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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. mark for My Articles similar articles
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... mark for My Articles similar articles
Managed Care
March 2000
Tim Sawyers
Test Prospective PBM Before Signing Contract How to select, then monitor a pharmacy benefit management company, from a consultant and former HMO director of pharmacy services. mark for My Articles similar articles
Managed Care
May 2002
Sharon Baker
Self-Funded HMOs on the Rise Escalating premiums, changing attitudes play a role in employers' decision to take on the same thing that burned many physicians: financial risk mark for My Articles similar articles
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... mark for My Articles similar articles
Managed Care
September 2006
Martin Sipkoff
PBMs Raise the Curtain Efforts are under way to find out exactly how pharmacy benefit managers work their magic. mark for My Articles similar articles
Managed Care
October 2005
Health Plans Pay Less When PBM Owns Mail-Order Pharmacy The ongoing debate on whether health plans pay more for drugs when using a mail-order pharmacy owned by a pharmacy benefits manager (PBM) or when the mail-order pharmacy is not owned by a PBM may be closer to resolution. mark for My Articles similar articles
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... mark for My Articles similar articles
Managed Care
January 2001
Express Scripts' Formulary Rulings To Go Online The public will have a chance to see what until now has been, mostly, understood only by managed care insiders: how a prescription drug winds up on a formulary... mark for My Articles similar articles
Managed Care
May 2007
Headlines On Deadline ... AARP will expand its relationship with UnitedHealth Group and create a new relationship with Aetna... Savings from using the mail order option offered by PBMs help the member, but results in minimal cost reductions for the insurer... mark for My Articles similar articles
Managed Care
September 2005
Headlines On Deadline ... WellPoint and Cigna are turning heads in the financial world... California health insurers have marked Jan. 1, 2007 on their calendars... etc. mark for My Articles similar articles
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... mark for My Articles similar articles
Managed Care
November 2007
Martin Sipkoff
PBMs Agree to Disclose What They Pay for Drugs Pharmacy benefit managers will charge employers a straight administrative fee, rather than make much of their income through deals with the drug industry. mark for My Articles similar articles
The Motley Fool
July 30, 2009
Brian Orelli
A Good Business Model for Bad Times Some businesses benefit when people are hurting. It's a beautiful time to be a pharmacy benefit manager, since that business model essentially results in them making more money when their customers save money. mark for My Articles similar articles
Managed Care
July 2004
Maureen Glabman
Wish List: 10 Things You Want From Your PBM One auditor estimates that 3 percent to 10 percent of pharmacy benefit manager (PBM) claims are processed incorrectly -- always in favor of the PBM. mark for My Articles similar articles
Pharmaceutical Executive
October 1, 2006
Sales and Marketing: Where the Buck Stops Pharma's ultimate customer is the employer - the guy who pays the health plan's bill. Here's what he wants to know about drugs. mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
September 2006
Martin Sipkoff
Specialty Pharmacy Grows As Cost-Control Option As the population ages, specialty pharmacy is becoming a unique, profitable, and invaluable delivery system. Plans are increasingly turning to specialty pharmacies to provide the expertise they lack. mark for My Articles similar articles
Managed Care
March 2005
MargaretAnn Cross
Transparency Catches Eye In Coalition's Deal With Medco A consortium of employers is paying the pharmacy benefit manager a new administration fee but taking all rebates and discounts. mark for My Articles similar articles
Insurance & Technology
February 1, 2006
Maria Woehr
BCBSNC Expands Rollout of eInfoNOW Blue Cross and Blue Shield of North Carolina is expanding the rollout of the real-time, Web-based tool that helps self-insured employer groups choose the right health insurance plans for their businesses. mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
July 2002
Survey predicts more demand for pharmacy precertification Respondents said that their customers -- employers, for the most part -- will want to see more pharmacy precertification. mark for My Articles similar articles
Managed Care
July 2001
Compensating the pharmacy services manager One of the positions that Warren Surveys looked at when it tracked the salaries of 266 titles at over 500 HMO and managed care companies was pharmacy services manager... mark for My Articles similar articles
CFO
February 22, 2005
Martha E. Mangelsdorf
I Want a New Drug Plan Companies hoping to curb prescription-drug charges are looking at a host of new cost-control measures. mark for My Articles similar articles
The Motley Fool
November 3, 2010
