to-youth-with-type1diabetes

Despite Being Involved in Cancer Treatment Decisions, PCPs Lack Knowledge, Confidence: https://www.ajmc.com/focus-of-the-week/despite-being-involved-in-cancer-treatment-decisions-pcps-lack-knowledge-confidence

Examining New Payment Ideas for Curative Therapies: https://www.ajmc.com/newsroom/examining-new-payment-ideas-for-curative-therapies

Evidence-Based Oncology - February 2019: https://www.ajmc.com/journals/evidence-based-oncology/2019/february-2019

Rutgers' Janice Mehnert, MD, on Biomarkers, Being Inclusive in Clinical Trials, and Taking Time to Weigh the Options: https://www.ajmc.com/journals/evidence-based-oncology/2019/february-2019/rutgers-janice-mehnert-md-on-biomarkers-being-inclusive-in-clinical-trials-and-taking-time-to-weigh-the-options

Does Providing Women With Cesarean Delivery Rate Comparison Data Influence Hospital Choice? by Managed Care Cast