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Do You Know the Truth about Trend?

Magellan understands that the market looks at pharmacy trends as a gauge to measure pharmacy benefits manager (PBM) success. However, you really can’t compare one trend number to another as every PBM uses different methodologies, different data sets and different calculations to arrive at their trend number, and often adjustments are made to these calculations year-over-year….

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Reflecting on Memorial Day

There is often confusion about Memorial Day relative to Veterans Day, which was first observed in 1926, to recognize and appreciate all veterans who have served our country- particularly those who are still with us. Memorial Day, which began in 1868, is focused on honoring those individuals who have made the ultimate sacrifice preserving our…

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What is Hedis and What does it mean to you?

What do Employers Need to Know about Escalating Specialty Drug Spend?

A major trend in the pharmacy space continues to be increasing specialty drug spend, which is expected to continue with the introduction of new specialty agents for oncology, autoimmune disorders and rare diseases. In this year’s Medical Pharmacy Trend Report Employer Group Supplement, we found that 88 percent of employers reported a medical benefit spend…

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A Strengths-Based Approach: How High Fidelity Wraparound Changed a Foster Family’s Path

Being a parent is one of the most challenging and rewarding jobs an individual can hold. When behavioral health challenges are added, it becomes even more difficult. Try, for a moment, to imagine being a foster parent to a child with behavioral health challenges. Where does one even begin to find the help and services…

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Helping Members Change Their Lives (And Our Own Lives, Too)

As a former Medicaid recipient who relied on treatment from community behavioral health centers, I know first-hand the transformative power a peer specialist can have a in a person’s life. In my late teens and early twenties, I bounced from state hospitals to crisis stabilization units desperate to end my life. I had no hope…

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May is Mental Health Month: What Can You Do to Help Erase Stigma?

To mark Mental Health Month, we had the opportunity to sit down with Dr. Caroline Carney, chief medical officer of Magellan Healthcare. Dr. Carney shed some light on stigma, barriers to mental health services and ways we can all help all friends and family get the treatment they need to live a healthy, vibrant life….

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Care alongside Care: Treating Comorbid Medical and Behavioral Conditions

It’s 11:30 on a Tuesday night in the emergency department of a local county hospital. The doctor pulls back the curtain on his next patient and frowns. He has seen this man before. He looks down at the chart and recognizes the name. He’d been in about eight weeks before with trouble breathing and chest…

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