 
Click Title for complete article or
click Summary for overview of each
article.
Jenny
Trout Centre using new mammography
machine
From
Stratford Gazette - Aug
28, 2008
The
Ultrasound and Mammography Associates of Stratford
at the Jenny Trout Centre have a new LORAD M-IV
mammography machine and are trying to encourage
women over 50 years of age to get
mammograms.
[ Summary
]
Carolinas
HealthCare System Gets 'Personal' with Virtual
Contact Center from Nortel
From Hugin - Aug 27, 2008
Healthcare Solution Connects Patient
Calls with People, Not Recordings CHARLOTTE, NORTH
CAROLINA-- - The third largest public healthcare
system in the United States doesn't let size stand
in the way of personalized care.
[ Summary
]
Clarion
Hospital selects HMS to provide IT
infrastructure
From Datamonitor TechnologyWire -
Aug 27,
2008
Healthcare
Management Systems, a provider of healthcare
technology, has announced that Clarion Hospital
has selected the company to supply an integrated
hospital information system.
[ Summary
]
Prime
Therapeutics Connects Physicians to Mail Order
Pharmacy Through SureScripts-RxHub
Network
From
PharmaLive News Archive - Aug 26, 2008
ST. PAUL, Minn., August 27, 2008
/PRNewswire/ -- Prime Therapeutics, a thought
leader in pharmacy benefit management, announced
today that it has completed certification with
SureScripts-RxHub.
[ Summary
]
| FDA: New Treatments and
Technology |
| Click Title for complete article or
click Summary for overview of each
article.
Amgen
wins FDA approval for blood platelet
drug
From
Datamonitor Pharmaceutical and HealthWire -
Aug 25,
2008
Amgen has
announced that the FDA has approved Nplate, the
first and only platelet producer for the treatment
of thrombocytopenia in splenectomized and
non-splenectomized adults with chronic immune
thrombocytopenic purpura.
[ Summary
]
FDA
Grants IND for Pro-Pharmaceuticals' Davanat to
Treat Breast Cancer Patient
From PharmaLive News Archive -
Aug 27,
2008
NEWTON,
Mass.--(BUSINESS WIRE)--Aug 28, 2008 -
Pro-Pharmaceuticals, Inc., today announced that
the FDA has granted an IND application for use of
Davanat in combination with 5-FU to treat a breast
cancer patient at the Brown Cancer Center in
Louisville, Kentucky.
[ Summary
]
Novartis's
gastrointestinal tumor drug granted FDA priority
review
From
Datamonitor Pharmaceutical and HealthWire -
Aug 28,
2008
Novartis has
announced that Glivec has been granted priority
review status by the FDA as the first therapy to
be reviewed for use after surgery in kit-positive
gastrointestinal stromal tumors.
[ Summary
]
LILLY
(ELI) & COMPANY - Amylin & LLY Provide
Context for FDA Alert for
Byetta
From
PR Newswire Europe (inc. UK Disclose) -
Aug 27,
2008
Media
contacts: Amylin - Alice Izzo 642-7272 office
232-9072 cell Lilly - Kindra Strupp 277-5170
office 554-9577 cell Amylin Pharmaceuticals and
Eli Lilly Provide Context for FDA Alert for BYETTA
SAN DIEGO, CA and INDIANAPOLIS, IN - August 26,
2008 - Amylin Pharmaceuticals,
Inc.
[ Summary
]
J&J
Gets FDA Request For More Information On
Experimental Schizophrenia
Drug
From
InvesTrend - Aug 27,
2008
August 27,
2008 Johnson & Johnson said that the Food and
Drug Administration has requested additional
information on the company's schizophrenia drug
candidate before considering it for approval.
Johnson & Johnson said that it is reviewing
the FDA's request on paliperidone palmitate and
...
[ Summary
]
Click Title for complete article or
click Summary for overview of each
article.
Medicaid
drug pricing earns rebuke
From Fairfield County Business
Journal - Aug 27,
2008
For a second
time, the U.S. Department of Health and Human
Services has rapped the knuckles of the
Connecticut Department of Social Services over a
Medicaid drug-rebate system.
[ Summary
]
Pharmacists
and doctors owed $2.2M for indigent
health
From
Valley Morning Star (Harlingen, TX) (KRT) -
Aug 26,
2008
Aug.
26--Cameron County is prohibited from paying about
$2.2 million it owes doctors and pharmacists who
saw patients as part of the county's indigent
health care program, according to a recent opinion
from the Texas attorney general.
