Challenges in the community pharmacy setting Financial viability Preservation of market share as opposed to competition from supermarkets, internet pharmacy and other sources to get drugs Cost containment Keeping up with ethical and legal considerations; the misconception that having a good business aspect is inconsistent with good clinical practice is very often discussed Use of computer technology to connect with prescribers and maintain patient’s profile Time management to allow for new patient contact interventions required. Business operations Accounting: keeping records Finance: monitoring cash Personnel management: managing people, training and development Production: time-and-motion studies Administration: payments, legal requirements, ordering. Personnel ...

 

Background Memorial Hermann Health Plan (MHHP) is owned by Memorial Hermann Health System with the purpose of focused utilization of Memorial Hermann facilities and affiliated organizations. A Health Plan is a legal entity that provides for coverage of designated health services such as vision, dental, medical, and pharmacy services needed by plan members for a fixed, prepaid premium. Health plans are marketed directly to individual members and employer groups. Objectives & Introductions • Provide basic components of a PBM function and business model • Define PBM relationship with Health Plans • Understand formulary management • Understand utilization management programs ...