CPESN ® Pharmacies and Local Network Leadership:

Welcome to CPESN U.  These informational emails are designed to help you better understand CPESN USA and certain aspects of the pharmacy industry.

Today’s CPESN U is about care planning to improve readiness for payer opportunities.

We believe that another significant reason CPESN pharmacies need to commence care planning and document the care so that we are ready when the payer is ready to get started.
CPESN Pharmacies Need to Be Ready
When the Payer Opportunities Arrive
Enjoy this short video from pharmacy owner Joe Moose:
Readiness for Payer Opportunities

1) Documenting care plans prior to a payer program helps pharmacies hit the ground running for when contracts are signed for services and documentation of the services rendered.  

The 'putting the pedal to the metal' mantra from the start is not the best way to go about documenting comprehensive care plans for patients within a payer program. We have seen with pilot programs with payers and active engagements with payers that demonstrate it is nearly impossible to start at 0 MPH and then go to 60 MPH successfully.

It is much easier if we can get at a steady 25 or 30 MPH over time and then when the payer comes, we can increase to 60 mph much easier after the payer program starts.

CPESN USA is telling payers that they should “expect more” from CPESN pharmacies and we want to deliver on that promise.  

2) Payers want a network that is ready to go. They are expecting that CPESN pharmacies are comfortable care planning in their technology systems right out of the gate. 

Increasingly, payers are requiring for pharmacies to document comprehensive care plans for patients before they can proceed with the payer opportunity.

Payers want to make sure pharmacies can document the care plan components that are important to them, which are typically more enhanced than what CPESN USA is asking of CPESN pharmacies currently. If pharmacies are already documenting the basics, then the next level will be easier.

Payer budgets are going unspent because pharmacies are not ready to document care plans for patients.
If you missed the previous editions of CPESN U that cover the reasons to implement care planning, check them out below:

Care Planning Reason #3 - To improve patient care - Click here
Care Planning Reason #2 - To tell our story to payers - Click here
Care Planning Reason #1 - To realize workflow efficiencies - Click here
We now have 1,476 pharmacies that have submitted a care plan or Plan of Action! Way to go!

Click  here to see the list of 1,476 CPESN pharmacies who have submitted a care plan or Plan of Action based on our criteria, in numerical order by NPI number ( this list was updated July 23, 2019 ).

You now have just one week to complete a care plan or a care planning Plan of Action!
Below is information from our various Technology Solutions Partners that demonstrates how you can document the sample care plan within their system:
 
AZOVA:  AZOVA has extended its eCare Plan webinar series throughout the month of July. You can register and submit your eCare Plan DURING the webinar here. 
BestRx:  Click  here  
DocsInk:  Pharmacies should email Linda Powell:  lpowell@docsink.com or visit this   link to review how to document a care plan for a non-adherent patient that will benefit from being enrolled into a medication synchronization program.
FDS:  Click  here
Micro Merchant Systems:  Click  here for a care planning video and click here for a care planning guide.
PioneerRx:  
  • Accessing the Sample Care Plan Recording and Sample Care Plan How To Guide: Click F1 or help in your PioneerRx Pharmacy Management System, then click PioneerRx University, then click Log in, then click the Course Library, then click Tab Select “Care Plans” as the topic, then click “Submitting an eCare Plan (CPESN Sample Case)” to view the video
  • If you don’t have a PioneerRx University account, send a call request to your account manager to begin your journey with PioneerRx
PrescribeWellness : Click  here
QS/1 : Click  here  
STRAND:  Follow these instructions:
  • Log into STRAND
  • Resources Tab>Training
  • Review Video Models
  • Model 3: Inputting Patient Information
  • Model 4: Submitting eCare Plans to CPESN.
Pharmacies with issues should email Sequoia:  sfrazier@strandrx.com
On behalf of the CPESN USA Team, thank you for being a CPESN pharmacy.