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The Journal of Managed Care & Specialty Pharmacy is a monthly peer-reviewed medical journal covering all aspects of managed care pharmacy. It was established in 1995 and is published by the Academy of Managed Care Pharmacy. The editor-in-chief is Laura E. Happe. According to the Journal Citation Reports, the journal has a 2021 impact factor of 2.3.
Definition. A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or ...
The Department of Managed Health Care ( DMHC) is a regulatory body governing managed health care plans, including Health Maintenance Organizations (HMOs) and most Medi-Cal managed care plans in California. The DMHC was created as the first state department in the country solely dedicated to regulating managed health care plans and assisting ...
For example, some managed care organizations may require drug testing even if the state Medicaid agency doesn’t require it. State-by-state overview of treatment requirements and restrictions
Disease management has evolved from managed care, specialty capitation, and health service demand management, and refers to the processes and people concerned with improving or maintaining health in large populations. It is concerned with common chronic illnesses, and the reduction of future complications associated with those diseases.
Milliman Inc. Milliman, formerly Milliman & Robertson, is an international actuarial and consulting firm based in Seattle, Washington. The company was founded in 1947, by Wendell Milliman and Stuart A. Robertson and operates 59 offices internationally, with over 3,000 employees. [citation needed] Milliman is owned and managed by approximately ...
Provenzano is the former Chief Operating Officer (COO) of St. Clair Specialty Physicians (SCSP) in Detroit, MI . SCSP provides comprehensive inpatient and outpatient care for kidney patients and is nationally recognized as a leading nephrology practice. SCSP was founded in 1977 with the addition of Provenzano to the practice of Joseph M. Beals.
MinnesotaCare. MinnesotaCare is a health coverage program in the U.S. state of Minnesota for low-income individuals and families who do not have access to employee-sponsored health insurance and do not qualify for Medical Assistance (MA). [1] It is administered by the Minnesota Department of Human Services.