Managed Care Cast

Managed Care Cast

Podcast by Managed Care Cast

  • 32 minutes 7 seconds
    Cancer Care Crisis: Experts Discuss CMS Restrictions Impacting Rural Patients With Cancer
    On this episode of Managed Care Cast, we're talking with Illinois CancerCare's Pankaj Kumar, MD, and Stephanie Parker, PharmD, 2 authors of a commentary published in the May 2024 issue of The American Journal of Managed Care. Their commentary, "Access Denied: CMSā€™ Action Hurts Patients With Cancer in Rural America," discusses how recent CMS rules restricted the access of rural patients with cancer to medically integrated pharmacies, emphasizing the need for regulatory change.
    14 May 2024, 4:00 pm
  • 17 minutes 51 seconds
    Frameworks for Advancing Health Equity: Urban Health Outreach
    In the series debut episode of Frameworks for Advancing Health Equity, Mary Sligh, CRNP, and Chelsea Chappars, of Allegheny Health Network, explain how the Urban Health Outreach program aims to improve health equity for individuals experiencing homelessness.
    8 May 2024, 7:59 pm
  • 18 minutes 52 seconds
    CMS Medicare Final Rule: Advancing Benefits, Competition, and Consumer Protection
    On this episode of Managed Care Cast, we're talking with Karen Iapoce, senior director of government products and programs at ZeOmega. We discussed CMS's recent Medicare Part D and Medicare Advantage final rule and how it affects enrollees and health plans.
    7 May 2024, 4:00 pm
  • 22 minutes 35 seconds
    Tackling Health Inequality: The Power of Education and Experience
    To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our final episode of this limited series and our conversation with Janine Jelks-Seale, MSPPM, director of health equity at UPMC Health Plan.
    30 April 2024, 1:00 pm
  • 24 minutes 1 second
    Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
    On this episode of Managed Care Cast, we're talking with the University of Pennsylvania's Ravi Parikh, MD, MPP, and Aaron Schwartz, MD, PhD, 2 authors of a study published in the April 2024 issue of The American Journal of Managed CareĀ®. Their study, "Trends in Low-Value Cancer Care During the COVID-19 Pandemic," discusses how rates of low-value cancer services among adults with newly diagnosed cancer persisted throughout the COVID-19 pandemic.
    25 April 2024, 1:00 pm
  • 13 minutes
    Empowering Community Health Through Wellness and Faith
    To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our third episode and our conversation with Camille Clarke-Smith, EdD, MS, CHES, CPT, program director of quality improvement/Medicare/SNP STARs at UPMC Health Plan, which includes the UPMC for Life Medicare Faith and Wellness Program.
    23 April 2024, 1:00 pm
  • 16 minutes 19 seconds
    Overcoming Employment Barriers for Lasting Social Impact: Freedom House 2.0 and Pathways to Work
    To help celebrate and recognize National Minority Health Month, we are bringing you a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our second episode in which we learn all about Freedom House 2.0 and the Pathways to Work Program from its very own Dan LaVallee, senior director, Social Impact, UPMC Health Plan, and Markisha Jones, a Pathways to Work/Freedom House 2.0 graduate.
    16 April 2024, 1:00 pm
  • 17 minutes 55 seconds
    Making Giant Strides in Maternity Health Through Baby Steps
    To help celebrate and recognize National Minority Health Month, we are kicking off a special month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. Welcome to our first episode, which is all about the Baby Steps Maternity Program and its mission to support women throughout every step of their pregnancy journey.
    9 April 2024, 12:50 pm
  • 15 minutes 54 seconds
    Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
    On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of the American Journal of Accountable CareĀ® and a health policy professor at Penn State University. Topics we are discussing include President Biden's recent prescription drug proposals, prior authorization practices, price transparency, and the potential impact of health policy on the upcoming election.
    2 April 2024, 1:06 pm
  • 17 minutes 14 seconds
    Exploring Medicare Advantage Prior Authorization Variations
    On this episode of Managed Care Cast, we're talking with the University of Minnesota School of Public Health's Hannah Neprash, PhD; John Mulcahy, a PhD candidate; and Ezra Golberstein, PhD, the authors of a study published in the March 2024 issue of The American Journal of Managed CareĀ®. Their study, "The Extent and Growth of Prior Authorization in Medicare Advantage," discusses how the service-, area-, and carrier-level patterns they identified suggest variation in how Medicare Advantage plans use prior authorization.
    22 March 2024, 7:55 pm
  • 17 minutes 47 seconds
    Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
    On this episode of Managed Care Cast, we're talking with J. Nwando Olayiwola, MD, MPH; Candy MagaƱa, MPA; and Bereket Kindo, PhD, the lead author, research and project lead, and data scientist of a study published in the February 2024 issue of The American Journal of Managed Care. Their study, "Screening for Health Literacy, Social Determinants, and Discrimination in Health Plans," provides insight on the experiences of patients in a national health plan with 2 structural determinants of health and how those interact with social determinants of health and patient demographics.
    13 February 2024, 5:00 pm
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