Managed Care Cast

As Cancer Incidence Changes, so Do Screening Recommendations by Managed Care Cast

Every week, The American Journal of Managed Care® (AJMC®) recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included a new investigation into drug prices; FDA Commissioner Scott Gottlieb, MD, provided updates on how the government shutdown is impacting FDA work; research found comorbidities impede clinical trial participation for patients with cancer. Read more about the stories in this podcast: Biologics, Diabetes, Cancer Drugs on House Oversight Probe List: https://www.ajmc.com/newsroom/biologics-diabetes-cancer-drugs-on-house-oversight-probe-list HHS Medicare Drug Shift Plan Could Reduce Costs Overall but Raise Them for Some, Researchers Say: https://www.ajmc.com/newsroom/hhs-medicare-drug-shift-plan-could-reduce-costs-overall-but-raise-them-for-some-researchers-say What We're Reading: FDA Resumes Some Inspections; Walmart Leaves CVS' PBM Networks; Flu Season: https://www.ajmc.com/newsroom/what-were-reading-f

Understanding What Drives Health Information Exchange Use During Postacute Care Transitions by Managed Care Cast

Two Years Into OCM: Successes, Challenges, and Lessons Learned by Managed Care Cast

Every week, The American Journal of Managed Care® (AJMC®) recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included the FDA commissioner discussing boosting drug competition; BMS offering details on its acquisition of Celgene; and cancer mortality rates declining for the 25th consecutive year. Read more about the stories in this podcast: FDA's Scott Gottlieb, MD, Highlights Biosimilars Initiatives in J.P. Morgan Keynote Address: https://www.centerforbiosimilars.com/conferences/jp-morgan-2019/fdas-scott-gottlieb-md-highlights-biosimilars-initiatives-in-jp-morgan-keynote-address BMS, Celgene Discuss $74 Billion Acquisition During JP Morgan Healthcare Conference: https://www.ajmc.com/newsroom/bms-celgene-discuss-74-billion-acquisition-during-jp-morgan-healthcare-conference Cancer Mortality Rate Drops for the 25th Consecutive Year, but Socioeconomic Gap Widens: https://www.ajmc.com/focus-of-the-week/cancer-mortalit

Last year was a big year for biosimilars in the United States with the number of FDA-approved biosimilars nearly doubling and major policy and regulatory developments taking place in 2018. Kelly Davio, senior editor of AJMC's The Center for Biosimilars, highlights recent progress, how the US market compares with Europe, and what remains to be seen. Read more: The Center for Biosimilars: https://www.centerforbiosimilars.com/ Stakeholders Weigh In on the Key Biosimilar Developments of 2018: https://www.centerforbiosimilars.com/news/stakeholders-weigh-in-on-the-key-biosimilar-developments-of-2018 Coherus Confirms That It Has Launched Its Pegfilgrastim Biosimilar, Udenyca: https://www.centerforbiosimilars.com/news/coherus-confirms-that-it-has-launched-its-pegfilgrastim-biosimilar-udenyca FDA Releases Biosimilar Action Plan: https://www.centerforbiosimilars.com/news/fda-releases-biosimilar-action-plan Pfizer Launches Epoetin Alfa Biosimilar, Retacrit, at 33.5% Discount to Reference Epogen: https://www.centerforb

Every week, The American Journal of Managed Care® (AJMC®) recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included a government shutdown affects healthcare; Democrats take control of the House; and AJMC® names its most influential person in healthcare. Read more about the stories in this podcast: How the Partial Government Shutdown Will Affect Healthcare: https://www.ajmc.com/newsroom/how-the-partial-government-shutdown-will-affect-healthcare House Democrats Return to Power, Plan Hearings on ACA, Climate Change, Immigration Health: https://www.ajmc.com/newsroom/house-democrats-return-to-power-plan-hearings-on-aca-climate-change-immigration-health Readers Choose the Most Influential Person in Healthcare in 2018: https://www.ajmc.com/newsroom/readers-choose-the-most-influential-person-in-healthcare-in-2018 Trump Offers Blueprint to Drive Down Prescription Drug Prices; Targets Rebates, "Middlemen": https://www.aj

