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Pharmacy (Basel). 2018 May 22;6(2). pii: E44. doi: 10.3390/pharmacy6020044.

Impact of Appointment-Based Medication Synchronization on Proportion of Days Covered for Chronic Medications.

Author information

1
Western University of Health Sciences College of Pharmacy, Pomona, CA 91766, USA. nancydao@westernu.edu.
2
Western University of Health Sciences College of Pharmacy, Pomona, CA 91766, USA. slee22@westernu.edu.
3
Western University of Health Sciences College of Pharmacy, Pomona, CA 91766, USA. mhata@westernu.edu.
4
Ralphs Grocery Company, Compton, CA 92620, USA. lord.sarino@ralphs.com.

Abstract

Appointment-based medication synchronization (ABMS) programs have been associated with increased adherence and persistence to chronic medications. Adherence to statin therapy, angiotensin-converting enzyme inhibitors (ACEIs), angiotensin receptor blockers (ARBs), and non-insulin antidiabetic medications (NIDM) are used to determine a health plan's Centers for Medicare and Medicaid Services (CMS) Star Rating under a pay-for-performance model. The objective of this study was to evaluate the impact of implementing an ABMS program on overall pharmacy adherence measures for statins, ACEI/ARBs, and NIDM, as presented through the Electronic Quality Improvement Platform for Plans and Pharmacies (EQuIPP©) platform. This retrospective, pre-post ABMS program study evaluated EQuIPP© generated adherence performance measures, represented as proportion of days covered (PDC), 6-months before and 6- and 12-months after the ABMS service for statin therapy, ACEIs/ARBs, and NIDM. All adherence measures showed statistically significant improvement in PDC percentage post ABMS implementation, except for NIDM percentage in 6-months post-ABMS service. This study shows that a comprehensive medication synchronization program can enhance adherence measures that are important to health plans to increase CMS Star Rating under a pay-for-performance model.

KEYWORDS:

adherence; appointment-based model; community pharmacy; medication synchronization; proportion of days covered

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