Alternative payment approaches for advancing comprehensive medication management in primary care

Abstract

The increasing prevalence of complex, chronic conditions has profound implications on the growing demand and cost of health care. The Center for Medicare and Medicaid Innovation is testing data-driven approaches to care delivery and payment that are drawn from innovative practices of health care providers and other partners in the health care community. The shift from fee-for-service to value-based care and performance-based payment places increased priority on improved outcomes at lower costs. To advance comprehensive medication management, pharmacists need to understand the opportunities in the evolving value-based payment models and align medication optimization with the specific goals and incentives of these models.

Keywords

• pharmacists
• pharmaceutical services
• medication therapy management
• chronic disease
• medicaid
• medicare
• delivery of health care
• health care costs
• fee-for-service plans
• value-based purchasing
• united states