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 comments to several proposals from CMS; Medicare advocates say voters will be motivated by healthcare cost concerns during the midterm elections; research showed diabetes drug dapagliflozin, an SGLT2 inhibitor, reduces risks of major cardiovascular events.

Read more about the stories in this podcast:

Hospital Groups, Others Raise Concerns Over CMS Payment Proposal: https://www.ajmc.com/newsroom/hospital-groups-others-raise-concerns-over-cms-payment-proposal

Senate Votes 98-2 to Ban Pharmacist Gag Clauses: https://www.ajmc.com/newsroom/senate-votes-982-to-ban-pharmacist-gag-clauses

What We're Reading: Safety-Net Readmissions; Gag Clause Bill to Trump; CREATES Impact on Drug Spend: https://www.ajmc.com/newsroom/what-were-reading-safetynet-readmissions-gag-clause-bill-to-trump-creates-impact-on-drug-spend

Medicare Advocates Call for Keeping Program as It Is, Cite Voter Concerns About Costs: https://www.ajmc.com/newsroom/medicare-advocates-call-for-keeping-program-as-it-is-cite-voter-concerns-about-costs

Diabetes Drug Farxiga Cuts Heart Risks in Topline Results: https://www.ajmc.com/newsroom/diabetes-drug-farxiga-cuts-heart-risks-in-topline-results

CVD-REAL Results in More Diverse Countries Link SGLT2s to Lower Risk of Death, Heart Attack, Stroke: https://www.ajmc.com/conferences/acc-2018/cvdreal-results-in-more-diverse-countries-link-sglt2s-to-lower-risk-of-death-heart-attack-stroke

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

Medicaid Transformation Project: Addressing Health, Social Needs of Vulnerable Populations 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 the Senate overwhelmingly voting to ban pharmacist gag clauses; a study found the current vaccine pipeline for HIV, tuberculosis, and malaria may fall short; an expert noted a trend of healthcare cost data seeping into nonhealthcare companies’ earnings calls.

Read more about the stories in this podcast:

Senate Votes 98-2 to Ban Pharmacist Gag Clauses: https://www.ajmc.com/newsroom/senate-votes-982-to-ban-pharmacist-gag-clauses

Launch of Highly Efficacious HIV, Tuberculosis, and Malaria Vaccines Unlikely, Study Says: https://www.ajmc.com/newsroom/launch-of-highly-efficacious-hiv-tuberculosis-and-malaria-vaccines-unlikely-study-says

When Employee Healthcare Costs Move Stocks: https://www.ajmc.com/contributor/joseph-andelin/2018/09/when-employee-healthcare-costs-move-stocks

A Multidisciplinary Approach to Managing Complexities in Cancer Care: https://www.ajmc.com/managed-care-cast/a-multidisciplinary-approach-to-managing-complexities-in-cancer-care

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

A Multidisciplinary Approach to Managing Complexities in Cancer Care 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 medical groups asking CMS to halt or slow down its plans to cut physician reimbursement for evaluation and management services; the Senate weighs a package of bills to combat the opioid epidemic; new research shows the Affordable Care Act pushed the uninsured rate down to 10%.

Read more about the stories in this podcast:

Medical Groups Tell CMS to Stand Down From Linking Reimbursement to Paperwork Burdens: https://www.ajmc.com/newsroom/medical-groups-tell-cms-to-stand-down-from-linking-reimbursement-to-paperwork-burdens

What We're Reading: Senate Opioid Bills; Michigan's Medicaid Work Requirements; Missouri Abortion Ruling: https://www.ajmc.com/newsroom/what-were-reading-senate-opioid-bills-michigans-medicaid-work-requirements-missouri-abortion-ruling

ACA Pushed Uninsured Rate Down to 10% in 2016, Even More So in Medicaid Expansion States: https://www.ajmc.com/newsroom/aca-pushed-uninsured-rate-down-to-10-in-2016-even-more-so-in-medicaid-expansion-states

Prescription Drug Coverage Improved Survival for Patients With MM: https://www.ajmc.com/newsroom/prescription-drug-coverage-improved-survival-for-patients-with-mm

Future Perspectives on Oncology Value Based Care: https://www.ajmc.com/ivbm-nyc

The September issue of The American Journal of Managed Care® highlighted research into social determinants of health and ways to address social determnants in the health system.

