title: Development and implementation of a pharmacist-delivered Medicare annual wellness visit at a family practice office.
abstract: OBJECTIVE
  To describe the development and implementation of a pharmacist-delivered Medicare Annual Wellness Visit (MWV).
  
  
  METHODS
  Physician-owned, private family practice office.
  
  
  METHODS
  Pharmacist-delivered MWV.
  
  
  METHODS
  Patient visits and practice income.
  
  
  RESULTS
  Because of time constraints in the practice, physicians, nurse practitioners, and a physician assistant had been unable to offer MWVs, a new service available to Medicare beneficiaries under the Affordable Care Act. A pharmacist who was previously providing patient care services 1 day/week at a fixed hourly rate was able to add an additional 1 day/week for provision of MWVs. These visits involve updating medical and medication histories; measuring weight, mass, and blood pressure; assessing cognitive and physical function; and screening the patient and recommending preventive services. From September 2012 to February 2013, 174 patients participated in the pharmacist-delivered MWV. Pharmacist visits were billed using codes G0438 and G0439, and the practice realized a positive net income for the MWVs.
  
  
  CONCLUSIONS
  Pharmacist-delivered MWVs are financially viable and allow for greater pharmacist participation on the primary care team.
authors: Michelle Herbert
authors: MH
authors: Thomas
authors: Jean-Venable Kelly R
authors: JV
authors: Goode
mesh_terms: D005194:Family Practice / Q000191:economics*; D006801:Humans; D006278:Medicare / Q000191:economics*; D058991:Patient Protection and Affordable Care Act / Q000191:economics; D010593:Pharmaceutical Services / Q000191:economics*; D010595:Pharmacists / Q000191:economics; D010820:Physicians / Q000191:economics; D011320:Primary Health Care / Q000191:economics; D014481:United States