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Medicaid managed care organizations

Finally, economic realities enter the picture. Pharmacists who are providing cognitive services or specialized care need to be reimbursed for the services they provide. Payers rightfully demand validation that pharmacists are qualified to provide such services. Credentials, and in many cases, more specifically, certification, can help provide the documentation that Medicare and Medicaid, managed care organizations, and other third-party payers require of pharmacists today and in the future. [Pg.224]

PBMs are also characterized by a series of relationships among many stakeholders payers, providers, consumers, and pharmaceutical companies. Payers include employers, employer coalitions, insurers, managed care organizations, Medicare, and Medicaid. Typically, they pay the net prescription cost and a per claim or transaction fee to the PBM for claim processing. Money and information flow back to the payers in the form of rebates and a variety of utilization reports. [Pg.328]


See other pages where Medicaid managed care organizations is mentioned: [Pg.281]    [Pg.75]    [Pg.281]    [Pg.75]    [Pg.156]    [Pg.157]    [Pg.655]    [Pg.353]    [Pg.309]    [Pg.440]    [Pg.1977]    [Pg.225]    [Pg.358]    [Pg.389]    [Pg.741]    [Pg.118]    [Pg.120]    [Pg.297]    [Pg.514]    [Pg.131]    [Pg.69]    [Pg.184]    [Pg.78]    [Pg.82]    [Pg.726]    [Pg.306]    [Pg.413]    [Pg.509]    [Pg.281]    [Pg.1990]    [Pg.229]    [Pg.402]    [Pg.501]    [Pg.546]    [Pg.160]   
See also in sourсe #XX -- [ Pg.75 , Pg.78 ]




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Managed care

Managed care organizations

Medicaid

Organization Management

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