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Major trends causing change in the role of community pharmacy
healthcare spending in america
incresed script volume
aging population
healthcare reform
10% of national healthcare expenditures
prescriptions
30% of national healthcare expenditures
hospital
21% of national healthcare expenditures
physician or other professional services
How do payors react to increased health care costs related to pharmacy?
lower reimbursement rates to pharmacies
How do paitents react to increased health care costs related to pharmacy?
increased out of pocket costs
increased premiums and copays
How do pharmacies react to increased health care costs?
seek opportunities to provide new services and revenue streams
Why does script volume increase each year?
more health problems are treatable today
new drugs that were not available 10 years ago
culture shift in medication acceptability
___% of prescriptions each year are not taken correctly
60%
How much does non-compliance cost the health care system each year?
$100,000,000,000
125,000 deaths
Affordable care act current changes
increased funding for state programs
$250 rebate checks for medicare gap
insurance for pre-existing conditions
50% drug discount for rx medicare gap "donut hole"
Insurers must spend premiums on HC services and HC quality improvement
2012 Health care reform changes
standardized electronic record keeping & billing
integrated heath systems
link paymets to quality outcomes
2013 Health care reform changes
improve preventative health coverage
increased pmt for primary care physician (no less than medicare reimbursement)
new funding for state medicaid programs to cover preventative care at no cost
2014 Health care reform changes
health insurance exchanges
2015 Health care reform changes
payment for value vs. volume
higher quality care recieves higher payment
Other trends impacting community pharmacy
technology and info sharing
mail order
focus on drug safety
generic substitution carve out bills
self care
new corner drugstore
diverse population
medicare part B competitive bidding
New perspectives for pharmacy practice
improve technology
improve safety
improve outcomes through services and MTM
DHHS pharmacists role in immunizations
vaccine education and mobilization
vaccine distribution
vaccine access and administration
vaccine registries and tracking systems
___% of americans do not have or use a primary care physician.
70%
may prove to be the most significant catalyst in moving the pharmacy profession beyond dispensing to direct patient care
pharmacist administered immunizations
MTM services
enhance pt understanding and adherence
detect adverse events and gaps in therapy
mandated for medicare part d patients
Impact of MTM services
most errors occur bc pt was not counselled
ensures proper medication use
provides foundation for measuring outcomes and value of pharmacist interaction
Author
Rx2013
ID
141594
Card Set
PPM Exam 2
Description
Future of community pharmacy
Updated
3/14/2012, 8:45:03 PM
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