PHARMACY UPDATE /10/15. Objectives. Town Hall Meeting Utah Pharmacy Association Annual Convention
|
|
|
- Agnes Warren
- 7 years ago
- Views:
Transcription
1 PHARMACY UPDATE 2015 Town Hall Meeting Utah Pharmacy Association Annual Convention Objectives Discuss how the Utah Pharmacy Association can better serve the profession Discuss Star Ratings and how they could impact community pharmacy Discuss provider status and the effects locally and nationally Discuss pharmacist involvement in Medical Homes Discuss how pharmacy can help with transitions of care List what you can do to become more involved in the profession of pharmacy this year 1
2 Principles of the Utah Pharmacy Association Organizational Excellence Advocacy Education Member Support Promotion Organizational Excellence Transparent to Members and Management Defined and Strong in Purpose and Mission Educated and Informed Advocacy Protection of the Profession Resource for Information Legislators Professionals Public 2
3 Education Be The Resource for Pharmacy Continuing Education Pharmacists Technicians Maintain a High Standard of Education Current Practices Evolving Opportunities Member Support Networking Opportunities Business Improvement Self Improvement Strategic Partnerships and Alliances Recognition Scholarships Promotion Promote the Value of Pharmacy Help Direct, Change and Improve the Perception of the Pharmacy Profession Throughout the State 3
4 Star Ratings What are they? How do they impact community pharmacy? What is our role? Why Measure Quality of Care? Star Ratings emphasize patient care and satisfaction, using national clinical quality measures, including screenings and preventive care quality measures, as well as patient feedback. Goal of Star Ratings Health plans, physicians, and members can work together to improve individual and total population quality of care and experiences By improving, health care becomes more personalized and tailored to the individual Reduction in overall healthcare costs 4
5 CMS Star Ratings: Key Points CMS reports scores and compares plans based on performance CMS also uses Star Ratings to determine reimbursement The ratings are used to compare Medicare Advantage and Prescription Drug Plans Ratings emphasize patient care and satisfaction through feedback: Clinical and service quality measures Health outcomes and patient feedback Star Ratings CMS developed a 5-star quality rating system for Medicare Prescription Drug Plans (Part D) and Medicare Advantage (MA-PD) Plans are scored on different measures Roll up to individual/overall star rating Consumers access websites to view plan s ratings 5 Star = high performing icon <3 Star = low performing icon Important Why? BONUS! Today s performance impacts payment model in 2 years Why are Star Ratings Important to Pharmacies? 90% of prescriptions are paid with insurance Est. by 2017 the government will pay for approx 65% of all medication claims Currently star ratings affect Medicare Part D and Medicare Advantage Private insurers are currently tracking same quality measures What is being tracked? 5
6 Key Points to Star Ratings Health plans earn star ratings, not pharmacies Pharmacies can drive health plan performance 2 key categories ~45% of a plans overall rating Improve Medication Adherence Focus on chronic conditions (diabetes, cholesterol, HTN) Gaps in Care Interventions Pharmacist to identify missing or inappropriate medications ACE or ARB in diabetes patient Avoidance of high risk medications in elderly MTM Transitions of Care What are transitions of care? How can we help? Should we be involved? What benefit comes to us? To our patients? 6