[ Summary
]
SOME
PLAN SPONSORS HAVE NOT COMPLETELY IMPLEMENTED
FRAUD AND ABUSE PROGRAMS, AND CMS OVERSIGHT HAS
BEEN LIMITED - Part 1
From GAO Report - Aug 26, 2008
xfdga MEDICARE-PART-D sked GAO
REPORT July 21, 2008 GAO REPORT GAO-08-760
MEDICARE PART D SOME PLAN SPONSORS HAVE NOT
COMPLETELY IMPLEMENTED FRAUD AND ABUSE PROGRAMS,
AND CMS OVERSIGHT HAS BEEN LIMITED - Part 1 CQ
Transcriptions, LLC 1255 22nd Street N.W.
Washington, D.C.
[
Summary
]
| Genetics & Genomics
Research |
| Click Title for complete article or
click Summary for overview of each
article.
Applied
Biosystems expands RNA analysis solutions
portfolio
From Datamonitor Pharmaceutical
and HealthWire - Aug
27, 2008
Applied
Biosystems has developed a sequencing-based
molecular tool for the genomic analysis of whole
transcriptomes, the vast collection of RNAs
transcribed from a genome.
[ Summary
]
Multiplex
Gene Expression HD2 12x135K Microarrays Now
Available from Roche NimbleGen
From PharmaLive News Archive -
Aug 26,
2008
MADISON,
Wis.--(BUSINESS WIRE)--Aug 27, 2008 - Roche
NimbleGen has launched the NimbleGen Gene
Expression 12x135K Microarray, a new multiplex
gene expression array on their recently introduced
HD2 platform.
[ Summary
]
Human
Genome Sciences Completes Enrollment in Second
Phase 3 LymphoStat-B Trial
From PharmaLive News Archive -
Aug 26,
2008
ROCKVILLE,
Md., August 27, 2008 /PRNewswire-FirstCall/ --
Human Genome Sciences, Inc. today announced it has
completed enrollment and initial dosing in
BLISS-76, the second of two pivotal Phase 3
randomized clinical trials of LymphoStat-B
(belimumab) in patients with active systemic lupus
erythematosus (SLE).
[ Summary
]
FTC
looks into ads for genetics
tests
From
Medical Marketing & Media - Aug 26, 2008
THE FEDERAL Trade Commission has
opened an investigation into the possible
deceptive advertising and marketing of DTC genetic
tests, according to The New York Times, which
cited an FTC official speaking at a June 12
meeting convened by Sen.
[ Summary
]
Gene
That Causes Childhood Cancer Neuroblastoma is
Found
From
PharmaLive News Archive - Aug 24, 2008
PHILADELPHIA, August 25,
2008/PRNewswire-USNewswire/ -- Scientists have
discovered gene mutations that are the main cause
of the inherited version of the childhood cancer
neuroblastoma.
[
Summary
]
Click Title for complete article or
click Summary for overview of each
article.
FDA
Grants IND for Pro-Pharmaceuticals' Davanat to
Treat Breast Cancer Patient
From PharmaLive News Archive -
Aug 27,
2008
NEWTON,
Mass.--(BUSINESS WIRE)--Aug 28, 2008 -
Pro-Pharmaceuticals, Inc., today announced that
the FDA has granted an IND application for use of
Davanat in combination with 5-FU to treat a breast
cancer patient at the Brown Cancer Center in
Louisville, Kentucky.
[ Summary
]
Experimental
Therapy May Lead to Macular Degeneration, an
International Team of Researchers
Caution
From
Ascribe - Aug 28,
2008
BALTIMORE --
Having discovered a genetic trigger for
age-related macular degeneration, the leading
cause of vision loss in people over 50,
researchers report that an experimental
state-of-the-art therapy for treating eye disease
could adversely affect the vision of some patients
with the "wrong" genetic makeup.
[ Summary
]
Cell
Genesys Falls 70% as Patient Deaths Derail GVAX
Phase III
From BioWorld Today -
Aug 27,
2008
Second Phase
III Ongoing In yet another setback for cancer
vaccines, Cell Genesys Inc.
