Pharmacist and Pharmacy Partnership Opportunities with CMS

Thomas Dudley, MS, RN Acting Director – Division of Provider

AffairsCenters for Medicare & Medicaid

Services

Food Marketing Institute Member MeetingNovember 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

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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)

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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.

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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

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Future Initiatives

• Health Insurance Marketplaces – Education and Enrollment – October 2013

• ???

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Available Resources

Medscape preventive services modules with CEs for Pharmacists: – Preventive Care, Private Health Plans, and Your Practice

http://www.medscape.org/viewarticle/772901?src=cmsaca4

– Preventive Services for Adults: Are Your Patients Taking Advantage of These Benefits? http://www.medscape.org/viewarticle/772859?src=cmsaca4

– Preventive Services for Children: Getting the Message to Parents and Caregivers http://www.medscape.org/viewarticle/770504?src=cmsaca4

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Available Resources

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Available Resources

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Available Resources

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Available Resources

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Available Resources

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Available Resources

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Available Resources

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Available Resources

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Questions and Contact Information

Contact me directly:Tom Dudleythomas.dudley@cms.hhs.gov 410-786-1442

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