Kevin Day, president of Day's Pharmacy in Cincinnati and CPESN® Ohio's Managing Network, says network pharmacies delivered strong results in closing 2024 care gaps for CareSource patients. He points to the value-based care arrangement, along with fair dispensing, and reasonable fee-for-service programs within medical billing as wins for Medicaid patients and network pharmacies.

Payment for patient encounters to address gaps in care allows CPESN Iowa community pharmacists more time for direct care that improves health outcomes. Tammy Bullock and Fabi Gallardo, pharmacists at Osterhaus Pharmacy in Maquoketa, IA describe how their team approach under the program helped a legally blind patient better manage his medications.

Abbi Linde, CPESN Wisconsin Managing Network Facilitator, shares tips for maximizing grants that do not allow use of funds for patient services. Creativity in applying for and writing grants has helped that network secure administrative funds, as well as support for program implementation, training, and documenting best practices.

UHC Medicaid patients receive same-day care, including physician visits; and expanded billing pays the pharmacy for the health services care the patient needs. Carley Moses, a pharmacist at Peoples Pharmacy in Norfolk, VA, shares how the program is benefiting the CPESN Virginia pharmacy and its patients.

For a second year in a row, Maryland pharmacists met their goals for patient encounters as part of a HEDIS care gap closure program with Elevance/CarelonRx. That's just one success for CPESN DMV - the first regional multi-state network - as shared by Managing Network Facilitator Dixie Leikach in this short video.

CPESN Northeast Tennessee pharmacies last year completed more than 3,500 combined flu (1,175) and fall (2,374) risk assessments for Emergent ACO patients. Rebecca Wagers, Managing Network Faciltator, says the assessments are much more than a means of learning whether a patient had a flu immunization or a recent fall. Watch this short video to see how pharmacies use the assessments to improve patient health and safety.

CPESN® Mississippi network pharmacies reported more than 200 encounters with 97 Medicaid plan members over just seven months. Pharmacies enrolled plan-identified asthma, ADHD, and diabetes patients in Med Sync programs and worked with health providers to drive follow up. The 2025 contract renewal is now expanding to include COPD patients.

Jenna Eccles, pharmacist/owner at Wheatridge Professional Pharmacy in Denver, describes how integrating RxE2 clinical study program steps to overall pharmacy workflow increases efficiency, patient engagement, and pharmacy non-dispensing revenue. Eccles, who is also the Managing Network Facilitator for CPESN Colorado, says having a program champion encourages pharmacies to tap into the opportunity.

Pharmacist Allysa Mack with Gibbs Pharmacy in Lebanon, TN describes how involving a Commiunity Health Worker in patient outreach for health risk assessments has increased profit for the pharmacy, and is improving care for patients.

Shannon Schultz, owner and lead pharmacist at Nebraska LTC Pharmacy, says an invitation to provide COVID vaccines to patients at the Dialysis Center of Lincoln was a success for the pharmacy, the patients, and the nonprofit. The Lincoln clinic shared its positive experience with CPESN Nebraska pharmacy with other members of the American Society of Nephrology. That groups Kidney Community Vaccination Collaborative is exploring with CPESN Health Equity an opportunity to expand the partnership model. Watch the short video to learn more.