Posts Tagged ‘Prescription Drugs’

Infographic: Specialty Pharmacy Growth Trend

July 5th, 2017 by Melanie Matthews

Much of the growth in the U.S. specialty pharmacy industry can be attributed to healthcare provider-owned pharmacies, according to a new infographic by URAC.

The infographic provides a snapshot of the specialty pharmacy industry trend in hospital systems.

Leveraging Pharmacists to Reduce Cost and Improve Medication Adherence in High-Risk PopulationsWhen it comes to medication management for Medicare beneficiaries, there are more than 25 different factors that can complicate proper use of prescribed medicines—from affordability issues, even among the insured, to fear of a drug’s side effects to potential dangers from high-risk medications or health conditions.

Leveraging Pharmacists to Reduce Cost and Improve Medication Adherence in High-Risk Populations examines Novant Health’s deployment of pharmacists as part of its five-pronged strategy to deliver healthcare value through medication management services.

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Infographic: Prescription Drug Spending Trends

April 20th, 2016 by Melanie Matthews

Prescription drug spending rose sharply in 2014, driven by growth in expenditures on specialty drugs, including medications to treat cancer and hepatitis C. Medicare’s spending on prescription pharmaceuticals also has risen, largely due to the addition of the Medicare prescription drug benefit in 2006: between 2004 and 2014, the program’s share of U.S. drug expenditures increased from 2 percent of $193 billion to 29 percent of $298 billion.

A new infographic by Visualizing Health Policy from the Kaiser Family Foundation spotlights these and other national spending trends on prescription drugs and the public’s views on pharmaceutical prices.

What’s the cost of medication non-adherence? As high as $290 billion annually, according to one frequently cited estimate. An equally bitter pill to swallow is the dismal C+ grade in medication adherence earned in 2013 by Americans with chronic medical conditions, according to the first National Report Card on Adherence from the National Community Pharmacists Association (NCPA).

Fortunately, the healthcare industry is striving to improve performance in this area. 42 Metrics for Improving Medication Adherence: Interventions, Impacts and Technologies provides convincing evidence of the impact of nine key interventions on medication non-adherence—from the presence of pharmacists in patient-centered medical homes to medication reconciliation conducted during home visits.

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Infographic: 2 Key Features of the 2016 Federal Marketplace Drug Coverage

November 11th, 2015 by Melanie Matthews

Americans fill more than 12 prescriptions per year, per person, according to a new infographic by April L.J. Seifert, Ph.D.

The infographic looks at the types of prescription drug coverage available through the federal marketplace for 2016 and factors that consumers should consider when selecting health insurance coverage.

2 Key Features of the 2016 Federal Marketplace Drug Coverage

Innovative Plan-Provider Ventures: Case Studies From Anthem and Aetna provides the details of two case studies of plans and providers that are collaborating on value-based care models:

  • Vivity, a collaboration between seven prestigious California health systems and Anthem Blue Cross of California, promises to improve quality and share cost savings among the participating entities.

  • Innovation Health, the northern Virginia health plan owned 50-50 by Aetna Inc. and Inova Health System, represents a great example of an “alignment” structure, with the new health plan allowing the provider and carrier to tap into each other’s expertise to lower costs, grow market share and move to value-based payment.

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Infographic: U.S. Prescription Drug Costs

April 9th, 2014 by Jackie Lyons

American consumers pay 50 to 100 percent more for prescription drugs than any other country, with the average American paying $983 per year, according to a new infographic from Clarity Way.

This infographic outlines the cost of specific prescription drugs in comparison to other countries and the cost of drug research and development. It also identifies the benefits of access to prescription drugs, such as savings, prevention of death and hospital visits and more.

Drug Benefit Trends and Strategies: 2013 includes insight and expert analysis — from the publishers of Drug Benefit News and Specialty Pharmacy News — to help you understand what pharmacy benefit management trends are on the horizon in regards to: market share, formulary structures, PBM contracting, transparency, copays and Rx drug costs and utilization.


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Healthcare Business Year in Review: A Look Back at 2013’s Top Stories

January 9th, 2014 by Cheryl Miller

From an early surge in Medicare accountable care collaborations to the rocky introduction of ACA-mandated health insurance exchanges during a government shutdown, healthcare in 2013 was nothing short of unpredictable.

