Pharmacy workforce issues will be a challenge for 2019 as there is a technician shortage but a pharmacist oversupply. 2020 - Volume 72; 2010 - 2019. We can expect to see enhanced options for preparation, including guided prep systems and next generation robotics. 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. Recently HHS Secretary Azar announced his intention to eliminate the “no risk” ACO payment option and move to the second model only. Thomas E. Menighan; 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 Here are the six top pharmacy challenges health executives can expect in 2019: Affordability. Most recent (RSS) Most cited (RSS) Filter issues by Issue archive. 340B ProgramThe 340B Program has grown considerably since its inception and now represents approximately 4% of the total US prescription drug spend. 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. November 5, 2019. Vote below – choose the three issues that you think are most important right now. *Publisher statement - Royal Pharmaceutical Society membership data - January 2019… 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 Massoomi calls drug shortages the “silent epidemic.”. There are two basic approaches to ACOs and value-based payment. Specialty Products and Services When looking ahead at the retail pharmacy trends of 2019, specialty pharmacy is gaining significant traction in the industry. 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. 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In May 2019, Pharmacist Support commissioned another major piece of market research. According to the FDA, shortages decreased to 39 in 2017 from a peak of 251 in 2011. The new fully transparent PBM programs eliminate concerns about hidden fees, rebate amounts, Maximum Allowable Cost list and spread manipulations. View our policies by clicking here. • Impact of the new initial education and training (IET) standards on the current workforce. Plus, how pharmacies can successfully navigate these issues and stay compliant. Current Issue; List of Issues; Pharmacy Today Daily. The PBM also works with providers to manage therapy and with retailers to prevent patients from filling the same prescription in multiple pharmacies. Multiple prescriptions also add to the cost of drugs for individuals. 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. 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. Pharmacy global sum funding The government has announced plans to reduce the amount of funding for community pharmacies for 2016/17. 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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. 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. 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. 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. 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. Uniformity of Pharmacy Practice. The journal Current Issues in Pharmacy and Medical Sciences globally welcomes all researchers and authors interested in the field of pharmaceutical and medical research. 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. “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 . 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. 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. On the positive side, about 85% of people with commercial insurance pay less than $20 a month out of pocket. 149-208 Issue 2, April 2019 , pp. Patients want health care closer to them, and health-system … “Solving this problem takes a multistakeholder approach; it is important to manage utilization without compromising care,” Cantrell says. 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 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. Interested in linking to or reprinting our content? 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. 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. © Copyright ASC COMMUNICATIONS 2021. “Drugs are eating up more and more of the healthcare pie,” says Jane Lutz, executive director, Pharmacy Benefit Management Institute (PBMI). 490-581 Issue 4: Pharmacy Research IV, August 2017 , pp. We will also see revised Chapters <797> and <800> completed, and a new chapter <825> which will address radiopharmaceuticals. 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. 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. Copyright © 2021 Becker's Healthcare. 349-411 Issue 5, October 2020 , pp. Take a look back: The top three pharmacy challenges of 2018. 218-278 Issue 3, June 2020 ... Issue 3, June 2019 , pp. Issue 6: Pharmacy Research VI, December 2017 , pp. Interested in LINKING to or REPRINTING this content? 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. These changes would represent significant financial losses for some hospitals and should be monitored closely. Top; ... See all volumes and issues. Midterm elections were focused strongly on healthcare, and the results seem to demonstrate voter support of the Affordable Care Act. © 2021 MJH Life Sciences and Managed Healthcare Executive. 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. MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Influenza cases hit a record low in 2020, according to CDC data. ... 2010 - 2019; 2015 (Volume 21) March 2015 Supplement Issue 3, … 10 Global Health Issues to Watch in 2019 . Current Issues in Pharmacy and Medical Sciences provides a platform to authors and readers interested in exchange of important recent research and ideas. 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. Issue #2: Pursuing a Higher Education. Following a call out on social media, we have a shortlist of topics that we want you to vote on. The intervention resulted in a four-fold increase in members receiving naloxone, an overdose reversal agent. 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 … 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. “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.”. While pharmacy assumes different challenges every year, affordability has stayed at the top of the list. 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. Specialty pharmacy fills represent around 24 percent of … Opioid EpidemicUnfortunately, the current opioid epidemic shows no signs of abating in 2019. For 2019 hospitals and health systems should have better opioid management as a priority and consider an Opioid Stewardship program. We have seen the proliferation of Accountable Care Organizations (ACOs) and ACO-like programs. 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. 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. Pharmacy, an international, peer-reviewed Open Access journal. 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. Lucio is looking forward to potential biosimilars-especially in oncology-entering the marketplace in 2019 to help mitigate costs through competition. “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. 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. Prescription drugs now represent approximately 17% of the total US healthcare spending. © 2021 MJH Life Sciences™ and Managed Healthcare Executive. As an election year nears, healthcare will be a major theme among candidates. Mari Edlin, a frequent contributor to Managed Healthcare Executive, is based in Sonoma, California. 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. Efforts focused on PBMs feature prominently in President Trump and Secretary Azar’s Blueprint for Drug Cost Reduction. 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. “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. The Journal welcomes both fundamental and applied work, as well as … 394-NP90 Current Issues in Pharmacotherapy contains three learning modules with a total … On the other hand, Lutz believes that no model exists that can support the development and distribution of orphan and genomic drugs and biosimilars. Alert; RSS Feeds. 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. “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. All Issues - Hospital Pharmacy. Current Issue; List of Issues; Pharmacy Today Daily. 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. 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. 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. 286-341 Issue 4, August 2020 , pp. All rights reserved. Initial education and training of pharmacy technicians Key issues, challenges and interdependencies • Supply of pharmacy technicians as the GPhC register numbers are static. February 1999 - December 2020 Select an issue ... Browse by year. 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. 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. 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. 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. Published in issue: September 2019. p6. 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. Workforce IssuesPharmacy workforce issues will be a challenge for 2019 as there is a technician shortage but a pharmacist oversupply. 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. “Negotiating for best drug price shouldn’t present a barricade,” Gavras says. Shortages of some drugs have also presented a challenge to the industry-something Lucio partially attributes to natural disasters such as Hurricane Maria in Puerto Rico, and to low margins on certain drugs which force manufacturers to stop production. 590-675 Issue 5: Pharmacy Research V, October 2017 , pp. PEPFAR's new local approach could be crucial to ending the HIV epidemic here in Guatemala and around the world. “The challenge of high costs is lessened if you have control of your healthcare budget and access to drugs,” Lucio says. 24 percent of … Current Issue ; All issues ; call for Papers ; Follow journal stay.. The new initial education and training ( IET ) standards on the Current epidemic! Have been an Issue for best drug price shouldn ’ t present a,! Care Organizations ( ACOs ) and ACO-like programs regard to jurisdictional claims in published maps and institutional.... 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