[ Summary
]
Professional
"Reminder" Technology Automates
Patient
Confirmation
Modern software that
harnesses the computer to the telephone yields
annualized improvements in income of tens of
thousands of dollars...In a case of technology
working for the benefit of the doctor, staff and
the patient, today's latest iterations of
computer/telephone integration (CTI) tools employ
uncomplicated software programs to dial the
telephone to remind patients of their coming
appointment. In such straightforward manner, staff
is freed up to perform more productive work,
patient "no shows" drop dramatically, and the
office's "bottom line" ascends
proportionately.
Click
here to read the entire press release in PDF
Format
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| Journal of Managed Care
Medicine |
|
Journal of Managed Care
Medicine Vol 11, Issue 2 Table of
Contents
 Below
you will find the table of contents for the
current issue of JMCM. You can click
here to visit our main journal page, or
click on each individual article below to visit
their article page and then download the
PDF!
Click
the titles below to visit the indvidual article
download page.
Managing
Comorbidities Through Smoking
Cessation
Angie Veverka,
PharmD
Managing
Hyperlipidemia: An Evidence-Based
Approach
John Varras,
MD
Medical
and Economic Impact of a Respiratory Syncytial
Virus Outbreak
Michael L.
Forbes, MD
Determining
Bioequivalency in Similar Biopharmaceuticals
Neuromuscular
Richard
Wenzel, PharmD
Erythropoietin
In Anemia of
Chemotherapy
Nikolaos
Touroutoglou, MD, PhD, FACP
New
Treatments and Management of the Psoriasis
Patient
Robert E. Kalb,
MD
Complete
Spring
Edition
Visit NAMCP's Career
Center!
To find a job or fill a
position, visit http://careers.namcp.org.
You can also click on the links following each
individual job below to be taken to their new page
on our career center.
Job
seekers and employers have discovered the
advantages of searching online for the best jobs
and for qualified candidates to fill them. But,
the mass-market approach of the mega job boards
may not be your best avenue.
NAMCP's Career
Center gives employers and job seeking managed
care professionals a better way to find one
another and make that perfect career
fit.
For Job Seekers: Post your
resume; Search job listings; Set up Search Agents;
and have new postings sent to you via
email.
For Employers: Post your
jobs; Target a focused audience of candidates;
Search resumes; Track applications; Promote your
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If you
would like to post a job on Managed Care eNews,
please contact Sloane Reed at
sreed@namcp.org or 804-527-1905 for
rate information.
In
accordance with our mission, to enhance the
ability of our members to succeed in their
careers, we are pleased to offer comprehensive
career consultation and national executive
placement services. As a benefit of membership for
our client organizations, i.e., anyone seeking to
hire experienced staff, we offer exceptional
executive search services and at a discounted
rate. We have access to the highest caliber of
managed care talent and have a distinguished track
record in placing physician and nurse executives
as well as executive operations personnel (CEO,
COO, CFO, Director of Managed Care, Network
Development, etc.)
If you have an available
position or have an interest in our placement
service, please contact David Mara at
(804)527-1905 or e-mail at dmara@namcp.org.
For a more detailed job description for any of
the jobs listed below, please contact Dave Mara at
804.527.1905 or email him at dmara@namcp.org
You
can also CLICK HERE to visit our Job
Placement and Career Counseling page to view the
full descriptions for all of these jobs and
more!
Associate Medical Director
Houston, TX
Job Summary
In this key
position as the Medical Advisor you will assist in
the oversight of utilization and quality
management issues for the IPA and report directly
to the Chief Medical Officer. You will interact
with the utilization and quality management staff
and other departments of the health plan as
needed. Represent the interest of the Physician
Organization with any of the contracted Health
Plan Organizations. The Medical Advisor assists in
communications with physicians throughout the
entire network.
For more information,
please call David Mara at 804.527.1905. To review
additional positions go to www.nexushc.com
Associate Medical Director
Nashville, TN
Job Summary
Working with the
Chief Medical Director, oversees medical care for
the health plan's products and services and
oversees the health care needs of the membership.
Serves as a medical manager and policy advisor to
the company and health plan Chief Medical
Director. Is accountable for and provides
professional leadership and direction to the
utilization/cost management and clinical quality
management functions. Works collaboratively with
other plan functions that interface with medical
management such as provider relations, member
services, benefits and claims management, etc.
Assists (as determined by the plan Chief Medical
Director) in short and long range program
planning, total quality management (quality
improvement) and external
relationships.
