Choosing Evolution over Extinction: Integrating Direct Patient Care Services and Value-Based Payment Models into the Community-Based Pharmacy Setting
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 mo...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-07-01
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| Series: | Pharmacy |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2226-4787/8/3/128 |
| _version_ | 1797561467621343232 |
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| author | Amanda R. Mercadante Mai Yokota Angela Hwang Micah Hata Anandi V. Law |
| author_facet | Amanda R. Mercadante Mai Yokota Angela Hwang Micah Hata Anandi V. Law |
| author_sort | Amanda R. Mercadante |
| collection | DOAJ |
| description | 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impacts with the inclusion of pharmacists, solutions to payment challenges could present a progressive approach to an outdated system.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. |
| first_indexed | 2024-03-10T18:14:22Z |
| format | Article |
| id | doaj.art-bfd6cd056d464ddca00820c65ea26cde |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-03-10T18:14:22Z |
| publishDate | 2020-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-bfd6cd056d464ddca00820c65ea26cde2023-11-20T07:51:55ZengMDPI AGPharmacy2226-47872020-07-018312810.3390/pharmacy8030128Choosing Evolution over Extinction: Integrating Direct Patient Care Services and Value-Based Payment Models into the Community-Based Pharmacy SettingAmanda R. Mercadante0Mai Yokota1Angela Hwang2Micah Hata3Anandi V. Law4College of Pharmacy, Western University of Health Sciences, Pomona, CA 91766, USACollege of Pharmacy, Western University of Health Sciences, Pomona, CA 91766, USACollege of Pharmacy, Western University of Health Sciences, Pomona, CA 91766, USACollege of Pharmacy, Western University of Health Sciences, Pomona, CA 91766, USACollege of Pharmacy, Western University of Health Sciences, Pomona, CA 91766, USAThe 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.https://www.mdpi.com/2226-4787/8/3/128community pharmacypharmacy benefit managerhealthcarehealthcare payment modeldirect and indirect remunerationpharmacy services |
| spellingShingle | Amanda R. Mercadante Mai Yokota Angela Hwang Micah Hata Anandi V. Law Choosing Evolution over Extinction: Integrating Direct Patient Care Services and Value-Based Payment Models into the Community-Based Pharmacy Setting Pharmacy community pharmacy pharmacy benefit manager healthcare healthcare payment model direct and indirect remuneration pharmacy services |
| title | Choosing Evolution over Extinction: Integrating Direct Patient Care Services and Value-Based Payment Models into the Community-Based Pharmacy Setting |
| title_full | Choosing Evolution over Extinction: Integrating Direct Patient Care Services and Value-Based Payment Models into the Community-Based Pharmacy Setting |
| title_fullStr | Choosing Evolution over Extinction: Integrating Direct Patient Care Services and Value-Based Payment Models into the Community-Based Pharmacy Setting |
| title_full_unstemmed | Choosing Evolution over Extinction: Integrating Direct Patient Care Services and Value-Based Payment Models into the Community-Based Pharmacy Setting |
| title_short | Choosing Evolution over Extinction: Integrating Direct Patient Care Services and Value-Based Payment Models into the Community-Based Pharmacy Setting |
| title_sort | choosing evolution over extinction integrating direct patient care services and value based payment models into the community based pharmacy setting |
| topic | community pharmacy pharmacy benefit manager healthcare healthcare payment model direct and indirect remuneration pharmacy services |
| url | https://www.mdpi.com/2226-4787/8/3/128 |
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