7 The Utah Medical Home Utah Partnership for Value-driven Health Care UPV Standards and Measures Work Group Goal for this group is to develop a model that will allow all interested Utah Primary Care providers to transform into medical homes, regardless of their size, location or affiliation. They want our feedback that is the only place I see pharmacy or pharmacists mentioned Accountable Care Organizations Pharmacist Roles Medication non-adherence - $300 Billion cost annually Pharmacists as members of clinical care teams Allina Health, Minneapolis Banner Health, Phoenix Atrius Health, Newton, Mass. University of Utah Intermountain Healthcare - SelectHealth Roadblocks Not paid for pharmacist visits Opportunities Retail pharmacies role in coaching, teaching, helping 7
8 Pharmacists as Providers We are well known, trusted, and the most accessible health care professional Presently a shortage of primary care doctors in many parts of the United States Expansion of healthcare coverage to millions will make this shortage even worse Reliance on nurse practitioners, physician assistants, and pharmacists to provide routine services 8
Statement Of. The National Association of Chain Drug Stores. For. U.S. Senate Special Committee on Aging. Hearing on:
Statement Of The National Association of Chain Drug Stores For U.S. Senate Special Committee on Aging Hearing on: 10 Years Later: A Look at the Medicare Prescription Drug Program 2:30 p.m. 366 Dirksen
Kaiser Permanente of Ohio
Kaiser Permanente of Ohio Chronic Disease Management Program March 11, 2011 Presenters: Amy Kramer and Audrey L. Callahan 1 Objectives 1. Define the roles and responsibilities of the Care Managers in the
March 7, 2014. [Submitted electronically to AdvanceNotice2015@cms.hhs.gov]
![March 7, 2014. [Submitted electronically to AdvanceNotice2015@cms.hhs.gov]](/thumbs/39/20323975.jpg "March 7, 2014. [Submitted electronically to AdvanceNotice2015@cms.hhs.gov]")
March 7, 2014 [Submitted electronically to AdvanceNotice2015@cms.hhs.gov] Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-4159-P P.O. Box 8013 Baltimore,
Submitted electronically to http://www.regulations.gov
Submitted electronically to http://www.regulations.gov Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-3288-NC P.O. Box 8016 Baltimore, MD 21244-8016 RE:
Health Care System. Troyen Brennan, M.D., M.P.H. Executive Vice President & Chief Medical Officer
Creating a More Connected Health Care System Troyen Brennan, M.D., M.P.H. Executive Vice President & Chief Medical Officer Agenda Our Role in the Changing Health Care System CVS/minuteclinic: Growth and
ENGAGING PHARMACISTS IN 1305
ENGAGING PHARMACISTS IN 1305 UTAH EXAMPLES NICOLE BISSONETTE, MPH, MCHES EPICC PROGRAM MANAGER UTAH PROJECTS INVOLVING PHARMACISTS Prior to 1305 Select Health Pharmacist Hypertension Management Team Based
Pharmacy and the Medicaid Accountable Care Organization
RCCO Pilot Project CDC Grant Increase engagement of non-physician team members (ie., pharmacists) in Hypertension (HTN) and Diabetes Mellitus (DM) management in health care systems; Increase the proportion
Advanced Models of Primary Care: Care Management Plus pilot and dissemination
Advanced Models of Primary Care: Care Management Plus pilot and dissemination Presented by David A. Dorr, MD, MS; Oregon Health & Science University, dorrd@ohsu.edu Funded by The John A. Hartford Foundation,
Writing Pharmacy s Headlines
Writing Pharmacy s Headlines 2013 Milap Nahata Distinguished Lecture Joseph T. DiPiro, PharmD South Carolina College of Pharmacy August 14, 2010 Pharmacists Take Larger Role on Health Team By REED ABELSON
Medication Adherence: Rx for Success
Medication Adherence: Rx for Success Medication Adherence: Rx for Success Introduction Universal concern about rising health care costs combined with historic health care legislation has created an unprecedented
Quality Measures Overview
