{"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":"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":"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":"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}