+1 Recommend
3 collections
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Choosing Evolution over Extinction: Integrating Direct Patient Care Services and Value-Based Payment Models into the Community-Based Pharmacy Setting


      Read this article at

          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.


          The American healthcare payment model introduced Pharmacy Benefit Managers (PBMs) into a position of power that currently puts into question the state of the pharmacy profession, especially in the community field. Reimbursement plans had been designed to benefit all stakeholders and save patients money but have only been shown to increase costs for these involved parties. There exist unresolved gaps in care as a result of the healthcare structure and underutilized skills of trained pharmacists who do not have the federal means to provide clinical services. Four collaborative payment models have been proposed, offering methods to quell the monetary problems that exist and are predicted to continue with the closure of community pharmacies and sustained influence of PBMs. These models may additionally allow the expansion of pharmacy career paths and improve healthcare benefits for patients. With a reflective perspective on the healthcare structure and knowledge of positive impacts with the inclusion of pharmacists, solutions to payment challenges could present a progressive approach to an outdated system. The impact of the COVID-19 pandemic highlights a dependency on pharmacists and community settings. This outlook on pharmacists may persist and an established expansion of services could prove beneficial to all healthcare stakeholders.

          Related collections

          Most cited references21

          • Record: found
          • Abstract: found
          • Article: not found

          The Asheville Project: clinical and economic outcomes of a community-based long-term medication therapy management program for hypertension and dyslipidemia.

          Assess clinical and economic outcomes of a community-based, long-term medication therapy management (MTM) program for hypertension (HTN)/dyslipidemia.
            • Record: found
            • Abstract: found
            • Article: not found

            Primary Care Physicians in the Merit-Based Incentive Payment System (MIPS): a Qualitative Investigation of Participants’ Experiences, Self-Reported Practice Changes, and Suggestions for Program Administrators

            While both administrators of pay-for-performance programs and practicing physicians strive to improve healthcare quality, they sometimes disagree on the best approach. The Medicare Access and CHIP Reauthorization Act of 2015 mandated the creation of the Merit-Based Incentive Payment System (MIPS), a program that incentivizes more than 700,000 physician participants to report on four domains of care, including healthcare quality. While MIPS performance scores were recently released, little is known about how primary care physicians (PCPs) and their practices are being affected by the program and what actions they are taking in response to MIPS. To (1) describe PCP perspectives and self-reported practice changes related to quality measurement under MIPS and (2) disseminate PCP suggestions for improving the program. Qualitative study employing semi-structured interviews. Twenty PCPs trained in internal medicine or family medicine who were expected to report under MIPS for calendar year 2017 were interviewed between October 2017 and June 2018. Eight PCPs self-reported to be knowledgeable about MIPS. Seven PCPs worked in small practices. Most PCPs identified advantages of quality measurement under MIPS, including the creation of practice-level systems for quality improvement. However, they also cited disadvantages, including administrative burdens and fears that practices serving vulnerable patients could be penalized. Many participants reported using technology or altering staffing to help with data collection and performance improvement. A few participants were considering selling small practices or joining larger ones to avoid administrative tasks. Suggestions for improving MIPS included simplifying the program to reduce administrative burdens, protecting practices serving vulnerable populations, and improving communication between program administrators and PCPs. MIPS is succeeding in nudging PCPs to develop quality measurement and improvement systems, but PCPs are concerned that administrative burdens are leading to the diversion of clinical resources away from patient-centered care and negatively impacting patient and clinician satisfaction. Program administrators should improve communication with participants and consider simplifying the program to make it less burdensome. Future work should be done to investigate how technical assistance programs can target PCPs that serve vulnerable patient populations and are having difficulty adapting to MIPS. The online version of this article (10.1007/s11606-019-05207-z) contains supplementary material, which is available to authorized users.
              • Record: found
              • Abstract: not found
              • Article: not found

              Trends in the Numbers of US Colleges of Pharmacy and Their Graduates, 1900 to 2014


                Author and article information

                Pharmacy (Basel)
                Pharmacy (Basel)
                Pharmacy: Journal of Pharmacy Education and Practice
                24 July 2020
                September 2020
                : 8
                : 3
                : 128
                College of Pharmacy, Western University of Health Sciences, Pomona, CA 91766, USA; amercadante@ 123456westernu.edu (A.R.M.); mai.yokota@ 123456westernu.edu (M.Y.); ara.hwang@ 123456westernu.edu (A.H.); mhata@ 123456westernu.edu (M.H.)
                Author notes
                [* ]Correspondence: alaw@ 123456westernu.edu ; Tel.: +(909)-469-5645; Fax: +(909)-469-5428
                Author information
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                : 25 June 2020
                : 22 July 2020

                community pharmacy,pharmacy benefit manager,healthcare,healthcare payment model,direct and indirect remuneration,pharmacy services,value-based payment,pharmacist role,covid-19


                Comment on this article