6 | PHYSI­CIANS PHAR­MACY AL­LIANCE

Modern Healthcare - - HEALTHCARE’S HOTTEST -

WHAT IT DOES:

Physi­cians Phar­macy Al­liance is a phar­macy ser­vices or­ga­ni­za­tion that part­ners with Med­i­caid, Medi­care and ac­count­able care or­ga­ni­za­tion and pa­tient-cen­tered med­i­cal home pro­grams to pro­vide spe­cialty med­i­ca­tion man­age­ment. HOW IT GREW:

Physi­cians Phar­macy Al­liance’s rapid growth can be traced to the grow­ing con­cern over Medi­care costs, and the move from state-man­aged pro­grams to pri­vate­sec­tor man­age­ment of Med­i­caid and Medi­care. The com­pany part­ners with pri­vate com­pa­nies that man­age Med­i­caid and Medi­care to help the most dif­fi­cult pa­tients man­age their med­i­ca­tions.

“Un­like the com­mer­cial pop­u­la­tion, the Med­i­caid pop­u­la­tion is not ac­cus­tomed to hav­ing con­sis­tent health­care, so they are in and out of the hospi­tal and driv­ing up the cost,” CEO Judi Grupp says. “We go to the pa­tients’ homes, do in­ven­tory of their med­i­ca­tion and work with their physi­cians to es­tab­lish a med­i­ca­tion reg­i­men.” That reg­i­men, and the al­liance’s ded­i­ca­tion to help­ing pa­tients stay on it, helps to lower hospi­tal and emer­gency room vis­its and min­i­mize costs, Grupp says.

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