Meeting members where they are to help provide both convenience and care where they need is a top priority for health plans. With the need for convenience, community pharmacies represent an accessible access point with deep healthcare subject matter expertise. As a result, payers continue to innovate and expand partnership opportunities to empower pharmacists in community settings to enable data sharing and support for clinical interventions. This session will cover an example of a payer and pharmacy collaboration supported with technology to empower community pharmacies to go beyond medication adherence and become integral healthcare partners. By incorporating a dual incentive model that rewards both clinical interventions and measurable health outcomes, plan-pharmacy relationships strengthen to improve HEDIS® gaps in care, and ultimately improve patient access and outcomes.
PQA does not endorse, recommend or favor any product, service or organization that is a sponsor.
Learning Objectives:
To highlight how a data-driven strategy strengthens relationships between pharmacies and health plans, ultimately enhancing member access to care and establishing a sustainable framework for continuous quality improvement.
To demonstrate how health plans can utilize data and technology to transform community pharmacies into integral healthcare partners, expanding their role beyond medication adherence to address HEDIS gaps in care.
To illustrate the effectiveness of a dual incentive model that rewards both clinical interventions and measurable health outcomes, showcasing its impact on improving quality measures, cost savings, and operational efficiencies for health plans.
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