Success Stories

Renee Price describes a Medication Therapy Management program with a statewide managed Medicaid program where network pharmacies worked with care managers to improve patient health conditions. The program started with 5 to 10 pilot stores in Kansas, and added two to three pharmacies monthly.

Under renewal of this contract with a Medicare Advantage Plan, 58 CPESN Mississippi pharmacies provide diabetes monitoring and management including A1c testing to establish a base level, counseling to help patients with an A1c >9, bring it under 9%, and make referrals for annual retinal eye exams.

Under this Year 5 program renewal with a national payer, CPESN Wyoming pharmacies provide enhanced Medication Therapy Management and safety reviews for Medicare Part D patients at high risk for adverse drug events. The goal is to demonstrate a positive impact on medical spend directly tied to pharmacist interventions.

In this contract with a statewide Medicaid MCO, Pennsylvania Pharmacist Care Network pharmacists identify gaps in care and address medication adherence for plan-identified patients with COPD and diabetes.

More than half of CPESN Virginia's pharmacies had patients eligible for diabetes managment care under a contract with a large national managed health plan. Services include HbA1c monitoring and a focus on nutrition, motivational interviewing, med management, and care coordination.

A CPESN Ohio network-wide contract with a national MCO focuses on increasing flu vaccination rates, year-over-year.

Ron McDermott describs how Pennsylvania Pharmacist Care Network pharmacies held on-site COVID-19 vaccination clinics for employees of the Bechtel Shell Cracker Plant in PA. More than 3,000 doses were administered through a CPESN contract with WorkCare.

Under this Medicare Advantage contract, CPESN Missouri pharmacies provided Med Sync services to patients taking medications for diabetes and hypertension.

CPESN Nebraska Luminary Staci Hubert describes services provided by that network's pharmacies under a Medicaid managed care plan for high-risk patients. Enhanced pharmacy services include Med Sync, Adherence packaging, and Medication reconciliation.

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).