Welcome to The Healthcare Revolution podcast with MHK, brought to you by Marc S. Ryan, MHK president. MHK is a leading healthcare software technology firm serving health plans, pharmacy benefit managers, and other managed care organizations. MHK is on the cutting edge of healthcare transformation and Marc offers his insights on the evolving healthcare landscape in this thought-provoking podcast.
MHK Interview with Dr. Marty Makary, MD MPH
In this latest episode of The Healthcare Revolution with MHK, president Marc S. Ryan speaks with Dr. Marty Makary, MD MPH a leading healthcare reform expert and author of The New York Times bestseller The Price We Pay. It’s an intriguing conversation you don’t want to miss.
Reconciliation Act and Drug Price Reform
Two major healthcare provisions were included in the Democratic reconciliation bill known as the Inflation Reduction Act. They include extension of Exchange premium subsidies and Medicare drug price reforms. In this edition of the Healthcare Revolution with MHK, MHK President Marc Ryan discusses both important issues. Most importantly he asks: “Why all the fuss about drug price reform?”
Major Changes in Store for Medicare Advantage and Part D Plans
In the latest edition of The Healthcare Revolution podcast, MHK president Marc S. Ryan reviews the recent Health and Human Services Office of Inspector General report regarding prior authorization in Medicare Advantage (MA) plans and the push for reforms and restrictions on utilization management in the MA private plan alternative to traditional fee-for-service (FFS). In addition, Marc provides an overview of the final 2023 MA and Part D rule. Major changes are in store for MA and Part D plans.
Aduhelm and the Microcosm of What is Wrong with our Drug Approval and Pricing Process
In this edition of The Healthcare Revolution podcast, MHK President Marc S. Ryan examines the recent controversy over the approval of Aduhelm and the backtracking the government did on coverage of the drug in Medicare. It is a microcosm about what is wrong with our drug approval and pricing process.
The ACA Turns 12
The Affordable Care Act turned 12. In this edition of The Healthcare Revolution podcast, MHK’s President, Marc S. Ryan tells you about the history of the ACA, the turmoil from Obama to Trump to Biden, and the accomplishments in terms of healthcare coverage expansion. He then reviews some looming risks to coverage.
Interoperability Rule to Reduce Healthcare Costs and Improve Quality
The federal government says health plans and providers should be in store for a big interoperability rule in the Spring of 2022. The rule promises to clarify some existing rules and bring about medical electronic prior authorization and data-sharing between payers and providers. It will clearly define integration standards to use. While it will take time and cost to implement, it is a key initiative to reduce healthcare costs and improve quality.
Informative and relevant
Dive deep in details of health plans, insurance, policies and regulations, history, and the changing landscape. Marc Ryan is an excellent tour guide for all things healthcare.