The role of the PBM in total health management strategies for individuals with chronic conditions.
In this article, we examine the multiple data sources and outcomes surrounding the management of both pharmacy and medical cost spending for chronic health care in one pharmacy benefit manager (PBM). We offer examples of how the complex relationship between interventions and spending is utilized in order to bring value to PBMs' clients above and beyond the scope of traditional pharmacy trend analytics. Additionally, we demonstrate how the implementation of disease management programs can effectively impact the largest component of total health care costs.
Slezak
Julie
J
Stine
Neal
N
D002908:Chronic Disease / Q000188:drug therapy / Q000191:economics*; D003363:Cost Control; D019468:Disease Management; D006264:Health Benefit Plans, Employee / Q000191:economics / Q000458:organization & administration*; D005102:Health Expenditures / Q000706:statistics & numerical data; D006801:Humans; D007356:Insurance, Pharmaceutical Services; D017063:Outcome Assessment, Health Care; D014481:United States