Brian Orelli
A Generic Prescription for Double-Digit Growth MedcoHealth Solutions has it. mark for My Articles similar articles
Managed Care
September 2005
Plans Continue to Raise Copayments Insurers and employers are passing more and more health care costs along to members. But how much have pharmacy copayments risen? mark for My Articles similar articles
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. mark for My Articles similar articles
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... mark for My Articles similar articles
Managed Care
March 2008
Martin Sipkoff
PBMs' Rebate Income Threatened By Lawsuits and Move to Generics A recent court settlement may affect the way the PBM industry makes profits, but could it also lead to higher drug costs? mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
November 2005
MargaretAnn Cross
Health Plans by Design, Not by Default Fortune 500 employers are ready to shed old benefit models for "managed consumerism". mark for My Articles similar articles
Managed Care
January 2006
The Formulary Files The Pharmacy Benefit Management Institute reports an increase in drug margins. mark for My Articles similar articles
Managed Care
December 2003
Tony Berberabe
Why Do FEHBP and Big Unions Excel at Managing Drug Costs? Pharmacy benefit managers can do only so much to keep drug price increases in the single digits. Initiatives instituted by health plans can help in this effort. mark for My Articles similar articles
The Motley Fool
June 10, 2010
Claire Stephanic
CVS Caremark vs. Walgreen The two go head-to-head in competition for pharmacy customers. mark for My Articles similar articles
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. mark for My Articles similar articles
Entrepreneur
November 2004
Julie Monahan
Club Meds Fed up with the high cost of prescription drugs, a group of 50 employers from the Fortune 500 are banding together to negotiate a better deal with pharmaceutical companies. mark for My Articles similar articles
Managed Care
September 2003
Martin Sipkoff
This Isn't the First Attempt To Shift Cost to Employees Companies are decreasing their share of medical insurance premiums. It remains to be seen how this will affect workers' health status. mark for My Articles similar articles
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. mark for My Articles similar articles
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? mark for My Articles similar articles
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... mark for My Articles similar articles
The Motley Fool
December 29, 2005
Brian Gorman
PBMs at a Crossroads One prediction that's sure to come true next year -- drug prices will rise. Pharmacy benefit management (PBM) companies will respond. But the year ahead promises to be trickier for investors seeking to profit from PBMs. mark for My Articles similar articles
Managed Care
November 1999
Uwe Reinhardt, Ph.D.
Defined Contributions Will Point Employees Toward 'Health Marts' Companies will want to distance themselves from insurance entanglements, giving employees little option but to become more involved.... mark for My Articles similar articles
BusinessWeek
September 4, 2008
Frequently Asked Questions Frequently Asked Questions regarding BusinessWeek's methodology for choosing great employers for launching a career. mark for My Articles similar articles
Managed Care
February 2004
Employers see cost-shifting efforts pay off In the fall of 2002, as employers were getting their first 2003 rates from the health plans, they were looking at a 14-percent increase," says Blaine Bos, one of the study's authors. "Then they took out their scalpel.... In 2003, employers took back lost ground." mark for My Articles similar articles
The Motley Fool
July 29, 2004
Brian Gorman
Express Scripts' Bad Day Express Scripts joins other pharmacy benefit managers (PBM) embroiled in legal controversy. But the company, and its competitors, will eventually emerge from the fray and their stocks may then be worth another look. mark for My Articles similar articles
Job Journal
February 8, 2009
Brian Tracy
Qualities Most in Demand Every employer has a pretty good idea of what he or she wants more of and less of in employees. Here are the big five - traits employers want, and that you can cultivate yourself to land the role you want. mark for My Articles similar articles
Job Journal
October 12, 2008
Michael Kinsman
Career Pros: Benefits a Big Deal at Small Firms When it comes to perks, smaller employers need to think big. mark for My Articles similar articles
Managed Care
January 2007
Martin Sipkoff
Employers Want Plans & PBMs To Push Hard for Generics Health insurers' aggressive stand on members' use of generic drugs can attract new clients, but does it interfere with the physician-patient relationship? mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
August 2000
With Cost Study, Group Argues For OTC Benefit A study by HECON Associates, a Maryland-based market research group, supports the claim that when prescription drugs become available over the counter, consumers face increased out-of-pocket costs. mark for My Articles similar articles