{"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}
{"title":"Academic Detailing to Influence Prescribing","authors":"A. Barreuther","doi":"10.18553/JMCP.1997.3.6.631","DOIUrl":"https://doi.org/10.18553/JMCP.1997.3.6.631","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":"68351920","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":"International Movement of Japan's Pharmaceutical Industry: Health Policy Reform","authors":"K. Chevalier","doi":"10.18553/jmcp.1997.3.6.667","DOIUrl":"https://doi.org/10.18553/jmcp.1997.3.6.667","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68352151","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":"The Cost of Treating Seizure Patients in a Managed Care Organization","authors":"E. Armstrong","doi":"10.18553/JMCP.1999.5.4.351","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.4.351","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67488508","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":"Top-Selling Herbal Supplements","authors":"K. Grant","doi":"10.18553/JMCP.1999.5.4.357","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.4.357","url":null,"abstract":"OBJECTIVE: To familiarize pharmacists with the pharmacology, indications, doses, standardization, adverse effects, and interactions of eight of the best-selling herbal supplements-echinacea, garlic, ginkgo, ginseng, kava, saw palmetto, St. John's wort, and valerian-to enable them to better help patients wisely choose herbal supplements, monitor herbal supplement use, and counsel patients regarding potential problems. Specific learning objectives include: Define OSHEA and list the implications of that act for pharmacists and patients. Given an herbal supplement: 1) determine an acceptable indication and dose for that indication; 2) list the common or serious side effects induced by that supplement; and 3) provide information applicable for patient counseling. DATA SOURCES: Literature references. CONCLUSION: Given the growth in interest and huge sales volume of herbal supplements, pharmacists must become knowledgeable about these products to help patients sort factual from fraudulent information. Although t...","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":"67488518","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 Teaching and Research in South Dakota","authors":"R. Aparasu","doi":"10.18553/jmcp.2001.7.1.10","DOIUrl":"https://doi.org/10.18553/jmcp.2001.7.1.10","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489426","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":"Merger and Acquisition Activity in the Chinese Pharmaceutical Industry","authors":"H. Yin","doi":"10.18553/JMCP.2001.7.2.166","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.2.166","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":"67489450","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":"Patient Satisfaction with and Knowledge of Their Prescription Drug Coverage","authors":"S. Desselle","doi":"10.18553/JMCP.2001.7.1.34","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.1.34","url":null,"abstract":"MAIN OUTCOME MEASURES: An interval-level scale was used to measure satisfaction, knowledge of issues of prescription drug coverage, and demographics. Member satisfaction was factor-analyzed into dimensions of service and network quality. The effects of demographic and plan characteristics and member knowledge on satisfaction were determined by t-tests and one-way analyses of variance (ANOVAs), and confirmed by general linear models procedures. Chi-squared analyses and logistic regression were used to determine the effect of demographics on patient knowledge. RESULTS: Respondents were very satisfied with the service and network quality of their prescription drug plans. Member demographic characteristics had little influence on satisfaction; however, having a choice of plan a,nd overestimating certain aspects of coverage significantly influenced satisfaction. Respondents overestimated the scope of their drug coverage and network of pharmacy providers; however, there were few disparities in knowledge","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":"67489538","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}
J. H. Lee, S. Cassard, P. Dans, C. Wheelock, J. Ober
{"title":"Evaluating Asthma Medication Use Before and After an Acute Asthma-related Event","authors":"J. H. Lee, S. Cassard, P. Dans, C. Wheelock, J. Ober","doi":"10.18553/JMCP.2001.7.4.303","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.4.303","url":null,"abstract":"OBJECTIVE: Pharmacy and medical claims data have often been used as a source of data on the asthma population in managed care settings. However, there are very few data on patterns of drug utilization surrounding an acute event. This is a report of an observational pilot study that evaluated utilization patterns in asthma treatment before and after an acute event. DESIGN: The study was performed by evaluating pharmacy and medical claims data submitted between January 1, 1994, and September 30, 1995, in a 275,000-member preferred provider organization (PPO) in the mid-Atlantic region; 83 patients met the inclusion and exclusion criteria. RESULTS: Evaluating the data using the McNemar test revealed a statistically significant greater number of patients using short-acting beta2-agonists after an acute event who did not use them before the event compared to the number of patients who changed in the reverse (i.e., patients who used short-acting beta2-agonists before an acute event but not after) (P less than 0...","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.2001.7.4.303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489684","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":"Analysis of the Effects of Quantity Limits","authors":"R. Valuck","doi":"10.18553/jmcp.2001.7.5.338","DOIUrl":"https://doi.org/10.18553/jmcp.2001.7.5.338","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":"67489813","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}