How pharmacists can find jobs, get paid, and win provider status
Obtain provider status
First, pharmacists must obtain healthcare provider status. The first step is to get H.R. 592 / S. 314, the Pharmacy and Medically Underserved Areas Enhancement Act, passed in Congress.
Adjust CMS requirements
Second, CMS must make an adjustment under MTMP Requirements 423,153(d), which can be summarized simply as:
· Eliminate “Target Procedures.”
· Eliminate “Targeted Beneficiaries,” as described in Section30.2.
· Under Medicare and Medicaid, require “All Beneficiaries” to have an annual CMR, administered by a pharmacist or some other qualified healthcare professional.
The savings to CMS would be more than enough to pay the pharmacists for the time needed to administer the CMR’s to all the recipients.
Make sure all parties are compensated
Third is the matter of reimbursement.
The pharmacist, or the pharmacist’s employer, should be compensated for the time the pharmacist spends going through the CMR with the patient and submitting the proper documentation to CMS for payment.
That’s right — pay the employer.
The reimbursement to the employer should cover all the employer’s expenses, including the hourly wage rate, all mandatory taxes and insurance, the pharmacist’s fringe benefits package, and any and all other hidden payroll expenses items.
Why is this so important?
The U.S. Chamber of Commerce has estimated that these hidden payroll expense items account for between 53.6% and 56.8% of costs over and above the hourly wage rate.
For example, a pharmacist who earns $60 per hour actually costs the employer between $92.16 and $94.08 per hour.
The point is this. If employers are not being properly compensated, they will not participate. And that is exactly what they are doing — not participating!
If they don’t get paid, they’re looking at a losing proposition. Time is money, and employers are not getting paid for the pharmacist’s time. They are seeing no compensation whatsoever, for consultations, MTM, medication adherence, or any other tasks that consume the time of pharmacists. This is the problem!