For more information, please
call David Mara at 804.527.1905. To review
additional positions go to www.nexushc.com
Medical Director
Richmond, VA or Virginia
Beach, VA
Responsibilities
Responsible
to provide day to day guidance, support, and
leadership for the clinical and quality medical
management activities and in ensuring the clinical
integrity of broad and significant clinical
programs, such as the cost of quality care
initiatives.Primary duties may include, but are
not limited to:
Provides inpatient, outpatient and radiology
utilization management services.
Performs claims review and pharmacy review.
Participates in peer-to-peer discussions with
providers and external physicians as necessary.
Assists in the practitioner appeal reviews,
appropriateness criteria reviews, and medical
policy implementation.
Works closely with nurse reviewers and nurse
case managers in providing utilization management
activities.
Requires MD or DO with board
certification and 10 years experience to include
2-5 years managed care experience, active Virginia
state license, ability to obtain other state
licenses as needed.
For more information,
please call David Mara at 804.527.1905. To review
additional positions go to www.nexushc.com
Assistant Director, Health Economics
Des
Moines, IA
Responsibilities
Provides
leadership, oversight, and technical expertise in
the development and dissemination of claim data
analysis, including using this analysis in the
development and evaluation of care management and
claim administration programs. Responsible for
assigning tasks and providing direction, support,
and expertise to the Data Analytics
team.
For more information, please call
David Mara at 804.527.1905. To review additional
positions go to www.nexushc.com
Medical Director
Austin, TX
Overview
Perform duties to
assist the Vice President of Medical Affairs to
direct and coordinate the medical management,
quality improvement and credentialing functions
for the business unit.
Please
click here to visit the webpage for this
job opportunity, including a detailed job
description!
Medical Director
Albuquerque, NM
Overview
Oversees all
medical care for the health plan's products and
services. Oversees the health care needs of the
membership and serves as the principal medical
manager and policy advisor to the company and
health plan CEO or COO. Is accountable for and
provides professional leadership and direction to
the utilization/cost management and clinical
quality management functions. Works
collaboratively with other plan functions that
interface with medical management such as provider
relations, member services, benefits and claims
management, etc.
Please
click here to visit the webpage for this
job opportunity, including a detailed job
description!
Chief Medical Officer
Nashville, TN
Overview
Oversees all
medical care for the health plan's products and
services. Oversees the health care needs of the
membership. Serves as the principal medical
manager and policy advisor to the company and
health plan CEO or COO. Is accountable for and
provides professional leadership and direction to
the utilization/cost management and clinical
quality management functions. Works
collaboratively with other plan functions that
interface with medical management such as provider
relations, member services, benefits and claims
management, etc.
Please
click here to visit the webpage for this
job opportunity, including a detailed job
description!
Chief Health and Wellness
Officer
Farmington, CT and Dallas,
TX
Job Description
Oversee
all aspects of health and life management product
and service delivery and content. Direct the
quality management and improvement function.
Please
click here to visit the webpage for this
job opportunity, including a detailed job
description!
MEDICARE HMO EXPANDING - NEW MARKET
OPPORTUNITY
Medical Director
Mobile,
AL
Job Summary
This position
is responsible for the administration of all
medical services for the corporation. It is
responsible for the coordination of medical
policy, peer review, quality management,
legal/medical issues, and the effectiveness of the
Medical Management Program.
Please
click here to visit the webpage for this
job opportunity, including a detailed job
description!
Medical Director
Virtual
Job
Summary
A leading healthcare technology and
service company that provides solutions for
healthcare organizations, has a unique experience
base, extensive healthcare information and
advantaged technology applications which create
value through reduced medical costs, reduced
administrative costs and improved care
coordination is seeking a Medical Director to
support a growing client base and maintain their
competitive advantage in the depth of clinical
logic.
The Medical Director is instrumental
within the company in directing the Logic
Committee (Medical Policy Committee) which is
composed of medical directors, coding analysts,
provider relations, contracting people, etc. At
the Logic Committee, the company goes through
their Global Medical Policy document as it relates
to claims coding and then subsequently reviews
individual edits that have potential value for the
client.
Please direct all inquires to Dave
Mara at 804-527-1905.
Chief Medical Officer
Nashville,
TN
Job Summary
Oversees all
medical care for the health plan's products and
services. Oversees the health care needs of the
membership. Serves as the principal medical
manager and policy advisor to the company and
health plan CEO or COO. Is accountable for and
provides professional leadership and direction to
the utilization/cost management and clinical
quality management functions. Works
collaboratively with other plan functions that
interface with medical management such as provider
relations, member services, benefits and claims
management, etc.
