Download or read book Inclusion of Pharmaceutical Services in Health Maintenance and Related Organizations written by United States. Bureau of Community Health Services and published by . This book was released on 1974 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Making Medicines Affordable written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-03-01 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise in the cost of health care. Total medical expenditures are rapidly approaching 20 percent of the gross domestic product and are crowding out other priorities of national importance. The use of increasingly expensive prescription drugs is a significant part of this problem, making the cost of biopharmaceuticals a serious national concern with broad political implications. Especially with the highly visible and very large price increases for prescription drugs that have occurred in recent years, finding a way to make prescription medicinesâ€"and health care at largeâ€"more affordable for everyone has become a socioeconomic imperative. Affordability is a complex function of factors, including not just the prices of the drugs themselves, but also the details of an individual's insurance coverage and the number of medical conditions that an individual or family confronts. Therefore, any solution to the affordability issue will require considering all of these factors together. The current high and increasing costs of prescription drugsâ€"coupled with the broader trends in overall health care costsâ€"is unsustainable to society as a whole. Making Medicines Affordable examines patient access to affordable and effective therapies, with emphasis on drug pricing, inflation in the cost of drugs, and insurance design. This report explores structural and policy factors influencing drug pricing, drug access programs, the emerging role of comparative effectiveness assessments in payment policies, changing finances of medical practice with regard to drug costs and reimbursement, and measures to prevent drug shortages and foster continued innovation in drug development. It makes recommendations for policy actions that could address drug price trends, improve patient access to affordable and effective treatments, and encourage innovations that address significant needs in health care.
Download or read book Understanding Pharmacy Reimbursement written by F. Randy Vogenberg and published by ASHP. This book was released on 2006 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a health system pharmacist dealing with health care reform initiatives and accountable care organizations, it is important to have a fundamental understanding of health care reimbursement that has a focus on pharmacy. Understanding Pharmacy Reimbursement is the essential resource that allows you to more effectively deal with the rapidly changing and constantly emerging reimbursement issues over the next few years.
Download or read book PBMs written by Sheila Shulman and published by CRC Press. This book was released on 1998-06-18 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: PBMs: Reshaping the Pharmaceutical Distribution Network provides HMOs and other third-party payers with information on the new and increasingly important role of pharmaceutical benefit companies (PBMs) in the health care industry. From this text, you will learn how PBMs can maintain and deliver a quality, cost-effective drug benefit plan to your company while achieving the anticipated market share for the product. PBMs: Reshaping the Pharmaceutical Distribution Network offers you suggestions on how to choose which PBM service is correct for your business, such as what qualifications to look for in a PBM, as well as what questions you should ask a respective company. This text also offers ways on how your company can benefit from becoming a client and may make your business more competitive in the pharmaceutical industry. PBMs: Reshaping the Pharmaceutical Distribution Network also informs you about the controversies that have arisen concerning the new position of PBMs in the industry. Through research and evaluation, this text addresses these issues from many different perspectives and gives you insight into other topics concerning PBMs, including: operating methods that PBMs currently rely on for designing and overseeing a drug benefit plan how the Food and Drug Administration currently views the role of PBMs and why they are contemplating regulatory intervention alerting PBMs, pharmacies, pharmaceutical companies, and managed care organizations to new legal issues involving fraud and abuse affecting pharmacy benefit management and pharmaceutical manufacturers reasons why retail drug chains and pharmacist organizations oppose recent industry developments regarding PBMs whether or not PBMs reflect a move toward greater centralized decisionmaking in the health care systemIn addition, PBMs: Reshaping the Pharmaceutical Distribution Network offers pharmaceutical companies, health care providers, and managed care organizations several suggestions for further research, which may make your business or your business relationships more efficient and productive in the future. If you or your company are considering the services of a pharmacy benefit management, PBMs: Reshaping the Pharmaceutical Distribution Network will guide you in choosing a company that helps you deliver the most cost-effective and efficient pharmaceutical benefits to customers.
Download or read book Pharmaceutical Markets and Insurance Worldwide written by Michael Grossman and published by Emerald Group Publishing. This book was released on 2010-03-30 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fields of pharmaceutical economics and health economics/policy are reaching a point of convergence. This is due to both the widespread availability of pharmaceutical treatments, accompanied by broader insurance coverage, and the regulation of prescription drugs in both private and government plans. This book bridges the gap.
Download or read book Pharmaceutical Care Policies Among Health Insurers in Wisconsin written by Sudharani Boddapati and published by . This book was released on 2005 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Pharmacy Practice written by Robert Navarro and published by Jones & Bartlett Learning. This book was released on 2009 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed Care Pharmacy Practice explains the fundamentals of developing and operating a successful managed care pharmacy benefit, and also supplies insightful guidance on professional careers in the field.
Download or read book Pharmacy and the U S Health Care System Third Edition written by Michael Smith and published by CRC Press. This book was released on 2005-07-22 with total page 508 pages. Available in PDF, EPUB and Kindle. Book excerpt: The healthcare field is rapidly evolving, compelled by technological strides, pressure to increase efficiency, and demand to contain costs. Pharmacy and the U.S. Health Care System, Third Edition is the classic text used to prepare pharmacists for independent practice in today's unpredictable environment since the first edition was published in 1991. This new edition is now streamlined and tailored for a one-semester course, completely updated with the most recent data, statistics, and emerging issues relevant to today's pharmacy professional, with new chapters devoted to the political realities of the industry and the future of pharmacy.
