current issues in pharmacy 2019

Author IdentificationJames Jorgenson, RPH, MS FASHP is the Chief Executive Officer for Visante Inc. 101 E. 5th Street, #2220, St Paul, MN 55101jjorgenson@visanteinc.com(317) 997-2004. Plus, how pharmacies can successfully navigate these issues and stay compliant. Across all lines of business (LOB), more than 90% of total drug spend on the medical benefit is … Published in issue: September 2019. p6. 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. View our policies by clicking here. The primary legislative initiatives under consideration this year by Congress have centered on increased transparency for the program and hospitals should work to voluntarily address this issue. For 2019 hospitals and health systems should have better opioid management as a priority and consider an Opioid Stewardship program. We will also see revised Chapters <797> and <800> completed, and a new chapter <825> which will address radiopharmaceuticals. For health systems with their own retail and specialty pharmacies, “insourcing” more employee prescriptions may also offer significant cost reduction opportunities. Fred Massoomi, PharmD, senior director, Visante Inc., a medication management consulting company headquartered in St. Paul, Minnesota, agrees with Cantrell that the epidemic is a multifactorial problem, placing blame on the inability to accurately document doses and dispose of waste. 590-675 Issue 5: Pharmacy Research V, October 2017 , pp. Just because a pharmacist can do a particular function does not … Here are the six top pharmacy challenges health executives can expect in 2019: Similar to last year, specialty drugs are hiking up the cost of pharmacy. “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. 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. Pharmacy global sum funding The government has announced plans to reduce the amount of funding for community pharmacies for 2016/17. An ACO is typically a collaboration between a physician group and hospital group where they agree to be accountable for the care of a defined patient population for a defined time period, such as a Medicare ACO that requires a minimum of 5,000 covered lives for three years. MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Current Issues in Pharmacy and Medical Sciences Volume 32 Issue 1 (2019) The development of HPLC-DAD method for determination of active pharmaceutical ingredient in the potassium 2- ( (4-amino-5- (morpholinomethyl)-4H-1,2,4-triazol-3-yl)thio) acetate substance. 349-411 Issue 5, October 2020 , pp. Midterm elections were focused strongly on healthcare, and the results seem to demonstrate voter support of the Affordable Care Act. In other words, those responsible for managing the pharmacy benefit may not have access to medical data,” she says. 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. All rights reserved. 340B ProgramThe 340B Program has grown considerably since its inception and now represents approximately 4% of the total US prescription drug spend. “Today’s healthcare system is highly complex and segmented, especially in how medications and other aspects of care are paid for. And, the FDA is continuing to provide guidance documents regarding sterile compounding and 503A/503B requirements from the Drug Security and Quality Act. We can and must do better in all of the above areas and everyone should hold all elected officials accountable for their performance on improving healthcare. As a result of this growth the program has come under increasing criticism from elements of the PhRMA and Biotech industries, community oncology groups, PBMs, CMS, members of Congress and the Trump administration. Gain an edge this year with our list of the top four retail pharmacy trends for 2019. Lucio makes technology sound like a necessary evil when he says it is expensive but enables the pharmacy industry to work more safely and effectively. The new fully transparent PBM programs eliminate concerns about hidden fees, rebate amounts, Maximum Allowable Cost list and spread manipulations. Take a look back: The top three pharmacy challenges of 2018. 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. “Negotiating for best drug price shouldn’t present a barricade,” Gavras says. In May 2019, Pharmacist Support commissioned another major piece of market research. 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. Issue 6: Pharmacy Research VI, December 2017 , pp. It is up to PBMs and plans to decide which benefit should cover specialty,” Lutz says. 'Next-door health care' use will rise. For 2019, CMS is suggesting further reductions in payments to 340B hospitals for Part B drugs and biologicals. 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. © 2021 MJH Life Sciences™ and Managed Healthcare Executive. 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. Influenza cases hit a record low in 2020, according to CDC data. 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. “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 (AMCP). Full-Text HTML; PDF Human connection and pharmacy’s evolving role. 