In today’s dynamic healthcare environment, pharmacy reimbursement is constantly evolving – shaped by regulatory shifts, payer expectations, and the expanding role of high-cost treatments. For IDN pharmacy leaders, anticipating and preparing for these changes is essential to protecting margin, ensuring patient access, and sustaining long-term financial viability. Maintaining a strategic outlook on the future of pharmacy reimbursement ensures resilience when faced with uncertainty.

Learning Objectives:
1. Describe current trends and anticipated changes in pharmacy reimbursement models.
2. Evaluate the financial impact of biosimilars, specialty pharmaceuticals, and site-of-care shifts on reimbursement.
3. Identify operational and clinical strategies for adapting to and preparing for payer expectations.
4. Outline a forward-thinking reimbursement strategy that supports financial sustainability.