Quality Measures Overview Health care quality, Stars and Member Engagement Initiatives Approved for External Use Section 1 Introduction Introduction Stars Quality Measures Overview UnitedHealthcare is
Voluntary Alignment Frequently Asked Questions
Voluntary Alignment Frequently Asked Questions Some Medicare beneficiaries may have recently received a letter and form in the mail asking them to confirm their main doctor or group practice. These letters
The Impact of Healthcare Reform on Pharmacy Practice. Disclosure
The Impact of Healthcare Reform on Pharmacy Practice Thomas Buckley, MPH, RPh Assistant Clinical Professor University of Connecticut School of Pharmacy Disclosure Thomas Buckley has nothing to disclose
2016 Group Retiree Medicare Plans
2016 Group Retiree Medicare Plans Blue Cross MedicareRx (PDP) Medicare Part D Prescription Drug Plans Anthem Blue Cross is a stand-alone prescription drug plan with a Medicare contract. Enrollment in Anthem
Strategies for Success in the CMS Medicare Advantage Star Quality Ratings
Strategies for Success in the CMS Medicare Advantage Star Quality Ratings The National Pay for Performance Summit February 20, 2013, San Francisco, CA Theresa C. Carnegie Mintz, Levin, Cohn, Ferris, Glovsky
How Independent Pharmacies Can Use Medicare Star Ratings to Improve Their Businesses
How Independent Pharmacies Can Use Medicare Star Ratings to Improve Their Businesses We are in a new, changing healthcare environment that is affecting every stakeholder in the market hospitals, doctors,
MDFlow Case Management & Disease Management (CM/DM) System
MDFlow Case Management & Disease Management (CM/DM) System The COMPLETE and CUSTOMIZED Case and Disease Management Solution for Healthcare Payers (HMOs, PPOs and MA Plans) Accountable Care Organizations
The College of Family Physicians of Canada. Position Statement Prescribing Rights for Health Professionals
The College of Family Physicians of Canada Position Statement Prescribing Rights for Health Professionals Introduction The College of Family Physicians of Canada (CFPC) supports models of practice that
c. determine the factors that will facilitate/limit physician utilization of pharmacists for medication management services.
Consumer, Physician, and Payer Perspectives on Primary Care Medication Management Services with a Shared Resource Pharmacists Network Marie Smith, PharmD and Michlle Breland, PhD University of Connecticut,
CentraCare Health System Creates New Tools to Treat Tobacco Dependence
CentraCare Health System Creates New Tools to Treat Tobacco Dependence Between October 2010 and June 2012, ClearWay Minnesota SM provided the CentraCare Health Foundation with funding and technical assistance
The Centers for Medicare & Medicaid Services (CMS) strives to make information available to all. Nevertheless, portions of our files including
The Centers for Medicare & Medicaid Services (CMS) strives to make information available to all. Nevertheless, portions of our files including charts, tables, and graphics may be difficult to read using
A Model for Mental Health Integration
A Model for Mental Health Integration Country: USA Partner Institute: Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University Survey no: (14) 2009 Author(s):
Care Management Approach for People Who Are at High Risk
Care Management Approach for People Who Are at High Risk Presented by: Ann Larsen RN, CDE Care Manger - Herefordshire Clinic/Trainer Care Management Plus June 11, 2013 Welcome! Type questions into the
ACTIVELY MANAGED DRUG SOLUTIONS. for maintenance and specialty medication. Actively Managed Drug Solutions is not available in the province of Quebec
ACTIVELY MANAGED DRUG SOLUTIONS for maintenance and specialty medication Actively Managed Drug Solutions is not available in the province of Quebec ARE YOU UNDERESTIMATING THE IMPACT OF CHRONIC DISEASE?
