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FMCP-PT Module 1: Evolution and Principles of Managed Care
Module Description
Understanding the evolution of managed care pharmacy is important to understand the current marketplace. This module delves into the history of managed care and its progression to current practices, the different care delivery models and how each one works to provide patient access to care. This includes discussions of health maintenance organizations (HMOs), preferred provider organizations (PPOs), point-of-service plans (POS’s), integrated delivery networks (IDNs), high deductible health plans (HDHPs), and a la carte benefit models.
Target Audience
Pharmacists, Pharmacy Technicians, Managed Care Professionals
Learning Objectives
At the completion of this activity, participants should be able to:
- Describe the history of health insurance in the United States.
- Identify the goals of managed care in terms of patient care, outcomes, and costs.
Faculty:
Joseph DiBiase Jr., CPhT
Director, Clinical Pharmacy Operations, Medicare Part D
Magellan Rx Management
Fred Goldstein
President and Founder
Accountable Health, LLC
Tracy McDowd, PharmD, FAMCP
Manager, Clinical Pharmacy
BlueCross BlueShield of Tennessee
Vimal V. Reddy, PharmD
VP, Payer Strategy, Market Access
Lockwood
Financial Relationship Disclosures:
| Faculty/Reviewer/Planner | Reported Relevant Financial Relationships |
| Joseph DiBiase Jr., CPhT Peer Reviewer | None |
| Fred Goldstein Faculty, Planner, Peer Reviewer | None |
| Tracy McDowd, PharmD, FAMCP Peer Reviewer | None |
| Brittany V. Henry, PharmD, MBA Planner, Peer Reviewer | None |
| Vimal Reddy, PharmD Peer Reviewer | None |
| Ruby Singh, PharmD Planner, Peer Reviewer | None |
- AMCP Staff have disclosed no relevant financial relationships.
- If applicable, relevant financial relationships have been mitigated and documented.
- Content has undergone a peer review to ensure content validity.
Accreditation:
ACPE UAN:0233-0000-23-026-H04-T • Activity Type: Knowledge-Based
Contact Hours: 0.75
Release Date: August 04, 2023 • Expiration Date: July 31, 2026
CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor. Please allow 72 hours for processing and posting in your NABP account.
To receive credit for an online activity you must:
- Review the full content of the activity.
- Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
- Complete a specific activity evaluation.
Available Credit
- 0.75 ACPE Pharmacy Technician
The Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.