Health Plans in Michigan Get Creative with Their Pharmacy Benefits Management

NASHVILLE, Tenn.--(BUSINESS WIRE)--

HealthLeaders-InterStudy, a leading provider of managed care market intelligence, reports that Michigan health plans are coming up with creative ways to manage their pharmacy benefits. Priority Health has formed an oncology patient centered medical home that will test a new payment reform system for chemotherapy drugs, according to the Michigan Health Plan Analysis.

Another example of creative pharmacy benefit management is Health Alliance Plan’s Hospital Readmission Avoidance program launched in January 2012. Under this plan clinical pharmacists will be integral in preventing hospital readmissions for the plan’s most chronically ill Medicare members, according to the report.

“With clinical guidelines being encouraged by health plans, the pharmaceutical industry will see opportunities to advocate for their drugs to be used in treatment plans,” says Betsy Dooley, market analyst with HealthLeaders-InterStudy.

The Michigan Health Plan Analysis also answers the following key questions:

What new plan design yielded high enrollment for BC/BS of Michigan in 2011? What factors contributed to regional and national health plans gaining enrollment between 2010 and 2011? What lawsuit could potentially alter competition within Michigan's health insurance industry?

Why Pharmaceutical Company Managed Markets Teams Need Health Plan Analysis

Health Plan Analysis identifies key health plan trends, allowing pharmaceutical companies to create comprehensive strategic plans and sales strategies at state and local levels. Updated quarterly, Health Plan Analysis provides a detailed look at plan design and financials, as well as information about mergers, legislation and other influencers driving healthcare in a particular region.

About HealthLeaders-InterStudy

HealthLeaders-InterStudy, a Decision Resources, Inc. company, is the authoritative source for managed care data, analysis and news. For more information, please visit http://www.HL-ISY.com.

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Health Plans in Michigan Get Creative with Their Pharmacy Benefits Management