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<div class="span index">1</div> <span><a class="" data-remote="true" data-type="html" href="/series/the-85-south-show-with-karlous-miller-dc-young-fly-and-chico-bean">The 85 South Show with Karlous Miller, DC Young Fly and Chico Bean</a></span>
Welcome to the 85 South Show - a podcast for people who don't know what a podcast is. Hosted by DC Young Fly, Karlous Miller , and Chico Bean. For more check out www.85southshow.com
Dr Barbara McAneny Discusses New Payment Models, Transforming Care, and the AMA
Manage episode 219994843 series 1314490
Innhold levert av Managed Care Cast. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Managed Care Cast eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.
Recently, Barbara McAneny, MD, the current president of the American Medical Association (AMA), visited The American Journal of Managed Care® (AJMC®)’s office for a wide-ranging discussion on new payment models, transforming care, and the work of the AMA. McAneny is an oncologist who has been at the forefront of transforming care for patients with cancer. In 2012 she and her organization, Innovative Oncology Business Solutions, received a $19.76 million grant by the Center for Medicare and Medicaid Innovation to develop a community oncology medical home model. The model was implemented in 7 practices and aimed to improve patient care, outcomes, and satisfaction, while reducing costs. She will be the keynote speaker November 16 in Philadelphia at Patient-Centered Oncology Care®, AJMC®’s annual multistakeholder meeting featuring payers, providers, and patient advocates. Read more: The Future of Oncology? COME HOME, the Oncology Medical Home: https://www.ajmc.com/journals/evidence-based-oncology/2013/2013-1-vol19-sp1/the-future-of-oncology-come-home-the-oncology-medical-home/ AMA Chooses Oncologist Dr Barbara McAneny to Lead as President-Elect: https://www.ajmc.com/newsroom/ama-chooses-oncologist-dr-barbara-mcaneny-to-lead-as-president-elect Patient-Centered Oncology Care®: www.ajmc.com/pcoc2018 Implications of OCM Reports and the Future of the Program: https://www.ajmc.com/newsroom/implications-of-ocm-reports-and-the-future-of-the-program The Price of Innovation When Improving Cancer Care Delivery: https://www.ajmc.com/conferences/accc-2018/the-price-of-innovation-when-improving-cancer-care-delivery
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596 episoder
Manage episode 219994843 series 1314490
Innhold levert av Managed Care Cast. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av Managed Care Cast eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.
Recently, Barbara McAneny, MD, the current president of the American Medical Association (AMA), visited The American Journal of Managed Care® (AJMC®)’s office for a wide-ranging discussion on new payment models, transforming care, and the work of the AMA. McAneny is an oncologist who has been at the forefront of transforming care for patients with cancer. In 2012 she and her organization, Innovative Oncology Business Solutions, received a $19.76 million grant by the Center for Medicare and Medicaid Innovation to develop a community oncology medical home model. The model was implemented in 7 practices and aimed to improve patient care, outcomes, and satisfaction, while reducing costs. She will be the keynote speaker November 16 in Philadelphia at Patient-Centered Oncology Care®, AJMC®’s annual multistakeholder meeting featuring payers, providers, and patient advocates. Read more: The Future of Oncology? COME HOME, the Oncology Medical Home: https://www.ajmc.com/journals/evidence-based-oncology/2013/2013-1-vol19-sp1/the-future-of-oncology-come-home-the-oncology-medical-home/ AMA Chooses Oncologist Dr Barbara McAneny to Lead as President-Elect: https://www.ajmc.com/newsroom/ama-chooses-oncologist-dr-barbara-mcaneny-to-lead-as-president-elect Patient-Centered Oncology Care®: www.ajmc.com/pcoc2018 Implications of OCM Reports and the Future of the Program: https://www.ajmc.com/newsroom/implications-of-ocm-reports-and-the-future-of-the-program The Price of Innovation When Improving Cancer Care Delivery: https://www.ajmc.com/conferences/accc-2018/the-price-of-innovation-when-improving-cancer-care-delivery
…
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596 episoder
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Managed Care Cast
1 Bird Flu Risks, Myths, and Prevention Strategies: A Conversation With the NFID’s Robert Hopkins, MD 16:29
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16:29Joining us for this episode of Managed Care Cast is Robert H. Hopkins, Jr, MD, mnedical director at the National Foundation for Infectious Diseases and NFID liaison to the Advisory Committee on Immunization Practices, who will help separate fact from fiction about avian influenza and discuss what needs to be done to prevent a future escalation.…
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Managed Care Cast
1 Frameworks for Advancing Health Equity: Accessing Ketamine-Assisted Therapy 21:53
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21:53Today, we do a deep dive into psychedelic-assisted therapy with Jessica Tracy, head of Growth and Partnerships at Enthea. She shares how employers and unions can support mental health and address access barriers to evidence-based ketamine treatments.
