The Corporation for Ohio Appalachian Development (COAD) has expanded its Pathways program statewide, opening opportunities for CPESN pharmacies to receive and make care coordination referrals through county and regional HUBs. Pharmacies need to train or hire certified Community Health Workers and complete a credentialing process. Medicaid is the primary payment source for CHW services.

Laura Rhodes, CPESN Florida Managing Network Facilitator, says the network is off to a strong start with pharmacy outreach to close care gaps for plan-identified Medicaid patients.

CPESN® USA has partnerships with six regional Quality Improvement Organizations for pharmacies in 23 networks to help long-term care facilities increase current COVID-19 vaccination rates for residents and staff. Cindy Warriner, a CPESN Virginia facilitator, and a senior pharmacist consultant with Health Quality Innovators, says the partnerships showcases for all federal health decision makers the value that community pharmacy brings to 65+ patients.

Stephanie McGrath, Managing Network Facilitator, details how 96 Pennsylvania Pharmacist Care Network (PPCN) pharmacists met all 2023 program goals in caring for the Medicaid MCO's enrolled patients. Under the multi-service program, network pharmacists address identified patient needs, providing medication reconciliation, med sync, home visits, home deliveries, and making community and health plan resource referrals based on SDoH assessments. Learn more in this short video.

CPESN Georgia pharmacies participating in a national Medicaid MCO program are seeing a growing number of patient encounters with positive feedback. Johnathan Hamrick, Managing Network Facilitator, says the value-based program launched last fall and focuses on improving adherence and closing care gaps

Amy Catherine Baggett, CPESN Mississippi Managing Network Facilitator, shares details of a new Medicaid MCO contract with Magnolia Health. Network pharmacists engage plan-identified patients diagnosed with diabetes or asthma to improve medication adherence. A third program for pediatric patients taking medications to treat ADD/ADHD includes counseling, and coordination with primary care providers to improve adherence.

New CareSource Medicaid MCO statewide contract with CPESN Ohio allows all network pharmacists to provide and bill for clinical services as needed by their patients. Kevin Day, clinical pharmacist and president of Day's Pharmacy in Cincinnati and the network's Managing Network Facilitator, describes the program and opportunities it represents for CPESN pharmacies.

CPESN Alabama Luminary Jessica Hung, owner of Semmes Pharmacy in Semmes, AL, describes the network's first payer program.

CPESN® USA id working with the new Vita Savings ACO to define how network pharmacies will help meet patient care metrics. Vita Savings will go live in 2025.

CPESN® pharmacies in Tennessee and Virginia closed statin adherence gaps for 50% of assigned Medicare Advantage patients, helping HMG Health System score a 4.5 CMS Star Rating.