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Ross Finesmith

Thanks for reading and for the comment. I view your Omnicare example the same way that I view lots of things that are inherently broke in health care. Your Omnicare example is no different than incentives, de facto kickbacks, pay for play, etc that I see daily across health care. As I am an economist by training, an age old addage applies: “What get’s rewarded (paid for), get’s done”.

The pharmaceutical issues in health care are enormously deep and complex. A CMS conclusion that dispensing pharmacies integrated with consulting pharmacies equals increased drug use of a certain type (primarily psychoactive medications) is wholly unsupported. As I have been in and around the post-acute industry for almost 30 years, I know the issue about unnecessary drugs in SNFs is far deeper and the actors causing the problem multiple, starting with the facilities themselves not wanting to invest the time or money in clinially capable staff to mitigate drug use for behaviors, to phsyicians, to the SNF staff, to the payment systems, to families that demand drugs with no clinical efficacy for the patient or his/her diagnoses. Alas, this one is less about the pharmacies involved, not that I support them in any way shape or form, but the systemic issues involving all of the parties. This issue isn’t fixed by prohibitive regulations.