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Managed Care November 2007	2008 Cost Hike Should be Less Than 2007 Cost increases for health services should lessen for both employers and the health insurance plans that serve them in 2008, according to two major consulting companies.
Managed Care October 2005	Rx Trend Moderates While PPO Costs Increase Trends for prescription drug coverage will slow down in 2006 to levels that are closer to those of medical coverage, according to a survey.
Managed Care April 2001	Employers easing prescription limitations? Some older medications once viewed by employers as "lifestyle" drugs when making benefit decisions are slowly gaining recognition as important components of primary care...
Insurance & Technology April 2, 2004 Anthony O'Donnell	Jopp Moves to URAC While at the Health Insurance Association of America, CIO Devin Jopp saw his position shift from an information capacity to a more operational capacity, as exemplified by his secondary role as COO of the HIAA's business programs.
Managed Care June 2006	Medical Directors Cast Wary Eye On Cost of Biologics Given the exploding costs of specialty products and new technologies, MCOs are exercising tighter control over precertification of products and services.
Managed Care January 2002	Employers struggle to preserve pharmacy benefit In an effort to protect the pharmacy benefit for employees, companies are using a variety of techniques to manage expenditures...
Managed Care July 2003 MargaretAnn Cross	Money Pit: Is Accreditation Always Worth the Cost? Some plans swear by the benefits of obtaining an "excellent." Others say that customers care much more about cost.
Managed Care February 2004	Headlines On Deadline ... Developing quality benchmarks for consumer-directed health plans will be the mission of a committee launched by the American Accreditation HealthCare Commission, which is still primarily known by its original acronym, URAC.
Managed Care September 1999	Headlines on Deadline... Healthcare industry news briefs.
Managed Care February 2001	Employers more willing to pass benefit costs along Facing significant increases in health-benefit costs, employers appear less willing to bite the bullet than in the past -- and are passing many of those increases on to workers...
Managed Care November 1999 Richard Hamer	Goals 2000: For HMOs: Administrative Retooling For MDs: Managerial Competency ...While HMOs retrench, physicians need to become more constructive participants....
Managed Care November 2002 Frank Diamond	Companies Leaning on Workers in Battle Against Pharmacy Costs A new urgency means that tiered formularies and higher copayments will become even more widespread, a recent survey indicates.
Managed Care April 2001 Michael Levin-Epstein	PPO Performance Hard To Gauge; Comparisons to HMOs Not Reliable It's long been said that PPOs, by their varied nature, can't be held to the same quality yardsticks as HMOs. Yet, in time, something will have to suffice...
Managed Care April 2002 Rhonda Greenapple	HMOs Have Stake in Quelling Anger at Drug Store Counters Dissatisfied customers have a tendency to lash out and not be very discriminating about their targets. Prescription: Reduce the hassle...
Managed Care October 2007	Managed Care Outlook Medical costs, utilization rates decline again.
Managed Care June 2002 Jeffry R. Ellis	Third-Party Payers Don't Realize Burdens Placed on Pharmacists PBMs and HMOs, by imposing a workload that doesn't allow enough time for needed functions, seem to want pharmacists to fail, this author asserts.
Managed Care January 2001	Study: Elderly Exit When They Exceed Rx Benefit Cap In a study that confirms what has long been assumed, Medicare HMO enrollees become more likely to drop their carriers when they exceed annual pharmacy-benefit caps...
Managed Care April 2005	Small HMO Takes Big Step: Decides To Launch PBM One small health insurer sees an opportunity in the recent woes that pharmacy benefits managers have experienced.
Insurance & Technology June 16, 2004 Anthony O'Donnell	Insurers Lag on HIPAA Security Rule While health insurers are generally better prepared for the April 21, 2005, HIPAA security rule's deadline than other healthcare industry participants, they still face compliance-readiness challenges.
Managed Care August 2004 MargaretAnn Cross	Employers Take the Lead In Drug Benefit Design Companies test new approaches to funding the pharmacy benefit with the goal of saving money overall.
Managed Care December 2006	The Formulary Files Four core strategies are used to manage outpatient specialty pharmacy costs.
Managed Care June 2005	PBMs Get Thumbs up From Satisfied Customers Pharmacy benefit managers that educate physicians on the safety and efficacy of generic drugs or provide them with generic drug samples to increase the use of generics get higher satisfaction ratings than those that don't.
Managed Care November 2004 MargaretAnn Cross	Accrediting Agencies Turn Attention To Consumer-Directed Health Plans If employers make decisions based on United Regional Health Care Foundation's and National Committee for Quality Assurance's rating of traditional managed care plans, shouldn't they want similar ratings of consumer-directed health plans?
Managed Care May 2001 John Carroll	Two Accrediting Organizations Prepare To Issue DM Standards It's probable that one will become the dominant judge: NCQA or URAC. After it happens, will vendors undergo less scrutiny by individual plans?
Managed Care December 2001 Steven S. Martin	PBM Industry Today: Who's Managing Drug Costs? Health plans need to take a closer look. HMOs and employers alike will feel increasing pressure to give in to the desires of consumers...
Managed Care September 2007	NCQA Standards Focus on PPO Performance Preferred provider organizations that are seeking National Committee for Quality Assurance accreditation will now be required to report clinical quality results through HEDIS.
