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.

The Culture Of Data Sharing Has To Change

In a recent Health Affairs blog, Glenn Steele, co-chair of the Health Care Payment Learning and Action Network Population-Based Payment Work Group, describes how an essential shift is needed in how providers, payers, and purchasers treat health data. Instead of viewing data as proprietary, the blog describes how data should be considered a public good, and outlines ways the sharing of data can support APMs.

Integrating Comprehensive Medication Management: Leadership Strategies Adapted from Six Minnesota Health Systems

AIMM participants work to implement comprehensive medication management (CMM) programs in their organizations through an intentional process of developing leadership skills, employing rapid cycle improvement, and sharing and learning between organizations engaged in a community of learning. The results from an evaluation report are informing AIMM’s framework to support organization’s develop a comprehensive leadership agenda for CMM implementation.