New clinical pharmacist-led medication optimization program

We’re pleased to introduce our Genoa Comprehensive Medication Management (CMM) program, a partnership with Genoa Healthcare. The program offers a patient-centered, interactive review of current medications that may include prescription and over-the-counter medications, as well as herbal supplements.

This pharmacist-led program evaluates medication therapy for indication, effectiveness, safety and adherence, and includes data obtained through pharmacy claims, medical claims and self-report.

This member-centered initiative is an “opt-in” program. Prior to any notification or request for information going out, the participating member has a conversation with a clinical pharmacist who will explain the program and obtain consent. Individuals who opt-in agree to release information to their treating providers and back to the health plan. They also agree to engage with the clinical pharmacist and are enrolled for a period of up to 12 months, as clinically indicated.

Information shared with the provider contains medication recommendations and supports collaboration across the care team on behalf of the member.

Providers may receive outreach via fax. The faxed notification will include a list of current medications, other engaged prescribers, and recommendation(s) related to medications that are being prescribed where there may be an opportunity for medication optimization. The notification/request has 3 steps:

Review and respond to recommendations
Sign and return completed form within 14 days (optional)
Communicate all prescription changes with the individual and to their dispensing pharmacy (if applicable)

The goal of the program is to be of service to both you and the member, specifically regarding medication therapy.