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Reform Questions, Myths, Comparisons Unwound
With the possibility of a major health care overhaul looming on the horizon, commentators, analysts and advocates have been seeking out points of comparison.
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Impact Of Surgeon And Hospital Volume On Outcomes Of Radical Prostatectomy
UroToday.com - In the online edition of Urologic Oncology, Dr. Michael Cookson and his colleagues at Vanderbilt University reviewed the impact of surgeon and hospital volume on outcomes of radical prostatectomy (RP). They concluded that better outcomes are associated with higher volume surgeons and centers.
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Successful Disease Management Programs Can Play Role In Health Care Reform
A study of the award-winning Behavioral Pharmacy Management Program (BPM) shows the private-public Medicaid partnership program has helped improve patient care while saving eight states almost $95 million in behavioral health pharmaceutical costs. Lilly funds the program, which is designed and run by research firm Comprehensive NeuroScience, Inc. (CNS) at the sole direction and guidance of state Medicaid departments. The BPM, which has been executed in more than half of the states, has won a variety of national awards, including the Substance Abuse and Mental Health Services Administration Science and Service Award, URAC Silver Award for Best Practices in Consumer Empowerment and Protection, American Psychiatric Association Bronze Achievement Award and Disease Management Association of America Gold Award.
Mental Health

CPhA Applauds Efforts To Help Seniors Afford Prescription Medications

Congressional leaders and leading pharmaceutical companies have come up with a plan to reduce medication costs for millions of senior citizens enrolled in the Medicare Part D Prescription Drug program. In combination with other discount programs and rebates, the savings to the U.S. government could represent $80 billion. The Pharmaceutical Research and Manufacturers of America (PhRMA) is leading the charge to specifically close the coverage gap for patients whose medications costs fall into the "doughnut hole." Seniors prescription medication costs fall into the "doughnut hole" (above $2,700 but lower than $6,153.75 per year) and then they must pay out of pocket for their prescriptions. Affordability and adherence to medication become serious issues that can compromise their care when this occurs. "This announcement could not have come at a better time," states Lynn Rolston, Chief Executive Officer of the California Pharmacists Association. "In order to maintain patients" health and keep health care costs down, it is critical for patients to adhere to their medication therapies." "Under the proposed plan, pharmaceutical companies will provide a 50 percent discount to most beneficiaries on brand-name medicines covered by a patient"s Part D plan when purchased in the coverage gap," states PhRMA President and CEO Billy Tauzin. "In addition, the entire negotiated price of the Part D covered medicine purchased in the coverage gap would count toward the beneficiary"s out-of-pocket costs, thus lowering their total out-of-pocket spending. Importantly, the proposal would not require any additional paperwork on the part of the beneficiary nor would an asset test be used for eligibility." As this program rolls out, CPhA will be monitoring the implementation plans and providing assistance where appropriate to ensure that patients get the full intended value. It will be critical that pharmacists are treated fairly and given enough information to administer this program smoothly. For now, the news seems very positive and pharmacists stand ready to support this effort. California Pharmacists Association


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