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Making the Way for Innovation

(W3) Collaborative Strategies for Pharmacist Reimbursement

Tuesday, April 1, 2025
3:15 PM – 4:30 PM CST
Location: Grandballroom A
CPE
ACPE UAN:0233-0000-25-016-L04-P | Contact Hours: 1.25 | Activity Type: Knowledge-based
Pharmacist credentialing and reimbursement can be complex, with each health plan approaching the process differently. This session will explore how Minnesota health plans have successfully worked together to improve pharmacist access to reimbursement while maintaining their competitive independence. Speakers will share their best practices, lessons they’ve learned, and real-world examples of how alignment on credentialing and documentation has expanded access to pharmacist-led services. Attendees will gain insight into overcoming barriers that persist even in states with favorable legislation and learn actionable strategies for fostering similar collaboration in their own regions. This session will highlight practical steps to ensure that pharmacists are recognized and reimbursed for their valuable contributions to patient care.

Learning Objectives:

At the completion of this activity, participants should be able to:
  1. Describe best practices for pharmacist reimbursement and determine how similar models could be adapted and implemented in other regions.
  2. Identify strategies that build collaboration and investment between health plans and pharmacist providers, and how Minnesota aligned to leverage comprehensive medication management (CMM) services as the standard of care for all lines of business.
  3. Describe how a network of pharmacists providing clinical services can be used for value-based care activities, including improving HEDIS/Star measures.