Pfizer Synthesis Essay Resources
The following resources are provided to help applicants with their synthesis essay portion of the AMCP Foundation/Pfizer, Inc. Summer Internship application.
With patients and providers asking for increased drug pricing transparency, real-time prescription benefit checks have emerged as a potential solution. All Medicare Part D plans are required to adopt one or more real time benefit tools (RTBTs) that are capable of integrating with at least one prescriber’s e-prescribing system or electronic health record by January 1, 2021.
The health plan you work for has just received this notice but is not currently prepared to implement an RTBT. There is also limited knowledge on how the tool actually functions. As the pharmacy benefits expert, you have been asked to “do some research” and present this new concept to the health plan leadership.
Create a report describing the process of real-time prescription benefit checks that addresses the following:
1. Describe the real-time prescription benefit check process
2. Highlight the potential advantages of using this tool (from the patient, provider, as well as the health plan’s perspective)
3. Discuss other utilization tools that can be used in combination with RTBTs (for example, prior authorization) and briefly touch on the integration process
4. Address potential concerns regarding RTBT implementation and provide possible solutions to overcoming the barriers
Here are a few references to start your search. You are required to do additional research for your proposal:
CMS Final Rule on RTBT
- https://www.cms.gov/newsroom/fact-sheets/medicare-advantage-and-part-d-drug-pricing-final-rule-cms-4180-f
- https://www.pocp.com/pocp-responds-to-proposed-regulation-requiring-adoption-of-real-time-pharmacy-benefit-check-by-medicare-part-d/
RTBT Examples
- https://surescripts.com/real-time-prescription-benefit-for-providers-in-the-ehr/
- https://www.optum.com/resources/library/precheck-myscript.html
Your report must have an executive summary of no more than 250 words, followed by information related to how the health plan can implement real time prescription benefit checks. The OUTLINE of your program should be structured in 3 to 5 bullets with no more than 5 sub-bullets for each. (**Please no doctoral dissertations – the judges will not read it. Be brief and to the point.)
Questions? Email us: contact@amcpfoundation.org