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Managed Care Organizations

Pharmaceutical and Biotechnology Companies

 

Programs for Managed Care Organizations

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Medical Outcomes Management, Inc. has a solid understanding of pharmaceutical industry, the medical field, and third party payors. Its professional and consulting experience partners the managed care organizations with employers, clinicians, wholesalers, and manufacturers. Value added services to accomplish this include:

  • Developing formulary management and generic drug policies
      Implementing concurrent drug use review
      Implementing concurrent drug screening procedures
      Performing retrospective drug use review
  • Developing disease management programs based on clinical practice guidelines and measurements of patient outcomes
  • Evaluating patient outcomes by integrating data on drug therapy with medical claims data or medical record abstraction
  • Developing and implementing educational intervention programs for healthcare professionals (academic detailing activities to encourage changes in prescribing habits)
  • Evaluating drug information services and resources (appropriate resources and guidance for providing accurate and timely drug information for patient counseling and information for healthcare providers)
  • Designing programs for enhancing patient compliance
  • Establishing computerized systems for pharmacy .
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