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Managed Care Cast
1 Five Years Later: Ongoing COVID-19 Challenges, Next Steps 14:51
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14:51March 11, 2025, will mark 5 years since the World Health Organization (WHO) declared COVID-19 a pandemic. Between January 22, 2020, and March 10, 2023, Johns Hopkins University recorded over 676 million confirmed COVID-19 cases worldwide and more than 6.8 million related deaths. In the US alone, it reported over 103 million cases and more than 1 million deaths during this timeframe. Although the WHO declared an end to the public health emergency on May 5, 2023, followed by the CDC on May 11, COVID-19 continues to impact thousands of individuals worldwide. On this episode of Managed Care Cast, we're speaking with Jenny Han, MD, a COVID-19 expert from Emory School of Medicine and Grady Hospital in Atlanta, Georgia. We'll explore the current state of COVID-19, including risk factors, treatments, and the impacts of long COVID. We will also discuss prevention strategies, vaccination efforts, and future steps to improve COVID-19 care and outcomes.…
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Managed Care Cast
1 AJMC® Editors Reflect on 2024 and Look Forward to a Milestone 22:39
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22:39The editors in chief of The American Journal of Managed Care® discuss the key managed care research and news from 2024 and look forward to the journal’s upcoming 30th anniversary.
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Managed Care Cast
1 Managed Care Cast Presents: BTK Inhibitors in Treatment-Naive Patients With CLL and MCL 32:55
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32:55Today we are bringing you a conversation on treatment with Bruton tyrosine kinase inhibitors for patients with treatment-naïve chronic lymphocytic leukemia (CLL) and mantle cell lymphoma (MCL). Ryan Haumschild, PharmD, MS, MBA, CPEL, vice president of ambulatory pharmacy at Emory Healthcare and Winship Cancer Institute, spoke with 3 experts: Tara Graff, DO, medical oncologist, Mission Cancer and Blood; Jacqueline Barrientos, MD, MS, chief, Hematologic Malignancies, and director, Oncology Research at Mount Sinai Comprehensive Cancer Center; and Matthew Davids, MD, MMSc, director of Clinical Research, Division of Lymphoma, Dana-Farber Cancer Institute, and associate professor of medicine, Harvard Medical School. They covered a wide range of topics including the data on treatment regimens for both CLL and MCL, the cost of treatment, patient-specific considerations during treatment decision making, and the future of treatment.…
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Managed Care Cast
1 Frameworks for Advancing Health Equity: Pharmacy Support for Non-Hodgkin Lymphoma 15:11
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15:11Rachael Drake, pharmacy technician coordinator, University of Kansas Health System, explains how her team collaborates with insurance companies and providers to support patients with non-Hodgkin lymphoma access treatment.
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Managed Care Cast
1 Diving Into Patient Preferences for Blood Cancer Treatments With Dr Sikander Ailawadhi 22:56
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22:56Among the latest data being presented at the American Society of Hematology Annual Meeting and Exposition, held December 7-10, 2024, in San Diego, California, were 3 abstracts that focused on patient preferences and treatment choices. Sikander Ailawadhi, MD, professor of medicine in the Division of Hematology/Oncology at the Mayo Clinic Florida was a coauthor on all 3 abstracts, covering patient preferences for Bruton tyrosine kinase inhibitors in chronic lymphocytic leukemia and small lymphocytic lymphoma, survivorship burden and patient preferences affecting treatment choices in multiple myeloma, and race/ethnicity-specific sociodemographic and economic factors driving refusal of treatment in multiple myeloma.…
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Managed Care Cast
1 Managed Care Cast Presents: Navigating Burdens and Treatment Challenges of IPF 22:54
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22:54Today we are bringing you insights from 3 separate interviews with experts about the treatment, management, and burdens of idiopathic pulmonary fibrosis (IPF). In this podcast, you’ll hear insight from the following individuals: Toby Maher, MD, PhD, professor of clinical medicine, Keck School of Medicine, USC; Martin Kolb, MD, PhD, professor of medicine, McMaster University; and Steven Nathan, MD, FCCP, medical director of the Advanced Lung Disease Program and Lung Transplant Program, Inova Fairfax Hospital, and professor of medicine, University of Virginia. These experts discuss what IPF is, how it impacts patients’ quality of life, barriers to care, and treatments in the pipeline.…
