Pharmacy View Podcast Pharmacy View Podcast

In this episode of Pharmacy View Podcast’s Full Scope Pharmacy Leadership stream, host, Chantelle Turner, a Pharmacist Leadership and Business Coach at TURN Pharmacy Leadership, welcomes Shaylee Mills. A Rural Pharmacist, Pharmacy Help Karratha, who is also the National PSA Intern Pharmacist of the Year 2022. Shaylee shares their unique journey into Pharmacy, their dedication to rural healthcare, and insights on mentoring future Pharmacists. Tune in to discover the challenges and rewards of a fulfilling career in Rural Pharmacy.

Shaylee shares their unexpected journey into Pharmacy, inspired by a love for organic chemistry found in university course books. They recount their diverse experiences across metropolitan, rural, and hospital Pharmacies, as well as their involvement in student advocacy and research. Shaylee’s passion for Rural Pharmacy was solidified during a placement in Karratha, leading them to return and continue their impactful work in the community.

Shaylee discusses their deep commitment to Rural Pharmacy, shaped by their upbringing in a rural area and professional experiences in rural healthcare. They emphasize critical challenges such as workforce shortages and limited access to doctors, highlighting Pharmacists' vital role in these communities. Shaylee advocates for increasing the rural healthcare workforce and shifting the Pharmacy model towards primary care to better support patients.

Shaylee shares insights on the distinct advantages of pursuing a career in Rural Community Pharmacy, highlighting the immense professional satisfaction and rapid career progression it offers. They address the misconception that Community Pharmacy lacks clinical opportunities, illustrating how rural settings provide a rich, clinical work environment. Additionally, Shaylee emphasizes the work-life balance and rewarding community connections that come with living and working in rural areas.

Chantelle and Shaylee discuss the importance of self-care and preventing burnout in early career Pharmacists. Shaylee emphasizes three key leadership skills: self-awareness, adaptability, and determination. They explain that self-awareness involves understanding one's emotions and reflecting on personal capacity and stress levels. Adaptability is crucial, especially in rural settings where circumstances can change rapidly. Determination helps push through challenging times until conditions improve, maintaining a sustainable and fulfilling career in Pharmacy.

Shaylee also discusses their role in nurturing early career Pharmacists within the Karratha community, emphasizing the importance of mentoring Pharmacy students. This mentorship leads to successful recruitment and retention of future Pharmacists. Shaylee shares their passion for providing students with positive experiences, inspired by their own journey and impactful mentors. They highlight the gratifying nature of this work, noting that about 50% of their current staff were once students who interned with them, underscoring the effectiveness of their mentorship and community-building efforts.

Additionally, Shaylee addresses the misconceptions and pain points that deter Pharmacists from pursuing rural positions, such as isolation, workload, and relocation challenges. They counter these concerns with their own positive experiences and the support systems available, including financial aid and unique professional opportunities. Shaylee emphasizes the importance of early conversations about rural healthcare careers at the university level to inspire and inform future Pharmacists, advocating for greater awareness and discussion about the benefits and unique experiences of Rural Pharmacy practice.

In this episode of Pharmacy Podcast, a stream of Pharmacy View Podcast that provides regular interviews with Pharmacy leaders, entrepreneurs, and members of The Independent Pharmacies of Australia (IPA), host Melody Mugari, a Pharmacist and Programs and Corporate Partnerships Manager at The Independent Pharmacies of Australia Group (IPA) is joined by  Karen Carter, Pharmacist and owner of Narrabri Pharmacy and partner at Carter’s Pharmacy in Gunnedah. Karen shares her journey from a farm in Gunnedah to leading innovative rural healthcare initiatives in Australia. Join us as we explore her dedication to community health, her family's deep roots in the Pharmacy business, and her vision for the future of rural healthcare.

Episode: 98
Episode Title: Pharmacy Showdown: Inside the PBM Power Play in the U.S.

In this episode of the Pharmacy View Podcast’s Rx to Riches stream, international host Michael Alexander, a Pharmacist, entrepreneur, digital health enthusiast, Co-Founder of Audrie, and the Regional Vice-President of Health Plans at Omada Health, interviews Dr. Drew Oliveira, Executive Director, Washington Health Alliance and Clinical Associate Professor, University of Washington; and Denise Giambalvo, Director, Member Engagement & Business Strategy, Washington Health Alliance. Together, they explore the intricate dynamics of the Pharmaceutical market, focusing on the impact of PBMs and the broader disparities in the U.S. healthcare system. Tune in to uncover how vertical integration, financial incentives, and payment model reforms could reshape patient care and outcomes.

Denise delves into the complexities of the pharmaceutical market, particularly focusing on the role and impact of PBMs. They highlight the dominance of three major PBMs that control 80% of the market, creating a system that often prioritizes profits over patient care. Denise explains how vertical integration enables PBMs to manipulate drug pricing, even within programs aimed at assisting low-income patients, and describes the financial challenges faced by Pharmacies due to PBM practices like clawbacks, which often result in financial losses for Pharmacies.

Denise elaborates on the challenges independent Pharmacies face due to PBMs' vertical integration, where PBMs own Pharmacies and manage the entire supply chain. This integration allows PBMs to benefit from practices like spread pricing, where they charge health plans more than they reimburse Pharmacies, pocketing the difference. Denise underscores the lack of transparency in PBM operations and its impact on costs for both employers and patients. Additionally, the discussion covers the significant role of specialty drugs in healthcare costs and how PBMs leverage their control to profit through rebates and preferred drug listings.

