PQA completed a pilot studying the use of immunization measure concepts in payer-pharmacy value-based arrangements (VBA) to better understand pharmacy-payer data exchange, which strongly influences the feasibility of pharmacy quality measurement. The pilot also evaluated participants’ performance on the measure concepts and gathered their feedback to refine the measure specifications. Piloting PQA Adult Immunization Pharmacy Measure Concepts in Payer-Pharmacy Partnerships details the results of this pilot.
The pilot included two payer and two pharmacy participants: CareSource, in conjunction with CPESN Ohio pharmacies and Kroger pharmacies within Ohio; and Kroger Prescription Plans (a pharmacy benefit manager that administers prescription coverage for Kroger employees), in conjunction with Kroger pharmacies.
This work was conducted through the PQA Quality Innovation and Research Center and leveraged the center’s unique approaches to addressing challenges in developing, testing, and refining complex measure concepts.
The pilot was supported by funding from GSK, Johnson & Johnson, Pfizer and Sanofi.
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