Managed Care Cast

Five years ago, the American Cancer Society (ACS) recommended that patients at average risk of colorectal cancer start getting screened at age 50. However, in recent years, cancer incidence has changed, with a growing incidence seen in patients under age 50. Reflecting this change, ACS changed the recommended sceening age to 45 in May 2018.

Dori A. Cross, PhD, discusses a study she was an author on, which characterized the drivers of the use of electronic health information exchange by skilled nursing facilities to access patient hospital data during care transitions. The paper was published in the annual health information technology issue from The American Journal of Managed Care®.

As we enter an era of megamergers like the one between CVS Health and Aetna, The American Journal of Managed Care® convened its Oncology Stakeholder Summit to discuss the history of mergers and acquisitions, the reasons behind them, and what they mean for different stakeholders.

A study published in this month's issue of The American Journal of Managed Care® estimated standardized episode-level spending for patients across subcategories of care for each hospital referral region—defined by the Dartmouth Atlas—in order to identify the greatest opportunities for cost savings under the Oncology Care Model (OCM).

Who sets the price for medications and other supplies used in hospitals and why are there shortages of some of these items? Martin Makary, MD, MPH, a surgical oncologist and chief of the Johns Hopkins Islet Transplant Center as well as executive director of Choosing Wisely, discussed this issue and its ramifications for healthcare costs.

As the opioid epidemic continues to claim tens of thousands of lives each years, stakeholders from around the country are launching efforts to enforce appropriate prescribing patterns and identify those most at risk for opioid misuse and abuse.

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.

This month's issue of The American Journal of Managed Care® features a study that examined the effectiveness of a high-intensity, community-based care management program for Medicare patients with complex medical and social needs. We sat down with 2 of the study's researchers—Purvi Sevak, PhD, senior researcher at Mathematica, and Cara Stepanczuk, MPA, researcher in the health unit at Mathematica—to discuss the study findings and their implications.

This fall, The American Journal of Managed Care® convened a panel of experts on migraine to discuss calcitonin gene-related peptide (CGRP) inhibitors, an emerging therapy for the condition, which affects 39 million people in the United States.

A survivor of chronic lymphocytic leukemia who participated in the first chimeric antigen receptor T-cell trial in 2010 looks back at his experience and also discusses his views on how patient-reported outcomes (PROs) should be used, if at all, by CMS.


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