November 19, 2012 | Blog

Managed Healthcare – Why Should You Care?

CMR Institute’s newly revised and updated managed healthcare resources are more relevant than ever before.

In the aftermath of the Presidential Election, regardless of your political persuasion, we can probably agree that healthcare reform is alive and well. Many provisions of the 2010 Affordable Care Act (often called Obamacare) are scheduled to take effect in 2014. While some of the details may change, it appears we will continue on the path to reform, which includes models of healthcare delivery that are impacting how providers practice and receive pay, how pharmacy benefits are managed, and how patients access and receive care.

The vision is for a high-quality, cost-conscious, patient-centric system in which physicians and hospitals share in the financial risk. In such a setting, pushing product utilization is a recipe for failure; instead, representatives must promote the value of their products and services in the framework of treatment protocols and practice guidelines, as well as their customers’ delivery model and its associated risks.

Our newly revised and updated managed care resources focus on topics and issues that are central to the ongoing development of the field environment. Examples include:

  • Integrated Delivery Systems
  • Accountable Care Organizations
  • The role of disease management in managed care
  • Managed care from the perspectives of those who pay the bills
  • The contributions of and challenges associated with information technology including electronic health records
  • A focus on outcomes including approaches and initiatives being used to evaluate the quality of care
  • Mechanisms being used to manage the pharmacy benefit

Click here for more information about our Managed Healthcare resources

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