13 episodes

If you’ve ever wondered what pharmacy benefit managers (PBMs) do, why the pharmaceutical supply chain is so complicated or the pace of change in healthcare seems so slow, how vendor purchasing decisions are made, or why our nation’s electronic claim administration infrastructure must be updated, Astonishing Healthcare by Capital Rx is the podcast for you. Covering everything from niche and broad pharmacy and health benefit topics to regulatory change, disruptive technologies, and macro issues like the trend for drug prices or the total cost of care, we’ve got the information and insights you need. For show notes and additional resources from Capital Rx, visit https://www.cap-rx.com/insights.

The Astonishing Healthcare Podcast Capital Rx

    • Health & Fitness
    • 5.0 • 8 Ratings

If you’ve ever wondered what pharmacy benefit managers (PBMs) do, why the pharmaceutical supply chain is so complicated or the pace of change in healthcare seems so slow, how vendor purchasing decisions are made, or why our nation’s electronic claim administration infrastructure must be updated, Astonishing Healthcare by Capital Rx is the podcast for you. Covering everything from niche and broad pharmacy and health benefit topics to regulatory change, disruptive technologies, and macro issues like the trend for drug prices or the total cost of care, we’ve got the information and insights you need. For show notes and additional resources from Capital Rx, visit https://www.cap-rx.com/insights.

    AH013 - Redefining Virtual Care: A Blueprint for Effective RPM, with Robert Longyear

    AH013 - Redefining Virtual Care: A Blueprint for Effective RPM, with Robert Longyear

    In this episode of the Astonishing Healthcare podcast, Robert Longyear, Co-Founder of Avenue Health, joins Justin Venneri to discuss virtual care and remote patient monitoring, including the role nurses and pharmacists can play as care models evolve and the importance of timely information exchange.

    • 31 min
    AH012 - Revolutionizing Healthcare: Prime & Capital Rx's Game-Changing Alliance, with Mostafa Kamal & AJ Loiacono

    AH012 - Revolutionizing Healthcare: Prime & Capital Rx's Game-Changing Alliance, with Mostafa Kamal & AJ Loiacono

    This episode of the Astonishing Healthcare podcast features the CEOs of Prime Therapeutics, Mostafa Kamal, and Capital Rx, AJ Loiacono. They join Michael Passanante, SVP of Marketing & Communications at Capital Rx, to share the story behind the strategic alliance between the organizations and their vision to reimagine pharmacy and provide better care to patients across the country leveraging next-generation technology: JUDI®.

    • 18 min
    AH011 - Navigating CMS' M3P, PDE, and Other Regulatory Changes, with Jason Barretto

    AH011 - Navigating CMS' M3P, PDE, and Other Regulatory Changes, with Jason Barretto

    Navigating and understanding government programs in healthcare can be a daunting task. In this podcast episode, Jason Barretto, Vice President of Government Program Operations at Capital Rx, joins Justin Venneri to shed light on the complexities of regulatory compliance and the importance of meeting the intent of legislation and regulations, including the CENTERS for MEDICARE & MEDICAID SERVICES’ Medicare Prescription Payment Plan (M3P) requirements and new Prescription Drug Event (PDE) requirements.

    • 21 min
    AH010 - The Power of PMPM: Holding PBMs Accountable for Total Drug Spend, with Kristin Begley, PharmD

    AH010 - The Power of PMPM: Holding PBMs Accountable for Total Drug Spend, with Kristin Begley, PharmD

    Per member, per month (PMPM) cost plays a crucial role in healthcare, particularly in pharmacy benefit management. On this episode of the Astonishing Healthcare Podcast, Kristen Begley, PharmD, Chief Commercial Officer at Capital Rx, emphasizes the significance of PMPM guarantees and how they help hold pharmacy benefit managers (PBMs) accountable for total drug spend. The PMPM calculation provides a simplified way to evaluate drug spend by dividing the total plan spend by the number of members. This enables plan sponsors and other industry professionals to easily assess the value and effectiveness of their vendors.

    • 21 min
    AH009 - Modern Technology in Healthcare: Enhancing Efficiency & Security, with Ryan Kelly

    AH009 - Modern Technology in Healthcare: Enhancing Efficiency & Security, with Ryan Kelly

    Capital Rx Co-Founder and Chief Technology Officer Ryan Kelly joins Justin Venneri for a discussion about the genesis of JUDI, Capital Rx's enterprise health platform, security in the wake of recent cyber attacks, AI use cases, what frustrates him to no end, and the most astonishing thing he [continues to] see in the industry (hint: it should have died long ago, but it's still used, and sometimes favored).

    • 21 min
    AH008 - Ask the Right Questions to Future-Proof Your Pharmacy Benefit Plan, with Josh Golden

    AH008 - Ask the Right Questions to Future-Proof Your Pharmacy Benefit Plan, with Josh Golden

    In this episode of the Astonishing Healthcare podcast, Justin Venneri interviews Josh Golden, who brings his extensive experience as a healthcare consultant and Senior Vice President of Strategy at Capital Rx to the discussion to highlight key questions that plan sponsors should ask to future-proof their pharmacy benefit programs. It is crucial to understand how PBMs make money and how much a plan sponsor is paying their PBM. The answer to the first part helps explain PBMs' behavior, and the answer to the second aids plan sponsors in their decision-making process.

    • 21 min

Customer Reviews

5.0 out of 5
8 Ratings

8 Ratings

Nick B. 3857 Evergreen St. TX ,

This is the best podcast. Listen to episode 5

This is my favorite podcast! LISTEN TO EPISODE 5 NOW!

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