How Medical Billing Is Unlocking Healthcare’s Most Underutilized Asset:
The Community Pharmacist
By Nancy Gagliano, MD, MBA & Zachary Rosko, PharmD, BCPS
In our new whitepaper, Nancy Gagliano, MD, MBA, and Zachary Rosko, PharmD, BCPS, outline the pharmacy industry’s necessary transformation toward higher-margin, pharmacist-led clinical services within guardrails of medical billing software.
Gagliano and Rosko argue that the survival of community pharmacists hinges on the adoption of the pharmacist-led clinical services programs.
Additional topics include:
The Opportunity to Transform into Healthcare Hubs
An Assessment of Current Market Conditions
Failures of the Retail Clinic Model
Evolving Patient Preferences
Solving Primary Care Provider Shortages
Scope Regulations and Payment Rates Across States
How Medical Billing Works at Workflow Services
Creating a Fulfilling Work Environment for Pharmacists
How Medical Billing Technology is Transforming the Pharmacist’s Role in Healthcare
About the Authors
Nancy Gagliano
Advisor
Dr. Gagliano is currently on the Board of Directors at OraSure Technologies and General Fluidics. Over the last 2 years she has had leadership roles with the NIH on RADX Tech, Rapid Acceleration of Diagnostics for Covid -19, and most recently on the Maternal Health Challenge. She has a passion for improving access to healthcare and making the practice of medicine easy for all involved.
Previously, Dr. Gagliano spent over 6 years as a chief medical officer for MinuteClinic at CVS Health. While there she oversaw expansion of new programs and services, development of telehealth services, quality, operations, physician collaboration, as well as health system affiliate relationships. During her tenure, MinuteClinic experienced significant growth from 400 to over 1100 clinics, seeing 6M patients annually.
Dr. Gagliano spent more than 21 years at Massachusetts General Hospital as a Primary Care Provider and leader. Her final position was as the senior vice president of Practice Improvement, with a specific focus on integration of technology into the practice of medicine. She served as an executive for Massachusetts Physician Organization, MGH, and Partners Health.
Dr. Gagliano is a graduate of Union College, Harvard Medical School, and Northeastern DeMore-McKim School of Business. She completed her internal medicine training at Brigham and Women’s Hospital and fellowship in Adolescent Medicine at The Children’s Hospital in Boston. In 2001, Dr. Gagliano was named by Boston Magazine as one of Boston’s “Top Docs” for women. In 2015, she was named Health Industry Leader by the Providence Business News. As Assistant Professor of Medicine at Harvard Medical School while at MGH, Dr. Gagliano was an educator of medical residents, fellows, and faculty, focusing her research and teaching on developing physician leaders and integration of innovative technology into medical practice.
Zachary Rosko
Director of Pharmacy
Zachary Rosko, PharmD, BCPS, is the Director of the Center for Advancing of Pharmacy Practice and Research Excellence (CAPPRE) at Idaho State University. He is a recognized expert in medical billing for clinical pharmacy services, with significant achievements in the design and management of various pharmacy programs. His expertise spans across primary care clinical pharmacy services, community and retail pharmacy services, and population health initiatives. Clinical practice expertise includes general primary care, family medicine, chronic cardiorespiratory disease management, HIV prevention and treatment, and Hepatitis C therapy.
