July 9, 2001
PATIENTS WOULD USE
E-MAIL TO COMMUNICATE WITH PHYSICIANS
Communications in Family Practice -- What Do Patients Expect?"
The Journal of Family Practice, May 2001
REPORTED INTEREST AMONG PATIENTS WITH E-MAIL ACCESS
Communication with MD...... 89.9%
Request prescription refills... 86.7
Consult a nurse. ................. 83.6
Obtain lab/test reports......... 81.2
Make/cancel appointments.. 77.6
Regardless of sex or race, patients
have high expectations that these tasks can be completed within a
relatively short time.
TREND STUDIES FROM EXPRESS SCRIPTS
"2000 Drug Trend Report"
Express Scripts, June 2000
A 150-page report examining
pharmaceutical utilization and spending trends.
THE BOTTOM LINE: Per member per year
(PMPY) Average Wholesale Price (AWP) ingredient costs rose by 16.2%
in 2000. This marks the first time since Express Scripts began
monitoring drug cost trends in 1993 that the annual rate of PMPY
drug cost increase slowed from the previous year. Over the next five
years, it is projected that PMPY drug costs will increase by 81%.
"Atlas of Prescription Drug
Utilization for the United States"
June 19, 2001
The authors found substantial
variation in the number of prescriptions per member per year across
the states for adults even after adjusting for differences in age
and gender. For example, for medications used to treat ADHD, "we
observed a 3.3 fold variation in the annual prevalence of use across
states". (Note: Similar analyses for other health care services are
available in the Dartmouth
Atlas of Health Care.
To see both studies
TECHNOLOGIES GAIN TRACTION
Solutions Can Improve Patient Monitoring"
ACP-ASIM Observer, July 2001
Trends in Medical Device Technology: Home Is Where the Heart Monitor
FDA Consumer Magazine, May-June 2001
Technology Is Coming Home (And How!)"
FDA Consumer Magazine, May-June 2001
Highmark Wisely Offers Wireless Wellness
Forrester Research, June 2001
CorSolutions Chooses Life Navigator for Remote Biometric
Monitoring Applications (click here
for second article).
PREFER AUTOMATED BLOOD GLUCOSE MONITORING -- BUT, CAN IT MAKE A
of an Automated Device for Alternative Site Blood Glucose Monitoring"
Diabetes Care, July 2001
CONCLUSIONS: The automated device is easy to use and provides
accurate glucose results; 97% of the patients found it less painful
than finger-stick testing.
of Blood Glucose Monitoring in Relation to Glycemic Control in
Patients With Type 2 Diabetes"
Diabetes Care, June 2001
CONCLUSIONS: Within diabetes therapy categories, the frequency of
self-monitoring was not related to glycemic control, as measured by
DEBATE -- DOES CONTINUITY OF CARE MATTER?
Western Journal of Medicine, July
Contact With A Physician Improves Outcomes"
Dimitri A. Christakis, MD
Discontinuity Can Improve Patient Care"
Robert M Wachter, MD
FORTUNE 500 HEALTH
CARE PURCHASING EXAMINED
Health Care Purchasing Among The Fortune 500"
National Health Care Purchasing Institute, May 2001
Study highlights include:
Most companies are now engaging in
aggressive negotiations with health carriers and competitive bidding
practices (60% of firms re-bid all or almost all of their business
in the past five years).
Employers are now concerned that
gains from the migration to managed care have been exhausted. Three
factors were found to be associated with lower premiums:
1) Larger number of employees
2) Greater HMO/POS enrollment
3) Reliance on a regional purchasing
LATEST HMO REPORT
CARDS HIT THE NEWSSTAND
to California Medicare HMOs: All Medicare HMOs Are NOT Alike"
California Healthcare Foundation and Consumer Reports, Summer 2001
Quality of Pennsylvania's Commercial HMOs"
Pennsylvania Health Care Cost Containment Council, June 2001
State HMO Report Card"
New York State Health Accountability Foundation, Summer 2001
Disclosure -- Life Navigator is a
client of Better Health Technologies.
Management News is an e-newsletter that tracks a major
change in health care and managed care—the paradigm shift from
“managing cost” to “managing care”. This e-newsletter is
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BHT provides consulting and business development services relating
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