Exciting discussions unfolded during the recent CPESN Networks webinar, where Jeff Harrell, CEO of Cascadia Pharmacy Group, shared valuable insights as a panelist. Jeff’s perspective on direct contracting and advocating for fair pharmacy reimbursement stood out as a pivotal case study in addressing the challenges faced by community pharmacies.
Here’s a key takeaway from Jeff’s segment: “When we were being undervalued, I went straight to the top—the CEO of the health plan. I introduced myself, laid out the dire situation, and tailored my approach based on their response. This direct engagement, backed by our local value, led to fairer rates for our pharmacies within 90 days. It reinforced the power of standing firm and communicating your indispensable role in the healthcare ecosystem.”
Jeff emphasized the importance of local pharmacies demonstrating their unique value to health plans, not just PBMs. His efforts secured a carve-out contract under the national PSAO, benefiting both his pharmacies and others in the region. This bold approach exemplifies the necessity of advocating for community pharmacies’ critical roles, particularly in managed Medicaid programs.
Thank you to CPESN for hosting this enlightening conversation! If you’re navigating similar challenges or exploring direct contracting opportunities, this webinar is a must-watch. Let’s continue the conversation about how community pharmacies can thrive in today’s healthcare landscape.