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Welcome to the TKG PACT Executive Briefing, where in 3-minutes we highlight healthcare’s critical market access issues, policies, challenges, or trends. This resource offers condensed, 3-minute episodes of market insights. Our passion is on achieving the Quintuple Aim of enhancing patient experience, improving population health, reducing costs, improving the work life of health care providers and staff., and enhancing health equity in all aspects of care delivery. I’m Dr. Warren Smedley, tha ...
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show series
 
Send us a Text Message. Introduction to Targeted Therapies: Monoclonal Antibodies Targeted Therapy is the foundation of Precision Medicine. Targeted therapy is a type of personalized treatment that targets specific proteins that control how cells grow, divide, and spread. Antibodies are produced naturally by our body and help the immune system reco…
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Send us a Text Message. All 50 states now allow pharmacists and physicians to enter into Collaborative Practice Agreements (CPAs) in which one or more pharmacists establish a formal relationship with a prescriber, in which the prescriber can delegate specific tasks to a pharmacist under negotiated conditions, which would not otherwise be permitted …
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Send us a Text Message. When a physician prescribes an expensive specialty medication for a patient, the traditional distribution process was for the provider to purchase the medication, administer it to the patient, and then bill the insurance company for the drug. This “buy-and-bill” process has been utilized for many years. In recent years, and …
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Send us a Text Message. Laboratory Benefit Managers have emerged over the past decade to fill the need to manage complex and expensive laboratory testing for payers. They have become the new Precision Medicine Gatekeepers. Results from over 14 billion diagnostic tests are estimated to influence 70% of today’s clinical decisions. It’s estimated that…
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Send us a Text Message. The term therapeutic inertia describes the failure of health care providers to initiate or intensify therapy when it is clearly indicated by established guidelines. The term has largely been applied to the management of blood pressure, blood sugar, and cholesterol, by primary care physicians who recognize the need for their …
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Send us a Text Message. Since 2016, 13 states have passed Drug Price Transparency Laws focused on enabling state policymakers to understand opaque drug pricing and payment systems to formulate policy solutions to high prices, while also creating the data infrastructure to realize those policy solutions. Most of these state programs require reportin…
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Send us a Text Message. On January 17th, 2024, CMS published the CMS Interoperability and Prior Authorization Final Rule, to improve the electronic exchange of health care data as well as to streamline prior authorization processes. This final rule also adds a new measure for merit-based incentive payment system or MIPS eligible clinicians. Beginni…
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Send us a Text Message. Today’s topic is the Federal No Surprises Act. The Federal No Surprises Act is intended to protect consumers from unexpected medical bills that occur when a patient unknowingly receives medical services from physicians and other providers who are outside of their health insurance network; in other words, healthcare providers…
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Send us a Text Message. Welcome to our new and revised market insights podcast format, where we have renamed our program the TKG PACT Executive Briefing. The new format will be condensed into 3-minute episodes of market insights, where we highlight one of healthcare’s critical market access issues, policies, challenges, or trends. We hope you enjoy…
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Send us a Text Message. Telehealth Policy Gaps: Challenges with Remote Prescribing On May 11th, the Public Health Emergency (PHE) and some of the provisions that supported the explosive growth of telehealth, will expire, leaving telehealth providers scrambling to address some of the challenges of proving remote care. My special guest in this episod…
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Send us a Text Message. Circling the Wagons… to Solve Real Problems in Neurology It is estimated that globally, one in six people are affected by a health issue that includes some form of a neurological disorder. Within the United States, as many as 100 million people are having some kind of an issue related to a neurological disorder. Add to that …