But in this issue, as in “Best of” issues past, we bring you the stories that resonated most with you. Your top story was one that ran nearly a year ago: Post-Hospital Telephonic Outreach Reduces Readmissions by 22 Percent for High Risk Patients. This initiative from Cigna monitored telephonic outreach by health plan case managers within 24 hours of hospital discharge, finding that they reduced future readmissions by 22 percent. Resulting in more physician visits and prescription drug fills, the timing and prioritizing of the calls was critical to its success.

Case managers’ roles in long term care also spiked your interest in our featured white paper: Case Management in 2013: Achieving Results with Cardiovascular Disease; Long-Term Care Next Frontier for Embedded Case Managers. As care coordination by healthcare case managers continues to drive clinical and financial outcomes in population health management, expect to see lots more case managers — not just coordinating care telephonically like Cigna, but co-located in nursing home, long-term care (LTC) and assisted living settings.

Other top stories included CMS’ announcement that Medicare beneficiaries saw significant out-of-pocket savings due to the ACA, including provisions to close the prescription-drug “donut hole” that saved more than 7.1 million seniors and people with disabilities $8.3 billion on their prescription drugs since it took effect.

How the ACO model figures in most hospitals’ futures also topped your reading list, as did a story on how 24 states and the District of Columbia chose a benchmark health insurance plan that met the ACA’s essential health benefit requirement, which is scheduled to begin next month, January 2014. Researchers found that 19 of the states that selected plans chose existing small-group plans, employer-based plans for businesses with fewer than 50 employees. The remaining five states selected HMO or state employee benefit plans.

An infographic on 2013’s Most Significant Healthcare Issues, and our podcast on Physician Hospital Organizations: Developing a Collaborative Structure for Shared Savings Agreements also attracted the most views.

We will continue to provide you with the kind of up-to-the-minute coverage you need to stay informed.

And as with issues past, we send our best wishes to all of you for a happy, healthy, prosperous and peaceful new year.

Infographic: Global Lessons in Managing Prescription Drug Costs

April 26th, 2013 by Melanie Matthews

Prescription drug prices and spending are higher in the U.S. than in other industrialized nations. The Commonwealth Fund’s infographic on the subject looks at how other nations control costs while ensuring access to needed medications.

How Other Nations Manage Drug Costs

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You may also be interested in this related resource: Infection Control in Ambulatory Care.

Medicare Aims to Improve User Experience

September 7th, 2012 by Cheryl Miller

Medicare user

Two new initiatives designed to help Medicare beneficiaries better understand their benefits are now available.

CMS has redesigned its Medicare Web site, Medicare.gov, in an attempt to simplify the language and home page layout and make the content more accessible and quicker to navigate for Medicare beneficiaries, families and caregivers.

Users can now do the following directly from the home page:

  • Search for whether a specific test, item, or service is covered under original Medicare;
  • Get customized information based on a beneficiary’s specific situation;
  • Get quick links to replace a lost Medicare card, find a Medicare Advantage or prescription drug plan, and get help with healthcare costs.

And HHS has partnered with five major pharmacies to make educational materials on Medicare benefits more widely available, including information on newly available preventive services, and savings on prescription drug spending in the “donut hole” coverage gap.

Some examples of how the pharmacy partners, which include CVS Caremark, Walgreens, Thrifty White, Walmart, and Sam’s Club, will work together to increase awareness include the following:

  • CVS Caremark will distribute material to beneficiaries at its more than 7,300 CVS/pharmacy stores and 600 MinuteClinic locations, through brochures, register receipt messages and online;
  • Thrifty White pharmacy will provide information through its 85 locations throughout the midwest;
  • Walgreens will distribute information in nearly 8,000 pharmacies and over 350 Take Care Clinic locations, as well as use in-store announcements;
  • HHS will also work with Walmart and Sam’s Club to provide healthcare information to their shoppers online.

Other pharmacies or partners can find information on how to work with CMS to educate consumers about the benefits available to them, while interested users can visit the new Medicare benefits site.