The Tools McKesson Uses to Help Pharmacies Navigate Reimbursement

The ultimate goal of navigating reimbursement complexities is to achieve stability, providing pharmacy owners with the confidence that their businesses can thrive without reimbursement being a constant pain point. By investing in the right tools and partnerships, pharmacies can move beyond operational hurdles and focus their time on what matters most—serving the patients in their community.

Successfully managing the current landscape requires expertise and innovative solutions that keep pace with a demanding industry.

With expertise in managed care, McKesson’s Health Mart Atlas helps to provide pharmacies with visibility into reimbursement complexities and the education needed to navigate change. Furthermore, specialized tools like Provider Pay have undergone developments to assist pharmacies with navigating legislative shifts, such as the implementation of the Inflation Reduction Act (IRA) and the tracking of manufacturer-level payments.

By offering self-service portals for contract management and enhanced reporting for transaction details, pharmacies gain the transparency required to help ensure their business remains viable and successful.

Emily Flaugher, vice president and general manager of payer solutions at McKesson, joins to discuss the current challenges in reimbursement, specific tools McKesson provides to support reconciliation and transparency, and how pharmacies can prepare for the future to ensure long-term stability.

Looking ahead, the industry is poised for major shifts driven by new payer strategies, evolving reimbursement models, and legislative progress. Although recent state and federal policies have shown positive turns for pharmacy, continued advocacy and a “seat at the table” remain essential to ensure community pharmacies are set up for success. Pharmacies that work with expert partners to navigate these coming changes will be the ones best positioned to succeed in the broader health care ecosystem.