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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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Despite Record ACA Enrollment, Report Reveals Underinsured Americans are in Crisis
November 21st 2024Despite significant progress in expanding health insurance coverage since the Affordable Care Act (ACA) was enacted, millions of Americans still face critical gaps in access and affordability to health care.
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Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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Racial Inequities in Guideline-Adherent Breast Cancer Care and Timely Treatment
November 19th 2024Older non-Hispanic Black adults with early-stage breast cancer are less likely to receive timely treatment and guideline-concordant care, increasing their risk of death compared with non-Hispanic White women.
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