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The National Association of Chain Drug Stores is hailing a decision by the Eighth Circuit of the U.S. Court of Appeals...In the case — Pharmaceutical Care Management Association v. Wehbi — the Eighth Circuit relied on the U.S. Supreme Court’s unanimous ruling in Rutledge v. Pharmaceutical Care Management Association in determining that all provisions in the North Dakota statute, which seek to regulate the relationship between pharmacy benefits managers and pharmacies, were not preempted by the federal Employee Retirement Income Security Act...Importantly, the Court also found that most provisions in the North Dakota law were not preempted by Medicare Part D and outright rejected the PBMs’ argument that they could not be regulated in the federal or state arenas...READ MORE

A pharmacy in Virginia incorrectly administered Pfizer and BioNTech’s Covid-19 shots to 112 children last week, according to the state Department of Health...“The pharmacy attempted to provide a proper dose,” Loudoun County Health Department director Dr. David Goodfriend...said it appears the pharmacy did administer about a third of the adult dose, which should be the correct amount. However, “a lower dose is possible if not all of the 0.1 ml was administered into muscle,” he said...Goodfriend alerted parents in a letter sent out...that Ted Pharmacy may have administered a lower dose than recommended. State and federal officials told the pharmacy to stop distributing shots altogether on Friday before seizing all of its Covid doses, a Virginia health department spokesperson said in a statement...READ MORE

Two new pharmacy benefit management startups are aiming to inject greater price transparency into the market...The Purchaser Business Group on Health has announced...EmsanaRx... As PBGH is a coalition of 40 large employers, the company says its PBM solution is "built by employers, for employers."...Emsana Health aims to serve as an "innovation studio" that will develop new products and solutions designed with input from PBGH's employer members...In addition...the Mark Cuban Cost Plus Drug Company PBC  also launched its own PBM this week...Cuban's company aims to sell generic drugs at a transparent, fixed rate, and to achieve this united manufacturing, distribution and pharmacy services under one roof...READ MORE

The NCPA Digest...found that the industry in 2020 represented 34% of all retail pharmacies in the United States and a $67.1 billion marketplace...

...total number of independent pharmacies, which is 19,397 as of June 2021. The store count...of 21,683 in 2019.

Ninety-five percent of independent community pharmacy...identified their primary pharmacy operation as retail pharmacy. Nearly 5% identified as compounding, long-term care, or specialty.

Between 2014-20, the generic dispense rate increased from 80% to 86%.

Seventy-four percent of community pharmacies serve population areas of 50,000 or fewer.

3,483 pharmacies are participating in the CPESN USA national network of clinically integrated pharmacies.

...2020, average prescription volume was 57,648 per store, a very slight increase from the 57,414 prescriptions dispensed in 2019.

Government programs continue to grow in importance, with 55% of total prescriptions covered by the Medicare Part D and Medicaid programs.

The top four point-of-care services provided are SARS-CoV-2 diagnostic testing (32%), blood glucose (24%), influenza (24%), and rapid strep (22%)...READ MORE

Today, I examine how smaller pharmacies will participate as preferred cost sharing pharmacies via the pharmacy services administrative organizations that represent them in negotiations with plans...the largest PSAOs are increasingly rejecting preferred networks. Below we provide details about the PSAOs owned by the three major wholesalers—AmerisourceBergen, Cardinal Health, and McKesson—along with information about AlignRx, the largest independent PSAO. There are some notable differences in strategy, as you will see from our handy scorecard below...Smaller pharmacies’ rejection of Part D preferred networks shows that they are figuring out how to survive a highly challenging retail environment. Perhaps Part D is just a flesh wound?...READ MORE

As the world enters the third year of the COVID-19 pandemic, the healthcare industry faces a variety of ongoing challenges and shifts in delivery of care, according to a new 2022 predictions report...They identified five key predictions for the coming year:

1. Health disparities will negatively impact rural Americans twice as much as urban Americans

2. Labor shortages will double the medication error rate among providers

3. Healthcare will no longer be considered a trusted industry as misinformation and cyberattacks continue

4. Sixty percent of virtual care visits will be related to mental health

5. The number of hospital-at-home providers will triple...READ MORE

Amazon is launching a new service for hospitals that will embed its voice technology deeper into clinical settings at scale...As part of Alexa Smart Properties, the service will simplify how hospitals and senior living facilities deploy and manage Alexa-enabled devices across their properties...Using Amazon Alexa devices in hospital rooms, patients can keep in touch with their families, connect with care team members, easily access news and information and play music, according to the company. Patients can ask Alexa for things they need—"Alexa, tell my nurse I need a pillow." The use of artificial intelligence to interpret patient intent enables the message to be sent to the appropriate care team member using existing hospital communication systems..."Voice is intuitive for patients, regardless of age or tech-savviness,"...READ MORE

...the new crop of pharmacy students nationwide will need much more than an introduction to rudimentary science courses, thanks to the notable progress that the pharmacy industry has made in advancing the clinical role of pharmacists. The pandemic also has elevated pharmacists’ roles and allowed them to assume expanded responsibilities...Many pharmacy schools are stepping up to the plate with new courses and electives, as well as honing some of their existing courses, to ensure that their students are well prepared to meet the myriad challenges that they will face as newly minted pharmacists...READ MORE

A new ranking of the 10 most cost-efficient hospitals in the U.S. reveals that if all hospitals matched their performance, $8 billion could be saved in Medicare dollars...The ranking, conducted by healthcare think tank Lown Institute , was based on Medicare data from 2016 through 2018 on more than 3,000 hospitals focusing on what they billed and how many patients died. For the analysis, it adjusted both mortality rates and cost based on patient risk...Here are the 10 most cost-efficient hospitals in the U.S., according to the Lown Institute:

Pinnacle Hospital (Crown Point, Indiana)

Saint Mary’s Regional Medical Center (Reno, Nevada)

Mercy Medical Center Dubuque (Dubuque, Iowa)

Encino Hospital Medical Center (Encino, California)

Park Ridge Health (Hendersonville, North Carolina)

Oroville Hospital (Oroville, California)

Saint Michael’s Medical Center (Newark, New Jersey)

UnityPoint Health – Meriter (Madison, Wisconsin)

East Liverpool City Hospital (East Liverpool, Ohio)

Maple Grove Hospital (Maple Grove, Minnesota)

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Sharing real-time patient benefit and eligibility information with providers at the point of prescribing improves medication access and, ultimately, patient outcomes...To help patients access their prescribed medications during office closures due to the pandemic, many health plans relaxed or waived medication regulations, such as prior authorization and refill-too-soon orders...Despite this temporary relief, many patients still experienced delays getting their prescriptions filled...Solutions such as real-time prescription benefit, electronic prior authorization and intelligent pharmacy workflows can help reduce administrative and benefit barriers contributing to these delays – and improve medication adherence along the way...READ MORE