Boost Pharmacy Revenue in 2025 with EQUIPP
Looking for ways to boost your pharmacy’s revenue potential in 2025? Let’s walk through the latest EQUIPP platform updates, quality measure improvements, and revenue-generating opportunities that can transform your pharmacy’s financial performance this year.
Year-to-Date Data Now Available
The biggest update in May 2025 was the return of year-to-date data as the default measurement period. This is important as most performance-based programs use year-to-date data for evaluation and bonus payment calculations.
Key Dashboard Details:
- Data reflects adjudicated claims from January 1st to March 31st, 2025
- Each performance score is displayed in measure tiles on the main dashboard
- Goals are automatically set to CMS Five Star expectations for 2025
- All tile graphs will appear linear (bright blue boxes) since we’re only looking at the first quarter’s data
Pro Tip: Compare Your Performance Year-Over-Year
Don’t just look at your current 2025 performance—leverage EQUIPP’s historical data capabilities. Change your date range to January-March 2024 to see how you’re comparing to last year’s start. This comparison is invaluable for new staff training and goal setting to better understand performance trends and identify areas of improvement or decline.
Understanding Your Quality Measure Performance
The Benchmarking Revolution
EQUIPP’s Measure Performance screen now offers unprecedented benchmarking capabilities through two critical components:
- Comparative Analysis Table- When you select any quality measure from the dashboard, you’ll access a comprehensive benchmarking table showing:
- How your pharmacy compares to your organization/PSAO average
- Your performance against other EQUIPP users
- State-level comparisons with other pharmacies
This comparative data is crucial for understanding your competitive position and identifying improvement opportunities.
- QIP (Quality Improvement Program) Table- The QIP table provides detailed analysis of threshold requirements across different programs where you are eligible to earn bonus dollars. Make the most of these QIP tips:
- Programs are sorted by highest to lowest patient volume
- Program-Specific Goals: Each health plan has different threshold requirements
- Patient Attribution: Shows exactly which patients count toward each program
- Direct Navigation: Click the square-and-arrow icon to jump directly to relevant patient data
Understanding Patient Attribution and Goals
Different health plans have different expectations, which means:
- CMS Five Star goals on the main screen differ from individual program goals
- Each patient is attributed to specific health plan programs
- Consider focusing on programs with the highest patient volumes for maximum impact
- Know your contracts! This is the best source to understand how to prioritize your quality improvement work to maximize bonus payments.
Maximizing Revenue Through Patient Data Utilization
Digging into The Patient Data
EQUIPP’s patient data capabilities are your secret weapon for both quality improvement and revenue generation. The tab displays all patients attributed to quality measures (not just outliers). Reminder: only adjudicated claims data is reflected (cash and discount card patients won’t appear) in performance calculations and patient-level insights.
Identifying and Managing Outliers
Outliers are patients not meeting measure expectations who negatively impact your performance scores. For example: In PDC Measures, outliers are patients with at least two fills who don’t maintain 80% medication availability. Each outlier can pull down your overall average performance score, so it’s important to log in to EQUIPP to identify and engage these patients before they have less than 80% of their days covered by applicable medications.
My Programs Pages
EQUIPP continues to house Quality Performance Network data, providing transparency for participating pharmacies in 2025. If you have performance data available with quality network programs, you’ll see them in the My Programs section.
The platform partners with health plans to provide this transparency, helping pharmacies understand their participation and performance across different network programs. Valuable insights are easily identified within this page allowing you to easily understand the financial impact of your quality improvement efforts.
Revenue Generation Through Enhanced Services
Four Key Revenue Streams
EQUIPP offers four main enhanced services programs for additional pharmacy revenue:
- Comprehensive Blood Pressure (CBP) – Currently Live
CBP incentivizes pharmacies for documenting electronic blood pressure readings for eligible patients. Payments vary by health plan. Make sure to document systolic and diastolic values in EQUIPP.
- Longitudinal Adherence Monitoring Program (LAMP) – Currently Live
Earn by ensuring patients adhere to their medications. Interventions could be extended day supplies, final fills, or simple check-ins. Documentation is paramount here to earn revenue.
- Hemoglobin A1C Testing – Expanding in June-July 2025
If your pharmacy is CLIA-waived, you can earn by conducting and documenting A1c tests.
- Pay for Performance Program – Coming June-July 2025
Pay for Performance (P4P) Programs: Expected to go live around June-July 2025, these health plan and state-specific programs will reward up to four documented patient engagements and provide bonuses for patients achieving adherence.
The Power of Documentation
All enhanced services programs require proper documentation within the EQUIPP dashboard to earn revenue. No documentation means no payment.
LAMP Specifics: For LAMP, you’ll see the potential compensation per patient and per measure. Pay close attention to expiration dates for interventions; documentation must be completed by these dates to earn. Expanding a patient’s record reveals specific intervention types and the dollar amounts associated with each, allowing you to prioritize the most impactful actions.
NEW Feature! Editing Capabilities: Users are now allowed to edit previously completed documentation in Enhanced Services. If you made an error or need to update information (e.g., corrected BP readings or an updated intervention plan), you can do so, ensuring accurate records and compensation.
Best Practices for Dashboard Utilization
Monthly Review Strategy
- Check Benchmarking Tables: Review comparative performance monthly
- Analyze QIP Data: Focus on highest patient volume programs
- Monitor Outliers: Identify and engage patients needing intervention
- Track Enhanced Services: Document all qualifying activities
- Review Historical Data: Compare current performance to previous periods
Goal Setting and Management
- Utilize the goal-setting feature in the top left corner
- Focus on CMS Star measures for highest impact
- Adjust goals based on your pharmacy’s specific patient population
- Monitor progress toward both CMS and program-specific thresholds
Staff Empowerment
Train your staff to understand and utilize EQUIPP data:
- Regular dashboard reviews during team meetings
- Clear understanding of quality measure expectations
- Documentation procedures for enhanced services
- Patient engagement strategies for outlier management
Conclusion: Your Path to Revenue Maximization
The 2025 EQUIPP platform offers unprecedented opportunities for pharmacy revenue growth through quality measure performance and enhanced services. Success requires:
- Regular dashboard monitoring and analysis
- Strategic focus on high-impact programs
- Consistent patient engagement and documentation
- Staff training and system optimization
By leveraging EQUIPP’s comprehensive data and revenue opportunities, your pharmacy can achieve significant financial growth while improving patient care outcomes. The tools are available—now it’s time to put them to work.
Remember: The key to maximizing revenue in 2025 isn’t just about understanding the data—it’s about taking consistent action based on that data. Start with your highest patient volume programs, focus on outlier management, and don’t forget to document all enhanced services activities.
Your pharmacy’s financial success in 2025 starts with making the most of every EQUIPP opportunity available to you.