374 episodes

Podcast by Managed Care Cast

Managed Care Cast Managed Care Cast

    • Science

Podcast by Managed Care Cast

    Dr Jewel Mullen Discusses NASEM's Framework For an Equitable Distribution of a COVID-19 Vaccine

    Dr Jewel Mullen Discusses NASEM's Framework For an Equitable Distribution of a COVID-19 Vaccine

    Recently released vaccine data from both Pfizer and Moderna indicate encouraging steps forward in the global fight against coronavirus disease 2019 (COVID-19). But both vaccines are still a long way from becoming readily available to the wider public, prompting the question, who should be prioritized once doses become available?

    To provide guidance on this front, The National Institutes of Health (NIH) and Centers for Disease Control and Prevention (CDC) requested The National Academies of Science, Engineering, and Medicine (NASEM) to construct a framework assisting US policymakers and global health communities to plan for an equitable allocation of a COVID-19 vaccine.

    On this episode of Managed Care Cast, we speak with Jewel Mullen, (MD, MPH) the associate dean for health equity and associate professor of population health and internal medicine at the University of Texas at Austin, Dell Medical School. Mullen is the former principal deputy assistant secretary for health in the U.S. Department of Health and Human Services (HHS) and a member of the National Academies committee which developed the framework for vaccine allocation.

    Mullen discusses criteria used to prioritize vaccine recipients, barriers to equitable distribution, and the role of misinformation in the push for an effective COVID-19 vaccine.

    Read more:
    Pfizer Says Vaccine 90% Effective; Biden Team Announces COVID-19 Transition Panel: https://www.ajmc.com/view/pfizer-says-vaccine-90-effective-biden-team-announces-covid-19-transition-panel

    Study Backs Decision to Move Forward With Pfizer Vaccine Candidate: https://www.ajmc.com/view/study-backs-decision-to-move-forward-with-pfizer-vaccine-candidate

    Moderna SARS-CoV-2 Vaccine Elicits Response in Older Adults: https://www.ajmc.com/view/moderna-sars-cov-2-vaccine-elicits-response-in-older-adults

    Dr Maura Abbott: Talk to Your Patients About Their Vaccine Fears: https://www.ajmc.com/view/dr-maura-abbott-talk-to-your-patients-about-their-vaccine-fears

    Dr Maura Abbott: COVID-19 Vaccine Development Process Is Safe Despite a Quicker Timeline: https://www.ajmc.com/view/dr-maura-abbott-covid-19-vaccine-development-process-is-safe-despite-a-quicker-timeline

    Dr Victoria Smith on Experience Taking Part in a COVID-19 Vaccine Trial: https://www.ajmc.com/view/dr-victoria-smith-on-experience-taking-part-in-a-covid-19-vaccine-trial

    • 28 min
    This Week in Managed Care—COVID Vaccines' Efficacy and Other Health News

    This Week in Managed Care—COVID Vaccines' Efficacy and Other Health News

    Every week, The American Journal of Managed Care® recaps the top managed care news of the week.

    This week, the top managed care news included reports of 2 vaccines’ efficacy against coronavirus disease 2019 (COVID-19); a study finds no risk reduction in cardiac events with fish oil; calls for long-term follow-up to understand effects of lingering COVID-19.

    Read more about the stories in this podcast:
    What We’re Reading: Pfizer Vaccine 95% Effective; At-home COVID-19 Test Approved; Amazon Launches Online Pharmacy: https://www.ajmc.com/view/what-we-re-reading-pfizer-vaccine-95-effective-at-home-covid-19-test-approved-amazon-launches-online-pharmacy

    What We're Reading: Vaccines in EUA Process; Alkermes Receives CRL; California Tightens Restrictions: https://www.ajmc.com/view/what-we-re-reading-vaccines-in-eua-process-alkermes-receives-crl-california-tightens-restrictions

    Fish Oil Debate Continues as Study Finds No Risk Reduction From Omega-3 Combo: https://www.ajmc.com/view/debate-over-fish-oil-therapy-continues-new-results-find-no-risk-reduction-from-omega-3-combo

    Long-term Follow-up Needed to Understand Effects When COVID-19 Lingers, Fauci Says: https://www.ajmc.com/view/long-term-follow-up-needed-to-understand-effects-when-covid-19-lingers-fauci-says

    Driving Transparency, Payment Reform in Employer Health Care Coverage: https://www.ajmc.com/view/driving-transparency-payment-reform-in-employer-health-care-coverage

    Paper of the Week: Effects of Health Education on Glycemic Control During Holiday Time in Patients with Type 2 Diabetes Mellitus: https://www.ajmc.com/view/jan08-2785p45-51

    • 7 min
    A Medical Home Visit Program’s Takeaways From COVID-19

    A Medical Home Visit Program’s Takeaways From COVID-19

    The coronavirus disease 2019 (COVID-19) pandemic has required health care systems to overhaul their ways of delivering care to patients in order to keep patients, families, and clinicians safe. For medical home visit programs accustomed to visiting patients in person, this task has required creative use of new technologies and relied on regulatory flexibility to facilitate their work.

