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An Update on the Work of the Medicaid Transformation Project
The American Journal of Managed Care® sat down with David Smith, the executive director of the Medicaid Transformation Project, to get an update about the integration challenges health systems are facing, including system issues, infrastructure issues, coding and payment issues, and more.
Twenty-eight health systems have joined together across the country so far to participate in an effort launched last year called the Medicaid Transformation Project, which aims to improve healthcare and related social needs, including behavioral health and mental health, for the 1 in 5 Americans on Medicaid. The American Journal of Managed Care® recently sat down with David Smith, the executive director of the project, to get an update about the integration challenges health systems are facing, including system issues, infrastructure issues, coding and payment issues, and more.
This podcast is a follow up to one The American Journal of Managed Care® did last year with Molly Coye, MD, executive-in-residence of AVIA Health Innovation, which created the Medicaid Transformation Project in conjunction with former CMS Acting Administrator Andy Slavitt.
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Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care
February 25th 2025On 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.
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The Impact of Cost Sharing on High-Value Care
March 14th 2025Michael Chernew, PhD, professor of health care policy and director of the Healthcare Markets and Regulation Lab, Harvard Medical School, shares how cost-sharing policies shape access to critical health care services and influence value-based insurance design.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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As Claims Denials Surge, AI and Data-Driven Insights Equip Clinicians, Hospitals to Fight Back
March 13th 2025As health care costs continue to rise and the burden of chronic disease grows, data-driven insights will be essential in shaping the future of patient care, according to experts from Komodo Health and SmarterDx.
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