Impact of Value-Based Payment Models on Pharmacies
Pharmacies can anticipate new, specific goals that tie fee-for-service Medicare payments to value-based payment models, according to the US Department of Health and Human Services (HHS).
In this video, Sam Stolpe, PharmD, senior director of Quality Strategies and Business Development at Pharmacy Quality Alliance (PQA), talks about how the HHS has announced that there will be concrete numbers affiliated with quality goals related to aspects such as care coordination. The new model will also link value-based payments to services provided.
“What they’re distilling it down to are quantitative goals that are rather ambitious,” Dr. Stolpe says.
Inside of Medicare Part C and Part D, PQA has a number of measures embedded that will be highly influenced by pharmacists, Dr. Stolpe notes. Some examples include safe and appropriate medication use, adherence, and the use of high-risk drugs for the elderly.
Recent Posts
-
Senior Care Pharmacy Coalition Shares Comments with CMS Regarding Medicare Part D Restructuring Guidance: “Smoothing Provisions”
SCPC filed comments with CMS in response to their guidance on the implementation of the Medicare Part D restructuring portion of the Inflation Reduction Act (IRA).
-
Drug pricing efforts threaten ‘very existence’ of LTC pharmacies: reps
President Biden in his State of the Union address last week vowed to end “Big Pharma’s” grip on prescription drug pricing and cut costs for seniors and taxpayers by another $200 million.
But the president’s plans to expand his administration’s first-ever Medicare drug price negotiations could spell big trouble for the pharmacists who support seniors living in long-term care settings, advocates warned in response. -
President Biden Announces Desire to Cap Drug Prices for All Americans
In the State of the Union Address on March 7th, President Joseph Biden announced a proposal to expand the number of drugs targeted for annual price negotiations by Medicare and lower prescription drug costs for American families.
Stay in the Know
Get the latest news and updates on issues impacting the long-term pharmacy community.