To start 2019, Managed Care Cast, the podcast of The American Journal of Managed Care® is taking a look back at 2018. At the end of the year AJMC® had polled readers on 5 big news stories from the year to gauge which one they thought was the most important. Here, Laura Joszt, associate editorial director, and Jaime Rosenberg, assistant editor, discuss these healthcare news stories and reveal which one was named the most important of 2018. Read more about the papers and news events mentioned: 5 Healthcare-Related Ballot Measures From the 2018 Midterm Elections: https://www.ajmc.com/newsroom/5-healthcarerelated-ballot-measures-from-the-2018-midterm-elections Tracking Medicaid Expansion: https://www.ajmc.com/newsroom/tracking-medicaid-expansion Advocates Lambast Growing Number of Uninsured in Arkansas Due to Work Rules: https://www.ajmc.com/newsroom/advocates-lambast-growing-number-of-uninsured-in-arkansas-due-to-work-rules CMS Will Allow Medicare Advantage Plans to Use Step Therapy to Negotiate Drug Prices: ht

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, we recapped the top news from 2018 with a look at policy changes, new research, decisions at the polls, and more. Read more about the stories in this podcast: As ACA Enrollment Begins, What's Included in Some Short-Term Insurance Plans? https://www.ajmc.com/newsroom/as-aca-enrollment-begins-whats-included-in-some-shortterm-insurance-plans Federal Judge Strikes Down Affordable Care Act: https://www.ajmc.com/newsroom/federal-judge-strikes-down-affordable-care-act Tracking Medicaid Expansion: https://www.ajmc.com/newsroom/tracking-medicaid-expansion CDC Data: Life Expectancy Decreases as Deaths From Suicide, Drug Overdose Increase: https://www.ajmc.com/focus-of-the-week/cdc-data-life-expectancy-decreases-as-deaths-from-suicide-drug-overdose-increase Praluent Cuts Deaths by 29% for Those With Highest Cholesterol Levels, ODYSSEY Finds: https://

As 2018 draws to a close, The American Journal of Managed Care® (AJMC®)'s co-editors-in-chief, A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design at the University of Michigan, and Michael E. Chernew, PhD, director of the Healthcare Markets and Regulation Lab at Harvard Medical School, recapped their favorite AJMC® papers published in 2018, identified events from the year that are likely to impact future research in the journal, and looked ahead to 2019 with healthcare and health policy predictions. Read more about the papers and news events mentioned: Financial Burden of Healthcare Utilization in Consumer-Directed Health Plans: https://www.ajmc.com/journals/issue/2018/2018-vol24-n4/financial-burden-of-healthcare-utilization-in-consumer-directed-health-plans A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic Surgery: https://www.ajmc.com/journals/issue/2018/2018-vol24-n11/a-randomized-pragmatic-pharmacistled-intervention-reduced-opioids-follow

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included a federal judge ruling that the Affordable Care Act is unconstitutional; new diabetes standards address cardiovascular risk; efforts targeting loneliness show improved health outcomes. Read more about the stories in this podcast: Federal Judge Strikes Down Affordable Care Act: https://www.ajmc.com/newsroom/federal-judge-strikes-down-affordable-care-act ADA Embraces CV Risk Calculator, Calls for Using GLP-1s Before Insulin in Type 2 Diabetes: https://www.ajmc.com/newsroom/ada-embraces-cv-risk-calculator-calls-for-using-glp1s-before-insulin-in-type-2-diabetes Efforts to Target Loneliness Reap Health Benefits, CareMore Finds: https://www.ajmc.com/focus-of-the-week/efforts-to-target-loneliness-reap-health-benefits-caremore-finds CareMore's Togetherness Program Addresses a Symptom of Living With Chronic Illnes

Examining How Mergers and Acquisitions Are Shaking Up Healthcare by Managed Care Cast

