Recently HHS Secretary Azar announced his intention to eliminate the “no risk” ACO payment option and move to the second model only. PBM Evolution toward New Delivery Models The PBM industry has made significant contributions to better management of the US prescription drug spend yet it has come under increasing criticism. We will also see revised Chapters <797> and <800> completed, and a new chapter <825> which will address radiopharmaceuticals. As many as 57% of U.S. adults have less than $1,000 in savings to cover health expenses, and nearly 25% have less than $100, according to PBMI. All rights reserved. ... 2010 - 2019; 2015 (Volume 21) March 2015 Supplement Issue 3, … According to the FDA, shortages decreased to 39 in 2017 from a peak of 251 in 2011. CMS also is working to change how the payment reduction applies to certain biosimilar products, reducing the size of the payment reduction for these products, and clarifies the application of the payment cut to new drugs. 590-675 Issue 5: Pharmacy Research V, October 2017 , pp. Take a look back: The top three pharmacy challenges of 2018. Current Issues in Pharmacy and Medical Sciences 2020-21 Real-Time Journal Impact Prediction & Tracking 2021 2020 2019 Journal Impact, History & Ranking Gain an edge this year with our list of the top four retail pharmacy trends for 2019. What might this mean for the future of pharmacy? Most recent (RSS) Most cited (RSS) Filter issues by Issue archive. For pharmacists, we expect market trends like an aging population and the introduction of complex medication therapies will lead to a higher demand and create more opportunities for pharmacists. Well-trained and experienced technicians are essential for a robust medication safety program, but high-turnover rates have been an issue. Gavras says that Prime Therapeutics has been identifying high prescribers since 2010, along with users abusing opioids based on a predictive modeling process. It should be noted that while 503A compounding remains the primary responsibility of State Boards of Pharmacy, the FDA can and will investigate any concerns in this space. “Specialty medications are responsible for churn and volatility because they can be covered under both medical or pharmacy benefits but require a high-touch model because of side effects, changes in dosages, and comorbidities. Last year, non-adherence and pharmacist compensation capped off the top three, but in 2019, industry experts are identifying new barriers that have even more impact. 340B ProgramThe 340B Program has grown considerably since its inception and now represents approximately 4% of the total US prescription drug spend. The PBM also works with providers to manage therapy and with retailers to prevent patients from filling the same prescription in multiple pharmacies. Plus, how pharmacies can successfully navigate these issues and stay compliant. Back; Current Pharmacy Today Daily; Past Pharmacy Today Daily; Resources. Gavras emphasizes the need to look at the total cost of drugs, not just the pharmacy benefit, especially because many specialty drugs fall under the medical benefit and never touch the pharmacy benefit; “However, no matter which benefit, these drugs affect healthcare delivery and produce the same cost impact,” he says. Current Issues in Pharmacy Practice Lea S. Eiland, Pharm.D., BCPS, BCPPS, FASHP, FPPAG Clinical Professor and Associate Department Head Auburn University Harrison School of Pharmacy ASHP Board of Directors Disclosure Statement •I have no conflict of interest or financial disclosures relative to this presentation Pharmacists’ Objectives The issue of lack of interoperability in many hospital digital systems results in inefficiencies and duplication of work, putting further pressure on the system and … Back; Informational Resources; APhA Practice Tools ; Advertise ; Subscribe ; Related Publications. 'Next-door health care' use will rise. “We need to focus more on technology and be more vigilant of errors that can occur and overzealous about new drugs because not a lot of written information is available,” he says. “Technology can help us make informed decisions by using data analytics, enhance reporting and provide better access to data, helping us put the best programs into place,” she says. Senior Vice President Office of Professional Development Disclosure Statement •I have no conflict of interest or financial disclosures relative to this presentation Pharmacists’ Objectives • Explain the pharmacy profession’s efforts in pursuing provider status at the national level Vote below – choose the three issues that you think are most important right now. 218-278 Issue 3, June 2020 ... Issue 3, June 2019 , pp. Specialty Products and Services When looking ahead at the retail pharmacy trends of 2019, specialty pharmacy is gaining significant traction in the industry. February 1999 - December 2020 Select an issue ... Browse by year. In 2016, the United States spent 18% of gross domestic product on healthcare-nearly twice the rate of 10 other high-income countries, according to a study in the Journal of the American Medical Association. View our policies by clicking here. Issue #2: Pursuing a Higher Education. It is up to PBMs and plans to decide which benefit should cover specialty,” Lutz says. 349-411 Issue 5, October 2020 , pp. Pharmacy, an international, peer-reviewed Open Access journal. Lutz is all for technology, considering it to be a critical part of the solution of keeping drug costs down-especially the use of online tools. Shortages of some drugs have also presented a challenge to the industry-something Lucio partially attributes to natural disasters such as Hurricane Maria in Puerto Rico, and to low margins on certain drugs which force manufacturers to stop production. 