Catalyst Corner Archive
Over the past few months, the price of drugs has gotten a lot of attention. It was an issue on Capitol Hill, on the campaign trail, and in newspapers, magazines, and television. We’re all familiar with the names Shkreli and Bresch. With all this discussion, there are still no easy answers.
Finding and implementing solutions regarding specialty pharmacy is taking on increased importance, as these products account for a growing percentage of the annual healthcare spend. According to the Express Scripts 2016 Drug Trend Report, based on 2015 data: “Today 37.7% of drug spend is for specialty medications, with the number expected to increase to 50% by 2018 and continue to grow from there.”
It seems that you can’t go a day without seeing or hearing something about the opioid epidemic, whether in trade publications or mainstream media. Now that everyone is paying attention to it, what happens? While we wait for Congress, or maybe, instead of waiting for them, there are steps that the healthcare industry can take today.
Pharmacies are now competing on so many fronts — to be in payer networks, to offer additional services, to achieve high-quality metrics to retain patients — it is a challenge to evaluate all of the options and determine the best approach to be successful.
Through our current evolution of adopting health information technology, pharmacy has often led the way. We were the first to have real-time claim submission and adjudication. We’ve led the way in receiving prescription orders electronically. We have adopted technology to facilitate patient communication (refill reminders and requests).
Continuing work toward achieving its strategic plan, the Office of the National Coordinator for Health Information Technology (ONC) released a draft interoperability report in January entitled “Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap.”
Catalyst Corner [January/February 2016] Pharmacist Services: New Report Highlights Ways to Expand Reimbursement
A new report from Avalere Health, entitled “Developing Trends in Delivery and Reimbursement of Pharmacist Services,” outlines several factors that could help facilitate broader reimbursement for pharmacist services. The report was released in November and funded by the National Association of Chain Drug Stores (NACDS).
This fall a number of IT and medication therapy management (MTM) developments have been released. ONC released its final 10-year nationwide interoperability roadmap to advance the safe and secure exchange of electronic health data. HHS released the final rule changes to the Stage 1 and Stage 2 meaningful use EHR incentive program and Stage 3 requirements. And CMS announced an Enhanced Medication Therapy Management model test for Medicare Part D programs.
The Pharmacy Health Information Technology Collaborative has released an updated Roadmap for Pharmacy Health Information Technology Integration in U.S. Health Care. The new roadmap provides guidance to pharmacy stakeholders, including vendors, payers, policymakers, and provider organizations.
The Office of the National Coordinator for Health Information Technology (ONC) has adopted a new strategic plan outlining the federal government’s IT vision and mission. The plan’s goals are to keep up the momentum of health IT adoption and, at the same time, improve IT implementation beyond hospitals and physician practices.
The 21st Century Cures Act legislation passed the U.S. House of Representatives on July 10, 2015, with a vote of 344 to 77. The act’s intent is to remove barriers to innovation, allowing the rapid pace of scientific discovery we are experiencing to be more rapidly translated into cures for patients.
With the advent of Apple Pay and its integration with the new iPhone 6 and iPhone 6 Plus, mobile payment technology is ready to take flight to a new altitude. Smart partnerships with finance and technology companies like Citigroup Inc., American Express, and Stripe have laid the groundwork for mobile payment technology to hit the tipping point.
In anticipation of releasing a “refreshed” health information technology (HIT) strategic plan later this year, the Office of the National Coordinator for Health Information Technology (ONC) is seeking comment on a 10-year vision for achieving an interoperable HIT infrastructure that it released in June.
A recent research report points out numerous patient safety issues associated with electronic health records (EHRs), in spite of evidence supporting the use of EHR systems to improve overall healthcare safety and outcomes.
The FDA, in consult with the Office of the National Coordinator for Health Information Technology (ONC) and the Federal Communications Commission (FCC), recently released a report outlining recommendations for regulating health information technology, as required by the Food and Drug Administration Safety and Innovation Act (FDASIA).
ONC is at the forefront of the administration’s health IT efforts and is a resource for the entire health system in supporting the adoption of health information technology and the promotion of nationwide health information exchanges to improve healthcare.
Medscape ran a great article series last year on cutting-edge medical advances. Entitled “Science or Science Fiction: Cutting-Edge Medical Advances,” the series involved writers Bret S. Stetka, M.D., and Marrecca Fiore walking readers through 25 fascinating developments.
A number of interesting resources have made their way into my email news during the last few weeks that I thought would be of interest to ComputerTalk readers.
A 12-month study of a medication synchronization program in January 2013 found the program lifts the medication adherence rate well above the industry average for patients with chronic disease states.
The American Society for Automation in Pharmacy (ASAP) recently completed its midyear conference in Louisville. I was delighted to be asked to provide an update on advances in pharmacy data flow between the pharmacy and electronic health record systems.
Continued integration of pharmacy systems into the broader electronic health record and health information exchange infrastructure will be crucial to support the profession’s push for recognition.
The FDA issued its proposed rule for the electronic distribution of prescribing information on Dec. 18, 2014, with the stated purpose of being sure that health professionals have access to the most current prescribing information for prescription drugs at the time of clinical decision-making and drug dispensing.
This decade's top advances in bio-tech, as outlined by Karin Lucas of Biotech Primer.