The view from managed care pharmacy.

Pharmacy students' views of managed care pharmacy and PBMS: should there be more exposure to managed care in the pharmacy curriculum?

BACKGROUND New accreditation standards implemented in 2007 have required schools of pharmacy to evaluate their existing curricula. An issue frequently encountered is the limited amount of content in the pharmacy curriculum specific to managed care and the role and function of pharmacy benefit management companies (PBMs). OBJECTIVE To determine pharmacy student knowledge and opinions about man...

Effect of 6 managed care pharmacy tools: a review of the literature.

The Academy of Managed Care Pharmacy's concepts in managed care pharmacy: prior authorization and the formulary exception process.

AHRQ's Effective Health Care Program: its impact on managed care.

OBJECTIVE To describe some of the managed care perspectives regarding the data development and coverage issues. BACKGROUND Section 1013 of the Medicare Modernization Act of 2003 has initiated the formation of the Agency for Healthcare Research and Quality (AHRQ) Effective Health Care Program, which is evaluating the treatments for rheumatoid arthritis (RA) in the Medicare population. The resu...

Pharmacy management strategies for improving drug adherence.

BACKGROUND Significant gaps in quality pervade U.S. health care, leading to suboptimal care and rising costs. One key factor driving the apparent quality gaps and rising costs in the current health care system is the issue of nonadherence to prescription medications. OBJECTIVE To describe quality gaps in managed care that are driven by nonadherence to prescription medications and characterize...

A claims-based view of health care charges and utilization for commercially insured patients with osteoarthritis.

PURPOSE To evaluate managed care medical and pharmacy claims data from commercially insured patients with osteoarthritis and to examine cost and resource utilization patterns across inpatient care, outpatient care, emergency department, and pharmaceuticals. DESIGN Retrospective claims-based analysis. METHODOLOGY Data were obtained from the PharMetrics/IMS Integrated Patient-Centric Database...