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Results for “Formularies as Topic”

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At least 775 records · Page 43Linked to original sources
PubMed1997

Hospitals and managed care: catching up with the networks.

Although the growth of managed care is having a significant impact on hospitals, organizational response to managed care remains fragmented. We conducted a survey of 83 hospitals nationwide that indicated that most hospitals now have at least one person devoted to managed care initiatives. These individuals, however, often spend most of their time on current issues, such as contracting with managed care organizations and physician relations. Concerns for the future, such as network development and marketing, although important, receive less immediate attention form these individuals. Hospital managed care executives must take a more proactive role in long range managed care planning by collaborating with managed care organizations and pharmaceutical companies.

Administrative Personnel↗
PubMed1997

Electronic formulary control.

Although pharmacy program managers have used numerous strategies to ensure conformance with the drug formulary, most are activated after the prescription of a nonformulary drug has been written. The ultimate goal being pursued by a variety of MCOs is to educate the physician at the point of care and present formulary alternatives at the time the prescription pad is out and the pen is in hand.

Clinical Pharmacy Information Systems↗
PubMed1997

Opportunities and challenges of electronic physician prescribing technology.

The results of a six-month pilot with electronic prescribing used by 17 Health Alliance Plan (HAP) physicians are reported. All 17 practice in an IPA setting in southeastern Michigan. This critical evaluation reveals the many opportunities and various challenges that this new technology brings to the managed health care environment.

Attitude to Computers↗
PubMed1996

Medicare risk programs and pharmacy benefits managers.

With 80% of all Medicare risk programs offering some type of prescription benefit, the management of that prescription benefit plays an important role in the success of the Medicare managed care plan. This article examines the issues and success factors involved in designing and managing prescription benefits program for seniors.

Aged↗
PubMed1998

Disease state management in diabetes care.

Diabetes affects over 16 million Americans. Caring for patients with diabetes requires extensive health care resources. Managed care organizations must utilize resources cost-effectively to survive in the health care industry. A disease state management program for diabetes may enable the managed care organization to meet its goal of providing cost-effective quality health care while meeting regulatory standards. The National Committee for Quality Assurance (NCQA) which accredits managed care organizations and provides information on performance, grants accreditation status to managed care organizations and reports favorable comparisons with competing managed care organizations.

Cost-Benefit Analysis↗
PubMed1997

The use of pharmacoeconomic data in managed care: closing the credibility gap.

According to the author, MCOs rarely incorporate the findings of pharmacoeconomic studies in formulary decision making. As a result, managed care plans fail to examine the costs and cost savings of a new drug across the whole health care continuum, but see only how it directly affects their system. Credible pharmacoeconomic data can be valuable to formulary decision makers, offering them a broader perspective. However, what constitutes credible pharmacoeconomic data?

Cost Control↗