Managed Care Cast

The Shift From Episodic to Continuous Care: Wearable Technology and Telemedicine in Cardiology 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 stories included a bipartisan group of governors releasing an outline for health reform; a report finds value-based contracts brings down prescription drug co-pays; 20 states file a lawsuit over the constitutionality of the Affordable Care Act. Read more about the stories in this podcast: Bipartisan Group of Governors Unveils Blueprint to Reform Health System: www.ajmc.com/focus-of-the-week/bipartisan-group-of-governors-unveils-blueprint-to-reform-health-system Value-Based Contracts Significantly Decrease Price of Co-Pays for Medications: www.ajmc.com/newsroom/valuebased-contracts-significantly-decrease-price-of-copays-for-medications Twenty States Allege ACA Is Unconstitutional in Federal Lawsuit: www.ajmc.com/newsroom/twenty-states-allege-aca-is-unconstitutional-in-federal-lawsuit NCCN Releases Guidelines to Address

This week, the top managed care stories included the Trump administration proposed extending the duration of short-term health plans; a report found that CAR T-cell therapies are worth their high price tags; the new issue of Evidence-Based Oncology® examined current issues in immunotherapy. Read more about the stories in this podcast: Trump Administration Proposes Extending Short-Term Health Plans to 12 Months: www.ajmc.com/newsroom/trump-administration-proposes-extending-shortterm-health-plans-to-12-months What We're Reading: Cost of Healthcare Bills; Albertsons Buying Rite Aid; Pediatric Cancer Therapies: www.ajmc.com/newsroom/what-were-reading-cost-of-healthcare-bills-albertsons-buying-rite-aid-pediatric-cancer-therapies ICER Report: Costs of Approved CAR T-Cell Therapies Aligned With Clinical Benefit: www.ajmc.com/newsroom/icer-report-costs-of-approved-car-tcell-therapies-aligned-with-clinical-benefit Evidence-Based Oncology® – February 2018: www.ajmc.com/journals/evidence-based-oncology/2018/february

In 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.” Duffy and Patricia Salber, MD, MBA, discuss the future of virtual visits, making decisions about when virtual visits are more appropriate than in-person visits, payment for virtual care, and more.

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 stories included a report from CMS that found healthcare spending will rise 5.5% over the next 8 years; the budget deal passed by Congress included a number of provisions with long-term health impact; a study found eating a low-carb could help reverse type 2 diabetes. Read more about the stories in this podcast: By 2026, National Health Spending Will Climb to 19.7% of Economy, Report Says: www.ajmc.com/newsroom/by-2026-national-health-spending-will-climb-to-197-of-economy-report-says- Proposed Bipartisan Bill, 2018 Budget Deal Provide Positive Implications for VBID: www.ajmc.com/focus-of-the-week/proposed-bipartisan-bill-2018-budget-deal-provide-positive-implications-for-vbid Congress Includes Language Protecting the Rights of Diabetes Patients in Budget Deal: www.ajmc.com/newsroom/congress-includes-language-protecting

In 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.

The 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. Rita Numerof, PhD, the co-founder and president of Numerof & Associates, and Patricia Salber, MD, MBA, of The Doctor Weighs In, discuss the changes and the underlying factors that have led to so many attempts to shake up healthcare.

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 managedcare stories included Indiana being approved as the second state to implement work requirements in Medicaid; research found 5-year survival rates for cancer are increasing; coverage from the American Society of Clinical Oncology's 2018 Genitourinary Symposium. Read more about the stories in this podcast: Indiana Joins Kentucky as Second State With Medicaid Work Requirements: www.ajmc.com/newsroom/indiana-joins-kentucky-as-second-state-with-medicaid-work-requirements What We're Reading: Flu Vaccine Protection; Ind. Drops Medicaid Enrollees; Global Outbreak Prevention: www.ajmc.com/newsroom/what-were-reading-flu-vaccine-protection-ind-drops-medicaid-enrollees-global-outbreak-prevention What We're Reading: Adherence Pilot; Va. Work Requirement; Disease Linked to Flint Water: www.ajmc.com/newsroom/what-were-reading-adherence-pil

There 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. In the latest Managed Care Cast, Brawley and Patricia Salber, MD, MBA, of The Doctor Weighs In, discuss the decline in cancer rates for men, concerns with vaping, weighing the risks and benefits of certain screening procedures, and more.

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 President Donald Trump vowing to lower drug prices during his State of the Union address; 3 corporate giants joined forces on healthcare; and CAR T-cell therapy was named the cancer advance of the year. Read more about the stories in this podcast: Trump Targets Drug Prices, Right-to-Try in State of the Union: www.ajmc.com/newsroom/trump-targets-drug-prices-righttotry-in-state-of-the-union CDC Chief Resigns After Trading in Tobacco Stocks: www.ajmc.com/newsroom/cdc-chief-resigns-after-trading-in-tobacco-stocks Amazon, JPMorgan Chase, Berkshire Hathaway: We'll Tackle Employee Health Costs With New Firm: www.ajmc.com/newsroom/amazon-jpmorgan-chase-berkshire-hathaway-well-tackle-employee-health-costs-with-new-firm Prime Therapeutics, Boehringer-Ingelheim Reach Outcomes-Based Contract for Jardiance: www.ajmc.c

