Health plans' strategies for managing outpatient specialty pharmaceuticals

Health Affairs

Volumn 25, Issue 5, 2006, Pages 1332-1339

  Mullins, C Daniel ^a   Lavallee, Danielle Chauncey ^a   Pradel, Françoise G ^a   DeVries, Andrea R ^b   Caputo, Nadine ^c  

^a UNIVERSITY OF MARYLAND SCHOOL OF PHARMACY   (United States)

^b HEALTHCORE INC   (United States)

^c Health Research and Educational Trust   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; ARTICLE; BLUE CROSS BLUE SHIELD; DRUG USE; ECONOMICS; EPIDEMIOLOGY; HEALTH CARE SURVEY; HEALTH INSURANCE; HUMAN; INSURANCE; NATIONAL HEALTH INSURANCE; ORGANIZATION AND MANAGEMENT; PUBLICATION; UNITED STATES;

AMBULATORY CARE; BLUE CROSS; BLUE CROSS BLUE SHIELD INSURANCE PLANS; BLUE SHIELD; DRUG UTILIZATION REVIEW; FORMULARIES; FORMULARIES AS TOPIC; HEALTH CARE SURVEYS; HUMANS; INSURANCE CLAIM REVIEW; INSURANCE, PHARMACEUTICAL SERVICES; UNITED STATES;

EID: 33749316170     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.25.5.1332     Document Type: Article

References (9)

1. B.L. Hesselgrave, "Helping to Manage the High Cost of Rare Diseases," Managed Care Quarterly 11, no. 1 (2003): 1-6;
2. and R.J. Lipsy et al., "Anticipating the Future: How the Emergence of Innovative Biologic Agents Impacts Benefit Design, Utilization, and Provider Relations," Journal of Managed Care Pharmacy 10, no. 3 Supp. (2004): S4-S9.
3. M. Edlin, "Engineering New Strategies in Specialty Pharmacy Management," AHIP Coverage 45, no. 5 (2004): 34-39.
4. C.D. Mullins et al., "Variability and Growth in Spending for Outpatient Specialty Pharmaceuticals," Health Affairs 24, no. 4 (2005): 1117-1127.
5. D. Willcutts, "Specialty Pharmaceuticals: Developing a Management Plan," Managed Care Quarterly 10, no. 4 (2002): 26-29;
6. A. Lotvin, "Specialty Pharmacy Presents Unique Set of Challenges," Managed Care 13, no. 8 (2004): 8-9;
7. and P. Sirois, "HMOs Should Prepare Now to Get a Handle on Injectables," Managed Care 11, no. 4 (2002): 42H-42L.
8. For further discussion on the Delphi method, see N. Bowles, "The Delphi Technique," Nursing Standard 13, no. 45 (1999): 32-36.
9. Mullins et al., "Variability and Growth in Spending."