An NCPA® Program, Powered by CPESN®
ACCESS to Pharmacy Care enables community pharmacy participation in CMS ACCESS, supporting national scale and sustainable engagement. Participation is open to NCPA members and CPESN participating pharmacies.
CARE TRACKS
Outcome metrics and payment model
CMS ACCESS is the largest service-based program ever available to pharmacists. Payment under the new model will be driven by improved health outcomes for Medicare patients with chronic conditions as described in the four tracks below. It will also test whether technology can improve patient outcomes and lower costs.
01
eCKM
Qualifying conditions:
HTN, Obesity, Prediabetes
Outcomes Measured:
Blood pressure, Weight, HbA1c, LDL-C
02
CKM
Qualifying conditions:
ASCVD, Diabetes, CKD
Outcomes Measured:
Blood pressure, Weight, HbA1c, LDL-C
If CKD or DM also need baseline, eGFR & uACR
03
MSK
Qualifying conditions:
Chronic Pain
Outcomes Measured:
Patient Reported Outcome Measures (PROM): Pain Intensity and Improvement Surveys
04
BH
Qualifying conditions:
Depression, Anxiety
Outcomes Measured:
Patient Reported Outcome Measures (PROM): PHQ-9, GAD-7
OPERATIONAL CONTEXT
Medical direction for Access
ACCESS to Pharmacy Care is operated through CPESN, with clinical services under medical direction provided by Gameplan Medical.
BENEFITS
Why Access to Pharmacy Care?
Benefit
Use this space to promote the business, its products or its services.
Benefit
Use this space to promote the business, its products or its services.
Benefit
Use this space to promote the business, its products or its services.
For NCPA members and CPESN participants
If you're not currently an NCPA member or a CPESN participant, join to enroll in Access to Pharmcy Care.
FAQ
Your questions, answered