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Epsiode 12 - Healthcare Reform's Impact on Immunotherapy (Part 1)
The Supreme Court’s approval of the Affordable Care Act leads the panelists into a discussion about how healthcare reform will affect the coverage of treatment modalities such as immunotherapy.
Although it remains unclear how the new system will affect cancer care, Daniel George, MD, believes that patients will benefit.
Jeffrey Weber, MD, PhD, explains that under “Obamacare” fewer patients will be uninsured. As a result, practitioners will be able to see and treat more patients.
The panelists agree that under the new system professionals will be able to treat patients with immunotherapy because patients will now have coverage to receive treatment. Before, immunotherapy was not always an option.
Additionally, Dr Weber explains that healthcare reform should not affect smaller practices any differently from larger practices. However, the panelists agree that it will be necessary under the new care system that any issues of wasteful spending be addressed, as this is currently extremely common.
New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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Specialty Drug Users to Gain Relief Under Medicare Reforms
May 16th 2025A new analysis looked at estimated out-of-pocket costs for etanercept, ustekinumab, and ibrutinib, specialty drugs that often represent a significant cost burden for Medicare Part D beneficiaries and which were selected for 2026 drug price negotiation under the Inflation Reduction Act.
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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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Navigation and Clinician Payment Investments Enhance Colorectal Cancer Screening Benefits
May 15th 2025Investing in patient navigation and clinician incentives ensures colorectal cancer screening completion, improves early detection, reduces disparities, achieves cost savings, and advances population health for all stakeholders.
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