Mari Edlin
Mari Edlin is a frequent contributor to Managed Healthcare Executive. She is based in Sonoma, California.
OTC drugs require prescriptions for account reimbursement
OTC drugs now require a prescription for account withdrawls
Forecast includes increased use of chronic care drugs in 2011
Pharmacy benefit programs will clearly see operational and economic changes in 2011, from phasing out the donut hole to growth in specialty pharmacy
California launches first exchange under PPACA provisions
California is making a statement as the first state to create an oversight board for insurance exchanges, in compliance with the requirements established by the Patient Protection and Affordable Care Act
Primary care shortage could affect uptake of medical-home model
If the shortage of primary care physicians continues, the patient-centered medical home concept could come to an abrupt halt
Baby boomers trend toward higher drug utilization
As the first of the baby boomers become eligible for Medicare in 2011, the healthcare system is bracing itself to support added burdens on drug utilization
Pharma can provide support for chronic disease programs
Paul Setlak of Abbott Laboratories says that when it comes to partnerships, drug companies can provide a valuable asset to managed care organizations.
Tried and True
Express Scripts can sum up its overall strategy with a concept its CEO calls "Consumerology." The philosophy is based on the convergence of consumer behavior and healthcare.
Trend shows swift rise in children taking prescription drugs
Last year, prescription drug use among children rose almost four times faster than that of the overall population.
Comparative studies offer details
There is great debate about the rigor of RCTs, which only demonstrate drug efficacy in comparison to a placebo and often test relatively homogenous populations.
Lack of medication adherence remains widespread problem
Patients who do not follow their medication regimens cost the U.S. healthcare system an estimated $290 billion a year, or 13% of total healthcare expenditures.