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1
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J Manag Care Spec Pharm. 2020 Nov;26(11):1379-1383. doi: 10.18553/jmcp.2020.26.11.1379.
2
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本文引用的文献

1
Moving Pharmacy Benefits from Nice to Have to Essential Benefits.将药房福利从可有可无转变为必不可少的福利。
J Manag Care Spec Pharm. 2020 Aug;26(8):943-944. doi: 10.18553/jmcp.2020.26.8.943.
2
Insurance Denials of Care Amount to Unlicensed Medical Practice.保险拒赔的医疗服务构成非法行医。
J Manag Care Spec Pharm. 2020 Jul;26(7):822-824. doi: 10.18553/jmcp.2020.26.7.822.
3
Findings from a National Survey of Medicare Beneficiary Perspectives on the Medicare Part D Medication Therapy Management Standardized Format.医疗保险受益人对医疗保险部分 D 药物治疗管理标准化格式的观点的全国调查结果。
J Manag Care Spec Pharm. 2019 Mar;25(3):366-391. doi: 10.18553/jmcp.2019.25.3.366.
4
AMCP Partnership Forum: Designing Benefits and Payment Models for Innovative High-Investment Medications.AMCP 合作论坛:为创新性高投入药物设计获益和支付模式。
J Manag Care Spec Pharm. 2019 Feb;25(2):156-162. doi: 10.18553/jmcp.2019.25.2.156.
5
Implementation of an opioid management initiative by a state Medicaid program.州医疗补助计划实施阿片类药物管理计划。
J Manag Care Spec Pharm. 2014 May;20(5):447-54. doi: 10.18553/jmcp.2014.20.5.447.
6
The triple aim: care, health, and cost.三重目标:医疗、健康和成本。
Health Aff (Millwood). 2008 May-Jun;27(3):759-69. doi: 10.1377/hlthaff.27.3.759.

管理式医疗药学的里程碑。

Milestones in managed care pharmacy.

机构信息

Chief Executive Officer, AMCP, Alexandria, VA.

Chief Operating Officer, AMCP, Alexandria, VA.

出版信息

J Manag Care Spec Pharm. 2020 Nov;26(11):1379-1383. doi: 10.18553/jmcp.2020.26.11.1379.

DOI:10.18553/jmcp.2020.26.11.1379
PMID:33119449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10390968/
Abstract

Managed care pharmacy has a relatively short history, but one that is defined by significant achievements. Since the late 1960s, managed care pharmacists have applied their unique skills to formulary management, clinical programs, benefit design, and contract negotiations to support patient access to life-saving therapies, while also ensuring cost-effective use of limited health care resources. Key milestones include establishing the pharmacy benefit as an essential component of the U.S. health care system, launching the Medicare Part D program, and expanding medication therapy management services. The year 2020 brings another milestone-the 25th anniversary of AMCP's flagship publication, the This year also serves as an inflection point. As managed care pharmacy professionals prepare for change and the challenges ahead-including the imperative to address the rising costs of health care and health disparities-the use of evidence, utilization management strategies, and innovation will support our continued success. No funding supported the writing of this commentary. The authors have nothing to disclose.

摘要

管理式医疗药学的历史相对较短,但却取得了重大成就。自 20 世纪 60 年代末以来,管理式医疗药剂师将其独特的技能应用于处方管理、临床项目、福利设计和合同谈判,以支持患者获得救命疗法,同时确保有限的医疗保健资源的成本效益使用。关键里程碑包括将药房福利确立为美国医疗保健系统的重要组成部分、启动医疗保险处方药计划以及扩大药物治疗管理服务。2020 年迎来了另一个里程碑——AMCP 的旗舰出版物《 》创刊 25 周年。今年也是一个转折点。随着管理式医疗药学专业人员为变革和未来的挑战做准备——包括解决医疗保健费用不断上涨和健康差距问题的紧迫性——证据的使用、利用管理策略和创新将支持我们的持续成功。本评论的撰写没有得到任何资金支持。作者没有要披露的内容。