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Reckoning With the Repercussions of Worsening Climate Change on Health Systems
August 24th 2021On this episode of Managed Care Cast, Laalitha Surapaneni, MD, MPH, an assistant professor of medicine at the University of Minnesota, describes her work in bringing awareness to the health impacts of climate change.
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Co-pay Accumulator Rule Could Cost Patients at the Pharmacy Counter
August 19th 2021If patients are not informed about the implications of co-pay accumulator adjustment programs, they may be forced to abandon their prescriptions in the face of unaffordable co-pays, according to an interview with the author of a Commentary appearing in The American Journal of Managed Care.
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Addressing Pay-for-Delay Deals, Anticompetition in the Pharmaceutical Industry
August 17th 2021Despite executive orders by the Biden administration aimed to improve competition in the pharmaceutical industry, pay-for-delay deals and other antitrust issues continue to be reported. On this episode of Managed Care Cast, we speak on the history and prevalence of these anticompetitive tactics and steps to limit these deals.
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Exploring 2022 Trends in Health and Hospital Drug Spending With Vizient
August 10th 2021Vizient recently released its Summer 2021 Pharmacy Market Outlook, which projects pharmaceutical spending for 2022 based on an analysis of its members' data. On this episode of Managed Care Cast, we talk about some of the findings.
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Psoriasis as an Inflammatory Disease, and What’s Changed Over Time
August 3rd 2021August is National Psoriasis Awareness Month, and on this episode of Managed Care Cast, we bring you an excerpt of an interview with a New Jersey dermatologist about the changing concept of psoriasis as more than just a skin disease.
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In Most of the US, Self-insured Employers Lack Power at the Bargaining Table With Hospitals
July 20th 2021In this episode of Managed Care Cast, the lead author of an article in the July issue of The American Journal of Managed Care describes the latest research that looks at the power of self-insured employers to negotiate hospital prices and the relationship between employer market power and hospital prices.
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Is Private Health Insurance Really Superior to Public Programs?
July 13th 2021On this episode of Managed Care Cast, Charlie Wray, DO, MS, an assistant professor of medicine at the University of California San Francisco, outlines the findings of a paper he coauthored which assessed Americans' experiences with their insurance providers.
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Quelling COVID-19 Also Capped Clostridioides difficile—Will It Continue?
July 6th 2021This episode of Managed Care Cast features interviews with experts who discuss how the same efforts to stamp out COVID-19 also reduced Clostridioides difficile and the prospects for such mitigation efforts to continue.
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Reports Highlight Strengthening Primary Care After the Pandemic
June 29th 2021Linda Schwimmer, JD, president and CEO of the New Jersey Health Care Quality Institute, discusses 2 reports on strengthening primary care after the COVID-19 pandemic: one from her own organization and the other from the National Academy of Medicine.
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Referrals to Diabetes Self-management Education Lagging Among Patients in Need
June 24th 2021An author of a study in the June 2021 issue of The American Journal of Managed Care® discusses findings on the association between provider referrals to diabetes self-management education and patients’ need for the service.
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Understanding the Intersection Between COVID-19, Firearm Ownership, and Suicide
June 22nd 2021Michael D. Anestis, PhD, executive director of the New Jersey Gun Violence Research Center and associate professor at the Rutgers School of Public Health, discusses his research on firearm ownership and suicide, in addition to steps needed to help decrease rates of gun-inflicted suicide and gun violence in general.
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Who’s Driving the Growth of Medicare Advantage Plans?
June 9th 2021In this episode of Managed Care Cast, we speak with a coauthor of an article in June’s Health Affairs examining the racial and ethnic composition of beneficiaries in Medicare Advantage plans and the potential implications as the program continues to grow.
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Preventing Respiratory Illness and Death Through Tighter Air Quality Standards
June 1st 2021On this episode of Managed Care Cast, a research scholar at the Marron Institute of Urban Management at New York University discusses the latest findings in the Health of the Air report, which was presented at the recent American Thoracic Society 2021 International Conference.
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Addressing the Demand for Mental Health Services During the COVID-19 Pandemic
May 25th 2021On this episode of Managed Care Cast, we speak with Gregory Harris, MD, MPH, DFAPA, senior medical director for behavioral health at Blue Cross Blue Shield of Massachusetts, about the challenges of meeting the demand for mental health service during the COVID-19 pandemic.
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What Can Be Done to Ensure Access to Care for Dual-Eligible Beneficiaries?
May 19th 2021An author of a study in the May 2021 issue of The American Journal of Managed Care® describes how the COVID-19 pandemic, the aging of America, and already-existing workforce shortages will further threaten the dual-eligible population unless policy makers reform scope-of-practice laws.
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Building Relationships and Trust to Overcome Vaccine Hesitancy
May 11th 2021On this episode of Managed Care Cast, Patricia Salber, MD, MBA, of The Doctor Weighs In, talks with the founder and CEO of ConsejoSano, a patient engagement firm working with diverse, multicultural, multilingual populations about the importance of building relationships and trust when trying to understand opinions and beliefs about COVID-19 vaccination.
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Managed Care Cast Presents: Advancements in Automated Insulin Delivery, Part 1
April 29th 2021In part 1 of this 2-part podcast, Mary Caffrey, associate editorial director of The American Journal of Managed Care®, speaks to Greg Forlenza, MD, a pediatric endocrinologist, about the evolution of diabetes care technology and standards for automated insulin delivery.
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Balancing Care Access and Fragmentation for Better Outcomes in Veterans With Diabetes
April 22nd 2021The authors of a study in the April 2021 issue of The American Journal of Managed Care® discuss the possible reasons behind the link between care fragmentation and hospitalizations in veterans with diabetes, as well as potential opportunities to address disjointed care in the context of the widespread telehealth uptake seen during the COVID-19 pandemic.
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Removing Barriers to Mental Health Care for Children and Teenagers
April 20th 2021On this episode of Managed Care Cast, we speak with the chief strategy officer for Well Being Trust, one of the authors of a recent report about how well health insurers and state Medicaid programs are covering mental health care for children and compliance with federal law. We discuss the unique challenges that youth face, the health disparities, racism, and community trauma that has been experienced in the past year, and some creative ways that organizations and communities can consider increase access to mental health supports.
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How Not to Prepare for a Pandemic: Can We Learn From Public Health Budgetary Neglect?
April 13th 2021Neglecting public health in state budgets for more than 10 years created an environment that was ill-suited to deal with the challenges of COVID-19 as well as other issues. On this episode of Managed Care Cast, we speak with one of the authors of a recent paper that examined state funding trends from 2008 to 2018 and discuss what could be done in the future to avoid past mistakes.
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Community Outreach Is Enabling CeSHHAR to Close HIV Care Gaps in Zimbabwe
April 6th 2021The Centre for Sexual Health and HIV/AIDS Research Zimbabwe conducts evidence-based research related to HIV and AIDS, as well as provides and implements sexual and reproductive health education and interventions among sex workers, children, and adolescents, and in the area of masculinity.
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