Managed Care

 

Too Few Programs to Manage MS?

MANAGED CARE January 2008. © MediMedia USA
News and Commentary

Too Few Programs to Manage MS?

MANAGED CARE January 2008. ©MediMedia USA

Disease management programs for patients with multiple sclerosis improve outcomes and adherence, reduce disability, and contains cost, but there are not enough of them in existence. That’s the main finding of a study by the National Multiple Sclerosis Society and Teva Neuroscience in which 82 managed care executives were polled. (Teva Neuroscience is the manufacturer of glatiramer acetate, trade name Copaxone, a treatment for MS.) The study also found that:

  • Only 8 percent of plans have a mature disease management program for MS in place, and less than half have a partially developed disease management program for MS.
  • Of the MCOs that participated in the research, 90 percent currently contract with specialty pharmacies and 79 percent indicated that their members with MS will be required or encouraged to use a specialty pharmacy to obtain injectable drugs within the next two years.
  • Insurers tightly control — through prior authorizations or moratoriums — new molecular entities, especially those in competitive categories or those whose use is largely off label.

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014