pop health (up to end) Flashcards
(15 cards)
what are HUBs?
smooth the movement of a drug from the manufacturer to the pt
triage Rx to SPs
reimbursement assistance (coverage verifications, appeals)
coordinates and administers REMs
central pt for data collection to provide manufacturer with insights that further enhance and develop a detailed pt engagement strategy
what is a URAC?
an independent, nonprofit organization for accreditation of SPs
focused on consumer protection and quality improvement but do not have the same emphasis on care coordination and population health as NCQA
what is REMs?
professional labeling
medication guide
communication plan
elements to assure safe use
what dosage form is speciality medication often?
injectable or infusible
what are centralized SPs?
mail order service
larger prescription volume compared to local specialities
not located within the pt’s community
what are community-based SPs?
face to face clinical and financial support
access to certain limited distribution drugs (LDDs)
enhanced relationship with pt and local speciality physician
how do retail SPs?
utilize centralized speciality support center
convenient access to speciality medications at the pts pharmacy’s of choice
ex. HIV hubs
what are limited distribution drugs?
many speciality drugs do this to ensure that proper REMS programs are followed distribution
keeps up to date with reporting requirements, majority of newly approved meds
how much does accreditation cost for SPs?
100,000 minimum per year
what does the medicare prescription payment plan of 2025 do?
part of inflation reduction act
$2000 medication cost cap
no coverage gap/donut hole
spread costs throughout the year instead of large copays to meet deductible
what are key considerations to SPs?
access
investments
speciality platforms/processes
personnel
what is the recommended physical activity?
150 minute of moderate intensity aerobic activity like brisk walking each week
also need muscle-strengthening activity like lifting weights or doing push-ups at least 2 days a week
why is vet practice important to human physical health goals?
can frame inactivity as harmful to pets
people care more about their pets so they’re more likely to move if it benefits their pet
what are challenges for physical activity promotion in the HC setting?
time
insufficient integration
insufficient reimbursement
access to professionals
what is the exercise is medicine approach?
screen (physical activity vital signs, PAR-Q is physical activity readiness questionnaire)
brief intervention (prescribe physical activity, FITTs)
referral to tx
