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KOL Corner: Amy Ellis Discusses Value-Based Care Programs With Brian Kern of Friar Levitt
June 20th 2019Value-based care has been a big prerogative of CMS for the last decade, and it's not going away, Brian Kern, a lawyer with Frier Levitt, told Amy Ellis, director of quality and value-based care at Northwest Medical Specialties.
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How the OB Hospitalist Group Benefits Patients, Hospitals
June 18th 2019Today we’re speaking with Dr Mark Simon, the chief medical officer of OB Hospitalist Group. OB Hospitalist contracts with hospitals across the United States to create OB emergency departments. The group employs more than 600 experienced OBs who are available 24 hours a day, 7 days a week to ensure that an OB is always in the hospital, rather than on call. OB Hospitalist also works with hospitals to reduce costs by being an outsourced provider of obstetricians.
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Heard at ISPOR: Debating the Benefits and Pitfalls of the QALY
June 6th 2019During the ISPOR 2019 annual meeting, a panel discussion debated the good and the bad about the quality-adjusted life-year (QALY) from various perspectives. During this podcast, we sit down with 2 of the panelists to continue the QALY discussion.
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An Update on the Work of the Medicaid Transformation Project
June 5th 2019The American Journal of Managed Care® sat down with David Smith, the executive director of the Medicaid Transformation Project, to get an update about the integration challenges health systems are facing, including system issues, infrastructure issues, coding and payment issues, and more.
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Exploring the Increased Prevalence, Evolving Role of Physician Assistants
May 29th 2019In April, the National Commission on Certification of Physician Assistants (PAs) released its Statistical Report of Certified Physician Assistants, which detailed significant growth of the profession in recent years, finding an increase in both the number of certified PAs and in the number of PA programs.
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Heard at the Midwest Business Group on Health: Employers Get Invested in Healthcare
May 23rd 2019At the Midwest Business Group on Health (MBGH)’s 39th annual conference, Cheryl Larson, president and chief executive officer of MBGH, and Denise Giambalvo, vice president of MBGH, discussed a range of topics affecting employers, including trust with employees, popular initiatives, the cost of specialty drugs, and various proposals and policies from the Trump administration, such as getting rid of drug rebates and including drug prices in TV ads.
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Improving Care for Patients With Parkinson Disease in the Hospital
May 21st 2019Patients with Parkinson disease can suffer complications in the hospital if the individualized, highly structured care plans that manage their disease are not followed. Neurosurgeon Hooman Azmi, MD, FAANS, the coauthor (along with Fiona Gupta, MD) of "Parkinson's Disease for the Hospitalist: Managing the Complex Care of a Vulnerable Population," discussed what it takes to improve patient care for this population.
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Do Machine-Readable Directories Improve Provider Directory Accuracy?
May 17th 2019In study in this month’s issue of The American Journal of Managed Care®, researchers examined the accuracy of provider directories and considered whether machine-readable formats are more accurate than conventional directories and have the potential to improve directory accuracy in the future. During today’s podcast, we speak with the lead author of the study, Michael Adelberg, MA, MPP.
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Connecting Cancer Practices to Share Data, Deliver Better Care, Identify Best Practices
May 14th 2019Outcomes for patients with cancer are continuously improving, but the increasingly complex healthcare system, new payment and delivery models that place more risk on practices, and rising costs of therapies has made it difficult for independent oncology practices to thrive and survive. However, independent practices present an important part of cancer care, delivering care to patients who are not near large hospital-based systems at lower costs.
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Dr Rebekah Gee Offers an Inside Look at Louisiana's Subscription Payment Model for HCV Drugs
May 7th 2019We speak with Dr Rebekah Gee, secretary of the Louisiana Department of Health about the subscription payment model for hepatitis C virus drugs that the state has entered into with Asegua Therapeutics, a subsidiary of Gilead Sciences.
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Heard at COA: Improving Cancer Care in Community Practices With OneOncology
May 3rd 2019In September 2018, Tennessee Oncology, New York Cancer and Blood Specialists, and West Cancer Center announced the launch of OneOncology. During the 2019 Community Oncology Conference, we sat down with Jeff Patton, MD, chief executive officer of Tennessee Oncology, and Robin Shah, chief development and marketing officer for OneOncology.
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How a Self-Insured Employer Decreased Costs While Improving Performance
April 23rd 2019Today we’re speaking with Dr. Steven Goldberg, the vice president of medical affairs, population health, and chief health officer at Quest Diagnostics. He is also a co-author of a recent peer-reviewed case study that analyzed a benefits and wellness program designed by a self-insured employer.
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Understanding the Impact of Inappropriate Opioid Prescribing Practices
April 19th 2019Deaths from drug overdoses have become the leading cause of death for Americans under age 50, which can largely be attributed to prescription opioids. Due to the role of prescription opioids, understanding prescribing patterns and identifying inappropriate prescribing are crucial for changing the course of the epidemic.
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Healthcare Needs More Chief Wellness Officers to Address Burnout and Its Impact
April 16th 2019As the prevalence of burnout among healthcare providers has increased over the last few years, it has raised attention to the issue. That attention, and an awareness of the impact burnout can have on patient outcomes, has led more organizations to implement interventions to address and alleviate burnout in healthcare.
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Understanding Problems With CMS' Diabetes Test Strip Bidding Program
April 9th 2019Today we’re speaking with Tom Milam, founder and president of TrueLifeCare. As a former chief operating officer for a national diabetes supply, education, and support company, Milam created programs for people with diabetes that served more than 100,000 members nationwide. His experience also includes a federal appointment providing advisory service to Medicare. His extensive experience and knowledge within the diabetes space allows Tom to offer us an expert view of CMS’ Competitive Bidding Program.
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