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FDA, Gottlieb Get Real About Real-world evidence. FDA，戈特利布，面对真实世界的证据。
Managed Care Pub Date : 2019-03-01
Richard Mark Kirkner
{"title":"FDA, Gottlieb Get Real About Real-world evidence.","authors":"Richard Mark Kirkner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Here we are in early 2019, and how quickly and firmly the FDA and the pharmaceutical industry will embrace RWE and its raw material, real-world data (RWD), remains an open question. If that embrace is ever to get beyond gestures and lip service, the FDA will need to change its rules and culture.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 3","pages":"13-16"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37067427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Direct Contracting: Walmart Came a-Calling. Emory Answered. 直接承包:沃尔玛来了。埃默里回答。
Managed Care Pub Date : 2019-03-01
Lola Butcher
{"title":"Direct Contracting: Walmart Came a-Calling. Emory Answered.","authors":"Lola Butcher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Unlike most payer-provider relationships, the parties took a go-slow approach. The plan was offered only to employees who worked in a subset of Walmart and Sam's Club outlets and lived or worked near Emory providers, and Walmart did not set premium levels to incentivize workers to choose the Emory ACO.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 3","pages":"17-19"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37242089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognosis? Misdiagnosis! The High Price of Getting It Wrong. 预后?误诊!出错的高昂代价。
Managed Care Pub Date : 2019-03-01
Lola Butcher
{"title":"Prognosis? Misdiagnosis! The High Price of Getting It Wrong.","authors":"Lola Butcher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>By some counts misdiagnosis leads to up to 80,000 hospital deaths each year-and results in billions in wasted medical spending. Lack of feedback and miscommunication are among the causes. Researchers, advocates, and others are pushing for changes and \"diagnostic excellence.\"</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 3","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37067433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tis Most Excellent: Union, Mount Sinai Find Happiness in Center of Excellence. 这是最优秀的:联盟，西奈山在卓越中心找到幸福。
Managed Care Pub Date : 2019-03-01
Joseph Burns
{"title":"Tis Most Excellent: Union, Mount Sinai Find Happiness in Center of Excellence.","authors":"Joseph Burns","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Service Employees International Union Local 32BJ three years ago named Mount Sinai Health System as a preferred provider for participants and started a direct contract for those needing hip and knee replacement surgeries. In health care there are not many examples where each party succeeds. This is one of them.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 3","pages":"25-27"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37067432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genetic Testing Gone Wild. 基因检测变得疯狂。
Managed Care Pub Date : 2019-03-01
Russel Kaufman
{"title":"Genetic Testing Gone Wild.","authors":"Russel Kaufman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Genetic testing, when used prudently, can help physicians and patients make an informed treatment choice together. But when the DNA tests are marketed directly to consumers, they can place an undue burden on our already overloaded medical system.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 3","pages":"39"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37067434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Staying Mad: Walmart Gets Even-by Contracting Directly. 保持疯狂:沃尔玛通过直接承包实现平衡。
Managed Care Pub Date : 2019-03-01
Lola Butcher
{"title":"Staying Mad: Walmart Gets Even-by Contracting Directly.","authors":"Lola Butcher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1991, the world's second richest man griped about health care costs. Today, Sam Walton's Walmart empire is striking back with direct contracting. The retail giant is using centers-of-excellence contracts by which it pays high-value provider organizations to treat specific medical problems.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 3","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37067428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What We Talk About When We Talk About Value-Based Care. 当我们谈论基于价值的护理时，我们谈论的是什么?
Managed Care Pub Date : 2019-03-01
Erik Johnson
{"title":"What We Talk About When We Talk About Value-Based Care.","authors":"Erik Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In any instance when unanimity embraces an idea, a thoughtful person might ask whether there's true agreement or perhaps just a cone of vagueness that accommodates a variety of opinions and lets eyes of the beholders see what they want to see. With value-based care, it may be the latter.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 3","pages":"37"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37067431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Growing Appeal of On-the-job Health Care. 在职医疗保健的吸引力越来越大。
Managed Care Pub Date : 2019-03-01
Jan Greene
{"title":"The Growing Appeal of On-the-job Health Care.","authors":"Jan Greene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinics range in size from a nurse who shows up in a mobile unit a few hours per week to a large-scale, full-service health clinic with multiple primary care providers and clinicians who can provide dental and vision care.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 3","pages":"28-29"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37067429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
More Sunshine, Say Some PBM Forecasts. More of the Dark Arts, Say Others. 一些PBM预测:阳光更充足。多学点黑魔法，别人说。
Managed Care Pub Date : 2019-03-01
Robert Calandra
{"title":"More Sunshine, Say Some PBM Forecasts. More of the Dark Arts, Say Others.","authors":"Robert Calandra","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent mergers didn't quiet the growing frustration and concern employers, pharmacists, consumer advocates, state legislators, and some members of Congress have with the PBMs' lack of transparency. There are still so many questions, and getting answers anytime soon will be a chore.</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 3","pages":"29-31"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37067430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Conversation with Jennifer Graff, National Pharmaceutical Council VP. Real-World Evidence Might Take a Decade to be Fully Established. 美国国家医药委员会副主席Jennifer Graff的谈话真实世界的证据可能需要十年才能完全确立。
Managed Care Pub Date : 2019-03-01
Frank Diamond
{"title":"A Conversation with Jennifer Graff, National Pharmaceutical Council VP. Real-World Evidence Might Take a Decade to be Fully Established.","authors":"Frank Diamond","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>\"The private sector will play an important role in the 10-year time frame. Patients are downloading their data from patient portals and sharing their information between their specialists. Provider groups and clinical societies will become more adept at using data to inform care pathways.\"</p>","PeriodicalId":39329,"journal":{"name":"Managed Care","volume":"28 3","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37242088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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