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Managed Care Cast
1 Advancing Women's Health: CVS Health Leader on Access, Technology, and Breaking Stigmas 33:47
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33:47On this episode of Managed Care Cast, we're talking with Joanne Armstrong, MD, MPH, the vice president and chief medical officer for women's health and genomics at CVS Health. We explored the progress and persistent challenges in women's health, highlighting topics like care access, the role of technology, maternal health outcomes, and efforts to break the stigma around menopause.…
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Managed Care Cast
1 Operationalizing Bispecifics in Multiple Myeloma 44:00
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44:00In this special episode of Managed Care Cast, the executive editor of The American Journal of Managed Care, Mary Caffrey, speaks with Tyler Sandahl, PharmD, of Cleveland Clinic, and Michael Byrne, DO, of Tennessee Oncology, about the use of bispecific antibodies to treat patients with multiple myeloma, the importance of caregivers for this regimen, how the entire staff plays a role, the common adverse events patients need to be looking out for, and more.…
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Managed Care Cast
1 Expert Insights on How Utilization Management Drives Physician Burnout 16:20
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16:20On this episode of Managed Care Cast, we're talking with Josie Cooper, BA, executive director of the Alliance for Patient Access. Her study, "Utilization Management and Physician Burnout," involved a survey that assessed physician experiences with utilization management and burnout, investigating the potential link between the 2.…
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Managed Care Cast
1 Frameworks for Advancing Health Equity: Wellness Way 16:58
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16:58Dr Elizabeth Warner, chief medical officer at CDPHP, discusses how Wellness Way's focus on patient experience, community partnerships, and integration of physical and mental health care services sets it apart from traditional hospital-based care.
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Managed Care Cast
1 Breaking the Cycle: The Importance of Early Intervention in Hidradenitis Suppurativa 13:46
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13:46Prompt care supports mental well-being, as hidradenitis suppurativa is often associated with depression and anxiety due to its physical and social challenges.
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Managed Care Cast
1 Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions 9:58
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9:58On this episode of Managed Care Cast, we're talking with Benjamin Ukert, PhD, of Elevance Health's Public Policy Institute. His study, "Racial and Ethnic Disparities in Prior Authorizations for Patients With Cancer," evaluated prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.…
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Managed Care Cast
1 Engage, Educate, Empower: Transforming Kidney Care 21:59
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21:59In our conversation with Jeff Giullian, MD, MBA, chief medical officer with DaVita Kidney Care, we dive into 4 important aspects of kidney care: prevention, social support, integrated care, and patient support
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Managed Care Cast
1 Dr Rick Chapman Discusses Key Insights From the Center’s Rare Disease Project 15:36
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15:36On this episode of Managed Care Cast, we're talking with Rick Chapman, PhD, chief science officer of the Center for Innovation & Value Research, formerly known as the Innovation and Value Initiative (IVI). We discussed the Center's Rare Disease project, including the primary goals, key discoveries from Phase 1, and what to expect moving forward.…
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Managed Care Cast
1 Sustaining Compassionate Trauma Care Across Communities 19:56
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19:56To help celebrate and recognize National Recovery Month, we have brought you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In this final episode, we speak with Lyndra Bills, MD, senior medical director, and Shari Hutchison, MS, director of program evaluation and outcomes, both with Community Care Behavioral Health Organization.…
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Managed Care Cast
1 Frameworks for Advancing Health Equity: Community Wellness Centers 17:48
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17:48Delia Orosco, MS, director of Community Wellness Centers at Inland Empire Health Plan (IEHP), shares insight into innovative initiatives like the mobile mammogram clinics.