Using Health IT to Increase Medication Adherence and Enhance Precision Medicine 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 Senate confirming Alex Azar as the new HHS Secretary; a report found that healthcare prices rose in 2016; the accountable care organization movement continued to expand. Read more about the stories in this podcast: Senate Confirms Alex Azar as HHS Secretary: www.ajmc.com/newsroom/senate-confirms-alex-azar-as-hhs-secretary Kentucky Medicaid Recipients Sue HHS Over Work Requirements: www.ajmc.com/newsroom/kentucky-medicaid-recipients-sue-hhs-over-work-requirements Americans Used Less Care in 2016 but Healthcare Costs Still Soared, Report Says: www.ajmc.com/newsroom/americans-used-less-care-in-2016-but-healthcare-costs-still-soared-report-says 561 ACOs Participating in Medicare Shared Savings Program in 2018: www.ajmc.com/focus-of-the-week/561-acos-participating-in-medicare-shared-savings-program-in-2018 ODY

The introduction of biosimilars to the US market has led to an unprecedented amount of uncertainty as stakeholders try to understand the implications of their arrival. In the following Peer Exchange discussion from the Center for Biosimilars, held in September 2017, industry experts discuss regulation, policy, and litigation issues in the world of biosimilars. The Center for Biosimilars, a sister site of The American Journal of Managed Care, serves as an online resource that brings together the worlds of clinical, business, regulatory, policy, and economic outcomes of biosimilars. For more insight into the world of biosimilar therapies, visit centerforbiosimilars.com.

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 in managed care, the top stories included the announcement that Kentucky is the first state approved to require patients work to receive Medicaid benefits; FDA Commissioner Scott Gottlieb, MD, reveals a new program to improve clinical trial transparency; research finds the worst cases of attention-deficit/hyperactivity disorder could lower life expectancy. Read more about the stories in this podcast: Kentucky First State Approved for Medicaid Work Requirements: www.ajmc.com/newsroom/kentucky-first-state-approved-for-medicaid-work-requirements FDA Launches Pilot Program to Improve Transparency of Clinical Trial Information: www.ajmc.com/focus-of-the-week/fda-launches-pilot-program-to-improve-transparency-of-clinical-trial-information- FDA Approves Olaparib for Breast Cancer With a BRCA Gene Mutation: www.ajmc.com/newsroom/fda-approves-olapar

The Electronic Health Record Landscape: An Interview With Dr Jacob Reider 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 stories included CMS unveiling a new voluntary bundled payment model; coverage from the JP Morgan Healthcare Conference, including immunotherapy's impact on HIV treatment and biosimilars; and news that 2 key diabetes devices will be covered by Medicare. Read more about the stories in this podcast: CMS Tells States How to Require Work for Medicaid: www.ajmc.com/newsroom/cms-tells-states-how-to-require-work-for-medicaid Kentucky First State Approved for Medicaid Work Requirements: www.ajmc.com/newsroom/kentucky-first-state-approved-for-medicaid-work-requirements MedPAC Votes a Resounding "No" to MIPS, Recommends Voluntary Value Program: www.ajmc.com/newsroom/medpac-votes-a-resounding-no-to-mips-recommends-voluntary-value-program CMS Unveils New Voluntary Bundled Payment Model: www.ajmc.com/newsroom/cms-unveils-new-volunt

Healthcare could be improved if policy makers, leaders, and administrators thought more about the role of medical professionalism and the intrinsic motivations of physicians, said Richard J. Baron, MD, MACP, president and CEO of the American Board of Internal Medicine and the ABIM Foundation, during an interview with Patricia Salber, MD, MBA, of The Doctor Weigns In. During their discussion, Baron and Salber touched upon professional, social justice in healthcare, burnout in medicine, and more.

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 stories included an analysis of how healthcare spending has changed in the United States; a study finds people willing to try e-cigarettes smoke less and are more likely to quit; and a new cholesterol test that doesn't require fasting gives more accurate results. Read more about the stories in this podcast: How US Spending on Healthcare Has Changed Over Time: www.ajmc.com/focus-of-the-week/how-us-spending-on-healthcare-has-changed-over-time Smokers Willing to Try E-Cigarettes More Successful at Smoking Less, Study Says: www.ajmc.com/newsroom/smokers-willing-to-try-ecigarettes-more-successful-at-smoking-less-study-says New Cholesterol Test More Accurate Than Old Test That Requires Fasting: www.ajmc.com/newsroom/new-cholesterol-test-more-accurate-than-old-test-that-requires-fasting Perspectives of a Lipidologist: LDL Cho

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 stories included a road map to develop state-level programs to care for complex populations; the Physician-focused Payment Technical Advisory Committee backed 2 new alternative payment models; a new cancer gene profiling test may open doors to new targeted therapies. Read more about the stories in this podcast: Developing State-Level Programs for Care of Complex Populations: www.ajmc.com/focus-of-the-week/developing-statelevel-programs-for-care-of-complex-populations Renee Murray Explains How Hotspotting Is Used: www.ajmc.com/conferences/aco-fall2016/renee-murray-explains-how-hotspotting-is-used What We're Reading: Hospital Penalization; New APMs; EHR Challenges: www.ajmc.com/newsroom/what-were-reading-hospital-penalization-new-apms-ehr-challenges Cancer Gene Profiling Test Can Open Doors to New Targeted Therapies:

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 stories included the elimination of the Affordable Care Act's individual mandate; a new gene therapy for inherited vision loss that could cost $1 million; and a study found that social isolation can increase the risk of type 2 diabetes. Read more about the stories in this podcast: What We're Reading: GOP Tax Bill Passes; Healthcare Deals; Discussing High Drug Prices: www.ajmc.com/newsroom/what-were-reading-gop-tax-bill-passes-healthcare-deals-discussing-high-drug-prices FDA Approves Gene Therapy for Inherited Vision Loss: www.ajmc.com/newsroom/fda-approves-gene-therapy-for-inherited-vision-loss What We're Reading: GOP Tax Bill Passes; Healthcare Deals; Discussing High Drug Prices: www.ajmc.com/newsroom/what-were-reading-gop-tax-bill-passes-healthcare-deals-discussing-high-drug-prices Links Between Social Isolation,