Pharmacy management approach: how do we align all the incentives?

Alternate financial incentives in multi-tiered formulary systems to improve accountability for outcomes.

BACKGROUND Drug manufacturer rebates paid to health plans and pharmacy benefit management companies have come under increased public scrutiny. Over the past several years, numerous articles have appeared in the literature encouraging a shift to a more quality-based decision-making process for health plan drug formularies. OBJECTIVE To propose a new basis for formulary placement decisions that...

How Do We Evaluate Health in All Policies?; Comment on “Developing a Framework for a Program Theory-Based Approach to Evaluating Policy Processes and Outcomes: Health in All Policies in South Australia”

It is well-established that population health is influenced by a multitude of factors, many of which lie outside the scope of the health sector. In the public health literature it is often assumed that intersectoral engagement with nonhealth sectors will be instrumental in addressing these social determinants of health. Due to the expected desirable outcomes in population health, several countr...

Possibility of FDA regulation of health information technology looms large: pharmacies and their vendors worry about quality.

The push for hospitals to implement health information technology (HIT) systems, driven in part by Medicare and Medicaid incentives (and penalties), has affected pharmacy systems. It will continue to do so, as the defi nition of “meaningful use” is expanded to incorporate more required tasks related to medications. Everyone who works in a hospital pharmacy will be affected by how the federal go...

Do Financial Incentives Increase Doctors’ Willingness to Publish Research? – A Pilot Study of 21 Junior Doctors

Paying for Performance in Healthcare Organisations

Aligning Financial Incentives (FIs) to health policy goals is becoming increasingly popular. In many cases, such initiatives have failed to deliver anticipated benefits. Attributing this to the actions of self-interested and resistant professionals is not an entirely helpful approach. It is important to avoid simplistic assumptions to build knowledge of how and why schemes are implemented in pr...