Reimbursements financial impact

Evaluate the financial impact of third-party reimbursement on the pharmacy using an average net profit comparison, a differential analysis, and a pro forma analysis. 

Lower third-party reimbursement combined with higher third-party cost of dispensing means that average net profit is lower for third-party prescriptions than for private-pay prescriptions. This implies that pharmacy owners and managers need to evaluate carefully the financial impact of accepting third-party contracts. Tools for this evaluation are discussed later in this chapter. Pharmacy managers also need to consider many nonfinancial factors when making a third-party contract decisions, and these factors will also be discussed in this chapter. 

EVALUATING THE FINANCIAL IMPACT OF THIRD-PARTY REIMBURSEMENT... 

To demonstrate and the value and effectiveness of this hybrid technique, we developed a model that explores how risk of specific adverse events changes overtime as a function of several system constraints. In particular, we are examining the impact of reimbursement, financial penalties and productivity pressures on the risk of hospital-acquired adverse events such as infections, medication errors, falls and other patient injuries. In detail, the model includes ... 

National Health Service. The government does not have to adhere to the recommendations by the NICE in its guidance and financial payment to health care providers. However, many believe that a negative recommendation from the NICE will have a detrimental impact on the pricing, reimbursement, and sales of the appraised product not only in the United Kingdom but also throughout Europe, Australia, and Canada. 

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