This supplement to The American Journal of Managed Care provides highlights from a symposium presented during the 17th Annual Meeting of the Academy of Managed Care Pharmacy (AMCP), which took place on April 20, 2005, in Denver, Colorado. The symposium was not part of the AMCP's official program. This supplement has been peer reviewed by an expert in the field.
Assessing the severity of asthma symptoms and responding with the appropriate course of treatment are ongoing challenges for managed care organizations. Although treatment guidelines exist (eg, the National Asthma Education and Prevention Program Guidelines for the Diagnosis and Management of Asthma and the Global Initiative for Asthma), therapeutic decisions, particularly the choice between monotherapy and combination therapy, remain controversial. Moreover, because of the limitations of available pharmacologic therapies, including drug delivery technology and long-term adverse side effects, nonadherence to treatment is high, with estimates ranging from 35% to 50%. As the incidence of asthma in the United States has been steadily increasing, it is imperative that diagnostic and treatment guidelines are not only established and updated, but are also implemented in clinical practice within managed care organizations. This activity will review the goals of treatment for asthma, explore how available therapeutics do or do not meet these goals, and highlight newer agents that may address some of the unmet needs in patient management. The activity also will discuss existing guidelines for asthma diagnosis and treatment, as well as the importance of improving patient education and adherence to therapy. In addition, national standards, such as the Health Plan Employer Data and Information Set (HEDIS), will be reviewed, with an emphasis on the importance of adhering to guidelines to meet these metrics.
Director, Pharmacy Services
IHC Health Plans
Associate Clinical Professor
University of California
Los Angeles, California
Robert P. Navarro, PharmD
Executive Advisory Group
Raleigh, North CarolinaFaculty Disclosure
In accordance with the ACCME's Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control.
This participant reports relationships with the following pharmaceutical companies.
Jonathan Corren, MDGrant/Research support
The following participants report no relevant financial relationships with pharmaceutical companies.
The American Journal of Managed Care,
Eric Cannon, PharmDSigned disclosures are on file at the offices of Jamesburg, New Jersey.