{"title":"Estimating the Relative Cost Effectiveness of Four Contraceptive Methods in the Prevention of Unwanted Pregnancies within Department of Defense Active-Duty Women","authors":"D. Harrison, K. Saur","doi":"10.18553/JMCP.1999.5.2.131","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.2.131","url":null,"abstract":"OBJECTIVE: To determine the relative cost effectiveness of depomedroxy progesterone acetate (DMPA), levonorgestrel subdermal implant (LSI), oral tri-phasic tablets (OTPT), and the copper intrauterine device (Cu-IUD) in the prevention of unwanted pregnancies. A further purpose of this research was to estimate the impact each alternative has on the total direct medical costs associated with unwanted pregnancies. DESIGN: Decision analysis, using published clinical outcome probability estimates and actual provider cost data to compare the relative cost effectiveness of the four alternatives. PATIENTS/SETTING: This research was conducted from the perspective of the provider, Department of Defense (DoD) medical treatment facilities. The patients studied were active-duty women in military service receiving contraceptive services. MAIN OUTCOME MEASURES: The average cost per patient for four contraceptive measures. All costs are actual costs to the provider and were provided by 000 Resource Management personnel us...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.18553/JMCP.1999.5.2.131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67487761","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}
{"title":"Pharmaceutical Care Environment on the Health Care Expenditures of Medicare HMO Enrollees","authors":"R. Popovian","doi":"10.18553/jmcp.1999.5.5.414","DOIUrl":"https://doi.org/10.18553/jmcp.1999.5.5.414","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.18553/jmcp.1999.5.5.414","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67488129","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}
{"title":"Managed Care Formularies in the United States","authors":"M. Sax","doi":"10.18553/JMCP.1999.5.4.289","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.4.289","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67488381","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}
{"title":"Students Gain Exposure to Managed Care Principles","authors":"D. Latif, E. Robinson","doi":"10.18553/JMCP.1999.5.4.371","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.4.371","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67488528","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}
{"title":"An Assessment of the Effectiveness of a Nonsteroidal Anti-inflammatory Drugs Algorithm in an Integrated Health Care System","authors":"R. Sasane, M. Shepherd, K. Lawson","doi":"10.18553/JMCP.2001.7.2.149","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.2.149","url":null,"abstract":"RESULTS: The utilization of NSAIDs per member per month for both brandname and generic NSAIDs decreased significantly after implementation of the algorithm. The mean PMPM cost to the plan for NSAIDs also decreased significantly. However, while the NSAID acquisition cost for the plan decreased, the charges associated with treating NSAID-related adverse events showed an upward trend over the same period. CONCLUSIONS: The algorithm urged physicians to encourage patients to use over-the-counter NSAID medications as initial treatment. To the extent that the algorithm reduced the physicians’ and pharmacists’ involvement in the pharmaceutical care of the patient, the algorithm may have exposed patients to risks associated with inappropriate self-medication. In addition, the decrease in NSAID costs may have been offset by the increases in costs associated with treating NSAID-related adverse events.","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489171","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}
{"title":"Evaluating the Pharmaceutical Industry Interface with Managed Care","authors":"K. H. Hoffman, Ashok K Gumghir","doi":"10.18553/JMCP.1995.1.1.35","DOIUrl":"https://doi.org/10.18553/JMCP.1995.1.1.35","url":null,"abstract":"OBJECTIVE: To study the role of pharmaceutical sales representatives (PSRs) in the managed care environment, the value of support services and other benefits provided by industry, and the types of information needed by managed care organizations. DESIGN: Mailed survey. SETTING: Not applicable. PARTICIPANTS: 500 members of the Academy of Managed Care Pharmacy. INTERVENTIONS: Mail questionnaires with more than 100 items using a five-point Likert scale and open-ended questions. MAIN OUTCOME MEASURES: Means and standard deviations analyzed with Student's test for paired data; nominal variables analyzed with chi-square analysis; and ordinal data analyzed using the Mantel-Haenszel test for linear association. RESULTS: Overall, 170 of 500 questionnaires (34%) were completed and returned. Managed care pharmacists and industry executives agreed that drug sampling should be discontinued. In addition, they agreed on the order of importance of various support services, the types of research studies that are needed mo...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68347614","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}
{"title":"Successful CQI-Based Programs In a Group-Model Managed Care Setting","authors":"D. Calabrese","doi":"10.18553/JMCP.1995.1.2.134","DOIUrl":"https://doi.org/10.18553/JMCP.1995.1.2.134","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68347763","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}
{"title":"Managed Care Pharmacy: Leading Pharmaceutical Care Integration Forward","authors":"P. Cohen","doi":"10.18553/jmcp.1997.3.2.139","DOIUrl":"https://doi.org/10.18553/jmcp.1997.3.2.139","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68350175","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}
{"title":"Looking Back: Failed Health Care Reform Put Managed-Care on the Map","authors":"J. Kaldy","doi":"10.18553/JMCP.1997.3.2.159","DOIUrl":"https://doi.org/10.18553/JMCP.1997.3.2.159","url":null,"abstract":"With presiden. t Cli ton settled in for his second term in office, it's hard to believe that just four short years ago health care reform was the talk of Washington-,Everyone, from consumers and practitioners to employers and politicians, had an interest in what reform might mean and what form it would take. But after many headlines, much debate, and heated battles on Capitol Hill and in state capitols, health care reform died with more of a whimper than a bang.","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68350298","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}
{"title":"Managed Care and the Quest for Quality Measures","authors":"M. Darby","doi":"10.18553/jmcp.1997.3.3.255","DOIUrl":"https://doi.org/10.18553/jmcp.1997.3.3.255","url":null,"abstract":"models that a one-size-fits-all approach to performance measurement may not be feasible. The market for performance data is equally diverse. Employers of every shape and size, federal and state government purchasers, consumers, regulators, accrediting bodies, and policy makers all have a stake in holding managed care organizations accountable for their services. But for each of these constituents, the stakes are a little bit different. \"It's a challenge for everyone. No single set of measures is going to meet everyone's needs completely,\" says Cary Sennett, M.D., Ph.D., vice president of performance measurement for the National Committee for Quality Assurance (NCQA), a Washington, DC-based health plan accrediting body and one of the key players in the managed care performance measurement movement. MARY DARBY","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.18553/jmcp.1997.3.3.255","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68350910","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}