The document provides information about the Academy of Managed Care Pharmacy (AMCP). It discusses:
1) AMCP was founded in 1989 and is a national professional society dedicated to promoting pharmaceutical care in managed healthcare environments.
2) AMCP's mission is to empower its over 5,700 members to improve healthcare for all individuals through the appropriate use of medications within managed care systems.
3) Key players in managed care include health plans, pharmacy benefit managers, the pharmaceutical industry, specialty pharmacy providers, retail pharmacies, and consulting firms. Pharmacists work in various roles across these organizations.
pharmacist patient education and counseling Hemat Elgohary
Lack of sufficient knowledge about their health problems and medications cause of patients’ non-adherence to their pharmaco-therapeutic regimens and monitoring plans so pharmacist need to have skills and knowledge to improve patient adherence and reduce medication-related problems
Patient counselling, Steps involved in patient counseling, need of counselling, Special cases that require the pharmacist, Patient counseling, Assessment and Monitoring of Counselling, counseling, Definition of patient counseling
Community pharmacists are ideally placed to act as health promoters.
Health promotion is commonly perceived as being about lifestyle change and personal choice.
However, health promotion has a wider meaning, incorporating a range of actions with the potential to improve health.
Implementing a Flipped Classroom Approach in Medical EducationDanielERitchie
The flipped classroom model reflects the paradigmatic shift taking place within medical education from educator-centered to student-centered instructional strategies. Learn how to implement a flipped classroom approach, and specifically the benefits of using digital platforms.
This position paper answer the following questions: Why is creativity so important? - How to craft a creative strategy? - How to build a creativity-driven organization?
pharmacist patient education and counseling Hemat Elgohary
Lack of sufficient knowledge about their health problems and medications cause of patients’ non-adherence to their pharmaco-therapeutic regimens and monitoring plans so pharmacist need to have skills and knowledge to improve patient adherence and reduce medication-related problems
Patient counselling, Steps involved in patient counseling, need of counselling, Special cases that require the pharmacist, Patient counseling, Assessment and Monitoring of Counselling, counseling, Definition of patient counseling
Community pharmacists are ideally placed to act as health promoters.
Health promotion is commonly perceived as being about lifestyle change and personal choice.
However, health promotion has a wider meaning, incorporating a range of actions with the potential to improve health.
Implementing a Flipped Classroom Approach in Medical EducationDanielERitchie
The flipped classroom model reflects the paradigmatic shift taking place within medical education from educator-centered to student-centered instructional strategies. Learn how to implement a flipped classroom approach, and specifically the benefits of using digital platforms.
This position paper answer the following questions: Why is creativity so important? - How to craft a creative strategy? - How to build a creativity-driven organization?
This Presentation help organization in development of his sales teams. As the most important and expensive resource of any organization is his people. So to make his people productive, one should work on their development and make them " Efficiently Effective People". In this presentation , the of importance of " Sales Force Effectiveness Department" in an organization has been established. Every organization want that his sales team should fulfill quantitative objectives of organization. This presentation is specially for pharmaceuticals.
Pharmacy Practice
Scope of pharmacy practice
Community Pharmacy
Scope of community pharmacy
Community pharmacy management
Selection of Pharmacy site
Objective
Legal requirements
Drug procurement
Drug storage and inventory control
Pharmacy Practice is the discipline of pharmacy which involves developing the professional roles of pharmacists. Pharmacy Practice offers practicing pharmacists in-depth useful reviews and research trials and surveys of new drugs and novel therapeutic approaches.
Drug distribution is one of the basic service provided by the hospital pharmacy.
Drug distribution system falls in to 3 categories -
1)Ward – controlled system
2)Pharmacy controlled imprest based system
3)Pharmacy controlled patient issue system
There are several dimensions in Pharmaceutical ethics -- Practice-, research- and community oriented. This presentation mainly deals with Clinical research oriented Ethics.
Patient counselling ,steps of patient ppunseling,communication skill in patie...MerrinJoseph1
Dr.Merrin,Joseph,Department of pharmacy practice,Community Pharmacy , Pharm D Second year, patient counseling,definition,outcome/scope of patient counseling,steps in patient counseling,communication skill in patient couseling,verbal skills and non-verbal skills.