In a commentary, Dhruv Khullar, MD, MPP, and Rainu Kaushal, MD, MPH, both of the Weill Cornell Department of Health Policy and Research, outlined how health systems can utilize data-sharing networks to deliver targeted care to high-need, high-cost patients. In this interview, Khullar outlines the idea of precision health, challenges the industry faces when trying to share data, and what steps can be taken to implement such care.

Learn more about drug prices in the United States and efforts to lower them:

“Precision Health” for High-Need, High-Cost Patients: https://www.ajmc.com/journals/issue/2018/2018-vol24-n9/precision-health-for-highneed-highcost-patients

Language Barriers and LDL-C/SBP Control Among Latinos With Diabetes: https://www.ajmc.com/journals/issue/2018/2018-vol24-n9/language-barriers-and-ldlcsbp-control-among-latinos-with-diabetes

Food Insecurity, Healthcare Utilization, and High Cost: A Longitudinal Cohort Study: https://www.ajmc.com/journals/issue/2018/2018-vol24-n9/food-insecurity-healthcare-utilization-and-high-cost-a-longitudinal-cohort-study

Health Literacy, Preventive Health Screening, and Medication Adherence Behaviors of Older African Americans at a PCMH: https://www.ajmc.com/journals/issue/2018/2018-vol24-n9/health-literacy-preventive-health-screening-and-medication-adherence-behaviors-of-older-african-americans-at-a-pcmh

Going Below the Surface of Healthcare Cost Discussions With Dr Bobby Dubois 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 a study on the impact physician burnout is having on care quality; the latest Affordable Care Act showdown took place in a Texas courtroom; the share of employers offering health coverage increased for the first time since 2008.

Read more about the stories in this podcast:

Physician Burnout Associated With Poorer Patient Outcomes: https://www.ajmc.com/focus-of-the-week/physician-burnout-associated-with-poorer-patient-outcomes

What We're Reading: Co-Pay Accumulators; GOP Pre-Existing Conditions Bill; Supervised Injection Sites: https://www.ajmc.com/newsroom/what-were-reading-copay-accumulators-gop-preexisting-conditions-bill-supervised-injection-sites

Texas Hearing Against ACA Wraps Up as Senators Tie Issue to Kavanaugh: https://www.ajmc.com/newsroom/texas-hearing-against-aca-wraps-up-as-senators-tie-issue-to-kavanaugh

Percent of Employers Offering Health Coverage Increases for First Time Since 2008: https://www.ajmc.com/focus-of-the-week/percent-of-employers-offering-health-coverage-increases-for-first-time-since-2008

High-Touch Care Leads to Better Outcomes and Lower Costs in a Senior Population: https://www.ajmc.com/journals/issue/2018/2018-vol24-n9/hightouch-care-leads-to-better-outcomes-and-lower-costs-in-a-senior-population

Bringing Virtual Tumor Boards, Real-Time Data to the Point of Care 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 encouraging results from the Next Generation Accountable Care Organization model; concerns that CMS' new billing rules will hurt the sickest patients; a study confirms  the value of daily aspirin for patients with diabetes.

Read more about the stories in this podcast:

Next Generation ACO Model Saves $62 Million in First Year: https://www.ajmc.com/focus-of-the-week/next-generation-aco-model-saves-62-million-in-first-year

Patient, Provider Groups Tell CMS Proposed E/M Service Cuts Will Hurt Sickest Patients: https://www.ajmc.com/newsroom/patient-provider-groups-tell-cms-proposed-em-service-cuts-will-hurt-sickest-patients

ASCEND Results Confirm Aspirin Prevents Primary Vascular Events in Diabetes: https://www.ajmc.com/focus-of-the-week/ascend-results-confirm-aspirin-prevents-primary-vascular-events-in-diabetes-

Senate Moves Forward With Drug Price Transparency Amendment: https://www.ajmc.com/focus-of-the-week/senate-moves-forward-with-drug-price-transparency-amendment

The Financial Impact of the Sequester Cut to Medicare Part B Drug Reimbursement in Community Oncology: https://www.ajmc.com/contributor/coa/2018/08/the-financial-impact-of-the-sequester-cut-to-medicare-part-b-drug-reimbursement-in-community-oncology