CPF FUNDED GRANT DETAILS

In 2022, the Pennsylvania Pharmacists Care Network (PPCN), a clinically integrated network of over 200 community pharmacies, established a contract with a Medicaid managed care organization (MCO) to provide ten enhanced patient care services. These included medication synchronization, medication reconciliation, adherence packaging, social determinants of health (SDOH) screening, SDOH referrals, health risk assessments, naloxone dispensing and education, COVID-19 vaccine gap closures, home medication delivery, and home visits for pharmacy services. Pharmacists document the care provided through this multi-service program using a pharmacist electronic care plan (eCarePlan). There are no published studies to date that link eCarePlan data with payer claims data. The primary goal of this study is to evaluate the impact of these patient care services on medication adherence, naloxone dispensing, and COVID-19 vaccination gap closure. To accomplish this goal, we will conduct a retrospective analysis of deidentified pharmacist eCarePlan and matching claims data of Medicaid members participating in this Medicaid MCO multi-service payer program. Claims data will be collected for eligible members during the active program and for a 3-year timeframe prior to the program initiation to analyze changes in adherence and naloxone dispensing. Tests of proportions will be used to assess adherence between timeframes and multivariable regression will be used to assess the association of pharmacy characteristics with medication outcomes. Descriptive statistics will be utilized to assess COVID-19 vaccine gap closure.