HSM420 Discussions Week 4

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HSM420 Discussions Week 4
What are the most important elements of a managed care pharmacy benefit program? And how are patient…

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HSM420 Discussions Week 4

HSM420 Discussions Week 4

All Students Posts 58 Pages

Managed Care Pharmacy Benefits – 31 Pages

What are the most important elements of a managed care pharmacy benefit program? And how are patient prescription benefits typically different under managed care?  Pharmacy benefits is a controversial topic within managed care.  As a patient, what do you want?  How often do pharmacists recommend certain drugs to providers?  Is this recommendation for costs control or quality products?…

With healthcare reform are we seeing more coverage for prescriptions?  How has reform changed pharmacy benefits? What is the protocol is the brand name is not covered, but it has been determined that your body responds better to the brand?  Are concessions made for the patient?

Who is responsible when a patient is prescribed medications that should not be taken together?  The provider?  The pharmacist?  With healthcare reform are we seeing more coverage for prescriptions?  How has reform changed pharmacy benefits?  Although the generic drugs supposedly contain the same ingredients, the effect is often not as effective.  Why do you think that this is?…

Managed Behavioral Healthcare – 27 Pages

What factors surrounding behavioral health create special challenges and special considerations for managed care programs? How is managed behavioral healthcare different from managed acute medical or managed acute surgical care?  The need for behavioral healthcare coverage is ever-growing in this country.  What is the problem with providing adequate coverage?  Do you think that if patients stopped using the ER as a doctor’s office and used it for emergencies only that there would be adequate staff?…

Why is it that society deems behavioral health as taboo?  Because of this, many fail to seek help.  What can be done to change the perception of behavioral health?  What can managed care plans and the Affordable Care Act do to make managing mental health less challenging and more efficient?  If we are increasing access, we need to increase providers.  What can be done to entice individuals to seek a career in behavioral health?  Does the fact that the benefits are minimal which means receiving payment may be difficult have anything to do with the lack of providers?…