Population Health

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Pharmacist helping customer | Image Credit: Gorodenkoff - stock.adobe.com
Insurer-PBM Firms Dominate Medicare Part D Market, Steering Patients to Their Pharmacies

January 17th 2025

Insurer-pharmacy benefit manager (PBM) firms control most of the Medicare Part D market, steering patients to their pharmacies through network exclusions and targeted marketing.

Background of H5N1 word,Medical health concept - JUN LI - stock.adobe.com
New Insights Into H5N1 Variability in Human Mutations

January 17th 2025

Close up of young man pouring fresh water from kitchen sink. Home interior - Dusan Petkovic - stock.adobe.com
Nearly One-Third of Americans Face Unregulated Contaminants in Water, Hispanic, Black Communities Hit Hardest

January 15th 2025

Hospital surgery corridor | VILevi - stock.adobe.com
Study Suggests Postdischarge Care Needs Targeted, Multifaceted Approaches

January 15th 2025

Young adult man donating blood | Image Credit: New Africa - stock.adobe.com
Updated Guidelines Allow Men Who Have Sex With Men to Join National Blood Donor Month Efforts

January 14th 2025

Continuing Medical Education
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January 20th 2025

Keeping Pace With New Developments in Multiple Myeloma: Updates and Strategies to Optimize Bispecific Antibodies and CAR T-Cell Therapy

1.5 Credits / Oncology, Hematology, Hematologic Cancer
January 20th 2025

Addressing the Gaps and Clinical Challenges in Chronic Lymphocytic Leukemia: Updates and Strategies for Managed Care

1.5 Credits / Hematology, Hematologic Cancer, Oncology
January 20th 2025

Closing Gaps in CLL Care: Managed Care Insights and Strategies

1.5 Credit / Hematologic Cancer, Oncology
January 20th 2025

ASH Annual Meeting Coverage: Highlighting the Recent Updates in TKI Use in the Treatment of CML – Insights and Application for Managed Care

1.0 Credit / Oncology, Hematology, Hematologic Cancer

More News

stethoscope on US flag
May 25th 2021

In 2020, Healthiest States Voted for Biden, Reported Superior COVID-19 Outcomes

Gianna Melillo
Results from Sharecare's Community Well-Being Index show Massachusetts was the healthiest state in 2020 while Mississippi ranked last.
J. Jaime Caro, MDCM, FACP, FRCPC, chief scientist at Evidera.
May 18th 2021

Dr J. Jaime Caro Discusses Influence of HEOR, Public Health Amid COVID-19

J. Jaime Caro, MDCM, FACP, FRCPC, is chief scientist at Evidera, professor in practice at London School of Economics, and adjunct professor of medicine, epidemiology, and biostatistics at McGill University.
What We're Reading infographic.
May 18th 2021

What We're Reading: US to Ship 80M Vaccines; Cyberattack on Irish Health Care; Recall of Abbott Pacemakers

AJMC Staff
The United States will ship approximately 80 million excess doses of COVID-19 vaccines abroad; Ireland's health services system could be hobbled for weeks by a ransomware attack; the FDA recalls more than 60,000 pacemakers manufactured by Abbott.
Efficacy of COVID-19 Vaccines in Real-World Settings Even Better Than Expected, Fauci Says
May 16th 2021

Efficacy of COVID-19 Vaccines in Real-World Settings Even Better Than Expected, Fauci Says

Allison Inserro
Anthony Fauci, MD, told attendees at the ATS 2021 International Conference that the real-world evidence of vaccines against SARS-CoV-2, the virus that causes COVID-19, is even better than expected.
Maternal immunizations
May 15th 2021

Session Highlights Opportunities and Challenges in Vaccine Development

Allison Inserro
A pediatric infectious disease expert reviewed some developments in the vaccine development pipeline, especially new efforts targeting infant health through maternal immunizations.
Diabetes in the News: PQA Speakers Focus on Prevention, Gaps in Care
May 15th 2021

Diabetes in the News: PQA Speakers Focus on Prevention, Gaps in Care

AJMC Staff
There is a role for pharmacists and pharmacy quality measures in addressing the public health challenge of diabetes, according to speakers at a recent virtual meeting this week.
Building Relationships and Trust to Overcome Vaccine Hesitancy
May 11th 2021

Building Relationships and Trust to Overcome Vaccine Hesitancy

On this episode of Managed Care Cast, Patricia Salber, MD, MBA, of The Doctor Weighs In, talks with the founder and CEO of ConsejoSano, a patient engagement firm working with diverse, multicultural, multilingual populations about the importance of building relationships and trust when trying to understand opinions and beliefs about COVID-19 vaccination.
FDA Widens Pfizer-BioNTech COVID-19 Vaccine Indication to Include Adolescents
May 10th 2021

