The IEHP Pharmacy Pay-For-Performance (P4P) Program is set up to improve Pharmacy Services through the IEHP community pharmacy providers. This is considered to be one of the first large-scale Pharmacy P4P programs in United States. To ensure our goals are aligned with all stakeholders in this program, IEHP is partnering with the Pharmacy Quality Solutions (PQS) to administer this program. PQS’ quality measurement metrics are endorsed by Centers for Medicare & Medicaid Services (CMS) (for Part D Star Rating Measures) and they are considered to be the leading group to enhance Pharmacy Quality Improvement in the industry. Together, our goal is to help validate the roles of community pharmacies in promoting Healthcare Quality and define a pharmacy payment model for outcome-based MTM services.
IEHP P4P Workgroup
- 1st Meeting on January 29, 2013
- Workgroup consists of community Pharmacists, chains representatives, IEHP Chief Medical Officer, and Senior Director of Pharmaceutical Services
- Will continue to meet on a regular basis throughout the planning and implementation process. The workgroup will meet at least on a bi-annual basis after implementation
- If you are interested in participating this workgroup, please email your contact information to PharmacyP4P@iehp.org
P4P Program Timeline*
Phase | Proposed Timeline |
Workgroup Phase | January - March 2013 (Completed) |
Implementation Phase with PQA | February - July 2013 (Completed) |
Enrollment and Implementation | July - September 2013 (Completed) |
Phase I Launch | October 2013 (Completed) |
Bi-Annual Evaluation | April - May Annually (Ongoing) |
Phase II Preparation (Changes in Measurements and Threshold) | March 2014 |
Phase II Launch (Changes in Measurements and Threshold) | October 2015 (Completed) |
Phase III (Outcome-based MTM Program) | Tentative Launch Date - January 2016 |
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