Longitudinal Adherence Monitoring Program (LAMP)
The Longitudinal Adherence Monitoring Program (LAMP) is designed to improve and maintain medication adherence for targeted patients while rewarding high-performing pharmacies for documented interventions and patients that are adherent (Proportion of Days Covered or “PDC” of 80% or better) at the end of the calendar year. The program will evaluate the following core adherence measures
- Diabetes PDC
- RASA PDC
- Cholesterol PDC
Patient adherence scores and newly eligible patients will be updated every Friday in the Enhanced Services Tab within the EQUIPP Performance Dashboard (under "Longitudinal Adherence Monitoring Program"). Ensure that you track your patient's adherence closely throughout the year to unlock additional revenue opportunities!
The final program analysis will examine the Year-to-Date (YTD) measurement period from January 1 - December 31, 2024.
Payment in this program will be based upon completing encounters with targeted patients provided by the health plan via EQUIPP. Types of encounters include:
- Quarterly Check-Ins: $10 per check-in per each patient/measure opportunity (up to 3 check-ins per each patient/measure opportunity year). Check-in dates are:
- Check-In 1: April - June 2024
- Check-In 2: July - September 2024
- Check-In 3: October - December 2024
- Extended Days Supply Conversion: $10 per validated conversion (up to one conversion per patient/measure per year)
- Final Fill: $60 per validated conversion
- The opportunity provided select patients eligible to reach adherence for 2024 by receiving one last fill for the year
- Available approximately in late September through December 2024
- Year-End Adherence Bonus: $15
- The patient must have at least 80% PDC in 2024
- Patients must have two quarterly check-ins completed for the pharmacy to be eligible for a bonus
All above encounters must be documented via EQUIPP Enhanced Services to be eligible for payment. NOTE: Not all patients will be eligible for all types of encounters.
The total reimbursement per patient opportunity is $115.
1. Navigate to the Enhanced Services Page WEEKLY!
- Targeted patients for LAMP will be displayed in the Enhanced Services Tab on the left hand side of the screen of your EQUIPP Performance Dashboard within the program labeled "Longitudinal Adherence Monitoring Program"
- Patients with an arrow next to their last name have multiple encounters available (click to expand and view all opportunities):
2. Document!
- Both active and previously documented opportunities will be listed under the patient. Opportunities that have expired without documentation will not be listed
- To document an intervention, click on "Not Started" in the documentation status column:
- The documentation window will then pop up. Complete the applicable questions after speaking with the patient. Please note that the documentation will apply to all currently available intervention opportunities
- If the intervention requires validation, fill the prescription after documenting the intervention. Prescriptions must be filled on or before the "Target Refill Date"
Pharmacies should expect to receive payment via their Pharmacy Services Administrative Organization (PSAO) beginning no later than October 2024 as PQS receives payment from the health plan.
3. Keep Your Patients Adherent!
- Patients PDC rates will be updated weekly starting April 2024 to allow you to track your patient's adherence throughout the year
4. Educational Resources
If you have any questions regarding your EQUIPP performance dashboard, please reach out to us directly at support@pharmacyquality.com. Thank you for your continued efforts to improve the health and well-being of your patients!