Download or read book Determinants of Dispensing Location in the TRICARE Senior Pharmacy Program written by and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The MHS serves approximately 8.6 million eligible beneficiaries, including active-duty military personnel and their family members (dependents), retired military personnel and their dependents, and surviving dependents of deceased military personnel. TRICARE, the program that administers health care for the DoD, includes a pharmacy benefit that provides coverage for virtually all U.S. Food and Drug Administration (FDA) approved prescription medications. Prior to fiscal year (FY) 2001, elderly military retirees and their dependents who wished to use their military benefits to fill a prescription could do so only at a MTF outpatient pharmacy; However, some drugs that were frequently prescribed by civilian providers were not always available at MTFs because of formulary restrictions. As of FY 2001, DoD introduced a new program for elderly military retirees and their dependents, entitled TRICARE Senior Rx (TSRx). TSRx beneficiaries can now fill their prescriptions at any of four points of service: (1) outpatient pharmacies at MTFs; (2) the TRICARE Mail Order Pharmacy (TMOP), 3 currently administered by Express Scripts Inc.; (3) retail pharmacies contracted by regional TRICARE contractors (referred to as "network" pharmacies); and (4) non-network retail pharmacies. The TMOP dispenses drugs for chronic conditions. Although it cannot dispense a few drugs, such as atorvastatin, without proof of medical necessity the overwhelming majority of drugs for chronic conditions are available. Retail pharmacies have completely open formularies: TRICARE reimburses them for all prescriptions except those specifically excluded from TRICARE coverage.
Download or read book Determinants of Dispensing Location in the TRICARE Senior Pharmacy Program written by Jesse D. Malkin and published by Rand Corporation. This book was released on 2005 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent growth is the military health system (MHS) is partly attributable to the TRICARE Senior Pharmacy (TSRx) program, which expanded pharmacy coverage for elderly MHS beneficiaries. In principle, the Department of Defense (DoD) can reduce its pharmacy acquisition costs by shifting prescribing from retail pharmacies to MTF pharmacies and/or the TRICARE mail order pharmacy. To help develop policy options that can improve DoD's ability to manage acquisition costs of the TSRx program, this study provides information about where TSRx beneficiaries receive their medications and what factors influence where they choose to obtain their medications. Among the findings: (1) Although a majority of TSRx prescriptions in FY02 were dispensed from MTF pharmacies, a majority of TSRx estimated ingredient costs were attributable to drugs dispensed from retail pharmacies. (2) Estimated ingredient costs could be reduced if dispensing shifted from retail pharmacies to dispensing locations where federal pricing is the basis of DoD's ingredient cost. (3) Geographic proximity to MTFs was strongly associated with TSRx use and utilization patterns. (4) Within two major therapeutic classes-antihyperlipidemics and gastrointestinals-the availability of a drug at a MTF was associated with increased use of the MTF and reduced use of retail pharmacies to fill other prescriptions.
Download or read book NTIS Alert written by and published by . This book was released on 2005 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Download or read book Hearing on National Defense Authorization Act for Fiscal Year 2009 and Oversight of Previously Authorized Programs Before the Committee on Armed Services House of Representatives One Hundred Tenth Congress Second Session written by United States. Congress. House. Committee on Armed Services. Subcommittee on Military Personnel and published by . This book was released on 2009 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Description and Analysis of the VA National Formulary written by Institute of Medicine and published by National Academies Press. This book was released on 2000-10-03 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: The VA National Formulary generated controversy, which motivated congressional scrutiny and a directive to the VA to commission this report reviewing the experience with the National Formulary and formulary system. This Institute of Medicine committee was pleased to assist the Congress with this review, in part because the committee saw in the VHA example an opportunity to understand and anticipate problems that all publicly funded programs are likely to encounter in this new age of pharmaceuticals. The Congress asked the committee to review the restrictiveness of the National Formulary, its impact on the costs and quality of care in the VHA, and how it compared to formularies and drug management practices in the private sector and in other public programs, especially Medicaid. Detailed in the pages that follow, the committee's findings and conclusions on these questions are, the committee believes, highly instructive, though not always in the ways that we anticipated.
Download or read book American Book Publishing Record written by and published by . This book was released on 2003 with total page 928 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Civilian Health and Medical Program of the Uniformed Services CHAMPUS written by and published by . This book was released on 1986 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Pharmacy Use and Costs in Employer provided Health Plans written by Geoffrey Joyce and published by Rand Corporation. This book was released on 2005 with total page 79 pages. Available in PDF, EPUB and Kindle. Book excerpt: The military health system, as well as the private health care sector, has experienced rapid growth in pharmaceutical expenditures. In 2002 alone, the Department of Defense spent about $3 billion on outpatient pharmacy benefits. As part of an effort to redesign the TRICARE pharmacy benefit to save costs, the Department of Defense is considering moving from a two-tiered to a three-tiered co-payment system, which will increase the co-payment for some classes and brands of drugs. Providers (acting in the interest of their patients) would, theoretically, have an incentive to prescribe less-costly options. To predict how changing to a three-tiered system will affect costs and pharmacy utilization, the authors use an existing data resource to determine how beneficiaries age 45 to 64 in private-sector health plans responded to similar changes in pharmacy benefits. In this analysis, the authors assess, among other potential outcomes, how changing to a three-tiered system would affect aggregate costs and pharmacy utilization and how it would affect the utilization of specific (high-cost) classes of medications.
Download or read book Relieving Pain in America written by Institute of Medicine and published by National Academies Press. This book was released on 2011-10-26 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
Download or read book CHAMPUS Eligibility written by and published by . This book was released on 1989 with total page 2 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Section 1557 of the Affordable Care Act written by American Dental Association and published by American Dental Association. This book was released on 2017-05-24 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.
Download or read book The 340B Drug Pricing Program written by Felix C. Larsen and published by Nova Snova. This book was released on 2020-05-12 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 340B Drug Pricing Program (340B Program) and the Medicaid Drug Rebate Program require manufacturers to provide discounts on outpatient drugs in order to have their drugs covered by Medicaid. These discounts take the form of reduced sales prices for covered entities participating in the 340B Program--eligible hospitals and federal grantees--and rebates on drugs dispensed to Medicaid beneficiaries, shared by states and the federal government. This book looks at important issues pertaining to the 340B Drug Pricing Program.
Download or read book Framing Opioid Prescribing Guidelines for Acute Pain written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-03-20 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.
Download or read book Journal of the American Pharmaceutical Association written by and published by . This book was released on 2002 with total page 1026 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Federal Employees Health Benefits Children s Equity Act of 2000 written by United States. Congress. House. Committee on Government Reform and published by . This book was released on 2000 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Recognition of Contingent Liabilities Arising from Litigation written by United States. Office of Management and Budget and published by U.S. Government Printing Office. This book was released on 1999 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