    On this episode of Managed Care Cast, we’re talking with the authors of a Commentary article published in our November issue. The article, “Medical Home Visit Programs During COVID-19 State of Emergency,” describes the experience of reimagining how a home health program can deliver care amid the coronavirus disease 2019 pandemic.

    The authors, from Northwell Staten Island University Hospital in Staten Island, New York, are Dr Donna Seminara, Dr Anita Szerszen, Dr John R. Maese, and Dr Zeel Shah.

    • 28 min
    Driving Transparency, Payment Reform in Employer Health Care Coverage

    Driving Transparency, Payment Reform in Employer Health Care Coverage

    As the health care industry continues to combat health and cost-related issues exacerbated by the COVID-19 pandemic, employers remain a key figure in the pursuit for higher value care. Recently, the Leapfrog Group partnered with the Health Transformation Alliance, or HTA, to help delineate high-value health care services with a particular focus on transparency and payment reform.

    On this episode of Managed Care Cast, we speak with Leah Binder, president and chief executive officer of the Leapfrog Group, about her organization’s partnership with the HTA, the significance of their 25th anniversary this year, and how transparency and employer leverage may shape the transition toward value-based health care.

    • 26 min
    This Week in Managed Care—SCOTUS Indicates a Willingness to Uphold the ACA and Other Health News

    This Week in Managed Care—SCOTUS Indicates a Willingness to Uphold the ACA and Other Health News

    Every week, The American Journal of Managed Care® recaps the top managed care news of the week.

    This week, the top managed care news included the Supreme Court signaling willingness to uphold the Affordable Care Act; Pfizer’s coronavirus disease 2019 vaccine shows 90% efficacy; racial disparities in lung cancer screenings and prescribing biologics.

    Read more about the stories in this podcast:
    Supreme Court Signals Willingness to Uphold ACA: https://www.ajmc.com/view/supreme-court-signals-willingness-to-uphold-aca

    Pfizer Says Vaccine 90% Effective; Biden Team Announces COVID-19 Transition Panel: https://www.ajmc.com/view/pfizer-says-vaccine-90-effective-biden-team-announces-covid-19-transition-panel

    Lung Cancer Screening Criteria Miss Young, High-Risk Black Smokers: https://www.ajmc.com/view/lung-cancer-screening-criteria-miss-young-high-risk-black-smokers

    Black Patients With RA Less Likely Than White Counterparts to Be Prescribed a Biologic: https://www.ajmc.com/view/black-patients-with-ra-less-likely-than-white-counterparts-to-be-prescribed-a-biologic

    Lung Cancer Screening Criteria Miss Young, High-Risk Black Smokers: https://www.ajmc.com/view/lung-cancer-screening-criteria-miss-young-high-risk-black-smokers

    Bang for the Buck: How Health Care Innovation Affects Life Expectancy and Patient Well-Being: https://www.ajmc.com/view/bang-for-the-buck-how-health-care-innovation-affects-life-expectancy-and-patient-well-being

    Paper of the Week—Beyond Black and White: Race/Ethnicity and Health Status Among Older Adults: https://www.ajmc.com/view/beyond-black-and-white-raceethnicity-and-health-status-among-older-adults

    • 8 min
    Reforming Oncology Care Payments: Interviews From the QCCA Leadership Summit

    Reforming Oncology Care Payments: Interviews From the QCCA Leadership Summit

    As the costs of cancer care continue to rise in the United States, eyes are increasingly turning to payment reform. Research by the Northeast Business Group on Health found that in 2015, employers spent $125 million on cancer care, and since then, cancer therapy costs have increased substantially with greater use of immunotherapy and the introduction of chimeric antigen receptor T-cell therapies that can easily cost half a million dollars for treatment.

    The federal government is taking the lead with the Oncology Care Model, which will transition into Oncology Care First in 2022 after a 1-year extension due to the coronavirus disease 2019 pandemic, but commercial payers are also testing payment reform models.

    Speakers who participated in the Quality Cancer Care Alliance’s Fall Leadership Summit, weighed in on the payment reform space for cancer care.

    Learn more:
    Speaking of Employers: Purchasers Detail the Challenges of Getting a Handle on Oncology Care Costs
    https://www.ajmc.com/view/speaking-of-employers-purchasers-detail-the-challenges-of-getting-a-handle-on-oncology-care-costs

    Three Ways COVID-19 Makes the Oncology Care First Model More Attractive: https://www.ajmc.com/view/three-ways-covid-19-makes-the-oncology-care-first-model-more-attractive

    Infrastructure of OCM Helps Practices Through COVID-19, Chong Says: https://www.ajmc.com/view/infrastructure-of-ocm-helps-practices-through-covid-19-chong-says

    A Closer Look at 3 Oncology Payment Reform Projects: https://www.ajmc.com/view/a-closer-look-at-three-oncology-payment-reform-projects

    Cancer Does Not Stop for COVID-19, but Reform Becomes a Challenge: https://www.ajmc.com/view/cancer-does-not-stop-for-covid-19-but-reform-becomes-a-challenge

    Community Oncology Alliance Payment Reform Brief Details 35 Oncology Payment Models Underway or Planned Across Country: https://communityoncology.org/community-oncology-alliance-coa-payment-reform-brief-details-35-oncology-payment-models-underway-or-planned-across-country/

    • 9 min

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