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Expanding Support for Independent Primary Care Practices in Massachusetts
On this episode of Managed Care Cast, we speak with the senior vice president of Network Payment Innovation and Contract Management for Blue Cross Blue Shield of Massachusetts, which is launching a new value-based payment approach for independent primary care practices. The pilot project will reward practices for keeping patients healthy while providing extra support during the pandemic.
A new value-based payment approach for independent primary care practices is launching in Massachusetts, with the aim of keeping patients healthier while also reducing costs. In addition, the Blue Cross Blue Shield of Massachusetts program will provide a steady revenue stream for practices to care for patients even if office visits drop, as has been the case during the COVID-19 pandemic. Besides involving a patient-based payment model, there are incentives for efficiency and quality performance and immediate support payments for practices that join.
On this episode of Managed Care Cast, we speak with Matthew Day, senior vice president of Network Payment Innovation and Contract Management for Blue Cross, who is responsible for the overall design, implementation, and management of our company’s provider contracting strategy.
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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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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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Bridging Care Gaps With a Systemwide Value-Based Care Strategy
March 29th 2025Mapping care management needs by defining patient populations and then stratifying them according to risk and their needs can help to spur the transformation of a siloed health care system into an integrated system that is able to better provide holistic, value-based care despite the many transitions that continue among hospital, primary, specialty, and community care environments.
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Understanding Primary and Secondary Nonadherence to Chronic Oral Medication
March 28th 2025Medication nonadherence to oral anticoagulants and oral anti–prostate cancer medication has been scrutinized through new research conducted among patients and health care providers and presented by the American Medical Group Association at its 2025 annual meeting, held March 26-29 in Grapevine, Texas.
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