current issues in pharmacy 2019

Specialty pharmacy fills represent around 24 percent of … • Impact of the new initial education and training (IET) standards on the current workforce. These changes would represent significant financial losses for some hospitals and should be monitored closely. MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Issue 6: Pharmacy Research VI, December 2017 , pp. Most recent (RSS) Most cited (RSS) Filter issues by Issue archive. Efforts focused on PBMs feature prominently in President Trump and Secretary Azar’s Blueprint for Drug Cost Reduction. 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. “The rigor of all three sets of standards and a lack of administrative understanding of these standards, resources, and commensurate reimbursement present a struggle to pharmacists,” says Visante’s Massoomi. 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. Massoomi calls drug shortages the “silent epidemic.”. And, the FDA is continuing to provide guidance documents regarding sterile compounding and 503A/503B requirements from the Drug Security and Quality Act. Pharmacy global sum funding The government has announced plans to reduce the amount of funding for community pharmacies for 2016/17. 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. Current Issue; All Issues; Call For Papers; Follow journal. Sterile CompoundingThe safe preparation of compounded sterile products both from a patient and healthcare worker perspective remains a focus for 2019. For 2019 hospitals and health systems should have better opioid management as a priority and consider an Opioid Stewardship program. 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. 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. “The challenge of high costs is lessened if you have control of your healthcare budget and access to drugs,” Lucio says. 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. Top; ... See all volumes and issues. 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Current Issue; List of Issues; Pharmacy Today Daily. 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. 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. Opioid EpidemicUnfortunately, the current opioid epidemic shows no signs of abating in 2019. 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. 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. Current Issue; List of Issues; Pharmacy Today Daily. 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 … View our policies by clicking here. “Negotiating for best drug price shouldn’t present a barricade,” Gavras says. 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. In May 2019, Pharmacist Support commissioned another major piece of market research. Issue #2: Pursuing a Higher Education. 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. 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 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. All rights reserved. There are two basic approaches to ACOs and value-based payment. 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. 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. While this gives students more options in the field of pharmacy, it also requires a longer period of study and subsequently, more fees. C+D has been informing, supporting and championing community pharmacy since 1859. 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. Current issue Browse list of issues Explore. Uniformity of Pharmacy Practice. Published in issue: September 2019. p6. 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. 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. 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. Current Issue Articles: September, 2019 Evaluation of Medication Adherence in Chronic Obstructive Pulmonary Disease G Ramya Bala Prabha, Shilpa K, Sarika K, … “Drugs are eating up more and more of the healthcare pie,” says Jane Lutz, executive director, Pharmacy Benefit Management Institute (PBMI). “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. “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. This country also claims the highest pharmaceutical spending among its peers. Copyright © 2021 Becker's Healthcare. 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. On the other hand, Lutz believes that no model exists that can support the development and distribution of orphan and genomic drugs and biosimilars. 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. “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. According to the FDA, shortages decreased to 39 in 2017 from a peak of 251 in 2011. Back; Current Pharmacy Today Daily; Past Pharmacy Today Daily; Resources. Specialty Products and Services When looking ahead at the retail pharmacy trends of 2019, specialty pharmacy is gaining significant traction in the industry. Influenza cases hit a record low in 2020, according to CDC data. All rights reserved. The FDA approved 55 drugs as of early December 2018, in therapeutic areas as diverse as influenza, breast cancer, immunodeficiency, pneumonia, and migraines. 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. Midterm elections were focused strongly on healthcare, and the results seem to demonstrate voter support of the Affordable Care Act. Current Issues in Pharmacy and Medical Sciences provides a platform to authors and readers interested in exchange of important recent research and ideas. “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). Plus, how pharmacies can successfully navigate these issues and stay compliant. Lucio is looking forward to potential biosimilars-especially in oncology-entering the marketplace in 2019 to help mitigate costs through competition. Current Issues in Pharmacy Practice Lea S. 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 We can expect to see enhanced options for preparation, including guided prep systems and next generation robotics. What might this mean for the future of pharmacy? Just because a pharmacist can do a particular function does not … “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.”. “Today’s healthcare system is highly complex and segmented, especially in how medications and other aspects of care are paid for. 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. Vote below – choose the three issues that you think are most important right now. Across all lines of business (LOB), more than 90% of total drug spend on the medical benefit is … Initial education and training of pharmacy technicians Key issues, challenges and interdependencies • Supply of pharmacy technicians as the GPhC register numbers are static. Since pharmacists are expected to handle more responsibility professionally, some students are under more pressure to pursue a doctorate without expecting anything in return. Pharmacy, an international, peer-reviewed Open Access journal. We have seen the proliferation of Accountable Care Organizations (ACOs) and ACO-like programs. 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. The intervention resulted in a four-fold increase in members receiving naloxone, an overdose reversal agent. Following a call out on social media, we have a shortlist of topics that we want you to vote on. “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 . For 2019, CMS is suggesting further reductions in payments to 340B hospitals for Part B drugs and biologicals. 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. The PBM also works with providers to manage therapy and with retailers to prevent patients from filling the same prescription in multiple pharmacies. 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. Interested in LINKING to or REPRINTING this content? All Issues - Hospital 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. 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. 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. Well-trained and experienced technicians are essential for a robust medication safety program, but high-turnover rates have been an issue. 218-278 Issue 3, June 2020 ... Issue 3, June 2019 , pp. In other words, those responsible for managing the pharmacy benefit may not have access to medical data,” she 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. 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. “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.”. “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. 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. Full-Text HTML; PDF Human connection and pharmacy’s evolving role. 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). On the positive side, about 85% of people with commercial insurance pay less than $20 a month out of pocket. 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. As an election year nears, healthcare will be a major theme among candidates. 'Next-door health care' use will rise. Some of the strictest regulations to recently surface relate to compounding drugs: USP 795, 797, and 800, which are standards for compounding non-sterile preparations, compounding for sterile preparations, and hazardous drug handling, respectively. 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. 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 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. Care, ” Gavras says ACO payment option and move to the second model only and! Continuing to provide guidance documents regarding sterile compounding and 503A/503B requirements from the drug Security and Quality.... Up to PBMs and plans to reduce the amount of funding for community pharmacies for 2016/17 pharmacies... 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