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Mari Edlin Mari Edlin is a frequent contributor to Managed Healthcare Executive. She is based in Sonoma, California.
Multidrug therapy for Hepatitis C can reduce treatment timelines

Interferon-free solutions expected soon.

Advocate safe use of pain drugs

Plans can help reduce prescription drug abuse by advocating appropriate use.

Payers consider audit process for specialty

Despite front-end scrutiny, payers seek audit process to improve high-cost specialty pharmacies.

Part D private market continues to be an industry hot spot

Part D program exceeds industry expectations

Clinical pathways guide treatment but don't dictate regimens

Oncology pathways can lead to quality programs and more cost-effective care for cancer patients.

Drug price guarantees another arrow in the quiver

Are drug-price guarantees here to stay?

Electronic prior auth offers real time response

Prior authorization doesn't have to rely on paper forms and telephone requests.

Managed care saves budgets in prison facilities

California has adopted some managed care principles, hoping to achieve accessible, cost-effective care.

Plans scramble to optimize shifting generic drug costs

This year might be remembered for its generic pipeline, with as many as 37 drugs coming off patent.

Orphan drugs target smaller populations with rare conditions

FDA-approved orphan drugs prompt plans to identify members.


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