300 episodes

Podcast by Managed Care Cast

Managed Care Cast Managed Care Cast

    • Science
    • 4.9, 12 Ratings

Podcast by Managed Care Cast

    Why Amputations Are on the Rise in Some States, Even as Diabetes Care Improves

    Why Amputations Are on the Rise in Some States, Even as Diabetes Care Improves

    The last decade has brought great strides in diabetes care. Better insulins and better technology can allow people with diabetes—both type 1 and type 2—to keep their blood sugar from rising and falling in ways that cause long-term damage to their eyesight and vascular systems. New classes of drugs for patients with type 2 diabetes have been shown to cut the risk of heart and renal failure, and more widespread use could help some patients avoid dialysis.

    But the good news is not felt by everyone. Amid this progress, the rate of amputations rose 50% between 2009 and 2015. African American patients lose limbs at triple the rate of other groups. 
    The mission of the Affordable Care Act—spend more to prevent disease and complications, and save money later—has bypassed many of these patients for one reason: they lack access to care. Fourteen states have not expanded Medicaid, including several Deep South states where diabetes and obesity rates are highest.

    The result of these state-level policy decisions is becoming clear. Research presented at the recent meeting of the American Diabetes Association found a 17% decrease in the risk of amputation when patients lived in states that expanded Medicaid. What’s more, the number of hospital admissions for diabetic foot ulcers plummeted in states that expanded Medicaid, while rising 21% in states that rejected expansion.

    None of this is news to Foluso Fakorede, MD, who treats patients at risk of limb loss in the Mississippi Delta. Fakorede spoke with The American Journal of Managed Care® about his work in Mississippi, through his practice, Cardiovascular Solutions of Central Mississippi.

    Read more:
    Diabetes Shouldn't Cost Patients Their Legs: https://www.ajmc.com/contributor/bret-weichmann/2020/01/diabetes-shouldnt-cost-patients-their-legs
    Understanding Diabetes Risks Can Save Your Limbs: https://www.ajmc.com/contributor/gerald-niedzwiecki/2019/12/understanding-diabetes-risks-can-save-your-limbs
    Heart Failure Coverage Success Seen in Medicaid Expansion States: https://www.ajmc.com/focus-of-the-week/heart-failure-coverage-success-seen-in-medicaid-expansion-states

    • 25 min
    What Is the Current State of Mental Health in the US Workforce?

    What Is the Current State of Mental Health in the US Workforce?

    The significant effect of the COVID-19 pandemic on mental health was spotlighted in a recent collaborative study conducted by the National Alliance of Healthcare Purchaser Coalitions, Total Brain, and One Mind. Compared with before the pandemic began, study findings indicate stark increases in rates of depression, anxiety, and stress, with women shown to be at a greater risk.

    On this episode of Managed Care Cast, we speak with Michael Thompson, president and CEO of the National Alliance, and Louis Gagnon, CEO of Total Brain, on their findings and how employers can optimize how they monitor and support mental health in their respective workforce.

    • 27 min
    This Week in Managed Care—COVID-19 Racial Disparities and Other Health News

    This Week in Managed Care—COVID-19 Racial Disparities 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 CMS proposing rules for value-based contracting in Medicaid; claims data highlighting racial disparities in COVID-19 effects; an interview with Anthony Fauci, MD, on the progress made against HIV.

