In this episode of Managed Care Cast, we speak with Erin L. Duffy, PhD, MPH, and Loren Adler, MS, about the study they cowrote, “

Policies to Address Surprise Billing Can Affect Health Insurance Premiums

.” The research describes how the problem of surprise medical billing has a broad financial impact on all commercially insured individuals—not just the patients who receive these bills.

Duffy is a postdoctoral research fellow at the USC Schaeffer Center for Health Policy and Economics, and Adler is associate director of the USC-Brookings Schaeffer Initiative for Health Policy.

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Podcasts

In this episode of Managed Care Cast, Erin L. Duffy, PhD, MPH, and Loren Adler, MS, discuss the findings of their study, “Policies to Address Surprise Billing Can Affect Health Insurance Premiums.”

Surprise Medical Bills Drive Up Health Premiums for All

As the coronavirus disease 2019 (COVID-19) continues to spread throughout the country, practices and health systems are transforming care to limit exposure to those who may be at greater risk of severe complications. At 

, the largest nonprofit academic health care system in Louisiana, providers are leveraging the system’s Connected Maternity Online Monitoring (MOM) digital medicine program to minimize 

To learn more about this program, we spoke with Joseph Biggio Jr, MD, MS, the system co-chair of Women’s Services and system chair for Maternal-Fetal Medicine at Ochsner Health. Dr Biggio, an obstetrician gynecologist, specializes in provision of high-risk pregnancy care and has been involved with provision of care related to women with medical complications, obstetric complications, and fetal complications in pregnancy.

On this episode of Managed Care Cast, Dr Biggio explains how the Connected MOM program functions and lays out the challenges expectant 

Listen above or through one of these podcast services:

At Ochsner Health, the largest nonprofit academic health care system in Louisiana, providers are leveraging the system’s Connected Maternity Online Monitoring (MOM) digital medicine program to minimize expectant mothers’ risks of contracting COVID-19.

Dr Joseph Biggio Discusses Ochsner Health's Connected MOM Program, COVID-19 Pregnancy Challenges

 recaps the top managed care news of the week.



This week, the top managed care news included identification of insomnia as a risk factor for type 2 diabetes; a look at the growth of telehealth during coronavirus disease 2019; an overview of the speakers who will appear at Patient-Centered Oncology Care 2020.

Read more about the stories in this podcast:

Study Finds Insomnia as New Risk Factor for Type 2 Diabetes

The Growth of Telehealth During COVID-19 and Its Future After: Dr Patricia Salber Interviews Dr Joseph Kvedar

PCOC 2020: Cancer Care Transformation Continues During COVID-19

Equity in Care Delivery Still at Top of PCOC 2020 Agenda, Amid “Undue Burden”

FDA Clears Targeted Therapy, Diagnostic for Metastatic RET Fusion-Positive NSCLC

The Promise and Perils of Big Data in Healthcare

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.

Podcast: This Week in Managed Care—Insomnia a Risk Factor in Type 2 Diabetes and Other Health News

Telehealth has been around for years in the United States, but it was not until the coronavirus disease 2019 (COVID-19) pandemic that it became regularly used. The growth of telehealth was fueled by the inability to see patients in person at the beginning of the pandemic and a move by the government to temporarily relax regulations.

Joseph Kvedar, MD, president of the American Telemedicine Association, professor of Dermatology at Harvard Medical School, co-chair of the American Medical Association's Digital Medicine Payment Advisory Group, and editor-in-chief of 

, explained that some of those relaxations might continue on after the COVID-19 pandemic passes, but some may get rolled back.

In conversation with Patricia Salber, MD, 

MBA, of The Doctor Weighs In, Kvedar also discussed how breakthroughs in technology have helped make virtual visits possible, the future of telehealth, and more.

Contributor: Telehealth Claim Lines Increased 4132% Nationally From June 2019 to June 2020

Continuation of Routine Screenings, Care Is Crucial During COVID-19 Pandemic

ACR Position Statement Supports Use of Telemedicine After COVID-19 Crisis

Which Telehealth Changes Will Become Permanent? Hints May Come Next Month

In-person Visits Are Invaluable, but Telehealth Is Here to Stay

Telehealth has been around for years in the United States, but it was not until the coronavirus disease 2019 (COVID-19) pandemic that it became so widely used.

What kind of progress is the United States making in embracing 

? In this episode of Managed Care Cast, we speak with Michael N. A

brams, a cofounder and managing partner of Numerof & Associates, which has queried healthcare executives for the past 5 years about their experiences with population health. Its 

 movement toward alternative care payment models and other progress aimed at incentivizing improved health outcomes and lowering costs.

In this episode of Managed Care Cast, we talk with Michael N. Abrams, a cofounder and managing partner of Numerof & Associates, about the fifth annual report on the state of population health.

A Look at the State of Population Health 

 recaps the top managed care news of the week.

