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Journal of Managed Care Pharmacy最新文献

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Utilization of Pharmacy Claims Data to Evaluate Therapeutic Interchange Programs 利用药房索赔数据评估治疗交换方案
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.1999.5.4.331
S. Bull
{"title":"Utilization of Pharmacy Claims Data to Evaluate Therapeutic Interchange Programs","authors":"S. Bull","doi":"10.18553/JMCP.1999.5.4.331","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.4.331","url":null,"abstract":"OBJECTIVE: To gain insight into the accuracy of dosing guidelines and the overall success of a therapeutic' interchange program by analyzing pharmacy claims data. DESIGN: Evaluation of prescribing patterns via retrospective analysis of pharmacy claims data for therapeutic interchange between angiotensin II converting enzyme inhibitors (ACEls). SETTING: A California IPA-model HMO. MAIN OUTCOME MEASURES: Percentage of conversion doses that corresponded with pharmacy and therapeutics (P&T) guidelines variation among actual conversion doses utilized, and number of dosage titrations associated with implementing conversions. RESULTS: The analysis revealed that dosing ratios utilized to convert patients from lisinopril, quinapril, enalapril, and ramipril to benazepril HCI corresponded with P&T guidelines 83%, 78%, 54%, and 26% of the time, respectively. The variance in conversion doses from enalapril and ramipril was significantly greater than from lisinopril and quinapril (p less than O.01). The overall percent...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67488464","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: 1
Pharmacy Cost Reduction Imperative at United HealthCare 降低联合医疗药房成本势在必行
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.1999.5.1.19
E. Bergen
{"title":"Pharmacy Cost Reduction Imperative at United HealthCare","authors":"E. Bergen","doi":"10.18553/JMCP.1999.5.1.19","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.1.19","url":null,"abstract":"care organization (MCO) headquartered in Edina, Minnesota, recently instituted pharmacy benefits consolidation and streamlining that reduced its double-digit pharmacy cost trend to less than 6% in 1997, while improving customer and physician satisfaction through a three-tier pharmacy plan. The methods employed are expected to afford continued savings and benefits through 1998 and beyond. After United HealthCare acquired MetraHealth in late 1996, the organization served more than 13 million individuals across the United States through preferred provider, health maintenance, and exclusive provider organizations as well as through managed indemnity, point of service, group and individual Medicare, worker's compensation, and specialized provider network products. Approximately 7.5 million pharmacy lives were covered under thousands of different benefit designs, dozens of pharmacy networks, and more than a dozen different formularies nationwide. Each health plan independently managed its pharmacy program. Although United HealthCare had a pharmacy benefit manager (PEM), Diversified Pharmaceutical Services Inc., it became clear that consolidation and streamlining of pharmacy benefits was needed to reduce a trend in which other medical ex-","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67487588","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: 1
The History, Philosophy, and Principles of Pharmacy Benefits 药学福利的历史、哲学和原则
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.1999.5.6.525
C. Stern
{"title":"The History, Philosophy, and Principles of Pharmacy Benefits","authors":"C. Stern","doi":"10.18553/JMCP.1999.5.6.525","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.6.525","url":null,"abstract":"OBJECTIVE: To provide an in-depth discussion of the philosophies, design, and structure of the prescription pharmacy benefit. DATA SOURCES: Benefit consultants, texts. CONCLUSION: Pharmacy benefits are structured using the same principles as other health care benefits. However, the design of benefits as wage alternatives complicates their implementation as employers insist upon performance and employees insist on receiving their benefits as entitlements. The resultant benefit designs are a balance between cost and risk management and provision of the services that beneficiaries expect.","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.18553/JMCP.1999.5.6.525","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67488288","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
Importance of Blood Glucose Monitoring to Achieve Short- and Long-Term Glycemic Control 血糖监测对实现短期和长期血糖控制的重要性
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.1999.5.6.543
L. Coleman
{"title":"Importance of Blood Glucose Monitoring to Achieve Short- and Long-Term Glycemic Control","authors":"L. Coleman","doi":"10.18553/JMCP.1999.5.6.543","DOIUrl":"https://doi.org/10.18553/JMCP.1999.5.6.543","url":null,"abstract":"OBJECTIVE: To review the importance of short- and long-term glucose monitoring in people with diabetes, emphasizing the relationship between elevated fasting and postprandial glucose levels and their association with hemoglobin A1c (HbA1c). DESIGN: Literature review. RESULTS: Numerous epidemiologic and interventional studies have demonstrated that lowering blood glucose to normal or near-normal levels for several years prevents the onset and delays the progression of microvascular complications including retinopathy, nephropathy, and neuropathy. Based on a substantial amount of data, the American Diabetes Association recommends that treatment of all individuals with diabetes be aimed at lowering blood glucose to normal or near-normal levels. CONCLUSIONS: Frequent self-monitoring of blood glucose (SMBG), if used properly, can be effective at improving glycemic control on a day-to-day basis. 5MBG should be done daily and should include measurement of both fasting and postprandial blood glucose levels. Routi...","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67488974","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