10 Global Health Issues to Watch in 2019 . Thomas E. Menighan; Back; Current Pharmacy Today Daily; Past Pharmacy Today Daily; Resources. For 2019 hospitals and health systems should have better opioid management as a priority and consider an Opioid Stewardship program. As of this publication there are well over 200 drugs in shortage situations. Compared with the period from September 29 to December 28, 2019, when there were more than 65,000 cases of influenza in the United States, the same period of 2020 saw just 1,016 cases of influenza. Current Issue; List of Issues; Pharmacy Today Daily. As we move close to 2019’s halfway point, it’s time to reflect on the issues that are shaping the pharmaceutical industry for this year and beyond. Pharmacy has undergone a series of changes in 2019. Top; ... See all volumes and issues. “Drugs are eating up more and more of the healthcare pie,” says Jane Lutz, executive director, Pharmacy Benefit Management Institute (PBMI). Workforce IssuesPharmacy workforce issues will be a challenge for 2019 as there is a technician shortage but a pharmacist oversupply. Current Issue; All Issues; Call For Papers; Follow journal. Across all lines of business (LOB), more than 90% of total drug spend on the medical benefit is … Midterm elections were focused strongly on healthcare, and the results seem to demonstrate voter support of the Affordable Care Act. PEPFAR's new local approach could be crucial to ending the HIV epidemic here in Guatemala and around the world. For example, an alliance between Amazon, JP Morgan and Berkshire Hathaway could result in a disruptive force in healthcare delivery through a technology solution using live, online tools. On the positive side, about 85% of people with commercial insurance pay less than $20 a month out of pocket. All rights reserved. We also see the introduction of new terminology with companies like Ventegra now branding itself as a Pharmacy Services Administrator (PSA) as opposed to a traditional PBM and offering a fully transparent approach and a greater emphasis on 340B and specialty pharmacy options along with enhanced medication therapy management programs. In a metaphorical sense, the pharmacy industry is caught in a whirlwind of change largely driven by new regulations and industry trends. In the second model the same basic quality and cost targets are present but there are enhanced levels of payments, however these come with a “down-side” risk of reduced payments if the targets are not reached. “Under such a model, the savings or consequences of a medication under a pharmacy benefit will likely be seen on the medical side of the benefit. Current Issue; List of Issues; Pharmacy Today Daily. “Today’s healthcare system is highly complex and segmented, especially in how medications and other aspects of care are paid for. Meghann Chilcott, Chief Technology/Marketing Officer at Benzer Pharmacy looks at current… PharmaBoardroom | The Pharmacy in 2019 Meghann Chilcott, Chief Technology/Marketing Officer at Benzer Pharmacy looks at current pharmaceutical service trends that aim to create a more perfect union among technology, medication delivery and patient care for independent pharmacists. Also, Amazon may enter the retail pharmacy market through its acquisition of Whole Foods and also consider entry into the wholesale drug market or a partnership with a PBM. These changes would represent significant financial losses for some hospitals and should be monitored closely. AJP will be hosting a panel session at APP in March, and we would like to know what the most pressing issues are in pharmacy at the moment. Sterile CompoundingThe safe preparation of compounded sterile products both from a patient and healthcare worker perspective remains a focus for 2019. It has also been a stated goal of CMS to move at least 90% of ambulatory payments to an ACO or bundled payment type arrangement over the next 10 years. • Impact of the new initial education and training (IET) standards on the current workforce. This country also claims the highest pharmaceutical spending among its peers. 1 hospital in each state for 2020-21, Florida COVID-19 fatalities data included man who died in motorcycle accident, Sanford Health CEO: I've had COVID-19, won't wear a mask as 'symbolic gesture', COVID-19 symptoms can be grouped into 6 clusters, UK researchers say, 'Our backs are to the wall': Texas hospital to turn away COVID-19 patients with poor survival chances, 10 best hospitals for cancer care, ranked by US News & World Report, Neck gaiters, bandanas more harmful than not wearing a mask, Duke study suggests, Former Tennessee hospital CEO says he was asked to resign after participating in surgery, When will smell, taste come back? The statements, opinions and data contained in the journal Pharmacy are solely those of the individual authors and contributors and not of the publisher and the editor(s). Alert; RSS Feeds. While providing many benefits, there are still many elements that could benefit from a revised approach, such as high monthly premiums, limited access in some areas, affordability, and adequate funding. Just because a pharmacist can do a particular function does not … The Pharmaceutical Journal is the official monthly journal of the Royal Pharmaceutical Society, with a circulation of more than 30,000* copies, making it one of the largest worldwide pharmacy member-based publications. “Innovation with gene therapies and precision medicine increases the fight to afford specialty drugs,” says Susan A. Cantrell, RPh, CEO, Academy of Managed Care Pharmacy . gauge awareness of its current service offering explore opportunities for partnership and fundraising and investigate any potential barriers to engagement identify and understand the issues affecting those in the sector today review the needs of its In the simplest approach the ACO receives quality and cost targets and is incentivized by additional payments if they hit their required quality and cost goals. 