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A Benefit-Based Copay for Prescription Drugs: Patient Contribution Based on Total Benefits (PDF)
American Journal of Managed Care
Dec. 15, 2004
7 pages. Excerpt: Several managerial mechanisms have been used by MCOs to directly or indirectly affect prescription drug utilization and related expenditures. These mechanisms affect some combination of patient and physician incentives, as well as prices. Although approaches toward utilization management vary widely, one trait they have in common is that they do not recognize the heterogeneity in potential benefit among patients.
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