GLG Topic: Managed Care Industry
The Managed Care Industry is the business sector overseeing the collection of for-profit and not-for-profit organizations such as HMOs (health maintenance organizations), third-party administrators, and Medicare and Medicaid services that have a common focus to control healthcare costs, encourage efficient use of healthcare resources (e.g. physicians, procedures, therapeutics), and provide protocols to ensure proper patient care.
Request a consultation
Leading Experts: Managed Care Industry
 |
What is a GLG Leader? |
President
Managed Care Pharmacy Consultants, Inc
William Fink, RPH, is the President of Managed Care Pharmacy Consultants, Inc., in Tucson, Arizona, and has been active in managed care pharmacy for more than 25 years. His expertise includes managing pharmacy programs for HMOs (including Medicare and Medicaid) and self-insured employer groups. He...
Independent Consultant
Robert Dondes, Consultant
Robert Dondes is an Independent Consultant based in the mid-Atlantic United States, with headquarters in Maryland. His private practice focuses on managed care, health insurance, strategic analysis, and operational improvement. Mr. Dondes is affiliated with the consulting division of the Pennsylvania...
President
Pharmacy Express Services, Inc.
Bruce Goldberg is the Founder and President of Pharmacy Express Services, Inc., a retail chain based in Nebraska. Mr. Goldberg is a pharmacist and has experience in managed care with PBM contracting and general pharmacy network management. He has developed a program which will allow generic and therapeutic...
President and Principal Consultant
Synerimages, L.L.C.
Beverly Sepulveda is the President and Principal Consultant for SynerImages, a national managed healthcare and information systems consulting company in Spring, Texas. She has over 21 years of experience in healthcare, particularly the HMO/PPO and IPA industries. Ms. Sepulveda’s experience ranges from...
Chief Executive Officer/President
NEW ENGLAND SINAI HOSPITAL INC
Lester Schindel is the Chief Executive Officer and President at New England Sinai Hospital and Rehabilitation Center, a 212-bed long-term acute care hospital. During his first 6 months at Sinai, he expanded the patient care assessment committee, reinvested in Sinai’s future by initiating a $6 million...
Study Groups: Managed Care Industry(?)
GLG NewsSM
Analysis: Managed Care Industry(?)
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...
1. Managed care companies have run into a temporary problem of setting their prices too low in order to compete with eachother. Expect prices to rise and profitability to return. 2. Part of the problem was caused by providers becoming more sophisticated at fighting for higher reimbursement often aided...
Another option -in light of the constant battle for payments from the managed care industry, vaccines have become the largest cost center for primary care medicine. Over the past 2 years, there has been a constant barrage of cost increases in the vaccine market spear headed by both Merck and Aventis....
Regrettably, many physicians feel that dealing with dollars is less then fulfilling, especially in light of off-loading potential costs of defensive medicine. The very turbulent times ahead will give employed groups of physicians a strategic advantage over individually fragmented doctors...
Private brands carry between 150 basis points and 250 basis points higher initial markup than the average external brand offered in department stores. The economics influencing cost of goods are identical for a retailer as they are for an external brand. The only major element of significant...
GLG InstituteSM
Seminars: Managed Care Industry(?)
Recent Seminars
Quick Facts about GLG
GLG's 750+ Clients Include:
global mutual funds
global banks
private equity firms