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Here are the six top pharmacy challenges health executives can expect in 2019: Affordability. From a reinvigorated pharmacy services agenda to rising shortages and stress, C+D’s editor looks at the biggest issues facing the sector in 2020 Whether it was the implementation of the Falsified Medicines Directive , unannounced inspections or the five-year funding contract in England, 2019 was a year of firsts for community pharmacy. The General Pharmaceutical Council (GPhC) is the independent regulator for pharmacists, pharmacy technicians and pharmacy premises in Great Britain. Influenza cases hit a record low in 2020, according to CDC data. Disruptive InnovationA number of recently formed alliances and acquisitions points to new technology and distribution innovations that could transform how medicines are paid for and delivered. Much of this increase is being fueled by the continued development of specialty pharmaceuticals (high cost drugs used to treat complex patient conditions) which comprise approximately 35% of the total drug spend yet represent less than 3% of prescription volume. Copyright © 2021 Becker's Healthcare. For health systems with their own retail and specialty pharmacies, “insourcing” more employee prescriptions may also offer significant cost reduction opportunities. 394-NP90 “Solving this problem takes a multistakeholder approach; it is important to manage utilization without compromising care,” Cantrell says. “The rigor of all three sets of standards and a lack of administrative understanding of these standards, resources, and commensurate reimbursement present a struggle to pharmacists,” says Visante’s Massoomi. Current Issues in Pharmacy Practice Julie L. Webb, R.Ph. Initial education and training of pharmacy technicians Key issues, challenges and interdependencies • Supply of pharmacy technicians as the GPhC register numbers are static. Current Issues in Pharmacotherapy contains three learning modules with a total … The intervention resulted in a four-fold increase in members receiving naloxone, an overdose reversal agent. © 2021 MJH Life Sciences and Managed Healthcare Executive. Published in issue: September 2019. p6. Current Issues in Pharmacy and Medical Sciences provides a platform to authors and readers interested in exchange of important recent research and ideas. “Pharmacy is the most frequently-used benefit, and it’s a real-time benefit-you know what you are going to pay when you pick up a prescription.”. Although Steve Lucio, associate vice president, Vizient, a performance improvement company located in Irving, Texas, recognizes the effectiveness of specialty drugs, such as those for immunotherapy, he says they can saddle patients with high costs. Interested in LINKING to or REPRINTING this content? © 2021 MJH Life Sciences™ and Managed Healthcare Executive. A paradigm shift in the approach to these practice standards as requirements to meet compliance must change to a desire to meet standards and exceed them for patient and employee safety. The journal Current Issues in Pharmacy and Medical Sciences globally welcomes all researchers and authors interested in the field of pharmaceutical and medical research. All Issues - Hospital Pharmacy. Growth of the Specialty Pharmacy Market. With the advent of much more powerful pain medications including the recently released Dsuvia (sufentanil sublingual), which is 5-10X more powerful than fentanyl, physicians were given significantly enhanced medications to manage pain. The FDA approved the first generic competitor to EpiPen in August 2018 made by Teva Pharmaceuticals. With medications representing the fastest growing element of US healthcare spending and the primary treatment modality for the majority of patients, pharmacy can play a significant role in addressing these challenges. All Rights Reserved. Pharmacy global sum funding The government has announced plans to reduce the amount of funding for community pharmacies for 2016/17. “We need to change reimbursement to a value-based model; manage outcomes and patients; and tie reimbursement to outcomes to prevent adverse effects and hospitalization and increase survival.”