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Gain an edge this year with our list of the top four retail pharmacy trends for 2019. 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. “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. 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. “The challenge of high costs is lessened if you have control of your healthcare budget and access to drugs,” Lucio says. 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. Continuing Drug ShortagesWe have seen no significant abatement of the ongoing issues surrounding drug shortages this year and there are no indications that this situation will improve in 2019. The FDA approved 55 drugs as of early December 2018, in therapeutic areas as diverse as influenza, breast cancer, immunodeficiency, pneumonia, and migraines. Lucio is looking forward to potential biosimilars-especially in oncology-entering the marketplace in 2019 to help mitigate costs through competition. 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. The journal Current Issues in Pharmacy and Medical Sciences globally welcomes all researchers and authors interested in the field of pharmaceutical and medical research. 394-NP90 On the positive side, about 85% of people with commercial insurance pay less than $20 a month out of pocket. “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.”. 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. Growth of the Specialty Pharmacy Market. Just because a pharmacist can do a particular function does not … 490-581 Issue 4: Pharmacy Research IV, August 2017 , pp. 218-278 Issue 3, June 2020 ... Issue 3, June 2019 , pp. 349-411 Issue 5, October 2020 , pp. 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. Influenza cases hit a record low in 2020, according to CDC data. 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. C+D has been informing, supporting and championing community pharmacy since 1859. Across all lines of business (LOB), more than 90% of total drug spend on the medical benefit is … All rights reserved. Published in issue: September 2019. p6. The General Pharmaceutical Council (GPhC) is the independent regulator for pharmacists, pharmacy technicians and pharmacy premises in Great Britain. By: Roman Shcherbyna, Volodymyr Parchenko, Boris Varynskyi , and Andriy Kaplaushenko. 149-208 Issue 2, April 2019 , pp. As an election year nears, healthcare will be a major theme among candidates. Well-trained and experienced technicians are essential for a robust medication safety program, but high-turnover rates have been an issue. What experts say will be the year’s biggest problems, and what can be done about them. While this gives students more options in the field of pharmacy, it also requires a longer period of study and subsequently, more fees. Current issue Browse list of issues Explore. “Today’s healthcare system is highly complex and segmented, especially in how medications and other aspects of care are paid for. For 2019 hospitals and health systems should have better opioid management as a priority and consider an Opioid Stewardship program. 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. Pharmacy has undergone a series of changes in 2019. November 5, 2019. Providing the latest community pharmacy news. At the same time that USP standards are in process, State Boards of Pharmacy are also actively working on enhancements to their regulations as well as continuing to elevate the training around sterile compounding compliance for their inspectors. Current Issues in Pharmacy and Medical Sciences 2020-21 Real-Time Journal Impact Prediction & Tracking 2021 2020 2019 Journal Impact, History & Ranking As part of its proposed payment regulation for hospitals under the Outpatient Prospective Payment System (OPPS) for 2019, CMS proposes continuation of the 30 percent payment reduction for Part B drugs implemented earlier this year for certain hospitals in the 340B drug pricing program, and further proposes to extend the payment reduction to drugs provided in non-excepted off-campus hospital outpatient departments (HOPDs) that are subject to reduced "site neutral" payments. We can expect to see enhanced options for preparation, including guided prep systems and next generation robotics. While pharmacy assumes different challenges every year, affordability has stayed at the top of the list. “Drugs are eating up more and more of the healthcare pie,” says Jane Lutz, executive director, Pharmacy Benefit Management Institute (PBMI). Current Issue; List of Issues; Pharmacy Today Daily. 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. Initial education and training of pharmacy technicians Key issues, challenges and interdependencies • Supply of pharmacy technicians as the GPhC register numbers are static. Pharmacy workforce issues will be a challenge for 2019 as there is a technician shortage but a pharmacist oversupply. Thomas E. Menighan; 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. Issue #2: Pursuing a Higher Education. Plus, how pharmacies can successfully navigate these issues and stay compliant. Massoomi calls drug shortages the “silent epidemic.”. 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. That is nine more than record-breaking 2017, which had the highest number of approvals in more than two decades, according to an April 12, 2018 Health Policy Report in the New England Journal of Medicine. 2020 2020 Volume 55 Issue 6, Current Issue December 2020 , pp. Copyright © 2021 Becker's Healthcare. Current Issues in Pharmacy Practice Julie L. Webb, R.Ph. For 2019, hospitals and health systems would be wise to evaluate their current PBM performance for their employees and any “at risk” populations they are responsible for – and pharmacy should be part of this analysis. Pharmacy, an international, peer-reviewed Open Access journal. 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. Prescription drugs now represent approximately 17% of the total US healthcare spending. Take a look back: The top three pharmacy challenges of 2018. Jonathan Gavras, MD, senior vice president and chief medical officer of Prime Therapeutics, a PBM headquartered in Eagan, Minnesota, believes it is important to anticipate what’s coming down the pipeline, especially high-cost specialty drugs; develop appropriate policies around cost to be affordable for payers and patients; and keep ahead of drug approvals, many of which are fast tracked. Multiple prescriptions also add to the cost of drugs for individuals. © Copyright ASC COMMUNICATIONS 2021. Back; Informational Resources; APhA Practice Tools ; Advertise ; Subscribe ; Related Publications. But capturing and recording that event in the pharmacy benefit, which is needed to execute the VBC model, is hampered by the segmentation of the two benefits. 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. 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. 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. Interested in LINKING to or REPRINTING this content? “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.”. 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. 2020 - Volume 72; 2010 - 2019. Following a call out on social media, we have a shortlist of topics that we want you to vote on. *Publisher statement - Royal Pharmaceutical Society membership data - January 2019… What might this mean for the future of pharmacy? The intervention resulted in a four-fold increase in members receiving naloxone, an overdose reversal agent. • Ensuring educational infrastructure and training quality. For 2019, CMS is suggesting further reductions in payments to 340B hospitals for Part B drugs and biologicals. Mari Edlin, a frequent contributor to Managed Healthcare Executive, is based in Sonoma, California. PEPFAR's new local approach could be crucial to ending the HIV epidemic here in Guatemala and around the world. 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. Most recent (RSS) Most cited (RSS) Filter issues by Issue archive. “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. © 2021 MJH Life Sciences and Managed Healthcare Executive. “Innovation with gene therapies and precision medicine increases the fight to afford specialty drugs,” says Susan A. 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