What is Managed Care?

Health care practitioners in managed care pharmacy design and implement drug benefits for the more than 200 million Americans covered by health insurance. Drug benefits ensure broad access to needed medications and include programs and incentives that improve patient health while keeping costs under control. Managed care pharmacy helps to ensure that those drug benefits are delivered in a safe and cost-effective manner and that patients receive the most appropriate medications.   

 

Managed care pharmacy professionals — including pharmacists, physicians and nurses — perform many functions. Among other things, they:     

• Monitor the safety and effectiveness of new drugs on the market    

• Alert patients to potentially dangerous drug interactions    

• Use medication therapy management practices to ensure patients receive the most appropriate therapies    

• Develop and implement programs to improve medication adherence    

• Ensure “medical-necessity” guidelines for the pharmacy benefits are consistent with evidence-based medicine and that exceptions are based on sound medical judgment    

• Provide ongoing patient education and care coordination of medication therapy  

• Use various evidence-based tools and incentives to keep the costs of prescription drugs under control.   

 

All of these practices, and more, aim to ensure that all patients have access to the pharmaceuticals they need and that the medications they take are improving their lives.  AMCP knows that our members have many stories illustrating the positive impact of managed care pharmacy on both communities and individuals.   

from AMCP website

 

Vision Statement

AMCP’s vision is managed care pharmacy improving health care for all.

 

 

Mission Statement

AMCP’s mission is to empower its members to serve society by using sound medication management principles and strategies to improve health care for all.

 

Managed care pharmacy principles are based upon the use of scientific evidence to achieve healthy outcomes while making the best use of money spent on medications and their management.

 

Core Values

In anticipating and serving the needs of our members in the provision of high quality health care, AMCP embraces the following core values:

• Credibility

• Transparency

• Collaboration

• Innovation

 

Managed Care Organizations