Neil Pressman, President, Presscott Associates, LTD., Avon, CT; Ho-Ho-Kus, NJ, discusses how his healthcare management consulting firm works to effectively manage reimbursement relationships between payers and providers.
Shared savings programs will give providers the upside while saving downstream costs for the payer. "In order to create the solution we need to implement in this country in terms of the escalating costs of health care and fragmented care we're experiencing in this country payers and providers need to come to the table to address these issues," said Pressman.
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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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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FDA Expands Semaglutide Use for CV, Kidney Risks in T2D, CKD
January 28th 2025The latest semaglutide (Ozempic; Novo Nordisk) approval is set to tackle a major need for patients with both type 2 diabetes (T2D) and chronic kidney disease (CKD), addressing their cardiovascular (CV) and kidney disease risks.
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