This Presentation help organization in development of his sales teams. As the most important and expensive resource of any organization is his people. So to make his people productive, one should work on their development and make them " Efficiently Effective People". In this presentation , the of importance of " Sales Force Effectiveness Department" in an organization has been established. Every organization want that his sales team should fulfill quantitative objectives of organization. This presentation is specially for pharmaceuticals.
Pharmacy Practice
Scope of pharmacy practice
Community Pharmacy
Scope of community pharmacy
Community pharmacy management
Selection of Pharmacy site
Objective
Legal requirements
Drug procurement
Drug storage and inventory control
Pharmacy Practice is the discipline of pharmacy which involves developing the professional roles of pharmacists. Pharmacy Practice offers practicing pharmacists in-depth useful reviews and research trials and surveys of new drugs and novel therapeutic approaches.
Drug distribution is one of the basic service provided by the hospital pharmacy.
Drug distribution system falls in to 3 categories -
1)Ward – controlled system
2)Pharmacy controlled imprest based system
3)Pharmacy controlled patient issue system
There are several dimensions in Pharmaceutical ethics -- Practice-, research- and community oriented. This presentation mainly deals with Clinical research oriented Ethics.
Patient counselling ,steps of patient ppunseling,communication skill in patie...MerrinJoseph1
Dr.Merrin,Joseph,Department of pharmacy practice,Community Pharmacy , Pharm D Second year, patient counseling,definition,outcome/scope of patient counseling,steps in patient counseling,communication skill in patient couseling,verbal skills and non-verbal skills.
An increasing number of states are expanding managed care. This webinar provides a straightforward overview and history of the Medicaid Managed Care program and how it applies to physicians, practices, and patients.
Value-Based Payments and Managed Care Contracting - Crash Course Webinar SeriesEpstein Becker Green
Epstein Becker Green Webinar with Attorney Basil Kim - Value-Based Payments Crash Course Webinar Series - May 31, 2016.
As value-based payment relationships continue to grow in prevalence and complexity, a question remains: How do I effectively capture this arrangement on paper?
Topics include:
* Some of the key strategic questions to deliberate with regard to contracting in a value-based payment relationship
* Considerations for contracting under a value-based payment framework.
http://www.ebglaw.com/events/value-based-payments-and-managed-care-contracting-value-based-payments-crash-course-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Risk-Based Contracting: Background, Assessment, and ImplementationPYA, P.C.
PYA Principal Bob Paskowski presented “Risk-Based Contracting: Assessments and Implementation,” at the National Association of Managed Care Physicians Fall Managed Care Forum, November 10-11, 2016. The presentation allows participants to:
Understand the different types and core elements of risk-based contracting (RBC).
Prepare for additional discussions with key stakeholders regarding RBC assessment and readiness.
Make informed decisions as to next steps while evaluating associated financial risks.
The sweeping 20,000-page Patient Protection and Affordable Care Act created a compliance and reporting challenge for almost every employer – then later revisions further complicated the picture.
Does it apply to my company? How do I determine which employees might be eligible for coverage? What reporting requirements do I have? If I don’t do everything correctly, what penalties could there be? You’re not alone in wondering. That’s why AGH’s human resource and payroll professionals have put together this guide to give you some of the basics of ACA reporting.
Considering a career as a pharmacist? These professionals provide patients with prescription medications and information for safe use practices, health and wellness screenings, immunizations and general health advice. This guide provides all the necessary information and resources to get started. Find out everything you need to know about this occupation, including qualifications, pay and standard duties.
Benchmarking Bio-Pharmaceutical Medical Education Programs: Structures, Resou...Best Practices
Bio-pharmaceutical organizations have long relied on medical education programs to provide latest medical knowledge to physicians and other health care professionals. However, recent compliance rules and regulations have tempered the sponsorship of some medical education programs by bio-pharmaceutical companies, as well as some third-party providers of such services.
Best Practices, LLC, undertook benchmarking research to probe emerging medical education trends at top bio-pharmaceutical companies. In particular, this research provides benchmarks on the proper size, structure, activities performed, staffing, and investment for the Medical Education function.
