Original Research

In forecasting the future of cardiovascular disease (CVD), the American Heart Association calls for preventive strategies, with particular attention to obesity.1 The facts related to the current obesity epidemic are familiar, stark, and bode bad news not only for the physical health of the US population but also for its economic health. Obesity is a common denominator in and a risk factor for many chronic conditions, including diabetes, coronary artery disease (CAD), stroke, and hypertension.2,3

Employers’ Obesity Initiatives in the Workplace: A Wakeup Call for Health Plans

Benign prostatic hyperplasia (BPH), also known as enlarged prostate, is a significant health problem among aging men.1 It affects approximately 50% of American men aged 51 to 60 years, 70% of men aged 61 to 70 years, and 90% of men aged 81 to 90 years.2 The burden of BPH on the US healthcare system is expected to grow even further as the population of men aged ≥65 years increases from 17 million in 2010 to approximately 30 million by 2030.3

Benefit Management Considerations for BPH Medications: Single Agent or Combination Therapy?

The Harris County Hospital District (HCHD) is an integrated public healthcare system for Harris County, TX, the nation’s third most populous county.1 More than 27% of Harris County residents are uninsured, and Texas state law requires counties to serve the indigent; therefore, most of these uninsured patients receive care at HCHD.2 HCHD is comprised of 3 hospitals, 13 community health centers, 13 satellite homeless shelter clinics, 8 school-based clinics, 4 mobile health clinics, and a free-standing dental center.

A Collaborative Approach to Drug Selection, Driven by Clinical Outcomes Excellence

Nearly 96% of all employers allow employees and covered beneficiaries to fill medication prescriptions from either retail or mail-service pharmacy. 1 In 2009, mail-service pharmacies dispensed approximately 238 million prescriptions, representing 6.6% of the 3.6 billion prescriptions dispensed that year.2 Mailservice pharmacies have enjoyed high levels of consumer satisfaction.3 Mail-service pharmacies offer consumers the convenience of home delivery, online ordering and renewal processes, and prescriptions filled with a 90-day supply of medication.

When More Is Almost Always Better

Major depressive disorder (MDD) often presents as a chronic and recurrent illness.

Efficacy and Cost-Effectiveness: Escitalopram versus Citalopram

According to the World Health Organization (WHO), “Without a system that addresses the determinants of adherence, advances in biomedical technology will fail to realize their potential to reduce the burden of chronic illness.”1 The WHO has recommended that adherence challenges are most effectively solved by individualized interventions addressing multiple factors impeding adherence.1 In its report, Adherence to Long-Term Therapies: Evidence for Action, the WHO has identified 5 interactive “dimensions” or factors affecting adherence, including1:<

Health Plans Must “COPE” with Chronic Diseases

Growth in specialty pharmaceuticals (including biologic therapies) continues to outpace traditional small molecules,1 and many of the newly developed specialty products will be infused. At the start of the fourth quarter of 2009, at least 19 infused specialty therapies were waiting for approval by the US Food and Drug Administration or were in phase 3 clinical trials.2 Therefore, managing the costs associated with infused therapies continues to increase in importance for private and public health insurance plans.

New Strategies Needed to Combat Increasing Costs and Optimize Use of Infused Therapies

Drugs don’t work in patients who don’t take them.”1—C. Everett Koop, MD, ScD, former US Surgeon General

Stakeholder Integration Crucial to Improved Patient Outcomes: Lessons from a Health Plan’s Experience

Asthma is one of the nation’s most common, costly, and increasingly prevalent diseases. In 2008, approximately 23.3 million people had asthma in the United States, of whom 12.7 million had experienced asthma attacks.1 The economic cost of asthma for 2010 is projected at $20.7 billion, of which $15.6 billion is expected to reflect direct costs of healthcare-related expenditures (ie, hospital care, physician services, and prescription drugs).1,2

Value-Based Insurance Design: Evolving Strategies to Improve Medication Adherence, Control Healthcare Utilization
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Results 51 - 59 of 59
  •  Association for Value-Based Cancer Care
  • Value-Based Cancer Care
  • Value-Based Care in Rheumatology
  • Oncology Practice Management
  • Rheumatology Practice Management
  • Urology Practice Management
  • Inside Patient Care: Pharmacy & Clinic
  • Lynx CME