检查药剂师经营的门诊诊所实际和潜在收入产生之间的差异
Journal of the American Pharmacists Association : JAPhA
|August 28, 2024
概括
如果药剂师被认定为可计费提供商,他们可以产生更多的收入. 这项研究强调了农村诊所药剂师服务的未实现收入,强调了政策变革的必要性.
科学领域:
- 卫生经济学 卫生经济学
- 药房实践 在药房实践.
- 医疗保健政策 医疗保健政策
背景情况:
- 目前,药剂师在医疗保险B部分或大多数保险计划中没有被认定为可收费的医疗保健提供者.
- 药剂师服务往往是间接收费的,尽管它们的复杂性和价值在门诊设置.
- 这种收费限制可能会导致低估药剂师对患者护理的贡献.
研究的目的:
- 为了确定药剂师提供的服务产生的潜在收入.
- 为了分析收入,如果药剂师在南达科他州农村诊所被认定为可计费提供者.
- 量化目前对药剂师服务的计费限制对药剂师服务的财务影响.
主要方法:
- 一个单一的门诊诊所的第一季度数据的回顾性图表审查.
- 对慢性疾病管理 (CDM) 和由药剂师服务的COVID-19患者预约的分析.
- 对当前程序术语 (CPT) 计费代码要求的图表注释的评估和报销率的估计.
主要成果:
- 在3个月的时间里,看了118名患者 (206次预约),产生了估计的2174.91.1美元.
- 假设的收入,如果药剂师是可收费的,可以达到18,368.79美元 (CDM为10,415.31美元,COVID-19为7953.48美元).
- 未实现的收入总额为16193.88美元,不包括没有保险的患者.
结论:
- 与目前的做法相比,承认药剂师是可收费的提供者可以显著增加收入.
- 这项研究提供了数据,以更好地证明药剂师服务对非药剂师管理的合理性.
- 需要改变政策,以反映药剂师主导的护理的经济价值.
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