current issues in pharmacy 2019

For 2019, CMS is suggesting further reductions in payments to 340B hospitals for Part B drugs and biologicals. Across all lines of business (LOB), more than 90% of total drug spend on the medical benefit is … Back; Current Pharmacy Today Daily; Past Pharmacy Today Daily; Resources. 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. In early 2018, AMCP launched an Addiction Advisory Group to promote better practices and improve addiction prevention and treatment serviced. Lucio is looking forward to potential biosimilars-especially in oncology-entering the marketplace in 2019 to help mitigate costs through competition. © Copyright ASC COMMUNICATIONS 2021. Full-Text HTML; PDF Human connection and pharmacy’s evolving role. 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. For 2019 hospitals and health systems should have better opioid management as a priority and consider an Opioid Stewardship program. Top; ... See all volumes and issues. Specialty pharmacy fills represent around 24 percent of … Escalating Drug CostsThis year the total prescription drug spend is expected to exceed $460B and projections are that by the end of 2019 that total will be at half a trillion dollars. 218-278 Issue 3, June 2020 ... Issue 3, June 2019 , pp. “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). The intervention resulted in a four-fold increase in members receiving naloxone, an overdose reversal agent. 394-NP90 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 Practice Julie L. Webb, R.Ph. Multiple prescriptions also add to the cost of drugs for individuals. In response to calls for a different approach, we see PBMs evolving from the traditional model that essentially “hides” certain pricing elements to a model with more transparency. 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 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? Issue 6: Pharmacy Research VI, December 2017 , pp. As of this publication there are well over 200 drugs in shortage situations. “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. 5 COVID-19 questions answered, Meet the 13 members of Biden's COVID-19 task force, 900+ Mayo Clinic workers diagnosed with COVID-19 in past 2 weeks, Trump signs executive orders on healthcare: 6 things to know, Staff at hospitals in DC, Texas turn down COVID-19 vaccine, 100 of the largest hospitals and health systems in America | 2020, Massachusetts hospital COVID-19 outbreak may be tied to employees eating together, 26 hospitals bringing back furloughed employees, COVID-19 patients most infectious 2 days before, 5 days after symptoms emerge, analysis finds, Utah hospital stops conspiracy theorists attempting to sneak in, disprove ICU capacity claims, Sam's Club launches $1 telehealth visits for members: 7 details, Ballad dismisses cardiothoracic surgeon who asked CEO to make incision on patient, New York hospital exec disappointed after staff cut the line for COVID-19 vaccine, 50 top teaching hospitals in the US, ranked by Washington Monthly Magazine, Kamala Harris on healthcare: 6 things to know about her policy positions, Trump preparing healthcare executive orders: 4 things to know, Trump adds Dr. Scott Atlas to coronavirus task force: 5 things to know about him, US News' Best Hospitals 2020-21 Honor Roll, UnitedHealth accused of illegally deflating reimbursements, 'We are about to enter COVID hell': Experts warn of most dangerous surge yet, 6 hospital ransomware attacks in 24 hours prompts US advisory: 8 things to know, How a true Centers of Excellence is boosting patient experience and quality, 10 ways supply chains can use analytics to access greater savings on indirect spend, Lung cancer diagnoses have declined due to COVID-19, patient education and awareness must be part of the response, How to evaluate a telehealth platform today — a guide for IT, 8 Marketing Metrics Healthcare Executives Should Track, Managing the entire supply chain proactively in the new normal, Using Tech to Improve Patient Engagement in the New Normal, Influenza vaccination is more important than ever: To help, Immunization Action Coalition launches new mass vaccination resources website, How to gauge your hospital’s financial health, How to ADMINister Chronic Wound Care to Help Improve Patient Outcomes, 6 things health systems need in medication access technology, A commitment to collaboration and education — surgical robotics at Emory Healthcare, Using telehealth to manage chronic diseases, ASC Annual Meeting: The Business and Operations of ASCs, Health IT + Clinical Leadership + Pharmacy Conference, Spine, Orthopedic and Pain Management-Driven ASC + the Future of Spine Conference. Current Issues in Pharmacy and Medical Sciences provides a platform to authors and readers interested in exchange of important recent research and ideas. In this episode, Darshan talks about how the rise in cannabis, telepharmacy, and the emergence of the General Data Protection Regulation (GDPR) may affect pharmaceutical companies. Following a call out on social media, we have a shortlist of topics that we want you to vote on. Back; Current Pharmacy Today Daily; Past Pharmacy Today Daily; Resources. 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. 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 FDA approved the first generic competitor to EpiPen in August 2018 made by Teva Pharmaceuticals. 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. We have seen the proliferation of Accountable Care Organizations (ACOs) and ACO-like programs. Current Issues in Pharmacy and Medical Sciences 2020-21 Real-Time Journal Impact Prediction & Tracking 2021 2020 2019 Journal Impact, History & Ranking Recently HHS Secretary Azar announced his intention to eliminate the “no risk” ACO payment option and move to the second model only. 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. Interested in LINKING to or REPRINTING this content? Back; Informational Resources; APhA Practice Tools ; Advertise ; Subscribe ; Related Publications. All Rights Reserved. The latest release in ACCP’s popular Pharmacotherapy Self-Assessment Program (PSAP) focuses on evidence-based management strategies for a wide range of disorders, with a central theme that involves management of the immunocompromised host, but also branching out into an assessment of other pertinent topics facing the clinician in pharmacy practice today. © 2021 MJH Life Sciences and Managed Healthcare Executive. 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. While this gives students more options in the field of pharmacy, it also requires a longer period of study and subsequently, more fees. Related article: Three Pharmacy Regulations Health Execs Should Watch. ... 2010 - 2019; 2015 (Volume 21) March 2015 Supplement Issue 3, … On the other hand, Lutz believes that no model exists that can support the development and distribution of orphan and genomic drugs and biosimilars. According to the FDA, shortages decreased to 39 in 2017 from a peak of 251 in 2011. 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. What might this mean for the future of pharmacy? 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. 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. Since pharmacists are expected to handle more responsibility professionally, some students are under more pressure to pursue a doctorate without expecting anything in return. “The challenge of high costs is lessened if you have control of your healthcare budget and access to drugs,” Lucio says. 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. 