Latest / Pharmacy Podcast Network / Transforming Member Outreach Through Pharmacy | Outcomes: Insights Beyond the Counter

Transcript

Transforming Member Outreach Through Pharmacy | Outcomes: Insights Beyond the Counter · Pharmacy Podcast Network

• 0:05
  Speaker 1: You are listening to the global network of podcasters dedicated
• 0:09
  Speaker 1: to the pharmacy profession. Welcome to the Pharmacy Podcast Network.
• 0:31
  Speaker 2: Thanks for joining us for another episode of Outcomes Beyond
• 0:33
  Speaker 2: the Fill your source for insights on pharmacy and health
• 0:37
  Speaker 2: plan updates and strategy. I'm Shane and I'm a MIT.
• 0:41
  Speaker 2: Will be your guides today as we dive into industry
• 0:44
  Speaker 2: trends and company initiatives shaping the.
• 0:46
  Speaker 3: Population health space.
• 0:48
  Speaker 2: To start off, thought you would give you a minute
• 0:51
  Speaker 2: to let you know who you're hearing from today, so
• 0:53
  Speaker 2: I can introduce myself. My name is Shane hall Grin.
• 0:57
  Speaker 2: I'm a senior product manager Outcomes. I've been with Outcomes
• 1:03
  Speaker 2: for fourteen years in a variety of roles and just
• 1:08
  Speaker 2: recently made the transition over to the product team. So
• 1:11
  Speaker 2: I've been exciting to kind of learn a new aspect
• 1:14
  Speaker 2: of the business and kind of build on some of
• 1:16
  Speaker 2: the knowledge I've had previously. And then admit, you want
• 1:20
  Speaker 2: to let the listeners know a little bit about yourself.
• 1:23
  Speaker 4: Yeah, sure, my name's Met Patel. I am a pharmacist
• 1:27
  Speaker 4: by trade, but now I am in the MTM field.
• 1:31
  Speaker 4: I've been in the MTM field for gosh, about ten
• 1:33
  Speaker 4: years or so, but with outcomes, have been with outcomes
• 1:37
  Speaker 4: for a little over a year. Yeah, I think I
• 1:39
  Speaker 4: just had my year mark a few weeks.
• 1:40
  Speaker 3: Ago, say, excited about that?
• 1:43
  Speaker 4: Yeah, But this is my first time being in a
• 1:46
  Speaker 4: sales position. So I'm the executive sales representative here for
• 1:50
  Speaker 4: our pair unit at Outcomes and basically, you know, interacting
• 1:54
  Speaker 4: with all these incredible health plans leadership and health plans,
• 1:57
  Speaker 4: trying to be able to help their memberships and how
• 2:01
  Speaker 4: we can help those memberships from an outcome standpoint. Specifically,
• 2:05
  Speaker 4: you know, most recently was the Medicaid conference I went to.
• 2:10
  Speaker 2: Yeah, absolutely, And you know, I think coming out of
• 2:14
  Speaker 2: that conference, amit, you and I had had just some
• 2:18
  Speaker 2: kind of like water cooler conversations where we were diving
• 2:22
  Speaker 2: into a little bit about you know, assessments, meaning like
• 2:26
  Speaker 2: health risk assessments and social determinants of health. So I
• 2:30
  Speaker 2: know some of that kind of came from some of
• 2:32
  Speaker 2: your observations at the conference. I want to tell us
• 2:36
  Speaker 2: a little bit about the show that you went to
• 2:38
  Speaker 2: and you know what you were hearing.
• 2:41
  Speaker 4: Yeah, So we went to the Medicaid Innovations Forum. I
• 2:45
  Speaker 4: believe this was the seventeenth annual one they had this
• 2:48
  Speaker 4: past year in February, and it was in Saint Pete, Florida.
• 2:53
  Speaker 4: It was colder in Saint Pete, Florida than in my
• 2:56
  Speaker 4: home of Denver, Colorado. So that was one thing, and
• 2:59
  Speaker 4: around that time I'm fed a very strange winter season.
