Managed Care Cast

To start 2019, Managed Care Cast, the podcast of The American Journal of Managed Care® is taking a look back at 2018. At the end of the year AJMC® had polled readers on 5 big news stories from the year to gauge which one they thought was the most important. Here, Laura Joszt, associate editorial director, and Jaime Rosenberg, assistant editor, discuss these healthcare news stories and reveal which one was named the most important of 2018.

Read more about the papers and news events mentioned:

5 Healthcare-Related Ballot Measures From the 2018 Midterm Elections: https://www.ajmc.com/newsroom/5-healthcarerelated-ballot-measures-from-the-2018-midterm-elections

Tracking Medicaid Expansion: https://www.ajmc.com/newsroom/tracking-medicaid-expansion

Advocates Lambast Growing Number of Uninsured in Arkansas Due to Work Rules: https://www.ajmc.com/newsroom/advocates-lambast-growing-number-of-uninsured-in-arkansas-due-to-work-rules

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-negotiate-drug-prices

Trump Administration Finalizes Rule for Short-Term, Limited Duration Health Plans: https://www.ajmc.com/newsroom/trump-administration-finalizes-rule-for-shortterm-limited-duration-health-plans

As ACA Enrollment Begins, What's Included in Some Short-Term Insurance Plans? https://www.ajmc.com/newsroom/as-aca-enrollment-begins-whats-included-in-some-shortterm-insurance-plans

Federal Judge Strikes Down Affordable Care Act: https://www.ajmc.com/newsroom/federal-judge-strikes-down-affordable-care-act

In the Wake of ACA Ruling, the Only Thing Certain Is Uncertainty: https://www.ajmc.com/focus-of-the-week/in-the-wake-of-aca-ruling-the-only-thing-certain-is-uncertainty

Looking Back and Ahead: AJMC®'s Editors-in-Chief Recap 2018 and Make Predictions for 2019: https://www.ajmc.com/managed-care-cast/looking-back-and-ahead-iajmcisupregsups-editorsinchief-recap-2018-and-make-predictions-for-2019

CDC Data: Life Expectancy Decreases as Deaths From Suicide, Drug Overdose Increase: https://www.ajmc.com/focus-of-the-week/cdc-data-life-expectancy-decreases-as-deaths-from-suicide-drug-overdose-increase

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, we recapped the top news from 2018 with a look at policy changes, new research, decisions at the polls, and more.

Read more about the stories in this podcast:

As ACA Enrollment Begins, What's Included in Some Short-Term Insurance Plans? https://www.ajmc.com/newsroom/as-aca-enrollment-begins-whats-included-in-some-shortterm-insurance-plans

Federal Judge Strikes Down Affordable Care Act: https://www.ajmc.com/newsroom/federal-judge-strikes-down-affordable-care-act

Tracking Medicaid Expansion: https://www.ajmc.com/newsroom/tracking-medicaid-expansion

CDC Data: Life Expectancy Decreases as Deaths From Suicide, Drug Overdose Increase: https://www.ajmc.com/focus-of-the-week/cdc-data-life-expectancy-decreases-as-deaths-from-suicide-drug-overdose-increase

Praluent Cuts Deaths by 29% for Those With Highest Cholesterol Levels, ODYSSEY Finds: https://www.ajmc.com/conferences/acc-2018/praluent-cuts-deaths-by-29-for-those-with-highest-cholesterol-levels-odyssey-finds

Phase 3 TAILORx Results Confirm Chemotherapy Unnecessary in 70% of Women With Early-Stage Breast Cancer: https://www.ajmc.com/conferences/asco-2018/phase-3-tailorx-results-confirm-chemotherapy-unnecessary-in-70-of-women-with-earlystage-breast-cancer

Choosing Wisely Clinical Decision Support Adherence and Associated Inpatient Outcomes: https://www.ajmc.com/journals/issue/2018/2018-vol24-n8/choosing-wisely-clinical-decision-support-adherence-and-associated-inpatient-outcomes

As 2018 draws to a close, The American Journal of Managed Care® (AJMC®)'s co-editors-in-chief, A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design at the University of Michigan, and Michael E. Chernew, PhD, director of the Healthcare Markets and Regulation Lab at Harvard Medical School, recapped their favorite AJMC® papers published in 2018, identified events from the year that are likely to impact future research in the journal, and looked ahead to 2019 with healthcare and health policy predictions.

