Talking LTC at Home Reimbursement with GeriMed’s Susan Rhodus

The opportunities in long-term care (LTC) at home and how to overcome the challenges of being reimbursed accordingly.

In this interview, Pharmacy Technology & Management Review’s Maggie Lockwood talks with GeriMed Senior Vice President of Contracts and Advocacy Susan Rhodus about the opportunities in long-term care (LTC) at home and how to overcome the challenges of being reimbursed accordingly. GeriMed is a group purchasing organization that offers contracts and pharmacy services to long-term care.

Pharmacy Technology & Management Review: Susan, outline the current state of reimbursement for LTC at home services.

Susan Rhodus: The majority of pharmacy benefit managers (PBMs) are not paying for LTC at home, or not adequately paying for it. There are a couple that don't pay at all.

PTMR: What has GeriMed done to counter this reluctance to pay?

Rhodus: First, GeriMed has created the medical codes to bill for the LTC at home. The genesis of this was a large pharmacy member of ours in North Carolina that was using a courier service to deliver prescriptions to patients. I visited the pharmacy with a colleague…