PQS Quality Corner Show
Join Pharmacy Quality Solutions Associate Director of Pharmacy Accounts Nick Dorich, PharmD, for a podcast series "Quality Corner Show" that covers everything quality in the world of pharmacy and patient care. Look for future episodes to interview guests and experts in the healthcare profession.
PQS Quality Corner Show
Getting Paid for Performance-Based Care
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Independent pharmacy owners Richard Stryker, RPh., (Bayshore Pharmacy) and Theresa Tolle, BPharm, FAPhA, (Bay Street Pharmacy) join PQS host Rosalyn Otting, PharmD, to break down how performance-based care is reshaping pharmacy revenue. They cover the three keys to getting paid for clinical programs: prioritizing opportunities, fitting them into daily workflow, and scaling them for growth. Topics include MedSync as the anchor for clinical billing, quarterly check-ins and on-time-fill bonuses, point-of-care testing (blood pressure, A1c), pay-for-performance networks tied to Medicare Star measures, and staff buy-in strategies for rolling out new programs. The episode closes with a look ahead to 2027 Star Rating changes, including a new depression screening measure, and where pharmacists see the biggest opportunities over the next 3-5 years, from cardiovascular screenings to maternal health and community-based care.