Managed Care & Health Insurance Week 4 Discussion Questions (6)
Experts only! Scholarly responses are required.
*Please answer each question individually and accurately. Must cite any and all references in APA format.
Label each solution with the corresponding question. Copy and pasted solutions will NOT be accepted.
Minimum 2-3 quality paragraphs per question
Part A: Managed Care Pharmacy Benefits
1. What are the most important elements of a managed care pharmacy benefit program? And how are
patient prescription benefits typically different under managed care?
2. How do pharmaceuticals reach the status of a "generic" drug? Do all medications eventually become
"generic"?
3. How does managed care techniques applicable to pharmacies differ from managed care techniques
applicable to other areas of healthcare delivery?
Part B: Managed Behavioral Healthcare
1. What factors surrounding behavioral health create special challenges and special considerations for
managed care programs? How is managed behavioral healthcare different from managed acute medical
or managed acute surgical care?
2. What makes behavioral health costs more difficult to manage than physical health costs?
3. What are the challenges associated with managed care as it applies to mental health?
