November 2018 - First Report Managed Care

Issue 11
November 2018


According to an analysis of pharmacy and medical claims among patients who received Medication Therapy Management (MTM)—a range of services provided to individual members to optimize therapeutic outcomes and to detect and prevent costly medication problems—an average decrease in overall costs was observed. | Read More
According to recent research, a payer-provider collaboration allowed providers access to timely, actionable patient data related to Healthcare Effectiveness Data and Information Set (HEDIS) quality gaps. | Read More
Katherine Tardiff, MSN, RN, GNP-BC, vice president of clinical operations at Seniorlink, discussed the impact that a person-centered care planning initiative had on satisfaction outcomes in complex populations, during a session at Health Care Quality Congress. | Read More