Slezak Julie, Stine Neal
Benefits Q. 2003;19(1):38-44.
In this article, we examine the multiple data sources and outcomes surrounding the management of both pharmacy and medical cost spending for chronic health care in one pharmacy benefit manager (PBM). We offer examples of how the complex relationship between interventions and spending is utilized in order to bring value to PBMs' clients above and beyond the scope of traditional pharmacy trend analytics. Additionally, we demonstrate how the implementation of disease management programs can effectively impact the largest component of total health care costs.
在本文中,我们研究了一家药品福利管理机构(PBM)中围绕慢性医疗保健的药房和医疗费用支出管理的多个数据源及结果。我们提供了一些示例,说明如何利用干预措施与支出之间的复杂关系,以便为PBM的客户带来超出传统药房趋势分析范围的价值。此外,我们还展示了疾病管理计划的实施如何能够有效影响总体医疗保健成本的最大组成部分。