• 3:04
  Speaker 4: But I got to say the Medicaid Innovations Conference was
• 3:09
  Speaker 4: eye opening. I think everything that kind of really stemmed
• 3:14
  Speaker 4: from was that they are living in a different reality
• 3:17
  Speaker 4: of what Medicaid used to be and what it is
• 3:19
  Speaker 4: going to be moving forward. I think the Big Beautiful
• 3:23
  Speaker 4: Bill definitely changed a lot of things for people in
• 3:25
  Speaker 4: that Medicaid space, and it's kind of reshaped how we
• 3:29
  Speaker 4: think of like redeterminations, equity mandates, workforce constraints, and also
• 3:36
  Speaker 4: member engagement and member just member contact ability, I think
• 3:42
  Speaker 4: is the main thing that I've learned a lot from
• 3:45
  Speaker 4: the Medicaid Innovations form.
• 3:49
  Speaker 3: Yeah.
• 3:50
  Speaker 2: Yeah, the contact ability is always a challenge, I know
• 3:52
  Speaker 2: in the Medicaid space. But you know, as we've been
• 3:56
  Speaker 2: kind of talking about this, what's kind of stood out
• 3:59
  Speaker 2: to me is in my higher role here at Outcomes,
• 4:03
  Speaker 2: I spent the last six years managing UH payer program performance,
• 4:08
  Speaker 2: which had me focused really heavily on CMR and adherence
• 4:12
  Speaker 2: and particularly in the Medicare space, not exclusively, but spent
• 4:17
  Speaker 2: a lot of my uh, a lot of my energy
• 4:19
  Speaker 2: and in medicare over the past six years. And obviously
• 4:25
  Speaker 2: we've heard a lot about HRS and and social determinants
• 4:29
  Speaker 2: of health in in in that space as as well.
• 4:33
  Speaker 2: So you know, hrs have obviously been pretty newsy over
• 4:37
  Speaker 2: the past year when we talk about kind of the
• 4:41
  Speaker 2: strategic role that they've started to play in kind of
• 4:45
  Speaker 2: risk adjustment strategies. But I think it's just really interesting
• 4:51
  Speaker 2: to see that, you know, Medicaid is starting to focus
• 4:55
  Speaker 2: in on it as well, kind of uh, following the
• 5:00
  Speaker 2: that we saw in the Medicare space, and it's just
• 5:03
  Speaker 2: so interesting we hear about, you know, like, what are
• 5:05
  Speaker 2: the strategic outcomes that plans are trying to get to
• 5:09
  Speaker 2: with these hrs and social determines of health, whether that's
• 5:14
  Speaker 2: Medicare or Medicaid plans, And you know, it's just so crucial,
• 5:17
  Speaker 2: I think, to recognize that whatever strategy you might have,
• 5:22
  Speaker 2: there's a really important core to do both of these things,
• 5:26
  Speaker 2: and that's these are ways to surface challenges that are
• 5:32
  Speaker 2: impacting the health and the experience of the members of
• 5:37
  Speaker 2: these plans.
• 5:38
  Speaker 4: Yeah, I completely agree with that. I think we're definitely
• 5:42
  Speaker 4: moving to healthcare outreach system where it's beyond just the conditions,
• 5:49
  Speaker 4: it's everything you know around those conditions, where there it
• 5:53
  Speaker 4: is you know, stability of what the households, like, stability
• 5:57
  Speaker 4: of travel, stability of like family needs. So I think
• 6:01
  Speaker 4: all of those things stem you know, and have all
• 6:05
  Speaker 4: of those indirect or direct you know, consequences to people's
• 6:10
  Speaker 4: health conditions. And I think people are seeing that more
• 6:12
  Speaker 4: and more as we're getting even more data coming in stuff.
• 6:18
  Speaker 3: Yeah, yeah, absolutely, you know.
