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Doctor insights on: Managed Care Pharmacy Definition

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What is the definition or description of: managed care?

What is the definition or description of: managed care?

Cost/Quality/Access: Managed care is a system of health care management that is intended to reduce inappropriate and/or unnecessary health care expenditures by aligning economic incentives for both practitioners and patients so that both understand their options and select care that provides optimal value. "value" is a relationship of perceived and objectively measured quality, cost-effectiveness and caring. ...Read more

Dr. Brad Goldenberg
30 Doctors shared insights

Managed Care (Definition)

Managed care is a system of health care management that is intended to reduce inappropriate and/or unnecessary health care expenditures by aligning economic incentives for both practitioners and patients so that both understand their options and select care that provides optimal value. "value" is a relationship of perceived and objectively measured ...Read more


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Please help me understand managed care?

Each vary: Managed care is a health care system that manages patient's health care to control costs. Usually they rely on the primary care physician as a gatekeeper to control access to other services. Each managed care system as different rules. ...Read more

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Is medicare considered a type of managed care?

Is medicare considered a type of managed care?

It can be.: It can be if you opt into an HMO, those plans are Medicare managed-care plans. Or, you have the option of just keeping the traditional Medicare plan which is not governed by managed-care. ...Read more

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What's the difference between managed care and medicare?

Restrictions.: Essentially when you "give up" your tradionalmedicare and opt into a manged care plan you are trading "restictions" for money. So, you may not have to worry about paying a deductible in a managed care plan but now you are restricted to the insurance netwwork panel of doctors. You may have to get referrals before being allowed to see certain doctors, and authorizations before procedures. ...Read more

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What is the difference between managed care and medicare at 70?

What is the difference between managed care and medicare at 70?

Freedom: Managed care is hmo so you are assigned a group of practitioner and your care is managed by your primary physician and you need authorization for most of your care. Medicare does not have that restriction ao you are free to go to any practitioner of your choice. ...Read more

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How can I learn all about a managed care plan before selecting?

Comparison: Ask for comparison chart of benefits and exclusions. Most important is knowing the practitioners who participate and the hospitals they are contracted with. ...Read more

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What does "managed care" mean?

See below: Managed care is hmo so you are assigned a group of practitioner and your care is managed by your primary physician and you need authorization for most of your care. It was created as a way to maintain cost and have coordinated managed care. ...Read more

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What's a managed care plan these days?

MANY: There are many managed care plans, in New York some examples are Emblem Health, Healthfirst, Amerigroup and Affinity Health Plan. ...Read more

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I need help understanding managed care?

Each vary: Managed care is a health care system that manages patient's health care to control costs. Usually they rely on the primary care physician as a gatekeeper to control access to other services. Each managed care system as different rules. ...Read more

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What's managed care and why was it invented?

Freedom: Managed care is hmo so you are assigned a group of practitioner and your care is managed by your primary physician and you need authorization for most of your care. It was created as a way to maintain cost and have coordinated managed care. ...Read more

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I need some help understanding managed care plans?

Comparison: Ask for comparison chart of benefits and exclusions. Most important is knowing the practitioners who participate and the hospitals they are contracted with. ...Read more

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Managed care clinics are so crowded. Where else can I go?

Managed care clinics are so crowded. Where else can I go?

Your doctor!: Go to your doctor, not a clinic. Only go to a clinic if you can't get into see your doctor for an acute problem. Or change your insurance. ...Read more

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Does managed care insurance cover health screenings and preventive care for expats?

Does managed care insurance cover health screenings and preventive care for expats?

Depends: Coverage of these services and the extent to which these services are covered are all dependent on the type of plan. Many plans do cover for those type of services. ...Read more

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Has managed care influenced or changed the way in which healthcare provider make medical decisons?

Has managed care influenced or changed the way in which healthcare provider make medical decisons?

Money: Managed care, puts a premium on the dollars spent and forces the doctor to use this in decision making as well as seeing more patients per time unit which limits the face time with patients and increases the possibility of error and misjudgment. Do you prefer medical decisions made by high paid stockholder dependent bureaucrats (the current system) or low paid taxpayer dependent bureaucrats? ...Read more

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Does anyone think managed care actually improved the way in which a healthcare provider make medical decison?

Managed care: Managed care assumes physicians are wasteful with health care resources, and need a watchdog. It's become a 3rd party between patients and their doctors, deciding what appropriate care should be -- or at least limiting payment for it. I've been on the phone with such companies for hours, on behalf of my patients. It's never helped me make better decisions, but has sure absorbed my time. ...Read more

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What is managed care and why was it invented if it packs so many patients into each doctor's schedule?

