MHE's Peter Wehrwein talks with Lloyd Dean, CEO of CommonSpirit Health, and Valerie Montgomery Rice, M.D., FACOG, president of Morehouse School of Medicine, in this new episode of MHE Talks: Improving Patient Access podcast series. The three discuss the lack of Black physicians in the United States. Of the 22,000 medical school applicants in the U.S. every year, only 1,600 are Black. Dean and Rice created a program that seeks to cross barriers of healthcare and racial disparities by offering more opportunities for students of color in medical school programs.
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Sumit Dutta of OptumRx Discusses COVID Vaccines, How PBM was Affected by the Pandemic
January 9th 2021There currently aren't enough vaccines in the United States, and between the Pfizer and Moderna vaccines, the two are very important to get their hands on, Sumit Dutta, MD, MBA, of OptumRx, says in this part one of a two-part video interview series.
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The Need for Permanent RPM Reimbursement, Benefits of RPM Beyond COVID-19
January 6th 2021Briana Contreras of MHE spoke with Josh Claman, CEO of Rimidi about the strong need for a permanent remote patient monitoring, or RPM, reimbursement reform, and how our health industry can come together to influence this change. The two also discussed the benefits of RPM technology for underserved, uninsured or Medicaid populations, and the benefits of RPM during and beyond the COVID-19 pandemic.
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The Future of BCBS Minnesota with MLRs, Investing in Telehealth Models
January 2nd 2021In this second of a three-part video series, Craig Samitt, CEO and president of Blue Cross Blue Shield of Minnesota talks with MHE about healthcare utilization, MLR rates and investing in telehealth models for the better care of its members.
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Sumit Dutta of OptumRx on how the PBM Responded to Pandemic
December 23rd 2020In this week's episode, MHE's Senior Editor Peter Wehrwein spoke with Sumit Dutta, Optum Rx chief medical officer. The two spoke about COVID-19 vaccines and how the pharmacy benefit market responded to the pandemic.
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Health Plans, PBMs Must Disclose Their Accumulators, Maximizer Programs for New Transparency Rules
December 22nd 2020MHE Senior Editor talks with John “Jack” S. Linehan, a lawyer at Epstein Becker Green, for this week's episode of MHE Talks: Improving Patient Access series. The two discuss copay accumulators and maximizers, as well as how states have moved to prohibit accumulators and maximizers as the federal government takes a hands-off approach.
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Japan and Sweden’s Efforts, Responses to COVID-19 Differ From US
December 18th 2020TPG International Health Academy held an educational summit on COVID-19 and spotlighted were the different efforts of Japan and Sweden, as well as their eagerness toward a vaccine. Sweden rep shares the country’s “hands off approach,” while Japan looks to adapt telemedicine in their line of care.
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Closing a Gap in Treating Chronic Condition Patients
December 16th 2020In this episode, Briana Contreras of MHE spoke with Dr. David Moen, president of Prospero Health Partners. The two discussed how Prospero is closing a gap in the healthcare system by taking care of patients with chronic, serious health issues, who are not yet in hospice care, but are prone to frequent, costly hospital admissions. They also talked about the skyrocketing demand for in-home care and telehealth during the pandemic, especially for seniors with advanced illnesses and compromised immune systems.
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Accumulator, Maximizer Regulation Picks up at the State Level
December 12th 2020The five states have moved to prohibit accumulators and maximizers as the federal government takes a hands-off approach, according to John “Jack” S. Linehan, a lawyer at Epstein Becker Green, who is featured in this second part of a two-part video series.
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Biomarkers Used to Detect Secondary Progressive MS Needs Improvement for the Care of Patients
December 11th 2020Thomas P. Leist, MD, PhD, says doctors working with patients diagnosed with SPMS don't necessarily have prognostic biomarkers to detect SPMS. The best prognostic biomarkers they have currently are MRI and potentially neurofilament light. He adds their techniques need to improve in order to harness the full benefit of potentially individualizing care to the most optimal fashion in a given patient.
