Managed Care ResourcesManaged care is a complex and dynamic environment for any supplier. You can turn to RADical Group for the strategic solutions, market research, health economics modeling and other resources you need to grow and strengthen your brand. Here are some additional Web-based resources to help you overcome the challenges posed by managed care. Centers for Medicare & Medicaid Services (CMS), a Department of Health and Human Services agency, administers the Medicare and Medicaid programs. CMS website provides a comprehensive guide to current drug plan options; Part D enrollment data; health plan reports, files & data; state Medicaid coding, enrollment & coverage information; reimbursement billing codes, access to formularies and more. www.cms.gov The Academy of Managed Care Pharmacy (AMCP) represents the views and interests of managed care pharmacy. AMCP provides guidelines for formulary drug placement, used by managed care organizations when considering drugs for inclusion in formularies. www.amcp.org The Pharmaceutical Research and Manufacturers of America (PhRMA) represents leading U.S. pharmaceutical research and biotechnology companies. Maintains databases of recently approved medicines and medicines in clinical trials or at FDA for review. Also surveys companies to see what drugs are in the pipeline for specific disease and special populations. www.phrma.org The United States Pharmacopeia (USP) is the official public standards-setting authority for all U.S.-made prescription and over-the-counter medicines. USP standards are recognized and used in more than 130 countries. Works with healthcare providers to help them reach USP standards. www.usp.org The National Association of Managed Care Physicians (NAMCP) provides information on and access to accredited continuing medical education programs and research for practicing physicians to help them succeed in managed care environments. www.namcp.com America’s Health Insurance Plans (AHIP) represents about 1,300 companies providing health insurance coverage in the U.S. Provides trend information and data on health care costs, public health & prevention, chronic diseases, quality and patient safety, and health and medicine surveys. www.ahip.org The American Association of Preferred Provider Organizations (AAPPO) represents U.S. PPOs and affiliate organizations. Offers an Annual Market & Industry Trend Report, plus online access to PPO market & trend reports and state legislative & compliance portals. www.aappo.org The American Medical Directors Association (AMDA) provides education, advocacy, information, and other resources for medical directors and physicians practicing in the long term care continuum. www.amda.com |