CPESN® Community Pharmacy + Payers = Local, Scalable Success

Here's a preview of the 150+ 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 improved patient outcomes and lowering costs through over 250 local Payer contracts. It's a story about scaling - learning from one success to build another for 41 national Payer contracts, and growing. Local. Quality. Scale.

Tips for Marketing to ACOs

Rebecca Wagers, CPESN® Northeast Tennessee Managing Network Facilitator details how four CPESN networks in three states helped Emergent ACO boost flu and fall risk scores in a 2022 year-end crunch. Now is the time for networks to approach local ACOs to offer similar support earlier.

Regional Payer Program: Mobile Immunizations for Homebound Adults

CPESN® Michigan luminary Austin Brown reminds network leaders to look in their backyards for unexpected payer opportunities with local and regional agencies.

Expanded Regional Medicaid MCO Program in Pennsylvania

CPESN® Pennsylvania pharmacists will provide onsite vaccine clinic services at community outreach events held by a payer partner under an expansion of a regional Medicaid MCO program.

CPESN® NC Pharmacies Meet RxE2 Asthma Trial Goal

CPESN® North Carolina Luminary Jessi Stout says involving a pharmacy student helped make recruitment for an asthma medication study fast and easy for her Table Rock Pharmacy in Morganton, NC. The 10 participating network pharmacies met the RxE2 program goal of qualifying 32 patients for referral to the study sponsor.

PGx Clinical Testing with Genemarkers

Through a national payer program with Genemarkers, CPESN® pharmacies are paid a flat fee to collect patient DNA samples for testing and review results with patients. The personalized medicine approach can indicate how a patient might respond to a particular treatment or which medication may work best for an individual.

CPESN® Nebraska, Medicaid MCO Renewal

Medicaid MCO coverage of adherence packaging and delivery through CPESN® Nebraska has allowed Elmwood Pharmacy to expand the service. Pharmacist Crystal Pfeifer says that's a plus for patients and for the pharmacy.

RxE2 Clinical Screening, CPESN Missouri®

Clinical Screening for Major Depression Disorder treatment study proved a good opportunity for pharmacies in the St. Louis, MO metro area to boost patient engagement and pharmacy revenue. Tyler Taylor CPESN Missouri regional facilitator, said the RxE2 program paid pharmacies for all steps regardless of outcome, saying that's "... very helpful in a world where we don't get paid for our work very often."

Expanded Medicaid MCO Program

Expansion of a Medicaid MCO program allows CPESN® Pennsylvania pharmacist to add diabetes disease management to services they provide to Medicaid patients. Additionally, they will now be paid for Social Determinants of Health screenings and referrals.

Medicaid MCO Plan Renews, Expands

Laura Rhodes, CPESN USA Regional PPP Lead, describes how quality performance by CPESN® Florida pharmacies in a 2022 Medicaid adherence program has led to renewal in that state with opportunities for nearly three times as many pharmacies, and expansion to Texas where almost 90 CPESN pharmacies will be able to participate. The two networks trained together last week, preparing for the renewal and rollout in Texas.