Managed Care Cast
Low-Value Services: Their Impact and Challenges With Addressing Them
May 2nd 2018Jason Buxbaum, MHSA, project manager, V-BID Health; and Robert Dubois, MD, PhD, chief scientific officer, National Pharmaceutical Council, discuss low-value services, their financial impact, what states are doing to address them, and challenges with addressing them.
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Locations, Types, and Characteristics of Data Breaches in Hospitals
April 5th 2018As healthcare data breaches continue to rise, a team of researchers identified locations in hospitals where data are breached, the types of breaches that occur most often at hospitals, and hospital characteristics that may predict large data breaches that affect 500 or more patients.
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Addressing Low-Value Care and a Better Benefit Design at the V-BID Summit
March 29th 2018As the country searches a new way to address cost of care, value-based insurance design (VBID), is gaining traction as one way of encouraging the use of high-value services and discouraging the use of low-value services.
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Addressing Health Through Housing Solutions
March 21st 2018As the US healthcare system searches for a way to address the poor health and high healthcare costs of American, one concept has risen to the top and received a lot of attention: social determinants of health. In this podcast, we focus on the issue of housing, and how communities are working to get people into housing so their health can improve.
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A Better Way to Understand Postdischarge Care
March 11th 2018As hospitals are increasingly held accountable for what happens outside the hospital walls, they need access to better claims data. In a recent study published in the November issue of The American Journal of Managed Care®, researchers with the Michigan Value Collaborative found that it is possible to derive episode-level utilization from claims data and it provides a level of postdischarge care precision that is superior to medical records that hospitals have access to.
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The Shift From Episodic to Continuous Care: Wearable Technology and Telemedicine in Cardiology
March 9th 2018Discussing the integration of data from wearable technology into the electronic health record and utilizing telemedicine as a way to promote greater collaboration between the patient and their physician and health system with Jagmeet P. Singh, MD, PhD, FACC, deputy editor of JACC: Clinical Electrophysiology, and Fred Bove, MD, MACC, editor-in-chief of Cardiology magazine.
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The Case for Virtual Healthcare: Dr Patricia Salber Interviews Sean Duffy of Omada Health
February 20th 2018In healthcare, digital care and telemedicine efforts are mostly viewed as an add-on to US healthcare, but that mindset should be flipped, argued Sean Duffy, CEO of Omada Health, in a piece written for The New England Journal of Medicine, titled “In-Person Healthcare as Option B.”
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Discussing the Ethics of Hospital Markups With Dr Martin Makary
February 16th 2018In a new letter published in the February issue of The American Journal of Managed Care®, Martin Makary, MD, a professor of surgery at Johns Hopkins University, and his coauthors assessed price markup variation by hospital and by oncology specialty to better understand the financial hardships patients can face when charges for the same service vary widely across hospitals.
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Shaking Up the Business of Healthcare: Dr Patricia Salber Interviews Dr Rita Numerof
February 13th 2018The United States healthcare system is about to undergo some changes. The proposed cross-sector merger between CVS Health and Aetna created some waves and it was followed by an even bigger surprise: the partnership between Amazon, JP Morgan Chase, and Berkshire Hathaway to create a new healthcare company.
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Cancer Mortality Statistics and Disparities in the US: Dr Patricia Salber Interviews Dr Otis Brawley
February 6th 2018There has been some good news regarding cancer: a decline in the death rate and in new cancer diagnoses for men. However, the latest findings also highlight what still needs to be worked on, according to Otis W. Brawley, MD, MACP, FASCO, FACE, chief medical and scientific officer for the American Cancer Society.
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Using Health IT to Increase Medication Adherence and Enhance Precision Medicine
January 30th 2018As health information technology (IT) tools are continually being introduced into the healthcare sphere, organizations are utilizing these tools to optimize care coordination, patient experience, and patient outcomes. Today, 2 organizations join us; 1 uses a 2-way text messaging platform to support patients and increase medication adherence, and the other is teaming up with a pharmaceutical company to develop health IT solutions in order to enhance precision medicine in oncology.
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