. In addition, the PBM developed a built-in fraud use system and has created an Opioid Safety Guide on safety storage, disposal of opioids, and overdose prevention, which Walgreens pharmacists provide to Florida Blue members. The separation of medical and pharmacy benefits is confusing for patients and prescribers alike, and presents a specific hurdle for the adoption of value-based contracting (VBC) models for medications,” Cantrell says. “Hopefully, the FDA will improve shortages and at least minimize the problem by providing alternative products to those with shortages, expediting generic approval,” he says. “Negotiating for best drug price shouldn’t present a barricade,” Gavras says. Interested in linking to or reprinting our content? When I think about the pharmacy industry, the image of Dorothy being swept away in a tornado in the Wizard of Oz comes to mind. As an election year nears, healthcare will be a major theme among candidates. Multiple prescriptions also add to the cost of drugs for individuals. Current Issue Articles: September, 2019 Evaluation of Medication Adherence in Chronic Obstructive Pulmonary Disease G Ramya Bala Prabha, Shilpa K, Sarika K, … She is concerned that the price of drugs is outweighing income when the average annual cost of a specialty drug is $52,000 and the median wage in 2016 in this country was $48,665. Managed Healthcare Executive January 2019 Issue, How to Reduce Maternal, Infant Health Risks During COVID-19, Secondary Progressive Multiple Sclerosis: Patient Impact and Coverage Implications for New Therapies, AMCP launched an Addiction Advisory Group, The top three pharmacy challenges of 2018, FDA, shortages decreased to 39 in 2017 from a peak of 251 in 2011, Three Pharmacy Regulations Health Execs Should Watch. 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Full-Text HTML; PDF Human connection and pharmacy’s evolving role. MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. We have seen the proliferation of Accountable Care Organizations (ACOs) and ACO-like programs. Opioid EpidemicUnfortunately, the current opioid epidemic shows no signs of abating in 2019. Our experts are aware of current developments for pharmacies and through our proactive approach, we inform our clients of any issues that may affect them. Rising drug costs pose a financial challenge to hospitals for inpatients, but high cost drugs are also an opportunity for the hospital’s outpatient business. Lucio is looking forward to potential biosimilars-especially in oncology-entering the marketplace in 2019 to help mitigate costs through competition. What experts say will be the year’s biggest problems, and what can be done about them. C+D has been informing, supporting and championing community pharmacy since 1859. As a solution, he recommends developing a strong, proactive pipeline management system anticipating costs and ensuring the right indication, right drug, and right person are aligned. While pharmacy assumes different challenges every year, affordability has stayed at the top of the list. Related article: Three Pharmacy Regulations Health Execs Should Watch. Hospital pharmacy transformation programmes (HPTP), the meltdown of A&E services with an undercurrent of financial pressures and low morale owing to workplace pressures are some of the issues facing hospital pharmacy. Providing the latest community pharmacy news. Since pharmacists are expected to handle more responsibility professionally, some students are under more pressure to pursue a doctorate without expecting anything in return. In May 2019, Pharmacist Support commissioned another major piece of market research. Expansion of Value Based Payment Models by CMSOne of the very positive results of the Affordable Care Act has been a movement away from our traditional method of paying for healthcare using “volume” indicators, toward a “value” based approach where better quality and cost outcomes are the basis for payment. Silent epidemic. ”, rebate amounts, Maximum Allowable cost List and spread manipulations Human connection and pharmacy s..., R.Ph eliminate concerns about hidden fees, rebate amounts, Maximum Allowable List! % of people with commercial insurance pay less than $ 20 a month of... Another major piece of market Research represent around 24 percent of … Current ;! May 2019, pp below – choose the three issues that you think are most right! Shortage but a pharmacist oversupply ACOs and value-based payment hidden fees, rebate amounts, Maximum Allowable List. In President Trump and Secretary Azar announced his intention to eliminate the “ risk... 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Approach ; it is up to PBMs and plans to decide which benefit should specialty! Pharmacy news this problem takes a multistakeholder approach ; it is up to PBMs and to! 251 in 2011 risk ” ACO payment option and move to the cost of drugs for individuals you. Drugs in shortage situations local approach could be crucial to ending the epidemic! A peak of 251 in 2011 c+d has been informing, supporting and championing community news! New regulations and industry trends is lessened if you have control of your healthcare budget and access Medical... To provide guidance documents regarding sterile compounding and 503A/503B requirements from the drug and. Should cover specialty, ” she says FDA, shortages decreased to 39 2017! 2020 Volume 55 Issue 6, Current Issue December 2020 Select an Issue... Browse year... Have to weigh a drug ’ s evolving role multistakeholder approach ; it is important to manage utilization without Care. 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To provide guidance documents regarding sterile compounding and 503A/503B requirements from the Security... As an election year nears, healthcare will be a challenge for,! Their own retail and specialty pharmacies, “ insourcing ” more employee prescriptions also... A peak of 251 in 2011 practices and improve Addiction prevention and current issues in pharmacy 2019 serviced now. Are most important right now Medical Sciences provides a platform to authors readers...: pharmacy Research IV, August 2017, pp Group to promote better practices improve... On the positive side, about 85 % of our total GDP $! Jurisdictional claims in published maps and institutional affiliations are most important right now preparation.
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