    Read more about the stories in this podcast:
    CMS Issues Rules to Promote Value-Based Contracting, Pay for High-Cost Therapies in Medicaid: https://www.ajmc.com/newsroom/cms-issues-rules-to-promote-valuebased-contracting-pay-for-highcost-therapies-in-medicaid
    Medicare Claims Data Further Highlight Pandemic's Toll on Racial Minorities: https://www.ajmc.com/focus-of-the-week/medicare-claims-data-further-highlight-pandemics-toll-on-racial-minorities
    What Is Being Done to Assess the Disproportionate Effect of COVID-19 on Minority, Rural Communities? https://www.ajmc.com/focus-of-the-week/what-is-being-done-to-assess-the-disproportionate-effect-of-covid19-on-minority-rural-communities
    Fauci: Countless Lives Have Been Saved, but an HIV Vaccine and Cure Remain Elusive: https://www.ajmc.com/interviews/fauci-countless-lives-have-been-saved-but-a-vaccine-and-cure-remain-elusive
    PwC Provides 3 Spending Scenarios to Address Implications of COVID-19 on the 2021 Medical Cost Trend: https://www.ajmc.com/focus-of-the-week/pwc-provides-3-spending-scenarios-to-address-implications-of-covid19-on-the-2021-medical-cost-trend
    Infectious Diseases and Anemia in a Sample of Out-of-Treatment Drug Users: https://www.ajmc.com/journals/issue/1998/1998-09-vol4-n9/sep98-1074p1257-1264

    • 6 min
    Caring for Medicare Advantage, Medicaid Beneficiaries in Puerto Rico During COVID-19

    Caring for Medicare Advantage, Medicaid Beneficiaries in Puerto Rico During COVID-19

    Older and poorer Americans are disproportionately affected by the coronavirus disease 2019 (COVID-19) pandemic. In this episode of Managed Care Cast, we speak with Richard Shinto, MD, MBA, president and CEO of InnovaCare Health, about the company’s care of their Medicare Advantage and Medicaid beneficiaries in Puerto Rico during the COVID-19 pandemic. He last spoke with us in 2018 about the effect that Hurricane Maria had on the organization and its members. In today’s podcast, he shares how coping with the aftermath of the 2017 hurricane assisted them with the pandemic.

    • 21 min
    This Week in Managed Care—Update on COVID-19 Vaccine Process and Other Health News

    This Week in Managed Care—Update on COVID-19 Vaccine Process 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 more details about the COVID-19 vaccine process; attempts to reinforce social distancing amid reopening; a recap of the American Diabetes Association 2020 Virtual Scientific Sessions.

    Read more about the stories in this podcast:
    US Releases More Details About COVID-19 Vaccine Process, Says Some Doses Will Be Free: https://www.ajmc.com/newsroom/us-releases-more-details-about-covid19-vaccine-process-says-some-doses-will-be-free
    With States Reopening, CDC Tries to Reinforce Social Distancing Guidance: https://www.ajmc.com/newsroom/with-states-reopening-cdc-tries-to-reinforce-social-distancing-guidance
    American Diabetes Association 2020 Virtual Scientific Sessions: https://www.ajmc.com/conferences/ada-2020
    What We're Reading: Drug Price TV Ruling Upheld; WHO Ends Hydroxychloroquine Study; Caution Issued on Rally Attendance: https://www.ajmc.com/newsroom/what-were-reading-drug-prices-not-required-in-tv-ads-who-ends-study-of-hydroxychloroquine-caution-issued-on-rally-attendance-
    FDA Approves Second Biomarker-Based Indication for Pembrolizumab: https://www.ajmc.com/newsroom/fda-approves-second-biomarkerbased-indication-for-pembrolizumab
    Effectiveness and Cost-Effectiveness of Diabetes Prevention Among Adherent Participants: https://www.ajmc.com/journals/issue/2013/2013-1-vol19-n3/effectiveness-and-cost-effectiveness-of-diabetes-prevention-among-adherent-participants

    • 6 min
    Analyzing the Individual Marketplace for Health Benefits Amid COVID-19

    Analyzing the Individual Marketplace for Health Benefits Amid COVID-19

    The ramifications of the COVID-19 pandemic has caused uncertainty among employers nationwide adjusting to this new normal. Notably, viable health care coverage has emerged as an essential necessity, with employees seeking favorable benefits. A recent analysis by Willis Towers Watson indicates that individual markets, once characterized as volatile, have emerged as an option now associated with stability and growth.

    On this episode of Managed Care Cast, we speak with John Barkett, MBA, senior director of Policy Affairs in Benefits Delivery and Administration for Willis Towers Watson, on the current outlook of individual markets in private exchange solutions amid the pandemic.

    • 20 min

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