Pharmacy Consulting

Why A Pharmacy Consulting Firm?

Pharmacy Consulting ServicesIn a traditional independent retail pharmacy setting, many pharmacy owners, Prescription Department Managers (PDM) and Pharmacists in Charge (PIC) ask themselves this question: “Perhaps I could use some expert advice on some of the business decisions that are being made here?”. The use of an objective and experienced third-party pharmacy consulting firm in larger pharmacy organizations is much more widely accepted these days. Most large hospital systems, governmental and institutional pharmacies and large healthcare systems are much more likely to seek outside pharmacy consultants to assist them in their decision making process. They realize that two major absolutes exist in today’s pharmacy environment: Specialization and Objectivity. Many would agree that specialization and objectivity are “keys to success” in almost any industry, but nowhere is this more important than in healthcare and pharmacy.

The Age of Specialization

The complex nature of our society that exists today as the information age began in the early 1990’s and has peaked now according to experts, means that no individual alone could possibly operate a business when it comes to areas such as technology, human resources, legal requirements and finance. This is true not only for pharmacy, but for almost every field of industry (healthcare related or not). A friend who operates a large Internet company shared that over 20 years ago he employed one IT professional on his staff full-time. Now he has five full time IT employees: specialists in website hosting and email, VM & cloud solutions, IT infrastructure, database administration and programming.

Nowhere is specialization seen more than in the businesses of healthcare and the profession of pharmacy. Just understanding the technology in pharmacy alone takes quite an education and is an extremely time consuming undertaking. In one of our previous blog posts several years ago we took a good look at Medication Therapy Management (MTM), which included a discussion of Health Information Exchanges (HIE’s). Yet we didn’t really even touch on the majority of recent technological advancements in pharmacy such as e-prescribing, mobile health apps, and electronic health records (EHRs). When you add in the complexity of keeping up with and understanding the additions and changes in federal and state laws and regulatory agencies (DEA, FDA & State Boards of Pharmacy), it is clear that sometimes the help of an an expert is absolutely necessary. Lastly, let us just make a short list of additional areas that a pharmacy business may have to deal with and it’s pretty easy to see why having a pharmacy consulting firm as a business “partner” may be a really good idea:
– PBMs and insurance networks
– Sterile and non-sterile compounding <USP 795 & 797>
– Accountable Care Organizations (ACOs)
– Integrated Delivery Networks
– HIPAA
– Security
– VIPPS
– Internet pharmacies

Objectivity

Perhaps the famous Danish philosopher Søren Kierkegaard was correct in his observation that it is impossible for a human being to be objective about themselves. Many experts agree that this is especially true when it comes to being totally objective regarding your business or pharmacy operation. Large pharmacy business organizations, hospitals, government institutions and major healthcare systems know this to be true. They all internally have systems of checks and balances in place, yet consistently utilize objective third party pharmacy consulting firms such as Healthcare Consultants to take an unbiased look at their operations in order to maximize their operation’s efficiency and increase their revenue. Additionally, they receive vitally important feedback on operational policies and procedures, industry best practices and emerging technologies.

The need for objectivity for “smaller” clients is just as crystal clear. Sometimes it is even more necessary in an independently owned and managed retail or specialty pharmacy operation because the owner is emotionally tied to the business. We have all heard the phrase “making a decision based on your heart and not your head”. Sometimes an objective third party taking a look at your situation can make the difference between growing your business or closing it down.

The Nation’s Leading Pharmacy Consulting Firm

HCC is known to be a national leader in pharmacy consulting. Since 1989, our network of seasoned advisers and in-house specialists have provided expert guidance across all sectors of the pharmacy industry. We work with businesses of every size – from the corner drug store to national corporations and organizations – with only one goal in mind: to improve your pharmacy’s business operations. Some of the services we most commonly provide include:

From major hospitals and healthcare systems to individual community pharmacies, HCC has been the nationally renowned pharmacy consultant firm of choice for over 29 years now. HCC can assist with expert advice in any area of your pharmacy business or practice. We urge you to contact us today to see how our Pharmacy Consulting services can help you improve your business now and be ready for the future. With a full-time staff of experienced in-house Pharmacy Consulting specialists, HCC can answer any questions that you may have in all Pharmacy settings. Contact us online or call us today at 800-642-1652 for a free consultation.


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Florida HB 625 Managed Care Plan Provider Networks

Florida House Bill 625 Regarding Managed Care Plan Provider Networks:

Florida House Bill 625 was introduced and filed in the Florida State Senate in March 2017 and is now in committee/council (HIS). Many independent community pharmacies in Florida are strongly advocating for the bill as it relates to the current Managed Care Plan Provider Networks. Essentially HB 625 would prohibit a managed care plan from excluding any participating pharmacy that meets the credentialing requirements and standards established by the Agency for Health Care Administration (AHCA) and that accepts the terms of the plan. It also basically requires all managed care plans to offer the same rate of reimbursement to all pharmacies in the plan network.

Issues With the Existing Managed Care Plan Provider Network Rules:

Most independent community pharmacies are strongly in favor of the new rules. As many see it, the problems with the existing rules are that they are restrictive to what are considered “industry fair practices” and result in the patient facing limited options or choices in getting their prescriptions filled. To sum up the issues, the advocates of the new Florida House Bill 625 point out the following existing issues:
– The current rule allows Medicaid managed care plans to limit the pharmacies allowed in their Medicaid Networks based on meeting Federal Medicare network adequacy standards.
– AHCA adopted federal Network access standards currently only require plans to have a pharmacy within a 30-minute travel time for patients in urban areas and a 60-minute travel time for patients in rural areas. This access standard creates a hardship for Medicaid recipients who have limited transportation and resources.
– These closed networks have forced consumers to leave their local pharmacies that many Medicaid recipients often rely on for an array of medical services, advice and assistance.
– Several plans have negotiated pharmacy services using only 2 or 3 chain pharmacies, thus excluding hundreds of local Florida based pharmacies from participating in the Medicaid program.

