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GLG News by Managed Care Pricing Trends Experts

Analysis of: Patients Curb Prescription Spending (online.wsj.com)
The article is based upon the premise that U.S. pharmacies are reporting fewer filled prescriptions. Many Americans have determined correctly that filling their prescriptions via the Internet from mail-order and foreign outlets is less expensive. Other Americans simply cannot afford the high cost of...
Analysis of: Drug groups prescribe for future growth (www.ft.com)
Drug manufacturers must evolve to an outcomes based reimbursement schedule to gain formulary placement and avoid prior authorization and oher utilization management tools
Analysis of: 8-Year-Olds on Statins? A New Plan Quickly Bites Back (www.nytimes.com)
Dangers of over-medication.  Lack of long term studies.  lack of personal and parental responsibility
Analysis of: Pricey Drugs Put Squeeze on Doctors (online.wsj.com)
To enhance health care efficiency, MDs should not have to purchase and stock expensive biotech drugs in their office.  Drugs should be charged to the health plan or PBM and the drugs should arrive at the MDs office labeled for the particular patient
Analysis of: Drug groups prescribe for future growth (www.ft.com)
Pricing constraints in the US such as Best Price legislation preclude innovative outcomes based solutions from being adopted.  CMS should provide waivers to Best Price to enable payers and drug innovators to engage in risk based contracts
Analysis of: AMA meeting: Delegates decry CMS no-pay list as unrealistic and call for revision (www.ama-assn.org)
Somehow, healthcare, energy, education....in fact nearly every major issue today has turned into a contentious "them vs. us". It would always be preferable that reasonable men attempt to reach a reasonable conclusion, but government bodies today (eg., politicians and key administrators) are...
Analysis of: AMA meeting: Delegates decry CMS no-pay list as unrealistic and call for revision (www.ama-assn.org)
CMS (and several large insurers) refusing to pay for "Never Events" will further challenge cash strapped hospitals, and poses increased pressure to increase prices as hospitals attempt to cost-shift to the commercial carriers.  Not paying for alleged hospital mistakes will garner stronger administrative...
William Fink, R.Ph., President
Managed Care Pharmacy Consultants, Inc
Analysis of: Resource Article: “Chronic Kidney Disease Prevalence Increases, Awareness Remains Low,” Drug Benefit Trends (vol. 20, no. 5, May 2008) (jama.ama-assn.org)
There will be an increased use of costly diaylsis, especially among those people 70 years or older.  One would think that there would be a greater awareness of a disease consting $31 billion dollars a year.  However, this does not seem to be the case.
Robert Forster, MD, Healthcare Consultant
Robert Forster, MD, Healthcare Consultant
Robert Forster, MD
Analysis of: Experts see boost to genetic testing from US bill (www.reuters.com)
As a clinician leader for some time, it is overtly obvious that comprehensive genetic testing will be fraught with misinterpretation and will lead to consumer confusion and potentially wrong life behavior. Genetic testing has been available for 2-3 decades on a very limited basis and for specific fetal...
Robert Forster, MD, Healthcare Consultant
Robert Forster, MD, Healthcare Consultant
Robert Forster, MD
Analysis of: Good is Never Enough for P4P (www.hhnmag.com)
Although administrative and nursing/allied medical staff can and will respond to the Quality challenges, physicians (forgive my stereotyping) must be approached more comprehensively to elicit medical behavioral change based on evidenced based medicine or process improvement.  They will slow the...

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