PODCAST: “Cash Pay” Pharmacy

Owner of Independent Pharmacy

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EDITOR’S NOTE: We’ve written, posted and opined on concierge and retail medicine; cash based care and direct primary care medicine, and related machinations before on this ME-P. Now, Shawn Needham and his wife, Janet, discuss starting their own, independent pharmacy in the late ’90s. At first glance, this is a success story for an independent pharmacy but Shawn explains what makes their pharmacy different in a big way.

-Dr. David E. Marcinko MBA CMP® [Edtor-in-Chief]

PODCAST: https://healthcareamericana.com/episode/shawn-needham-cash-pay-pharmacy/

RELATED EXAMPLE: https://www.pharmacytoday.org/action/showPdf?pii=S1042-0991%2821%2900299-1

ASSESSMENT: Your thoughts are appreciated.



2 Responses


    This is a classic example of an entrepreneurial spirited medical professional doing what he needs to do to increase efficiencies, better serve his clients/patients, and making some money in the process.

    It is an awesome story but it is also a bit disheartening to see how detrimental the force of these large insurance companies has been on trying to do the right thing for your patients.

    I’m almost always if you do the right thing for people everyone wins in the end.




    Performance metrics have caused a lot of drama in the pharmacy industry over the last decade. Pharmacists, particularly those who work at major retailers like Walgreens, CVS, and Rite Aid, are often evaluated on things such as how many prescriptions they dispense in a day and how many vaccinations they give each week. Some pharmacists have expressed concerns that the number of metrics they’re required to meet is contributing to burnout and a rise in medication errors.

    In a major shift, Walgreens, the second-largest pharmacy chain in the US, said it would eliminate task-based metrics in performance reviews for pharmacy staff members, effective immediately. Walgreens declined to say how the change would affect pharmacists’s daily workflow. It also declined to make any pharmacy staff available for an interview.

    Unsustainable workloads? The industry’s largest trade group, the American Pharmacists Association, has argued that the metrics pharmacists are required to keep up with are “unrealistic,” and pharmacists are burning out. And when pharmacists burn out, patient safety is at risk. Patients could be given the wrong medication, or a pharmacist may not catch that the two drugs they’re giving a patient might interact poorly.

    Staffing shortages: Walgreens’s metrics policy change might be related to the ongoing national pharmacy staff shortage that’s been hurting its prescription sales growth in 2022. Walgreens CEO Rosalind Brewer said on the company’s latest earnings call that it was working to return thousands of stores operating with reduced hours to “normal operating hours.”

    In response, the company has been making several changes to try to attract more pharmacists.
    Keep reading here—MA https://www.healthcare-brew.com/stories/2022/11/21/pharmacist-performance-metrics


    Liked by 1 person

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