Managed Care Pharmacy Issues

Stay updated on the latest managed care pharmacy issues with our comprehensive resources. Explore key topics, current challenges, and expert insights to enhance your practice and advocate for better health care solutions. Learn more about our advocacy with our pharmacy practice positions.

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Disease Management

Disease management is the concept of reducing health care costs and improving quality of life for individuals with chronic conditions by preventing or minimizing the effects of the disease through integrated care. Disease management programs are designed to improve the health of persons with chronic conditions and reduce associated costs from avoidable complications by identifying and treating chronic conditions more quickly and more effectively, thus slowing the progression of those diseases.
Rare Diseases, Specialty Tiers, Managed Care Practice Issues, Specialty Pharmacy, Specialty Tiers

Patient Confidentiality

Congress passed the Health Insurance Portability and Accountability Act (HIPAA) in 1996. Within that Act are privacy provisions with which covered entities (including all health plans, health care providers and health care clearinghouses [e.g. PBMs] that transmit any health information in electronic form must comply. HIPAA rules provide guidance to covered entities about how to comply with the Act.
Managed Care Practice Issues