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GTMRx News Brief

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27Jul 21

News Brief | July 27, 2021 | Researchers develop CMM common language documents

Practice Transformation Success: VA’s move to virtual CMM during pandemic When the VA transitioned pharmacist-led outpatient CMM clinics to all-virtual care, the consistency and quality of care was not compromised; in fact, the program saw more patients and documented more encounters, and the no-show rate dropped. The findings were published in the Journal of The American College of Clinical Pharmacy. “[T]his is a positive discovery regarding the potential future direction of CPS [clinical pharmacy specialists] provided direct patient care in telemedicine…

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20Jul 21

News Brief | July 20, 2021 | Researchers identify genetic role in COVID severity and infection

Practice Transformation Personalized vax outreach seems to work A new KFF COVID-19 Vaccine Monitor report finds many individuals who were initially hesitant to get a COVID-19 vaccine in January, but ultimately did get one, say that family, friends and their personal doctors helped change their minds. KFF found that 54% of those who said in January they wanted to “wait and see” have received at least one dose. However, 76% of people who had previously said they would “only get…

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13Jul 21

News Brief | July 13, 2021 | US life expectancy falls behind; COVID a factor

Practice Transformation Biden vax effort focuses on trusted messengers President Biden last week announced a summer-long initiative to reach the vaccine-resistant. Outreach will become increasingly granular, and it will include going door-to-door and visiting places of worship. Primary care will play a large role: “My team is going to place renewed emphasis on getting the vaccines to more and more family doctors and health care providers so more Americans can get this shot at their doctor’s office from the folks…

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06Jul 21

News Brief | July 6, 2021 | Study: Poorly designed EHRs accelerates burnout, hurts patients

Practice Transformation AMA: Under 4% of docs remain unvaccinated More than 96% of U.S. physicians have been fully vaccinated for COVID-19, according to a new AMA survey. Of the physicians who are not yet vaccinated, 45% intend to get one. The most common reason cited for not receiving the vaccine: It’s too new and has unknown long-term effects. The survey revealed no significant differences in physician vaccination rates across various demographic groups, including primary care vs specialist, region, gender, age…

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29Jun 21

News Brief | June 29, 2021 | Outcomes-based contracts get a boost

Practice Transformation New org to advance primary care Primary care is the key to transforming health care in America, write ACP President George M. Abraham, MD, MPH, and AAFP President Ada D. Stewart, MD. With that, they announced the launch of Primary Care for America, a collaboration focused on demonstrating the value of primary care. “Unfortunately, the US health care system has long over-emphasized and over-invested in the sub-specialization of physicians and the specialization of care.” The result: a health care…

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22Jun 21

News Brief | June 22, 2021 | Telehealth use still declining

Practice Transformation Maybe it’s not comorbidities Patients with cardiovascular disease who had worse composite scores for six social determinants of health—including education, 30-day food security and health insurance—were less likely to adhere to all the measures recommended to lower their risk of contracting and spreading COVID-19, according to research published in Circulation: Cardiovascular Quality and Outcomes. “Identifying and prioritizing individuals whose medical vulnerability is compounded by social adversity may optimize emerging preventive efforts, including vaccination guidelines,” the researchers conclude. (Circulation: Cardiovascular…

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15Jun 21

Special Edition News Brief | June 15, 2021 | Report and Recommendations of the GTMRx National Task Force—Building Vaccine Confidence in the Health Neighborhood

Today, the GTMRx National Task Force released an important new report: Report and Recommendations—Building Vaccine Confidence in the Health Neighborhood. Task Force calls for community action and changes to create grassroots organizations called Vaccine Confidence Leagues. What GTMRx Task Force Leaders are saying:  Local leaders can address today’s vaccine concerns and help instill long-term confidence in the scientific discoveries that can help protect us in the future,” said Paul W. Abramowitz, Pharm.D., Sc.D. (Hon), FASHP, CEO of the American Society of Health-System Pharmacists and a…

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08Jun 21

News Brief | June 8, 2021 | CMM in ICU: lower costs, better drug safety

Practice Transformation Integrating drug, medical benefits saves money, improves outcomes Highmark group customers with integrated medical and pharmacy benefits saved an average of $150-$230 per member per year compared to those with carved-out pharmacy benefits, according to independent analysis by HealthScape Advisors. The savings were driven by shorter episodes of care, enhanced chronic care management and increased member engagement. The analysis is based on three years of claims data, from 2017 to 2019. Group clients who offered integrated benefits saw…

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01Jun 21

News Brief | June 1, 2021 | The elephant in the room: appropriate use of medications

Practice Transformation The elephant in the room: appropriate use of medications The most pressing issues related to managing medications isn’t cost; it’s the lack of communication between prescribers and pharmacists, according to a recent Get the Medications Right (GTMRx) Institute survey of health leaders. That by itself is significant, but it points to a larger issue, says GTMRx Executive Director, Katherine Capps: appropriate use of medications. Outside of the opioid crisis, “the tragedy of medication misadventures” is rarely discussed, much…

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25May 21

News Brief | May 25, 2021 | Key concern: Lack of provider/pharmacist communication

Practice Transformation Key concern: Lack of provider/pharmacist communication In terms of managing medications, what’s the biggest issue? Surprisingly, it’s not cost. In a GTMRx survey of health care leaders, 50.3% of respondents chose lack of communication between prescribers and pharmacists. Medication costs came in second (36%). The survey found almost unanimous (96%) agreement about the need for a more comprehensive and integrated way to manage medications. However, 44% said that comprehensive medication management is not well understood or not understood…

