New Bill Aids Medicare Patients Taking Complex Drug Therapies
"This recognition will ensure that pharmacists are eligible to bill Medicare for providing high-level patient care services," said Senator Johnson. "It also will construct an effective infrastructure on which we can build a meaningful outpatient prescription drug benefit, guaranteeing that seniors and the most needy, high-risk patients can access the health care services of pharmacists."
The Medicare Pharmacist Services Coverage Act will amend the Social Security Act to include pharmacists on the list of health care professionals classified as "health care providers." The Social Security Act recognizes a number of other health care professionals as "health care providers," including registered dietitians, nurse practitioners, physician assistants, certified nurse midwives, and clinical social workers.
"Americans today have access to better, more effective medicines, but not always to the comprehensive medication management that a pharmacist can provide," said Henri R. Manasse, Jr., Ph.D., Sc.D., executive vice president and CEO of the American Society of Health-System Pharmacists (ASHP). "The involvement of pharmacists is imperative so that patients with complex medical needs can successfully control their disease and avoid multiple doctor and hospital visits to deal with complications."
The legislation "represents an essential step in the development of a safer, quality-driven health care system for our nation," said Robert M. Elenbaas, Pharm.D., FCCP, executive director of the American College of Clinical Pharmacy (ACCP). "We must acknowledge the crucial role pharmacists can and should play in ensuring elderly patients receive the care they deserve."
The need for pharmacists involvement in drug therapy management is particularly important for patients age 65 and older, as they are often taking several medications and may have numerous health conditions. According to a May 2001 survey conducted by ASHP, half of American seniors take five or more medications daily. Other research in respected medical literature such as the Journal of the American Medical Association has shown that when pharmacists are part of patient care teams, patients have fewer adverse drug events and experience improved outcomes, and health care costs are decreased. The Institute of Medicines November 1999 report also recognized the value of pharmacists to patient care noting, "the pharmacist has become an essential resource and patient safety demands that access to the pharmacists expertise must be possible at all times."
The Pharmacist Provider Coalition (PPC), a joint effort of ASHP and ACCP, worked closely with Sen. Johnson on the legislation. To read the full text of the legislation or to learn more about the PPC, go to www.ashp.org/public/proad/compensation.
ASHP is the 30,000-member national professional association that represents pharmacists who practice in hospitals, health maintenance organizations, long-term-care facilities, home care, and other components of health care systems. ASHP, which has a long history of medication-error prevention efforts, believes that the mission of pharmacists is to help people make the best use of medicines.
ACCP is a professional and scientific society that provides leadership, education, advocacy, and resources enabling clinical pharmacists to achieve excellence in practice and research. ACCPs membership is composed of practitioners, scientists, educators, administrators, students, residents, fellows, and others committed to excellence in clinical pharmacy and patient pharmacotherapy.