Medicare Star Ratings and the Quality Revolution: What Community Pharmacists Need to Know and Why You Should Care Sponsored by SilverScripts

Sunday, October 14, 2012, 6:30 p.m. - 8:30 p.m.
Marriott Marquis San Diego Marina
Location: Marriott Marquis, Marina D & E
Continuing Education Credits: 0.15 (1.5 Contact Hours)
ACPE #: 207-000-12-234-L03-P
ACPE #: 207-000-12-234-L03-T

With the evolution of the Medicare Star Ratings program, Medicare plan sponsors are very focused on ensuring they have the highest possible star ratings. In order to achieve this, they are looking closer at community pharmacies within their networks to see how the needle is being moved regarding quality measures. To assist in these efforts, the Pharmacy Quality Alliance (PQA) has launched a multi-state initiative to bring quality improvement resources and performance data to community pharmacies, and to build the foundation for quality-driven collaboration with health plans. The initiative, known as EQuIPP is taking place in Florida, Alabama and Pennsylvania during 2012 and a national expansion is scheduled to start in 2013. Several independent pharmacies are part of this initiative along with many major health plans. Performance measurement changes the dialogue between health plans and pharmacies to focus on the quality of medication use, and it enables collaboration for improvement of quality and shared rewards. This session will include the perspectives of a health plan, an independent pharmacist participating in the EQuIPP initiative, and PQA, who will discuss how pharmacies can partner with health plans to improve Star Ratings.

Pharmacist Learning Objectives:

  1. Discuss the use of quality measures in Medicare Part D in the 2013 plan year.
  2. Describe the potential effect of performance measurement data in the relationship between plans and pharmacy.
  3. Discuss how pharmacies can partner with health plans to improve the plan's star ratings.

Technician Learning Objectives:

  1. Discuss the use of quality measures in Medicare Part D in the 2013 plan year.
  2. Describe the potential effect of performance measurement data in the relationship between plans and pharmacy.
  3. Discuss how pharmacies can partner with health plans to improve the plan's star ratings.

Speakers: David Nau, PhD, RPh, CPHQ, FAPhA, Senior Director, Quality Strategies, Pharmacy Quality Alliance, Lexington, Kentucky; Robert L. Maher Jr. Pharm.D., CGP, Duquesne University School of Pharmacy and Patton Pharmacy, Patton, Pennsylvania

Categories:
Activity Type: Knowledge-based
Audience: Pharmacists and Pharmacy Technicians

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