Many organizations have rallied behind the proposed new Florida House Bill 625. An example is the Florida Independent Pharmacy Network (FIPN) who has been strongly urging that proponents of the bill to take action and reach out via phone &/or email.  Below is a list supplied from FIPN regarding the contact information for the Speaker of the House, the Committee Chairs and the Committee Members:
Representative Richard Corcoran (Speaker of the House)
District Ph: (813) 792-5177 – Capitol Ph: (850) 717-5000
Email: Richard.corcoran@myfloridahouse.gov
Representative Travis Cummings (Health & Human Services Committee Chair)
District Ph: (904) 278-5761 – Capitol Ph: (850) 717-5018
Email: travis.cummings@myfloridahouse.gov
Representative MaryLynn Magar (Health Innovation Subcommittee Chair)
District Ph: (772) 545-3481 – Capitol Ph: (850) 717-5082
Email: marylynn.magar@myfloridahouse.gov

Health Innovation Subcommittee Members:
Representative MaryLynn Magar – District Ph: (772) 545-3481 – Capitol Ph: (850) 717-5082
Email: marylynn.magar@myfloridahouse.gov
Representative Shawn Harrison – District Ph: (813) 910-3277 – Capitol Ph: (850) 717-5063
Email: shawn.harrison@myfloridahouse.gov
Representative John Cortes – District Ph: (407) 846-5009 – Capitol Ph: (850) 717-5043
Email: john.cortes@myfloridahouse.gov
Representative Daisy Baez – District Ph: (305) 442-6825 – Capitol Ph: (850) 717-5114
Email: daisy.baez@myfloridahouse.gov
Representative Manny Diaz, Jr. – District Ph: (305) 364-3072 – Capitol Ph: (850) 717-5103
Email: manny.diaz@myfloridahouse.gov
Representative Brad Drake – District Ph: (850) 951-0547 – Capitol Ph: (850) 717-5005
Email: brad.drake@myfloridahouse.gov
Representative Nicholas Duran – District Ph: (305) 860-7119 – Capitol Ph: (850) 717-5112
Email: Nicholas.duran@myfloridahouse.gov
Representative Roy Hardemon – District Ph: (305) 795-1224 – Capitol Ph: (850) 717-5108
Email: roy.hardemon@myfloridahouse.gov
Representative Patrick Henry – District Ph: (386) 238-4650 – Capitol Ph: (850) 717-5026
Email: patrick.henry@myfloridahouse.gov
Representative Sam Killebrew – District Ph: (863) 291-5254 – Capitol Ph: (850) 717-5041
Email: sam.killebrew@myfloridahouse.gov
Representative Paul Renner – District Ph: (386) 446-7644 – Capitol Ph: (850) 717-5024
Email: paul.renner@myfloridahouse.gov
Representative Bob Rommel – District Ph: (239) 417-6200 – Capitol Ph: (850) 717-5106
Email: bob.rommel@myfloridahouse.gov
Representative Jackie Toledo – District Ph: (813) 281-5549 – Capitol Ph: (850) 717-5060
Email: jackie.toledo@myfloridahouse.gov
Representative Jay Trumbull – District Ph: (850) 914-6300 – Capitol Ph: (850) 717-5006
Email: jay.trumbull@myfloridahouse.gov
Representative Frank White – District Ph: (850) 595-0467 – Capitol Ph: (850) 717-5002
Email: frank.white@myfloridahouse.gov


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Pharmacy Consulting Services – HCC Is A Full Service Pharmacy Consulting Firm

HCC Is A Full Service Pharmacy Consulting Firm:

Healthcare Consultants is a leading national Pharmacy Consulting company offering expertise in all areas of pharmacy consulting. Known for being one of the nation’s leading pharmacy staffing companies for over two decades, Healthcare Consultants has been in the business of Pharmacy Consulting for over 25 years now. HCC is in the business of helping pharmacists establish, run, improve and make their businesses profitable. HCC is known nationally as one of the industry leaders in providing a full range of professional pharmacy consultation services to its vast array of clients. Owned and operated by pharmacists, Healthcare Consultants can provide proven expertise and experience in all facets of pharmacy operations, including retail, hospital and specialty pharmacy venues.

No matter what your pharmacy consulting needs may be, you can be assured that the experienced HCC staff has helped others with the same issues before. Let HCC and their expert team of pharmacy consultants help you solve your problems too! In today’s environment of a constantly changing landscape in the pharmacy business, let an experienced, proven Pharmacy Consulting company provide you with the assistance you may need. We have a professional full-time staff of pharmacy consultants with a proven track record in every area of pharmacy operations.

Just a few of the pharmacy consulting services that HCC offers include:

– Pharmacy Performance and Efficiency Enhancements
– Pharmacy Business Management Consulting
– Pharmacy Business Planning
– Pharmacy Start-up Consulting and Implementation
– Interim Pharmacy Management
– Policy and Procedure Development and Review
– Compliance Review
– Pharmacy Exit Strategies

If you have questions regarding virtually any area of your pharmacy business or practice, we urge you to contact us today to see how our Pharmacy Consulting services can help. With a full-time staff of in-house Pharmacy Consultant specialists, HCC can answer any questions that you may have in all areas of your business. Call us today at 800-642-1652 for a free consultation.


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