Jake Galdo, CPESN® Community Health Managing Network Facilitator, describes a network-wide opportunity that brings in revenue based on care delivery and service-based contracts.

Swat Kabisatpathy, CPESN PPC@Home Lead, shares that 48 CPESN pharmacies in 12 states are introducing the GUIDE (Guiding an Improved Dementia Experience) payment and service delivery model. The CMS program focuses specifically on improving care for individuals living with dementia and supporting their caregivers.

Subscribing to CPESN Medical Billing Supports has allowed Lino’s Pharmacy in Roma and Rio Grande City, TX to capture new revenue that also affords extra time with patients. Lino’s initiated medical billing with a vaccine hesitancy program that revealed new gaps in care. As the team was able to spend more time with patients, they learned of additional needs for pharmacy services, says Jesus Rios, Lino's Pharmacist and Owner. Watch this short video to learn more.

Rebecca Brown, Clinical Pharmacy Director at Family Pharmacy’s Amelia location describes the benefits of participating in CPESN’s Pharmacy Care at Home program. The number of patients receiving pharmacy services at home increased from four to 25 in a short time, all at higher levels of reimbursement.

Since signing up for the Pharmacy Care at Home Special Purpose Program last fall. Nario Cantu, pharmacist and owner of Cantu's Pharmacy in Edinburg, TX has grown the program to serve 100 patients. The third-generation pharmacist encourages other CPESN pharmacists to consider the program that he says benefits his patients and his pharmacy.

Community pharmacies are uniquely positioned to help address non-medical drivers of health, yet not all all community pharmacies are the same. Understanding why and how they differ was a key focus as CPESN® Health Equity and CPESN® Texas recently participated in a learning collaborative funded by the Episcopal Health Foundation. The result is a report that can serve as a resource for networks as they introduce CPESN pharmacies and tell their value story in local communities. You can find the full report here.

Walker's Pharmacy in Livonia, LA relies on Business Intelligence data to help identify and prioritize patients for med sync, adherence packaging, delivery services, and Pharmacy Care at Home services. Owner/pharmacist Wyatt Walker, who also is the CPESN Louisiana Managing Network Facilitator, describes how CPESN Business Intelligence supports informed decisions for his team.

Elizabeth Locklear, pharmacist and owner of Rocky Point Pavilion Pharmacy and a CPESN® North Carolina luminary, added a long-term care NPI and enrolled in the CPESN Pharmacy Care at Home special purpose program. She shares an example of how her profit on one prescription went from just over $1 to just over $18.

Rachel Whitesitte, Clinical Services Manager at Streu's Pharmacy Bay Natural in Green Bay, WI, describes how the Special Purpose Program Medical Billing Supports has helped her increase reimbursement under new medical codes. The CPESN Wisconsin pharmacy is getting paid for clinical services they were providing free with $8K in new revenue for a single code in just 6 months.

Maggy Pharmacy, in northern New York, was among 17 CPESN pharmacies to participate in a statewide grant-funded workforce training program for Community Health Workers. Mark Maggy, pharmacist and co-owner, describes the positive impact for both Maggy Pharmacy technicians and the continuing benefit to patients in their community. CPESN New York was recognized by the quality improvement organization with the 2024 IPRO Quality Award.