• 6:21
  Speaker 2: And I think again just kind of speaking to my
• 6:25
  Speaker 2: recent experience in the medicare space, of a lot of
• 6:29
  Speaker 2: that same stuff plays out over there as well. I
• 6:34
  Speaker 2: think that especially with with HR's, one of the big
• 6:39
  Speaker 2: strategic value those is calling out all of these kind
• 6:42
  Speaker 2: of health risk gaps behavioral issues that you were just
• 6:45
  Speaker 2: kind of outlining there. And I think what's really exciting
• 6:52
  Speaker 2: and obviously like really crucial is there's a version of
• 6:57
  Speaker 2: these assessments that just kind of become a check the
• 7:00
  Speaker 2: box activity. Right, let me just make sure to get
• 7:03
  Speaker 2: this conversation completed with the patient document the information. But
• 7:09
  Speaker 2: that's an important first step, but should really be just
• 7:12
  Speaker 2: the first step, right, And I think where we really
• 7:15
  Speaker 2: start to get value out of these assessments is when
• 7:20
  Speaker 2: we are really smart, really thoughtful about what that data
• 7:26
  Speaker 2: is telling us and then trying to you know, tie
• 7:30
  Speaker 2: some meaningful action to what that's what that's telling us.
• 7:37
  Speaker 3: Yeah. No, I completely agree.
• 7:39
  Speaker 4: And I think that's the sentiment that I was hearing
• 7:41
  Speaker 4: from the Medicaid Innovations form from other health plans is
• 7:46
  Speaker 4: you know, what.
• 7:47
  Speaker 3: Are we going to do with all of this data?
• 7:49
  Speaker 4: Right? Like, how are we going to execute upon it
• 7:51
  Speaker 4: to be able to take action and help our membership populations,
• 7:56
  Speaker 4: help our most marginalized populations and help them with their conditions.
• 8:01
  Speaker 4: I think we're obviously seeing those clothes in in those
• 8:07
  Speaker 4: assessments and surveys, but I think like one of those things,
• 8:10
  Speaker 4: you know, you know, I think sdoh, right, I think everyone.
• 8:14
  Speaker 3: Talks about sdoh.
• 8:16
  Speaker 4: It's I feel like it's been a buzzword for a
• 8:19
  Speaker 4: while in our in our sector. But I think now
• 8:24
  Speaker 4: it's coming to a point of Okay, what are we
• 8:26
  Speaker 4: going to do with this information? Are we going to
• 8:28
  Speaker 4: address you know, the cost issues, or the food and
• 8:32
  Speaker 4: transportation issues, or you know, even social isolation, you know,
• 8:36
  Speaker 4: which I think is something that is growing immensely in
• 8:42
  Speaker 4: now or you know, it's from generation to generation now.
• 8:46
  Speaker 4: And I think that's the part where a lot of
• 8:48
  Speaker 4: people are wanting to know. Okay, we know about SDOH
• 8:51
  Speaker 4: in a conceptual way, but do we really understand what
• 8:54
  Speaker 4: it's going to do in an operational way and on
• 8:57
  Speaker 4: executing some of those gaps. Because it's great that we're
• 9:01
  Speaker 4: learning about those gaps, but what are some of the
• 9:03
  Speaker 4: functional parts that we can do as a health plan
• 9:06
  Speaker 4: or we can you know create as a company for
• 9:09
  Speaker 4: like outcomes. What are some of the things that we're
• 9:12
  Speaker 4: doing that can really help fill those gaps in for
• 9:15
  Speaker 4: when we're seeing those gaps occur, Right, So I think
• 9:18
  Speaker 4: that's the interesting part that everyone's thinking about, like, because
• 9:21
  Speaker 4: if we can solve those gaps inherently, we can.
• 9:24
  Speaker 3: Help with the health conditions too.
