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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Population Health Management

Population health management (PHM) is a key concept in managed care. Improving population health, enhancing the patient experience, and reducing per capita cost are the primary goals of a philosophy called the Triple Aim. PHM extends beyond healthcare organizations, requiring the cooperation of other types of institutions, such as public health departments and social service entities.
Formulary & Utilization Management, Managed Care Practice Issues

AMCP Partnership Forum on Prior Authorization Develops Recommendations to Improve Process

Press Release: Focusing on what’s best for the patient, leveraging technology to perform real-time benefit checks, and developing trust and transparency among stakeholders are some of the suggestions to emerge from AMCP’s recent Partnership Forum on “Optimizing Prior Authorization for Appropriate Medication Selection.”
Prior Authorization/Electronic Prior Authorization (ePA), Managed Care Practice Issues