What did I tell you? A Stethoscope Over Your Shoulder Won’t be Simple Posing.

Jp Enlarged

You can bet that WAG, CVS, RAD, Wal-Mart, Kroger and the rest of them are working overtime to figure out how they can get your money and call it theirs.  This is coming.  Be ever watchful.  You are in the catbird seat. Do NOT give it up.  They usually do the right thing out on the west coast, but you may be stuck in Pennsylvania.   Jay Pee

Landmark Legislation Positions
 Community Pharmacies at Center of Preventive Care
“Provider status” revolutionizes pharmacists’ role in
New era of Obamacare, doctor shortages
ALISO VIEJO, Calif. – November 19, 2013 – In a move that may now spread throughout the states, California lawmakers have granted healthcare “provider status” to pharmacists.
“Most Americans don’t realize that pharmacists were not officially considered ‘healthcare providers,’” said Al Babbington, CEO of PrescribeWellness, a SaaS company that develops patient communications tools and services for community pharmacy. “The Affordable Care Act (ACA) mandates preventive healthcare coverage for millions more Americans. But with too few doctors serving more patients than they can effectively treat, a significant gap in care is created starting in 2014. This legislation paves the way for community pharmacies to fill that gap and provide these much needed services.”
Well beyond the traditional filling of prescriptions, the new law goes into effect January 1, 2014 and authorizes pharmacists to administer medications and counsel patients in a manner that directly improves outcomes. In the case of California, the nation’s most populous state, this will result in millions of citizens having access to critical services such as obesity counseling and smoking cessation support via their neighborhood pharmacy.  
“Over 160 million Americans have at least one chronic disease and the numbers are growing. The ACA is far too costly and unsustainable unless effective, dependable and available healthcare providers can step up to the plate and manage some of the jobs performed by doctors, such as helping patients improve their use of medications and properly manage their disease,” said Babbington. “California has set a national example in assuring all citizens have access to preventive care. PrescribeWellness is proud to provide the training and tools that help pharmacists take on this new leadership role and become the center of wellness for the communities they serve.”
“A key to success of the ACA is collaboration of care between all healthcare providers, and this legislation allows pharmacy to work side by side with hospitals, physicians and other providers along the continuum of care,” said Terry Olson, Ph.D., vice president of behavioral solutions at PrescribeWellness. “We have the technical tools, the behavioral research and now the policies in place to step in and directly improve the health of our diabetic and other chronic disease patients. The result will be better quality of life and lower healthcare costs for millions.”
About PrescribeWellness
PrescribeWellness automates critical engagements between pharmacist and patient in the five key areas that improve patient compliance, care and outcomes: Medication Adherence, Chronic Disease Management, Transitional Care, Population Health and Behavioral Change Programs. With data integration and proprietary behavioral science at the foundation, PrescribeWellness cloud-based solutions position the pharmacist at the center of community healthcare prevention. For information on the industry’s most effective patient engagement tools and programs, please visit www.prescribewellness.com

Bri Rios | Account Coordinator
Metzger Associates | The art and science of communication.
Email ∙ 720.833.5912 (direct) | 303.786.7000 (main)


  1. pharmaciststeve  •  Nov 25, 2013 @9:02 pm

    It is one thing to be given provider status.. it another thing for third parties to allow us to bill for certain ICD9 codes (soon to be ICD10 codes)and – if done – the allowables are sufficient to cover the overhead of providing the service.

    IMO.. it is either going to take a very long time or maybe never going to happen in the community setting.

    It is engrained in our society’s fabric that RPH’s time in the community setting is available ON DEMAND and is FREE..

    We had the opportunity to turn this idea around with vaccines…but .. NO !!.. we have to provide vaccines on demand… which just reenforces the existing mind set…

    Just ask any RPH in community.. what is the most asked questions… how much & how long…

    We will have to move to be within the prescriber’s office setting.. a setting where appts are the norm and charging pts for “advice” is the norm.

    As the ACA is implemented and ACO’s develop and mature with some sort of capitation.. It will all depend on which group (ARNP, PA, NP, RPH) will work for the least amount of money. Expect that figure to be in the 50 K – 60 K annual range..

  2. AJ  •  Nov 25, 2013 @11:36 pm

    Where ya at Broncofan? This is what I’m talking about! To survive we have to divest ourselves from reimbursement based on distributing a product. This looks like a good first step…if the AMA lets it happen.

  3. Crazy RxMan  •  Nov 26, 2013 @12:33 pm

    Well this certainly explains the big investments grocers are making all around the country building mini clinics next to their pharmacies.

    It also explains the push my company is pursuing for additional pharmacist training in areas such as diabetes, lipid management, and injectible medications other than vaccines. Today it is voluntary… tomorrow… we’ll see.

  4. Peon  •  Nov 26, 2013 @4:54 pm

    Steve has summed it up quite well. As pharmacists, we have a problem. The problem is the public’s perception of us. They don’t expect to pay us for any type of services. We have given away our time for FREE for so long that it is ingrained in the public’s mind that whatever we do is FREE. The pharmacy setting is a barrier to us getting reimbursed for services. We will have to change the setting.

  5. Peter Dumo  •  Nov 27, 2013 @11:22 am

    In my experience (5 years in owning my own practice, I can say the following). SOME patients will pay for service/care IF it is superior than what is currently available. About 30% of the population will be willing to pay. For example, when I started my anticoagulation service, patients were willing to pay $15.00 per visit to cover testing supplies, support staff, etc (patient who filled all their Rxs here didn’t have to pay). More recently, most pharmacies in Ontario have started waiving a portion of the Ontario Drug Benefit Co-pay. This includes the largest chain in Canada. So, most pharmacies waive $2.00 off the copay, but some pharmacies are waiving the entire $6.11. We routinely DO NOT waive (yes, we make exceptions, but very rarely). So, it costs patients MORE money to come to our pharmacy and access our services. But they do still come. Would we be busier if we discounted more: YES. However, we need those $2.00 to provide for the staff/time that provides the great care and service. Some patient value us saving them time and providing better care and service. Some people DON’T care and are just focused on the savings. But if you think about it, that 30% of the population that are willing to pay a little more actually represent about 50% of the “margin” out there. So, focusing/targeting to the 1/3 of the population that gives a crap will probably generate a decent return.

  6. broncofan7  •  Dec 3, 2013 @9:31 am

    What diagnostic tools do you use for your anticoagulation service? Is there an INR diagnostic kit available for Pharmacists? Please provide us the scope of your anticoagulation clinics…thanks! BF7

  7. Pharmaciststeve  •  Dec 3, 2013 @10:31 am

    Here is what a lot of doc’s offices around me use

  8. broncofan7  •  Dec 4, 2013 @12:19 pm

    Thanks Steve….

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