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June 18, 2008
Vol 11, Issue 2 of the Journal of Managed Care Medicine has been released!
Scroll down for the full table of contents which includes article PDFs.

Free Online Continuing Education: Click here for CME. Click here for CEUs.
Including Managing Depression in a Managed Care Environment


Mark Your Calendar for the
Fall Managed Care Forum


CLICK HERE to visit our conference website! Contact Jeremy at jwilliams@namcp.org with any questions regarding the conference.

November 6-7, 2008
Paris Hotel and Casino
Las Vegas, NV



Managed Healthcare News
Click Title for complete article or click Summary for overview of each article.

Biomed giants settle Cabilly patent case: Several drugs, including Herceptin, have been based on the patent.
From Globes - Jun 17, 2008
Jun. 17--Genentech Inc. and AstraZeneca plc subsidiary MedImmune Inc. have settled the Cabilly II patent interference case. The patent was named after Prof. Shmuel Cabilly.
[ Summary ]

COMPANION DIAGNOSTIC ASSAYS FOR CANCER THERAPY
From PCT Biblio Info - Jun 17, 2008
Pub. Number WO2008070663 Appl. Data US07086382 20071204 Applicant ABBOTT LABORATORIES Inventor ANDERSON, Mark Gerald KROEGER, Paul E. ROSENBERG, Saul Howard TAHIR, Stephen Kenneth TSE, Christin WASS,
[ Summary ]

Boehringer Ingelheim to Acquire Actimis Pharmaceuticals
From PharmaLive News Archive - Jun 16, 2008
INGELHEIM, Germany, SAN DIEGO, United States, June 17, 2008 - Boehringer Ingelheim GmbH today announced an agreement to acquire Actimis Pharmaceuticals, Inc., a privately owned biotech company based in San Diego.
[ Summary ]



FDA: New Treatments and Technology
Click Title for complete article or click Summary for overview of each article.

US FDA approves Requip XL, the first and only oral once-daily non-ergot dopamine agonist for Parkinson's disease.
From Chemical Business NewsBase (Composite) - Jun 18, 2008
GlaxoSmithKline announced the approval of Requip XL in the US for the treatment of the signs and symptoms of idiopathic Parkinson's disease. Requip XL is the first and only oral once-daily non-ergot dopamine agonist indicated for Parkinson's disease.
[ Summary ]

FDA Panel Backs J&J's Experimental Drug Ustekinumab To Treat Psoriasis
From Comtex Business - Jun 18, 2008
Jun 18, 2008 -- June 18, 2008 An advisory panel for the Food and Drug Administration has unanimously ruled that Johnson & Johnson's experimental drug ustekinumab should be approved for treating adults with moderate or ...
[ Summary ]

FDA approves Cymbalta for Fibromyalgia
From UPI Science News - Jun 18, 2008
Eli Lilly and Co. said the U.S. Food and Drug Administration has approved duloxetine HCl, marketed under the name Cymbalta, for fibromyalgia.
[ Summary ]

Allergan wins approval for ocular inflammatory drug
From Datamonitor Pharmaceutical and HealthWire - Jun 17, 2008
Allergan has received the FDA approval for Trivaris 80mg/mL, a synthetic glucocorticoid corticosteroid with anti-inflammatory action.
[ Summary ]

Takeda/J&J: Velcade set for first-line myeloma approval
From Datamonitor Pharmaceutical and HealthWire - Jun 16, 2008
The impressive results reported for previously untreated multiple myeloma patients make Velcade likely to receive approval in the US as a first-line therapy.
[ Summary ]



CMS
Click Title for complete article or click Summary for overview of each article.

Model N Announces New Revenue Management Suite Optimized for Generic Pharmaceuticals
From Marketwire - Jun 18, 2008
Model N, Inc., the leader in Revenue Management solutions, today announced the release of its Revenue Management Suite for Generics.
[ Summary ]

Senate GOP smothers Medicare bill: Measure would have increased reimbursement rates for doctors
From The Star-Ledger - Jun 17, 2008
Republican senators blocked legislation yesterday that would trim payments to private health insurers serving people in Medicare and use the savings to raise reimbursement rates for doctors.
[ Summary ]

Complications After Cardiac Surgery Increase Hospital Costs, Length of Stay by More than Two-Thirds
From PharmaLive News Archive - Jun 16, 2008
ATLANTA, June 17, 2008 /PRNewswire/ -- Major complications following coronary artery bypass graft (CABG) surgery, even among patients least at risk of experiencing complications, remain common and add significantly to healthcare costs, while diminishing the benefits of surgery, according to research funded and conducted by Cardiac Data Solutions. The research was published in the June 2008 Annals of Thoracic Surgery.
[ Summary ]

