Hyphen, Healthfirst Collaboration to Empower Pharmacists’ Role in Value-Based Care Receives 2024 Points of Light Award from KLAS Research
May 15 2024 - 3:27PM
Business Wire
Hyphen, the technology company creating connected-care, has
received a 2024 Points of Light Award from KLAS Research, the
leading healthcare research and insights firm, for its efforts to
improve payer-provider collaboration in support of improved
outcomes in value-based care with Healthfirst, a non-profit health
plan serving close to 2 million New Yorkers.
This press release features multimedia. View
the full release here:
https://www.businesswire.com/news/home/20240515933791/en/
Hyphen’s Suzanne Wogelius, Vice President
of Product and Growth, presenting the KLAS Research 2024 Points of
Light Award-winning Hyphen Pharmacy Assistant application case
study at the KLAS Research K2 Collaborative Summit in Salt Lake
City, UT (Photo: Business Wire)
KLAS recognized Hyphen’s Pharmacy Assistant application, which
supports Healthfirst’s Pharmacy Incentive Program. The program is
designed to empower community pharmacists within Healthfirst’s
network to take action to improve medication adherence rates,
increase members’ understanding of their health plan benefits, and
get compensated for those actions. This program is especially
impactful because 80% of Medicare Advantage members in New York
visit their community pharmacy 5-10 times annually — more than they
visit their primary care doctor.
The Pharmacy Assistant application connects disparate data
sources and delivers real-time, actionable information in
pharmacists’ existing workflows so they can close care gaps.
“We are pleased to receive recognition from KLAS for our
commitment to assisting the community pharmacists that Healthfirst
members know and trust to support their complex care journeys,”
said Suzanne Wogelius, Vice President of Product and Growth,
Hyphen. “Addressing medication adherence is critical for improving
clinical outcomes for members and financial outcomes for
mission-driven health plans such as Healthfirst.”
Hyphen developed the Pharmacy Assistant application through a
partnership with the Healthfirst Pharmacy Services team and
PrimeRX/Micro Merchant Systems, a vendor of the PrimeRX and
PrimePOS software used by more than 40% of independent pharmacists
in the New York City area and utilized in 72% of interactions
between community pharmacies and Healthfirst’s Medicare
members.
Through the Pharmacy Incentive Program, community-based
pharmacists receive financial rewards when they take action to
improve Healthfirst members’ health such as providing outreach to
refill prescriptions, switching prescriptions to 90-day supply, and
educating members about their health insurance benefits.
To date, 250 pharmacies serving Healthfirst Medicare members
have implemented the program, which has a goal of expanding to 400
pharmacies by the end of 2024. Key outcomes from the
collaboration:
- 98% adoption of Pharmacy Assistant
- Over 18,600 Healthfirst members with completed activities by
community pharmacists
- An up to 2.1% increase in medication adherence rates for
pharmacies using Pharmacy Assistant (compared to the overall
Healthfirst average)
- 10,959 prescriptions converted from 30-day to 90-day
refills
- Over 1,000 members used a solution to help them align with the
right benefits plan and receive financial assistance
Wogelius and GT Sweeney, Healthfirst’s Chief Information
Officer, presented the Hyphen case study at the K2 Collaboration
Summit on May 14-15 in Salt Lake City. The event, hosted by KLAS,
highlighted successful payer-provider collaboration initiatives to
eliminate financial and administrative waste and improve the
patient experience.
About Hyphen
Hyphen is a healthcare technology company that makes it easy for
health plans, providers and community organizations to share data
and work together to deliver connected-care. The composable Hyphen
platform is payer agnostic and uses real-time FHIR-based
integration to enable access to critical information when and where
it’s needed most — so all healthcare stakeholders can align care
coordination efforts around the patient. As a subsidiary of HF
Management Services, LLC, Hyphen was built with deep experience in
value-based care, a focus on health equity, and a steadfast
commitment to ensuring value flows in ways that benefit the whole
healthcare system. Learn more at hyphencare.com.
About Healthfirst
Healthfirst, one of New York’s largest not-for-profit health
insurance companies, has earned the trust of close to 2 million
members by ensuring access to affordable and high-quality
healthcare. Sponsored by downstate New York’s leading hospital
systems, Healthfirst’s unique advantage is rooted in its mission to
put members first by partnering closely with its broad network of
providers on shared goals. Healthfirst is also a pioneer of the
value-based care model, now recognized as a national best practice.
For more than 30 years, Healthfirst has worked with its network of
hospital systems, community providers, and partners to improve
health outcomes and advance health equity through better access to
care—especially in underserved communities adversely impacted by
disease, health disparities, and socioeconomic barriers to optimal
health. Healthfirst has built its reputation in the community for
top-quality products and services New Yorkers can depend on. It
offers market-leading products to fit every life stage, including
Medicaid plans, Medicare Advantage plans, Long-Term Care plans,
Qualified Health plans, Essential Plans, and individual and small
group plans. Healthfirst serves members in New York City and on
Long Island, as well as in Westchester, Rockland, Sullivan, and
Orange counties. For more information on Healthfirst, please visit
healthfirst.org.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20240515933791/en/
pressinquiries@hyphencare.com