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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 Pharmacy has undergone a series of changes in 2019. • Impact of the new initial education and training (IET) standards on the current workforce. Mari Edlin, a frequent contributor to Managed Healthcare Executive, is based in Sonoma, California. 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. 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 … 590-675 Issue 5: Pharmacy Research V, October 2017 , pp. In a metaphorical sense, the pharmacy industry is caught in a whirlwind of change largely driven by new regulations and industry trends. This country also claims the highest pharmaceutical spending among its peers. “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. Current Issue; List of Issues; Pharmacy Today Daily. 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. There are two basic approaches to ACOs and value-based payment. In May 2019, Pharmacist Support commissioned another major piece of market research. Pharmacy global sum funding The government has announced plans to reduce the amount of funding for community pharmacies for 2016/17. 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. These changes would represent significant financial losses for some hospitals and should be monitored closely. 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. 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. Current Issues in Pharmacotherapy contains three learning modules with a total … 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. 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. 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. Efforts focused on PBMs feature prominently in President Trump and Secretary Azar’s Blueprint for Drug Cost Reduction. 490-581 Issue 4: Pharmacy Research IV, August 2017 , pp. Most recent (RSS) Most cited (RSS) Filter issues by Issue archive. Initial education and training of pharmacy technicians Key issues, challenges and interdependencies • Supply of pharmacy technicians as the GPhC register numbers are static. 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. 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. 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. 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. On the positive side, about 85% of people with commercial insurance pay less than $20 a month out of pocket. 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. “Today’s healthcare system is highly complex and segmented, especially in how medications and other aspects of care are paid for. What experts say will be the year’s biggest problems, and what can be done about them. Every day, more than 115 people in the United States die after overdosing on opioids and the total "economic burden" of prescription opioid misuse alone in the United States is approximately $80B annually and rising. Uniformity of Pharmacy Practice. 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. And, the FDA is continuing to provide guidance documents regarding sterile compounding and 503A/503B requirements from the Drug Security and Quality Act. 10 Global Health Issues to Watch in 2019 . Well-trained and experienced technicians are essential for a robust medication safety program, but high-turnover rates have been an issue. “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. MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. 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. 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. 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. 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 workforce issues will be a challenge for 2019 as there is a technician shortage but a pharmacist oversupply. The biggest shortages have hit older, generic, injectable medications produced by only a small number of manufacturers, epinephrine as exemplified by Mylan jacking up the price of EpiPen 400%, and injectable analgesics. February 1999 - December 2020 Select an issue ... Browse by year. The FDA approved 55 drugs as of early December 2018, in therapeutic areas as diverse as influenza, breast cancer, immunodeficiency, pneumonia, and migraines. 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. “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.”. Current Issue; List of Issues; Pharmacy Today Daily. Workforce IssuesPharmacy workforce issues will be a challenge for 2019 as there is a technician shortage but a pharmacist oversupply. 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. He also believes that patients have to weigh a drug’s relative value against its price tag. Similar to last year, specialty drugs are hiking up the cost of pharmacy. Gain an edge this year with our list of the top four retail pharmacy trends for 2019. The new fully transparent PBM programs eliminate concerns about hidden fees, rebate amounts, Maximum Allowable Cost list and spread manipulations. C+D has been informing, supporting and championing community pharmacy since 1859. 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. “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 . 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. Alert; RSS Feeds. Prescription drugs now represent approximately 17% of the total US healthcare spending. 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. 'Next-door health care' use will rise. The General Pharmaceutical Council (GPhC) is the independent regulator for pharmacists, pharmacy technicians and pharmacy premises in Great Britain. 349-411 Issue 5, October 2020 , pp. The PBM also works with providers to manage therapy and with retailers to prevent patients from filling the same prescription in multiple pharmacies. Just because a pharmacist can do a particular function does not … 2020 2020 Volume 55 Issue 6, Current Issue December 2020 , pp. We will also see revised Chapters <797> and <800> completed, and a new chapter <825> which will address radiopharmaceuticals. November 5, 2019. Vote below – choose the three issues that you think are most important right now. Growth of the Specialty Pharmacy Market. Gavras says that Prime Therapeutics has been identifying high prescribers since 2010, along with users abusing opioids based on a predictive modeling process. PEPFAR's new local approach could be crucial to ending the HIV epidemic here in Guatemala and around the world. However, the unintended consequence was an enormous increase in people addicted to prescription pain medications. 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. Massoomi calls drug shortages the “silent epidemic.”. View our policies by clicking here. “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. Opioid EpidemicUnfortunately, the current opioid epidemic shows no signs of abating in 2019. 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. Take a look back: The top three pharmacy challenges of 2018. 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. 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. Influenza cases hit a record low in 2020, according to CDC data. 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. 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. “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. Specialty Products and Services When looking ahead at the retail pharmacy trends of 2019, specialty pharmacy is gaining significant traction in the industry. 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. 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