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Send us a Text Message. "Period Poverty"... a Taboo Topic? Unfortunately, there are some issues in healthcare that seem to get ignored, or simply don’t get discussed appropriately, and today’s topic is one of these challenging issues. In many circles, menstruation is a topic that is difficult to discuss openly, which complicates the challenges of p…
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Send us a Text Message. NCCN Policy & Advocacy Priorities Supporting high quality cancer care through the NCCN Guidelines is a strategic pillar for the NCCN. Alyssa Schatz is the Senior Director of Policy & Advocacy at the National Comprehensive Cancer Network. She shares the current strategic priorities for her team in this week’s episode.…
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Send us a Text Message. Musical Chairs... Improving Infusion Therapy “Musical Chairs”… how are we managing infusion center operations amid the financial and staffing woes of a healthcare system exhausted from nearly 3 years of a roller coaster ride due to the pandemic? Our guests for this episode are Christine Mann, Chief Operating Officer and Dire…
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Send us a Text Message. Who trains surgeons what medications to prescribe? We don't often think about surgeons as being significant prescribers of medications, but they actually prescribe a lot of medications and help patients manage their medications, as they prepare for and recover from a surgical procedure. And in today's world of team based car…
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Send us a Text Message. Impact of Operating Room Shut Downs Due to Staffing Shortages A recent article in the Boston Globe raised a red alert on hospital operating rooms being temporarily closed due to staffing shortages and other pandemic related challenges. In the article, Dr. Eric Dickson, CEO of UMass Memorial Health, reported that, “… closing …
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Send us a Text Message. Advancing Health Equity: Individual Point of Care Solutions Health equity is a complex issue, with a broad range of governmental, social service, and health care stakeholders who are wrestling with these issues. My guests today are The Kinetix Group’s four summer interns. They’ve been researching the challenges of improving …
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Send us a Text Message. Advancing Health Equity: How are we doing? Health equity is a complex issue, with a broad range of governmental, social service, and health care stakeholders who are wrestling with these issues. My guests today are The Kinetix Group’s four summer interns. They’ve been researching the challenges of improving health equity and…
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Send us a Text Message. Advancing Health Equity: Using Data and Technology to Improve Outcomes. Health equity is a complex issue, with a broad range of governmental, social service, and health care stakeholders who are wrestling with these issues. My guests today are The Kinetix Group’s four summer interns. They’ve been researching the challenges o…
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Send us a Text Message. Are Staffing Shortages Increasing Adverse Events? In March, The Advisory Board reported on the Top 10 Patient Safety Concerns for 2022 according to ECRI, a 60-year-old nonprofit committed to the safety, efficacy, and cost-effectiveness of healthcare. ECRI publishes an annual report on safety concerns and this year, number on…
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Send us a Text Message. The Unintended Impact of Medicaid Expansion on Drug Prices Recently, we attended the Hematology Oncology Pharmacy Association’s annual meeting in Boston, where we presented research our team did on the effect of Medicaid Expansion on the price of drugs. We were curious about the impact of Medicaid Expansion on the price of d…
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Send us a Text Message. Hospital Flash Report: January was Devastating for Finances In February, Kaufman Hall published their Hospital Flash report that showed hospital finances in major distress mode, following the end of the Coronavirus Aid, Relief, and Economic Security Act or, CARES Act, funding. They reported that in January the median change …
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Send us a Text Message. Genetic Testing Errors Negatively Impact Therapeutic Decision Making In this episode, we continue our discussion with Meagan Farmer and Danielle Bonadies as we discuss how the Top Errors in Genetic Testing may be negatively affecting therapeutic decision making. We also discuss ways that life science companies may be able to…
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Send us a Text Message. Top Errors in Genetic Testing Negatively Impact Therapeutic Decision Making In today's episode we take a look at some of the significant challenges and errors we are seeing in the use of genetic and genomic testing, as they become mainstreamed into our clinical treatment protocols. Today we highlight the Top Errors in Geneti…
