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Study Group: Economic Experts on Formulary Designs (US)

Council Members in this Study Group: 51

This study group may include physicians, care providers, and researchers specializing in internal medicine, cardiology, oncology, dermatology, emergency medicine, family medicine, neurology, obstetrics-gynecology, psychiatry, radiology, nursing, optometry, genetics, and mental health. It may also include experts knowledgeable on diagnostic labs, disease management, medical devices, long term care, surgery centers, health management, pharma, and biotechnology, among others.

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Leading institutions connect with members of this Study Group through GLG

Leading Experts in this Study Group

Carrie Harris-Muller

Chief Administrative Officer
KAISER FOUNDATION HOSPITALS INC
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Carrie Harris-Muller is the Chief Administrative Officer of Kaiser Permanente in the Mid-Atlantic States. Previously, Ms. Harris-Muller served as the Regional Vice President of HealthPlan Administration and Contracting. She has held several executive...

Dea Belazi, Pharmacy Consultant, Dea Belazi, PharmD, MPH, PAHMDea Belazi

Pharmacy Consultant
Dea Belazi, PharmD, MPH, PAHM
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Dea Belazi, PharmD, MPH, PAHM, is currently a Consultant working with health plans and pharmaceutical companies. Dr. Belazi is also a Consulting Practice Leader for Wolters Kluwer Health- Managed Care Group. Previously, he was the Senior Director of Pharmacy...

Steven Miller, President, Steven Miller, MS, DPHSteven Miller

President
Steven Miller, MS, DPH
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Steven Miller, MSPharm, DPH, is the President and Chief Executive Officer of SJM Enterprises, a multi-faceted consumer-response organization, specializing in workers compensation, medication therapy management, and managed care pharmaceutical reimbursement...

Tim Gallagher, Executive Vice President of Pharmacy Operations , ASTRUP DRUG, INC.Tim Gallagher

Executive Vice President of Pharmacy Operations
ASTRUP DRUG, INC.
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

Tim Gallagher, RPh, is the Executive Vice President of Pharmacy Operations at Astrup Drug in Minnesota, since 1999. Mr. Gallagher manages all aspects of pharmacy operations for the company. He has been a practicing pharmacist for over 25 years in both...

William Fink

President
Managed Care Pharmacy Consultants, Inc
What is a GLG Leader?|GLG Leaders are a separate tier of Council Members with a Council Rank in the top 5%. These GLG Member Program participants are eligible for ongoing, in-depth consultative relationships with GLG clients.

William Fink, RPh, is the President of Managed Care Pharmacy Consultants in Tucson, Arizona. He has been active in managed care pharmacy for over 25 years. Mr. Fink's expertise includes managing pharmacy and clinical programs for HMOs (including Medicare...

GLG NewsSM Analyses by this Study Group's Leading Experts(?)

Opinions and analyses expressed in GLG News are solely those of the author. See the Terms of Use for details.

Dangers of Methadone Usage

August 28, 2008

Dr. Mark Yergin testifies to Congress | www.nytimes.com

Doctors must be educated on the correct use of Methadone if unnecessary deaths are to be avoided.

Trends for Chronic Kidney Disease (CKD)

June 26, 2008

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.

Government Cuts in Funding for DXA in Physicians' Offices May Lead to Difficulties for Rural Patients

May 6, 2008

DXA Reimbursement Reductions: Implications for Quality Osteoporosis Care, Marjorie Luckey, MD and Roberta Biegel (Washington, DC: National Osteoporosis Foundation, Winter 2005) | osteoporosisblogger.com

It is well known that millions of people in the US suffer from osteoporosis which leads directly to debilitating fractures.   Early diagnosis of osteoporosis and low bone mass will help prevent chronic pain and loss of independence.  Once diagnosed, treatment is readily available and effective.  DXA of the hip and spine (central DXA) is the imaging procedure recommended for this diagnosis and monitoring for the effectiveness of treatment.  However, without legistative action, patient access to the central DXA may be compromised.

Erythropoiesis Stimulating Agents could be further restricted by Payers (Medicare, PBMs, and Healthplans)

January 28, 2008

FDA Receives New Data on Risks of Anemia Drugs | www.fda.gov

Increased FDA warnings on ESAs, suchas Epogen, Procrit and Aranesp will provide payers the ability to further restrict these agents.   Restrictions will come in the form of prior authorizations and other utilization management techniques.

Should We Treat Colds In Children?

November 1, 2007

Cough-Medicine Dilemma Widens | online.wsj.com

An FDA advisory panel recently voted to stop the recommendation of otc cough and cold products in children less than 12 years of age. For decades parents have administered otc cough and could products to infants and young children. Even the FDA Advisory Committee had dissention amongst their members, voting 13 to 9 in favor of the change in the long standing treatment protocol of children's colds.

View All GLG News by members of this Study Group

Members in this Study Group include these company types:

  • Managed Care Health Insurer, For-Profit
  • Pharmaceutical Benefits Manager, Small <10 M Lives
  • Blue Cross/Blue Shield Non-Profit Health Insurer
  • Managed Care Health Insurer, Non-Profit
  • Consultancy, Pharma-Focused
  • Healthcare Management
  • Pharmacy or Drug Store, Chain
  • Facility, Academic Medical Center
  • Academic Medical Center/Hospital or Clinic
  • Non-Academic Community Hospital or Clinic
  • Other Freestanding Healthcare Facility
  • Pharmaceutical Benefits Manager, Large >10 M Lives

Members in this Study Group often have these job titles:

  • Pharmacist - RPh/PharmD
  • Director
  • Medical Director
  • Manager
  • President
  • Operations Executive
  • Owner

GLG Live Meetings with this Study Group's Leading Experts (?)

July 31, 2007 | Boston

GLGi: Managed Care Formulary

July 30, 2007 | New York

GLGi: Managed Care Formulary

GLG Webcasts & Teleconferences

Leading Experts in Economic Experts on Formulary Designs (US) have not participated in any GLG webcasts.

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