CPESN® Iowa Pharmacist Services Reduced Inpatient Admissions, Lowered Costs of Care for High-Risk Medicaid Patients

Inpatient admissions were 33% points lower for high-risk Medicaid patients engaged with CPESN community pharmacists during a pilot outreach program, compared with those members not reached by local pharmacists. Results of the claims data lookback study are reported in research released by the Elevance Health Public Policy Institute. Lindsey Ludwig, CPESN Iowa Executive Director, describes the impact of the two-year program in this short video. Elevance Health/CarelonRx currently has programs in 11 CPESN networks with plans to add more this year.

CPESN Iowa Pharmacies Improve Outcomes in New Elevance Health PPI Report

05 Sep 2024

Elevance Health's Public Policy Institute released a new paper entitled, “Outcomes in Medicaid Members Engaged in Health Plan, PBM & Community Pharmacy Collaboration. Their research highlights the positive effect unique collaborations between Health Plans, their PBMs, and CPESN pharmacies can have on medical service utilization, medical costs, and care quality, particularly for engaged members with chronic conditions.

Click here to check out the paper.