< Back to Success Stories

CPESN® Texas, Managed Medicaid Plan

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.

CPESN® Massachusetts, Statewide Health System

This program includes deprescribing, prescribing, and adherence support to improved health outcomes for plan-identified patients.

CPESN® Wisconsin, NeuGen Health

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, Health Risk Assessments

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.

CPESN® Pennsylvania, Asthma and COPD Program

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.

CPESN® Kentucky, Medicaid MCO

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.

CPESN® Pennsylvania, Vaccination Program

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).

CPESN® Wyoming, DOH Grant

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® South Carolina Social Determinants Grant Partnership

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.

CPESN® Nebraska Medicare Part D Managed Care

Nebraska Enhanced Services Pharmacies Network (NESP) is contracted with two Medicare MCO plans to provide Medication Therapy Management (MTM) services to enrolled patients.

CPESN® New York City Medicare Part D Managed Care

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.

CPESN® South Carolina Medicare Advantage

This program with a statewide Medicare Advantage plan called on CPESN® South Carolina pharmacies to reach out to plan-identifid members to complete Comprehensive Medical Reviews, contributing to Medicare STAR ratings.

CPESN® Pennsylvania, CRM Program

Community pharmacists in the Pennsylvania Pharmacists Care Network (PPCN) conducted initial and followup Comprehensive Medical Reviews for patients covered under a statewide Medicaid MCO plan.

CPESN® Upstate New York Medicaid MCO

Network pharmacies provide medication reconciliation, med synchronization, and adherence program.

CPESN® Community Pharmacies Success in 90 Seconds

Here's a preview of the 100+ Payer video stories in this showcase. It features CPESN local pharmacies from coast to coast, in small towns and in the Bronx, from the Midwest to the Deep South delivering on more than 177 Payer contracts and raising the bar on quality. It's a story about scaling - learning from one success to build another for 41 national Payer contracts. Local. Quality. Scale.