Download Full Report: http://bit.ly/2cf5PYb
Market Access 101: Connecting Access Challenges to Brand OpportunitiesOgilvy Health
Last week, our payer marketing team hosted their inaugural All Access Festival event in our NJ headquarters. This rock concert-inspired event gave our colleagues an inside look at fundamental elements of optimizing market access strategies. Take a look at the presentation chock-full of insights from this event.
Learn insider tips from industry experts on how to successfully complete your URAC Specialty Pharmacy v3.0 accreditation requirements.*
You’ll walk away with insider knowledge about how to use tools, technology, and lessons learned that specialty pharmacies pay thousands of dollars to access.
Career Guidance to First Year B. Pharm studentsMcpl Moshi
Career Guidance to First Year B. Pharm students
Induction Program
More recently, pharmacists have been faced with increasing health demands which change their direction and focus to PATIENTS instead of the Product.
This presents the resource-based theory of competitive advantage as a framework for describing, understanding, and predicting the adoption and dissemination pharmacy service innovations into routine practice. The theory argues that sustainability of any business innovation (e.g., pharmacy service) is based upon (1) the internal resources of the firm offering it, (2) the firm’s capabilities in using those resources, (3) the competitive advantage to the firm of its resources and capabilities, (4) the attractiveness of the market in which it competes, and (5) the innovation’s contribution to financial performance of the firm.
Exploring Career Paths in Cybersecurity for Technical CommunicatorsBen Woelk, CISSP, CPTC
Brief overview of career options in cybersecurity for technical communicators. Includes discussion of my career path, certification options, NICE and NIST resources.
Jill Pizzola's Tenure as Senior Talent Acquisition Partner at THOMSON REUTERS...dsnow9802
Jill Pizzola's tenure as Senior Talent Acquisition Partner at THOMSON REUTERS in Marlton, New Jersey, from 2018 to 2023, was marked by innovation and excellence.
NIDM (National Institute Of Digital Marketing) Bangalore Is One Of The Leading & best Digital Marketing Institute In Bangalore, India And We Have Brand Value For The Quality Of Education Which We Provide.
www.nidmindia.com
1. Managed Care Pharmacy Dan Goldman, PharmD Clinical Pharmacy Coordinator SelectHealth December 10, 2010
2.
3. National professional society dedicated to the concept and practice of pharmaceutical care in managed health care environments
4. AMCP's mission is to promote the development and application of pharmaceutical care in order to ensure appropriate health care outcomes for all individuals
5. AMCP’s purpose is to represent the views and interest of managed care pharmacy
6.
7. AMCP's vision is managed care pharmacy improving health care for all
SelectHealth is a non-profit health insurance plan that is part of Intermountain Healthcare.I’ll be lecturing you today on this topic, but I also have somewhat of a vested interest in getting you excited about managed care pharmacy, as I recently became the Academy of Managed Care Pharmacy Diplomat to your USN. Much of this lecture material is provided by AMCP.I am going to attempt to relate managed care back to you in the most relevant way possible while still providing a broad overview of the topic, and at the end I will explore educational opportunities and career paths in managed care.
I realize this is all somewhat convoluted. I like to think of managed care pharmacy as guiding drug utilization towards safety, efficacy, and cost-effectiveness.
Health plans…Insurers:United Healthcare, Aetna, BCBSIntegrated health plans: Kaiser Permanente, SelectHealth/Intermountain Healthcare
Some of you might be of the belief that you are going to work as a retail pharmacist or hospital pharmacist and that managed care will have no impact on your daily responsibilities.Retail pharmacy is an important tool in making managed care work. What do you do when a patient’s drug is rejected at the pharmacy? Tell them sorry? Or help resolve the issue based on the rejection message? “Ma’am/Sir, this drug requires a prior authorization from your insurance…I will contact your physician to arrange this”As far as hospital pharmacy is concerned, you better believe that any hospital pharmacist will want to be highly involved in helping to craft a hospital formulary when a new drug comes out related to their specialty. For example, a pharmacist that runs a coumadin clinic would be interested in the upcoming decisions that the hospital P&T committee will make regarding Pradaxa and all the new anticoagulants.
