Managed Care Cast

Managed Care Cast
  • 4.9 (17)
  • SCIENCE
  • UPDATED BIMONTHLY
Managed Care Cast

Podcast by Managed Care Cast

  1. Personalized Care Key as Tirzepatide Use Expands Rapidly

    22H AGO

    Personalized Care Key as Tirzepatide Use Expands Rapidly

    Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes. Overall, their findings show a significant uptick in tirzepatide dispensations, alongside other glucose- and weight-lowering medications, including semaglutide.

    21 min
  2. Managed Care Cast Presents: Unlocking the Potential of CGM Technology

    5D AGO

    Managed Care Cast Presents: Unlocking the Potential of CGM Technology

    Today we are bringing you a conversation the use of continuous glucose monitoring technology and its transformative potential in diabetes care. Davida Kruger, a certified nurse practitioner at Henry Ford in the division of endocrinology, spoke with Jaime Murillo, MD, senior vice president and chief medical officer, medical affairs, United Health Group; Jeremy Wigginton, MD, chief medical officer at a regional Blue plan; Ian Neeland, MD, director of cardiovascular prevention, University Hospitals Harrington Health and Vascular Institute, and associate professor of medicine, Case Western Reserve University School of Medicine; and Ken Cohen, MD, executive director of translational research, Optum Health. The topics of conversation for today’s podcast include how CGM addresses therapeutic inertia, enhances glycemic control, and drives improvements in patient outcomes and health care efficiency, as well as the barriers to adoption, strategies for expanding access, and the cost effectiveness of CGM implementation.

    31 min
  3. Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care

    FEB 18

    Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care

    On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine injuries and managed care systems.

    22 min
  4. Varied Access: The Pharmacogenetic Testing Coverage Divide

    FEB 12

    Varied Access: The Pharmacogenetic Testing Coverage Divide

    On this episode of Managed Care Cast, we are speaking with Jai N. Patel, PharmD, the associate director of shared resources management at Atrium Health Wake Forest Baptist Comprehensive Cancer Center. His study, "Medical Policy Determinations for Pharmacogenetic Tests Among US Health Plans," uncovered significant differences in coverage decisions for pharmacogenetic tests across major US health insurers and laboratory benefit managers; pharmacogenetic testing examines how an individual's genetic makeup impacts drug response. In our discussion, Patel shares what motivated this research, key takeaways from his findings, and steps needed to improve consistency in evidence evaluation and pharmacogenetic test coverage.

    13 min
  5. Telemedicine’s Evolution: Expanding Access to Obesity and Specialty Care

    FEB 11

    Telemedicine’s Evolution: Expanding Access to Obesity and Specialty Care

    On this episode of Managed Care Cast, we speak with George Jones, chief operating officer at UpScript Health, an online pioneer of eprescribing 20 years ago, to learn how telemedicine has progressed from asynchronous conferencing to real-time video consultation, enabling the treatment of complex conditions beyond primary care.

    25 min
  6. Politics vs Science: The Future of US Public Health

    FEB 4

    Politics vs Science: The Future of US Public Health

    On this episode of Managed Care Cast, we speak with Perry N. Halkitis, PhD, MS, MPH, dean of the Rutgers School of Public Health. Our conversation centers on the potential withdrawal of the United States from the World Health Organization, the new directive for the CDC to stop communications with the WHO, and their public health implications. We also touch on the importance of accurate public health information and the role of public health leaders in advocating for science and health.

    28 min
  7. The Evolving Annual Wellness Visit

    JAN 28

    The Evolving Annual Wellness Visit

    Today, we're diving deep into a crucial aspect of preventive healthcare: the Annual Wellness Visit. Our guest is Dr. Christopher Wheelock, a clinical transformation physician executive at Highmark Health, responsible for developing payer and provider collaborations to move toward value-based care. In the past, he was heavily involved with developing the workflow, patient scripting and templating for the Annual Wellness Visit when CMS first established it in 2011 as part of the Affordable Care Act. In today’s episode, Dr. Wheelock sheds light on the various elements of the Annual Wellness Visit, including self-assessments of psychosocial issues and screenings for conditions like dementia and incontinence. He also explains the expansion of services in 2025 for Medicare beneficiaries. We also explore the intricacies of coding and billing for these visits, especially if they go beyond the scope of the Annual Wellness Visit; the value they bring to patients, providers, and payers; and the critical role of effective communication and preparation to maximize the benefit of the Annual Wellness Visit.

    17 min
  8. Unlocking Access: Exploring Mental Health Care Among Medicaid Managed Care Enrollees

    JAN 23

    Unlocking Access: Exploring Mental Health Care Among Medicaid Managed Care Enrollees

    On this episode of Managed Care Cast, we're talking with Allison Ju-Chen Hu, PhD, a postdoctoral associate in the Department of Population Health Sciences at Weill Cornell Medicine. Her study, "Medicaid Managed Care Network Adequacy Standards and Mental Health Care Access," examined the association between quantitative network adequacy standards (NAS) and mental health care access among adult Medicaid enrollees, including those with mental health conditions.

    15 min
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Ratings & Reviews

4.9
out of 5
17 Ratings

About

Podcast by Managed Care Cast

Information

  • Creator
    Managed Care Cast
  • Years Active
    2016 - 2025
  • Episodes
    500
  • Rating
    Clean
  • Copyright
    © All rights reserved
  • Show Website
    Managed Care Cast

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