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Addressing SDoH During, After COVID-19 per Manik Bhat of Healthify
December 9th 2020Briana Contreras of MHE spoke with Manik Bhat, founder and CEO of Healthify – a company that works with managed care organizations to integrate social determinants of health (SDoH) into the healthcare ecosystem. Manik and Briana spoke about how the need to address SDoH has changed since the COVID-19 pandemic began and what the importance of addressing these social and economic issues are during and after the pandemic. They also touched on how SDoH contribute to the spread of viral diseases, but worsen the issues for individuals already struggling.
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MHE Talks: Improving Patient Access with Kevin Lewis of Community Health Options
December 8th 2020MHE's Peter Wehrwein speaks with Kevin Lewis, president and CEO of Community Health Options in Maine. The two discussed how Community Health Options is improving patient access through telehealth and more services on Tuning Into The C-Suite's newest series MHE Talks: Improving Patient Access.
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Automation in Health Systems and how it can be a Solution per Amy Dirks Stevens of AVIA
December 4th 2020MHE's Briana Contreras spoke with Amy Dirks Stevens, EVP of Digital Strategy Performance and Practice Lead at AVIA health, for this week's episode of Tuning Into the C-Suite. The two talked about automation in health systems and how it can be a solution to challenges such as budget issues and creating more efficiency in the workplace. Also discussed were areas where health system leaders can begin to leverage artificial intelligence.
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Improving Cancer Research Priorities in Light of COVID
November 30th 2020The continuous battle in cancer research has unfortunately fallen a bit to the backseat due to healthcare's main focus on beating COVID-19 wildfires. To bring its needed attention back up on the ladder, Marie Lamont, president and COO of Inteliquet, a clinical trial software company, shares what took place in the drop of oncology-related activity and what can be done to improve.
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In this week’s episode, MHE's Briana Contreras spoke with Anthony Gabriel, M.D., MBA, chief operating officer at Radiology Partners. Anthony shared the importance of health entities having physicians in the C-Suite, or executive levels in their health organizations, as Radiology Partners does. He and Briana also discussed what type of training a health professional needs to get to this level and some decisions he’s made as a health professional in the C-Suite.
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This week on Tuning into the C-Suite, listeners are tuning into the next feature of the Meet the Board Series where Managed Healthcare Executive Senior Editor Peter Wehrwein and Associate Editor Briana Contreras speak with MHE’s Board Member Kevin Ronneberg, M.D. Kevin is vice president and associate medical director for health initiatives at HealthPartners, an integrated, nonprofit provider and health insurance company located in Bloomington, Minnesota. During the conversation we got to learn more about Kevin, personally, and how he and his family are doing during the pandemic and his thoughts of the current issues healthcare is facing today.
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Time, Cost Burden Millennials & Gen Xers Take on as Role of Caregiver
November 13th 2020Today, senior care can have a number of health benefits for the well-being of older adults. However, some family members of the patients receiving care are carrying more of the financial weight and taking care of the groundwork in their family member's care.
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Addressing Steps, Challenges Health Orgs Must Meet Toward CMS, ONC Interoperability Rules
November 11th 2020MHE's Briana Contreras spoke with Matthew Michela, President and CEO of Life Image, the world’s largest medical evidence and image exchange network. The two delved through the specific steps each type of healthcare organization - from health systems, payers and IT companies - must follow to comply to meet the Office of the National Coordinator for Health Information Technology (ONC) and Centers for Medicare & Medicaid Services' (CMS) new interoperability and patient access rules.
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Amwell in Favor of Extending Waivers Made for Reimbursable, Easy Access Telehealth Visits
November 10th 2020In this second of a two-part video interview with MHE, Amwell Chief Medical Officer Peter Antall says he is in favor of extending CMS waivers that made telehealth visits reimbursable and easy for patients and providers.
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Cannabis Extract Treatment for MS Spasticity, Sativex, Opens in US for Phase 3 Trial
November 6th 2020A Phase 3 trial is in the works in the U.S. for Sativex (nabiximols), an oral spray that contains cannabis extracts, in treating spasticity — muscle stiffness or spasms — associated with multiple sclerosis (MS).
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