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Description: Discover how managed care organizations and community pharmacists are working together to help advance medication therapy management services.

Atrial fibrillation (AF), a common age-related arrhythmia, is a major public health problem in the United States. The first article in this supplement describes trends in the prevalence and incidence of AF in the United States and the etiology of, risk factors for, complications of, and economic burden of AF. The second article in this supplement describes the 3 primary goals of pharmacotherapy in patients with AF and compares and contrasts the efficacy and safety of established and investig...

This program is part of the 2011 Fall Conference: Comprehensive Clinic Startup Bundle, please click “Access Activity” to view the entire program listing. At the conclusion of Managed Care Contracts, attendees should: 1. Understand what constitutes an MCO 2. Understand the timeframe of MCO contracting 3. Understand the difference between contracting and credentialing 4. Understand the basic MCO contract negotiation strategies 5. Understand the importance of MCO contracts for an urgen...

This program is part of is part of the 2011 Fall Conference: Compehensive Clinic Startup , please click “Access Activity” to view the entire program listing. At the conclusion of Managed Care Contracts, attendees should: 1. Understand what constitutes an MCO 2. Understand the timeframe of MCO contracting 3. Understand the difference between contracting and credentialing 4. Understand the basic MCO contract negotiation strategies 5. Understand the importance of MCO contracts for an u...

Multiple sclerosis (MS) is a costly disease in terms of its effects on patients’ quality of life and its financial cost to society. The introduction of treatments that are designed to change the natural disease course has focused attention on the economic burden of MS. Balancing cost-effective treatment with current guidelines and optimal therapy is a challenge to physicians and pharmacists practicing in the managed care setting. In order to be effective in their roles, managed care physicia...

Affecting over 11% of the adult US population, type 2 diabetes mellitus (T2DM) is a chronic and disabling disease that is associated with substantial morbidity from both macro- and microvascular complications. It is the leading cause of kidney failure, nontraumatic lower-limb amputations, and new cases of blindness among American adults, and is a major cause of heart disease and stroke. In addition, managing patients with T2DM poses an enormous economic burden on both patients and healthcare p...

Description: Physicians and pharmacists can utilize this CME activity in a teach-the-teacher format, with a goal to educate physicians, physician assistants, nurse practitioners and pharmacists within their organizations on methods to improve quality of care and patient outcomes in breast cancer, colorectal cancer and lung cancer.

Acknowledgement: This course is supported by educational grants from Celera and the Applera Charitable Foundation. Down syndrome is the most common chromosomal condition in humans, but do you know the latest evidence-based medicine on how to best manage these patients? Much has changed since medical school! Many healthcare guidelines and emerging literature are changing the way that individuals with Down syndrome are diagnosed, followed, and managed. Astute physicians can now detect associa...

Description: This knowledge-based activity provides information on preconception care, treatment, and follow-up for women with diabetes prior to pregnancy and for those who develop gestational diabetes during pregnancy. Participants will learn why preconception care is especially important for women with preexisting diabetes and review recent American Diabetes Association guidelines for screening pregnant patients. A thorough discussion of management approaches for pregnant women will follow....

Upon completion of this course, you will be able to: Recommend universal culture-based screening of all pregnant women at 35-37 weeks' gestation to optimize the identification of women who should receive intrapartum antibiotic prophylaxis Create guidelines for providers of prenatal, obstetric, and neonatal care, supporting microbiology laboratories, hospital administrators, and managed-care organizations, childbirth educators; public health authorities, and expectant parents and their advo...

Description: Avoiding Medication Errors with Insulin Therapy is a knowledge-based program for pharmacists and nurses. The activity will explore the history of errors associated with insulin therapy and review the frequency with which they occur. Participants will learn how medication errors are generally multifactorial in nature and how medication systems contribute to these errors. Specific examples of actual medication errors will be provided to show when and how errors may occur. This acti...

Target Audience - Medical directors, pharmacy directors, clinical pharmacists, quality directors, as well as network physicians affiliated with various managed care organizations. - Other managed care health professionals including case managers, policy administrators, utilization managers, IT professionals, etc. Purpose Statement The Food and Drug Administration Amendments Act of 2007 (FDAAA) authorizes the Food and Drug Administration (FDA) to require pharmaceutical manufacturers...

Rheumatoid arthritis (RA) is a disabling autoimmune disease that causes pain, stiffness, swelling, and limitation of motion in multiple joints, as well as inflammation in other organs. An estimated 1.3 million Americans are affected. Traditionally, RA has been treated with synthetic disease-modifying antirheumatic drugs (DMARDs) and nonsteroidal anti-inflammatory drugs. Since the introduction of biologic agents there has been substantial improvement to the health and quality of life of people ...

