Are doctors the forgotten factor in improving patient adherence?

Doctors almost seem to be the forgotten player in the healthcare system — perhaps it’s because of the perception that doctors are just pawns of the pharmaceutical industry. For example, there has been a steady stream of news about doctors refusing to see pharmaceutical sales reps and cutting financial ties with pharmaceuticals. Or, perhaps it’s … Continue reading

… but sometimes patients win!

How the community feels can force a insurer into taking action it didn’t want to. Recently, Blue Cross Blue Shield of Illinois reversed its decision on requiring pre-approvals for mental health services (Chicago Tribune article) after doctors and others complained.  Prior approvals, as most folks know who work in managed care, are an easy way for … Continue reading

Insurers dictate healthcare treatment

While the payment of doctors to act as spokespeople raises red flags amongst the public, who’s really influencing physician prescribing habits? Is it the pharmaceuticals? Certainly, the money trail laid out by ProPublica (see previous blog) would seem to indicate that. However, the Tufts Center for the Study of Drug Development (2008 Outlook report) found that … Continue reading

Drugs Like Cars

The pharmaceutical industry and the car industry are very similar in the way they sell. They both sell their goods like they did a hundred years ago — through salespeople: one in a showroom; the other going door-to-door pestering doctors (or if you will, going town to town selling snake oil) … and both types … Continue reading