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Podcast: This Week in Managed Care—Step Therapy in Medicare Advantage and Other Health News
Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast.
Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast.
This week, the top managed care stories included, CMS allowing step therapy in Medicare Advantage plans in a bid to allow for drug price negotiation; larger practices with more resources, technology and care management processes have higher readmission rates than smaller practices; studies find that empagliflozin also reduces liver fat in patients with diabetes and nonalcoholic fatty liver disease.
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CMS Will Allow Medicare Advantage Plans to Use Step Therapy to Negotiate Drug Prices
CMS Approves Extra Payments for CAR T, Increases Other Payments in Final Rule
Larger Practices Spend More on, Have Higher Readmission Rates for Medicare Beneficiaries
Liquid Biopsy Identifies Patients More Likely to Benefit From Immunotherapy in NSCLC
Studies Point to Empagliflozin as First Choice for Fatty Liver Disease in T2D
Discussing Increased Prevalence of NAFLD and NASH, and the Current Lack of Treatments
Read more about the stories in this podcast:
Culture Key to Data Collection of Sexual Orientation and Gender Identity in Cancer Care
June 23rd 2025This research highlights the key factors, like leadership buy-in, mandatory protocols, and electronic health record workflows, that influence the effective collection of data on sexual orientation and gender identity in outpatient oncology clinics to improve patient-centered care.
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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.
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Addressing Cancer Care Challenges for Patients, and Ensuring Equity: Coral Omene, MD, PhD
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