Managed Care Best Practices in Oncology Management

Roles of advanced practice nurses in oncology.

Managed care is a process of health-care management that integrates financing, cost-containment strategies, and business principles with the delivery of health care. Managed care's rapid transformation of specialty practices, such as oncology, is redirecting classic nursing functions toward market initiatives that value the design of care/case management systems and the implementation of multid...

Best practices in specialty pharmacy management.

BACKGROUND Specialty pharmacy is a growing area of research, utilization, and cost. Because of the unique nature of the diseases treated by specialty pharmaceuticals, such as cancer and rheumatoid arthritis, novel management approaches are needed. Advocate Physician Partners (APP) is an entity within the Advocate Health Care Health System in the Chicago and the central Illinois area. It coordin...

Insurance-related and financial challenges reported by managed care enrollees with breast cancer.

Cancer survivors in the United States often encounter significant challenges in obtaining and paying for medical care. Multiple research studies have examined these issues in Medicare and Medicaid populations and the underinsured, but very little is known about insurance-related challenges encountered by cancer survivors enrolled in private insurance programs such as managed care. This secondar...

Managed Care Best Practices In the Treatment and Management of Asthma

Implementing effective care management in the patient-centered medical home.

BACKGROUND There is growing evidence that practice-based care management can improve clinical quality and reduce costly healthcare utilization. OBJECTIVES To explore how a disparate group of patient-centered medical homes (PCMHs) embedded care management in their team care environment to identify best practices. STUDY DESIGN A positive deviance approach was used to contrast care management ...