PODCAST · science
Managed Care Cast
by Managed Care Cast
Podcast by Managed Care Cast
Episodes
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Closing the Gap: From Whole-Patient Care to Payer Data, What AON Is Doing for Patients Beyond the Clinic
In part 2 of this conversation recorded at Patient-Centered Oncology Care 2026 in Nashville, Melody Chang, vice president of pharmacy operations at American Oncology Network (AON), talks with 2 AON colleagues. Susan Sabo Wagner, vice president of clinical innovation, explains why financial…
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How Iberdomide and CELMoDs Are Transforming Relapsed Myeloma Care
For years, first-relapse myeloma regimens have delivered just 1 to 2 years of progression-free survival and immunomodulatory drugs were dosed to the maximum tolerated dose. Iberdomide, the first CELMoD approved by the FDA and the first myeloma approval based on minimal residual disease negative...
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Why Parents Are Refusing the Vitamin K Shot
On this episode, AJMC spoke with Jaspreet Loyal, MD, about vitamin K refusals, which many clinicians believe may be a downstream effect of broader vaccine hesitancy.
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Value-Based Oncology After the Enhancing Oncology Model
Opaque benchmarks, payment lags of 12 to 18 months, and rules that changed mid-model led American Oncology Network (AON) to exit the Enhancing Oncology Model (EOM), according to AON Chief Medical Officer Stephen "Fred" Divers, MD. In this inaugural episode of The Business of Value, Divers tells...
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Closing the Gap: How AON Is Turning AI and the Patient Voice Into Practice
Community oncology practices can close the gap between innovation and implementation by building patient feedback into real-time clinical pathways, using AI to speed up physician decision-making, and better supporting caregivers of patients on CAR T and bispecific therapies, according to leaders...
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MA Switching Surges Among Dually Eligible Adults: Grace Mackleby, PhD
This week's Managed Care Cast episode features a conversation between The American Journal of Managed Care® (AJMC®) and Grace Mackleby, PhD, a research scientist at the USC Schaeffer Center, about her study, "Plan Switching Among Medicare Advantage Enrollees Dually Eligible for Medicaid,"…
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Ethics of Kalshi's Drug Betting Markets: Jonathon Kimmelman, PhD
On this episode, I spoke with Jonathan Kimmelman, PhD, professor of biomedical ethics and associate member of the Department of Experimental Medicine at McGill University, about the ethical concerns surrounding Kalshi as it relates to clinical trial outcomes and FDA approvals.
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Peer Support, Not Perfect Words, Key to Suicide Prevention
During Suicide Prevention Month, UPMC experts discuss how lived experience, peer support, and connection strengthen suicide prevention.
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Inside Myeloma's Evolution From Death Sentence to Cure
September is Blood Cancer Awareness Month, and to mark it, we have a special Director's Cut episode of Managed Care Cast. My name is Maggie Shaw, lead editor at AJMC, and my guest today is Surbhi Sidana, MD, associate professor of medicine at Stanford University, where she leads the Myeloma…
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Introducing Future-Proofing Pharmacy With Mark Makhinson, PharmD
Health-system pharmacy is entering a decade of change, and Future-Proofing Pharmacy is built to keep asking what that future should look like. In this debut episode, host Mark Makhinson, PharmD, senior director of outpatient and specialty pharmacy at Mount Sinai Health System, introduces the...
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Grocery Assistance Benefit Linked to Fewer Diabetes Complications
This week's Managed Care Cast episode features a conversation between The American Journal of Managed Care® and August 2026 authors Jeff Romine, PhD, and Kofi Essel, MD, MPH, about their study, "Insurance-Provided Grocery Assistance and Health Care Outcomes Among Patients With Diabetes." It...
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Full-Risk Medicare Advantage and the Health Equity Gap
Socially vulnerable Medicare patients see dramatically better outcomes—such as fewer emergency department visits, fewer preventable hospital admissions, and 23.4% to 30% less use of high-risk medications—when their physicians take on full financial risk for their care compared with those in...
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Frameworks for Advancing Health Equity: Community-Based Doulas Partner with Health Plan
UPMC and Birth Root Community Doula describe a 4-year partnership addressing food insecurity, housing, and maternal health disparities in Erie, Pennsylvania.