This week, the top managed care news included HHS defending a CDC change limiting coronavirus disease 2019 (COVID-19) testing for asymptomatic people; an inside look at the Facing Metastatic Breast Cancer Together campaign; a conversation with Kashyap Patel, MD, on his new book.



Amid Controversy, HHS Defends Change in COVID-19 Testing Guidance




When the Topic Is Dying: A Conversation With Kashyap Patel, MD


How Virtual Care, Back-to-School Support, Health Inequities Are Influencing Employer Action


After FDA Approval, EMA Accepts Marketing Authorization Application for First Oral SMA Therapy


Forgotten Patients: ACO Attribution Omits Those With Low Service Use and the Dying

Podcast: This Week in Managed Care—HHS Defends Change in COVID-19 Testing Guidance and Other Health News

If there is any issue that has encapsulated the gravity of social determinants of health (SDOH) better than the coronavirus disease 2019 (COVID-19) pandemic, you'd probably be hard pressed to find a public health official able to name one. On this episode of Managed Care Cast, we share a little bit of our interview with the head of the American Public Health Association, which will appear in the 

As schoolchildren, teachers, essential workers and others try to adjust to the changes wrought by this novel infectious disease this year, Georges C. Benjamin, MD, speaks about the "

need to have a new societal compact for health."

What Accounts for the High Cost of Care? It’s the People: A Q&A With Eric Topol, MD

Do Americans Have the Political Will to Tackle Healthcare Costs? A Q&A With Gail Wilensky, PhD

Looking Back on the ACA, Looking Forward to Bipartisan Solutions: A Q&A With Rep Frank Pallone Jr

In Uncertain Times, Public Service Leadership More Important Than Ever: A Q&A With Sherry Glied, PhD

Pandemic to Bring Painful Choices for States, Policy Makers: A Q&A With Larry Levitt

Hopes, Worries for US Health Care in Wake of COVID-19: A Q&A With Donald M. Berwick, MD, MPP

Challenges and Similarities in HIV, COVID-19 Crises: A Q&A With Anthony Fauci, MD

Shifting to Whole-Person Care While Fighting a Pandemic: A Q&A With Mandy K. Cohen, MD, MPH

In this episode of Managed Care Cast, we share a little bit of our forthcoming interview with Georges C. Benjamin, MD, executive director of the American Public Health Association, which will appear in the September issue of The American Journal of Managed Care®. 

 Reimagining Public Health in the Wake of COVID-19

® recaps the top managed care news of the week.

This week in managed care, the top news includes survival improves among wait-listed heart transplant candidates, the Trump administration offers a progress report on its kidney care initiative, and panelists say choice is vital to the biosimilar savings picture.



Survival Improves Among Wait-listed Heart Transplant Candidates

Administration Offers Progress Report on Kidney Care Initiative

Choice Is Vital to Biosimilar Savings Picture, Panelists Say

Do ICD-10 Codes Accurately Reflect COVID-19 Symptoms?

For Short Bouts of Acute Pain, Avoid Opioids, Guidelines Caution

Population Targeting and Durability of Multimorbidity Collaborative Care Management

Podcast: This Week in Managed Care—Guidelines Caution Opioid Use and Other Health News

The coronavirus disease 2019 (COVID-19)pandemic has created one of the most rapidly changing environments to ever hit health care. The pandemic has put a strain on hospitals and staff, but people are also worried about the impact COVID-19 is having on preventive care and the management of chronic illness.

Scott Hayworth, MD, president and CEO of New York-based CareMount Medical, discussed how his medical group handled the pandemic in what had been the epicenter of the US outbreak back in the spring, as well as what changes the group has made that will permanently alter the way it delivers care, during a conversation with Patricia Salber, MD, MBA, of The Doctor Weighs In.

Cancer Care in the Age of COVID-19: Dr Patricia Salber Interviews Dr Bobby Reddy

Patricia Salber, MD, MBA, of The Doctor Weighs In, and Scott Hayworth, MD, president and CEO of New York-based CareMount Medical, discuss delivering preventive care and managing chronic illnesses during the coronavirus disease 2019 (COVID-19) pandemic.

Delivering Preventive Care and Managing Chronic Illnesses During COVID-19: Dr Patricia Salber Interviews Dr Scott Hayworth

® recaps the top managed care news of the week.

This week in managed care, the top news included all-cause mortality disparities among Black and White men in rural areas; vaping as a risk factor for COVID-19 in young adults; how the pandemic presents an opportunity for value-based care delivery.


All-Cause Mortality Disparities Persist Among Black, White Men Living in Rural US

Vaping a Risk Factor for COVID-19 in Teens, Young Adults

How Can the COVID-19 Pandemic Enhance Value-Based Health Care Delivery?

FDA Clears clonoSEQ to Detect MRD in Chronic Lymphocytic Leukemia

Racial Disparities in African Americans With Diabetes: Process and Outcome Mismatch