• 9:26
  Speaker 2: Yeah, yeah, no, I completely agree with you. There something
• 9:32
  Speaker 2: that kind of hits close to home for for me
• 9:35
  Speaker 2: is you know SDOH and it's connections to to adherents. Right,
• 9:41
  Speaker 2: So this is something that I've been interested in over
• 9:46
  Speaker 2: the last last several years, is how can plans be
• 9:52
  Speaker 2: really smart, really thoughtful with the types of adherence interventions
• 9:57
  Speaker 2: that they take to their membership and not trying to
• 10:03
  Speaker 2: make that a one size fits all experience, but instead
• 10:07
  Speaker 2: kind of acknowledging, Hey, let's understand that every member is
• 10:11
  Speaker 2: coming from a different spot and every member might need
• 10:15
  Speaker 2: a different touch point than you know, the rest of
• 10:18
  Speaker 2: the membership, and the information that SDOH surfaces can kind
• 10:25
  Speaker 2: of help with that, right, So we can look at
• 10:29
  Speaker 2: somebody who has a transportation issue and think about their
• 10:32
  Speaker 2: adherence through that lens. You know, if they are having
• 10:36
  Speaker 2: trouble getting to the pharmacy, that could be what's driving
• 10:41
  Speaker 2: adherence challenges that they might be experiencing. You know, maybe
• 10:46
  Speaker 2: related to that, if there's cost concerns that they have
• 10:50
  Speaker 2: based on you know, socioeconomic factors that could lead you
• 10:53
  Speaker 2: down a different different path of what you want to
• 10:55
  Speaker 2: do with each each specific with each specific member. So,
• 11:02
  Speaker 2: you know, it's been that's kind of been in my
• 11:05
  Speaker 2: mind the backdrop and what's kind of happening out in
• 11:10
  Speaker 2: the industry, and it's been, uh, you know, really interesting
• 11:12
  Speaker 2: to see in in in our day to hear at
• 11:15
  Speaker 2: outcomes kind of how that's uh been reflected. So over
• 11:20
  Speaker 2: the past several years, we've been able to uh deploy
• 11:24
  Speaker 2: some some offerings for both uh social determinants of health
• 11:28
  Speaker 2: and then more recently HRA and it's been very interesting
• 11:32
  Speaker 2: to see, Hey, the folks who are you know, uh
• 11:37
  Speaker 2: having adherence challenges, having challenges in other parts of their.
• 11:42
  Speaker 3: Care?
• 11:44
  Speaker 2: What are they reporting? What are what are we hearing
• 11:47
  Speaker 2: back in the assessments that we're we're doing with them?
• 11:54
  Speaker 4: What were some of like I guess like the highest
• 11:56
  Speaker 4: assessments we've seen on our end as far as those barriers.
• 12:01
  Speaker 2: Yeah, I mean I mentioned this one a little bit
• 12:04
  Speaker 2: earlier because it's right at the top of the list,
• 12:05
  Speaker 2: but transportation is one that we definitely heard a lot about.
• 12:11
  Speaker 2: It's a transportation food access, medication access, and then utility
• 12:17
  Speaker 2: is kind of interesting enough as being some of those
• 12:20
  Speaker 2: particular challenges that that folks were uh were reporting. But again,
• 12:26
  Speaker 2: I just think this kind of emphasizes, like, it's great
• 12:28
  Speaker 2: that we know that information now, but the next crucial
• 12:32
  Speaker 2: step is what are you going.
• 12:33
  Speaker 3: To do about it? Right? Yeah?
• 12:36
  Speaker 4: Yeah, And I think you know that's something that we
• 12:38
  Speaker 4: were seeing the conference too, when discussing with other health
• 12:42
  Speaker 4: plans and just in you know general with some of
• 12:44
  Speaker 4: the conferences, some of the conversations I've been having with
• 12:47
  Speaker 4: specifically more of those Medicaid health plans or whatnot. And
• 12:52
  Speaker 4: I know that's a big reason why there's you know,
• 12:55
  Speaker 4: this uh verural health transformation you know initiative happening yeah
• 12:59
  Speaker 4: the next five years too, which I think everyone's still
• 13:02
  Speaker 4: kind of pretty pretty excited about seeing where it goes,
• 13:07
  Speaker 4: and also nervous on like how do we implement this?
• 13:09
  Speaker 4: How do we really get people, you know, to operationalize
• 13:13
  Speaker 4: this to to be able to address some of these issues,
• 13:16
  Speaker 4: because it's it's no, it isn't news that the role
• 13:22
  Speaker 4: communities are hurting right with lack of resources, But what
• 13:26
  Speaker 4: are we going to do to help in those areas?
