(LONG BEACH, Calif. – October 15, 2015) — SCAN Health Plan and Express Scripts will present a Capitol Hill briefing on an innovative pharmacy network program designed to enhance the patient experience, improve medication adherence and increase quality of care. The presentation will be held on October 20 in the Rayburn House Office Building in Washington, D.C. Moderating the session will be Tom Scully, former administrator of the Centers for Medicare & Medicaid Services (CMS).
SCAN and Express Scripts are currently partnering in a Quality Network Program to encourage and reward pharmacists to take an active role in interacting with Medicare patients. Evidence has shown that an enhanced patient/pharmacist relationship can have a positive impact on medication adherence which can, in turn, improve health outcomes, particularly for those Medicare beneficiaries with diabetes, high blood pressure or high cholesterol.
“Pharmacists are one of the most trusted of all healthcare professionals, and their frequent interactions with our members present enormous opportunities to positively impact patient health,” said Sharon Jhawar, vice president of pharmacy services at SCAN and one of the co-presenters on October 20. “This Quality Network Program has shown that pharmacists who take a more active role can make a real impact in the health and lives of seniors.”
This Capitol Hill briefing is one of many in which SCAN has participated throughout the years in advocating for smarter, more cost-effective and more quality-focused healthcare for seniors. Co-presenting with Jhawar will be Snezana Mahon, senior director of Medicare for Express Scripts. The day before the Congressional briefing, Jhawar and Mahon will present this innovative program at the National Conference on Medicare and Medicaid, sponsored by America’s Health Insurance Plans (AHIP).
Under the program Express Scripts works collaboratively with each individual pharmacy to review and improve their patients’ performance in five key areas: reducing the use of high-risk medications; compliance with diabetes treatment guidelines (use of high blood pressure therapy in diabetes patients); and greater adherence to diabetes, high blood pressure and high cholesterol medications. Top-performing and improved pharmacies will receive incentives, while average or poorly performing pharmacies will receive lower overall reimbursements.
“In a time of higher performance expectations, this program is a wonderful example of an effective, outcomes-based strategy that aligns all parties in a patient’s pharmacy care,” said Jhawar. “By encouraging this interaction and education for our members, this program perfectly supports our mission and commitment to keeping seniors healthy and independent.”
SCAN is one of the nation’s largest not-for-profit Medicare Advantage plans currently serving approximately 170,000 members in California. Further information may be obtained at scanhealthplan.com or on Facebook at facebook.com/scanhealthplan.
Express Scripts manages more than a billion prescriptions each year for tens of millions of patients and provides integrated pharmacy-benefit management services, including network-pharmacy claims processing, home delivery, specialty benefit management, benefit-design consultation, drug-utilization review, formulary management, and medical and drug data analysis services. The company also distributes a full range of biopharmaceutical products and provides extensive cost-management and patient-care services. For more information, visit Lab.Express-Scripts.com or follow @ExpressScripts on Twitter.
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