CASE STUDY
www.cps.com
information tool to give SOMC credit for performing medication therapy management.
SOMC’s specialty staff and the CPS team manage all patient medications holistically;
they are doing the work. They are now documenting this work to increase Medicare Star
Ratings, thereby reducing direct and indirect renumeration (DIR) fees and improving
prescription reimbursement. “It’s one more example of how CPS goes the extra mile.”
THE RESULT: INCREASING QUALITY OF CARE &
ORGANIZATIONAL REVENUE
In just 10 years, SOMC opened six community pharmacies and has secured space for
building pharmacies seven and eight. Revenue growth was dramatic in SOMC’s first year
of operation — and they have continued to achieve double-digit gains year after year.
“With CPS’ help, the pharmacy is no longer considered a cost center — it’s a revenue-
generating operation,” notes Phillips.
Consequently, SOMC’s specialty pharmacy services became a lifeline for the community.
As chain pharmacies began closing stores in the area, some patients were faced with
the prospect of driving long distances to get their medications. “The addition of the
specialty pharmacy has just lowered barriers for patients to access medication,”
he says. “Beyond that, it’s enhanced the quality of care SOMC clinics and medical
staff members can deliver.”
Phillips and SOMC do not plan to stop there. “Because CPS represents multiple
organizations, they can address limited distribution drugs with manufacturers and
payer lockouts with health plans better than I can as a stand-alone pharmacy,”
explains Phillips. That dedicated support, amongst many other reasons, is why the
health system has signed a contract with CPS through 2035.
“
With CPS’ help,
the pharmacy
is no longer
considered a
cost center —
it’s a revenue-
generating
operation.”
Rory Phillips, BSPh, MBA,
CPEL, RPh
Director of Pharmacy &
Respiratory Services
~ Southern Ohio Medical
Center (SOMC)