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    Provider status: Important to pharmacists, critical to patients


    Stacie MaassStacie MaassIf you had asked most pharmacy professionals a year ago about the possibility of bipartisan, bicameral federal legislation recognizing pharmacists and their patient-care services, a likely answer would have been, “I hope so.” Today, slightly more than a year after the profession’s most recent push for federal legislation, we have a lot more than hope about which to be excited.

    See also: APhA urges members to fight for provider status

    Our profession is unified as never before in the pursuit of expanded patient access to pharmacists and their patient-care services. A strong collaboration was formalized in early 2014, when national pharmacy organizations, representing the breadth of our profession, formed the Patient Access to Pharmacists’ Care Coalition (PAPCC). Now, this year-old coalition comprises nearly 30 organizations that represent patients, pharmacists, pharmacies, and other interested stakeholders.

    Building on last year’s momentum, we began 2015 and a new Congressional session with the introduction of the Pharmacy and Medically Underserved Areas Enhancement Act — H.R. 592/ S. 314 — in the House and Senate. Just like the last year’s House legislation (H.R. 4190), the Act would enable patient access to, and payment for, Medicare Part B services delivered by state-licensed pharmacists in medically underserved communities.

    Help for the underserved

    While the successful passage of H.R. 592/ S. 314 is a priority for our profession, it is absolutely critical to our patients. The legislation is about increasing access to healthcare for some our most vulnerable citizens — patients in medically underserved communities, especially seniors. Patient access to healthcare is a real issue across the United States. It is expected to worsen with a projected shortage in primary care providers, more insured individuals entering the healthcare system, and a continually aging population.

    For decades, pharmacists have been among the few health professionals who lack recognition under federal law. As healthcare becomes increasingly complex and medication use rises, federal law must keep up and recognize the vital role pharmacists play in coordinated care delivery. H.R. 592/ S. 314 will give patients greater access to healthcare through pharmacists’ patient-care services, allow pharmacists to work more closely with other healthcare professionals to manage chronic conditions, help patients transition among healthcare settings, and optimize medication use. While the legislation targets Medicare beneficiaries in medically underserved communities, many state and private health plans often cite the omission from Medicare Part B as a reason for lack of coverage of pharmacists’ patient-care services. The American Pharmacists Association (APhA) believes this legislation will provide the business infrastructure to support pharmacists in meeting the healthcare needs of all patients.

    Stacie Maass, BS Pharm, JD
    Stacie Maass, BS Pharm, JD, is senior vice president, Pharmacy Practice and Government Affairs, American Pharmacists Association.

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    • JoseLopez
      I really hope Stacie Maass will be reading this. What will be the reimbursement for a 1 hour consultation with a patient? I know that every single person who is pushing this provider status will regard my question as nonsensical. But it is real and it is ours to bear. Not one single organization will care how much we get reimbursed, and how the insurance companies will abuse us with regulation and audits. I will answer the question as it now stands. I get $60 for MTM from Mirixa for a 1 hour session. Its laughable because pharmacists' salary is $50-$55/hour. Anyone wants to jump in and answer my question.
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