emblem health first new york Health Plans Partners with Pharmacy Quality Solutions in New Pharmacy Value-Based Arrangement Focused on Improving Health Outcomes
new york, August 14, 2023 /PRNewswire/ — EmblemHealth, one of the nation’s largest not-for-profit health insurers, has partnered with Pharmacy Quality Solutions (PQS), a leading provider of performance management services, to support member health through a first-of-its-kind initiative, Bridging care gaps. – Kind pharmacy value-based arrangement new york Support NCQA (National Quality Assurance Commission) measures. The deal began July 2023 became fully operational at the start of August 2023.
PQS
Eligible EmblemHealth members with diabetes and high blood pressure can now get blood pressure and A1C testing at more than 4,000 participating network pharmacies, including national and regional chains, and many independent pharmacies nationwide. new york. This innovative partnership will encourage network pharmacies to take these screening results and share them with his EmblemHealth via EQUIPP.® platform. Pharmacies can view patient opportunities, provide patient assistance, and document required screening information on the EQUIPP Enhanced Services Dashboard. Leveraging PQS’ quality improvement expertise, pharmacy data is mapped to his NCQA quality standards and returned to payers for data capture and care coordination.
EmblemHealth’s care management team shares results with members’ primary care providers (PCPs), communicates results to members, provides care options, and assists with questions and concerns related to diabetes and chronic conditions achieve the all-encompassing goal of Encourages healthier living. A member may also be referred to her EmblemHealth Family of AdvantageCare physicians who practice primary and specialty care in her PCP or enterprise for comprehensive medical services.
Focused on improving health outcomes new yorkthe new partnership will complement the existing medication adherence management program that began in 2016. March 2023. Both programs recognize pharmacies that achieve higher quality scores, improve health outcomes, and serve as trusted points of care for their communities.
“As the only new yorkEmblem Health, the underlying health plan that offers this additional service to its members, is proud to lead the way in value-based care management for individuals living with diabetes.” Abdou BarSenior Vice President of Healthcare Administration and Chief Health Equity Officer, EmblemHealth. “Our partnership with Pharmacy Quality Solutions allows us to strengthen our relationships with our local pharmacies, which are the cornerstone of community care, while continuing to redefine the breadth and reach of our members’ healthcare access at every touchpoint. ”
Vice President of PQS Client Services Emily Endless He added, “PQS is focused on improving patient health through quality measurement and payer-pharmacy collaboration. EQUIPP’s new enhanced service capabilities will enable partners to deliver value-based care. We are proud to partner with EmblemHealth to enhance the power pharmacies can offer.” Screenings such as blood pressure and A1C were necessary to improve the health status of members. ”
This values-based arrangement is one of the many ways Emblem Health continues to educate its members, patients and New Yorkers about managing chronic conditions such as diabetes. Last spring, the health insurance company partnered with medical professionals to host an informational webinar titled: Diabetes and Kidney Disease: How to Manage, Cope and Advocate for YourselfforMinimum by the beginning of 2022 diabetes prevention webinar Discuss risk factors, preventative measures, and treatment options to encourage healthier decision-making for members living with chronic conditions.
About EmblemHealth
EmblemHealth is one of the nation’s largest nonprofit health insurers, with 3.2 million members and 80 years of service experience. New York’s community. The company provides employers, individuals, and families with a full range of commercially and government-sponsored health plans, as well as convenient community he resources. As the market leader in value-based care, EmblemHealth partners with leading physicians and hospitals to provide quality, affordable care. For more information, please visit: emblemhealth.com.
About Pharmacy Quality Solutions Co., Ltd.
PQS connects healthcare payers and pharmacies to achieve their common goals of improving patient outcomes and improving the quality of care. As a neutral and trusted intermediary supporting the evolution of value-based care, PQS facilitates national pharmacy-based care through Partner and her EQUIPP.® platform. Leveraging our deep knowledge of clinical pharmacy and over a decade of performance management experience, we help clients develop strategies, implement quality improvement programs, and optimize the quality of care for Medicare, Medicaid, and commercial populations. help you to become For more information on how PQS can help, please visit: www.pharmacyquality.com.
contact address:
Emblem Health Public Relations Office | Email: [email protected]
Kim Kang| Email: [email protected]
PQS: David Simo| Email: [email protected]
source emblem health
