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Due to the multiple components of health care management—claims (data processing), treatment, diagnoses, drug administration, etc. — it requires sophisticated technology and coverage to be effective. As seen by the various sections included in delivering health care, it is necessary to have an integrated system that allows a seamless flow of information to prevent lag time and consequential complications because of the lack a standardized system. If the a doctor uses a paper claims system (with a much longer lag time), but the pharmacy dispensing medication uses an electronic claims system (with a much shorter processing period), then complications are bound to rise especially if the doctor discovered crucial information on the diagnosis of the patient that affected the type(s) of medication the patient needed for treatment. ==Pharmacy Benefit Management== In order to clear any inconsistencies, it is also essential to understand the terms “pharmacy benefit management” versus “oncology benefit management”. Pharmacy benefit management PBM companies “…use sophisticated electronic systems to manage retail and mail-order drugs covered under the pharmacy benefit”.〔“Innovations in Healthcare Technology: Managing Medical Pharmacy.” NovoLogix. October 2008. Minnesota. 19 January 2010 One of the nation’s largest pharmacy benefit managers, Express Scripts, identifies the core duties of a pharmacy benefit manager as: * Finding the most effective mixture of brand-name and generic drugs to deliver the same quality of care/treatment at a more affordable price〔http://www.express-scripts.com〕 * An integrated technological platform that allows the prompt and correct delivery of drugs〔 In short, a Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs (or benefits).〔http://healthinsurance.about.com/od/faqs/f/PBM.htm〕 抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)』 ■ウィキペディアで「Oncology benefit management」の詳細全文を読む スポンサード リンク
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