Because managed care’s approach includes managing how dollars are spent on healthcare to ensure that patients can achieve a decent quality of life and live happy and healthy, the panelists discuss the importance of incorporating prevention programs into the country’s healthcare system.
Unfortunately, the panelists conclude that the prevalence of cardiometabolic disorders continues to rise. David Calabrese, RPh, MHP, explains that this is true in part because our country’s current healthcare system is not focused on providing for health, wellness, and preventive care for patients at risk for developing cardiometabolic events.
Obesity, now clarified as a disease by the American Association of Clinical Endocrinologists, is an example of a driver of cardiometabolic disease. Unfortunately, explains Yehuda Handelsman, MD, FACP, FACE, FNLA, there currently are no reimbursement programs set up for providers who manage obese patients.
However, Mr. Calabrese and Kenneth L. Schaecher, MD, FACP, CPC, explain how the Affordable Care Act and healthcare reform are beginning to shift payer programs toward preventive care.
Stuck in Prior Auth Purgatory: The Hidden Costs of Health Care Delays
June 19th 2025Delays, denials, and endless paperwork—prior authorization isn’t just a headache for providers; it’s a barrier for patients who need timely care, explains Colin Banas, MD, MHA, chief medical officer with DrFirst.
Listen
From Red Tape to Relief: Rewriting the Rules of Prior Authorization
June 23rd 2025Up to 257 million Americans could benefit from these prior authorization reforms that could have cross-market implications on health care plans administered through commercial insurers, Medicare Advantage, and Medicaid.
Read More
Moving Evidence From Research to Practice: Q&A With Ken Cohen, MD
June 23rd 2025In 2025, each issue of Population Health, Equity & Outcomes will feature a profile of a health system leader transforming care in their area of expertise. This issue spotlights a conversation with Ken Cohen, MD, executive director of translational research at Optum Health.
Read More