Plan to integrate local pharmacist services into 'medical home'
DES MOINES, Iowa--(BUSINESS WIRE)--
CareFirst BlueCross BlueShield has positioned local pharmacists to play
a key role in one of the nation’s largest initiatives focused on the
coordination of primary care for patients. As part of the “medical home”
program, CareFirst has selected Outcomes Pharmaceutical Health Care®
(Outcomes®) to provide Medication Therapy Management (MTM)
services via local pharmacies for over 1.1 million patients.
“Through our collaboration with Outcomes, we have had a face-to-face
approach to MTM services within our Medicare Part D program for over
five years,” said Winston Wong, PharmD, Associate Vice President,
Pharmacy Management for CareFirst. “We understand the value local
pharmacists provide. It was important to us that they have a role in our
medical home program.”
Outcomes identifies medication treatment gaps and works with local
pharmacists and prescribers to close these gaps, reducing drug costs and
improving adherence. CareFirst is one of over 30 US health plans that
have adopted the Outcomes unified MTM platform which connects such plans
with 39,000 chain, independent, consultant and health-system pharmacy
providers across the country.
Through the program, CareFirst members will be eligible for MTM services
from specially-trained Personal Pharmacists™ to help them achieve safe
and effective results from their medications while controlling costs.
Through the program, participating local pharmacists receive alerts and
information concerning medication use patterns, as well as guidance on
working with patients and doctors to fix potential drug complications.
Members will be eligible for a full menu of covered services including
an annual Comprehensive Medication Review (CMR). The CMR allows members
to meet one-on-one with a local pharmacist to review their complete
medication profile to detect and prevent any potential conflicts or
duplications. Additional services such as patient education, compliance
monitoring, and assistance with non-prescription medications will also
The program will take place in Maryland, Washington, DC, and Virginia.
In its 74th year of service, CareFirst, an independent licensee of the
Blue Cross and Blue Shield Association, is a not-for-profit health care
company which, through its affiliates and subsidiaries, offers a
comprehensive portfolio of health insurance products and administrative
services to nearly 3.4 million individuals and groups in Maryland, the
District of Columbia and Northern Virginia. Through its CareFirst
Commitment initiative and other public mission activities, CareFirst
supports efforts to increase the accessibility, affordability, safety
and quality of health care throughout its market areas. To learn more
about CareFirst BlueCross BlueShield, visit our Web site at www.carefirst.com
or follow us on Twitter: http://twitter.com/CareFirst_News.
Outcomes Pharmaceutical Health Care is the national leader in the
design, delivery, and administration of Medication Therapy Management
programs. The company’s service line benefits health care purchasers by
delivering a cost effective approach to advancing patient care and
controlling utilization through the provision of patient-friendly,
face-to-face personal pharmacist services. The company is headquartered
in Des Moines, Iowa and may be found online at www.getoutcomes.com.
To schedule an interview on this topic, please contact Steve Berry at
877.237.0050 or [email protected].
Outcomes Pharmaceutical Health CareSteve Berry, 877-237-0050[email protected]
Source: Outcomes Pharmaceutical Health Care