Theme: Finances
Taskforce Rationale
With challenges in finances, there will be more pressure to offset clinical faculty salaries. As more states grant provider status to pharmacists and new value-based reimbursement models emerge this may create opportunities for reimbursement of services by clinical faculty. This work helps to inform the Academy of the changing landscape of reimbursement for patient care services provided by pharmacy faculty and areas to capitalize on these changes.
This taskforce extends the Pilot from the 21-22 AACP Strategic Engagement Committee that was charged to:
Develop a resource guide for AACP and member institutions to advocate for payment for practice-related services from State and Federal programs. The focus of this charge is on payment for patient care services delivered by faculty employed by colleges/schools of pharmacy. Identify the potential sources of payment through State and Federal program, the current mechanisms for payment, and changes to current laws/regulations/policies that would likely increase payments to faculty (directly or indirectly) for patient care services.
- https://www.cms.gov/medicare/coding-billing/medicare-administrative-contractors-macs/whats-mac
- https://www.cms.gov/files/document/ab-jurisdiction-map03282023pdf.pdf
- https://www.cms.gov/medicare/quality/measures
Taskforce Charges & Deliverables
- Work with AACP Institutional Research and Effectiveness team to review the data from the Pilot of the 2022 Patient Care Payment Models of Pharmacy Faculty Survey.
- Create a process to enlist CEO Deans to complete the Patient Care Payment Models of Pharmacy Faculty Survey in 2024-2025 academic year.
- Identify exemplar Practice Plans that colleges and schools of pharmacy have implemented for their clinical faculty.
- Assess barriers to CMS “Incident-to-Billing” by pharmacists among the 12 Medicare Administrative Contractors (MAC) and propose ways to address these barriers.
- If CMS plans to move toward a “value-based payment” system by 2030, how might the academy address quality-based metrics that will provide pharmacists with the ability to understand, analyze, and expand quality control outcomes associated with drug therapy across all healthcare sectors.
- Discuss how faculty contracts maybe be constructed in the future given these changes above.
Deliverable: Provide interim and final reports on their progress and outline any relevant resources on the topic that they discover in their work, so that these materials could be posted to AACP Connect Community libraries. Members will produce a white paper on their ideas.