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What is comprehensive medication management and how does it differ from continuous medication management?
Comprehensive Medication Management is a program created by CMS to be included in the new Comprehensive Primary Care Plus (CPC+) clinic model
The CPC+ model was created by MACRA as part of an advanced APM.
Now remember in MACRA, there's two different payment tracks that clinics and providers can choose the MIPs route or the advanced APM route.
The CPC+ model is application-only and it's only available in certain states and regions.
"There are 2,900 primary care practices currently participating in Comprehensive Primary Care Plus (CPC+) in 18 regions: Arkansas, Colorado, Hawaii, Greater Kansas City Region of Kansas and Missouri, Louisiana, Michigan, Montana, Nebraska, North Dakota, Greater Buffalo Region of New York, North Hudson-Capital Region of New York, New Jersey, Ohio and Northern Kentucky Region, Oklahoma, Oregon, Greater Philadelphia Region of Pennsylvania, Rhode Island, and Tennessee."
There are two different track models a CPC+ clinic can opt in to.
In Track 2, there's an option mentioned to improve care through comprehensive medication monitoring.
The idea behind comprehensive medication monitoring is to develop a plan after discharge or for those patients receiving longitudinal care management.
There are four primary "change tactics" mentioned in Track 2 of the CPC+ model:
My thoughts for a program that includes a clinical pharmacist like this could include services like:
Providing comprehensive medication management programs and a CPC+ model is an opportunity for consultant pharmacists to help providers and focus on patient care outcomes.
If you are interested in building clinical services like comprehensive medication management...
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ABOUT THE AUTHOR:
Blair Green Thielemier, PharmD is an independent consultant pharmacist living in Arkansas with her husband and two children. Her latest project is the host and producer of pharmacy’s first virtual conference, the Elevate Pharmacy Virtual Summit in partnership with the NCPA Innovation Center. She is the founder of Pharmapreneur Academy, an online e-Course and Community where she guides pharmacist-entrepreneurs through the process and barriers of building a pharmacy consulting business. She is the author of How to Build a Pharmacy Consulting Business and facilitates in-person Business Planning Workshops and Mastermind Retreats for female Pharmapreneurs across the country. More information about Dr. Thielemier can be found on her website.
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