A pharmacist’s medication management skill can enhance health outcomes and quality of life for members of Medicaid, Medicare, and commercial health plans — especially for members who have serious medical conditions or need closely coordinated pharmaceutical care. For this reason, UMass Medical School’s Clinical Pharmacy Services program has developed a specialized medication therapy management program for high-cost populations with complex medical conditions or other issues that put them at risk.
The Clinical Pharmacy Services pharmacists who work within this program have expertise with high-cost, high-risk populations. They also understand coverage limits and can nimbly navigate the health care system. Currently, these pharmacists work as part of care coordination teams for the following populations:
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Medically fragile children under age 22
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Adults with multiple chronic, complex conditions, such as acquired brain injury with other co-morbidities
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Children in the care of social services
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Children in the care of, or about to enter, the foster care system
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Members with complex medical needs being discharged from hospitals