Multiple sclerosis (MS) is a costly disease in terms of its effects on patients’ quality of life and its financial cost to society. The introduction of treatments that are designed to change the natural disease course has focused attention on the economic burden of MS. Balancing cost-effective treatment with current guidelines and optimal therapy is a challenge to pharmacists practicing in the managed care setting. In order to be effective in their roles, managed care and specialty pharmacis...

Managed Care increased in popularity as third-party payors and government agencies became more concerned with rising healthcare costs. Hardly any area of healthcare is free from its impact. Historically, review of medical claims was the responsibility of corporate Medical Directors possibly reviewing cases outside their specialty area. Today, the standardization of utilization management activities by state regulations and utilization review accreditation organizations encourages the use of ...

The introduction of treatments designed to change the natural disease course of multiple sclerosis (MS) has focused attention on the economic burden of this disease. Economic evaluations, which analyze the burden of MS on society and the cost effectiveness of new therapies, stress that the economic burden of a disease should be seen in a global perspective and that new treatments offer an opportunity to reduce the burden of the disease in the long term. Effective disease management increasingl...

Target Audience - Medical Directors and Pharmacy Directors from health plans, HMOs, integrated health systems, employers, quality organizations, and other managed care organizations - Managed care–affiliated care team members involved with patient evaluation, education, and follow-up for patients with a cancer such as multiple myeloma including: physicians, pharmacists, nurses, and case managers Purpose Statement During the last two decades, managed care organizations (MCOs) have...

The multidisciplinary unit team is in an excellent position to lead, participate and design the necessary changes required in an acute care setting to meet the patient safety agenda healthcare is faced with today. The key to successful error reduction is the ability to change the current culture of blame and fear of punishment to a unit culture that sees mistakes as information that must be analyzed in order to change systems that support the employee. Although cultural change is most often an...

Learning Objectives After participating in this educational activity, participants should be better able to 1. Implement evidence-based recommendations for the accurate diagnosis and appropriate management of patients with chronic obstructive pulmonary disease based on established clinical guidelines 2. Develop treatment plans that incorporate individual patient’s needs, preferences, and lifestyle to optimize patient adherence OVERVIEW Obstructive Lung Disease’s Global Strategy ...

Target Audience: - Medical directors, pharmacy directors, clinical pharmacists, quality directors, and network physicians affiliated with managed care organizations - Case managers, policy administrators, utilization managers, IT professionals, nurses, and other managed care health professionals Purpose Statement: Managed care pharmacists and affiliated clinicians involved in the care for patients at risk for thromboembolic disorders are routinely challenged with multiple sets of a...

Healthcare data breaches and medical identity theft are among the fastest growing categories of data loss in the country. Traditional access controls - physical and technical - fail to provide adequate safeguards. Most organizations still do not have the level of system or data awareness needed to even know when data-rich assets may go missing or unauthorized access to or disclosure of ePHI is occurring. Most organizations are wholly unaware of the ever-changing threat landscape or whether t...

This program will review the results from landmark clinical trials that provided the foundation for how metastatic melanoma is currently managed. A particular focus of this educational activity will be methods by which care can be personalized for patients with these tumors, including how to optimize counseling in the setting of the most advanced forms of melanoma.

Providing a comprehensive overview, this convenient online course will get you up to speed on the basic concepts of health care management and its various types of organizational structures. You will learn about major operational areas of health insurance plans as well as legislative, regulatory, and ethical issues that affect the industry. You’ll learn: • The evolution of healthcare delivery in the United States • Basic concepts of health plans • How to distinguish among HMOs...

David B. Nash, MD, MBA, is professor of health policy, and associate dean, Jefferson Medical College. Here, he defines evidence-based medicine (EBM), discusses the etiology of the term, crediting Dr. David Sackett of McMaster University in Hamilton Ontario with coining it, and proposes some ways to make EBM more of a reality than an ideal. This lecture and the post-test is worth 1.5 credit hours. Dr. Nash opens his lecture with Dr. Sackett's definition of evidence-based medicine as: "con...

Target Audience - Medical Directors and Pharmacy Directors from health plans, HMOs, integrated health systems, employers, quality organizations, and other managed care organizations - Managed care-affiliated care team members involved with patient evaluation, education, and follow-up for growth/growth disorders including: physicians, pharmacists, nurses, and case managers Purpose Statement The purpose of this knowledge-based activity is to improve managed care stakeholders' knowledge o...

