Managed Care Cast
Susan Dentzer Discusses Breaking Down Walls and Reinventing Healthcare
November 21st 2018A 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.
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Using Community-Based Care Management to Lower Service Use, Spending Among High-Risk Patients
November 16th 2018This 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.
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CGRP Inhibitors: A Promising New Class of Drugs for Migraine
November 14th 2018This 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.
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Heard at Psych Congress: Clinical Impacts of Stigma Surrounding Mental Illness
November 6th 2018During Psych Congress 2018, we sat down with several clinicians to get insight into the prevalence of internal and external stigma in mental illness and how this stigma creates barriers to positive clinical outcomes.
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Dr Barbara McAneny Discusses New Payment Models, Transforming Care, and the AMA
October 30th 2018Recently, Barbara McAneny, MD, the current president of the American Medical Association (AMA), visited The American Journal of Managed Care®’s office for a wide-ranging discussion on new payment models, transforming care, and the work of the AMA.
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Looking Back at CAR T: PROs From a Patient's Perspective
October 23rd 2018A 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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Examining Health-Related Challenges Puerto Rico Faces a Year After Hurricane Maria
October 17th 2018It's been a little over a year since Hurrican Maria hit Puerto Rico, devastating the island, its infrastructure, and its health system. While progress has been made, the island still faces challenges in providing high-quality care to its 3 million people.
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Heard at NAACOS: Focus on Proposed MSSP Changes
October 10th 2018CMS’ accountable care organization program, the Medicare Shared Savings Program (MSSP), could potentially be undergoing some big changes. During the recent fall 2018 meeting of the National Association of ACOs (NAACOS), the proposed changes were top of mind. Attendees were most concerned about how the faster timeline to taking on risk would impact participation, but were pleased with changes to the benchmark and risk adjustment.
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Employers Take a Vested Interest in Healthcare
October 3rd 2018Employers may not look forward to purchasing healthcare, but they are in the position to transform the market. More employers are getting more involved in healthcare by championing alternative payment models and other services to their employees.
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Medicaid Transformation Project: Addressing Health, Social Needs of Vulnerable Populations
September 25th 2018In a national effort to improve healthcare and related social needs for the 1 in 5 Americans on Medicaid, 17 health systems have joined together to form the Medicaid Transformation Project.
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A Multidisciplinary Approach to Managing Complexities in Cancer Care
September 19th 2018As September marks National Ovarian Cancer Awareness Month, we sat down with ovarian cancer survivor Marion Roth and Vaagn Andikyan, MD, gynecologic oncologist, Western Connecticut Health Network, to discuss Marion's cancer journey and the importance of a multidisciplinary care team in treating complexities in cancer care.
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Bringing Virtual Tumor Boards, Real-Time Data to the Point of Care
September 5th 2018As the oncology landscape continues to rapidly evolve, access to real-time data has become increaisngly important, and technology-based medical startups have made their way to the front of the lines with point-of-care tools that use technology to transform cancer care.
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The Role of Technology in Preventing and Managing Diabetes
August 21st 2018Given the high cost of treating diabetes and the large population with prediabetes, prevention has become a point of focus. We’re taking a look back to 2017, when The American Journal of Managed Care® convened a panel of experts to discuss diabetes prevention and the use of technology.
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