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药师主导的药物治疗管理的报销模式。

Reimbursement model for pharmacist-directed medication therapy management.

机构信息

Harrison School of Pharmacy, Auburn University, Auburn, AL 36849, USA.

出版信息

J Am Pharm Assoc (2003). 2012 Mar-Apr;52(2):161-9. doi: 10.1331/JAPhA.2012.11228.

DOI:10.1331/JAPhA.2012.11228
PMID:22370378
Abstract

OBJECTIVE

To describe the development of a practice model with sustainable reimbursement for medication therapy management (MTM) services provided by pharmacists for beneficiaries of self-insured health care plans.

PRACTICE DESCRIPTION

The Auburn University Pharmaceutical Care Center (AUPCC) is a free-standing clinic located within the school of pharmacy that provides preventive care and MTM services for a population of 11,600 employees and dependents that subscribe to the university's self-insured health plan. The goal of patient care is to increase use of cost-effective pharmacotherapy and improve the outcomes of medication use among the population.

MAIN OUTCOME MEASURES

Development and implementation of a practice model and reimbursement method that can be implemented in the employer setting for large self-insured employers and the community pharmacy practice setting.

RESULTS

Since opening, AUPCC has developed into a model pharmaceutical care service that can be implemented in the workplace for other self-insured employers. AUPCC is also a model that can easily translate to the community pharmacy setting. In 2010, the model was adapted by Alabama for state employees.

CONCLUSION

Pharmacists can negotiate directly with decision makers within large companies that are self-insured to provide MTM services for the employee population. This is an area of sustainable growth within our profession.

摘要

目的

描述一种实践模式的发展,该模式为自付医疗保险计划的受益人提供药物治疗管理(MTM)服务,并具有可持续的报销。

实践描述

奥本大学药房护理中心(AUPCC)是一个独立的诊所,位于药学院内,为订阅大学自付医疗保险计划的 11600 名员工及其家属提供预防保健和 MTM 服务。患者护理的目标是增加成本效益药物治疗的使用,并改善药物使用的结果。

主要结果衡量标准

在雇主环境中为大型自付雇主和社区药房实践环境实施实践模式和报销方法的开发和实施。

结果

自开业以来,AUPCC 已发展成为一种可在工作场所为其他自付雇主实施的模范药物护理服务。AUPCC 也很容易转化为社区药房环境。2010 年,该模式被阿拉巴马州用于州雇员。

结论

药剂师可以直接与大型自付公司的决策者协商,为员工群体提供 MTM 服务。这是我们专业可持续增长的一个领域。

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