Managed Care


Next HMO quality hurdle: integrating medical and pharmacy data

MANAGED CARE August 1996. © MediMedia USA
Managed Care Outlook

Next HMO quality hurdle: integrating medical and pharmacy data

A recent survey of pharmacy directors in 49 HMOs representing 9.5 million enrollees revealed that most of the plans have now embraced "disease state management" programs. Such programs, often implemented jointly with pharmaceutical companies or pharmacy benefit managers, seek to rationalize management of patients with certain conditions, employing aggressive treatment early to minimize expensive complications later. DSM works best, experts say, when plans' information systems can integrate medical and pharmacy data. Only a minority of participating HMOs now boast that capacity, according to the survey, but more will be adding it soon.


MANAGED CARE August 1996. ©1996 Stezzi Communications


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
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium 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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015