Download or read book Report to the President written by and published by . This book was released on 2000 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: On October 25,1999, the President directed the Secretary of Health and Human Services to study prescription drug costs and trends for Medicare beneficiaries. He asked that the study investigate: price differences for the most commonly used drugs for people with and without coverage; drug spending by people of various ages, as a percentage of income and of total health spending; and trends in drug expenditures by people of different ages, as a percentage of income and of total health spending. This report is the Department's response to that request. It represents the work of individuals and agencies throughout the Department, including the Agency for Healthcare Research and Quality (AHRQ), the Food and Drug Administration (FDA), the Health Care Financing Administration (HCFA), and the Office of the Assistant Secretary for Planning and Evaluation (ASPE).
Download or read book Managed Care Pharmacy written by Albert I. Wertheimer and published by CRC Press. This book was released on 1999-02 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: Position your company to keep pace in the changing environment of Managed Care! Managed Care Pharmacy: Principles and Practice analyzes trends in pharmacy benefit systems to provide physicians, pharmacists, payers, benefit consultants, and pharmaceutical companies with ways to preserve quality pharmaceutical care while reducing costs. Each chapter, written by an expert in the field, offers proven suggestions that will help you choose or develop a pharmacy benefit system that will maximize the goals of managed care organizations, pharmacists, and consumers. Discussing the importance of evaluating the success and cost-effectiveness of pharmacy benefit policies, this book gives you examples for creating and organizing monthly reports that will reveal how money is being spent or saved and if consumers are satisfied. Managed Care Pharmacy uses data and strategies that will help you understand and implement pharmacy benefits, enabling you to: examine past health care strategies--both successful and unsuccessful--to understand present changes increase pharmacist involvement in health plans by offering capital contracts as rewards evaluate models of money flow for pharmacy reimbursements choose between staff-model pharmacies, community (retail) pharmacies, and types of pharmacy networks to cut costs and increase customer satisfaction use the financial status of the benefit program, clinical outcomes reporting, prescription claims, and forms of electronic data interchange (EDI) to evaluate the cost-effectiveness and quality of care of various pharmacy systems Combining present knowledge and future implications, this book gives you insight and information into several different aspects of pharmacy benefits. This allows you to understand how important your role is in this area of health care. Complete with a glossary of managed care terms and formats for sample monthly reports and plan enrollment forms, Managed Care Pharmacy will help you work towards providing better, less costly pharmacy benefits for consumers and health care professionals.
Download or read book International Pharmaceutical Services written by Richard N. Spivey and published by Psychology Press. This book was released on 1992 with total page 686 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comparative overview of the laws which govern pharmacy services in different countries, the organization of the medical community and health care delivery services, and the involvement of pharmacy practice within the health care delivery system. Annotation copyright Book News, Inc. Portland, Or.
Download or read book Pharmacy and the US Health Care System written by Michael Ira Smith and published by Pharmaceutical Press. This book was released on 2013 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pharmacy and the US Healthcare System is a one-stop textbook of current information about the features of the US healthcare system. It covers the personnel and institutions, along with concise reports on trends, regulations policy and finance. This new fourth edition has been updated with the most recent data, statistics and developments. It includes up-to-date information on many topics including financing, managed care pharmacy, political realities, and health information technology. There are new chapters on patient safety, pharmacovigilance, and ethics and professionalism. The healthcare field is evolving due to technological advances, pressure to increase efficiency and demand to increase costs. Pharmacy and the US Healthcare System prepares pharmacists for independent practice in this unpredictable environment.
Download or read book Pharmacy Benefits written by F. Randy Vogenberg and published by International Foundation of Employee benefit. This book was released on 2011 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pharmaceuticals have become an integral component of medical treatment, with some medications completely transforming health care outcomes and delivery. Drug therapy has been proven to reduce health care costs, increase productivity and enhance the quality of life for many people. When was the last time you examined the prescription drug component of your health care benefits? This primer offers factors to consider when designing or modifying pharmacy benefits, including the pros and cons of carving benefits into a health plan as well as carving them out as a separate prescription drug plan. A practical checklist is provided in almost every chapter to help you focus on important issues, including what questions to ask potential vendors.
Download or read book The Pharmacist s Guide to Compensation for Patient care Services written by Michael D. Hogue and published by American Pharmacists Association (APhA). This book was released on 2002 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides pharmacists with answers to billing questions, guidelines for completing insurance claim forms, guidelines for becoming a provider, and comprehending the billing process. This book includes billing requirements for hospital practice, tips for documenting pharmaceutical care services, principles of CPT, trouble shooting tips, and more.
Download or read book The Medicare Handbook written by and published by . This book was released on with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Experiences of Health Maintenance Organizations with Pharmacy Benefit Management Companies written by United States. Department of Health and Human Services. Office of Inspector General and published by . This book was released on 1997 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Prescription Drugs written by Charles B. Norton and published by Nova Science Pub Incorporated. This book was released on 2004-01-01 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: The sky-rocketing prices of many prescription drugs has various groups in society in an uproar. In theory, prescription drug prices are determined by the forces of supply and demand in the market. But this process of price determination is very complex, involving the interaction of powerful and, perhaps, not-so-powerful parties on both sides of the market. The market power of large, research-based pharmaceutical manufacturers is offset by that of the generic drug producers and large payers for prescription drugs: the insurance companies, governments, and various health care providers (such as hospitals and staffed HMOs). At the retail level, too, there are pressures on various types of retailers -- independent and chain drug stores, mass merchandisers that have pharmacies, and mail order pharmacy services -- that have different degrees of influence on prices they pay to their suppliers, while facing substantial pressure from large payer organisations to reduce retail prices. The pricing of prescription drugs is also of concern more broadly to society as a whole. On the one hand is the ideal goal of insuring quality and affordable health care services to all persons. On the other hand is the need to provide adequate professional and financial incentives to all providers of health care services to ensure their near- and long-term supply. This book examines factors in pricing and possible importation of drugs and medicare coverage.
