AJMC - The American Journal of Managed Care

?? Introducing the First Edition of Amplifying Managed Care News! We’re excited to launch this new newsletter from AJMC - The American Journal of Managed Care, featuring in-depth articles, expert commentary, and timely updates on the evolving landscape of managed care. Whether you're a physician, policy maker, or health plan administrator, our newsletter aims to equip you with the knowledge to navigate and impact the dynamic managed care environment. ?? ?? Be sure to subscribe now! #ManagedCare #HealthcareInnovation #HealthcarePolicy #AJMC #HealthcareProfessionals #PatientCare

Thank you to AJMC - The American Journal of Managed Care for putting together this great preview of our upcoming Mental Health Summit on December 4th! In this short video, Neil Goldfarb explains that the aim of the summit is to address the growing recognition among employers of the critical role that mental health plays in workplace productivity and overall well-being. Watch the full clip here (https://lnkd.in/eCf3ERNQ) and then be sure to register on our Eventbrite page: https://lnkd.in/e4GDBXph. #GPBCH #Mentalhealth #Summit

Despite significant progress in expanding health insurance coverage since the Affordable Care Act (ACA) was enacted, millions of Americans still face critical gaps in access to and affordability of health care. While a record 21 million individuals enrolled in marketplace plans, in 2024, nearly 1 in 4 working-age adults remained underinsured, grappling with high out-of-pocket costs and deductibles that make timely care unattainable. Findings from The Commonwealth Fund published today reveal alarming trends: 57% of underinsured adults avoided necessary medical care due to cost, 2 in 5 reported worsened health as a result, and nearly 30% are burdened with medical debt—half owing $2000 or more. Read more: https://bit.ly/4fVFtqK

Register here for this free event: https://lnkd.in/gEVr_Z7q Examine population health models for cardio-kidney-metabolic disease in primary care at this IVBM event ?? Join us on Thursday, December 5, for our value-based care event focused on cardio-kidney-metabolic disease in primary care. Speakers will discuss models for endocrinology, renal, and cardiovascular care and review best practices for integrative collaboration between providers. UPMC, Manisha Jhamb

"Compliance programs are not viewed as a revenue generator, although they should be viewed differently, because they certainly save companies a lot of money," said John E. Kelly, partner and chair of Barnes & Thornburg LLP's Healthcare Department and Healthcare Industry practice, in an interview with AJMC - The American Journal of Managed Care. "And I think when you add that to the fact that the risks in the health care industry continue to increase from a compliance perspective, and those come together, you have a really challenging situation when it comes to compliance program effectiveness." Against this backdrop, the 2025 Healthcare Compliance Outlook report sheds light on evolving risks and offers guidance for safeguarding patient care and organizational integrity. Learn more! #HealthcareCompliance #ComplianceProgram #Cybersecurity

Health inequities was a large topic explored throughout the 100th American Heart Association (AHA) conference. In this AJMC - The American Journal of Managed Care interview, Khadijah Breathett, MD, MS, FACC, associate professor of medicine, Indiana University, spoke to the impact of social determinants of health and, notably, how community-based research can inform efforts to tackle inequities in cardiovascular disease. Watch now! #AHA2024 #CardiovascularDisease #SDOH

Ryan Haumschild, PharmD, MS, MBA, CPEL, from Emory Healthcare and Winship Cancer Institute, leads a panel of experts in discussion about the management of non–small cell lung cancer, highlighting key takeaways for oncology professionals. Watch the Peer Exchange video here: https://bit.ly/40TaYxp #lungcancer #oncology

The health care industry is undergoing a transformative shift through technology, and it's projected to grow rapidly as digital solutions enhance patient care and accessibility. ?? One of the fastest-growing segments is health care apps, offering both convenience for patients and a direct engagement channel for stakeholders—bypassing traditional intermediaries and supporting a robust direct-to-consumer (DTC) model. ?? ?? Top Health Care Apps: Enhancing Patient Access and Engagement MyChart: Simplifies the patient experience by organizing appointments, test results, and billing in one place while offering secure messaging and prescription refill requests. mySugr: Empowers diabetes patients with easy data logging and insights through integration with compatible devices, offering both free and pro features. GoodRx: Helps patients find the lowest prescription prices and access coupons to save up to 80% on medications at over 70,000 pharmacies nationwide. Smoke Free: Provides social support and progress tracking for individuals aiming to quit smoking, leveraging research-based techniques and peer engagement. Despite the promising growth, developers must navigate challenges like data accuracy, user adoption, and seamless integration with health care systems. Additionally, ensuring HIPAA compliance and a superior user experience are crucial for the success of these apps. ?? How is your organization leveraging digital health platforms to improve patient care? #HealthTech #DTCModel #Telehealth #HealthApps

President-elect Donald Trump has announced his nomination of Robert F. Kennedy, Jr for HHS Secretary. Kennedy, a prominent antivaccine activist and former independent presidential candidate, would oversee significant aspects of the nation’s public health policy. His controversial stances—ranging from opposition to vaccines and water fluoridation to support for alternative treatments like hydroxychloroquine—signal potential upheavals in long-standing public health initiatives. Read the full article here! bit.ly/3YSe0PH #HHS #HHSSecretary #PublicHealth #USElection

BREAKING: President-elect Donald Trump will nominate heart surgeon turned television personality and politician Mehmet Oz, MD, also known as Dr Oz, to lead CMS. https://ow.ly/Ms4850UawHk