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Quality Management for Payers
Quality Management
Boost PQA/NCQA quality measures with pharmacy-powered solutions that work. PQS's Quality Management solutions connects health plans with community pharmacies to improve medication adherence, preventive care, and key performance metrics through our industry-leading EQUIPP® platform.

Streamlined pharmacy workflows, performance tracking and incentives, and proven programs like LAMP adherence monitoring and immunization initiatives can result in higher adherence rates, improved preventive care, and valuable point-of-care data collection.
KEY FEATURES
LAMP (Longitudinal Adherence Monitoring)
Targets patients at risk of becoming non-adherent. Patients are identified by pharmacy of attribution and assigned specific interventions. Sub-programs include:
1. Quarterly Check-ins
2. Extended Day Supply (EDS) Conversions
3. Statin SUPD/SPC Conversions
4. Final Fill and Year-End Bonuses
Medication Adherence Solutions
Beyond LAMP, PQS offers programs for key therapy classes (diabetes, hypertension, cholesterol, HIV, mental health, etc.). Pharmacies receive member lists and adherence scores and are guided through interventions (e.g., MTM consults, synchronization, refill reminders) to improve the proportion of days covered (PDC) and other adherence measures.
Immunization Management
Leveraging pharmacies’ accessibility, PQS helps plans drive vaccination rates (influenza, pneumococcal, shingles, etc.). The EQUIPP platform provides weekly patient lists and workflow alerts for due immunizations. Clinics and pharmacies coordinate to administer vaccines and report results. This approach enables proactive delivery of key vaccines and allows plans to track immunization at both the pharmacy (NPI) and member level.
HbA1c and Blood Pressure (CBP) Data Capture & HEDIS
For CLIA-certified pharmacies, PQS’s Enhanced Services let pharmacists collect lab values in-pharmacy. Credentialed staff record patient Hemoglobin A1c and blood pressure readings in EQUIPP, instantly closing HEDIS® lab value gaps. Plans gain timely access to A1c and BP data (with patient consent), improving diabetes and hypertension measures.
Aligning Care with Outcomes
Supporting Value-Based Care
By integrating pharmacies into quality initiatives, PQS turns underused community assets into proactive care hubs. Pharmacies close critical gaps (medication adherence, preventive care) right where patients live, which improves outcomes and aligns with value-based goals, leading to elevated quality ratings and healthier populations.
Benefits
Higher Quality Scores
Coordinated pharmacy interventions improve core performance measures. By actively managing refill schedules and closing immunization gaps, plans see higher PDC scores, vaccination rates, and disease control metrics. Over time, this translates to better Star Ratings and HEDIS percentile.
Engaged Pharmacy Network
Pharmacies become an extension of the plan’s care team, leveraging their frequent contact with patients. Documented interventions provide transparent evidence of outreach (via the EQUIPP documentation tools), which supports audits and reporting.
Actionable Member Data
Plans receive member-level data (medication fill status, immunization records, lab values) in near-real time. This timely data lets care managers intervene sooner and adjust care plans dynamically.
Operational Efficiency
Standardized program dashboards and reports (via EQUIPP) make it easy to track network-wide performance and incentive payouts. Pharmacies have clarity on goals and can focus on patient care rather than administrative tasks.
Better patient outcomes. Better business results.

Generic Adherence Programs

Timely refills, MTM consults, synchronization for diabetic, hypertension, and cholesterol meds (PDC measures).

LAMP – SUPD/SPC Conversions

Enroll eligible patients in statin programs to close cholesterol gaps.

LAMP – Final Fill Bonuses

Incentives for pharmacies when targeted patients maintain adherence through year-end. Switch patients from 30-day to 60/90-day refills to improve continuity.

Immunization Improvement

Weekly alerts and in-pharmacy consultations to administer vaccines (flu, pneumococcal, etc.).

Blood Pressure (CBP) Program

Pharmacies take patient BP readings; electronically submit to close HEDIS blood pressure measures.

LAMP – EDS Conversions

Switch patients from 30-day to 60/90-day refills to improve continuity.

LAMP – Quarterly Check-ins

Monthly outreach by pharmacists to at-risk patients (reminders, counseling).

HbA1c Data Collection (A1c Gap Closure)

Pharmacies collect patient A1c tests; results are uploaded to the plan to improve HEDIS diabetes control.

Tap into our expertise to improve patient and business outcomes

With 10+ years of quality measurement expertise and deep pharmacy knowledge, 
PQS provides best-practices to develop innovative quality strategies to support more effective interventions.
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