• 13:29
  Speaker 4: And I think that's the part that everyone's wondering, is
• 13:32
  Speaker 4: how do you operationalize this? Or who do you partner
• 13:35
  Speaker 4: with to operationalize things like this?
• 13:37
  Speaker 3: Right? Yeah?
• 13:39
  Speaker 2: Yeah, absolutely, And I think one of the inherent challenges
• 13:43
  Speaker 2: that comes with that is as do H and hr A,
• 13:47
  Speaker 2: they can they can be more sensitive conversations, right or so,
• 13:51
  Speaker 2: I think plans need to be mindful of who they're
• 13:55
  Speaker 2: putting in a position to try to have those conversations
• 13:59
  Speaker 2: with their members. And this also ties in and that
• 14:04
  Speaker 2: we were just talking about Royal Health Transformation, and you know,
• 14:08
  Speaker 2: a big emphasis in that is community based touch points
• 14:13
  Speaker 2: and taking advantage of underutilized points of care. And I
• 14:19
  Speaker 2: think all of this, you know, we have to trust
• 14:23
  Speaker 2: the person who's trying to talk to us as part
• 14:25
  Speaker 2: of these assessments. We need them available in our community.
• 14:29
  Speaker 2: Like all just kind of coalesces, I think in a
• 14:32
  Speaker 2: really nice way around the community pharmacy, right, which is
• 14:38
  Speaker 2: obviously a space that we focus on a lot here
• 14:43
  Speaker 2: in outcomes. That's you know, our pharmacy network. We've always
• 14:48
  Speaker 2: kind of promoted and been big believers in the fact
• 14:52
  Speaker 2: that the community pharmacies are just so well positioned to
• 14:58
  Speaker 2: help with help with the care of a plans membership
• 15:03
  Speaker 2: because they have that trusted relationship with the members already.
• 15:08
  Speaker 2: These people already walking into the door at the pharmacy
• 15:10
  Speaker 2: filming their scripts, they know the person working behind the
• 15:12
  Speaker 2: counter have conversations with them as they're they're picking up
• 15:15
  Speaker 2: their meds, and so that becomes I think an easier
• 15:19
  Speaker 2: transition to some of these more sensitive conversations to be
• 15:24
  Speaker 2: able to do it with somebody who the patient already
• 15:27
  Speaker 2: knows and trusts.
• 15:30
  Speaker 4: Yeah, and like a lot of times, pharmacies are seen
• 15:32
  Speaker 4: as like a pillar of the community, right. Yeah. They're
• 15:35
  Speaker 4: one of the most healthcare accessible providers that you can
• 15:39
  Speaker 4: have within a community. There's no appointments, you know, to
• 15:42
  Speaker 4: ask your pharmacists for a question or anything of that nature.
• 15:46
  Speaker 4: And also they're a wealth of knowledge related to the
• 15:49
  Speaker 4: drug information. You know, they're basically handoff from you know,
• 15:52
  Speaker 4: what the prescriber wants or what the provider wants to
• 15:55
  Speaker 4: what the patient's actually doing at home. I think people
• 15:59
  Speaker 4: sometimes forget that the number one reason people get hospitalized
• 16:03
  Speaker 4: to begin with is because of non adherence related to
• 16:05
  Speaker 4: regimens that have already been agreed upon the you know,
• 16:08
  Speaker 4: primary clinic appointment or whatnot. So I think that's you know,
• 16:13
  Speaker 4: really driving that home again related to pharmacists, because I
• 16:17
  Speaker 4: think pharmacists you know, are really ready to kind of
• 16:20
  Speaker 4: take that mantle up, you know, and really being able
• 16:23
  Speaker 4: to dress those especially with a lot of independent pharmacies,
• 16:26
  Speaker 4: you know, they're looking for more diverse ways to be
• 16:29
  Speaker 4: able to help with you know, revenue opportunity where you know,
• 16:32
  Speaker 4: sometimes it comes down to that to be able to
• 16:35
  Speaker 4: be able to survive and sustain your pharmacy, because you know,
• 16:38
  Speaker 4: sometimes just dispensing the medications aren't enough right now for
• 16:43
  Speaker 4: a lot of pharmacies, whether that be big, big pharmacies,
• 16:46
  Speaker 4: small pharmacies, or medium chain pharmacies too. So yeah, I
• 16:49
  Speaker 4: think pharmacies are totally put in a perfect place to
• 16:53
  Speaker 4: help in this, especially in the rural communities, which you know,
• 16:56
  Speaker 4: I'm very passionate about, you know, growing up in a
• 16:58
  Speaker 4: small town myself in Florida, so it is something that
• 17:01
  Speaker 4: you know that my parents always needed help with with
• 17:05
  Speaker 4: the local pharmacists in that area. And it's just when
• 17:08
  Speaker 4: you're when you're comfortable with that local pharmacist be able
• 17:11
  Speaker 4: to address some of those questions that maybe you didn't
• 17:13
  Speaker 4: get a chance.