Track 1: Recommendations for Medical and Pharmacy Directors Track 2: Recommendations for Care Managers Target Audience This activity has been designed to meet the educational needs of medical directors, pharmacy directors, clinical pharmacists, quality directors, registered nurses, as well as network physicians affiliated with various managed care organizations. Statement of Need/Program Overview Managed care professionals and affiliated clinicians involved in the management of an...

TARGET AUDIENCE This activity has been designed to meet the educational needs of managed care pharmacists, pharmacy directors, medical directors, quality directors, policy executives, managed care affiliated physicians, employer and government policy administrators, and other managed care administrators. STATEMENT OF NEED The advent of the anti-TNF class of biologic agents has created hope for many patients suffering from rheumatoid arthritis (RA) — a chronic inflammatory disease that c...

This course is designed to present an overview of hand preference in terms of cultural, social, evolutional, historical, gender, genetic and environmental factors. Normal components of hand preference are examined from the perspectives of sensory-motor development and hemispheric specialization. Informal and formal assessments are illustrated by case studies, which then present examples of how “handedness” problems can be identified and managed. The instructor of this course is Rhoda P....

CMC regulatory compliance deficiencies have resulted in clinical holds and delays in market approval. Additionally, CMC regulatory shortfalls in marketed products have also resulted in FDA Warning Letters and product recalls. Insights and practical suggestions to develop and manage CMC regulatory compliance for biopharmaceuticals and biologics are presented in this class. This three-day course will also present a strategy to obtain a cost-effective, risk-managed CMC compliance strategy partic...

Program Overview Chronic obstructive pulmonary disease (COPD) affects approximately 10% of people 40 years old and older and is the fourth leading cause of death in the United States. In 2007, twelve million people were diagnosed with COPD. However, it is believed an additional 12 million people have COPD, but remain undiagnosed, and there were no improvements in hospitalization rates in patients with COPD aged 45 and older between 1995 and 2006. Despite the recommendations set forth by the G...

People who searched for also searched for

managed health care

medication therapy management

MTM

pharmacist services

Building the bridge to partnership: Fostering the community and managed care pharmacy relationship

Atrial Fibrillation and Managed Care: Current Approaches and Future Directions for Long-Term Therapy

Managed Care Contracts (UCMC - Billing & Coding)

Managed Care Contracts (UCMC - Billing & Coding)

Multiple Sclerosis in Managed Care: Managing Decisions and Shaping Health Outcomes

Shifting Paradigms in Type 2 Diabetes: Managed Care Perspectives

Improving Quality of Care and Patient Outcomes in Breast, Colorectal and Lung Cancer

Down Syndrome: Healthcare Updates for the Primary Care Pediatrician

Pregnancy Complicated by Diabetes

Prevention of Perinatal Group B Streptococcal Infection

Avoiding Medication Errors with Insulin Therapy

Are You Ready for REMS (Risk Evaluation Mitigation Strategies)? Practical Recommendations for Managed Care - An Overview for Pain Management

The Rheumatoid Arthritis Landscape: An Update for Managed Care and Specialty Pharmacists

Improving MS Care: Perspectives from a Medical Director, Pharmacy Director, and Specialty Pharmacist

UTILIZATION MANAGEMENT PEER REVIEWER TRAINING

Actionable Insights to the Evolving Management of MS: Important Considerations in Improving Outcomes

The Evolving Oncology Pharmacy Paradigm: Emerging Strategies for Managed Care Professionals

Changing Work Cultures to Improve Patient Safety

Improving Patient Outcomes: A Guidelines-based Approach to the Diagnosis and Management of Chronic Obstructive Pulmonary Disease

The Evolving Paradigm of Anticoagulation Therapy: Optimizing Managed Care Outcomes for Thromboembolic Disorders

The New ‘Standard of Care’ for IT Security: Shedding Light on the Black Hole

Utilization of Targeted Therapies in Metastatic Melanoma: An Evidence-based Approach to Management

Healthcare Management: An Introduction (AHM 250) online course.

Evidence Based Medicine

Optimizing Outcomes for Patients With Growth Hormone Deficiency and Other Growth Disorders in Managed Care

Optimizing Outcomes for Anticoagulation Therapy: Emerging Strategies for Managed Care

Is it Possible to Significantly Limit or Halt the Damage from Rheumatoid Arthritis (RA)? — The Benefits of Anti-TNF Therapy in Managed Care

Hand Preference Issues & Applications to Practice

CMC Regulatory Compliance for Biopharmaceuticals and Biologics

COPD in the Primary Care Setting: Comprehensive Strategies for Diagnosis and Management

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