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David Nau, RPh, PhD, FAPhA
PQS President
Pharmacy Quality Measurement and the Connection to
Accountable Care
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The shift to Value-Driven Healthcare
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Examples of VBP
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ACOs and Quality
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ACO Quality Measures
relevant to medications
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Pharmacy Quality Alliance
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Who Uses PQA Measures ?
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Medicare Star Ratings
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Part D Stars
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Part D Stars
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Part D Display Measures
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Part D Star Thresholds Change
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Distribution of Stars
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Improvement in Adherence Rates
Average across all contracts for each year
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PQA Measure Patterns
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High Performer Icon - 2015
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2015 Stars – Low Performer Icon
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2015 Star Results
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High Stakes for Part D Stars
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High Stakes for Part D Stars
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How are Medicare plans responding?
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Pharmacy Pay-for-Performance Programs Using EQuIPP
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Need for Neutral Intermediary
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27
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Data Flow for EQuIPP
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PQA
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Pharmacy Quality Ratings In Development
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Summary
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Discussion