Pharmacist and Pharmacy Partnership Opportunities with CMS Thomas Dudley, MS, RN Acting Director – Division of Provider Affairs Centers for Medicare &

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Presentation transcript:

Pharmacist and Pharmacy Partnership Opportunities with CMS Thomas Dudley, MS, RN Acting Director – Division of Provider Affairs Centers for Medicare & Medicaid Services Food Marketing Institute Member Meeting November 9, 2012

Objectives Why is CMS seeking partnerships with Pharmacists and Pharmacies? What is a CMS partnership and what does it entail? Current Initiatives Future Initiatives Available Resources Questions and Contact Information 2

Why is CMS seeking partnerships with Pharmacists and Pharmacies? We realize that Pharmacists and other pharmacy staff have frequent direct contact with beneficiaries Consumers TRUST their local Pharmacist and VALUE the relationship Pharmacists know what their customer’s prescription expenditures are and often get questions about which health plans might be worth considering Pharmacists and Pharmacies are already providing some of the covered preventive services (e.g. flu vaccine) 3

What is a CMS partnership and what does it entail?  CMS views the partnership relationship as a long-term relationship.  The ultimate goal is to ensure beneficiaries are aware of services that are available.  The relationship provides the Pharmacist with a direct point of contact at CMS  Partnerships can range from the simple distribution of CMS publications to actual development of co-branded materials. 4

Current Initiatives  Annual Medicare open enrollment (October 15 – December 7)  Available preventive services  Savings on prescription drug spending in the “donut hole” coverage gap.  Million Hearts 5

Future Initiatives Health Insurance Marketplaces – Education and Enrollment – October 2013 ??? 6

Available Resources Medscape preventive services modules with CEs for Pharmacists: – Preventive Care, Private Health Plans, and Your Practice – Preventive Services for Adults: Are Your Patients Taking Advantage of These Benefits? – Preventive Services for Children: Getting the Message to Parents and Caregivers 7

Available Resources 8

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Questions and Contact Information Contact me directly: Tom Dudley