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included a report that found uninsured rates were on the rise in 2017; an analysis of rising health insurance costs for families; predictions for cardiology trends in 2019. Read more about the stories in this podcast: Rate of Uninsured Increased in 2017 for the First Time Since 2014: https://www.ajmc.com/newsroom/rate-of-uninsured-increased-in-2017-for-the-first-time-since-2014 Health Insurance Cost Burden Increased Sharply in 2017 for Families: https://www.ajmc.com/focus-of-the-week/health-insurance-cost-burden-increased-sharply-in-2017-for-families What We're Reading: ACA Sign-Ups Surge; Zika Developmental Delays; Breastfeeding and Liver Disease: https://www.ajmc.com/newsroom/what-were-reading-aca-signups-surge-zika-developmental-delays-breastfeeding-and-liver-disease Cardiologists See More Direct Oral Anticoagu

Using Cost Variation to Identify Savings Opportunities Under the OCM by Managed Care Cast

Who sets the price for medications and other supplies used in hospitals and why are there shortages of some of these items? Martin Makary, MD, MPH, a surgical oncologist and chief of the Johns Hopkins Islet Transplant Center as well as executive director of Choosing Wisely, discussed this issue and its ramifications for healthcare costs.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included a CDC report that found life expectancy in the United States declined again; telemedicine use among physicians remains low; another study added to the debate over who should take statins. Read more about the stories in this podcast: CDC Data: Life Expectancy Decreases as Deaths From Suicide, Drug Overdose Increase: www.ajmc.com/focus-of-the-week/cdc-data-life-expectancy-decreases-as-deaths-from-suicide-drug-overdose-increase Report Uncovers Rising Death Rates Among Whites at Midlife, Citing Addiction, Suicide, and Pain: www.ajmc.com/focus-of-the-week/report-uncovers-rising-death-rates-among-whites-at-midlife-citing-addiction-suicide-and-pain Telemedicine Use Among Physicians Remains Relatively Low: https://www.ajmc.com/focus-of-the-week/telemedicine-use-among-physicians-remains-relatively-low New Study Ad

Attention deficit hyperactivity disorder, or ADHD, is one of the most common conditions in childhood and is often treated by primary care providers. Earlier this year, the Agency for Healthcare Research and Quality published a comparative effectiveness review called Attention Deficit Hyperactivity Disorder: Diagnosis and Treatment in Children and Adolescents. The lead author of the report, Alex R. Kemper, MD, MPH, MS, discussed the key findings with Managed Care Cast. Kemper, a board-certified pediatrician and chief of the division of ambulatory pediatrics at Nationwide Children’s Hospital, talked about what doctors and families need to know in order to understand the best treatment options.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included a CMS plan for changes in drug coverage that brought a wave of criticism; a government task force recommended more people at risk for HIV take pre-exposure prophylaxis, known as PrEP; the American College of Cardiology issued an Expert Consensus Pathway on treatment of patients with type 2 diabetes and atherosclerotic cardiovascular disease. Read more about the stories in this podcast: CMS Aims at Drug Prices Through Part D, MA Step Therapy, Pharmacy Rebates: https://www.ajmc.com/newsroom/cms-aims-at-drug-prices-through-part-d-ma-step-therapy-pharmacy-rebates CMS Finalizes New Structure to Move Home Health to Value-Based Payment: https://www.ajmc.com/newsroom/cms-finalizes-new-structure-to-move-home-health-to-valuebased-payment USPSTF Recommends Clinicians Prescribe HIV PrEP to All High-Risk Patients: htt

Using Data to Combat the Opioid Epidemic by Managed Care Cast

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care news included HHS Secretary Alex Azar hinting that the government may get more involved in addressing social needs impacting health; work rules in Arkansas cost thousands their Medicaid coverage; research finds a shorter course of hepatitis C treatment may be just as effective as the full course of treatment. Read more about the stories in this podcast: Azar: CMMI Will Get More Involved in Addressing Social Needs Driving Health Issues: www.ajmc.com/focus-of-the-week/azar-cmmi-will-get-more-involved-in-addressing-social-needs-driving-health-issues Advocates Lambast Growing Number of Uninsured in Arkansas Due to Work Rules: www.ajmc.com/newsroom/advocates-lambast-growing-number-of-uninsured-in-arkansas-due-to-work-rules Shortening Treatment Time Maintains Efficacy, Saves Costs in Hepatitis C: www.ajmc.com/newsroom/shorte