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Provider and Member Education in Managed Care Pharmacy

This presentation explores strategies in provider and member education in managed care pharmacy, discussing benefits, pharmacist roles, and important considerations. Learn how educating providers and members can improve care quality, outcomes, and reduce costs.

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Provider and Member Education in Managed Care Pharmacy

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  1. Provider and Member Education in Managed Care Pharmacy Presentation Developed for theAcademy of Managed Care Pharmacy Updated: February 2015

  2. Objectives Describe strategies used in provider and member education related to managed care pharmacy Discuss important considerations in education Describe the benefits and role of the pharmacist in provider and member education programs

  3. Provider Education Goals

  4. Motivating Factors for Providers Improve quality of care Increase positive outcomes Reduce adverse events Avoid organizational penalties Maintain prestige among colleagues Respond to patient demands Increase potential revenue

  5. Provider Education

  6. Member Education Goals

  7. Motivating Factors for Members • Decreased out of pocket costs • Self care education • Empowerment in maintenance of personal health • Realization of disease control • Support systems • Incentives for self care

  8. Types of Member Education

  9. Important Considerations

  10. Additional Considerations Health literacy Format Content Focus groups Gather input from audiences through surveys or discussions Incorporate feedback to make programs more meaningful

  11. Pharmacist Role in Education

  12. Education Role of a Pharmacist • Pharmacists are accessible • Patients trust information provided • Providers value input from a member of the healthcare team (i.e. medical home)

  13. Summary Provider and member education enhances knowledge and changes behavior Educational programs help maintain high quality of care Educational programs help reduce overall health care costs

  14. Thank you to AMCP member Kat Wolf for updating this presentation for 2015

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