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Post-Acute Care Preferred Provider Networks are they beginning to resemble the development of Pharmacy benefit formularies and preferred tiered positioning?  Are Health Systems equipped to establish/develop, implement and manage PAC Preferred Provider Networks or will we see a new advent of Provider Network Management organizations?  As Healthplans began learning to work on cost containment and control, they turned over management of their formularies to Pharmacy Benefit Managers (PBM's).  What is next for effectively establishing and managing PAC Preferred Provider Networks?

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Post-Acute Care Preferred Provider Networks

Posted on September 28, 2016 at 5:50 PM Comments comments (3479)

The development, implementation and management of Post-Acute Care Preferred Provider Networks is beginning to resemble contracting in the Pharmacy benefit world working for the Status of Preferred or Tier 2.  It was always the goal as a prior Managed Care Director to get our products covered in that coveted position of "preferred". 

Narrow networks or formularies are one way that Plan Providers can help to contain and control costs, maintain a level of quality to meet their r...

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Population Health Trends in 2015 - what do you see as important?

Posted on July 6, 2015 at 12:30 AM Comments comments (59)

Trends, trends and more trends.  Experts discussing which way things will go but this is what I know for sure, we are moving more and more to the model of Population Health Management.   That is the buzz word of today and what will it take for Healthcare Providers to win the war of Population Health Management?

CMS continues it's march on "Compare" websites, the next to be added is the Physician Compare in 2016.  We will see how the behaviors of physicians will impac...

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Are We All Mad or Just Seeking New Territory?

Posted on September 30, 2014 at 3:45 PM Comments comments (68)

"In that direction," the Cat said waving it's right paw round, "lives a Hatter: and in that direction waving the other paw, "lives a March Hare.  Visit either you like: their both mad."  (Wonderland 6.52)

"But I don't want to go among mad people" Alice remarked.

"Oh you can't help that," said the Cat:  "we're all mad here.  I'm mad, Your mad".

"How do you know I'm mad?" said Alice

"You must be," said the Cat, "or you woul...

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