November 6th 2025
For Medicaid care management, focusing on rising-risk patients is more effective than targeting high-cost claimants, whose spending tends to decrease over time due to regression to the mean.
The Economics of Transthyretin-Mediated Amyloidosis: Balancing Equity and Access in Resource Allocation
1 Credit / Cardiology, Neurology
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Closing Gaps in CLL Care: Managed Care Insights and Strategies
1.5 Credit / Hematologic Cancer, Oncology
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ASH Annual Meeting Coverage: Highlighting the Recent Updates in TKI Use in the Treatment of CML – Insights and Application for Managed Care
1.0 Credit / Oncology, Hematology, Hematologic Cancer
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Advancing Immunotherapy in Endometrial Cancer: A Managed Care Perspective on Personalized Care
1.5 Credits / Gynecologic Cancer, Health Equity, Diversity & Inclusion, Oncology, Women's Health
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Overcoming Operational and Clinical Barriers in Multiple Myeloma: Managed Care Strategies for Antibody-Based Regimens
1.5 Credits / Hematologic Cancer, Hematology, Oncology
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Underscoring the Diversity Issue in Dermatology: Clinical Trials, Therapeutics, and Care Management
March 28th 2022Clinical trial recruitment and management strategies for diverse populations are among the challenges that affect dermatology care quality and access, according to panelists at the 2022 American Academy of Dermatology (AAD) Annual Meeting.
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Panel Reviews Dietary Triggers, Best Practices for Management of Dermatologic Diseases
March 27th 2022A panel discussion at the 2022 American Academy of Dermatology Annual Meeting addressed the association between food and skin manifestations, as well as dietary triggers and recommendations in the management of a myriad of dermatologic conditions.
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Looking Beyond COVID-19, US Health Officials Outline Next Steps to Fight Disease
March 2nd 2022From one-stop testing and treatment sites to boosting research and surveillance, Biden administration health officials expanded on the COVID-19 plan the president announced in his State of the Union address Tuesday night, but the plan will require additional funding from Congress.
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A study finds that lower-dose vaccines given to children aged 5 to 11 years provides less protection against infection; President Joe Biden will announce a major overhaul of nursing home quality during his State of the Union speech; United Nations report highlights need for drastic action to address climate change.
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How Employers Can Achieve High-Value, Cost-Effective Oncology Care Through Genomic Profiling
February 26th 2022A webinar by the National Cancer Treatment Alliance discussed current use and diagnostic/therapeutic benefits of comprehensive genomic profiling in oncology, as well as recommendations for employers and benefit consultants considering biomarker testing.
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Contributor: Solving the US Physician Diversity Problem
February 23rd 2022The representation of Black physicians is alarmingly low, but the opportunities for change are possible and urgent. Health care leaders and human resource departments need to address these disparities, and increasing diversity among their workforce is an excellent place to begin.
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What We're Reading: COVID-19 Funding; Health Worker Booster Mandate Delayed; Racism in Health Care
February 21st 2022Biden administration officials request additional funding from Congress to manage the global COVID-19 pandemic; New York delays its COVID-19 booster vaccine mandate for health care workers amid staffing shortages; study finds racism affected treatment decisions and led to care disparities among Black patients.
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Dr Kenneth Cohen on Education, Tools to Reduce Low-Value Care
February 10th 2022Kenneth Cohen, MD, FACP, executive director of clinical research at UnitedHealth Group Research and Development and senior national medical director at OptumCare, discusses evidence-based education and other tools to address low-value care.
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A bipartisan congressional report estimates overdose deaths cost the United States $1 trillion yearly; 4 states announce plans to lift their statewide mask mandates for schools; study finds greater risk of pregnancy complications in expectant mothers with moderate COVID-19 symptoms.
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What We're Reading: COVID-19 Wastewater Monitoring; Vaccine Dose Intervals; Urban Air Pollution
February 7th 2022The CDC's wastewater monitoring program will soon begin evaluating more water samples for COVID-19; vaccine guidance changes for individuals who are immunocompromised may be forthcoming; exposure to air pollution levels vastly greater than that advised by World Health Organization guidelines.
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How Patient Descriptors Influence Racial Bias in the Electronic Health Record
January 25th 2022On this episode of Managed Care Cast, we speak with Michael Sun, a medical student at the Pritzker School of Medicine at the University of Chicago, who served as first author of a Health Affairs study showing that race and bias were significantly associated with negative patient descriptors in the electronic health record.
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Israeli study finds the added antibody protection from a fourth COVID-19 vaccine dose is not enough to prevent Omicron infection; Texas abortion law remains in effect after appeals court ruling; insurer spending for the unproven COVID-19 drug ivermectin was estimated at $2.5 million for a week last summer.
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President Joe Biden's vaccine mandate for large businesses was met with skepticism from the conservative-majority Supreme Court; COVID-19 hospitalization rates are rising for young children not yet eligible for vaccination; exercise is shown to lower risk of dementia even in those already presenting with symptoms.
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CVS Health’s Theresa Juday on How Cognitive Behavioral Therapy Can Ameliorate Health Disparities
January 8th 2022Theresa Juday, RPh, director, Specialty Product Development, CVS Health, discusses the potential of cognitive behavioral therapy to address health disparities in underserved communities.
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Anthony Fauci, MD, said the CDC is considering changes to its guidance requiring a negative COVID-19 test after 5-day quarantine; bipartisan legislation banning surprise medical billing goes into effect; booster vaccine programs may be limiting global vaccine supply for low- and middle-income countries.
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AJMC® Conversations: BCBS NC and Newton Family Physicians—Turning to Prevention
December 31st 2021This 8-part conversation with Blue Cross and Blue Shield of North Carolina and Newton Family Physicians, moderated by The American Journal of Managed Care® (AJMC®), focuses on the role of value-based care, independent care practices, and other aspects of health care that have been and continue to be affected by the continuing COVID-19 pandemic, even as we enter 2022. This is part 8.
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This 8-part conversation with Blue Cross and Blue Shield of North Carolina and Newton Family Physicians, moderated by The American Journal of Managed Care® (AJMC®), focuses on the role of value-based care, independent care practices, and other aspects of health care that have been and continue to be affected by the continuing COVID-19 pandemic, even as we enter 2022. This is part 7.
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