Kim Westrich Discusses ACOs and Pharmacy Management
June 17th 2014Kimberly Westrich, director for health services research for the National Pharmaceutical Council (NPC), says that the NPC determined many accountable care organizations (ACOs) are not yet prepared to maximize the value of pharmaceuticals in patient care.
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Michael Evans, RPh, Describes Geisinger's Approach to MTM Programs
June 16th 2014Michael Evans, RPh, director, ambulatory clinical pharmacy programs, says that medication therapy management (MTM) programs present various challenges. In particular, those challenges include medication reconciliation, ensuring that patients are adherent to their medications, and clinician prescribing practices.
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Avik Roy Explains the Medicaid Free-Market System Concept
June 11th 2014Avik Roy, senior fellow, Manhattan Institute, suggests that in order to improve the quality of care for the poor, one must examine the holes in the Medicaid program. Mr Roy says that first and foremost, Medicaid beneficiaries do not have access to both primary and specialty physicians to the extent that they should in order for them to receive adequate care.
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David Alain Wohl, MD, Discusses Strategies to Improve HIV Management
June 9th 2014David Alain Wohl, MD, associate professor, division of infectious diseases, University of North Carolina at Chapel Hill, suggests that quality management of HIV has, for the most part, been self-regulated. He says that when it comes to HIV management, there is a lack of feedback or "quality improvement mechanisms" outside the managed care setting.
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Toby Cosgrove, MD, Provides Insight Into Reducing Care Delivery Costs
June 6th 2014Toby Cosgrove, MD, president and CEO, the Cleveland Clinic, says that because smoking is such a major contributor to our nation's healthcare woes, the Clinic has encouraged college campuses to go smoke-free. This, he believes, will help reduce the large percentage of smokers who adopt the habit while in school.
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David B. Hoyt, MD, FACS, Describes How Hospitals Improve and Sustain Quality While Lowering Costs
June 4th 2014David B. Hoyt, MD, FACS, executive director, American College of Surgeons (ACS), says that his organization has studied the concept of improving and sustaining quality while lowering costs. They find there are a variety of results when it comes to hospitals creating, meeting, and maintaining quality standards.
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Wayne J. Katon, MD, Discusses How Collaborative Care Drives Quality
May 7th 2014Wayne J. Katon, MD, professor of psychiatry, director of the division of health services and epidemiology, and vice chair of the department of psychiatry and behavioral sciences at the University of Washington Medical School, says that people with psychiatric illness in primary care settings cost the system twice as much as those without mental illness. Comorbidities such as depression can add to those costs.
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Farzad Mostashari, MD, Explains Interoperability and Health Information Technology
April 25th 2014Farzad Mostashari, MD, visiting fellow, Brookings Institution, former national coordinator for health information technology (HIT), US Department of Health and Human Services, says interoperability is the concept of being able to securely exchange health information, and then appropriately understand and use it.
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Lee Newcomer, MD, MHA, Describes NCCN's Approach to Genetic Testing
April 22nd 2014Lee Newcomer, MD, MHA, of Oncology, Genetics and Women's Health for UnitedHealthcare, says the National Comprehensive Cancer Network is transforming genetic testing by utilizing a tool called the NCCN Biomarkers Compendium, which encourages evidence-based decision-making.
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Edmund J. Pezalla, MD, MPH, Describes Aetna's Approach to Managing Obesity
April 16th 2014Edmund J. Pezalla, MD, MPH, national medical director, Aetna Pharmacy Management, says that Aetna recognizes the implications of the obesity epidemic and how it contributes to a variety of other medical problems such as diabetes and hypertension.
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Amy Tenderich Explains the Value of Patient-Centered Diabetes Care
April 12th 2014Amy Tenderich of DiabetesMine.com, a web-based news source for persons with diabetes, took part in panel discussions at Patient-Centered Diabetes Care: Putting Theory into Practice, sponsored by The American Journal of Managed Care.
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Peter B. Bach, MD, Analyzes ACOs and PCMHs
April 2nd 2014Peter B. Bach, MD, MAPP, director, Center for Health Policy and Outcomes, says accountable care organizations and patient-centered medical homes are trends driven by macro issues, which include decreased reimbursement to private practices and drug discounts from the 340B program.
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Robert A. Gabbay, MD, PhD, on Patient-Centered Diabetes Care: Putting Theory into Practice
March 18th 2014Robert A. Gabbay, MD, PhD, chief medical officer and senior vice president of Joslin Diabetes Center, highlights why stakeholders should attend the Patient-Centered Diabetes Care: Putting Theory into Practice event on April 10-11, in Princeton, NJ.
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Farzad Mostashari, MD, Answers Why Data is 'Oxygen' for Innovation
March 4th 2014Farzad Mostashari, MD, visiting fellow, Brookings Institution, former national coordinator for health information technology (HIT), US Department of Health and Human Services (HHS), discusses how data and digitization are driving innovation in healthcare.
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