Episode Details

It's a challenging time to work in healthcare, and pharmacies are feeling the squeeze more than anyone. Pharmacy Benefit Managers are continually lowering reimbursement rates - sometimes below prescription acquisition rates - creating unsustainable situations for many independent operations.

This year, some PBM practice reform is in the works, but that doesn't help your bottom line now. There is one way to increase your cash flow quickly - while seeing the faces you're already seeing and possibly doing the work you're already doing. Representatives from CCM RPM Help explain how pharmacies can benefit.

It's no secret that Americans face significant health challenges. But seeing the percentages in writing can be shocking. Around 75 percent of American adults suffer from a chronic health condition, and more than half have been diagnosed with multiple chronic conditions, according to statistics from the U.S. Centers for Disease Control. Roughly 66 percent of those managing multiple chronic conditions are Medicare beneficiaries, so when they deteriorate, it adds even more strain to the overall system.

Doctors hate to see their patients deteriorate, but have few options to support patients with chronic illness between visits. The vast majority of physicians - 85 percent - say they lack adequate time for proactive care between visits - and 90 percent wish they had support to do so.

A lesser-known program created by the U.S. Centers for Medicare and Medicaid Services allows pharmacies to fill gaps in patient care that occur between office visits, such as ongoing support, education, and monitoring. Essentially, it allows pharmacies to transform from dispensing centers into care hubs. Under this program, pharmacies can manage patient follow-ups, perform medication checks, and fulfill remote monitoring activities.

If this sounds familiar, it's probably because your pharmacy already performs many of these. By officially collaborating with physicians, you can increase your revenues - and improve patient outcomes. By leveraging your existing relationships with patients and prescribers, you can help to reduce hospital readmissions, improve medication adherence, and expand clinical services. And data shows that it works. Pharmacist-led care management has demonstrated lower total costs of care and fewer hospitalizations for patients with diabetes, according to data from the National Institutes of Health.

Many in the healthcare industry are already stretched thin and hesitate to add anything else to their plate. But a CCM RPM partnership adds very little, can reap big rewards, and can often be set up and managed by a third party. The experts at CCM RPM Help say pharmacies should seriously consider the opportunity if:

Could benefit from an additional $40 to $100 per patient, per month.

Have or would obtain technology infrastructure, like connected devices and apps ,to track data.

Would be willing to enter a formal agreement with a prescribing physician to fulfill the "incident to" rule.

Are invested in the idea of improving the health outcomes for the patients you serve.

The healthcare industry is challenging right now, with few true "wins." The CCM RPM program is one of the few true opportunities that stands to benefit everyone involved. Going it alone isn't working. Consider joining a team - visit the link in the description for more details. CCM RPM Help City: Herriman Address: 12953 Penywain Lane Website: https://ccmrpmhelp.com/ Phone: +1 866 574 7075 Email: brad@ccmrpmhelp.com