David Nau, RPh, PhD, FAPhA

PQS President

Pharmacy Quality Measurement and the Connection to

Accountable Care

 

 

 

The shift to Value-Driven Healthcare

 

 

 

 

Examples of VBP

 

 

 

 

  

ACOs and Quality

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ACO Quality Measures

relevant to medications

        

Pharmacy Quality Alliance

       

Who Uses PQA Measures ?

  

  

  

  

  

 

Medicare Star Ratings

 

 

 

 

 

Part D Stars

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Part D Stars

Part D Display Measures

 

 

     

  

Part D Star Thresholds Change

Distribution of Stars

Improvement in Adherence Rates

Average across all contracts for each year

PQA Measure Patterns

 

       

  

High Performer Icon - 2015

2015 Stars – Low Performer Icon

2015 Star Results

High Stakes for Part D Stars

 

 

  

 

 

High Stakes for Part D Stars

How are Medicare plans responding?

 

 

  

 

Pharmacy Pay-for-Performance Programs Using EQuIPP

   

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Need for Neutral Intermediary

 

 

 

 

 

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Data Flow for EQuIPP

PQA

Pharmacy Quality Ratings In Development

 

 

  

 

 

Summary

  

 

 

 

 

Discussion