Related Experiment Video
Updated: Dec 3, 2025
12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
19.2K
Milestones in managed care pharmacy.
Susan Cantrell1, Cynthia Reilly2
1Chief Executive Officer, AMCP, Alexandria, VA.
Journal of Managed Care & Specialty Pharmacy
|October 29, 2020
Summary
Managed care pharmacy has achieved significant milestones, improving patient access to therapies and ensuring cost-effective healthcare. Future success relies on evidence-based strategies to address rising costs and health disparities.
Area of Science:
- Pharmacy
- Health Services Research
- Health Economics
Background:
- Managed care pharmacy has evolved significantly since the late 1960s.
- Key achievements include establishing pharmacy benefits, launching Medicare Part D, and expanding medication therapy management.
- The Journal of Managed Care + Specialty Pharmacy celebrates its 25th anniversary in 2020.
Observation:
- Managed care pharmacists utilize expertise in formulary management, clinical programs, benefit design, and contract negotiation.
- These efforts aim to balance patient access to essential therapies with the cost-effective use of healthcare resources.
Findings:
- Managed care pharmacy has been instrumental in shaping the U.S. healthcare system.
- Milestones demonstrate a commitment to innovation and patient access.
Implications:
- Managed care pharmacy professionals must adapt to future challenges, including rising healthcare costs and health disparities.
- Continued success will depend on leveraging evidence, utilization management, and innovation.
More Related Videos
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
754
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
754
01:24Pharmacokinetics in Pediatric Patients: Drug Metabolism
101
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
101
01:26Methods Of Healthcare Delivery System
3.8K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.8K
01:26Drug Administration and Therapy Phases: Overview
1.0K
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
1.0K
01:13Patient-centered Care
2.7K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.7K
01:02Prescription, Nonprescription and Orphan Drugs
1.1K
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
1.1K