• 17:13
  Speaker 3: To ask the provider during that appointment time.
• 17:16
  Speaker 4: I think that's another way that we can really utilize
• 17:20
  Speaker 4: engagement on that platform for you know, completing SDOH and.
• 17:24
  Speaker 3: H r A surveys too.
• 17:26
  Speaker 2: Yeah, yeah, absolutely, I mean I can even just relate
• 17:29
  Speaker 2: to this personally, kind of piggybacking what you said about
• 17:33
  Speaker 2: growing up in a in a small town. I here
• 17:36
  Speaker 2: in Iowa, grew up in a small town, still live
• 17:40
  Speaker 2: in a small town, although larger than the one that
• 17:43
  Speaker 2: I grew up in. But you know, the local pharmacist
• 17:47
  Speaker 2: who works at the you know, local grocery chain. We
• 17:52
  Speaker 2: see him around town, say hi. He knows the family.
• 17:55
  Speaker 2: You say hi to him if we're going in to
• 17:56
  Speaker 2: pick stuff up. So it's just like you're saying, a
• 18:00
  Speaker 2: cornerstone of the community and people know and trust their
• 18:04
  Speaker 2: local pharmacists. But you know, uh, just to maybe add
• 18:08
  Speaker 2: a little bit more there, I think that this really
• 18:12
  Speaker 2: goes to show that, you know, pharmacists can play an
• 18:16
  Speaker 2: important role in having the initial conversation, and that's great
• 18:23
  Speaker 2: for starting to collect the data. But like we were
• 18:25
  Speaker 2: just saying, like that's only part of the of the journey, right,
• 18:29
  Speaker 2: that needs to be step one. And I think what's
• 18:33
  Speaker 2: also really important to call out is that pharmacists, because
• 18:36
  Speaker 2: of that like expertise and that knowledge that they have,
• 18:39
  Speaker 2: can surface some really important UH dynamics with with each patient.
• 18:45
  Speaker 2: And we've seen that in the sto H programs that
• 18:48
  Speaker 2: we've run in the past, where when pharmacists are identifying
• 18:52
  Speaker 2: issues a vast majority of the time they're able to uh,
• 18:57
  Speaker 2: you know, pair the patient with something that helps to
• 19:02
  Speaker 2: address that issue.
• 19:09
  Speaker 4: I think also related to the conference themes that I
• 19:14
  Speaker 4: think aligned to like pharmacy as a solution is that
• 19:18
  Speaker 4: there is you know, an access part that we're able
• 19:22
  Speaker 4: to fill in. There's a network abundance that we do
• 19:26
  Speaker 4: have related into you know, the US.
• 19:29
  Speaker 3: We have like I think above, like over fifty.
• 19:32
  Speaker 4: Thousand pharmacies right chain in our network right now. I
• 19:35
  Speaker 4: feel like we're adding every every every year, right or pharmacy.
• 19:41
  Speaker 4: And then also just having you know, the technology there
• 19:44
  Speaker 4: to support pharmacies because hey, let's face it, you know,
• 19:47
  Speaker 4: I again coming from coming from the pharmacist background to
• 19:52
  Speaker 4: you're doing a lot back in the retail setting, right
• 19:55
  Speaker 4: You're you're managing dispensing, you got a few a few medications,
• 19:59
  Speaker 4: and that you dication process, you're maybe behind on pickup times.
