Podcast by Managed Care Cast
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Exploring Medicare Advantage Prior Authorization Variations
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On this episode of Managed Care Cast, we're talking with the University of Minnesota School of Public Health's Hannah Neprash, PhD; John Mulcahy, a PhD candidate; and Ezra Golberstein, PhD, the authors of a study published in the March 2024 issue of The American Journal of Managed Care®.Their study, "The Extent and Growth of Prior Authorization in …
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Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
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On this episode of Managed Care Cast, we're talking with J. Nwando Olayiwola, MD, MPH; Candy Magaña, MPA; and Bereket Kindo, PhD, the lead author, research and project lead, and data scientist of a study published in the February 2024 issue of The American Journal of Managed Care. Their study, "Screening for Health Literacy, Social Determinants, an…
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Drs Raymond Thertulien, Joseph Mikhael on Racial Disparities in Multiple Myeloma Care Access
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In the wake of the 2023 American Society of Hematology Annual Meeting and Exposition, Raymond Thertulien, MD, PhD, of Novant Health, and Joseph Mikhael, MD, MEd, FRCPC, FACP, chief medical officer of the International Myeloma Foundation, discussed health equity research highlights from the meeting and drivers of racial disparities in multiple myelo…
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The editors in chief of The American Journal of Managed Care® discuss the managed care developments of 2023 and anticipate trends on the horizon.저자 Managed Care Cast
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Updates on Adagrasib in CRC and the Importance of Genomic Testing With Dr Jun Gong
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At the end of 2022, adagrasib received its first FDA approval for the treatment of adults with KRAS G12C-mutated locally advanced or metastatic non–small cell lung cancer. Research is ongoing into adagrasib, a KRAS G12C inhibitor, for other tumors.In today’s episode, we're joined by Jun Gong, MD, associate professor of medicine and the medical dire…
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Oncology Onward: A Conversation With Penn Medicine's Dr Justin Bekelman
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Justin Bekelman, MD, director of the Penn Center for Cancer Care Innovation, sat with our hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, for our final episode of 2023 to discuss the importance of collaboration between academic medicine and community oncology and testing innovative cancer care delivery in these settings.…
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Insights on Primary Care Initiatives at Blue Cross and Blue Shield of North Carolina
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Today, we bring you a podcast featuring insights from Blue Cross and Blue Shield of North Carolina. Sonny Goyal, chief strategy officer at Blue Cross NC, discusses some top priorities, as well as the insurer’s multiple investments in primary care and the workforce to improve value-based care.저자 Managed Care Cast
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Managed Care Cast Presents: Insights Into Precision Medicine in NSCLC
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Today we are bringing you a conversation between 3 experts on precision medicine in non–small cell lung cancer (NSCLC).Martin Socinski, MD, executive director of the AdventHealth Cancer Institute, spoke with Martin Dietrich, MD, PhD, medical oncologist of Florida Cancer Specialists and Research Institute, and Joshua Sabari, MD, medical oncologist w…
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Managed Care Cast Presents: Opportunities for Adalimumab Biosimilars, Part 2
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Today we are bringing you part 2 of a 2-part podcast series on opportunities for biosimilars, specifically adalimumab biosimilars, in dermatology, gastroenterology, and rheumatology.The discussion was moderated by Ryan Haumschild, PharmD, director of Pharmacy Services at Emory Healthcare and Winship Cancer Institute. The topics of conversation for …
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Managed Care Cast Presents: Opportunities for Adalimumab Biosimilars, Part 1
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Today we are bringing you part 1 of a 2-part podcast series on opportunities for biosimilars, specifically adalimumab biosimilars, in dermatology, gastroenterology, and rheumatology.The discussion was moderated by Ryan Haumschild, PharmD, director of Pharmacy Services at Emory Healthcare and Winship Cancer Institute. The topics of conversation for …
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Emily Goldberg Shares Insights as A Genetic Counselor for Breast Cancer Risk Screening
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On this episode of Managed Care Cast, Emily Goldberg, MS, CGC, genetic counselor at JScreen, breaks down how genetic screening for breast cancer works and why it is so important to increase awareness and education around these screening tools available to patients who may be at risk for cancer.저자 Managed Care Cast
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Dr Lucio Gordan Discusses Updated Guidelines Addressing 1q Abnormalities in Multiple Myeloma
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Lucio Gordan, MD, president and managing physician of Florida Cancer Specialists & Research Institute, discusses recently updated clinical guidelines from the National Comprehensive Cancer Network (NCCN) in multiple myeloma, which specifically discuss disease staging and risk stratification and advise clinicians on how to address 1q abnormalities.…
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Oncology Onward - Episode 4 - A Conversation With Thyme Care CEO and Cofounder Robin Shah