STAR RATINGS FOR MEDICARE ADVANTAGE PLANS
11 STAR RATINGS FOR MEDICARE ADVANTAGE PLANS A Medicare Advantage (MA) Plan is offered by private health insurance companies that are approved by Medicare which is a social insurance program administered
National Governor s Association Center for Best Practices
National Governor s Association Center for Best Practices Data, Technology and Benefit Design to Manage State Employee and Retiree Health Programs Sustaining Retiree Health Care in Nevada June 25, 2013
The RN Role in Healthcare Reform: How You Can Make a Difference
The RN Role in Healthcare Reform: How You Can Make a Difference KT Waxman, DNP, MBA, RN, CNL, CENP Assistant Professor Director and Chair, DNP Program University of San Francisco Director, California Simulation
SERVICES OFFERED: Yearly Comprehensive Medication Review (CMR) Quarterly Targeted Medication Review (TMR)
MEDICATION THERAPY MANAGEMENT (MTM) PROGRAM 2015 plan year This document contains information about the MTM Program for plan year 2015. Our goal is to help you get the best results from your medications
Value of Medication Therapy Management (MTM) Services from a Pharmaceutical Care Provider's Perspective
Value of Medication Therapy Management (MTM) Services from a Pharmaceutical Care Provider's Perspective Introduction In 2003, the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) identified
What s New and what s next for Pharmacy Technicians: Empowering Technicians for the Future. William Schimmel PTCB Associate Executive Director
What s New and what s next for Pharmacy Technicians: Empowering Technicians for the Future William Schimmel PTCB Associate Executive Director I, William Schimmel, disclose no vested interest or affiliation
FEHB Program Carrier Letter All FEHB Carriers
FEHB Program Carrier Letter All FEHB Carriers U.S. Office of Personnel Management Healthcare and Insurance Letter No. 2016-03 Date: February 26, 2016 Fee-for-service [3] Experience-rated HMO [3] Community-rated
Medicare Star Ratings
Medicare Star Ratings Opportunities for Community Pharmacy David Nau, PhD, RPh, CPHQ Senior Director, Pharmacy Quality Alliance CMS is expanding its value-based purchasing strategy to Medicare Parts C/D
Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment
Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Donna Zazworsky, RN, MS, CCM, FAAN Vice President: Community Health and Continuum Care Carondelet Health
About NEHI: NEHI is a national health policy institute focused on enabling innovation to improve health care quality and lower health care costs.
1 Aaron McKethan PhD (amckethan@rxante.com) About NEHI: NEHI is a national health policy institute focused on enabling innovation to improve health care quality and lower health care costs. In partnership
Update on Medicare Part D: 2009 and Beyond
Update on Medicare Part D: 2009 and Beyond 2009 NACDS Pharmacy & Technology Conference Christine C. Rinn Donald L. Bell, II Outline of Presentation» Introduction/Background on Part D» Trends in Part D»
Medicare Part D Prescription Drug Coverage
Medicare Part D Prescription Drug Coverage Part 3 Version 7.1 August 1, 2013 Terms and Conditions This training program is protected under United States Copyright laws, 17 U.S.C.A. 101, et seq. and international
Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective
Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective Chronic Care Management (CCM) from a Physician Practice Administrator s Perspective 1 ABOUT THE AUTHOR Dennis Breslin
Health System Reform & the Quality of Healthcare
Health Systems Reforms, Quality & Medicare in Puerto Rico Roberto Pando, MS, JD Strategy VP MCS Health System Reform & the Quality of Healthcare Contents (1)The Healthcare Context in Puerto Rico (2)Health
Medication Therapy Management (MTM) Program
Medication Therapy Management (MTM) Program Regence offers a Medication Therapy Management (MTM) program to ensure you are receiving the most effective medications, while also helping to reduce the risk
Health Care Environment
Disclosures Anne L. Burns declares no conflicts of interest, real or apparent, and no financial interests in any company, product, or service mentioned in this program, including grants, employment, gifts,
10/31/2014. Medication Adherence: Development of an EMR tool to monitor oral medication compliance. Conflict of Interest Disclosures.
