Ensuring Community Access to Pharmacist Services (ECAPS):
A Turning Point for Pharmacy Clinical Services
By Nancy Gagliano, MD, MBA & Zachary Rosko, PharmD, BCPS
In our latest whitepaper, Nancy Gagliano, MD, MBA, and Zachary Rosko, PharmD, BCPS, unpack how the Ensuring Community Access to Pharmacist Services Act (ECAPS) could redefine the economics of pharmacy-based clinical care.
Learn how ECAPS is poised to grant pharmacists Medicare provider status for test-to-treat services, marking a turning point for both patient access and pharmacy reimbursement. For pharmacy leaders, the paper outlines why early preparation in credentialing, billing, and workflow integration will determine who captures the next wave of growth in pharmacist-led care.
Additional topics include:
• The Pharmacy Landscape in 2025
• Key Provisions of ECAPS Legislation
• Why ECAPS Matters for Seniors
• Why ECAPS Matters for Pharmacy Chains
• Market Analysis & Revenue Scenarios
• Why Pharmacy Billing Models Won’t Work for ECAPS
•How Workflow Services Can Help
ECAPS: A Turning Point for Pharmacy Clinical Services
About the Authors
Nancy Gagliano, MD, MBA
Advisor
Dr.Gagliano is on the Board of Directors at OraSure Technologies and advises a number of life science start-ups. She has had numerous leadership roles such as executive lead for NIH on RADx Tech, Rapid Acceleration of Diagnostics for Covid-19, chief medical officer for MinuteClinic at CVS Health and SVP and primary care provider at Massachusetts General Hospital. She has a passion for improving access to healthcare and making the practice of medicine for all involved.
Zachary Rosko, PharmD, BCPS
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.