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A biomedical engineer by education, Shah spent the first 5 years of his professional career as practice administrator and business manager at Gettysburg Cancer Center, working with his father, a community oncologist. From there, he moved to Flatiron Health and in July of 2017, helped to found OneOncology. Thyme Care was founded in July of 2020, and…
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Insufficient Data, Disparities Plague Lung Cancer Risk Factor Documentation
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On this episode of Managed Care Cast, we speak with the senior author of a study published in the September 2023 issue of The American Journal of Managed Care® on the importance of adequate and effective lung cancer risk factor documentation to determine a patient's eligibility for screening.Farhood Farjah, MD, MPH, FACS, is thoracic surgeon at the…
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Managed Care Cast Presents: Stakeholders Summit—Biosimilars in Inflammatory Diseases, Part 2
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In part 2 of this 2-part podcast, a panel of experts discusses challenges with biosimilar uptake, interchangeability studies, patient and provider education.저자 Managed Care Cast
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Nathan Walcker Discusses Value-Based Oncology Care Initiatives at FCS
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Florida Cancer Specialists & Research Institute's (FCS') Nathan Walcker, chief executive office at FCS, discusses some key strategic practices and initiatives in providing high quality community-based oncology care he has implemented at FCS.저자 Managed Care Cast
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Managed Care Cast Presents: Stakeholders Summit—Biosimilars in Inflammatory Diseases, Part 1
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In part 1 of this 2-part podcast, a panel of experts discusses the clinical manifestations of inflammatory diseases and the potential for biosimilars to treat these diseases.저자 Managed Care Cast
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The Importance of Examining and Preventing Atrial Fibrillation
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At this year’s American Society for Preventive Cardiology’s Congress on CVD Prevention, Emelia J. Benjamin, MD, ScM, delivered the Honorary Fellow Award Lecture, “The Imperative to Focus on the Prevention of Atrial Fibrillation,” as the recipient of this year’s Honorary Fellow of the American Society for Preventive Cardiology award—having received …
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Oncology Onward: A Conversation With OneOncology's Dr Jeff Patton
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Jeff Patton, MD, CEO and board member of OneOncology and executive chairman of Tennessee Oncology, joins hosts Emeline Aviki, MB, MBA, of NYU Langone Perlmutter Cancer Center, and Stephen Schleicher, MD, MBA, ofTennessee Oncology, for our third episode.Patton, also chairman of the Community Oncology Alliance and a board-certified hematologist and o…
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Navigating Medicare's Part D Subsidy Program to Achieve Value-Based Care
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On this episode of Managed Care Cast, we speak with the lead researcher from a study published in the May 2023 issue of The American Journal of Managed Care® about the impact of low-income subsidies on the uptake and equitable use of expensive orally administered antimyeloma therapy.Shelley Jazowski, PhD, MPH, is a postdoctoral fellow at Vanderbilt…
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The Cost-Saving Benefits of Direct-to-Consumer Telehealth for Employees
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On this episode of Managed Care Cast, we speak with the lead researcher from a study published in the June 2023 issue of The American Journal of Managed Care® about how employers and their employees are utilizing direct-to-consumer (DTC) telehealth to reduce the cost of care.Krisda Chaiyachati, MD, MPH, is a general internist, primary care physicia…
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On this episode of Managed Care Cast, Kathy Leyden, vice president of community engagement at Capital District Physicians' Health Plan (CDPHP), discusses key initiatives and areas of focus to address hunger and food insecurity issues across Upstate New York.저자 Managed Care Cast
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Oncology Onward: A Conversation With Debra Patt of Texas Oncology
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On this episode of Oncology Onward, Dr. Debra Patt, executive vice president of policy and strategic initiatives and director of public policy at Texas Oncology joins cohosts Dr Emeline Aviki and Dr Stephen Schleicher for a jam-packed discussion that touches on topics that have never been more timely in the oncology space: the economics behind the …
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Predicting High-Cost Utilizers Among the Commercially Insured Population
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On this episode of Managed Care Cast, we speak with the lead researcher from a study published in the July 2023 issue of The American Journal of Managed Care® on whether social determinants of health is a predictor for identifying high-cost utilizers among those with commercial health insurance.저자 Managed Care Cast
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On this episode of Managed Care Cast, we’re talking with 2 individuals who were essential in the creation and implementation of the Health Access Initiative for Recovery (Our HAIR), launched by Community Care Behavioral Health Organization of Pittsburgh, PA.저자 Managed Care Cast
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Health Equity Conversations: Managing Underserved Communities and Value-Based Payment
