The pills that ate your profits
Article Abstract:
Managed care plans are planning to implement efficient strategies to better control drug prescribing costs and boost their profitability. They are also fighting pharmaceutical manufacturers' campaign of advertising expensive drugs by increasing copayment of patients and diminishing the amount of available drugs in all therapeutic classes. Health maintenance organizations and pharmacy benefit firms' initiatives to boost profitability and reduce drug costs might refuse access of patients to adequate medications.
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1998
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Medicaid: states serve up a real turkey
Article Abstract:
Health maintenance organizations (HMOs) are withdrawing from state-initiated Medicaid managed care programs due to rising costs and rate cutting. Tighter budgets are prompting states to cut rates and shift more of the elderly and disabled into managed care, making Medicaid a costly program for many HMOs. Observers fear that as more HMOs exit Medicaid, the chronically ill, the elderly, and the poor will receive substandard health care.
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1997
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Look before you launch
Article Abstract:
Industry observers predict that medical groups and hospitals will opt not to initiate their own provider-sponsored managed care organizations (PSOs) and instead rely on new federal regulations to extract more favorable partnerships with HMOs. Some hospitals will not consider establishing their own PSOs, as it would put them in direct competition with entities providing the bulk of the hospitals' payments.
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1998
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