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Michael Kolodziej Says Provider-Payer Connections Key in Quality, Cost-Effective Cancer Care
In order to deliver quality and cost-effective cancer care, Michael Kolodziej, MD, Aetna's national medical director for oncology strategies, says that providers need to get better connected with payers.
In order to deliver quality and cost-effective cancer care, Michael Kolodziej, MD, Aetna's national medical director for oncology strategies, says that providers need to get better connected with payers.
Dr Kolodziej says the real challenge for providers is that they operate in a “cocoon,” meaning they must often manage different expectations in approaching problems. With connection, providers can establish a smoother stream of communication with payers.
“It’s fair to say that pretty much all payers are thinking about the same kind of things, and they’re all struggling with ways to connect with the practices,” said Dr Kolodziej. Payers want to “understand how they do things, what kind of information they need, and what’s expected of them.”
Level-setting and benchmarking of expectations will develop as providers and payers become better connected.
Balancing Cost and Quality in Oncology: A Value-Based Care Perspective
January 30th 2025Travis Brewer, vice president of payer and public health strategy/relations at Texas Oncology, shared that value-based oncology care can achieve both cost efficiency and high-quality outcomes through integrated multidisciplinary teams, flexible payment models, and targeted treatment approaches.
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How FcRn Blockade Targets Myasthenia Gravis Autoantibodies
January 29th 2025In part 2 of our interview with Katie Abouzahr, MD, Johnson & Johnson Innovative Medicine, we discuss the challenge inherent in treating adolescents who have the myasthenia gravis and how nipocalimab works via FcRn blockade to reduce the circulating autoantibodies that drive myasthenia gravis.
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Unlocking Access: Exploring Mental Health Care Among Medicaid Managed Care Enrollees
January 23rd 2025On this episode of Managed Care Cast, we speak with the author of a study published in the January 2025 issue of The American Journal of Managed Care® to examine the association between quantitative network adequacy standards and mental health care access among adult Medicaid enrollees.
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