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Send us a Text Message. The Battle over Site-of-Care In this episode, my good friend and colleague, Ellen Feinstein, and I continue our debrief of the December Oncology Thought Leader’s panel meeting. Today, we focus on how our panel member’s are handling their battles over Site-of-Care, also some of their thoughts on care redesign, as well as look…
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Send us a Text Message. Critical Issues Facing Academic Cancer Centers A few weeks ago, we hosted our December meetings of the Oncology Thought Leaders Network, a part of TKG’s Networks of Excellence, where we discussed many of the critical issues in cancer center administration and care delivery. In this episode, we debrief our Thought Leader's di…
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Send us a Text Message. Genetic Testing – Leveraging Results to Identify Patients for New Therapies Today’s guest is Danielle Bonadies, a master’s trained genetic counselor and the Director of Genetics for My Gene Counsel. Danielle co-authored a poster presentation at the annual conference of the National Society of Genetic Counselors in September.…
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Send us a Text Message. Genetic Testing – Managing Updates to Medical Management and Risk Profiling Today’s guest is Danielle Bonadies, a master’s trained genetic counselor and the Director of Genetics for My Gene Counsel. Danielle co-authored a poster presentation at the annual conference of the National Society of Genetic Counselors in September.…
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Send us a Text Message. Melissa Childress, COO, Seidman Cancer Center - People & Process Driven Innovation In this episode of TKG’s Healthcare Insights, we will be highlighting the findings from our Oncology Thought Leaders meeting discussion on People and Process Driven Innovations coming out of the COVID pandemic, and exploring some of these issu…
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Send us a Text Message. PART 2- Understanding the Complexities U.S. Drug Price Contracting There has been a ton of talk about the need for “transparent pricing,” as well as controlling the cost of drugs in the US. There seems to be a lot of finger pointing going on and it often looks like the providers and the manufacturers are taking a lot of the …
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Send us a Text Message. PART 1 - Understanding the Complexities of US Drug Price Contracting There has been a ton of talk about the need for “transparent pricing,” as well as controlling the cost of drugs in the US. There seems to be a lot of finger pointing going on and it often looks like the providers and the manufacturers are taking a lot of th…
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Send us a Text Message. Part 2 - Technology Driven Innovations in Cancer Care; Amy Porter-Tacoronte, Duke Health In this episode of TKG’s Healthcare Insights, we continue our discussion, highlighting the findings from our Oncology Thought Leaders meeting discussion on Technology Driven Innovations coming out of the COVID pandemic, and exploring som…
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Send us a Text Message. Part 1 - Technology Driven Innovations in Cancer Care; Amy Porter-Tacoronte, Duke Health In this episode of TKG’s Healthcare Insights, we highlight the findings from our Oncology Thought Leaders meeting discussion on Technology Driven Innovations coming out of the COVID pandemic, and exploring some of these issues in a littl…
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Send us a Text Message. Advancing Patient-Centered Care – Part 2 Each summer, The Kinetix Group brings in several student interns, to explore the critical issues in healthcare, and learn alongside the TKG team. In this episode of TKG’s Healthcare Insights, we will be highlighting the findings from three of our summer intern’s research projects, foc…
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Send us a Text Message. Advancing Patient-Centered Care – Part 1 Each summer, The Kinetix Group brings in several student interns, to explore the critical issues in healthcare, and learn alongside the TKG team. In this episode of TKG’s Healthcare Insights, we will be highlighting the findings from three of our summer intern’s research projects, foc…
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Send us a Text Message. Oncology Thought Leaders Meeting Debrief – PART 3 A few weeks ago, we hosted our quarterly meeting of the Oncology Thought Leaders network, a part of TKG’s Networks of Excellence, where we discussed three critical issues in cancer center administration and care delivery. This is part 3 of a 3 Part discussion with our good fr…
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Send us a Text Message. Oncology Thought Leaders Meeting Debrief – PART 2 A few weeks ago, we hosted our quarterly meeting of the Oncology Thought Leaders network, a part of TKG’s Networks of Excellence, where we discussed three critical issues in cancer center administration and care delivery. This is part 2 of a 3 Part discussion with our good fr…