PBMs = ESI, MedCo, CaremarkBasically an insurer but only cover the pharmacy portion of healthcare.They have been highly criticized lately in part due to their high profits. They do, however, provide valuable services and do a decent job of controlling pharmacy costs, especially in relation to medical costs.
In general, the main responsibility of a managed care pharmacist is managing the formulary. A formulary is essentially a comprehensive list of drugs and their coverage status.The primary strategic mechanism for management is through the use of a P&T committee that reviews individual drugs and drug classes. It should be noted that not all P&T committees work the same way, so what I’m providing here is an example of my company’s operating principles.Example: Tobi presentation and outcomeInjectables: A P&T sub-committee for less utilized, but often higher cost injectable or specialty drugs that might require more managementKrystexxa – presented on it, recommended PA’ing it due to safety concernsand potential for inappropriate or early use on this ~$60k/year drugOf course, once decisions are made, then they need to be put into operation…
ST – PPI exampleQL – If a drug is dosed once a day, we’ll typically put a quantity limit of 30/month. We’re never more strict than the labeled dosing and are often more lenient.Tier levels: Tier 1 is lowest co-pay and tier 3 is highest co-pay Several studies have shown that co-pay amount affects utilization/compliance A highly aligned physician network will fall in line with a clinically appropriate formulary
This is an actual PA that we utilize. All of our PAs are public documents that we make available on our website.Explain criteria…
ST – PPI exampleQL – If a drug is dosed once a day, we’ll typically put a quantity limit of 30/month. We’re never more strict than the labeled dosing and are often more lenient.Tier levels: Tier 1 is lowest co-pay and tier 3 is highest co-pay Several studies have shown that co-pay amount affects utilization/compliance A highly aligned physician network will fall in line with a clinically appropriate formulary
There are managed care pharmacists who just participate in MTM or who just review PAs. Some people enjoy that kind of specificity. I personally enjoy getting to work on a vast array of projects, which is something that my current position provides.
This is my attempt to get you excited about all the possibilities and career opportunities. Managed Care = explain my job and talk about all the pharmacists’ roles at SHPBMs = MCO but only relates to the drug benefitConsulting = HealthStrategy, Solid Benefit GuidancePharma = Account Managers, MSLs, Health Outcomes Researchers, etc …for those of you interested in working for PHRMA, previous experience in managed care is a good foot in the doorGovernment = FDA and other agenciesMedical writing = Journal editors No patient interaction, but these are highly influential positions – you really make a difference as a whole.Challenging, lots of complex problem solving and strategic planning, lots of room for personal development, encourages constant learning about new drugs because you’re in charge of managing their utilization from the get go, but also provides reinforcement of your knowledge base. Also, the market demand for managed care pharmacists is healthy according to my recent experience. That might not continue to be the case in community and hospital pharmacy.Salaries because pharmacy students tend to care about that – starting salary for a managed care pharmacist is typically between that of a hospital pharmacist and a community pharmacist, but…One of the best parts about a managed care career path is that though you enter as a well-paid professional employee, there is still a great potential for advancement after that.See “Mapping Your Career in Managed Care Pharmacy” on student ASCENT Centerhttp://www.amcp.org/amcp.ark?pl=AE2A36B2
These are some characteristics of an ideal application. To these I would add: Self-motivated. Well-rounded. Flexible. Dedicated to life-long learning. Possibly has some business acumen. I’m told you have a dual PharmD/MBA program – so graduates with this credential would possibly be strong candidates.Common characteristics programs are looking for in a good resident candidate – someone who displays the following:The program can identify these characteristics about the applicant through your cover letter, recommendations, college transcript, resume/curriculum vitae, onsite interviews and even through program communication with your previous advanced professional pharmacy experience preceptors! Active participation in available managed care opportunities throughout one’s pharmacy education places an applicant in a competitive advantage compared to other applicants
I mentioned the AMCP/FMCP/Allergan, Inc Specialized Summer Internship Program in Health Outcomes. Applications are being accepted until February for those interested, but as I understand it your curriculum goes through the summer. I had the same issue that prevented me from participating in internships as a student.A lot of people who are interested in pharma feel that a fellowship in health outcomes or pharmacoeconomics is the best path to take.Much of the rest of this information we are going to fly through. I’ve included it here more as a reference for you if you’ve been intrigued by what you’ve heard so far.