Read more about the papers and news events mentioned:

Financial Burden of Healthcare Utilization in Consumer-Directed Health Plans: https://www.ajmc.com/journals/issue/2018/2018-vol24-n4/financial-burden-of-healthcare-utilization-in-consumer-directed-health-plans

A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic Surgery: https://www.ajmc.com/journals/issue/2018/2018-vol24-n11/a-randomized-pragmatic-pharmacistled-intervention-reduced-opioids-following-orthopedic-surgery

Overall US Healthcare Spending Growth Slowed for Second Year, CMS Says: https://www.ajmc.com/focus-of-the-week/overall-us-healthcare-spending-growth-slows-for-second-year-cms-says

Levers to Reduce Use of Unnecessary Services: Creating Needed Headroom to Enhance Spending on Evidence-Based Care: https://www.ajmc.com/journals/issue/2018/2018-vol24-n8/levers-to-reduce-use-of-unnecessary-services-creating-needed-headroom-to-enhance-spending-on-evidencebased-care

Addressing Low-Value Care and a Better Benefit Design at the V-BID Summit: https://www.ajmc.com/managed-care-cast/addressing-lowvalue-care-and-a-better-benefit-design-at-the-vbid-summit

Federal Judge Strikes Down Affordable Care Act: https://www.ajmc.com/newsroom/federal-judge-strikes-down-affordable-care-act

In the Wake of ACA Ruling, the Only Thing Certain Is Uncertainty: https://www.ajmc.com/focus-of-the-week/in-the-wake-of-aca-ruling-the-only-thing-certain-is-uncertainty

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 federal judge ruling that the Affordable Care Act is unconstitutional; new diabetes standards address cardiovascular risk; efforts targeting loneliness show improved health outcomes.

Read more about the stories in this podcast:

Federal Judge Strikes Down Affordable Care Act: https://www.ajmc.com/newsroom/federal-judge-strikes-down-affordable-care-act

ADA Embraces CV Risk Calculator, Calls for Using GLP-1s Before Insulin in Type 2 Diabetes: https://www.ajmc.com/newsroom/ada-embraces-cv-risk-calculator-calls-for-using-glp1s-before-insulin-in-type-2-diabetes

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 Togetherness Program Addresses a Symptom of Living With Chronic Illness: Loneliness: https://www.ajmc.com/journals/evidence-based-oncology/2018/august-2018/caremores-togetherness-program-addresses-a-symptom-of-living-with-chronic-illness-loneliness

Report Assesses Degree of Alignment Between ASCO, ESMO Oncology Frameworks: https://www.ajmc.com/newsroom/report-assesses-degree-of-alignment-between-asco-esmo-oncology-frameworks

Increased Healthcare Utilization and Expenditures Associated With Chronic Opioid Therapy: https://www.ajmc.com/journals/ajac/2018/2018-vol6-n4/increased-healthcare-utilization-and-expenditures-associated-with-chronic-opioid-therapy

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 Anticoagulants, Value Discussion of PCSK9s, and Technology in 2019: https://www.ajmc.com/newsroom/cardiologists-see-more-direct-oral-anticoagulants-value-discussion-of-pcsk9s-and-technology-in-2019

Evidence-Based Oncology—December 2018: https://www.ajmc.com/journals/evidence-based-oncology/2018/december-2018

The Future of Cancer Care: https://www.ajmc.com/journals/evidence-based-oncology/2018/december-2018/the-future-of-cancer-care

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 Adds to Debate Over Statin Use to Prevent CVD: https://www.ajmc.com/newsroom/new-study-adds-to-debate-over-statin-use-to-prevent-cvd

Real-World Evidence With Axicabtagene Ciloleucel CAR T Treatment Similar to ZUMA-1 Trial Findings: https://www.ajmc.com/conferences/ash-2018/realworld-evidence-with-axicabtagene-ciloleucel-car-t-treatment-similar-to-zuma1-trial-findings

Length of Hospital Stay Key Driver of Costs Associated With CRS Following CAR T Treatment: https://www.ajmc.com/conferences/ash-2018/length-of-hospital-stay-key-driver-of-costs-associated-with-crs-following-car-t-treatment

Dr Theresa Keegan: AYAs Continue to Be Underrepresented in Clinical Trials: https://www.ajmc.com/conferences/ash-2018/dr-theresa-keegan-ayas-continue-to-be-underrepresented-in-clinical-trials

American Society of Hematology Annual Meeting & Exposition: https://www.ajmc.com/conferences/ash-2018

The American Journal of Accountable Care—December 2018: https://www.ajmc.com/journals/ajac/2018/2018-vol6-n4

Mental Health and Diabetes Control Among Vulnerable Primary Care Patients: https://www.ajmc.com/journals/ajac/2018/2018-vol6-n4/mental-health-and-diabetes-control-among-vulnerable-primary-care-patients

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.