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Spotlighting Pandemic-Related Challenges, Data-Driven Solutions for Payers
On this episode of Managed Care Cast, we address how delays in routine care and other aspects of the pandemic are affecting payer organizations today, and how technology innovations like natural language processing can work to empower key initiatives in population health and beyond.
Amid uncertainty and diminished health care cost and utilization trends precipitated by the COVID-19 pandemic, payer organizations have been tasked with managing the health-related outcomes of member populations nationwide.
With growing challenges of member engagement, risk adjustment, and value-based care, technology and the availability of clinical data may be of utmost importance for payers to form a more comprehensive view of member health and address potentially unmet needs among members.
On this episode of Managed Care Cast, we speak with Cheryl Mason, Director, Content and Informatics, Health Language, Wolters Kluwer, who discusses how delays in routine care and other aspects of the pandemic are affecting payer organizations today, and how technology innovations like natural language processing can work to empower key initiatives in population health and beyond.
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Care Quality Metrics in Medicare During COVID-19 Pandemic
August 12th 2025Medicare Advantage outperformed traditional Medicare on clinical quality measures before and during the COVID-19 pandemic; mid-pandemic, however, traditional Medicare narrowed the gap on some in-person screenings.
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What It Takes to Improve Guideline-Based Heart Failure Care With Ty J. Gluckman, MD
August 5th 2025Explore innovative strategies to enhance heart failure treatment through guideline-directed medical therapy, remote monitoring, and artificial intelligence–driven solutions for better patient outcomes.
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Semaglutide Linked to Cardiovascular Gains, but Also Higher Health Spending
August 8th 2025A real-world study found that semaglutide prescriptions were associated with improvements in weight, blood pressure, and cholesterol, but also a $80 monthly rise in health care spending outside of drug costs.
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