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Managed Care Cast
To recognize National Recovery Month, we are bringing you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In episode 4, Amy Herschell, PhD, associate vice president, Program Implementation and Evaluation, Community Care Behavioral Health Organization, and Jessica Meyers, MSEd, senior advisor for implementation, UPMC Center for High-Value Health Care.…
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Managed Care Cast
1 Exploring Consumer Perspectives on Network Adequacy Definitions 8:29
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8:29On this episode of Managed Care Cast, we're talking with Simon F. Haeder, PhD, MPA, associate professor of public health at Texas A&M University. His study, "When is a Network Adequate? Consumer Perspectives on Network Adequacy Definitions," explored the factors that consumers consider essential for an adequate provider network, including travel times, inclusive care, and language access.…
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Managed Care Cast
1 Frameworks for Advancing Health Equity: Youth Behavioral Health Program 17:47
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17:47Chris Barton, senior director of Integrated Systems of Care & Network Innovation at Horizon Blue Cross Blue Shield of New Jersey, discusses how the Youth Behavioral Health Strategy program focuses on addressing the specific needs of youth with mental health and substance use issues through a comprehensive approach…
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Managed Care Cast
To recognize National Recovery Month, we are bringing you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In episode 3, we speak with Kim MacDonald-Wilson, ScD, CPRP, senior director, Recovery and Wellness Transformation, and Tracy Carney, CPS, CPRP, senior recovery specialist, both at Community Care Behavioral Health Organization, part of the UPMC Insurance Services Division.…
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Managed Care Cast
1 Providing Patients a Voice in Their Recovery 25:07
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25:07To recognize National Recovery Month, we are bringing you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In episode 2, we speak with Rebekah Sedlock, DSW, LCSW, Community Care Behavioral Health Organization, part of the UPMC Insurance Services Division, and Mandy Fauble, PhD, LCSW, UPMC Western Behavioral Health at Safe Harbor.…
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Managed Care Cast
1 Combatting the Opioid Epidemic: Insights From the Front Lines 29:47
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29:47To recognize National Recovery Month, we are bringing you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In episode 1, we speak with Michael Lynch, MD, associate professor of emergency medicine at the University of Pittsburgh and an attending emergency physician and medical toxicologist at the University of Pittsburgh Medical Center.…
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Managed Care Cast
1 Obesity Uncovered: Dr Eden Miller on US Obesity Epidemic, Insurance Shortcomings 15:42
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15:42On this episode of Managed Care Cast, we're talking with Eden Miller, DO, founder of the Diabetes and Obesity Care clinic in Bend, Oregon, which provides high-level obesity intervention and diabetes treatment and prevention. Her study, "Inadequate Insurance Coverage for Overweight/Obesity Management," reviews the US obesity epidemic and discusses insufficient insurance coverage for obesity management.…
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Managed Care Cast
1 Effective Strategies to Enhance Medicare Advantage Star Ratings 18:06
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18:06On this episode of Managed Care Cast, we're talking with Marge Ciancetta, the product manager of Cotiviti's Star Intelligence solution, which helps health plans and providers improve their Medicare Advantage Star Ratings. We discussed all things Star Ratings, including their importance, how they are calculated, and their impact on plans in 2024. Looking ahead, we also discussed strategies to improve ratings for 2025, especially for smaller plans.…
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Managed Care Cast
1 Building Trust, Breaking Barriers: Health Care Leaders Tackle Primary Care Challenges 34:59
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34:59On this episode of Managed Care Cast, we're talking with Sreekanth Chaguturu, MD, chief medical officer of CVS Health; Cathy Moffitt, MD, FAAP, CHIE, chief medical officer of Aetna; and Joneigh Khaldun, MD, MPH, FACEP, chief health equity officer of CVS Health. We discuss various topics, including the current challenges in primary and preventive care engagement, the role of trust in patient-provider relationships, and how community-based approaches and partnerships are improving care access nationwide.…
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Managed Care Cast
1 Bridging the Vaccination Gap: Insights on Global Immunization Challenges 20:18
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20:18On this episode of Managed Care Cast we speak with Jeffery A. Goad, PharmD, MPH, 2024-2025 president of the National Foundation for Infectious Diseases, on the recent report from the World Health Organization and UNICEF on public immunization rates, with national and global health implications.
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Managed Care Cast
1 Dr Jason Spangler on Enhancing Equity in Health Technology Assessment 29:29
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29:29On this episode of Managed Care Cast, we're talking with Jason Spangler, MD, MPH, the CEO of the Center for Innovation and Value Research, formerly known as the Innovation and Value Initiative (IVI). We discuss the strengths and limitations of health technology assessment (HTA), one major limitation being its lack of equity. We also touch on IVI's recent rebrand to the Center for Innovation and Value Research on July 16 and how people can get involved.…
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Managed Care Cast
1 Frameworks for Advancing Health Equity: Health Equity by Design 12:09
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12:09Melissa Clarke, MD, CMQ, the chief health equity officer at Elevance Health, explains "Health Equity by Design" and how Elevance Health is committed to ensuring a personalized and intentional approach for all its members, regardless of race or ethnicity, sexual orientation, gender identity, disability, and geographic or financial access.…
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