• 20:03
  Speaker 4: We need the technology to always be you know, there
• 20:07
  Speaker 4: to support pharmacies to be continue to be efficient. And
• 20:11
  Speaker 4: I think that's the part that you know, related to
• 20:14
  Speaker 4: to our platform is that we can really create a
• 20:17
  Speaker 4: step by step process for our HRIS, for the SDOH conversations,
• 20:23
  Speaker 4: so that we're supporting pharmacies not only to have like
• 20:27
  Speaker 4: meaningful conversations but also efficient conversations to really get to
• 20:30
  Speaker 4: the root cause of the issues so that we can
• 20:33
  Speaker 4: really help these members in the long haul. Because if
• 20:38
  Speaker 4: we're not helping if the members having food issues or
• 20:41
  Speaker 4: you know, shelter issues or any type of issues related
• 20:46
  Speaker 4: to food access or anything of that sort, you know,
• 20:49
  Speaker 4: those are going to definitely be a little bit higher
• 20:52
  Speaker 4: on the on the needs for a patient than maybe
• 20:54
  Speaker 4: this medication, you know, So like that may be one
• 20:59
  Speaker 4: thing that like we really need to focus on. Is
• 21:03
  Speaker 4: kind of like those the hierarchy of needs, right, Like
• 21:05
  Speaker 4: if those other needs aren't met, you can't think of
• 21:07
  Speaker 4: the next level that you need to follow up on
• 21:10
  Speaker 4: related to your medication adherence because it isn't like an
• 21:13
  Speaker 4: immediate danger to you right now. But like we know,
• 21:16
  Speaker 4: hypertension is a silent killer, right It's it's silent that
• 21:21
  Speaker 4: that goes throughout our whole uh, that goes through our
• 21:24
  Speaker 4: whole society here in America, And I think it's something
• 21:27
  Speaker 4: that you know, we always need to try to be
• 21:30
  Speaker 4: on top of. And I think that just comes from
• 21:31
  Speaker 4: education too for a lot of members and understanding that
• 21:34
  Speaker 4: but then also being able to just help them get
• 21:36
  Speaker 4: access to those medications in an easier way for those
• 21:41
  Speaker 4: membership populations.
• 21:43
  Speaker 2: Yeah, and then I think it's also plugging them into
• 21:47
  Speaker 2: other resources that can help them, right, like whether that's
• 21:53
  Speaker 2: care coordination offered by the plan, or whether that's like
• 21:57
  Speaker 2: a local resource for uh, you know, food insecurity or
• 22:01
  Speaker 2: you know, something along those lines that needs to be
• 22:05
  Speaker 2: an important part of this as well. And so I
• 22:07
  Speaker 2: think that's something that we're all excited about. It outcomes
• 22:11
  Speaker 2: that you know, our offerings, especially around social determinants of health,
• 22:16
  Speaker 2: can uh start to close some of those gaps and
• 22:19
  Speaker 2: plug UH members in with some of those additional resources
• 22:23
  Speaker 2: that'll help get them on uh, you know, the right
• 22:26
  Speaker 2: path to better outcomes. And obviously being able to do
• 22:30
  Speaker 2: that in a nationwide, scalable person to person way, you know,
• 22:38
  Speaker 2: it's just in our opinion obviously kind of the winning approach.
• 22:43
  Speaker 3: Yeah, of course.
• 22:45
  Speaker 4: And I think if I learned anything from this conversation
• 22:50
  Speaker 4: with you know, amazing amazing leadership from the medicaid world, Honestly,
• 22:55
  Speaker 4: I feel like I've I've always respected Medicaid a lot,
• 22:59
  Speaker 4: but I i feel like I've given them ten times
• 23:01
  Speaker 4: more respect after talking to them, especially with, you know,
• 23:04
  Speaker 4: I feel like they're constantly especially now in more recent years,
• 23:11
  Speaker 4: you're told to.
• 23:11
  Speaker 3: Do more with less.
