In this Payer perspective, Troy Medicare Co-Founder and Chief Pharmacy Officer, describes the benefits of working with community pharmacists in the CPESN North Carolina network. Pharmacies help manage COPD, diabetes and congestive heart failure patients.
Through the Wyoming Department of Health, CPESN Wyoming received CDC grant funding to offset pharmacy costs associated with adminstering COVID-19 vaccines, including salaries, training, vaccine storage units, computer hardware and software, and travel for in-home vaccinations.
Enhanced pharmacy services provided by CPESN Texas pharmacies under a Managed Medicaid Plan affiliated with a large hospital system included medication adherence support, asthma action plans, and social determinants of health surveys.
In partnership with a health care consulting firm, CPESN Wisconsin pharmacies provided enhanced services to school employers, including comprehensive care planning, adherence support, medication reviews, and a med sync prgoram.
CPESN® North Carolina Luminary Joe Moose describes a program with a large national health plan for pharmacists to provide Health Risk Assessments for dually-eligible Medicaid and Medicare patients.
Community-based pharmacists address medication adherence in high-risk patients being treated for asthma and COPD under a Pennsylvania Pharmacists Care Network (PPCN) contract with a health plan for its eligible Medicaid members.
Paula Miller, CPESN Kentucky luminary, describes that network's contract with a large statewide Medicaid MCO. Pharmacists work closely with the plan's care coordinators to identify patients who might benefit from enhanced pharmacy services including chronic care management and adherence programs.
Community pharmacists provide flu, pneumonia, and shingles vaccines to Medicaid, Medicare, and Commerical members of a large regional health plan under a contract with the Pennsylvania Pharmacists Care Network (PPCN).
Grant funding through the Wyoming Department of Health supports CPESN Wyoming pharmacies in delivering Medication Therapy Management services to patients taking medications for diabetes, hypertension, and cholesterol management.
CPESN® Colorado Diabetes Prevention Grant Partnership
This pilot program delivered Comprehensive Medical Reviews (CMR), Diabetes Self Management Education (DSME) and initiated a diabetes prevention program with Colorado Dept. of Public Health and Environment grant funding.
Nebraska Enhanced Services Pharmacies Network (NESP) is contracted with two Medicare MCO plans to provide Medication Therapy Management (MTM) services to enrolled patients.
This is an adherence program for patients taking medications for managing diabetes, hypertension, and cholesterol levels. Network pharmacists incorporated medication synchronization as a tool in moving patients from non-adherent to adherent.