For too long, medication adherence and pharmacy interventions have been viewed through a narrow lens; primarily as a checklist item for Stars quality ratings or a reactive mechanism to satisfy compliance. But for complex, vulnerable populations, the stakes are much higher. Poor medication management and unmitigated polypharmacy directly fuel adverse drug events, frequent emergency room visits, and rising Total Cost of Care (TCOC).
In this September 17, 2026, Quality Industry Spotlight, powered by PQA webinar, Nicki Ghazanfarpour, Director, Pharmacy Clinical & Quality Programs at CalOptima Health, and Jimmy WuRohe, Chief Product Officer at Clarest Health, move past the standard compliance conversation to explore holistic medication care. Together, they examine how health plans and clinical teams can bridge the gap between pharmacy operations and medical economics, transforming medication strategy into a core driver of patient safety, acute utilization reduction, and sustainable long-term value.
Key Takeaways
- Discover how to shift internal culture from tracking narrow compliance scores to targeting holistic clinical outcomes that genuinely impact member health.
- Identify blind spots in managing polypharmacy and transitions of care before they result in avoidable ER visits and acute hospitalizations.
- Learn practical strategies for aligning clinical pharmacy programs, product design, and care management to control TCOC.
- Discover collaborative approaches that successfully change prescribing and care coordination behaviors.
- Gain a forward-looking perspective on the innovative tools, data strategies, and operational models redefining medication management in managed care.
Sponsored by Clarest Health. PQA does not endorse, recommend or favor any product, service or organization that is a sponsor.