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Managed Care Cast

Managed Care Cast: A Podcast From AJMC

Inside the Hidden World of Phase 1 Drug Testing

AJMC interviews Jill A. Fisher, PhD, author of a new book, Adverse Events: Race, Inequality, and the Testing of New Pharmaceuticals. Her research took her inside clinical testing sites for phase 1 drug studies.

Expanding Support for Independent Primary Care Practices in Massachusetts

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On this episode of Managed Care Cast, we speak with the senior vice president of Network Payment Innovation and Contract Management for Blue Cross Blue Shield of Massachusetts, which is launching a new value-based payment approach for independent primary care practices. The pilot project will reward practices for keeping patients healthy while providing extra support during the pandemic.

Pandemic Lessons and Advice for Public Health Workers From NC Health Secretary

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On today’s episode of Managed Care Cast, we feature a short excerpt of an upcoming interview in the August issue of The American Journal of Managed Care® with Mandy K. Cohen, MD, MPH, North Carolina's secretary of the Department of Health and Human Services, as part of our yearlong Q&A series. We discussed the state's upcoming transition to Medicaid managed care, the pandemic, her advice to public health workers in the face of criticism, and how what is learned from the pandemic can help inform the future of managed care going forward.

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

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On this episode of Managed Care Cast, Andrea Gelzer, MD, senior vice president and corporate chief medical officer for AmeriHealth Caritas, discusses the vital role telehealth has played during the pandemic, and how providers and payers can work together to encourage patients to continue routine care.

What Barriers Inhibit Oral Anticancer Medication Use?

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Oral anticancer therapies have become popular alternatives to more traditional care, such as chemotherapy. However, research shows that adherence to oral anti-cancer therapies can range from 20% to 100%. Several factors contribute to medication nonadherence and access barriers. To learn more, we spoke with Ami Vyas, PhD, an assistant professor of pharmacy practice, specializing in health outcomes research, at The University of Rhode Island.

Why Amputations Are on the Rise in Some States, Even as Diabetes Care Improves

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Amid progress in diabetes treatments and technology, the rate of amputations rose 50% between 2009 and 2015. African American patients lose limbs at triple the rate of other groups. The mission of the Affordable Care Act—spend more to prevent disease and complications, and save money later—has bypassed many of these patients for one reason: they lack access to care.

What Is the Current State of Mental Health in the US Workforce?

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On this episode of Managed Care Cast, we speak with Michael Thompson, president and chief executive officer (CEO) of the National Alliance of Healthcare Purchaser Coalitions, and Louis Gagnon, CEO of Total Brain, on their findings and how employers can optimize how they monitor and support mental health in their respective workforce.

Caring for Medicare Advantage, Medicaid Beneficiaries in Puerto Rico During COVID-19

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In this episode of Managed Care Cast, we speak with Richard Shinto, MD, MBA, president and CEO of InnovaCare Health, about the company’s care of their Medicare Advantage and Medicaid beneficiaries in Puerto Rico during the COVID-19 pandemic. In today’s podcast, he shares how coping with the aftermath of the 2017 hurricane assisted them with the pandemic.

Analyzing the Individual Marketplace for Health Benefits Amid COVID-19

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On this episode of Managed Care Cast, we speak with John Barkett, MBA, senior director of Policy Affairs in Benefits Delivery and Administration for Willis Towers Watson, on the current outlook of individual markets in private exchange solutions amid the pandemic.

The Challenges and Strengths of Physician-Led ACOs in Difficult Times

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In this episode of Managed Care Cast, we speak with the lead author of a study in the May issue of The American Journal of Managed Care® about the shift in new accountable care organizations (ACOs) from being led by hospital systems to being led by physician groups, and the accompanying policy shifts that are needed.

Looking at the Role of Public Programs, Public Service in the Midst of COVID-19 Crisis

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In this episode, we feature an interview with Sherry Glied, PhD, health economist and dean of New York University’s Robert F. Wagner Graduate School of Public Service, who spoke with The American Journal of Managed Care® about the Affordable Care Act and Medicaid, as well as the vital role that public service leadership plays in navigating public health emergencies.

How Do Medicaid Beneficiaries Benefit From Complex Care Management?

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On this episode of Managed Care cast, we speak with Farhad Modarai, DO, on a recent paper he co-wrote, entitled, "Impact of Complex Care Management on Spending and Utilization for High-Need, High Cost Medicaid Patients." The study can be found in the February issue of The American Journal of Managed Care®.