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On this episode of Managed Care Cast, we feature several leaders in diversity, equity, and inclusion advancing health equity in their respective organization’s policy and practice initiatives.저자 Managed Care Cast
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Bridging the Gap in Health Care Inequities: Considerations in Treatment Selection: Part 2
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In part 2 of this 2-part series on health equity in the treatment of psoriasis, Ryan Haumschild, PharmD, and Bryan Buckley, DrPH, discuss how providers can address disparities in psoriasis care, specifically with race, cultural, and ethnic backgrounds in mind.저자 Managed Care Cast
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Mental Health Disparities Vary by Wage Level, New Analysis Shows
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On this episode of Managed Care Cast, we speak with Bruce W. Sherman, MD, of Case Western Reserve University School of Medicine, about a recent study on wage-level disparities effecting the utilization of mental health resources, for which he was lead investigator; the study articles appear in the April issue of The American Journal of Managed Care…
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Health Equity Conversations: Barriers to Equitable Care
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On this episode of Managed Care Cast, we feature several leaders in diversity, equity, and inclusion advancing health equity in their respective organization’s policy and practice initiatives.저자 Managed Care Cast
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Oncology Onward: A Conversation With Dr Shereef Elnahal
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Shereef Elnahal, MD, MBA, under secretary for health at the Veterans Health Administration, sat for a conversation with our hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, that covered the cancer footprint of the VHA, from work within the newly reinvigorated Cancer Moonshot program and screening for vulnerable communities to the Mill…
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A Conversation on the Past, Present, and Future of Public Health: NPHW 2023
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National Public Health Week is observed across the United States each year during the first full week of April, and this year will run from April 3-9. Originally conceived and organized by the American Public Health Association, and now in existence for more than 25 years, the theme this year is, “Centering and Celebrating Cultures in Health.”For N…
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Bridging the Gap in Health Care Inequities: Considerations in Treatment Selection: Part 1
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In part 1 of this 2-part series on health equity in the treatment of psoriasis, Ryan Haumschild, PharmD, and Bryan Buckley, DrPH, discuss how providers can address disparities in care, specifically with race, cultural, and ethnic backgrounds in mind.저자 Managed Care Cast
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More Needs to Be Done To Reduce Racial Disparities in Home Dialysis
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On this episode of Managed Care Cast, we speak with Virginia Wang, PhD, and Matthew L. Maciejewski, PhD, who talk about their recent study on racial disparities in home dialysis, and what more needs to be done to increase uptake and reduce disparities in home dialysis for non-White patients.저자 Managed Care Cast
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Health Equity Conversations: Improving Diversity of Oncology Care Staff
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On this episode of Managed Care Cast, we feature several leaders in diversity, equity, and inclusion advancing health equity in their respective organization’s policy and practice initiatives.저자 Managed Care Cast
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Reaching Rural America: Value-based Care Solutions for Systemic Health and Social Inequalities
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On this episode of Managed Care Cast, we speak with Jennifer Schneider, MD, co-founder and chief executive officer of Homeward, a value-based care provider aiming to improve access to high-quality care in rural communities through tech-enabled clinical services, partnerships with local physicians and health plans, and community-level demographic da…
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AHN’s Center for Inclusion Health Personalizing Equitable Care Delivery for Marginalized Communities
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On this episode of Managed Care Cast, we speak with Elizabeth Cuevas, MD, division chief of Allegheny Health Network’s Center for Inclusion Health, on prevalent health inequities facing marginalized communities in the Western Pennslyvania region and strategies to identify and address these issues.저자 Managed Care Cast
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Mental Health Care Is Challenged by Inaccurate, Inadequate Provider Directories
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For patients to receive timely access to care and for providers to deliver that care on a correspondingly timely basis, the correctness of provider contact information is of utmost importance.However, the results of a new study on the accuracy of mental health provider directories and network adequacy, published in the February issue of The America…
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Addressing Maternal Mortality in Medicaid by Focusing on Mental Health
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Mental health issues and substance use disorder are one of the contributing factors to America’s high maternal mortality rates, in addition to poverty, racism, and lack of access to adequate health care. Last year, the CDC reported that suicide accounts for 9% of the maternal mortality rate 1 year postpartum. Anxiety, perinatal and postpartum depre…