Schumer targeting Medicare insurers: Bill would force on-time payments to pharmacies
From Buffalo News, The (NY) (KRT) - Jun 17, 2008
Jun. 17--Delayed Medicare Part D payments are stressing locally-owned, independent pharmacists to the breaking point, according to Sen. Charles E. Schumer, D-N. Y.
[ Summary ]

CMS Proposed Rule Revisits PBM Pricing Arrangements, Proposes Other Medicare Advantage And Part D Program Changes
From Mondaq - Jun 16, 2008
McDermott Will & Emery CMS Proposed Rule Revisits PBM Pricing Arrangements, Proposes Other Medicare Advantage And Part D Program Changes 16 June 2008 Proposed changes to the Medicare Advantage, Medicare Marketing, Part D and Retiree Drug Subsidy Programs include mandatory use of "pass-through" methodology for Part D drugs and ...
[ Summary ]



Genetics & Genomics Research
Click Title for complete article or click Summary for overview of each article.

The Ontario Institute for Cancer Research Selects Geospiza for Next Generation Genetic Analysis
From PharmaLive News Archive - Jun 16, 2008
SEATTLE--(BUSINESS WIRE)--Jun 17, 2008 - Geospiza, Inc., the market leading developer of genetic analysis software, today announced that the Geospiza will be providing its FinchLab software to the Ontario Institute for Cancer Research (OICR) to support their next generation research.
[ Summary ]

Transgenomic Introduces SURVEYOR Endonuclease Adaptor-Ligated Libraries (SEAL) for Determining Whole Genome Sequence Variation
From PharmaLive News Archive - Jun 16, 2008
OMAHA, Neb., June 17, 2008 /PRNewswire-FirstCall/ -- Transgenomic today announced that it is developing SURVEYOR Endonuclease Adaptor-ligated Libraries (SEAL). A cost-effective and high throughput enabling technology for whole genome analysis, SEAL identifies DNA variations between a reference genome and a test genome.
[ Summary ]



Biotech
Click Title for complete article or click Summary for overview of each article.

ThromboGenics and BioInvent Announce a Strategic Alliance With Roche for TB-403, a Novel Anti-Cancer Antibody
From PR Newswire Europe (inc. UK Disclose) - Jun 18, 2008
LEUVEN, Belgium, LUND, Sweden and BASEL, Switzerland, June 18 /PRNewswire/ -- ThromboGenics NV and BioInvent International AB announce that they have entered into a license agreement with Roche for their jointly developed anti-cancer agent TB-403.
[ Summary ]

Thomson Reuters Launches New Biomarkers Solution
From PR Newswire Europe (inc. UK Disclose) - Jun 17, 2008
PHILADELPHIA and LONDON, June 17 /PRNewswire/ -- - BIOMARKERcenter is First Comprehensive and Quality Assured Biomarker Solution Available to the Pharmaceutical Industry Thomson Reuters, the world's leading source of intelligent information for businesses and ...
[ Summary ]

U.S. Biosimilar Debate Crucial to Worldwide Biotech Industry
From BioWorld Today - Jun 17, 2008
The debate currently being waged in Congress over a pathway for approval of biosimilar products will not only decide its fate in the U.S., but globally as well, attendees were told at the kickoff Super Session at the 2008 Biotechnology Industry Organization conference.
[ Summary ]

Champions Biotechnology Begins Preclinical Development of Its Lead Oncology Drug Candidate
From PharmaLive News Archive - Jun 16, 2008
ARLINGTON, Va., June 17, 2008 /PRNewswire-FirstCall/ -- Champions Biotechnology, Inc. , a company engaged in the development of advanced preclinical platforms and tumor specific data to enhance the value of oncology drugs, today announced that it has begun preclinical development of the lead Benzoylphenylurea (BPU) sulfur analog compound that the Company acquired last year.
[ Summary ]

Novartis expands Rasilez clinical programme
From Reuters Health - Jun 17, 2008
ZURICH (Reuters) - Novartis said on Tuesday it was expanding its clinical programme for blood pressure drug Rasilez to 35,000 patients in 14 trials. The series of trials that make up the Aspire Higher clinical programme are now the largest and most far-reaching cardio-renal outcomes programme worldwide, Novartis said.
[ Summary ]

Elan, Wyeth drug helps some Alzheimer's patients
From Reuters Health - Jun 17, 2008
LONDON (Reuters) - Elan and Wyeth's key new drug bapineuzumab worked for a substantial proportion of Alzheimer's disease patients in an intermediate clinical trial, supporting a prior decision to start final phase III tests. Because of the design of the clinical study and the limited number of patients involved, the phase II trial had not been expected to show overall statistical significance.
[ Summary ]



What's New for Patients

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


Education

Sign Up Today for the Exclusive Medical Director's Website
Click here to sign up for free access to the exclusive Medical Director's Website. Features include a discussion forum, career information, and consolidated clinical links to important managed care websites. You must be a Medical Director to gain access to the website. Keep current on all of the issues surrounding Medical Directors in today's market. Access is free for all Medical Directors. Please contact Jeremy Williams at jwilliams@namcp.org for more information! For those of you who are not Medical Directors, please forward the link or eNews to any Medical Directors in your company that may be interested in the website.