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Send us a Text Message. Oncology Thought Leaders Meeting Debrief – PART 1 A few weeks ago, we hosted our quarterly meeting of the Oncology Thought Leaders network, a part of TKG’s Networks of Excellence, where we discussed three critical issues in cancer center administration and care delivery. In this episode of TKG’s Healthcare Insights, we highl…
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Send us a Text Message. Supporting Precision Medicine with Genetic Testing PART 2: Exploring the Gaps in Patient Care In this episode, our guest, Meagan Farmer, a Master’s Trained Genetic Counselor, discusses several key gaps in patient care, including how well patients understand what they are consenting to when getting a test, the need for long t…
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Send us a Text Message. Supporting Precision Medicine with Genetic Testing PART 1: Understanding the Complexities of Genetic Testing In this episode, we take a look at the challenges of managing complex cancer diagnoses and treatments with the help of genetic and genomic testing. Meagan Farmer is a Master's trained Genetic Counselor and provides an…
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Send us a Text Message. Cardio-Oncology: Addressing Cardio-Toxicities from Cancer Treatment Cancer treatments have improved significantly over the last 40 years, with much improved outcomes for 5-year survival. In 1975, a cancer diagnosis came with a projected overall 5-year survival rate of less than a 50%. Today, the overall five-year survival ra…
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Send us a Text Message. Part 2 of 3 - A Look at the Literature In today's episode, we continue a 3 part series, exploring how increasing financial toxicity in cancer care is impacting patients’ adherence to self-administered oral medications. Part 2 explores some of the literature that describes the financial impact of a cancer diagnosis on an indi…
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Send us a Text Message. Part 1 of 3 - The Burden of Treatment In today's episode, we begin a 3 part series, exploring how increasing financial toxicity in cancer care is impacting patients’ adherence to self-administered oral medications. Part one defines the term Financial Toxicity and describes the "Total Burden of Treatment" as first reported by…
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Send us a Text Message. Part 2 - Dr. Marty Heslin talks about the New Normal for cancer care Dr. Marty Heslin is the new Cancer Center Director for the University of South Alabama Mitchell Cancer Institute in Mobile, Alabama. He is a Surgical Oncologist, and has spent the last 25 years at the University of Alabama at Birmingham Health System, where…
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Send us a Text Message. Part 1 - Dr. Marty Heslin talks about the New Normal for cancer care Dr. Marty Heslin is the new Cancer Center Director for the University of South Alabama Mitchell Cancer Institute in Mobile, Alabama. He is a Surgical Oncologist, and has spent the last 25 years at the University of Alabama at Birmingham Health System, where…
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Send us a Text Message. Part 2 - Examining the Implications of Clinical Pathways on the Oncology Marketplace In Part 1 of this conversation, Ron talked about the increasing use of clinical treatment pathways by payers and providers to influence formulary decision making. In Part 2, we continue this discussion with Ron sharing his insights coming fr…
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Send us a Text Message. Part 1 - Examining the Implications of Clinical Pathways on the Oncology Marketplace In this episode, we start a two-part discussion with Ron Schleif, co-founder and Principle of Oncology Reimbursement Management, a consulting and research services firm that helps life sciences companies determine whether their oncology prod…
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Send us a Text Message. Unlocking the Secrets for Success in CIN's, ACO's, and Value Based Care Initiatives. In this episode, we interview one of The Kinetix Group’s business partners, Marc Miller, President and Managing Partner of Health Strategies, LLC, a firm that specializes in supporting Clinically Integrated Networks (CINs), Accountable Care …
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Send us a Text Message. Challenges Facing State Medicaid Programs Our special guest today is Dr. Len Fromer, Executive Medical Director for the The Kinetix Group. Dr. Fromer is a Family Physician who has done a lot of work with many state Medicaid programs, helping build infrastructure to support delivering higher quality health care to the most vu…
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Send us a Text Message. Understanding Oral Parity Legislation In today's episode, we explore state and federal Oral Parity Legislation. The Oral Parity legislation initiatives attempt to address the substantial out-of-pocket costs that patients are facing when their insurance covers medications under their pharmacy benefit plan as opposed to their …
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