PQA Annual Meeting, May 16-18

Hilton Baltimore

Breakfast Session, 7:15-8:45am

What’s Next in Pharmacy Quality Improvement? A Breakfast Conversation

Come early for breakfast and hear a conversation on how two leading health plans are getting more from medicines with initiatives that include targeting improved physician collaboration and driving pharmacy shared savings. Moderated by Josh Benner, PharmD, ScD (President & CEO, RxAnte, Inc.), this interactive and lively session will feature real-world experiences and perspectives from Angel Ballew, PharmD, MBA (VP, Pharmacy Clinical Programs, WellCare Health Plans) and Jessica Daw, PharmD, MBA (Senior Director, Clinical Pharmacy, UPMC Health Plan). Specific topics for discussion will include:

Innovative initiatives to improve prescribing and adherence
Achieving alignment among plans and providers
Tools and technologies for supporting provider- and pharmacy-led programs

Related Resources

6.29.22

by Patricia Powers, PharmD

How Mosaic’s Comprehensive Pharmacy Support Enables Better Care at Home

As the Director of Clinical Services at Mosaic Pharmacy Service, Patricia Powers, Pharm.D. is responsible for overseeing the development and delivery of clinical services for all Mosaic members, RxAnte’s high-touch pharmacy service. This month we asked Dr. Powers to share her insights around at-home care coordination benefiting both the patient and the health system and how Mosaic’s comprehensive pharmacy support can help enable better care at home.

5.25.22

by Tori Erxleben Rush, PharmD

CMS Announcement for Medicare Advantage Part C and D plans

In early April, the Center for Medicaid and Medicare Services shared its Announcement for Medicare Advantage Part C and D plans, incorporating feedback solicited after an Advance Notice was issued in February 2022. Overall, not much has changed since the Advance Notice, however CMS addressed the comments issued by Medicare Advantage stakeholders like MA organizations and prescription drug plan sponsors.

4.4.22

The need for value-based pharmacy services

There is a strong push among physicians to transition to care models that incentivize fewer, more effective treatments. This same perspective should also be held in pharmacy. As we look to a post-pandemic healthcare system, improvements need to be made to remedy these concerns with focuses on barriers to optimal quality and cost--particularly for the medically complex and socially vulnerable.