Managed Care October 2003	Medco Health Solutions tops consumer survey The 2003 WilsonRx Survey reports that patients have identified Medco Health Solutions as the top pharmacy benefit manager for the third year in a row.
Managed Care December 2004	Headlines On Deadline ... Preferred Provider Organizations participating in Medicare Advantage can satisfy federal oversight requirements if they've already received accreditation from the National Committee for Quality Assurance.
Managed Care May 2000	The latest blow to managed care? The Texas attorney general's decision in the Aetna case is the latest in a long string of events that has gutted the fundamentals of managed care. Many in health care think that some or all of these developments have stripped health plans of their ability to manage care effectively....
Job Journal August 26, 2007 Michael Kinsman	Career Pros: No Cure for Healthcare Costs? Has healthcare coverage become too costly for employers to provide?
Managed Care March 2007	Plans, PBMs Step up Infotech Initiatives Over the next three years, large and small health plans and PBMs that are currently involved in emerging health information technologies are going to focus on increasing disease management programs and on providing personal digital assistants to physicians, according to a report.
Managed Care September 2003 Tony Berberabe	Pharmacy Benefit Starts To Reflect Push for Consumer-Directed Care Health insurance plans looking for a low-risk way to experiment with new benefit designs might start with the pharmacy benefit.
Job Journal July 24, 2005 Michael Kinsman	Career Pros: Ailing Healthcare Coverage As healthcare costs increase, a survey by Yankelovich finds more workers rate healthcare coverage as their preferred employee benefit.
Financial Planning November 1, 2005 Kathy Gevlin	Bookshelf The New Insurance Solution: How to Get Cheaper, Better Coverage Without a Traditional Employer Plan, by Paul Zane Pilzer, claims that the healthcare revolution has already begun -- most people just haven't realized it.
Managed Care January 2008 Thomas Kaye	Now Is the Time for Pharmacy Performance Incentives We've made strides in increasing the transparency of pricing in the pharmacy supply chain, and now we need to change dispensing behavior.
Managed Care December 2001	Errors Traced To Counters of Pharmacists One place where patient ignorance often goes unaddressed is at the pharmacy counter, according to the Journal of the American Medical Association...
Managed Care January 2002	To Save Money, Employers Reduce Number of Plans Offered to Workers The days of employers scrambling to provide a choice of health benefits packages to lure and keep employees may be ending. The New York Times reports that large companies across the country are sharply reducing the number of HMOs they offer...
Pharmaceutical Executive July 30, 2007 Peter Pitts	Opinion: Fewer Cents, More Sense Our healthcare system may be broken, but playing the blame game is not going to fix it. Remember that disease - not Big Pharma - is the enemy.
Commercial Investment Real Estate Sep/Oct 2004 Jennifer Norbut	2004 Compensation Trends A recent survey reveals Certified Commercial Investment Members' and candidates' earning power.
Managed Care January 2001	When pressure's on, raises get better In this tight labor market, most large companies are offering competitive salaries to recruit top talent, while making pay raises attractive enough to retain good employees who are knowledgeable about the organization. This is, perhaps, doubly true for managed care organizations...
Managed Care July 2000 John Carroll	Physicians Reconsider Taking On Pharmacy Risk They've been burned here in the past, but physicians - and the HMOs that they contract with - may have learned some lessons.
Managed Care August 2004 Alan Lotvin	Specialty Pharmacy Presents Unique Set of Challenges Only a small percent of a typical health plan's population takes medicine for conditions outside the generalist's scope. But it's a big portion of the drug bill.
Job Journal August 31, 2003 James Challenger	More Jobseekers Thinking Big The packages of perks at big companies can't be matched by most small firms.
Managed Care May 2006	Many More CDH Plans to Include Pharmacy The number of plan sponsors that will offer consumer-directed health plans that integrate pharmacy and medical benefits increased more than 16-fold, from 3 to 50, between January 2005 and January 2006, according to Medco Health Solutions.
Managed Care December 2000	AMCP To Test New Guidelines For Formularies The Academy of Managed Care Pharmacy thinks there's a better way for health plans and pharmacy benefit managers to make formulary decisions than by simply looking at line-item budget figures...
Job Journal July 27, 2008 Julia Hollister	Pharmacy Careers: Filling the Needs of an Aging Nation America's aging population ensures long-term demand for pharmacy specialists.
Managed Care September 2005 Martin Sipkoff	Mail Order Pharmacy Saves Money, Says PCMA, but at What Cost? The savings to consumers and employers are apparent, but are health plans left holding the bag in mail-order pharmacy?
Job Journal August 21, 2005 Julia Hollister	As America Ages, Pharmacists Flourish Demand for more druggists is swelling as baby boomers age. According to Department of Labor statistics, the outlook for employment is excellent and that trend is expected to continue for at least the next seven years.
Managed Care September 2007	Income Said To Influence Use of Generics An observational analysis of pharmacy claims collected from 2001 to 2003 finds that where a person lives and the socioeconomic implications of that location have a lot do with his use of generic drugs.
Managed Care September 2000	Any way you cut it, employers appear to save if Medicare adopts drug benefit A new analysis suggests that a prescription drug benefit in Medicare would reduce employer expense for health coverage--which, in turn, could encourage more employers to offer some form of drug coverage and thus reverse this erosion...