• 23:13
  Speaker 4: I feel like and I think in this engagement right now,
• 23:17
  Speaker 4: you know, medicaids really really having to just meet the
• 23:21
  Speaker 4: members where they're at, you know, whether those be community
• 23:25
  Speaker 4: group leaders, whether they be you know, other community organizations
• 23:31
  Speaker 4: outside of the traditional organizations that you partnered with.
• 23:36
  Speaker 3: Now.
• 23:36
  Speaker 4: I also think pharmacists too were going to be needing
• 23:39
  Speaker 4: to be partnered with to be able to help some
• 23:42
  Speaker 4: help close some of these gaps because I think in
• 23:44
  Speaker 4: these rural communities specifically, most of them are closer to
• 23:48
  Speaker 4: their pharmacies than they are to the prescriber who's maybe
• 23:52
  Speaker 4: a couple hours in the bigger city in that state.
• 23:54
  Speaker 4: You know, I think that pharmacies sometimes are like twenty
• 23:57
  Speaker 4: minutes down the road versus like two hours in the
• 24:01
  Speaker 4: primary care specialists that is seeing them. So I think
• 24:05
  Speaker 4: that's another big part for why it's an untapped resource.
• 24:10
  Speaker 4: And I was shocked when I was at Medicaid Innovations.
• 24:12
  Speaker 4: You know, some of the health plans and some of
• 24:15
  Speaker 4: the state departments didn't really know who outcomes were. And
• 24:19
  Speaker 4: I was like, oh wow, Okay, there's still people out
• 24:22
  Speaker 4: there who are unsure about our name. And it's kind
• 24:24
  Speaker 4: of great because it's like, oh, this is an extra
• 24:26
  Speaker 4: resource that you could have and you know, your whole
• 24:31
  Speaker 4: system of levers that you're pulling to engage with patients.
• 24:34
  Speaker 4: And I think that was really really enlightening to hear
• 24:40
  Speaker 4: and really humbling also to hear that, hey, like pharmacies
• 24:43
  Speaker 4: aren't still being utilized in these areas or didn't know that.
• 24:46
  Speaker 3: They can be utilized this way. Yeah.
• 24:51
  Speaker 2: Absolutely, and I think it's just going to be so
• 24:55
  Speaker 2: interesting to see where these assessments go in the future. Again,
• 25:01
  Speaker 2: like we talked about with the medicare space, we've definitely
• 25:05
  Speaker 2: seen the check a box version of these, and those
• 25:10
  Speaker 2: have their place and a plan strategy and I can
• 25:12
  Speaker 2: obviously understand that. But the real value with these, and
• 25:15
  Speaker 2: it seems like this is where the medicaid plans are
• 25:19
  Speaker 2: going to really start seeing the value too, is let's
• 25:22
  Speaker 2: not just collect the data, but let's make sure that
• 25:24
  Speaker 2: we're using it, and you know, starting at the pharmacy
• 25:29
  Speaker 2: counter to your point of met where we can have
• 25:33
  Speaker 2: a member walk right in and ask these questions and
• 25:36
  Speaker 2: engage with a healthcare professional. Seems like a great place
• 25:40
  Speaker 2: to start, so yeah, really excited to see how this
• 25:45
  Speaker 2: journey continues in the medicare space and then how it
• 25:51
  Speaker 2: grows in the medicaid space as well.
• 25:54
  Speaker 4: Yeah yeah, and who knows, maybe next year this is
• 25:58
  Speaker 4: all going to be changed and this is going to
• 25:59
  Speaker 4: be something completely different, but we will definitely be here
• 26:05
  Speaker 4: talking about it. So again, thanks everyone for listening. We're
• 26:09
  Speaker 4: committed to bring you the latest insights in healthcare innovation
• 26:12
  Speaker 4: and strategy. If you found this valuable, subscribe so you
• 26:16
  Speaker 4: don't miss our next episode, and until then, stay curious.
• 26:20
  Speaker 4: This is a great conversation with you, Shane. Thanks again, Yeah,
• 26:24
  Speaker 4: thanks for that.