CPESN® Ohio, CareSource Provider-Status Contract

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 has first payer program with RxE2

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

Ground-up Partnership for CPESN® USA with Vita Savings ACO

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.

HMG Health System, Emergent ACO and CPESN® USA Partnership

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.

Medicaid MCO Contract Brings Revenue, Attracts Pharmacies for CPESN® Washington DC Metro Area

CPESN® Washington DC Metro Area is gaining new momentum with the network's first payer program to provide clinical services to Elevance Health/CarelonRx enrolled Medicaid patients. Tamara McCants, Managing Network Facilitator for the growing network, and Carla Daniel, a pharmacist with Grubb's Southeast - one of the participating pharmacies - describe benefits of the program for patients, pharmacies, and the payer.

HTN Patient Self-Monitoring Pilot with CPESN® West Virginia

Through a grant-funded pilot program, CPESN® West Virginia pharmacists are enrolling patients for digital monitoring and monthly reporting of blood pressure readings. Starting in three counties, network pharmacists review readings and provide individualized disease management education for patients with uncontrolled hypertension. Updates are shared with primary and specialty physicians, integrating pharmacy clinical services to care planning and delivery.

CPESN® Nebraska Renews Statewide Medicaid CCM Contract

Renewal of a contract with Nebraska Total Care continues delivery of clinical services to enrolled Medicaid patients by CPESN Nebraska pharmacies. Last year, $177,000 was paid to 39 of the network's 60 pharmacies for chronic care management services - or $4,500+ per store. And the network earned an additional $34K for closing care gaps, contributing positively to the payer's overall quality ratings. Staci Hubert, Managing Network Facilitator describes the program.

Multi-Network Program Offers Bonus Opportunity + Medicare Vaccine Rate + Fee for Time

Health Quality Innovators (HQI), a regional quality group reporting to CMS, has partnered with four CPESN® networks - Kansas, Missouri, South Carolina, and Virginia - to help boost current COVID-19 immunization rates for long-term care facilities. Renee Price, CPESN® Kansas Managing Network Facilitator, and Clinical Program Coordinator for Graves/Damm Pharmacies in Winfield Kansas, shares why she is excited about the new opportunity. Other CPESN networks are entering similar partnerships.

UPMC Health Plan Renews Statewide Medicaid Program in Pennsylvania

CPESN® Pennsylvania pharmacies will continue to help UPMC Health Plan's Medicaid patients manage their asthma, COPD, and diabetes medication therapy with renewal of the network's contract. More than 100 Pennsylvania Pharmacist Care Network (PPCN) pharmacies engaged with 3,360 eligible Medicaid patients in 2023 as the program added diabetes care to the program. The pharmacies also conducted more than 1,700 SDoH surveys and made 500 community and health system referrals to help patients address food, transportation, housing and other health-impacting needs.

CPESN® Virginia and UnitedHealthCare Telehealth Pilot

Kim Wright, CPESN Virginia Luminary, and Rebecca Brown, Family Pharmacy Clinical Director, describe how the network's telehealth pilot with UnitedHealthcare makes doctor visits accessible to Medicaid patients without broadband or who may struggle to take time away from work to see a physician. Most exciting is the opportunity to practice at the top of their license.