Medication Adherence: Development of an EMR tool to monitor oral medication compliance Donna Williams, RN PHN Carol Bell, NP MSN Andrea Linder, RN MS CCRC Clinical Research Nurses Stanford University SOM
Introduction to the GLPTN Program. Provider Office & Physician Organization Briefing
Introduction to the GLPTN Program Provider Office & Physician Organization Briefing What is the GLPTN? The GLPTN is one of 29 Practice Transformation Networks (PTNs) funded under the brand new CMS Transforming
Medicare Part D Prescription Drug Coverage
Medicare Part D Prescription Drug Coverage Part 3 Version 9.0 June 22, 2015 Terms and Conditions This training program is protected under United States Copyright laws, 17 U.S.C.A. 101, et seq. and international
Frequently Asked Questions: Medicare Supplement & Medicare Advantage
Frequently Asked Questions: Medicare Supplement & Medicare Advantage Who is eligible for CBIA s Medicare program? A CBIA Health Connections participant is eligible for either plan if they are qualified
Red Boat Care Managing Health at Home
Red Boat Care Managing Health at Home Product Position Paper 02/20/2016 Table of Contents Red Boat Care Mission/Vision... 2 Tools for the primary caregiver in the home... 2 The Inspiration Homecare close
About to Retire: Preparing for Medicare Patient Financial Services Agenda Medicare Enrollment Covered Services Medicare-covered covered Preventive Services Agenda, continued Advance Beneficiary Notice
Gary Swartz, JD, MPA Associate Executive Director AAHCM
Gary Swartz, JD, MPA Associate Executive Director AAHCM 1. Provide definition and overview of the need for plan of care 2. Current services, new codes and proposed legislation to produce SGR fix modernize
Colorado Choice Health Plans
Quality Overview Colorado Choice Health Plans Accreditation Exchange Product Accrediting Organization: Accreditation Status: URAC Health Plan Accreditation (Marketplace HMO) Provisional Accreditation Commercial
Social Work and Primary Care: A Natural Collaboration
Social Work and Primary Care: A Natural Collaboration Stacy Collins, MSW Suzanne Daub, LCSW, BCD May 23, 2012 2012 National Association of Social Workers. All Rights Reserved. 1 Learning Objectives Understand
A Guide to Patient Services. Cedars-Sinai Health Associates
A Guide to Patient Services Cedars-Sinai Health Associates Welcome Welcome to Cedars-Sinai Health Associates. We appreciate the trust you have placed in us by joining our dedicated network of independent-practice
Analytic-Driven Quality Keys Success in Risk-Based Contracts. Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst
Analytic-Driven Quality Keys Success in Risk-Based Contracts March 2 nd, 2016 Ross Gustafson, Vice President Allina Performance Resources, Health Catalyst Brian Rice, Vice President Network/ACO Integration,
It s in the Stars: What are Medicare Star Ratings?
It s in the Stars: CMS Star Ratings and How Pharmacies are Affected What are Medicare Star Ratings? CMS Star Ratings Tracks patient outcomes Ratings range from 1 to 5 stars Overall score as a whole Individual
CLOSING THE COVERAGE GAP. Pan-Canadian Pharmacare
CLOSING THE COVERAGE GAP Pan-Canadian Pharmacare Prescription drug coverage for all Canadians While the vast majority of Canadians have access to prescription drugs, some Canadians can t afford their medications.
American Diabetes Association Education Recognition Program Overview
American Diabetes Association Education Recognition Program Overview A brief history of the National Standards for Diabetes Self-Management Education and Support and a walk through the 10 DSME/S standards
CMS-CMMI Releases Enhanced Medication Therapy Management (MTM) Model Test Beginning in January 2017
October 5, 2015 www.amcp.org CMS-CMMI Releases Enhanced Medication Therapy Management (MTM) Model Test Beginning in January 2017 Pursuant to a memorandum issued on September 28, 2015, the Centers for Medicare
Q&A with Harvard Vanguard Medical Associates and Atrius Health about Health Systems Change to Address Smoking
Q&A with Harvard Vanguard Medical Associates and Atrius Health about Health Systems Change to Address Smoking Background on Harvard Vanguard Medical Associates and Atrius Health Harvard Vanguard Medical
Vital Incite. Case Study: Vital Incite. Introduction
Case Study: Vital Incite Introduction Historically, companies have struggled with the best way to package and deliver benefits to attract talent and retain staff. Today, companies understand that they
Expanding Health Coverage in Kentucky: Why It Matters. September 2009
Expanding Health Coverage in Kentucky: Why It Matters September 2009 As the details of federal health reform proposals consume the public debate, reflecting strong and diverse opinions about various options,
Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida
Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Summit Health Plan of Florida Medicare Quality Management Program Overview Quality Improvement (QI) Overview At Coventry, we
Using Lean/6 Sigma Methodology to Facilitate Medical Home Implementation
Using Lean/6 Sigma Methodology to Facilitate Medical Home Implementation Timothy Quinn, MD, MBA President, MercyCare Community Physicians The MercyCare System MercyCare Community Physicians is a physician-led
2015 Annual Convention
2015 Annual Convention Date: Tuesday, October 13, 2015 Time: 11:30 am 1:00 pm Location: Gaylord National Harbor Resort and Convention Center, National Harbor 11 Title: Activity Type: Speaker: Managing
Medicare Appeals: Part D Drug Denials. December 16, 2014
Medicare Appeals: Part D Drug Denials December 16, 2014 2013 Appeals Statistics by Type 23,716 Part D Reconsideration Appeals* Appeals Type Percentage of Total Appeals Appeals Per Million Medicare Beneficiaries
Impact of Health Reform on Prescription Drugs
Impact of Health Reform on Prescription Drugs 1 Indirect Effects Increased Rx Volume = More Prescriptions! Page 2 Retiree Drug Subsidy (RDS) Before HCR Tax-Free Subsidy RDS as taxdeductible income After
The Strategic Plan of the American College of Clinical Pharmacy 1
The Strategic Plan of the American College of Clinical Pharmacy The Strategic Plan of the American College of Clinical Pharmacy (Endorsed by the ACCP Board of Regents on October 11, 2013) In 2013, the
8/14/2012 California Dual Demonstration DRAFT Quality Metrics
Stakeholder feedback is requested on the following: 1) metrics 69 through 94; and 2) withhold measures for years 1, 2, and 3. Steward/ 1 Antidepressant medication management Percentage of members 18 years
Concept Series Paper on Disease Management
Concept Series Paper on Disease Management Disease management is the concept of reducing health care costs and improving quality of life for individuals with chronic conditions by preventing or minimizing
Introduction to Medication Management Systems, Inc. Comprehensive Medication Therapy Management Solutions
Introduction to Medication Management Systems, Inc. Comprehensive Medication Therapy Management Solutions Vision Medication Management Systems, Inc. (MMS) envisions a health care system in which all patients
Maryland Cancer Plan Pain Management Committee
Maryland Cancer Plan Pain Management Committee IDEAL MODEL FOR CANCER CONTROL PROBLEM or ISSUE Lack of provider awareness regarding appropriate pain assessment and management and relevant policy Definition:
Accountable Care Organization Workgroup Glossary
Accountable Care Organization Workgroup Glossary Accountable care organization (ACO) a group of coordinated health care providers that care for all or some of the health care needs of a defined population.
Team Care For Chronic Disease Patients: Using Lay Care Guides
Team Care For Chronic Disease Patients: Using Lay Care Guides Kim Radel, MHA Sochenda Nelson, BS Care Copilot Institute, Allina Health Allina Health Overview Patient Care Services 90+ clinics 12 hospitals
5557 FAQs & Definitions
5557 FAQs & Definitions These Questions and Answers are intended to present information that has been acquired as part of the discovery process and provides necessary context for the Policy Directives
The Value of Medicare Advantage for the City & County of San Francisco and your retirees
The Value of Medicare Advantage for the City & County of San Francisco and your retirees March 12, 2015 Medicare Advantage plans 2 How is the Medicare Advantage program funded? Employee/Employer Medicare
ESCO- Information Technology Requirements With An Example of Solutions
ESCO- Information Technology Requirements With An Example of Solutions Pramen Applasamy DCI Application Manager Doug Johnson, MD DCI Vice Chairman of the Board July 15, 2014 15-WEEK WEBINAR SERIES EVERY
PBM s: Helping to Improve MA-PD Star Scores. James Brehany PharmD, PA-C, JD Associate Vice President, Pharmacy Services PerformRx
PBM s: Helping to Improve MA-PD Star Scores James Brehany PharmD, PA-C, JD Associate Vice President, Pharmacy Services PerformRx CMS Star Rating System Instituted in 2008 Applicable to MA plans, MA-PD
Retail Pharmacy Trends. Ed Escalante, VP/GM Edgar Cardona, VPS May 13, 2013 San Francisco, CA
Retail Pharmacy Trends Ed Escalante, VP/GM Edgar Cardona, VPS May 13, 2013 San Francisco, CA About this presentation Knowing Your Market Helps You Plan Ahead Understanding the latest retail pharmacy trends
Health System Strategies to Improve Chronic Disease Management and Prevention: What Works?
