The Evolving Role of Pharmacists in the Transformation to Payment for Quality and Cost-Effectiveness and the Attendant Legal Hurdles

As the Medicare payment system moves from a fee-for-service system to value-based purchasing and payment for quality and cost-effectiveness, and CMS begins to pay providers in accordance with new rules, that includes ACO participation and the Medicare Access and CHIP Authorization Act of 2015 (MACRA), pharmacists are becoming increasingly important because of their ability to assist in managing a patient’s care by helping improve outcomes.