CLICK THE FOLLOWING TITLES TO PARTICIPATE IN THE ONLINE CME/CEU

Managing Depression in a Managed Care Environment
- Supported by Eli Lilly


Diagnosis and Management of HBV in Managed Care
- Supported by Gilead Sciences


Surviving Caner: From Oncology to Primary Care
- Supported by Genentech


Infections Due to Respiratory Syncytial Virus (RSV): Strategies for Managed Care Organizations to Achieve Optimal Outcomes
- Supported by MedImmune


Identification and Treatment of Restless Legs Syndrome
- Supported by GlaxoSmithKline


Diabetes: When Behavior Modification is Not Enough
- Supported by GlaxoSmithKline


Role of Prevention in Managed Care
- Supported by Healthways, Inc.


Pain Management
- Supported by Alpharma Pharmaceuticals


Obesity Management
- Supported by Allergan, Inc.


Health Economic Implications of Wound Care and Limb Preservation
- Supported by KCI, Inc.


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

Job Postings

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 company online.


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!

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!
Senior Medical Director
Washington, DC


Overview
The Medical Director will provide day-to-day oversight for the health plan utilization management, case management, disease management and pharmacy activities. These efforts will be coordinated through collaboration with the Director of the department. The Medical Director is responsible for day-to-day Utilization Management clinical decisions, including review of service requests that the professional staff are unable to approve via application of criteria.

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
Director, Corporate Health Services Programs
Nashville, TN


Primary Function
Assists the Corporate SVP, Health Services in the development, implementation and management of the following programs; utilization management, case management, disease management, quality management, and appeals and grievances.

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 June 18, 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!


For More Information Contact:

Publisher:
Jack Klose, jklose@namcp.org or 856-589-3842

Advertising Sales:
Steve Everly, severly@ki-lipton.com or 804-527-1905

Vice President, Sales and Marketing:
Sloane Reed, sreed@namcp.org or 804-527-1905

Director of Communications:
Jeremy Williams, jwilliams@namcp.org or
804-527-1905


CME ONLINE CREDIT COURSES

Click each to view

Role of Prevention in Managed Care

Pain Management

Economic Value of Early Treatment in MS

Obesity Management

Health Economic Implications of Wound Care and Limb Preservation

Managing Depression in a Managed Care Environment

Diagnosis and Management of HBV in Managed Care


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.


NAMCP INFORMATION
Click each to view

Join NAMCP

Genomics Biotech Institute

Medical Directors Institute

Health Management Institute

Become a Corporate Member 

Learn more at www.namcp.org 


AAMCN INFORMATION
Click each to view

Join AAMCN

Care Management Guidelines

AAMCN Mentor Program

Become Certified in Managed Care Nursing

Care Management Institute

Leadership Institute - Sponsored by the AMERIGROUP Foundation

Become a Corporate Partner

Learn more at www.aamcn.org


AAIHDS INFORMATION
Click each to view

Join AAIHDS

Become a Corporate Partner

Learn more at www.aaihds.org


WOMEN IN MANAGED CARE INFORMATION
Click each to view

Join WIMC

Mission and Vision

Benefits

Learn more at www.womeninmanagedcare.org


EMPLOYMENT OPPORTUNITIES

Call Dave Mara at (804) 527-1905 for information on any of the following job openings.

  • Medical Director, Austin, TX
  • Medical Director, Albuquerque, NM
  • Chief Medical Officer, Nashville, TN
  • Senior Medical Director, Washington, DC
  • Chief Health and Wellness Officer, Farmington, CT and Dallas, TX
  • Medical Director, Mobile, AL
  • Medical Director, Virtual
  • Chief Medical Officer, Nashville, TN
  • Chief Medical Officer, San Antonio, TX and Miami, FL
  • Manager, Provider Relations and Contracting, Austin, TX; Ft. Lauderdale, Orlando and Tampa, FL
  • Associate Vice President, Health Care Management Services, Austin, TX
  • Outreach Coordinator, Springfield and Boston, MA
  • Sr. Vice President of Quality Improvement, Training and Regulatory Affairs, Tampa, FL and Seattle, WA
  • Medical Director, Managed Care, Jacksonville, FL
  • Director, Corporate Health Services Programs, Nashville, TN
  • 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
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