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The US organ transplant system might face an overhaul in a proposal to be announced on Wednesday after years of criticism; the FDA may decide whether to approve additional COVID-19 booster vaccinations for vulnerable populations; a new study finds the same, small breast cancer risk in multiple forms of hormonal birth control.

What We’re Reading: Organ Transplant System Overhaul; More COVID-19 Boosters; Hormonal Birth Control and Cancer

Videos

 Kashyap Patel, MD, immediate past president of Community Oncology Alliance (COA) and CEO of Carolina Blood and Cancer Care Associates, talks about bringing together different stakeholders in the oncology space in order to benefit patients and providers.

Dr Kashyap Patel Highlights COA's Focus at 2023 Community Oncology Conference

Maggie is an editor for The American Journal of Managed Care® (AJMC®) and produces written, video, and podcast content covering several disease states. She joined AJMC® in 2019, and has been with AJMC®’s parent company, MJH Life Sciences®, since 2014, when she started as a copy editor.

She has a BA in English from Penn State University. You can connect with Maggie on 

Many people believe health equity is such a big issue that there is not much an individual practice can do to address it, explained Susan Sabo-Wagner, MSN, RN, OCN, executive director of clinical strategy, Oncology Consultants of Houston.

There Is Something for Everyone to Do to Improve Health Equity, Says Oncology Consultants’ Wagner 

Data from the LIBERTY AD PRESCHOOL trial, and its ongoing open-label extension analysis show that dupilumab is safe and clinically effective, and can lead to statistically significant symptom improvement among patients aged 6 months to 17 years who have moderate to severe atopic dermatitis (AD).

Pediatric Patients See Benefit in Short-, Long-term Treatment for AD 

The American Journal of Managed Care provides insights into the latest news and research in managed care across multimedia platforms.

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The mission of the Center on Health Equity & Access is to support improvement of health care delivery and health outcomes due to health disparities by maintaining a content platform focused on education, training, frontline perspectives, and practical application of evidence-based methodologies.

AJMC.com recently launched a resource center, the 

, dedicated to promoting education, advocacy, and best practices for improving health outcomes and reducing health disparities for all.

On this episode of Managed Care Cast, we feature several leaders in diversity, equity, and inclusion (DEI) advancing health equity in their respective organization’s policy and practice initiatives, including:

Terrance Mayes, EdD, associate director for DEI at the Stanford Cancer Institute, and inaugural chair of National Comprehensive Cancer Network's (NCCN) DEI Directors Forum

Loretta Erhunmwunsee, MD, FACS, thoracic surgeon and an assistant professor in the Division of Thoracic Surgery, City of Hope National Medical Center, and inaugural vice-chair of NCCN's DEI Directors Forum

Richard L. Martin III, MD, MPH, medical director for Health Equity and Community Engagement, Tennessee Oncology; president, Tennessee Oncology Practice Society.

On this episode of Managed Care Cast, we feature several leaders in diversity, equity, and inclusion advancing health equity in their respective organization’s policy and practice initiatives.

Health Equity Conversations: Improving Diversity of Oncology Care Staff

COVID-19 spotlighted prevalent gaps in health care access and clinical outcomes for disadvantaged populations nationwide, particularly rural Americans who have long faced systemic health and social inequalities that contribute to increased risks for chronic disease and mortality.


Led by co-founder and chief executive officer, Jennifer Schneider, MD, Homeward, a value-based care provider launched in 2022, is reforming traditional care delivery models in rural communities with the mission to improve access to high-quality care.

Delivering care in Michigan and recently expanding to Minnesota, Homeward uses a combination of tech-enabled clinical services, partnerships with local physicians and health plans, and community-level demographic data to develop innovative solutions aimed at engaging traditionally hard-to-reach members living in rural communities.

On this episode of Managed Care Cast, we speak with Dr. Schneider on factors that perpetuate health care disparities in rural communities, the primary goals and challenges for Homeward in addressing these issues, and her personal experiences in facing rural health care inequities firsthand.


