From Broncofan. This is important stuff. You should be all over this. On the phone. Telegrams. If you do not get this handled, CVS will be getting the money, not you. Do you want Primary Care to go the way of Flu and Shingles Shots?
How fucked up will it be when you diagnose, monitor, follow up, prescribe drugs and and are known around town as Doc Bronco and Rite-Aid gets paid and you get nothing more than your RPh wage?
40 Million Brand New Insured Americans getting adequate health care for the first time and NO new doctors. Pharmacists WILL be providing Primary Care. You will be the Family Doctor. You can bet that they are talking his over up in the MBA Masters of the Universe long able meeting room up in Illinois. WAG is always slow and methodical. The moves are well thought out. The only problem is that there is a battle going on at WAG. The Throw-Money-Gift-Card-For-Transfer Dinosaurs are fighting behind the doors with the Provide-High-Quality-Professional-Services-And-The-Cream-Will-Rise-to-the-top guerrillas. Who will win? You know who I would fight battles with. Pharmacists as Family Docs is going to be huge. Start the dialogue NOW or you will be fucked. So.. Bend Over or get going……… Jay Pee
Goose, Peon, Steve, Pharmacy Gal, what say you guys.
Hello Jim,I was just made aware of this today...sorry for the short notice. Exposure on your blog may do some good.
Got a second to help with provider status? Call your senator right now!
It is an exciting time here at 2215 Constitution on this cold but bright Thursday morning. Later today, we hope pharmacists in America will be plugged into providing patients team-based care in greater numbers than we’ve been able to achieve without recognition as providers at the federal level. You can help in getting pharmacists recognized as providers in accountable care organizations (ACOs) – but you have to act fast!
At 10 a.m. this morning Eastern time, the Senate Finance Committee is scheduled to mark up its sustainable growth rate formula (SGR) legislation—the “doc fix” bill. This is the last step before the committee votes on the legislation and sends it to the floor of the full Senate. More than 100 amendments, a number of which affect pharmacy, have been proposed to the Chairman’s Mark, including an amendment by Senators Grassley (R–IA) and Carper (D–DE) titled “Inclusion of Pharmacists as Providers in Medicare ACOs.”
Check the Senate website and see if either of your Senators is one of the 24 members on the Finance Committee.Many of the most populous states are represented—New York, New Jersey, Pennsylvania, Ohio, Michigan, North Carolina, Georgia, Florida, Texas, Washington—along with Maryland, Delaware, West Virginia, South Dakota, Iowa, Kansas, Wyoming, Colorado, Utah, Oregon, Idaho, and Montana (home of Finance Chairman Max Baucus). If so, contact him or her this morning to express your support of the Grassley–Carper amendment being voted in committee today.
We are so grateful to the Senate Finance Committee and its staff, and in particular these senators, for their concerns with medication use and for their ability to see the benefits of having pharmacists on the ACO health care team! Thanks to our APhA Government Affairs team members for their work as resources to the Senate Finance staff as this language was developed.
Just to “calibrate” folks, this legislative step forward for the pharmacy profession comes in large part because the Senators wanted to help their constituents’ medication use with access to pharmacists’ services. Importantly, this applies to services provided on a team within an ACO. In addition to work needed to get this amendment through the Senate, and through the House and/or conference committee, we’ll continue working on the larger proposal to get pharmacists more broadly recognized as providers in Medicare.
We appreciate all of pharmacy for everything you do to advance our profession! Thank you in advance for sharing with members of the committee the importance of the Grassley–Carper amendment.
Thomas E. Menighan, BSPharm, MBA, ScD (Hon), FAPhA
APhA Executive Vice President and CEO
Jay Pee 12/17/13
I just read the comments and my knees started to shake, like a little puppy, I was so excited. The more I sit with the idea of pharmacists gaining provider status, the more it sinks in. As AJ wrote, “It really is GAME ON”. I agree with AJ that this is a terrific reason for visiting the U.S. Small Business Administration for a low interest loan to get the lights on in your own store. When young, energetic, motivated, well-educated Pharm Ds open stores with well built spaces like the Take Care Clinics at Walgreens, It will truly be game on, AJ. Particularly if you are a nice, caring person with what people call a good personality you will be driving a stake in Dracula’s Big Evil heart. If you are near a Big Stupid.. Oh my Gawd, what fun that would be.. calling ten times a day for transfers. Immunizations would be a significant part of your practice. I know about a neighborhood in Washington State where the MDs only keep the rudimentary vaccines. Pediatric patients are sent to the local pharmacy for all immunizations. Just one niche business.
It will not be long and there will be another pharmacist shortage. The shortage will be of smart, competent, experienced pharmacist/merchants. The Chains, Big Box & Grocers would be smart to be proactive or they will end up with rudimentary dispensaries staffed with marginal robo-dispensers. Come on, the Jay Pee visitors look fondly at Broncofan. He will gladly share his winning formula. Imagine competing with a Rite-Aid where the PIC is a first year out of Touro who has never even worked in a pharmacy other than a rotation in what they label a Professional Pharmacy that serves nursing homes. Poor bastard. What will he do the first time an obese woman asks about the rash under her heavy breasts and pulls up her tee shirt and shows him? Probably send her to you. What about the tough guy who comes in after a fist fight and asks the Touro kid to help him pull the other guy’s teeth out of his fist. Dramatic and rare examples of why you are gonna kick some Big Stupid ass.
I honestly believe that the employers of pharmacists who treat you badly will have to start throwing money at you again. Suddenly, out of nowhere, the Affordable Care Act starts treating pharmacists with respect. Suddenly, guys like AJ will turn in the CVS keys and open their own shops.
You know, CVS has been treating pharmacists so badly that I don’t know if throwing money will help. Possibly the money and iron-clad employment contracts might get guys like AJ to hang around awhile. I’d love to be 42, 52 even instead of 72 with legs like spaghetti. It would take me about a minute to make the call.
Click here: www.sba.gov or Call 1-800-827-5722