{
  "abstract": "Growing medication use, chronic disease burden, and primary care provider shortages have intensified the need for additional models of care delivery in the United States. Community pharmacists are uniquely positioned to help address these challenges through medication management, chronic disease management, and timely access to care. Evidence demonstrates that pharmacist services improve medication use and therapeutic outcomes while lowering overall health care costs. Despite these benefits, pharmacists remain underutilized as patient care providers, largely due to inconsistent reimbursement and business models that continue to prioritize product dispensing over patient care. Building on the 2025 National Academies of Sciences, Engineering, and Medicine workshop, Innovations in Pharmacy Training and Practice to Advance Patient Care, this paper examines existing and proposed state and federal payment policies and how their design influences implementation and scalability in community pharmacy practice. Recommendations include broad medical benefit reimbursement across payers, broad patient and service eligibility, and deference to state-defined scope of practice. Additional reforms are needed to address implementation barriers related to electronic health record access and credentialing. Together, these reforms can support sustainable, scalable community pharmacist-provided care and improve care access, quality, and affordability.",
  "abstract_shown": true,
  "affiliations": [
    "Center for Pharmacy Practice Transformation, University of Washington School of Pharmacy, Seattle, WA 98195, United States.",
    "College of Pharmacy, Ohio Northern University, Ada, OH 45810, United States.",
    "College of Pharmacy, University of Florida, Gainesville, FL 32610, United States.",
    "Kennedy Pharmacy Innovation Center, University of South Carolina College of Pharmacy, Columbia, SC 29208, United States.",
    "School of Pharmacy, University of Puerto Rico, Suan Juan, Puerto Rico 00921."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Jennifer L Bacci",
      "orcid": "0000-0001-9944-6050"
    },
    {
      "affs": [
        1
      ],
      "name": "Stuart Beatty",
      "orcid": "0009-0001-8265-9604"
    },
    {
      "affs": [
        2
      ],
      "name": "John G Gums",
      "orcid": "0000-0003-4727-9566"
    },
    {
      "affs": [
        3
      ],
      "name": "Patricia H Fabel",
      "orcid": "0000-0002-1114-294X"
    },
    {
      "affs": [
        4
      ],
      "name": "Kyle Melin",
      "orcid": "0000-0002-4698-8021"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fpvzny16vnnch.bib",
  "cited_by": 0,
  "doi": "10.1093/haschl/qxag252",
  "fulltext_url": "https://europepmc.org/articles/PMC13682904",
  "id": "fpvzny16vnnch",
  "issns": [
    "2976-5390"
  ],
  "landing_url": "https://europepmc.org/article/MED/42903991",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3004|Pharmacy and Medical Practices"
    ]
  ],
  "openalex": "W7213597078",
  "pdf_url": "https://europepmc.org/articles/PMC13682904?pdf=render",
  "pmcid": "PMC13682904",
  "pmid": "42903991",
  "published": "2026-09-18",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/fpvzny16vnnch.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:57Z",
      "native_id": "MED:42903991",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42903991"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3004|Pharmacy and Medical Practices",
      "subfield": "pharmacology-toxicology"
    }
  ],
  "title": "Building on the 2025 national academies pharmacy workshop: ensuring access to community pharmacist care.",
  "title_text": "Building on the 2025 national academies pharmacy workshop: ensuring access to community pharmacist care.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:57Z",
  "url": "https://research.draconitic.com/paper/fpvzny16vnnch",
  "venue": "Health affairs scholar",
  "versions": []
}