Health System Strategies to Improve Chronic Disease Management and Prevention: What Works? Michele Heisler, MD, MPA VA Center for Clinical Practice Management Research University of Michigan Department
Population Health Management In A Value-Based Market: Using Pharmacy Analytics To Increase Consumer Engagement & Improve Outcomes
Population Health Management In A Value-Based Market: Using Pharmacy Analytics To Increase Consumer Engagement & Improve Outcomes Sponsored By Care Management Technologies February 11, 2016 www.cmthealthcare.com
THE AFFORDABLE CARE ACT: KEY POINTS FOR PHARMACISTS. Sarah M. Smith, Pharm.D., BCACP Douglas H. Kay Symposium June 11, 2014
THE AFFORDABLE CARE ACT: KEY POINTS FOR PHARMACISTS Sarah M. Smith, Pharm.D., BCACP Douglas H. Kay Symposium June 11, 2014 Objectives 1. Summarize the major changes the Affordable Care Act (ACA) will have
Supreme Court upholds the Affordable Care Act in its entirety:
Supreme Court upholds the Affordable Care Act in its entirety: What does this mean for Seniors? The Supreme Court s decision to uphold the Affordable Care Act (ACA) in its entirety is a huge victory for
Pharmacy Interchange. The EHR and Pharmacy Integration: A Preferred Future. Benjamin M. Bluml, R.Ph. Vice President, Research APhA Foundation
Pharmacy Interchange The EHR and Pharmacy Integration: A Preferred Future Benjamin M. Bluml, R.Ph. Vice President, Research APhA Foundation Quality Health Care Empowers patients Includes the environment
An Overview of Health Insurance Exchange and What It Means to Your Business
WEDI Virtual Event Medicare Advantage: Lessons Learned An Overview of Health Insurance Exchange and What It Means to Your Business Presented By: Dawn Carter, EDS Product Manager, Verisk Health About Our
Future Vision of Pharmacy Practice. Joint Commission of Pharmacy Practitioners. November 10, 2004
Future Vision of Pharmacy Practice Joint Commission of Pharmacy Practitioners November 10, 2004 Vision Statement Pharmacists will be the health care professionals responsible for providing patient care
Best Practices and Strategies to Engage ACOs, Incentive Programs and Emerging Payment Models JUSTIN T. BARNES
Best Practices and Strategies to Engage ACOs, Incentive Programs and Emerging Payment Models JUSTIN T. BARNES CHAIRMAN EMERITUS, EHR ASSOCIATION CO-CHAIR, ACCOUNTABLE CARE COMMUNITY OF PRACTICE About Justin
2016 PHARMACY. Benefit Summary Book. RXSUMBK2016 www.fepblue.org
2016 Benefit Summary Book RXSUMBK2016 www.fepblue.org REVIEW THIS SUMMARY BOOKLET TO LEARN HOW TO GET THE MOST FROM YOUR PRESCRIPTION BENEFIT. THIS INCLUDES INFORMATION ABOUT: n Your prescription drug
North Carolina Medicaid Special Bulletin
North Carolina Medicaid Special Bulletin An Information Service of the Division of Medical Assistance Please visit our Web site at www.ncdhhs.gov/dma July 2007 ATTENTION: All Providers Notice of Change
Acknowledgments Leadership p. 1 Leadership vs. Management p. 1 Followership p. 3 History of Leadership in the United States p. 4 Contemporary Models
Foreword p. xv Preface p. xix Acknowledgments p. xxi Leadership p. 1 Leadership vs. Management p. 1 Followership p. 3 History of Leadership in the United States p. 4 Contemporary Models p. 6 Leadership
Colorado Cancer Coalition Priorities: 2016 2018
Option 3 of 10: Screening & Early Detection: Screening Rates Presenter: Toni Panetta, MA, Director of Mission Programs, Susan G. Komen Colorado Goal 5: Objective 5.1: Objective 5.2 Focus Area: Focus Area:
At the beginning of a presentation I like to make sure that we are all on the same page when I say value-based purchasing so here is the definition
