SERVICE REMUNERATION Remuneration for delivery of direct Sample Clauses

SERVICE REMUNERATION Remuneration for delivery of direct care Tier 1 The engagement fee for Tier 1 will be £75 per patient, per year / course of treatment if less than a year. Tier 2 It is proposed that tier 2 services would attract a Tier 1 engagement fee and be additionally remunerated through a clinical management fee and that there might need to be a small range of fees to reflect complexity and time taken to deliver the additional pharmaceutical care within tier 2. Tier 3 Tier 3 service fees will need to reflect both the pharmaceutical care delivered via the community pharmacy and the full costs of any third party involvement. Boards may also wish to consider hybrid arrangements with parallel contracting with community pharmacy contractors for the provision of pharmaceutical care and third party providers. Service management Boards should recognise the administrative burden that they may place on contractors relating to service provision and should seek to minimise this burden where possible. Where such administration relates to the delivery of pharmaceutical care, measurement of care bundles or is required as part of payment claim processes or NHS payment verification requirements these should be recognised within the pharmaceutical care service fee. In general prescriptions should reflect standard quantities supplied in primary care e.g. 28 / 56 days. Arrangements should be mindful of particularly expensive treatments where monthly prescriptions may be required to mitigate contractor cash flow issues. Reimbursement Reimbursement of medicine acquisition costs will be through standard methods, including arrangements for advanced payments that are in place nationally. All medicines that are supplied under the service level agreement regardless of Tier should: Be accessible to purchase by all contractors on the Pharmaceutical List. Have the reimbursement cost of the medicine clarified; in particular any zero discount status should be made clear before any arrangements are in place. For most prescriptions this will be the standard national script submission and reimbursement processes. For high cost medicines, those where the item cost is over £1000, the standard advance payment system provides a mechanism for contractors to receive early payment. In exceptional circumstances service arrangements may include provision for advance of the entire treatment course where this has an exceptionally high acquisition cost. The only example to date where this is required is for the provision of treatment of patients wit...