Mercer Short Duration Fixed Income Fund Class Y-3 · NASDAQ:MSDYX
Mercer Short Duration Fixed Income Fund Class Y-3 — Oregon Health Authority — Oregon Professional Dispensing Fee Survey Webinar (February 2017)
22 slides from Mercer Short Duration Fixed Income Fund Class Y-3's conference presentation, Feb 2, 2017
Slide 1: Oregon Health Authority Professional Dispensing Fee Survey
HEALTH WEALTH CAREER O R E G O N H E ALT H AU T H O R I T Y PROFESSIONAL DISPENSING FEE SURVEY February 2, 2017 Presenters Shawna Kittridge, Mercer Jim Cook, Mercer Ralph Magrish, Mercer Scott Banken, Mercer Deborah (“Dee”) Weston, OHA
Slide 2: Agenda: What We'll Cover Today
AGENDA W H AT W E ’ L L C O V E R T O D AY Covered Professional Outpatient Drugs Dispensing Fee Final Rule Survey Suggestions and Q&A © 2016 MERCER LLC 2
Slide 3: Covered Outpatient Drugs Final Rule
PROFESSIONAL DISPENSING FEE SURVEY C O V E R E D O U T PAT I E N T D R U G S F I N A L R U L E © 2016 MERCER LLC 3
Slide 4: Oregon's AAC Program: Compliance with the Final Rule
OREGON’S AAC PROGRAM C O M P L I A N C E W I T H T H E C O V E R E D O U T PAT I E N T DRUGS FINAL RULE Oregon implemented its AAC program in 2011 Oregon already meets the ingredient and professional dispensing fee requirements of the final rule • Reimburses pharmacies based on a state specific AAC
Slide 5: Professional Dispensing Fees Final Rule Requirements
PROFESSIONAL DISPENSING FEES FINAL RULE REQUIREMENTS Reflect professional Not intended to offset services and costs Appropriate to ensure loss of payment for associated with filling a adequate access ingredient cost Medicaid prescription Various data-driven methodologies will be considered by CMS St
Slide 6: Professional Dispensing Fee Survey: Why, Who, How
PROFESSIONAL DISPENSING FEE SURVEY WHY WHO HOW OHA is All Oregon Health Mercer will conducting a Plan FFS “open- • Administer survey Professional card” • Conduct statistical Dispensing Fee participating analysis survey outpatient • Produce report for pharmacies OHA © 2016 MERCER LLC 6
Slide 7: Survey Website
PROFESSIONAL DISPENSING FEE SURVEY SURVEY WEBSITE Mercer’s website for OHA https://ghscapps.mercer.com/sites/ORpharmacy/ survey activities Details and instructions for the survey Link for direct access to Mercer’s dispensing fee Website details survey tool Downloadable templates for survey submissio
Slide 8: Survey Process
PROFESSIONAL DISPENSING FEE SURVEY SURVEY PROCESS Stakeholder meeting Statistical Stakeholder analysis feedback Professional Dispensing Fee Survey Survey data Survey tool response development validation Survey distribution and follow-up © 2016 MERCER LLC 8
Slide 9: Checklist: What You'll Need
PROFESSIONAL DISPENSING FEE SURVEY C H E C K L I S T – W H AT Y O U ’ L L N E E D Preparing for the survey – resources needed Financial statements or tax returns Floor plans From last completed fiscal year Showing square footage or (12 months) measurements of the pharmacy (prescription) area and the
Slide 10: Types of Costs
PROFESSIONAL DISPENSING FEE SURVEY TYPES OF COSTS Types of Costs Direct pharmacy Indirect pharmacy Direct non-pharmacy Unallowable costs costs costs costs based on Code of Federal Facility costs Regulations Other administrative (2CFR200.400-475) costs Lobbying Advertising Bad debt Income tax © 2016
Slide 11: Total Calculation
PROFESSIONAL DISPENSING FEE SURVEY T O TA L C A L C U L AT I O N Direct Allocated Number of pharmacy overhead SUM scripts expenses (indirect) Payroll Facility costs as a In total percentage of square footage Non- Medicaid only personnel costs Other expenses allocated as a percentage of sales © 2016
Slide 12: Entering Data: Profile
PROFESSIONAL DISPENSING FEE SURVEY E N T E R I N G D ATA Profile For identification For comparison groups and to identify Information and explanation of statistically significant causes in varying certain costs rates Does the provider dispense 340B Drug Pricing Program (340B) drugs? Type of ownershi
Slide 13: Entering Data: Prescription Statistics
PROFESSIONAL DISPENSING FEE SURVEY E N T E R I N G D ATA Prescription Statistics How many were filled by this pharmacy for the following How many were How many were categories during the compounded? delivered? reporting period? Medicaid covered prescriptions How many How many Medicaid Medicaid presc
Slide 14: Entering Data: 340B
PROFESSIONAL DISPENSING FEE SURVEY E N T E R I N G D ATA 340B 340B Type of 340B Does provider use a provider 340B administrator? Enter the total number Covered entity or of 340B prescriptions contract filled during the reporting period Does provider purchase drugs Enter the total number through the
Slide 15: Entering Data: Sales and Cost of Goods Sold
PROFESSIONAL DISPENSING FEE SURVEY E N T E R I N G D ATA Sales and Cost of Goods Sold Cost of Goods Sold (COGS) Sales (Pharmacy) Prescription sales other than Sales (Non-Pharmacy) Over-the-Counter (OTC) Pharmaceuticals dispensed by a pharmacist OTC sales dispensed by staff not in Note: This will not
Slide 16: Entering Data: Payroll Expenses
PROFESSIONAL DISPENSING FEE SURVEY E N T E R I N G D ATA Payroll Expenses Owner pharmacist costs Non- Pharmacy payroll Pharmacy (staff pharmacist payroll costs; other pharmacy staff costs) Admin/ Overhead payroll © 2016 MERCER LLC 16
Slide 17: Entering Data: Non-Payroll Expenses and Unallowed Costs
PROFESSIONAL DISPENSING FEE SURVEY E N T E R I N G D ATA Non-Payroll Expenses and Unallowed Costs Direct pharmacy, non-payroll expense CMS-defined unallowed Overhead facility costs costs (allocated by (advertising, charity, square footage) income tax) Overhead non-facility costs (allocated by percen
Slide 18: Submitting the Survey
PROFESSIONAL DISPENSING FEE SURVEY SUBMITTING THE SURVEY Complete the survey Certify the results Online OR Email Online OR Email Click Send completed Printing, signing Submit spreadsheet to Enter your name RXSurvey@mercer.com and scanning or and title taking a picture of the signed certification All
Slide 19: Total Calculation
PROFESSIONAL DISPENSING FEE SURVEY T O TA L C A L C U L AT I O N Direct Allocated Number of pharmacy overhead SUM scripts expenses (indirect) Payroll Facility costs as a In total percentage of square footage Non-payroll Medicaid only costs Other expenses allocated as a percentage of sales © 2016 MER
Slide 20: When and How
PROFESSIONAL DISPENSING FEE SURVEY WHEN HOW • Mercer’s Oregon survey website at The survey collection period is https://ghscapps.mercer.com/sites/ORpharmacy/ February 17 – March 10, 2017 • Mercer’s survey email box: RXSURVEY@mercer.com © 2016 MERCER LLC 20
Slide 21: Questions
QUESTIONS © 2016 MERCER LLC 21
Slide 22: Mercer closing slide
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