title: Pay-for-performance model of medication therapy management in pharmacy practice.
abstract: OBJECTIVE
  To use an existing pharmacist-run medication therapy management (MTM)/lifestyle medicine program to propose a new model of reimbursement for pharmacists that is based on pay for performance (P4P) rather than product-based dispensing or fee for service.
  
  
  METHODS
  Specific patient outcomes were collected during a 1-year period from an existing pharmacist-run MTM/lifestyle medicine program as the basis to propose this new model of reimbursement.
  
  
  RESULTS
  The proposed model outlines a P4P model of reimbursement for pharmacists that includes both traditional MTM services and patient-centered lifestyle medicine programming. The model uses an all-or-none bundled approach for reimbursement in which the pharmacist is reimbursed at a higher rate if patients achieve all six proposed outcome criteria at 1 year. Pharmacists could earn as much a 43% more income with this model compared with traditional MTM services. This model is an incentive for payers because it is based on patient outcomes and preestablished return on investment models.
  
  
  CONCLUSIONS
  Pharmacist should begin to explore ways they can participate in a high-performance health care system by moving to a P4P model of reimbursement rather than fee-for-service or product-based dispensing reimbursement models. P4P models of reimbursement could be beneficial to the patient, the payer, and the pharmacist.
authors.affiliation: School of Pharmacy and Health Professions, Creighton University, Omaha, NE 68178, USA. tlenz@creighton.edu
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Lenz
authors.forename: Michael S
authors.initials: MS
authors.lastname: Monaghan
mesh_terms: D006801:Humans; D008019:Life Style; D054539:Medication Therapy Management / Q000191:economics / Q000458:organization & administration*; D017146:Models, Organizational; D018802:Patient-Centered Care / Q000191:economics / Q000458:organization & administration; D010593:Pharmaceutical Services / Q000191:economics / Q000458:organization & administration*; D010595:Pharmacists / Q000191:economics / Q000458:organization & administration; D012051:Reimbursement Mechanisms / Q000191:economics*; D012456:Salaries and Fringe Benefits