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Addressing Mental Health Challenges Among Black and Latino Boys
In this episode of Managed Care Cast, Alvin Thomas, PhD, clinical psychologist at the University of Wisconsin-Madison, discusses the mental health challenges facing Black and Latino boys and young men.
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Metastatic Cancer Diagnoses Drive Significantly Higher Medicaid Spending: Anuraag R. Kansal, PhD
For this Managed Care Cast episode, The American Journal of Managed Care® (AJMC®) spoke with Anuraag R. Kansal, PhD, who leads health economics research at GRAIL, about his study, “State Medicaid Budgetary Implications of New Cancers," published in the July 2026 issue; it examined how new cancer...
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Expanding Support Systems for Black Maternal Health
Expanding Support Systems for Black Maternal Health by Managed Care Cast
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Nonprofit, System-Affiliated Hospitals Lead in Multilingual Financial Assistance Access: Erin L. Duffy, PhD, MPH
On this episode of Managed Care Cast, The American Journal of Managed Care® (AJMC®) was joined by Erin L. Duffy, PhD, MPH, an author of a study published in the June 2026 issue. She is a health policy researcher at the Schaeffer Center for Health Policy & Economics at the University of Southern...
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Closing the Liver Detection Gap in Obesity Care
Most patients with metabolic dysfunction–associated steatotic liver disease (MASLD) go undiagnosed until significant liver damage has already occurred, despite the availability of simple, guideline-supported screening tools that remain notoriously underused in both primary care and weight...
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Rewriting the AML Treatment Playbook: Tina Bhatnagar, DO
In this episode, Bhavana "Tina" Bhatnagar, DO, discusses how the field of acute myeloid leukemia has been fundamentally transformed; what this means for patients in rural, underserved settings; and where hematologic oncology is headed next.
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When Politics Fails Public Health, Communities Pay the Price
Perry Halkitis, PhD, MS, MPH, dean of the Rutgers School of Public Health, watched epidemics emerge, witnessed governments fail to respond, and seen communities mobilize when institutions would not. From the early days of the AIDS crisis to COVID-19, Ebola, and beyond, he has drawn consistent...
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Cancer, Trauma, and Healing the Whole Person
For patients with cancer, diagnosis doesn't just bring a physical battle. It can trigger a trauma response that can linger long after treatment ends, quietly reshaping how people sleep, think, and connect with the world around them.
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Making Early CKD Detection Count: Ralph Riello, PharmD, and Nihar Desai, MD
Early detection of chronic kidney disease (CKD) means little if it does not lead to timely treatment, yet a significant gap persists between when CKD is found and when evidence-based therapies are started. That disconnect is the focus of the second episode of Beyond the Silo: Integrated Care…
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Food Insecurity Studies Reveal Key Predictors, Detection Gaps: Jonathan Wrathall, PhD
On this episode of Managed Care Cast, The American Journal of Managed Care® spoke with Jonathan Wrathall, PhD, a senior advanced analytics consultant at Elevance Health. He authored 2 studies published in the May 2026 issue, both of which centered on food insecurity: “Food Insecurity…
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Psychedelic Therapies Reach Turning Point Amid Federal Push, Says Scott Shannon, MD
Psychiatrist and longtime psychedelic researcher Scott Shannon, MD, CEO of the Board of Psychedelic Medicine and Therapies, and founder of Wholeness Center, discusses how a new federal push to accelerate psychedelic therapies could reshape the future of mental health care.
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Closing the uACR Gap in CRM Care: Marc P. Bonaca, MD, MPH, and Josephine Harrington, MD
Chronic kidney disease (CKD) affects an estimated 37 million Americans, yet most cases go undiagnosed until the disease has significantly progressed. A urine albumin-to-creatinine ratio (uACR) test can detect kidney damage years before a decline in the estimated glomerular filtration rate (eGFR),...
