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 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: https://www.ajmc.com/newsroom/uspstf-recommends-clinicians-prescribe-hiv-prep-to-all-highrisk-patients

ACC Pathway Finds Empagliflozin "Preferred" SGLT2 Therapy for Patients With Type 2 Diabetes, ASCVD: https://www.ajmc.com/newsroom/acc-pathway-finds-empagliflozin-preferred-sglt2-therapy-for-patients-with-type-2-diabetes-ascvd

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

Twitter: @EBOncology: https://twitter.com/eboncology

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/shortening-treatment-time-maintains-efficacy-saves-costs-in-hepatitis-c

Stricter Blood Pressure Guidelines Could Prevent Cardiovascular Events, but Debate Continues: www.ajmc.com/focus-of-the-week/stricter-blood-pressure-guidelines-could-prevent-cardiovascular-events-but-debate-continues

The American Journal of Managed Care® Names Dr Erin Trish as the 2018 Recipient of the Seema S. Sonnad Emerging Leader in Managed Care Research Award: www.ajmc.com/press-release/the-american-journal-of-managed-careisupregsup-names-dr-erin-trish-as-the-2018-recipient-of-the-seema-s-sonnad-emerging-leader-in-managed-care-research-award

AMA's McAneny Calls for Real-time Oncology Payment Model Led by Physicians: www.ajmc.com/conferences/pcoc2018/mcaneny-calls-for-realtime-oncology-payment-model-led-by-physicians

Patient-Centered Oncology Care 2018: www.ajmc.com/conferences/pcoc2018

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 Providers: https://www.ajmc.com/newsroom/more-patients-willing-to-switch-to-telehealth-providers

Telemedicine: The Cost-Effective Future of Healthcare: https://www.ajmc.com/contributor/john-rehm/2016/12/telemedicine-the-cost-effective-future-of-healthcare

Telehealth Use Limited in Some Federal Health Programs, GAO Finds: https://www.ajmc.com/focus-of-the-week/telehealth-use-limited-in-some-federal-health-programs-gao-finds

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-inpatient-mental-health-treatment

Gallup-Sharecare Report Shows How Diabetes Ranks Grew Across the US: https://www.ajmc.com/newsroom/gallupsharecare-report-shows-how-diabetes-ranks-grew-across-the-us

The American Journal of Managed Care—November 2018: https://www.ajmc.com/journals/issue/2018/2018-vol24-n11

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.com/focus-of-the-week/high-blood-pressure-in-young-adults-indicative-of-cvd-events-later-in-life

Elizabeth Stringer Explains Veterans' Risk of Opioid Abuse: https://www.ajmc.com/interviews/elizabeth-stringer-explains-veterans-risk-of-opioid-abuse

Deploying Data to Prevent Opioid Abuse in At-Risk Patients: https://www.ajmc.com/focus-of-the-week/deploying-data-to-prevent-opioid-abuse-in-atrisk-patients

Patient-Centered Oncology Care®: https://www.ajmc.com/pcoc2018

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-but-many-see-changes

Survivors of Head and Neck Cancers Have an Elevated Risk for Suicide: https://www.ajmc.com/focus-of-the-week/survivors-of-head-and-neck-cancers-have-an-elevated-risk-for-suicide

Community Oncology Alliance (COA) Payer Exchange Summit 2018: https://www.ajmc.com/conferences/coapayersummit2018