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Intermountain Healthcare and Story Health Partner to Optimize Rural Heart Failure Care
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Wanting to provide the best treatment available, help people live their healthiest lives, and alleviate the health care burden on providers, Intermountain Healthcare, a Utah-based not-for-profit system of 33 hospitals in 7 states, and Story Health, a California-based health technology and services company, have partnered to disseminate specialty ca…
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Promoting Health Equity and Resiliency in Trauma-Affected Communities
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On this episode of Managed Care Cast, we speak with Reverend Paul Abernathy, chief executive officer of the Neighborhood Resilience Project and board member of UPMC for You, who discusses his experiences in promoting health and resiliency in trauma-affected communities, as well as challenges related to access and accessibility of care and medical m…
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Examining Telehealth Uptake to Increase Equitable Care Access
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To mark the publication of The American Journal of Managed Care®’s 12th annual health IT issue, on this episode of Managed Care Cast, we speak with Christopher M. Whaley, PhD, health care economist at the RAND Corporation, who focuses on health economics issues, including the influence of the COVID-19 pandemic on health care delivery. In particular…
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The editors of The American Journal of Managed Care® reflect on the past year and discuss what they’re looking forward to in 2023.저자 Managed Care Cast
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High-Deductible Health Plans and Their Potential Impact on the US Drug Epidemic
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High-deductible health plans (HDHPs) have gained traction in recent years as a means to reduce unnecessary health care spending. The monthly premiums are low, but the high deductibles can lead to higher downstream costs for individuals and families. Potential downsides include the risk of patients deterring or avoiding necessary care.A team headed …
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The Importance of Tailored Care Management Programs for High-risk Patients
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Teams from the Mass General Brigham health system and the Commonwealth Care Alliance, both in Massachusetts, have collaborated on a value-based care initiative with the principal goals of improving patient clinical outcomes, reducing unnecessary health care utilization, and making care more accessible. iCMP PLUS (Patients Linked to Urgent Support) …
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Understanding the Premium Tax Credits Provided Under the American Rescue Plan Act
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The Inflation Reduction Act, signed this month, extends the premium tax credits for health insurance purchased through the health care marketplace for another 2 years. The credits were included in the 2021 American Rescue Plan Act, and were due to expire at the end of this year.Vicki Fung, PhD, is associate investigator at the Mongan Institute Heal…
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How Health Care Institutions Can Leverage Biosimilars to Generate Savings
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As more and more biosimilars enter different markets around the globe, payers and practices will need to consistently evaluate the economics of covering biosimilars and take a stance on whether to support their adoption.Both payers and practices can play a big role in encouraging biosimilar adoption, and health care institutions that have already b…
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Reducing Health Care Disparities Starts at the Top, Says Dr Sachin Jain
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Even before the pandemic began in 2020, the number of health care organizations appointing chief health equity officers had started to grow. Is this a role for 1 person only or do initiatives to tackle health care disparities and other issues begin at a higher level? And how can change really be accomplished so there is a measurable effect on healt…
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Managed Care Cast Presents: ILD Peer Exchange—Treatment Goals in ILD, Part 2
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Today we are bringing you part 2 of a 2-part sponsored podcast series discussing treatment goals in insterstitial lung disease (ILD). The discussion was moderated by Ryan Haumschild, PharmD, director of Pharmacy Services at Emory Healthcare and Winship Cancer Institute.The conversation for today’s podcast includes an in-depth review of treatment la…
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Improving the Mental Health of Children Through School-Based Prevention, Intervention Services
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discusses why the program is needed, the goals of the program, and some of the reasons why children and adolescents are struggling. We also discuss 988, an upgrade to the National Suicide Prevention Lifeline number coming July 16, 2022. The number will connect individuals with trained counselors, and, if needed, send specially trained responders wi…
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Managed Care Cast Presents: ILD Peer Exchange—Treatment Goals in ILD, Part 1
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Today we’re highlighting a discussion with a panel of experts in interstitial lung disease moderated by Ryan Haumschild, PharmD, director of Pharmacy Services at Emory Healthcare and Winship Cancer Institute.The topics of conversation for today’s podcast include treatment goals in patients with ILD and a review of treatment paradigms and standard o…
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