Home | Business News | Browse by Publication | M | Managed Healthcare Executive

Plans vary in specialty-drug benefit models: coinsurance seems to be on the rise, but many plans stick to copays and tiered models to ensure compliance.

Publication: Managed Healthcare Executive
Publication Date: 01-AUG-08 		Format: Online
Delivery: Immediate Online Access
Full Article Title: Plans vary in specialty-drug benefit models: coinsurance seems to be on the rise, but many plans stick to copays and tiered models to ensure compliance.(PHARMACY BEST PRACTICES)

Article Excerpt
[ILLUSTRATION OMITTED]

THERE IS NOT ENOUGH BEING DONE to manage specialty pharmacy, says Atheer Kaddis, vice president, managed markets for Diplomat Specialty Pharmacy in Swartz Creek, Mich. "Stakeholders have not moved as aggressively on initiatives as they had talked about."

Chad Murphy, pharmacy manager, clinical services for Premera BlueCross in Seattle, has a divergent view. He notes that health plans are continuing to expand and develop clinical and utilization-management programs to promote the appropriate use of specialty drugs and to target therapies to appropriate patients.

Both pharmacists participated in the EMD Serono Injectables Digest recent online survey developed by Rxperts for EMD Serono, a pharmaceutical manufacturer based in Rockland, Mass. The 4th edition of the report was released at this year's Academy of Managed Care Pharmacy meeting in San Francisco.

The digest includes data from 83 health plans--commercial HMOs and PPOs, Medicare Advantage Prescription Drug Plans (MA-PD), and Medicaid plans, representing more than 115 million covered lives.

The survey asked health...

View this article FREE - Now for a Limited Time, try Goliath Business News
Free for 3 Days!



More articles from Managed Healthcare Executive
Plans get their feet wet with virtual physician visits: as technology ..., August 01, 2008
Actionable information draws consumers.(DTR DESKTOP RESOURCE), August 01, 2008

Looking for additional articles?
Search our database of over 3 million articles.

Looking for more in-depth information on this industry?
Search our complete database of Industry & Market reports by text, subject, publication name or publication date.

About Goliath
Whether you're looking for sales prospects, competitive information, company analysis or best practices in managing your organization, Goliath can help you meet your business needs.

Our extensive business information databases empower business professionals with both the breadth and depth of credible, authoritative information they need to support their business goals. Whether it be strategic planning, sales prospecting, company research or defining management best practices - Goliath is your leading source for accurate information.