Success within this new value-based landscape of Population Health Management requires aligning with new partners, harnessing more data by new methods, and prioritizing value in the allocation of limited healthcare resources. As healthcare stakeholders, we are experiencing a migration from traditional fee-for-service to value-based payment models. Affordable Care Act (ACA) incentives have made quality improvement … Continue reading Payer – Pharmacy Alignment in Managing Population Health
As highly educated medication experts, pharmacists have the knowledge and skill to deliver value-based patient care, improving healthcare quality, and reducing overall healthcare costs. While often the most visible and accessible members of the healthcare team, pharmacists and their pharmacy teams are too often overburdened by their workload. This overwhelming workload not only hinders the … Continue reading Pharmacy Practice: Are High Volume and Quality Patient Care Mutually Exclusive?
As part of the Affordable Care Act’s Hospital Readmission Reduction Program, hospitals with excessive Medicare beneficiary readmissions within 30 days of discharge receive hefty penalties. Currently, one in five Medicare beneficiaries is readmitted within 30 days, with a staggering cost of preventable 30-day hospital readmissions estimated at $17 billion. That represents a significant area of … Continue reading Community Pharmacy Prevention of Avoidable Hospital Readmission
Pharmacogenomic (PGx) testing is the next frontier in pharmacy services. It was made possible by the completion of the Human Genome Project in 2003, which has revolutionized our understanding of the contributions of a person’s genetic variability that cause some individuals to respond differently to medications than others. Pharmacogenomics uses the details from an individual’s … Continue reading Community Pharmacy-Based Pharmacogenomic Testing Services
Over time, pharmacy has become the purveyor of a commodity in a very competitive market. But as is typical with a commodity in adequate supply, market pressure is relentless. In fact, recent pressure has increased with the proliferation of preferred provider networks. What can you do as a community pharmacy? The U.S. healthcare model is … Continue reading How to Advance Pharmacy’s Role in Healthcare Delivery through PBMs