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WHAT IS DISTURBING TO ME is how an individual’s privacy is being compromised of late. It seems like a day doesn’t pass without reading about...
Amazon has rocked the foundation of brick-and-mortar retailers, forcing store closures and causing profits to plummet. Next up may be pharmacy. That’s the buzz, but pharmacy is not groceries. It’s not diapers. It’s not books. It is highly regulated, and run-of-the-mill prescriptions these days are not moneymakers. Specialty drugs are, but this is a different breed of pharmacy, one that I do not see fitting into the Amazon business model. Nevertheless, it could be a problem for community pharmacy, both chain and independent, if Amazon enters the pharmacy market.
The more I read, hear, and see, the more I realize that the technology available to us can indeed have consequences we did not anticipate.
PDMPs are becoming very important in addressing the opioid crisis we have in this country. When PDMPs were created, there was little use of the data that resided in their repositories. This has since changed. First, virtually every state requires prescribers and pharmacists to register with their PDMP. Second, many states now require prescribers to check the PDMP before writing an opioid prescription, under certain conditions.
Apps are being put into play that connect patient data with physicians to keep an eye on such things as blood pressure, blood glucose, and body temperature. We also read a lot about precision medicine and how it’s changing outcomes. All this is technology based.
A lot of attention is being given to the topic of medication adherence. Without doubt people not following the prescribed regimen of their prescriptions is one of the drivers for the high cost of healthcare.
Over the years the pharmacy management system (PMS) has become the workhorse in a pharmacy in more ways than one. Let me tell you why. The PMS addresses three important areas: operations management, clinical management, and financial management.
When the federal government decided to provide financial incentives to physicians and hospitals to install electronic health record (EHR) systems, this sounded like a way to jump-start the use of computer technology in order to improve patient care and make it a more efficient process. But the financial incentives were predicated on the use of these EHRs in a meaningful way, based on the federal government meaningful use requirements.
Thoughts on the pharmacy provider network's importance in care and the risks to access created by current PBM tactics.
DIR are nothing more than a rip-off of pharmacies by the PBMs, a number of HIEs are on shaky ground financially, and just the latest on CMS HITECH onboarding of noneligible providers such as pharmacies for Medicaid programs.