Do you have to do a residency for most of the career opportunities related to managed care? For a new graduate looking to enter this field, I would say absolutely. Don’t let that immediately discourage you though. As someone who just completed a managed care residency this past summer, I can wholeheartedly recommend this path.The listed benefits highlight what students who are interested in managed care often associate with managed care pharmacy. If a student who is unsure about managed care pharmacy is excited about the listed benefits– perhaps this hints at a “good match” for this individual and a managed care residency experience. Additional details on each of the bulleted points mentioned on the slide:1. Often careers place the pharmacist in a particular career path based on their job experience. With managed care residency, you have training in managed care but managed care experience is an asset for other career paths beyond managed care; previous MC residents have continued into industry, management, institutions, etc2. In no other career will you be trained on how to stay on top of new drug developments, as part of your job. It is a habit that would benefit any pharmacy professional committed to successful life-long learning. A residency will focus on building this skill.3. In MC, you get a well-rounded experience, including exposure to “management” for those interested in that career ladder.4. See bullet 1 above.5. See bullet 3 above and training that would place you in a clinical account manager role that is not available to newly graduated pharmacists without a managed are residency background.Great videos on general residency programs available on ASHP web site - http://www.ashp.org/Import/ACCREDITATION/ResidentInfo/WhydoResidency.aspxTopics include (on a 15 minute video - http://www.ashpmedia.org/video/resident/Why%20a%20Residency%20Full.html): Why should I do a residency What is a residency The benefits of doing a residencyWhen should you start thinking about doing a residencyThe final steps
The listed benefits highlight what students who are interested in managed care often associate with managed care pharmacy. If a student who is unsure about managed care pharmacy is excited about the listed benefits– perhaps this hints at a “good match” for this individual and a managed care residency experience! Keep in mind that new pharmacy graduates may not necessarily be concerned about these factors early in their career; a way to explain the importance of these benefits is to provide a personal story linked to the value of these benefits as you love along in your career!
Students are often unaware of residencies in managed care pharmacy due to limited exposure during their academic career. Since these residencies are significantly different compared to institutional and community-based residencies, it is important that the student receives enough education about these training experiences so that they are able to make an informed decision.Explanations to the bullets on this slide:1. As with any residency training, the salary is significantly less than you would make working as a full-time pharmacist elsewhere.2. A MC residency is not ideal for individuals looking for direct patient care; however, MC does involve a direct impact on patient care which is often just a rewarding. Residents and MC pharmacists are often able to continue a part-time/per diem staff pharmacist position concurrently.3. MC pharmacists make use of drug literature skills and clinical decision-making skills on a day-to-day basis. Everything is evidence-based.4. Positions are often available but not easily identified based on unique advertising venues and different settings qualified as MC positions. However AMCP has a link to postings for MC positions and internships.5. Limited rotation experiences but AMCP now hosts a webpage where schools advertise available internships.
The AMCP student ASCENT center provides student internship opportunities as well as reading materials to promote awareness of managed care specifically designed for students.ASCENT stands for “Awareness/Access, Shadowing, Connectivity, Encouraging, Navigating, Training” used to describe resources that AMCP provides to budding pharmacists considering a career in managed care. Please visit the AMCP site for a compete definition of this acronym.
Is anyone here a member of this organization?
Since there are a number of resources on the provided links, speakers should visit these sites and possibly open a browser during the lecture to walk the audience through the most beneficial areas on the site (as suggested on the slide above). Perhaps a link to those specific useful pages can be provided as a separate handout to the class).
Provides a list of managed care rotations and residencies
This is a relatively light read that provides some good background of drug development over the past 20 years.
I plan to be engaged in future USN events including career fairs and possibly the formation of a student chapter.Please contact me if you have any interest:in shadowing for a day at my organizationsetting up a rotation with us (advanced rotations only)joining AMCPstarting an AMCP student chapteror just simply learning more about the topic. *If you do decide to join AMCP, please list me as your referring member (no, I don’t receive compensation for referring members). I believe membership is $35/year for students. This is well worth it, especially since you can then attend our state affiliate meetings, which provide you with a gourmet meal.