FDA Widens Pfizer-BioNTech COVID-19 Vaccine Indication to Include Adolescents

Allison Inserro
The FDA said vaccinating adolescents is another step in getting the country back to prepandemic life.
Dr William Shrank on How Humana Is Trying to Reduce Vaccine Hesitancy
May 7th 2021

Dr William Shrank on How Humana Is Trying to Reduce Vaccine Hesitancy

William Shrank, MD, MSHS, the chief medical officer of Humana, discusses how the company is trying to overcome any vaccine hesitancy both in its workforce and in its insured member population.
Managed Care Cast
April 20th 2021

Removing Barriers to Mental Health Care for Children and Teenagers

On this episode of Managed Care Cast, we speak with the chief strategy officer for Well Being Trust, one of the authors of a recent report about how well health insurers and state Medicaid programs are covering mental health care for children and compliance with federal law. We discuss the unique challenges that youth face, the health disparities, racism, and community trauma that has been experienced in the past year, and some creative ways that organizations and communities can consider increase access to mental health supports.
How Not to Prepare for a Pandemic: Can We Learn From Public Health Budgetary Neglect?
April 13th 2021

How Not to Prepare for a Pandemic: Can We Learn From Public Health Budgetary Neglect?

Neglecting public health in state budgets for more than 10 years created an environment that was ill-suited to deal with the challenges of COVID-19 as well as other issues. On this episode of Managed Care Cast, we speak with one of the authors of a recent paper that examined state funding trends from 2008 to 2018 and discuss what could be done in the future to avoid past mistakes.
newspaper stack
April 2nd 2021

What We’re Reading: Pfizer Vaccine Effective After 6 Months; USDA Halts Plan to Cut Food Stamps; Pandemic Overdose Deaths

AJMC Staff
Phase 3 data show the Pfizer/BioNTech vaccine is effective at preventing COVID-19 6 months after the second dose; the USDA will not move forward with a plan to cut food stamps; data reveal spike in drug overdose deaths during pandemic.
Leveraging Health Data and AI to Predict COVID-19 Hotspots
March 30th 2021

Leveraging Health Data and AI to Predict COVID-19 Hotspots

Early on in the pandemic, Cotiviti developed a COVID-19 tracker map that accurately predicts where in the United States new COVID-19 outbreaks would occur. Nicole Neumarker, of Cotiviti, provides insight into what impact this technology could have in the future.
Designing Multimedia Patient Education to Overcome COVID-19 Vaccine Hesitancy
March 23rd 2021

Designing Multimedia Patient Education to Overcome COVID-19 Vaccine Hesitancy

How can health care systems talk about the issue of COVID-19 vaccine hesitancy with their patients? On this episode of Managed Care Cast, Pat Salber, MD, MBA, of The Doctor Weighs In, interviews the developer of interactive, people-centered, multimedia, educational programs for Wolters Kluwer Health.
Hospitalized Patients With COVID-19 May Experience Long-term Physical and Psychological Symptoms
March 17th 2021

Hospitalized Patients With COVID-19 May Experience Long-term Physical and Psychological Symptoms

Skylar Jeremias
Patients discharged from hospitals after recovering from severe COVID-19 were found to have lasting functional impairment and post-traumatic stress symptoms months after, according to a study.
20 Years of VBID Policy Achievements and How to Continue Progress
March 14th 2021

20 Years of VBID Policy Achievements and How to Continue Progress

Laura Joszt, MA
A panel of policy experts, including employees of the previous 2 administrations and a former lobbyist for health plans, discusses achievements of value-based insurance design and how to take the concept to the next level.
In American Rescue Plan, ACA Exchanges Start Clock for New Enrollees
March 11th 2021

In American Rescue Plan, ACA Exchanges Start Clock for New Enrollees

Allison Inserro
The $1.9 trillion spending package aimed at providing COVID-19 relief for those with low and middle incomes also represents the biggest investment in the exchange marketplaces created by the Affordable Care Act (ACA) since the landmark law was passed 11 years ago.
CDC Provides First Guidance on Safe Activities for Fully Vaccinated Individuals
March 8th 2021

CDC Provides First Guidance on Safe Activities for Fully Vaccinated Individuals

Laura Joszt, MA Allison Inserro
In a briefing, the White House COVID-19 Team discussed the first guidance from the CDC on activities that individuals fully vaccinated against COVID-19 can safely resume, and Anthony S. Fauci, MD, director of the National Institute of Allergy and Infectious Diseases, gave an update on antiretroviral drug development.
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February 25th 2021

Managed Care COVID-19 Outcomes in a Population Health Program

Richard B. Aguilar, MD Patrick Hardigan, PhD Bindu S. Mayi, PhD, MSc Giorgio Tarchini, MD Darby Sider, MD John McGoohan, DO Merlin Osorio, MD Marlow B. Hernandez, DO, MPH
Data from 38,193 patients showed that managed care patients have COVID-19 risk factors similar to those of the general population and that a population health program decreased mortality.
Why US Communities of Color Carry Heaviest Burden of COVID-19
February 24th 2021