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Enhanced Cost Messaging Yields Minimal Change in Primary Care Clinic Selection: Tim McDonald, PhD, MPP, and Bryan E. Dowd, PhD
On this episode of Managed Care Cast, The American Journal of Managed Care® (AJMC®) was joined by Tim McDonald, PhD, MPP, and Bryan E. Dowd, PhD, authors of research published in the April 2026 issue. Their study, "Benefit Design and Consumer Information: Results From a Randomized Trial," found...
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Pharmacy's Rising Role in Cell and Gene Therapy: Zahra Mamoudjafari, PharmD, MBA
A clinical pharmacy leader outlines 8 interdependent domains institutions must master to build financially sustainable, patient-accessible CGT programs.
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Beyond Medication: Lifestyle Interventions as a Pillar of Breast Cancer Risk Reduction with Douglas Marks, MD
In this episode of Managed Care Cast, Ella Hohmann speaks with Douglas Marks, MD, breast medical oncologist and associate professor at NYU Grossman Long Island School of Medicine, about the role of lifestyle interventions in reducing breast cancer risk. Marks reviews the evidence behind dietary...
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Frailty, Innovation, and the Future of Myeloma Treatment With Joseph Mikhael, MD
Joseph Mikhael, MD, MEd, FRCPC, FACP, FASCO, chief medical officer with the International Myeloma Foundation and professor in the Applied Cancer Research and Drug Discovery Division of the Translational Genomics Research Institute, has spent more than 25 years advancing the treatment of multiple...
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Industry Payments to Cardiologists Are Linked to Increased Medicare Spending: Michael Ellenbogen, MD, and Yubin Park, PhD
On this episode of Managed Care Cast, The American Journal of Managed Care® (AJMC®) was joined by Yubin Park, PhD, and Michael Ellenbogen, MD, authors of research published in the March 2026 issue. Because financial incentives may influence clinical decision-making, their study examined the...
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AI in Radiology: How Double-Reading May Affect Malpractice Risk and Jury Perception
On this episode of Managed Care Cast, I spoke with Dr. Michael Bernstein, an assistant professor in the department of diagnostic imaging at the Warren Alpert Medical School, and Brian Sheppard, a professor of law at Seton Hall Law who focuses on malpractice litigation, to discuss the broader...
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Managed Care Pharmacy Strategies for Supporting Pediatric Vaccination Amid CDC Schedule Changes: Susan Cantrell
In January, the CDC announced major revisions to the US childhood immunization schedule, reducing the number of diseases covered by routine vaccines from 17 to 11. The changes followed a December 2025 presidential memorandum directing HHS Secretary Robert F. Kennedy Jr and acting CDC director Jim...
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What Health Inequities Are Really Costing Your Company: Wayne Rawlins, MD
What Health Inequities Are Really Costing Your Company: Wayne Rawlins, MD by Managed Care Cast
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Scalable Strategies Boost Heart Failure Prescription Fills: Weston Blakeslee, PhD
Scalable Strategies Boost Heart Failure Prescription Fills: Weston Blakeslee, PhD by Managed Care Cast
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Grocery Card Use Associated With Increased Care Among Dual-Eligible Beneficiaries: Jennifer L. Kowalski, MS
Grocery Card Use Associated With Increased Care Among Dual-Eligible Beneficiaries: Jennifer L. Kowalski, MS by Managed Care Cast
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Managed Care Cast News Roundup: February 10, 2026
Managed Care Cast News Roundup: February 10, 2026 by Managed Care Cast
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The Orphan Drug Act in the Modern Drug Pricing Era
Kristi Martin, a longtime Washington, DC–based policy strategist with deep experience implementing major legislation like the Affordable Care Act and the Inflation Reduction Act, explores how the Orphan Drug Act, passed in 1983 as a bipartisan, patient-driven effort, transformed rare disease...
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Reflecting on 15 Years of Health IT Evolution and What’s Next: Nate C. Apathy, PhD
The American Journal of Managed Care® (AJMC) kicks off its 2026 author podcast series with Nate C. Apathy, PhD, guest editor of AJMC’s 15th Health Information Technology (IT) special issue. He is an assistant professor of health policy and management at the University of Maryland School of Public...