On this episode of Managed Care Cast, we speak with Jennifer Schneider, MD, co-founder and chief executive officer of Homeward, a value-based care provider aiming to improve access to high-quality care in rural communities through tech-enabled clinical services, partnerships with local physicians and health plans, and community-level demographic data.

Reaching Rural America: Value-Based Care Solutions for Systemic Health and Social Inequalities

Established in 2014 as one of the nation’s first programs focused on meeting the complex health needs of 

underserved communities and marginalized populations

 has grown in the Western Pennslyvania region to provide coordinated and compassionate care delivery using evidence-based interventions.

The Center for Inclusion Health provides a myriad of health services that address disparities in access for mental health, homeless care, transgender care, and addiction medicine, as well as social determinants of health such as food insecurity and housing challenges.


On this episode of Managed Care Cast, we speak with the Division Chief of the Center for Inclusion Health, Elizabeth Cuevas, MD, a board-certified internal medicine physician, who speaks on the major health issues affecting patient outcomes in marginalized communities, the importance of community-level partnerships to identify and address these challenges, and opportunities for growth in managing these populations.

Allegheny Health Network

On this episode of Managed Care Cast, we speak with Elizabeth Cuevas, MD,  division chief of Allegheny Health Network’s (AHN) Center for Inclusion Health, on prevalent health inequities facing marginalized communities and strategies to identify and address these issues.

AHN’s Center for Inclusion Health Personalizing Equitable Care Delivery for Marginalized Communities

Mental health issues and substance use disorder are some of the contributing factors to America’s high maternal mortality rates, in addition to poverty, 

, and lack of access to adequate health care. Last year, the CDC reported that suicide accounts for 9% of the maternal mortality rate 1 year postpartum. Anxiety, perinatal and postpartum depression, and birth-related posttraumatic stress disorder (PTSD) are the most common complications of pregnancy and childbirth, affecting 1 in 5 individuals, and for those affected, 75% do not get treatment. Women of color are both more likely to experience these conditions and less likely to seek help.

On this episode of Managed Care Cast, we speak with Heather Waters, LCSW who leads the maternal health and children’s health services team at Inland Empire Health Plan (IEHP), a managed care plan serving more than 1.4 million residents on Medi-Cal in California.

She tells us about a new maternal mental health program at IEHP aimed at supporting 

, both before they give birth and afterward.

Inland Empire Health Plan (IEHP)

On this episode of Managed Care Cast, we speak with Inland Empire Health Plan, a managed care plan serving more than 1.4 million residents on Medi-Cal in California, about a new maternal mental health program aimed at supporting new mothers, both before they give birth and afterward.

Addressing Maternal Mortality in Medicaid by Focusing on Mental Health 

Wanting to provide the best treatment available, help people live their healthiest lives, and alleviate the health care burden on providers, Intermountain Healthcare, a Utah-based not-for-profit system of 33 hospitals in 7 states, and Story Health, a California-based health technology and services company, have partnered to disseminate specialty care for patients living with 

Goals of this new partnership include ensuring patients get the care they need in a sustainable manner, increasing health system efficiency by preventing unnecessary hospitalizations, and getting high-quality care from urban population centers to rural patients while saving costs to the health care system and saving patients and their families time and convenience.

On this episode of Managed Care Cast, we speak with Tom Stanis, CEO and cofounder of Story Health, and Phillip Wood, Intermountain Ventures program director, on how their partnership came about, how it is going so far, and the future of their collaboration.

Intermountain Healthcare

Intermountain Healthcare and Story Health Partner to Optimize Rural Heart Failure Care

Initially starting in 2011 as a ministry that offered food, clothing, and other services to community members in Pittsburgh, the Neighborhood Resilience Project, led by Reverend Paul Abernathy, has since gained national attention for its work on promoting health and resiliency in trauma-affected communities, which face disparities in access and accessibility of care, and medical mistrust.


