Both CMS and providers are using COVID-19 as an excuse to cut back on value-based experiments, warns Modern Healthcare editor Emeritus Merrill Goozner. “Most providers still have both feet firmly planted on the fee-for-service dock. Their ACOs remain little more than experiments—toy sailboats adrift in what now has become a turbulent sea,” he writes. He offers some suggestions to re-invigorate value-based programs. For example, he says, CMS could offer transition grants to primary-care practices that take on full financial risk. “Failing to act will not end existing value-based reimbursement programs. But it will ensure they never become anything more than curiosities in a largely fee-for-service world.” (Modern Healthcare
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In Case You Missed It!
At the GTMRx Institute, we recognize that we cannot achieve our goals for medication management reform without a team-based approach which must include a viable primary care foundation—supported by payment reform that rewards inter-professional teams, utilizes effective and smart use of health IT at the point of care and is personalized through the use of companion and complementary diagnostics.
The virtual event will bring in speakers to illuminate the crisis we face with
- a crumbling primary care infrastructure,
- the importance of payment and policy change to achieve value,
- the way forward in practice transformation and
- the need for point-of-care access to information enabled by health IT (companion and complementary diagnostic test results, clinical information needed to evaluate therapy effectiveness and/or changes in needed therapy) available for use by all team members.
This is a by invitation only event. Find more information here.
CMM offers reduced costs, improves access to care, provides better care and enhances provider work life. These results are outlined in “The Outcomes of Implementing and Integrating Comprehensive Medication Management in Team-Based Care: A Review of the Evidence on Quality, Access and Costs,”
updated in June 2020. The evidence document was prepared by GTMRx workgroup members, M. Shawn McFarland, PharmD, FCCP, BCACP, national clinical pharmacy practice program manager, clinical practice integration and model advancement, clinical pharmacy practice office, pharmacy benefits management services, Veterans Health Administration; and Marcia Buck, PharmD, FCCP, FPPAG, BCPPS, director, clinical practice advancement, American College of Clinical Pharmacy. (GTMRx Institute
Hosted by the GTMRx Institute’s executive director and co-founder, Katherine H. Capps, Voices of Change features leaders who have knowledge, experience and ideas to solve this urgent need to get the medications right. Did you miss the most recent episode?
- Liz Fowler, JD, Ph.D., executive vice president for programs, The Commonwealth Fund
- Amy Gutierrez, Pharm.D.,senior vice president and chief pharmacy officer, Kaiser Permanente
- Amanda Brummel, PharmD, BCACP, vice president, Clinical Ambulatory Pharmacy Services, Fairview Pharmacy Services
- Orsula V. Knowlton, PharmD, MBA, president and chief marketing & new business development officer, Tabula Rasa HealthCare
- Anand Parekh, MD, chief medical advisor, Bipartisan Policy Center
- Paul Grundy, MD, president, GTMRx; chief transformation officer, Innovaccer
AmazonSmile is an easy way for 0.5% of your qualified purchases go to the GTMRx Foundation at no cost to you. And signing up is simple—go to smile.amazon.com
and select “Get the Medications Right Foundation” as your charity of choice. If you prefer to directly donate instead, you can do so here
Adding the foundation on AmazonSmile will help us continue to provide no cost educational webinars, issue briefs, weekly news briefs and promote the need for transformation of our current system of medication use through social media campaigns.
See past issues of our weekly news brief here.