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Transparency in Coverage: Exposing Ghost Rates and Holding National Payers Accountable with David Muhlestein, PhD
On this episode of Managed Care Cast, The American Journal of Managed Care® spoke with David Muhlstein, PhD, JD, founder and CEO of Simple Healthcare, about his recent articles highlighting Transparency in Coverage (TIC) files and ghost rates from 119 insurers, including 3 national commercial...
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Managed Care Cast News Roundup: January 13, 2026
The latest news from The American Journal of Managed Care.
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2026 Health Care Predictions: AI, GLP-1s, MAHA, DEI: Sachin H. Jain, MD, MBA
On today’s episode, AJMC® spoke with Dr. Sachin Jain, president and CEO of SCAN Group and Health Plan, about his 10 predictions for the health care industry in 2026. Jain breaks down his predictions and what they could mean in both the short and long term for Americans and how they may shape...
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Switching From MA to TM Increases Mental Health Care Use: Angela Liu, PhD, MPH
To wrap up this year's author podcast series, The American Journal of Managed Care® speaks with Angela Liu, PhD, MPH, assistant research professor at the Johns Hopkins Bloomberg School of Public Health, about her December 2025 study, "Mental Health Care Use After Leaving Medicare Advantage for...
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AJMC® Editors Reflect on Milestone Year and Look to 2026
On this episode of Managed Care Cast, we’re talking with the co–editors in chief of The American Journal of Managed Care® (AJMC®), Mark Fendrick, MD, and Michael Chernew, PhD. They look back on the research and news that stood out to them from the past year and discuss what they’re looking…
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Bright Lights, Dark Months: Understanding Seasonal Affective Disorder
Have the shorter, darker days of fall and winter ever left you feeling sluggish, down, or simply "blah"? Today, we are discussing seasonal affective disorder with Craig Sawchuk, PhD, LP, a clinical psychologist at Mayo Clinic. He details how the seasonal pattern often presents as "hibernation...
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Frameworks for Advancing Health Equity: Dental Health Care Access
Frameworks for Advancing Health Equity: Dental Health Care Access by Managed Care Cast
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Managed Care Cast Presents: New Evidence and Economic Considerations in IPF Care
Today we are bringing you a conversation on the evolving landscape for idiopathic pulmonary fibrosis (IPF) and progressive pulmonary fibrosis (PPF) treatment. Ryan Haumschild, PharmD, MS, MBA, vice president of ambulatory pharmacy at Emory Healthcare and Winship Cancer Institute, spoke with…
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Home Health Care Delivery, Outcomes Vary by Payment Model: Rachel A. Prusynski, DPT, PhD
On this episode of Managed Care Cast, Rachel A. Prusynski, DPT, PhD, an assistant professor at the University of Washington's School of Medicine, speaks with The American Journal of Managed Care® about her research published in the November 2025 issue. Her study, "Medicare Advantage Reimbursement...
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Inside the Discovery That Changed CML Treatment Forever with Jorge Cortes, MD
On this episode of Managed Care Cast, AJMC spoke with lead CML researcher, Jorge Cortes, MD, to discuss the evolution of the groundbreaking treatment Imatinib and its effect on survial in patients with chronic myelogenous lukiemia.
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From Niche to Mainstream: Transforming Physical Therapy by Refining Remote Therapeutic Monitoring
Donovan Campbell, CEO, and his organization Medbridge are urging CMS to finalize specific refinements to RTM as part of the Calendar Year 2026 Physician Fee Schedule (CMS-1832-P), recognizing that RTM is critical for supporting physical therapy, patient health, and patient engagement. We will...
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Age-Related Disparities in ADC Treatment Rates in Breast Cancer with Tabby Khan, MD
On today’s episode, Dr. Tabby Khan, senior director of analytics for Komodo Health, spoke about their newest data analysis measuring age and insurance disparities in antibody-drug conjugate, or ADC, treatment rates in patients with metastatic breast cancer. The analysis was in partnership with…
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Managed Care Cast currently has 500 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
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Podcast by Managed Care Cast
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Managed Care Cast publishes regularly with 500 episodes available. Check the episode list for the typical release schedule.
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Managed Care Cast is created and hosted by Managed Care Cast.
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