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18May 21

News Brief | May 18, 2021 | Hospital Price Transparency: You’ve been warned

Practice Transformation Include pharmacy in whole-person VBC Conversations about patient-centered and value-based care typically leave out the pharmacy aspect, writes Karthik Ganesh, CEO at EmpiRx Health, a value-based PBM. “If we ever hope to improve patient outcomes and lower unsustainable costs, pharmacy must feel empowered to join the groundswell toward whole-person VBC.” Pharmacy must be represented at the “value-based table” and become a key contributor to interdisciplinary care teams. “When every facet of health care is incentivized to do better instead of more, we will…

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11May 21

News Brief | May 11, 2021 | NAM: Move away from FFS, support team-based primary care

Practice Transformation NAM: Move away from FFS, support team-based primary care A new report from the National Academy of Medicine calls for interprofessional teams that coordinate care across the continuum, meaningfully engaging the full range of primary care professions. It describes opportunities for integration between primary care and various areas, including pharmacy. The report also calls on payers to move away from fee-for-service in favor of models that better support independent practices, enable team-based care, and address the social determinants. CMS,…

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04May 21

News Brief | May 4, 2021 |Medication risk score correlates with mortality risk

Practice Transformation Medication risk score correlates with mortality risk New research confirms that higher medication risk scores (MRS) are correlated with a higher risk of death. The study published in the Journal of Patient Safety, used EHR data from over 427,000 patients to calculate medication risk scores, using Tabula Rasa HealthCare’s MedWise technology. Researchers concluded that MRS was independently associated with death even after adjusting for other factors that increase the risk of death. “Our results suggest that pharmacist-directed interventions targeted…

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27Apr 21

News Brief | April 27, 2021 |CMM requires health technology innovation

Practice Transformation GTMRx CMM Evidence Review published The evidence review,  Assessing the Impact of Comprehensive Medication Management on Achievement of the Quadruple Aim, authored by GTMRx workgroup experts, explains the differences between CMM and traditional Medicare Part D MTM services and provides the evidence of the CMM process of care and highlights recent research on the value of CMM in achieving better quality of care, reduced health care expenditures, an improved patient experience and greater provider well-being. More than 20 studies were included in the…

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20Apr 21

News Brief | April 20, 2021 | CMM supports primary care fundamentals

Practice Transformation MGMA chief: Address provider burnout now Provider burnout has grown to “potentially catastrophic” levels, writes MGMA President and CEO Dr. Halee Fischer-Wright. Worklife happiness has dropped from 69% pre-pandemic to 49%, according to Medscape's National Physician Burnout & Suicide Report 2021; the repercussions will be felt for decades, she warns. “We recognized years ago that relying on burned out providers makes it impossible to achieve cost-effective, high-quality, satisfying care. To avoid blows to accessibility, patient trust and engagement, and…

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13Apr 21

News Brief | April 13, 2021 | Through vaccinations, pharmacies gaining access to patient data / C-SPAN covers BPC & GTMRx event

Practice Transformation Are you ready to share your notes? As of April 5, health care organizations must provide patients with free, full and immediate electronic access to their doctors’ clinical notes as well as test results and pathology and imaging reports. Organizations must provide access via patient portals to the following types of notes: consultations, discharge summaries, histories, physical examination findings, imaging narratives, laboratory and pathology report narratives and procedure and progress notes. Noncompliant organizations will eventually face fines for…

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06Apr 21

News Brief | April 6, 2021 | GTMRx Report released: Background and Resources to Build Vaccine Confidence in the Medical Neighborhood

Practice Transformation Commentary: Build back better with primary care As Congress and the administration work to “build back better,” they need to focus on primary care, write Ann C. Greiner, president and CEO of the Primary Care Collaborative, and Elizabeth Mitchel, president and CEO of the Purchaser Business Group on Health. They offer several concrete recommendations, including behavioral health integration and a move away from fee-for-service. “As we build back better and extend the coverage gains made by the Affordable…

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30Mar 21

News Brief | March 30, 2021 | Amazon enters the care delivery business

Practice Transformation Amazon enters the care delivery business Amazon will take its telehealth services nationwide. It will immediately expand its Amazon Care telemedicine program to interested employers in Washington and, this summer, will expand to all Amazon workers and to private employers in the US. Currently available to Amazon employees in Washington, the Amazon Care app connects users virtually with doctors, nurse practitioners and nurses who can provide services and treatment telephonically 24/7. In the Seattle area, it also includes…

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23Mar 21

News Brief |March 23, 2021 | Commentary: Controlling the costs of biologics

Practice Transformation Health Affairs: Team-based care is better Team-based care is superior to solo care, according to an aptly titled paper in Health Affairs, “Provider Teams Outperform Solo Providers in Managing Chronic Diseases and Could Improve the Value of Care.” Looking at patients with type 2 diabetes, hyperlipidemia and hypertension, researcher found that, regardless of team composition, provider teams outperformed solo providers. They also found that among solo providers, care management and outcome differ little between physicians and nonphysicians. “As policy…

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16Mar 21

News Brief | March 16, 2021 | Put diagnosis on the prescription

Practice Transformation Put diagnosis on the prescription Prescriptions for outpatient drugs should include diagnoses. That information should also be captured in claims data, write Christi A. Grimm and Julie K. Taitsman of the HHS Office of the Inspector General. “As medical care becomes more team based, physicians, pharmacists, patients, and caregivers need better information to collaborate to achieve better health outcomes.” It also allows pharmacists to apply their expertise. “Sometimes, pharmacists know what medications a patient actually takes better than…

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