May/June 2011, Vol 4, No 3

Health plans seeking to improve their care management programs and reduce costs may wish to add a clinical pharmacist to their care management team, according to results of a study presented at the meeting by a group of pharmacy residents at OptumHealth Care Solutions Pharmaceutical Solutions Pharmacy Residency program at OptumHealth, in Golden Valley, MN.

Value-based insurance design (VBID) has been a driving force in lowering patients’ cost-sharing for evidence- based interventions that improve clinical outcomes. Yoona A. Kim, PharmD, and colleagues from the University of California San Francisco, the University of Texas at Austin, and Mercer Health & Benefits in San Francisco measured the impact of implementing a VBID program in a large retail employer on medication utilization and cost among employees taking medications for diabetes, asthma, coronary artery disease, or heart failure.

One successful strategy for employers and health plans wishing to cut spending on their employees or members with chronic diseases is to implement ways of encouraging strong medication adherence. In a poster presentation led by Patty M. Fong, PharmD, researchers from American Health Care plan, Rocklin, CA, have demonstrated that the degree of a patient’s medication adherence inversely correlates with the amount of total healthcare dollars spent on that patient.

Do medication therapy management (MTM) programs required by the Centers for Medicare & Medicaid Services for eligible Medicare Part D beneficiaries actually achieve their goals of demonstrating optimal outcomes?

Asthma is a chronic respiratory disease that affects anywhere from 1% to 18% of the world population.1-4 In the United States, the prevalence rate is estimated at 11%, which represents approximately 36 million individuals.5 Because asthma is known to occur concomitantly with allergic rhinitis and is often associated with other comorbidities and risk factors,6-9 symptoms reported by patients are multifaceted and have consequences that are inimical to work productivity and health.10-12

Medicaid Spending on Asthma Medications

Benign prostatic hyperplasia (BPH), also known as enlarged prostate, is a significant health problem among aging men.1 It affects approximately 50% of American men aged 51 to 60 years, 70% of men aged 61 to 70 years, and 90% of men aged 81 to 90 years.2 The burden of BPH on the US healthcare system is expected to grow even further as the population of men aged ≥65 years increases from 17 million in 2010 to approximately 30 million by 2030.3

Benefit Management Considerations for BPH Medications: Single Agent or Combination Therapy?

The Harris County Hospital District (HCHD) is an integrated public healthcare system for Harris County, TX, the nation’s third most populous county.1 More than 27% of Harris County residents are uninsured, and Texas state law requires counties to serve the indigent; therefore, most of these uninsured patients receive care at HCHD.2 HCHD is comprised of 3 hospitals, 13 community health centers, 13 satellite homeless shelter clinics, 8 school-based clinics, 4 mobile health clinics, and a free-standing dental center.

A Collaborative Approach to Drug Selection, Driven by Clinical Outcomes Excellence

The statistics and statements about how the current US healthcare system is failing patients and consumers continue like a beating drum. Examples of overutilization, underutilization, and misutilization of care are so common that many have become numb to their significance.

Results 1 - 9 of 9
  •  Association for Value-Based Cancer Care
  • Oncology Practice Management
  • Value-Based Cancer Care
  • Value-Based Care in Rheumatology
  • Rheumatology Practice Management
  • Urology Practice Management
  • Lynx CME