|
||||||||||||
» |
Visit Communities > Pennsylvania Name of Organization: Coordinated Care Network
WHO WE ARE Coordinated Care Network (CCN) is a non-profit organization formed in 1996 that provides case management and 340B pharmacy services to underserved populations in 10 counties across southwestern Pennsylvania (including Pittsburgh). CCN’s mission is to reduce “system” costs through its case management and prescription discount programs, and in the process, generate sufficient earned income to finance health care for its uninsured population. CCN is comprised of 13 non-profit member agencies that provide medical, social and behavioral health services to vulnerable populations through 194 programs at 79 sites. Creation of CCN was initially funded by 10 local and 2 national foundations, and subsequently funded through the federal Community Access Program (CAP) recently renamed Healthy Communities Access Program. HOW WE BEGAN The concept to create the network came from CCN’s President & CEO Jeff Palmer. At the time, he was the Executive Director of East Liberty Family Health Care Center (an FQHC) and had observed several real-life situations where patients and their children were in need of a more coordinated system of care that would enable them to access multidisciplinary services. Mr. Palmer presented the idea to his board, and it was approved in December 1995. In May 1996, Mr. Palmer held a community meeting for local providers, advocates, elected officials, clergy and citizens and presented his vision for a network that would:
A strategic planning committee, made up of providers, advocates and other volunteers, was then created and began meeting two to three times per month for two consecutive years, to develop the business plan, by-laws and basic corporate structure for the network. Mr. Palmer subsequently presented the business plan to the leaders of Pittsburgh-based foundations that funded health care and requested start-up funds to build the network. Operations began on March 15, 1998, and by the fall of that same year, twelve interested agencies representing a combination of medical, social and behavioral health safety-net providers joined the network, bringing high-risk patient experience and the grassroots relationships needed to reach CCN’s target population. WHAT WE DO Coordinated Care Network operates a 340B Physician Dispensing and Mail Order program that provides health centers and other eligible covered entities with an on-site physician dispensing system, prepackaged medications, and centralized refill services. Through this system, covered entities are able to obtain medications at 340B cost, offer significant discounts to both uninsured patients and public/private insurers, increase convenience and compliance, and generate new revenue streams for their organizations. Coordinated Care Network also operates a 340B Poly-Pharmacy Member Case Management program that enables underserved populations to become eligible for 340B discounted medications through a case management relationship with a covered entity and CCN’s pharmacy and mail order facility. Enrolled poly-pharmacy members (those on multiple medications) receive case management services, medication reviews, free home delivery, and refill reminder services at no cost. As a result, the HMO receives cost savings, the covered entity generates new revenue streams, and CCN receives dispensing fees. In addition to operating these programs, CCN also provides 340B consulting services for case management, physician dispensing and mail order operations. Typical clients are either state government or covered entities which own and operate both Medicaid HMOs and ambulatory health care facilities. OUR RESULTS (Data as of 7/04) Since the launch of the 340B Physician Dispensing and Mail Order program in September 2002, CCN has contracted with forty-six (46) facilities for implementation, processed over 48,000 prescriptions and saved $1,735,436 or 63% on drug purchases as compared to Average Wholesale Price (AWP). The 340B Poly-Pharmacy Member Case Management program, which launched in May 2004, has exceeded all targets including number of health risk assessments completed (over 50%), and number of members to transfer prescriptions to the CCN Pharmacy (over 43%). To date, the total number of prescriptions filled through the program is approximately 3,000. WHERE WE ARE GOING CCN’s success in developing and implementing their programs has resulted in inquiries from health care facilities and governing bodies in other states to replicate the models for their populations. The state of Pennsylvania is currently working on a pilot to apply the Poly-Pharmacy Case Management model to Medicaid fee-for-service recipients.
|
|||||||||||
|
| Go To Top | Home | Contact US | Disclaimer | |
||||||||||||
