J Am Pharm Assoc (2003). 2023 Nov-Dec;63(6):1826-1838.e1. doi: 10.1016/j.japh.2023.06.019. Epub 2023 Jun 30.
To convene a group of experts to define the value pharmacists provide to health plans, barriers to covering pharmacists' patient care services, and scalable solutions to cover pharmacists' services, specifically in the medical benefit.
The American Pharmacists Association (APhA) convened 31 experts, including physicians and pharmacists representing health plans (HPs), and pharmacist practitioners (PP) or organizations representing PPs for a strategic summit on May 16 to May 17, 2022, in Washington DC and Arlington, VA. A presummit survey was conducted to identify participants' perspectives on the value proposition of pharmacists and barriers to coverage for services. Day 1 of the summit featured a keynote presentation focused on the future of pharmacist-provided care. The second day included a framing session on the current state of coverage for pharmacists' services and the results of the presummit survey; four panel presentations on innovative HP program coverage; three breakout sessions to gather participant feedback on their experiences; and a final session prioritizing action items into an initial timeline of goals. A postsummit survey was fielded to rank feasibility and importance of opportunities and next steps for advancing coverage of pharmacists' services.
In general, there appeared to be consensus throughout the summit on the need to expand payer programs covering patient care services provided by pharmacists and the importance of continued collaboration between PPs and HPs to increase patient access to care. Participants highlighted a need for legislative and regulatory changes at the state and federal level for the expansion of some programs; however, there were many opportunities to expand programs without the need for public policy changes.
The summit was a groundbreaking meeting between PPs and HPs that provided the foundation for collaboration and expansion of programs covering pharmacists' patient care services under the medical benefit. Key takeaways from the summit focused on the need for scaling programs; establishing mutually beneficial programs for patients, PPs, and HPs; and the need for partnership and flexibility from PPs and HPs as programs continue to establish and expand.
召集一组专家，定义药剂师为健康计划带来的价值、阻碍覆盖药剂师患者护理服务的因素，以及可扩展的解决方案，以涵盖药剂师的服务，特别是在医疗福利方面。
美国药剂师协会（APhA）于 2022 年 5 月 16 日至 17 日在华盛顿特区和弗吉尼亚州阿灵顿召集了 31 名专家，包括代表健康计划（HP）的医生和药剂师，以及药剂师从业者（PP）或代表 PP 的组织，参加了一次战略峰会。峰会前进行了一项调查，以确定参与者对药剂师价值主张和服务覆盖障碍的看法。峰会的第一天以一场重点关注药剂师提供护理的未来的主题演讲为特色。第二天包括一个关于当前药剂师服务覆盖状况和峰会前调查结果的框架会议；四个关于创新 HP 计划覆盖的小组专题介绍；三个分组会议，以收集参与者对其经验的反馈；以及一个最终会议，将行动项目优先列入初始目标时间表。峰会后进行了一项调查，以对推进药剂师服务覆盖的机会和下一步措施的可行性和重要性进行排名。
总的来说，在整个峰会上，似乎存在一种共识，即需要扩大涵盖药剂师提供的患者护理服务的支付方计划，以及 PPs 和 HPs 之间继续合作以增加患者获得护理的机会。参与者强调需要在州和联邦一级进行立法和监管改革，以扩大一些计划；然而，有许多机会可以在无需公共政策改革的情况下扩大计划。
这次峰会是 PPs 和 HPs 之间的一次开创性会议，为合作和扩大涵盖药剂师患者护理服务的计划奠定了基础，这些计划将在医疗福利下实施。峰会的主要收获集中在扩大计划的必要性；为患者、PPs 和 HPs 建立互利计划；以及在计划继续建立和扩大的过程中，PPs 和 HPs 需要合作和灵活性。
