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Third party Financial Issues

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Diana Rangaves, PharmD, CEO
Diana Rangaves, PharmD, CEO

The document provides an overview of managed healthcare and third party financial issues, including an overview of prescription drug benefits and the various factors driving drug costs. It discusses the different players in the healthcare system including health plans, pharmacy benefit managers, government health insurance programs, employers and individuals. It also covers various cost containment tools and strategies used by payers and pharmacies to manage prescription drug costs and reimbursement.

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Third Party Financial Issues An Overview of Managed Care With a Dash of Humor
Your company's new health plan will cover your heart surgery but changes in your co-pay mean we take your liver.
What exactly is health insurance? ,[object Object],[object Object]
Overview of Rx Drug Benefits: Balancing Costs and Access ,[object Object],[object Object],[object Object],[object Object],[object Object]
Forces Driving Drug Costs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
The Payers and the Players ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Payers and Players cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Formularies: Clinical and Cost Containment Perspective ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
More Rx Cost Containment Tools ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacy Impact 85-90% of prescriptions ‘touched’ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Computer & 3 rd Party ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Economics Incentive Programs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MEDICAL (California) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Cards
Medicare Rx Drug Benefit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Medicare Rx Resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

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