Off-site real-time review of remote ambulatory care obstetric and gynecologic ultrasound examinations: Implications to radiologists for managed care contract negotiations

1996 ◽  
Vol 3 (6) ◽  
pp. 281-284
Author(s):  
Ben H. Harmon ◽  
Dean D. T. Maglinte
Keyword(s):  
Managed Care ◽  
Ambulatory Care ◽  
Real Time ◽  
Contract Negotiations

scholarly journals Evaluating Real-Time Syndromic Surveillance Signals from Ambulatory Care Data in Four States

2010 ◽  
Vol 125 (1) ◽  
pp. 111-120 ◽  
Author(s):  
W. Katherine Yih ◽  
Swati Deshpande ◽  
Candace Fuller ◽  
Dawn Heisey-Grove ◽  
John Hsu ◽  
...  
Keyword(s):  
Ambulatory Care ◽  
Real Time ◽  
Syndromic Surveillance

Real-time video/voice technology for direct review of remote ambulatory care ultrasound examinations: Clinical feasibility

1996 ◽  
Vol 3 (6) ◽  
pp. 278-280 ◽  
Author(s):  
Ben H. Harmon ◽  
Linda J. Williams ◽  
Thomas N. Vahey ◽  
Dean D. T. Maglinte
Keyword(s):  
Ambulatory Care ◽  
Real Time ◽  
Voice Technology

scholarly journals A proposal for managed care payment options for patients with chronic conditions

1996 ◽  
Vol 19 (1) ◽  
pp. 27 ◽  
Author(s):  
Terri Jackson
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Ambulatory Care ◽  
Patient Group ◽  
Chronic Conditions ◽  
Patient Autonomy ◽  
Payment System ◽  
Patterns Of Care ◽  
Episode Of Care ◽  
Health Care Efficiency

This paper proposes an episode of care payment system for patients with chronicillnesses, extending earlier published work on this model of ambulatory care (Duckett& Jackson 1993). The payment system relies on annual voluntary enrolment andsome marginal broadening of Medicare coverage in exchange for patients? willingnessto participate in an ambulatory managed care arrangement. In the context ofAustralian health ministers? enthusiasm for managed care, the proposal embodiesan intermediate policy approach which supports greater health care efficiency whileminimising the prospect for reductions in patient autonomy or serious distortionsin patterns of care. The policy is not designed to be applied population-wide, butto address the issues involved with a resource-intensive patient group, those requiringongoing management of chronic conditions.

2008 oncology trends: Views from payors, specialty pharmacy, and oncology providers

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20750-e20750
Author(s):  
D. G. Holcombe
Keyword(s):  
Managed Care ◽  
Disease Management ◽  
Selling Price ◽  
Public And Private ◽  
Contract Negotiations ◽  
Pharmaceutical Management ◽  
Physician Staffing ◽  
Challenges And Opportunities ◽  
Specialty Pharmacy ◽  
Oncology Practice

e20750 Background: Kikaku International Research was engaged by Genentech USA to conduct survey research among four key stakeholder groups involved in the financing, management and delivery of cancer care and drugs. Methods: Surveys were distributed and collected from January to June 2008. Survey questions addressed issues on volume of services, utilization of specialty pharmacy, management methodologies and degrees of involvement, volume and staffing levels in oncology practice, oncology physician staffing and retirement, payor evaluations, cost and impact of public and private payor reimbursement policies, Average Selling Price (ASP) and Medicare Modernization Act (MMA) issues and use of guidelines/pathways. Results: Managed Care Organizations: Ninety (90) managed care professionals responded. Key findings addressed: anticipated shifts in cancer spending from the medical benefit to the pharmaceutical benefit, adoption of ASP-based reimbursement and revaluation of professional fees. Specialty Pharmacy Providers: Forty-two (42) specialty pharmacy professionals responded. Key findings: total revenues and volume from cancer drugs and supportive care, distribution of drugs to patients and physician offices, Injectable drugs and oral drugs precription volume, patient education and disease management. Oncologists - Surveys were returned by 139 oncologists. Key findings: workloads and patient loads, income declines, drug margins declines, buy and bill volume. Oncology Practice Managers: Sixty (60) oncology practice managers responded to surveys about practice management, billing and reimbursement. Key findings: payer coverage and reimbursement policies, ASP rates, health plan contracts, negotiation of fee schedules. Conclusions: The conclusions of each section of the survey, when combined in aggregate, paint a picture of a very complex topic with wide variation in both approach and recommendations for how each segment addresses the specialty. Disconnects, challenges and opportunities observed in evaluating the responses include perspectives on ASP, Medical vs pharmaceutical benefit, contract negotiations, disease management, pharmaceutical management. [Table: see text]

scholarly journals The usefulness of an ambulatory care pharmacy performance dashboard during the COVID-19 pandemic in a complex tertiary care system

2021 ◽  
Vol 78 (9) ◽  
pp. 813-817
Author(s):  
Abdulrazaq S Al-Jazairi ◽  
Bashar K Horanieh ◽  
Osama A Alswailem
Keyword(s):  
Ambulatory Care ◽  
Real Time ◽  
Performance Indicators ◽  
Clinical Information System ◽  
Tertiary Care ◽  
Clinical Information ◽  
Reliable Data ◽  
Timely Manner ◽  
Workload Management ◽  
Aggregated Data

Abstract Purpose To describe the usefulness of an innovative “semi–real-time” pharmacy dashboard in managing workload during the unpredictable coronavirus disease 2019 (COVID-19) pandemic. Summary We created a pharmacy dashboard to monitor workload and key performance indicators during the dynamic COVID-19 crisis. The dashboard accessed the prescribing workload from our clinical information system and filled prescriptions from robotic prescription dispensing systems. The aggregated data was visualized using modern tools. The dashboard presents performance data in near real time and is updated every 15 minutes. After validation during the early weeks of the COVID-19 crisis, the dashboard provided reliable data and served as a great decision support aid in calculating the backlog of prescribed but unfilled prescriptions. It also aided in adjusting manpower, identifying prescribing and dispensing patterns, identifying trends, and diverting staff resources to appropriate locations. The dashboard has been useful in clearing the backlog in a timely manner, staff planning, and predicting the next coming surge so that we can proactively minimize accumulation of backlogged prescriptions. Conclusion Developing a dynamic, semi–real-time pharmacy dashboard during unstable circumstances such as those that have arisen during the COVID-19 pandemic can be very useful in ambulatory care pharmacy workload management.

Managed care organization authorization denials: Lack of patient knowledge and timely alternative ambulatory care

2000 ◽  
Vol 35 (3) ◽  
pp. 272-276 ◽  
Author(s):  
Kimberly M. Viner ◽  
Michael Bellino ◽  
Thomas D. Kirsch ◽  
Paul Kivela ◽  
Julio C. Silva
Keyword(s):  
Managed Care ◽  
Ambulatory Care ◽  
Patient Knowledge ◽  
Care Organization ◽  
Managed Care Organization
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