What is managed care and why was it invented if it packs so many patients into each doctor's schedule?

Health insurance: People want to save money. Insurance companies reimburse less every year. Cost of living goes up every year. Nurses and receptionists need to get paid. People deserve excellent care and so you have to see more to keep up. ...Read more

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How can pharmacy bill for pills never ordered or sent?

Good question: Sounds like somebody might have made an error. I would be sure to discuss this one with the pharmacy. ...Read more

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Why does every pharmacy logo have a snake symbol in it?

It's actually pretty: Odd that the the caduceus (rod with double snake) is used for healing as it has historically been used to represent "commerce, theft & death. The rod of asclepius (a greek god) was a single serpent-entwined rod. He was the deity associated w medicine/ healing. ...Read more

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What is the difference between a "regular" pharmacy and a compounding pharmacy?

What is the difference between a "regular" pharmacy and a compounding pharmacy?

The FDA defines: Pharmacy compounding as a practice in which a licensed pharmacist combines, mixes, or alters ingredients in response to a prescription to create a medication tailored to the medical needs of an individual patient. A regular pharmacy fills prescriptions from pre-compounded stock. ...Read more

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I'm merna 19years im study pharmacy my problem is im always forget and felling soo lazy?

I'm merna 19years im study pharmacy my problem is im always forget and felling soo lazy?

See your physician: If you're studying pharmacy, it's important to be able to learn all you need to learn. Problems with memory and "felling soo lazy" have a lot of possible causes -- from thyroid problems, to not getting enough sleep, to medications, drugs, or alcohol, and many other possibilities. Please see your physician for a good checkup, and go from there. Do make sure you're getting enough rest. ...Read more

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How do I change the state for the pharmacy Selection?

How do I change the state for the pharmacy Selection?

There are an ever. .: ...increasing #, a confusing array, and a profusion of different emr's (electronic medical records) and proprietary health care software -- so, without knowing what system you're using its impossible to help. Best call your Help or Support line tomorrow for the answer you seek on the system you're using. ...Read more

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Do pharmacies always have some naturopathic medicines?

Do pharmacies always have some naturopathic medicines?

Yes: Naturopaths claim any product that is not developed through standard fda approved therapeutics as in their domain. The profitability of these products is not lost on pharmacies and most carry some of them. They usually do not carry the exotic ones however. ...Read more

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Will pharmacies will begin carrying more add medicine?

Maybe: Pharmacies generally carry those medications that are used routinely in their particular area. If there is not a high demand, they may not stock. Additionally "more add" drugs will depend on the fda's approval of investigational drugs and the medical community's acceptance. ...Read more

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Can you tell me about neurology and pharmacy specialization?

Can you tell me about neurology and pharmacy specialization?

Exciting field: Neurology is a branch of medicine that helps patients with headache, sleep disorder, seizures, stroke, movement disorder, brain cancer, multiple sclerosis, dementia, and other conditions. Active research is underway on all fronts. Pharmacy focuses on the medications used to help treat patients. Https://www. Aamc. Org/cim/specialty/list/us/336846/neurology. Html, http://www. Pharmacist. Com/education ...Read more

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Could I get plan B at a Safeway? Do safeways have pharmacies?

Could I get plan B at a Safeway? Do safeways have pharmacies?

Yes.: Safeways do have pharmacies. You can locate one near you and call to see if they have plan B in stock. ...Read more

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Might it be possible that a guy purchase Plan B at the pharmacy?

Plan B: Our pharmacists indicated that they would normally only provide to a male who was the parent, guardian, spouse or miltiary sponsor for the female who was going to use it. ...Read more

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Should you be able to utilize a licensed online pharmacy where the costs are lower?

Should you be able to utilize a licensed online pharmacy where the costs are lower?

Depends: Things on line are frequently unchecked and there is no independent monitoring authority. So the statement 'licensed' may have no meaning. There is also no guarantee of the quality or potency of the drugs sold, particularly from sites out of the usa. So you are taking a chance with such sites. Of course, you might get lucky and save money but it is like a casino. ...Read more

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Does anyone know of any online pharmacies where you can buy phenobarbital without a script?

Does anyone know of any online pharmacies where you can buy phenobarbital without a script?

ILLEGAL & DANGEROUS!: Because Phenobarbital can be harmful or even deadly if misused & not properly monitored, it cannot be sold or dispensed in the us without a prescription. If you buy it online without a prescription, you not only risk getting in trouble with the law, but you can't really be sure what is actually in the pills that you get - in many cases, may be wrong med, wrong dose or even actual poisons! ...Read more