Pharmacist-Delivered Patient Care

Pharmacist-delivered patient care represents pharmacist-identified opportunities to be paid directly, for example, by a local employer group or perhaps by a cash-paying patient or patient caregiver.

Self-insured Employers

Self-insured employer groups are potential candidates for patient care programs.  A self-insured employer is a company that chooses to pay its medical benefits for their employees “out of pocket.”  An employer can structure its benefit in a variety of ways.  For example, the employer may choose to manage both the medical and prescription benefit or manage the medical side of the benefit and then carve out the prescription benefit, working with a pharmacy benefit manager (PBM).

An employer may elect to offer MTM or disease state management in an effort to manage overall health care costs. The intent is if you proactively manage an employee’s health care, ultimately the employer reduces overall health care expenses, as well as reduces out-of-office sick time.  This presents a potential opportunity for a pharmacist-delivered patient care delivery offering.

Cash-paying Customers

Given a patient’s prescription and medication management needs, you may have a patient or patient caregiver interested in paying cash for your patient care services.

MO-PCN will continue to provide guidance on pursuing future professional pharmacy service opportunities.  This includes offering template marketing materials to customize and target these audiences.

Next Steps:

  1. Identify potential patient care opportunities in your local area.
  2. Market your patient care services.
  3. Watch for MO-PCN identified opportunities.

MO-PCN will continue to provide information, guidance and tools to support your local patient care service delivery.