INNOVATIVE PRACTICE FORM

Name: John Hopkins

Address: Colorado Managed Care HMO

Phone #: (970) 244-7775

Briefly describe innovation

Mr. Hopkins is an administrator at the Colorado Managed Care. This organization operates in the style of many of the new HMO's. The HMO is responsible for a variety of services. These services include, but are not exclusive to claims processing, clinical therapeutics committees, drug utilization reviews and quality control committees. In addition to these services, the HMO, also, offers the traditional services from pharmacies that contract with the HMO. That is, patients can receive pharmaceutical care from any of the specified pharmacies on the HMO's provider list. The HMO currently has roughly 300 to 350 pharmacies on their list of providers. Mr. Hopkins is , also, the incoming president of the Academy of Managed Care in Virginia. ( 1-800- 827-2627) This academy is unique in that it has a student chapter established in Illinois and is looking to expand it's chapters to other universities. This could be a unique opportunity for Auburn.

Method of Reimbursement

Payor(s): The patients are the sole payers. When the patients sign a contract they are subject to coverage by the specified pharmacies.

Reimbursement rate: Classified, however the patients pay a monthly rate which gives them coverage. The rates did vary from region to region.

Is documentation required? No

Specialized training required? No

Software/instrumentation required? No

Interviewed by: Mark Walker