Managing Heterogeneity in Prescription Drug Coverage Policies

Necessity and fairness require that health plans limit the products and services they cover. The basis for these decisions refers to population averages and related population parameters. However, individuals vary and may not be accurately represented by the parameters used to establish coverage pol...

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Detalles Bibliográficos
Autor principal: Teagarden, J. Russell
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academy of Managed Care Pharmacy 2014
Materias:
Commentary
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438339/
https://www.ncbi.nlm.nih.gov/pubmed/24856594
http://dx.doi.org/10.18553/jmcp.2014.20.6.564
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author Teagarden, J. Russell
author_facet Teagarden, J. Russell
author_sort Teagarden, J. Russell
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description Necessity and fairness require that health plans limit the products and services they cover. The basis for these decisions refers to population averages and related population parameters. However, individuals vary and may not be accurately represented by the parameters used to establish coverage policies. Health plans, therefore, are obligated to anticipate and manage heterogeneity among their member groups. This commentary offers considerations for managing heterogeneity in prescription drug benefits.
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spelling pubmed-104383392023-08-21 Managing Heterogeneity in Prescription Drug Coverage Policies Teagarden, J. Russell J Manag Care Pharm Commentary Necessity and fairness require that health plans limit the products and services they cover. The basis for these decisions refers to population averages and related population parameters. However, individuals vary and may not be accurately represented by the parameters used to establish coverage policies. Health plans, therefore, are obligated to anticipate and manage heterogeneity among their member groups. This commentary offers considerations for managing heterogeneity in prescription drug benefits. Academy of Managed Care Pharmacy 2014-06 /pmc/articles/PMC10438339/ /pubmed/24856594 http://dx.doi.org/10.18553/jmcp.2014.20.6.564 Text en Copyright © 2014, Academy of Managed Care Pharmacy. All rights reserved. https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Commentary
Teagarden, J. Russell
Managing Heterogeneity in Prescription Drug Coverage Policies
title Managing Heterogeneity in Prescription Drug Coverage Policies
title_full Managing Heterogeneity in Prescription Drug Coverage Policies
title_fullStr Managing Heterogeneity in Prescription Drug Coverage Policies
title_full_unstemmed Managing Heterogeneity in Prescription Drug Coverage Policies
title_short Managing Heterogeneity in Prescription Drug Coverage Policies
title_sort managing heterogeneity in prescription drug coverage policies
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438339/
https://www.ncbi.nlm.nih.gov/pubmed/24856594
http://dx.doi.org/10.18553/jmcp.2014.20.6.564
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