Why US Communities of Color Carry Heaviest Burden of COVID-19

On this edition of Managed Care Cast, we present a short excerpt from a January webinar titled “Color and COVID-19: The Virus’ Disproportionate Impact” hosted by the MJH Life Sciences™ COVID-19 Coalition about how the pandemic has had an unequal, devastating impact on communities of color.
Biden’s DOJ Reverses Course in Case Seeking to Overturn ACA
February 10th 2021

Biden’s DOJ Reverses Course in Case Seeking to Overturn ACA

Allison Inserro
The Department of Justice (DOJ), under a new administration, on Wednesday dropped its previous position that the now-defunct tax provision in the Affordable Care Act (ACA) cannot be severed from the rest of the law, thus making the entire health law unconstitutional.
Prediabetes May Not Necessitate Diabetes Development in Older Adults
February 8th 2021

Prediabetes May Not Necessitate Diabetes Development in Older Adults

Gianna Melillo
Prediabetes may not be a robust diagnostic biomarker for predicting future diabetes development in older adults.
Climate’s Health Effects Spark Action From Biden, GM, Heart Organizations
January 28th 2021

Climate’s Health Effects Spark Action From Biden, GM, Heart Organizations

Gianna Melillo
The intersection of climate change and negative impacts on health were brought into sharp focus this week with executive orders from President Biden, a move by General Motors (GM) to stop making some gasoline-powered cars, and top global cardiology organizations calling for urgent action on air pollution.
Biden Reopens ACA Enrollment, Rescinds Global Gag Rule, Will Reexamine Work Requirements
January 28th 2021

Biden Reopens ACA Enrollment, Rescinds Global Gag Rule, Will Reexamine Work Requirements

Allison Inserro
The Biden administration will reopen the health exchanges created by the Affordable Care Act (ACA); direct HHS and other agencies to reexamine other health policies, including Medicaid work requirements; and reverse the so-called global gag rule while affirming support for reproductive health.
Rethinking Deprescribing: Who Should Monitor “Drug Overload”?
January 22nd 2021

Rethinking Deprescribing: Who Should Monitor “Drug Overload”?

Sharon K. Jhawar, PharmD, MBA, BCGP
Health plan pharmacists are in the perfect position to see overprescribing as it happens.
Incoming CDC Director to Prioritize Communication, COVID-19 Vaccine Rollout
January 19th 2021

Incoming CDC Director to Prioritize Communication, COVID-19 Vaccine Rollout

Gianna Melillo
As Rochelle Walensky, MD, MPH, prepares to assume the role of CDC director on January 20, the infectious disease specialist faces a myriad of challenges wrought by the ongoing coronavirus disease 2019 (COVID-19) pandemic.
Graphic depicting lineage
January 16th 2021

Family History, Genetics May Help to Predict, Detect Early-Stage CKD

Skylar Jeremias
A population-based study from the Netherlands showed that individuals with had at least 1 direct relative affected with chronic kidney disease (CKD), suggesting that biomarkers for CKD can aid in detecting the early stages of the disease.
Examining the Shift to Value-Based Kidney Care Delivery in 2021
January 12th 2021

Examining the Shift to Value-Based Kidney Care Delivery in 2021

On this episode of Managed Care Cast, we speak with the new chief financial officer of Strive Health, a value-based kidney care company that works with payers and providers to create an integrated care delivery system for chronic kidney disease and end-stage renal disease (ESRD). We discuss the changes coming to nephrology practices, as well as new ways of looking at the whole patient to halt the slide to irreversible ESRD.
Managing Social Determinants of Health During COVID-19
January 6th 2021

Managing Social Determinants of Health During COVID-19

Addressing the social health needs of those ill with coronavirus disease 2019 (COVID-19) is a challenge for providers and health care systems. On this episode of Managed Care Cast, we speak with Bechara Choucair, MD, senior vice president and chief health officer for Kaiser Permanente, who discusses the organization's guide that walks clinicians through considerations to keep in mind when screening patients in order to improve health outcomes as well as reduce community transmission.
What We're Reading: FDA Stands Fast on COVID-19 Vaccine Dosing; Haven Dissolves; Moderna Boosts Dose Supply
January 5th 2021

What We're Reading: FDA Stands Fast on COVID-19 Vaccine Dosing; Haven Dissolves; Moderna Boosts Dose Supply

AJMC Staff
The FDA warns against making any changes to the authorized dosing schedules of coronavirus disease 2019 (COVID-19) vaccines; joint health care venture, Haven, dissolves; Moderna announced it will increase production of its vaccine by 100 million doses for 2021.
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