Trends in Managed Care Pharmacy: Preparing for the Future 管理护理药房的趋势:为未来做准备
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.2001.7.2.105
J. Eichenholz
{"title":"Trends in Managed Care Pharmacy: Preparing for the Future","authors":"J. Eichenholz","doi":"10.18553/JMCP.2001.7.2.105","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.2.105","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489129","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: 1
Managed Care Concepts Prominently Featured in Innovative Management Programs at Duquesne University 管理式护理概念在杜肯大学创新管理项目中占有突出地位
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.2001.7.2.95
D. Tipton
{"title":"Managed Care Concepts Prominently Featured in Innovative Management Programs at Duquesne University","authors":"D. Tipton","doi":"10.18553/JMCP.2001.7.2.95","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.2.95","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489482","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
RxHealthValue Offers Three Recommendations and Cost Research RxHealthValue提供了三个建议和成本研究
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.2001.7.1.17
M. Cloutier
{"title":"RxHealthValue Offers Three Recommendations and Cost Research","authors":"M. Cloutier","doi":"10.18553/JMCP.2001.7.1.17","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.1.17","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489514","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
Privacy Just Took on a Whole New Meaning: What HIPAA Means to Pharmacists 隐私刚刚有了一个全新的含义:HIPAA对药剂师意味着什么
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.2001.7.5.342
D. Ginsburg
{"title":"Privacy Just Took on a Whole New Meaning: What HIPAA Means to Pharmacists","authors":"D. Ginsburg","doi":"10.18553/JMCP.2001.7.5.342","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.5.342","url":null,"abstract":"","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67489824","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
Getting a Quick Fix Online 在网上快速修复
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/jmcp.2001.7.4.257
C. Tsourounis
{"title":"Getting a Quick Fix Online","authors":"C. Tsourounis","doi":"10.18553/jmcp.2001.7.4.257","DOIUrl":"https://doi.org/10.18553/jmcp.2001.7.4.257","url":null,"abstract":"o you know that right now most consumers can purchase any prescription medication online without a prescription? That’s right, any consumer with a valid credit card can purchase lifestyle-enhancing medications sildenafil (Viagra) and finasteride (Propecia). They can also purchase controlled substances such as hydrocodone/a cetaminophen (Vicodin), acetaminophen/codeine (Tylenol #3), or even diazepam (Valium). Gaining access to injectible testosterone and other steroids is easy. Unscrupulous entrepreneurs have even written manuals (available for purchase) that describe how to exploit the Internet for prescription medications. How did this virtual deregulation of pre","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67490002","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
AMCP Guidance for Submission of Clinical and Economic Evaluation Data to Support Formulary Listing in U.S. Health Plans and Pharmacy Benefits Management Organizations 提交临床和经济评估数据以支持美国健康计划和药房福利管理组织的处方清单的AMCP指南
Journal of Managed Care Pharmacy Pub Date : 2015-09-15 DOI: 10.18553/JMCP.2001.7.4.272
S. Sullivan, A. Lyles, B. Luce, Joseph Grigar
{"title":"AMCP Guidance for Submission of Clinical and Economic Evaluation Data to Support Formulary Listing in U.S. Health Plans and Pharmacy Benefits Management Organizations","authors":"S. Sullivan, A. Lyles, B. Luce, Joseph Grigar","doi":"10.18553/JMCP.2001.7.4.272","DOIUrl":"https://doi.org/10.18553/JMCP.2001.7.4.272","url":null,"abstract":"This paper reports on the Academy of Managed Care Pharmacy's (AMCP's) suggested process for pharmaceutical manufacturers to submit a uniform, evidence-based dossier for each product submitted for formulary approval. The process requires that manufacturers provide clinical and economic evidence and an economic model that projects the potential economic consequences and impact of product coverage on health outcomes. This formulary-submission process is designed to achieve two main goals: (1) improve the timeliness, scope, quality, and relevance of information provided to pharmacy and therapeutics (PT and (2) streamline the process of acquiring data and reviewing products for health plan staff pharmacists. In time, it is hoped; this process will lead to progressive improvements in the quality of formulary submissions and provide P&T committees with evidence that previously was often unavailable.","PeriodicalId":50156,"journal":{"name":"Journal of Managed Care Pharmacy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.18553/JMCP.2001.7.4.272","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67490062","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: 9
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