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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

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

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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