The American Journal of Pharmacy Benefits

Galvanizing Growth: Value-Based Medication Management Services in Medical Homes and ACOs | Page 3

Published Online: February 19, 2014
Marie Smith, PharmD; Jeannette Wick, RPh, MBA
To move from isolated or redundant pilot programs to a widespread advancement in pharmacist-provided MMS, pharmacists need to market existing successes. Word-ofmouth praise from satisfied patients and caregivers is a start replete with credibility, but insufficient for real growth. All stakeholders need to know that pharmacists have unrealized potential. Pharmacists, state and national pharmacy organizations, and pharmacist employers need to prepare and distribute simple, straightforward messages that will amplify the messages that some satisfied patients are voicing. It’s time to create a buzz and deliver more widespread MMS, especially in PCMHs and ACOs.


The symposium communicated the value of innovative pharmacist-led MMPs. The time is here for novel, scalable, and sustainable medication management services as part of new care delivery and payment reform initiatives. Clearly, pharmacists and their representative organizations need to be active participants in established medical home or ACO learning collaboratives that facilitate dialogues on MMP successes, challenges, and practical implementation strategies. Finally, pharmacists who have successful MMPs need to share their stories with multiple stakeholders—consumers, healthcare clinicians, payers, practice administrators and staff, benefit managers, and policy makers—so that pharmacists’ expertise and their impact on care quality and cost savings can be promulgated.

Take-Away Points

Conference attendees learned practical strategies for innovative pharmacist-provided medication management services (MMSs) that can be applied to medical homes and accountable care organizations (ACOs): 
  • Team-based care is crucial for care coordination and quality improvement initiatives to optimize chronic disease medication outcomes, promote medication safety, and assure cost-effective regimens.

  • Pharmacists have the expertise to manage both the clinical and administrative aspects required for appropriate, safe, and cost-effective medication use. 

  • It will be important to experiment with various care delivery and payment models for pharmacist-provided MMSs as medical homes and ACOs evolve.
Author Affiliations: University of Connecticut School of Pharmacy, Storrs, CT (MS, JW).

Funding Source: None reported.

Author Disclosure: The authors (MS, JYW) report no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this article.

Authorship Information: Concept and design (MS, JYW); acquisition of data (MS, JYW); analysis and interpretation of data (MS, JYW); drafting of the manuscript (MS, JYW); critical revision of the manuscript for important intellectual content (MS, JYW); administrative, technical, or logistic support (MS, JYW); supervision (MS).

Address correspondence to: Marie Smith, PharmD, University of Connecticut School of Pharmacy, Storrs, CT 06269. E-mail: marie.smith@
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Issue: January/February 2014
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