Please
click here to visit the webpage for this
job opportunity, including a detailed job
description!
Sr. Vice President of Quality Improvement,
Training and Regulatory Affairs
Tampa, FL and
Seattle, WA
Job Summary
The
Senior Vice President of Quality Improvement,
Training and Regulatory Affairs is responsible for
the development and implementation of corporate
Quality Improvement initiatives, Education and
Training programs, Corporate Compliance and
directives as well as the oversight of
accreditation standards.
Please
click here to visit the webpage for this
job opportunity, including a detailed job
description!
Manager, Provider Relations and
Contracting
Austin, TX; Ft. Lauderdale; Orlando
and Tampa, FL
Summary
This
behaviorial health company is a multi-line managed
care organization that provides Medicaid-related
programs to organizations and individuals through
government subsidized programs. We have an
excellent opportunity for a Manager of Provider
Relations and Contracting. This position will
implement development activities for the
recruitment, contracting and retention of
providers. Negotiate contracts and develop
strategies and methodologies for specific network
development initiatives.
Please
click here to visit the webpage for this
job opportunity, including a detailed job
description!
Director, Pharmacy Services
(Corporate)
Virtual
For a more
detailed description of this job, please contact
Dave Mara at 804.527.1905 or email him at dmara@namcp.org
Vice President of Health
Services
Birmingham, AL; Miami, FL; Chicago,
IL; New Orleans, LA
Position
Summary
Responsible for the development,
implementation, and management of programs for a
national Medicare HMO
For a more
detailed description of this job, please contact
Dave Mara at 804.527.1905 or email him at dmara@namcp.org
Director, Utilization Management
Miami,
FL
The Director of UM designs, develops
and directs the implementation of differentiating
health management strategies and initiatives in
collaboration with the plan's Medical
Directors.
For a more detailed
description of this job, please contact Dave Mara
at 804.527.1905 or email him at dmara@namcp.org
Senior Medical Director
Houston,
TX
This position is responsible for the
administration of all medical services for the
corporation.
Please
click here to visit the webpage for this
job opportunity, including a detailed job
description!
| | |
| Managed Care eNews for August 28,
2008 |
Produced by NAMCP, AAMCN, AAIHDS
4435 Waterfront Drive, Suite 101
Glen
Allen, VA 23060
Telephone:
804-527-1905
Fax: 804-747-5316 |
Click "Opt-out of this
newsletter" at the top of the newsletter or
contact Jeremy Williams at jwilliams@namcp.org
or 804-527-1905 to be taken off the
list | | | | |
|
| JOURNAL OF MANAGED CARE MEDICINE
(JMCM) |
|
Vol. 11, No. 2 has been
released! Scroll below to the Journal Section
below for downloadable
articles! | | |
| UPCOMING
PROGRAMS |
|
Fall Managed Care
Forum
November 6-7,
2008
Mark your calendars for our annual
Fall Managed Care Forum, which will take place at
the Paris Hotel in Las Vegas, Nevada on November
6-7, 2008. CLICK
HERE to visit our conference website!
Please contact Sloane Reed at sreed@namcp.org
for exhibit and sponsorship
information.
| | |
| EMPLOYMENT
OPPORTUNITIES |
|
Call Dave Mara at (804) 527-1905 for
information on any of the following job
openings.
Associate Medical Director, Houston, TX
Medical Director, Austin, TX
Medical Director, Albuquerque, NM
Chief Medical Officer, Nashville, TN
Chief Health and Wellness Officer, Farmington,
CT and Dallas, TX
Medical Director, Mobile, AL
Medical Director, Virtual
Chief Medical Officer, Nashville, TN
Manager, Provider Relations and Contracting,
Austin, TX; Ft. Lauderdale, Orlando and Tampa,
FL
Associate Vice President, Health Care
Management Services, Austin, TX
Sr. Vice President of Quality Improvement,
Training and Regulatory Affairs, Tampa, FL and
Seattle, WA
Medical Director, Managed Care, Jacksonville,
FL
Regional Vice President of Sales,
Northeast
Director, QM, Baltimore, MD
VP of Health Services, Birmingham, AL, Miami,
FL and New Orleans, LA
Dir., Utilization Management, Miami, FL
VP, Health Care Management Services, Multiple
Locations
Senior Medical Director, Houston,
TX
For more information or for more
detailed job descriptions, please contact Dave
Mara at 804.527.1905 or email your resume to dmara@namcp.org
| | | |