Further, Dr. Drew and Denise discuss the disparities and complexities within the U.S. healthcare system, emphasizing the dominance and profit mechanisms of PBMs at various stages of the pharmaceutical supply chain. The conversation reveals how PBMs and consultants create a biased market, influencing employer choices through back-end financial incentives, exacerbating the lack of transparency, and ultimately affecting drug costs. Denise also highlights the need for data-driven strategies to address health inequities, stressing the importance of removing financial and access barriers to improve patient outcomes.

In a thought-provoking exchange, host Michael Alexander asks Denise and Dr. Drew Rivera about the most impactful change that could improve patient care in the U.S. healthcare system. Both suggest that changing the payment model to a global or episode-based payment for primary care would be transformative. Dr. Rivera also proposes a federalized healthcare system as a controversial yet potentially effective solution for aligning incentives and enhancing care quality. The episode concludes on a lighter note, with Dr. Rivera sharing his passion for jazz music and Denise discussing their enjoyment of dancing and pickleball, highlighting the importance of balancing professional and personal interests.

In this episode of the Pharmacy View Podcast’s Rx to Riches stream, international host Michael Alexander, a Pharmacist, entrepreneur, digital health enthusiast, Co-Founder of Audrie, and the Regional Vice-President of Health Plans at Omada Health, interviews Dr. Drew Oliveira, Executive Director, Washington Health Alliance and Clinical Associate Professor, University of Washington; and Denise Giambalvo, Director, Member Engagement & Business Strategy, Washington Health Alliance. Together, they unravel the complexities of the U.S. healthcare system, exploring solutions and challenges in enhancing quality and affordability.

Denise discusses their journey from the retail industry to their current role, focusing on enhancing healthcare quality and reducing costs. They emphasize the importance of employer-led coalitions and their commitment to improving employee care delivery, particularly in Seattle, where they are engaged in their third coalition endeavor.

Dr. Drew Oliveira shares their diverse background, transitioning from family physician to the insurance industry, gaining insights into U.S. healthcare practices. They highlight the employer's role in creating self-insured health plans and their current focus on improving quality, access, and affordability in healthcare. They are dedicated to addressing health disparities, especially within the employer community. Dr. Oliveira delves into the evolution of the U.S. healthcare system, from apothecary-driven care to the establishment of Medicare and Medicaid, while addressing persistent challenges like the uninsured population and rising healthcare costs.

Further, Dr. Oliveira explores historical attempts to implement national healthcare programs, highlighting resistance from various stakeholders and discussing proposed solutions like Medicare for All. They emphasize the importance of aligning physician workforce distribution with population needs to enhance healthcare quality and cost-effectiveness. Denise reflects on the cultural challenges associated with implementing a single-payer or government-led healthcare system in the United States, expressing concerns about government intervention potentially limiting individual freedom in healthcare decisions.

Additionally, Denise and Dr. Oliveira delve into the multifaceted role of Pharmacy Benefit Managers (PBMs), discussing their functions in claims adjudication, formulary development, and rebate negotiations. They highlight the complexities of formularies and rebate negotiations, shedding light on how these processes impact healthcare costs and patient access to medications. Overall, the episode provides insightful discussions on healthcare challenges and strategies for improvement.

Note: Stay tuned for Part 2 as we explore the American healthcare system with Dr. Drew and Denise next week.

In this episode of Pharmacy Podcast, a stream of Pharmacy View Podcast that provides regular interviews with Pharmacy leaders, entrepreneurs, and members of The Independent Pharmacies of Australia (IPA), host Melody Mugari, a Pharmacist and Programs and Corporate Partnerships Manager at The Independent Pharmacies of Australia Group (IPA) is joined by Steven Kastriaskis, Managing Director, Pharmacist, and Partner of the Independent Pharmacies of Australia Group (IPA). Listen to the episode for an insightful discussion on innovation, empowerment, and the future of independent Pharmacies.

In this episode of the Pharmacy View Podcast’s Rx to Riches stream, international host Michael Alexander, a Pharmacist, entrepreneur, digital health enthusiast, Co-Founder of Audrie, and the Regional Vice-President of Health Plans at Omada Health, interviews Anthony Sapountzis, Co-Founder and CTO of Aerion Technologies. Listen to the episode and delve into the transformative role of technology and AI in the Pharmacy sector. The episode also covers insightful discussions on entrepreneurship, AI development, and the future of Pharmacy operations.

Anthony talks about their journey from university to entrepreneurship and the evolving landscape of technology. Anthony's lifelong passion for technology has guided their career, transitioning from a developer's role to a business leader, driven by problem-solving and a desire to assist others. They recount the inception of their entrepreneurial journey during a summer internship, where they seized an opportunity to collaborate on a project with La Trobe University, leading to the establishment of their own business—Aerion Technologies.

Anthony then delves into the intricacies of AI development, emphasizing the importance of utilizing AI to enhance processes rather than integrating chatbots for the sake of it. They discuss the challenges of setting up effective guardrails within AI-driven applications and caution against overreliance on AI to handle tasks without human oversight autonomously. Despite AI's transformative potential, Anthony stresses the need for caution, ethical considerations, and human judgment in its implementation.

The discussion extends to the impact of AI in the Pharmacy sector, highlighting its role in price comparison, marketing analysis, and administrative tasks. While AI streamlines certain aspects of Pharmacy operations, Anthony emphasizes the continued importance of human interaction and cautions against expecting AI to replace Pharmacists entirely. They advocate for a nuanced approach to integrating AI into daily Pharmacy operations, considering the complexities of Pharmacist-patient interactions and the ethical implications of AI usage.

Looking ahead, Anthony anticipates further advancements in AI and its integration into programming and development processes. They highlight the potential for AI to revolutionize industries but emphasize the importance of maintaining control over autonomous systems. Anthony also shares insights on storytelling in movies and their company's presence on various social media platforms, aiming to provide valuable content to assist individuals in app and software development.