1 Idea of Value-Based Purchasing is scary to some. During today s session I hope to give you the tools to understand basic terms, ideas, and options for working with health plans and in developing value-based
Community Health Centers and Health Reform: Issues and Ideas for States
Community Health Centers and Health Reform: Issues and Ideas for States Ann S. Torregrossa, Esq. Deputy Director & Director of Policy Governor s Office of Health Care Reform Commonwealth of Pennsylvania
Framework for Improving Medicare Plan Star Ratings
Framework for Improving Medicare Plan Star Ratings Designed by the Center of Medicaid and Medicare Services (CMS), the five-star rating system is a quality and performance scoring method used for certain
THE PRESIDENT S BUDGET AND THE MEDICARE TRIGGER by James Horney and Richard Kogan
820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org Revised February 15, 2008 THE PRESIDENT S BUDGET AND THE MEDICARE TRIGGER by James Horney
Statement Of. The National Association of Chain Drug Stores. For. U.S. Senate Committee On Armed Services. Personnel Subcommittee.
Statement Of The National Association of Chain Drug Stores For U.S. Senate Committee On Armed Services Personnel Subcommittee Hearing on FY2014 Budget April 17, 2012 2:00p.m. Russell Senate Office Building
Medicare Advantage Program. Michael Taylor, PhD Medicare Advantage Manager
Medicare Advantage Program Michael Taylor, PhD Medicare Advantage Manager Objectives General Overview of Medicare Advantage CMS 5 Star Ratings Medicare Part C & D Audit Process Coping with Contract Terminations
The State of Medicare Advantage
The State of Medicare Advantage Danielle R. Moon, J.D., M.P.A., Director Medicare Drug & Health Plan Contract Administration Group Center for Medicare Centers for Medicare & Medicaid Services November
The Status of Nurse Practitioners (in Finland-Nurse Prescribers) in the United States
The Status of Nurse Practitioners (in Finland-Nurse Prescribers) in the United States Betsy Frank RN PhD Professor Emerita College of Nursing, Health, and Human Services First Some Definitions-Definition
Premier ACO Collaboratives Driving to a Patient-Centered Health System
Premier ACO Collaboratives Driving to a Patient-Centered Health System As a nation we all must work to rein in spiraling U.S. healthcare costs, expand access, promote wellness and improve the consistency
Midwest ESOP Conference. September 11, 2015
Midwest ESOP Conference September 11, 2015 Why are you here today? I want to fix my company s healthcare problem Rising healthcare costs are: Negatively affecting my bottom line, EBITDA, stock price, etc
Effective and Compliant Utilization of Nurse Practitioners and Physician Assistants
Effective and Compliant Utilization of Nurse Practitioners and Physician Assistants Alex Krouse, JD, MHA 4101 Edison Lakes Parkway, Ste. 100 Mishawaka, IN 46545 574.485-2003 akrouse@kdlegal.com Disclaimer
Statement for the Record. Bernadette Loftus, MD. Executive-in-Charge, Mid-Atlantic Permanente Medical Group. Kaiser Permanente
Statement for the Record Bernadette Loftus, MD Executive-in-Charge, Mid-Atlantic Permanente Medical Group Kaiser Permanente Defense Health Care Reform Subcommittee on Personnel of the Committee on Armed
STATEMENT OF JONATHAN BLUM ACTING PRINCIPAL DEPUTY ADMINISTRATOR AND DIRECTOR, CENTER FOR MEDICARE CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF JONATHAN BLUM ACTING PRINCIPAL DEPUTY ADMINISTRATOR AND DIRECTOR, CENTER FOR MEDICARE CENTERS FOR MEDICARE & MEDICAID SERVICES ON MEDICARE ADVANTAGE QUALITY BONUS DEMONSTRATION BEFORE THE