Mercer Short Duration Fixed Income Fund Class Y-3 · NASDAQ:MSDYX
Mercer Short Duration Fixed Income Fund Class Y-3 — Mercer — MN Cost of Dispensing Survey Webinar (May 2020)
21 slides from Mercer Short Duration Fixed Income Fund Class Y-3's conference presentation, May 27, 2020
Slide 1: Cost of Dispensing Survey
cost of dispensing SURVEY Minnesota Department of Human Services (DHS) May 27, 2020 Presenters Chad Hope, DHS Sara Drake, Mercer Jim Cook, Mercer Scott Banken, Mercer welcome to brighter
Slide 2: What we'll cover today
What we’ll cover today • Cost of Dispensing Survey • Covered Outpatient Drugs Final Rule • Suggestions — Q&A Copyright © 2020 Mercer (US) Inc. All rights reserved. 2
Slide 3: Covered outpatient drugs final rule
Cost of dispensing survey Covered outpatient drugs final rule Estimated Ingredient Cost Move to Actual Acquisition Cost (EAC) (AAC) Move to “Professional” Dispensing Fee Dispensing Fee Copyright © 2020 Mercer (US) Inc. All rights reserved. 3
Slide 4: Minnesota's FFS pharmacy reimbursement
Minnesota’s FFS pharmacy reimbursement Compliance with the covered outpatient drugs final rule Effective July 1, 2019, DHS implemented updated drug reimbursement logic: Reimbursement = lesser of: • Ingredient cost plus professional dispensing fee • Usual and Customary Ingredient cost = lesser of: •
Slide 5: Professional dispensing fees: Final rule requirements
Professional dispensing fees Final rule requirements Reflect professional Various State flexibility Not intended services Appropriate data-driven to adjust to offset and costs to ensure methodologies reimbursement loss of associated adequate will be for certain payment for with filling access consid
Slide 6: Cost of dispensing survey: Why, Who, How
Cost of dispensing survey WHY WHO HOW DHS is conducting All DHS-enrolled Mercer will: a Cost of Dispensing participating • Collect provider input survey per pharmacies • Administer survey Minnesota statute 256B.0625 subd. • Conduct statistical analysis 13e • Produce report for DHS Copyright © 2020 M
Slide 7: Cost of dispensing survey: statistical measurements
Cost of dispensing survey Legislatively required statistical measurements include: Single mean statewide cost of dispensing Mean weighted by prescription volume Mean weighted by MHCP prescription volume Median weighted by prescription volume Median weighted by MHCP prescription volume Copyright © 20
Slide 8: Survey website
Cost of dispensing survey Survey website Mercer’s website https://ghscapps.mercer.com/MNPharmacy for survey activities Questions and RXSurvey@mercer.com survey support Copyright © 2020 Mercer (US) Inc. All rights reserved. 8
Slide 9: Survey process
Cost of dispensing survey Survey process Stakeholder meeting Statistical Stakeholder analysis feedback Cost of Dispensing Survey Survey data Survey tool response development validation Survey distribution and follow-up Copyright © 2020 Mercer (US) Inc. All rights reserved. 9
Slide 10: Checklist — what you'll need
Cost of dispensing survey Checklist — what you’ll need PREPARING FOR THE SURVEY — RESOURCES NEEDED Financial Demographic Prescription statements or Floor plans Certification information counts tax returns From last Pharmacy contact For same time Showing square Electronic completed information and pe
Slide 11: Considerations for types of costs
Cost of dispensing survey Considerations for types of costs CONSIDERATIONS FOR TYPES OF COSTS Direct Indirect Direct pharmacy costs pharmacy costs non-pharmacy costs Unallowable costs based on Code of Federal Regulations (2CFR200.400-475) Facility costs Other administrative costs E.g. Lobbying Adver
Slide 12: Total calculation
Cost of dispensing survey Total calculation Direct pharmacy Allocated overhead expenses (indirect) SUM Number of scripts Facility costs as a Payroll percentage of MHCP scripts square footage Non-personnel Other expenses costs allocated as a percentage of sales Copyright © 2020 Mercer (US) Inc. All r
Slide 13: Entering data: Profile information
Cost of dispensing survey Entering data PROFILE INFORMATION For identification For comparison groups and to identify statistically and explanation significant causes in varying rates of certain costs • What is your pharmacy type? • Was there a change in pharmacy ownership during the reporting period
Slide 14: Entering data: Prescription statistics
Cost of dispensing survey Entering data PRESCRIPTION STATISTICS How many were filled How many by this pharmacy during How many were compounded? were delivered? the reporting period? • How many FFS MHCP • How many Medicaid • How many Medicaid prescriptions (BIN prescriptions were prescriptions were #
Slide 15: Entering data: Sales and cost of goods sold
Cost of dispensing survey Entering data SALES AND COST OF GOODS SOLD Sales Sales Cost of Goods Sold (Pharmacy) (Non-Pharmacy) (COGS) • Prescription sales • OTC products sold without • Pharmaceuticals • Non-legend products a prescription Note: This will not be dispensed by pharmacy • Other sales such
Slide 16: Entering data: Payroll expenses
Cost of dispensing survey Entering data PAYROLL EXPENSES Owner Pharmacy pharmacist payroll costs (staff pharmacist costs; other pharmacy staff costs) Non- Admin/ pharmacy Overhead payroll payroll Copyright © 2020 Mercer (US) Inc. All rights reserved. 16
Slide 17: Entering data: Non-payroll expenses and un-allowed costs
Cost of dispensing survey Entering data NON-PAYROLL EXPENSES AND UN-ALLOWED COSTS Direct pharmacy, Overhead non-payroll facility costs expense (allocated by square footage) CMS- defined un-allowed Overhead costs non-facility (advertising, costs charity, (allocated by income tax) percentage of sales)
Slide 18: Submitting the survey
Cost of dispensing survey Submitting the survey Certify the results Complete the survey Online or Email Online or Email Enter your Enter your name and Send completed Click name and title title on spreadsheet spreadsheet to Finish RXSurvey@mercer.com All completed surveys are subject to data validati
Slide 19: When and How
Cost of dispensing survey WHEN HOW www The survey collection period is • Mercer’s survey website is: scheduled to begin the week of June https://ghscapps.mercer.com/MNPharmacy 15, 2020. • Mercer’s survey email box: RXSURVEY@mercer.com Surveys are due by July 31, 2020. Copyright © 2020 Mercer (US) In
Slide 20: After webinar please email additional questions or input
After webinar please email additional questions or input to Copyright © 2020 Mercer (US) Inc. All rights reserved.
Slide 21: welcome to brighter
welcome to brighter
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