Welcome | 2 minutes | Jennifer | ·       Welcome ·       This group will help inform NACHCs Policy Agenda moving forward on Pharmacy and 340b and other relevant issues. Will meet once a month for next 3 months |
Purpose of this Group | 2minutes | Kathy | ·    You are the architects of the new subcommittee designed to inform NACHC on policy: regulatory, administrative and operations. ·       This group right now is reporting to Mike Holmes the new Board Chair. |
Background and Current State | 5 minutes | Vacheria | · |
Introductions & Discussions | 30 minutes | Jennifer | Anthony Armstonrg - How to expand conversations, including pharma
- disparate data
- conversations about revenue centers in CHCs
Anthony Fortenberry - Finding resources that help provide elected policy makers easy to understand 340B terminology and impact
- quantifying the impact of 340B on CHCs - patient stories, infographics, how it impacts patient care
- Generics - how they transform PrEP practice
- PBMs Contract pharmacy - how federal policy impacts finances, and our dangerous dependence on the revenues
Gervean Williams - Train CFOs how to calculate the savings so we know what the impact is
- Educate health centers that do not participate in 340B and help them participate
Jennifer - Partner with the PBMs?Â
- Pharmacists need to be considered providers by CMS - collecting encounter rate for pharmacists
- FTCA coverage in non-traditional spaces - jail, nursing home - just for pharmacists and med safety, transition of care work for med safety would be a huge opportunityÂ
Kemi Alli - Being proactive with how we are assessing revenue - look at pharmacies around the world - they are profitable without 340B. Even if 340B margin shrinks, how can we learn and transfer that knowledge?
- Making pharmacists billable and eligible providers - managing chronic disease once diagnosis is given - it is a large role - how do we set policies and regulation, if billable we may be able to augment 340B, when we talk about shortages of providers - Pharmacists can fill in those gaps
- Market 340B narrative - how we get the message across about our impact.
Marisa Rowen - 340B helped facilitate clinical servicesÂ
- Agree on role of provider status
- Workforce development with CHC values, to help retain professionals, learn background and skills as technology changes.
- Diversity our payer mix to keep our doors open - pharmacy school does not include business classes - how do we position ourselves to be business-savvy, how to use workforce to advantage, how to best use technology, analytics to align payer mix to manage patient panel. Understanding all the incentives and awards maxpack
 a visit... - Pharmcist role in helping patients maintain health - getting access to EHR, reminding patients about other exams needed, checkups
Mary Blankson - Need to prove to ?patients that we have highly reliable system - diversion programs, on the ground support. Stock and track orders - monitor prices and orders to make sure numbers are accurate that 340B discounts are applied correctly - managing stock meds - how you know the prices are correct per 340B   Diversions - how to make sure meds are being used properly - how to track?  Hazardous waste - strong scanning program - how to track disposition of tablets... expectation of 340B program - not just onsite pharmacy, but items we are giving or inserting in the clinical rooms.
- Approval to get pharmacists reimbursed - should it be wide carte blanche or start with narrow, carved out set of authorities and get payment for that, like SMBP. Example: providers may not trust nurses do BP titration, get them to assign to pharmacists, who presently cannot get reimbursed.
- Basic education to the staff - how to make sure physician providers know how to make the best of the 340B - example: having a patient fill once a year with only one fill-fee that coveres one whole year, vs prescribing a new one every 30 days which would give patient a cost every 30 days. Update EHRs as well to advise doctors
Nicole Thibeau - Pharmacists as providers - example, clinical work with diabetic patients (2 point reduction in A1C over 2 months)
- Stability in 340B savings - even single drug price changes can changeÂ
- Partnering with PBMs - prefer to regulate them
- Diversity, equity, inclusion and cultural competency - should be able to get PrEP from any provider, it should not be available only from a clinic that serves LGBT
Vicki Young - Discriminatory contracting 340B -Â Federal and state protectionsÂ
- Clinical pharmacy - legislation around pharmacists as providers for medicare - work with American Pharmacists Association, different ways clinical pharmacists are being used in CHCs - example, COVID19 has been an example, opening eyes for how pharmacists can be better utilized to help take some of the weight off the 340B savings.
- Increasing the capture rate - maximize revenue generation
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NACHC Current Strategy | 3Â minutes | Vacheria | Both inhouse and contract pharmacies |
Discussion | 10 minutes | Jennifer | - What are the metrics and data?
- Anthony Armstrong - Have been collecting a data collection and analysis - piloting in October
- Request for participant list
- Technicians particularly to assist with managing sublocade coordination and other LAIs
- Medicare Part B and Part D -Â
- Kemi Alli - volunteered - send her the proposed bills and she could gather a team to review and comment
- Is there data to support that it is medicaid usually and not medicare
Anthony Armstrong - Our advocay team is working on a lot of items related to the new budget proposal and can connect to further discuss and assist however we can - save money
- HIT platforms being integratedÂ
- amount of money we all spend chasing data
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Next Steps | 5 minutes | Jennifer | ·       We have meetings set up once a month for the next 3 months. ·       Mondays at 12 noon. How does this work for you? ·       The next meeting is October 11th at 12 noon (Columbus Day) ·       If you have ideas or questions feel free to email Gervean, Vacheria, Kathy or myself. ·       The next meeting I suggest we focus identifying the top 3 issues for a charge moving forward. This will be dependent on the conversations. Jennifer you can adlib here. |
Closing | 1 minute | Jennifer | ·       Let us know how did we do as a first meeting? Put comments in the chat or hands.. |
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Kathy will send partiicpant list (Kathy has list) Vacheria will send Medicare bill information Andrea created a Confluence page, will ask Efe to add everyone to Jira/Confluence to see the page. |
Next Meeting Monday October 11 | ` |
| Indigenous peoples' day/Columbus Day |
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