On this episode of Managed Care Cast, we speak with Reverend Abernathy on the challenges presented in managing these underserved communities, how his community partnernership with UPMC Health Plan assists his organization’s mission, and advice he would give to other community stakeholders in pursuing health equity.

On this episode of Managed Care Cast, we speak with Reverend Paul Abernathy, CEO of the Neighborhood Resilience Project and board member of UPMC for You, who discusses his experiences in promoting health and resiliency in trauma-affected communities, as well as challenges related to access and accessibility of care and medical mistrust.

Promoting Health Equity and Resiliency in Trauma-Affected Communities

’s 12th annual health IT issue, on this episode of Managed Care Cast, we speak with Christopher M. Whaley, PhD, health care economist at the RAND Corporation, who focuses on health economics issues, including the influence of the COVID-19 pandemic on health care delivery. In particular, he examines how existing technology has pivoted to become a backbone for 

 while its ongoing evolvement has highlighted inequities in care delivery, making access and lack thereof divisive issues.

In their article in the health IT issue, “

Differences in Telehealth During COVID-19 Between Commercial and Medicaid Enrollees

,” Dr Whaley and his co-authors compare rates of telehealth and in-person evaluation and management visits between individuals with commercial insurance through the California Public Employees’ Retirement System, or CalPERS, and those with publicly funded coverage through the California Medicaid program, with implications for equitable access to telehealth and development of policies to guide its ongoing and future use.

To mark the publication of The American Journal of Managed Care®’s 12th annual health IT issue, on this episode of Managed Care Cast, we speak with Christopher M. Whaley, PhD, health care economist at the RAND Corporation, who focuses on health economics issues, including the influence of the COVID-19 pandemic on health care delivery. 

Examining Telehealth Uptake to Increase Equitable Care Access

, one of 13 states that fall within the Appalachian region of the United States, the current overall poverty rate is 10.6%, giving the state a 10th place ranking on a list of the top 10 states with the lowest poverty rates. However, the average poverty rate of the southwest corner of the state, which includes the 6 counties of Buchanan, Dickenson, Russell, Lee, Scott, and Wise, is double that of the state, at 21.9%.

Supported entirely by grants and donations, 

 has been providing free health care services for the often medically underserved and indigent individuals—who are either underinsured or uninsured—in this part of Virginia for more than 4 decades.

On this episode of Managed Care Cast, we speak with The Health Wagon’s President and CEO Teresa Tyson, DNP, MSN, FNP-BC, FAANP, and Clinical Director Paula Hill-Collins, DNP, MSN, FAANP, to learn more about the often urgent services they provide, to discover how the not-for-profit innovates care through culturally sensitive services for its rural residents, and to discuss the importance of health care equity.

Listen above or through one of these podcast services:

On this episode of Managed Care Cast, Teresa Tyson, DNP, MSN, FNP-BC, FAANP, and Paula Hill-Collins, DNP, MSN, FAANP, discuss how The Health Wagon, a free mobile-based and nurse-managed clinic, provides accessible health care to rural residents in Virginia's Appalachian region.

Removing Barriers to Rural Health Care Equity

Posters presented at the American Academy of Dermatology 2023 Annual Meeting provided a snapshot of disparities in dermatology care, both in terms of geographic differences in access to care and collection of race/ethnicity data in clinical trials.

Investigators Highlight Disparities Evident in Skin Disease Care, Data Collection

Treatable skin diseases in the transgender population can be overlooked and not managed, despite how they can negatively impact quality of life, according to researchers.



Examining Dermatological Care for Transgender Patients

Speakers at the American Academy of Dermatology 2023 Annual Meeting highlighted the potential of DataDerm to tell the story of dermatological care in the United States, but some also cautioned that the registry only reflects those who have access to care in the first place.

Dermatology Data Can Direct Policy Priorities, but Gaps Reflect Inequities of Care

Medicare prospective payment for dialysis modestly increased availability and use of home-based dialysis treatment but did not affect historic racial disparities in home dialysis.