Success Stories

Lindsay Christensen, Managing Network Facilitator for CPESN® Minnesota, describes that network's Year 5 renewal of a program where pharmacists provide safety reviews for Medicare Part D patients at high risk for adverse drug events. The program goal is to have a positive impact on medical spend directly tied to pharmacist interventions.

Kevin Day describes how CPESN Ohio pharmacies provide enhanced services to close gaps in care for patients as identified by a large Medicaid Managed Care Organization. Provider status allows direct billing for patient care.

This is a third-year renewal with a large pharmacy technology solution for this program focused on Medication Therapy Management services.

In this Payer perspective, Troy Medicare Co-Founder and Chief Pharmacy Officer, describes the benefits of working with community pharmacists in the CPESN North Carolina network. Pharmacies help manage COPD, diabetes and congestive heart failure patients.

Through the Wyoming Department of Health, CPESN Wyoming received CDC grant funding to offset pharmacy costs associated with adminstering COVID-19 vaccines, including salaries, training, vaccine storage units, computer hardware and software, and travel for in-home vaccinations.

Enhanced pharmacy services provided by CPESN Texas pharmacies under a Managed Medicaid Plan affiliated with a large hospital system included medication adherence support, asthma action plans, and social determinants of health surveys.

This program includes deprescribing, prescribing, and adherence support to improved health outcomes for plan-identified patients.

In partnership with a health care consulting firm, CPESN Wisconsin pharmacies provided enhanced services to school employers, including comprehensive care planning, adherence support, medication reviews, and a med sync prgoram.

CPESN® North Carolina Luminary Joe Moose describes a program with a large national health plan for pharmacists to provide Health Risk Assessments for dually-eligible Medicaid and Medicare patients.

Community-based pharmacists address medication adherence in high-risk patients being treated for asthma and COPD under a Pennsylvania Pharmacists Care Network (PPCN) contract with a health plan for its eligible Medicaid members.

Paula Miller, CPESN Kentucky luminary, describes that network's contract with a large statewide Medicaid MCO. Pharmacists work closely with the plan's care coordinators to identify patients who might benefit from enhanced pharmacy services including chronic care management and adherence programs.

Community pharmacists provide flu, pneumonia, and shingles vaccines to Medicaid, Medicare, and Commerical members of a large regional health plan under a contract with the Pennsylvania Pharmacists Care Network (PPCN).

Grant funding through the Wyoming Department of Health supports CPESN Wyoming pharmacies in delivering Medication Therapy Management services to patients taking medications for diabetes, hypertension, and cholesterol management.

This pilot program delivered Comprehensive Medical Reviews (CMR), Diabetes Self Management Education (DSME) and initiated a diabetes prevention program with Colorado Dept. of Public Health and Environment grant funding.