Mari Edlin
Mari Edlin is a frequent contributor to Managed Healthcare Executive. She is based in Sonoma, California.
Oncology ACOs offer innovation for high-cost populations
Florida Blue creates single-specialty ACOs
IOM core competencies focus on collaborative care
As health systems become more integrated, health plan pharmacy directors are finding themselves in a more collaborative role, taking on new responsibilities that break them out of the mold of the traditional pharmacist
Exchange formularies need flexibility beyond PPACA
Pharmacy leaders say benchmark plans too limited and PPACA too prescriptive

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State of the Industry: ACO models
Physician-led models seem to have an advantage
State of the Industry: Future of ACOs
Shared Savings model will have to mature and refine to adapt to industry changes
State of the Industry: Specialty Pharmacy
New cost control ideas will be needed in the future

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State of the Industry: ACO Formulary
Anticipate larger ACOs eventually opting for formularies
PBM Catamaran increases market presence
Catamaran is buying lives and contracts in its race to grow larger, fill in niche gaps, and increase revenue
Predict drug adherence or pay more in future costs
Pharmacists are an underutilized resource in the effort to keep members adherent
HHS invests $150 million in enrollment
Literacy, language barriers, confusion call for combined efforts to raise awareness

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