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Dr Peter Aran Discusses Year 1 Feedback on OCM
When you have constant evolving contract, there are changes, and so some of the feedback I’m getting is that sometimes it’s hard to keep up with the changes, said Peter Aran, MD, medical director of Population Health Management at Blue Cross Blue Shield of Oklahoma.
When you have constant evolving contract, there are changes, and so some of the feedback I’m getting is that sometimes it’s hard to keep up with the changes, said Peter Aran, MD, medical director of Population Health Management at Blue Cross Blue Shield of Oklahoma.
Transcript (slightly modified)
What insights have you drawn from the year 1 feedback on OCM from CMMI?
The biggest feedback is that practices are trying to stay on top of everything, and this is a constant evolving project. When you have constant evolving contract, there are changes, and so some of the feedback I’m getting is that sometimes it’s hard to keep up with the changes. That’s one thing, and the other thing is the doctors and the administrators and the nurses and the pharmacists sometimes wish they had better mechanisms to get feedback; or not even feedback, but to give ideas prior to changes. I think CMS is really trying to do that better. That’s the whole basis behind the multi-payer model, I think.
Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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