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. “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 . C+D has been informing, supporting and championing community pharmacy since 1859. In early 2018, AMCP launched an Addiction Advisory Group to promote better practices and improve addiction prevention and treatment serviced. 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. “We want pharmacists to operate a patient-safe environment, but a business model doesn’t exist to enable that but with so many products and technologies that can cause problems,” says Norman Tomaka, BS, Pharm, MS, clinical consulting pharmacist based in Melbourne, Florida. The General Pharmaceutical Council (GPhC) is the independent regulator for pharmacists, pharmacy technicians and pharmacy premises in Great Britain. Initial education and training of pharmacy technicians Key issues, challenges and interdependencies • Supply of pharmacy technicians as the GPhC register numbers are static. Traditionally the PBM contract is negotiated in HR/Benefits with little or no pharmacy involvement, but pharmacy has data and expertise that can support HR/Benefits and provide a much better understanding of PBM practices to help select and negotiate the best possible option. • Ensuring educational infrastructure and training quality. The FDA approved the first generic competitor to EpiPen in August 2018 made by Teva Pharmaceuticals. 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. 286-341 Issue 4, August 2020 , pp. 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. 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. Here are just a few of the big global health issues that we at IntraHealth International will be watching and responding to in the coming year. 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. 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 Mari Edlin, a frequent contributor to Managed Healthcare Executive, is based in Sonoma, California. It is possible to become addicted after a single course of treatment and it is impossible to predict exactly who might have this addiction predilection. Current Issue; All Issues; Call For Papers; Follow journal. 10 Global Health Issues to Watch in 2019 . Growth of the Specialty Pharmacy Market. Specialty Products and Services When looking ahead at the retail pharmacy trends of 2019, specialty pharmacy is gaining significant traction in the industry. Issue #2: Pursuing a Higher Education. 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. The impact of drug shortages is significant and includes the expense and time to provide alternative medications, communicate statuses with staff, keep IT and automation updated with new products, purchase cost of non-contracted products, and more. The journal Current Issues in Pharmacy and Medical Sciences globally welcomes all researchers and authors interested in the field of pharmaceutical and medical research. ... 2010 - 2019; 2015 (Volume 21) March 2015 Supplement Issue 3, … Pharmacy workforce issues will be a challenge for 2019 as there is a technician shortage but a pharmacist oversupply. 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. 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. 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. We can expect to see enhanced options for preparation, including guided prep systems and next generation robotics. “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. While pharmacy assumes different challenges every year, affordability has stayed at the top of the list. 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. Current Issues in Pharmacy and Medical Sciences provides a platform to authors and readers interested in exchange of important recent research and ideas. 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). In a metaphorical sense, the pharmacy industry is caught in a whirlwind of change largely driven by new regulations and industry trends. 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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. 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. 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 … He also believes that patients have to weigh a drug’s relative value against its price tag. Well-trained and experienced technicians are essential for a robust medication safety program, but high-turnover rates have been an issue. The FDA approved 55 drugs as of early December 2018, in therapeutic areas as diverse as influenza, breast cancer, immunodeficiency, pneumonia, and migraines. Current Issues in Pharmacotherapy contains three learning modules with a total … Current Issues in Pharmacy Practice Julie L. Webb, R.Ph. 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. © 2021 MJH Life Sciences and Managed Healthcare Executive. Interested in linking to or reprinting our content? Hospital pharmacists are facing a large number of challenges in the next few years in the UK, which will shape the agenda of the Guild of Healthcare Pharmacists (GHP) who provide professional and industrial representation. Move to the FDA, shortages decreased to 39 in 2017 from patient. Enormous increase in people addicted to prescription pain medications of the Affordable Care Act prevent from... Acos ) and ACO-like programs the amount of funding for community pharmacies for 2016/17 and consider opioid. 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