Member and Provider Services Unit: Provider Member Relations

Access to Care: # of pharmacies per 1000 Medicaid members

0.82Oct 2020

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Notes on Methodology

The target for this measure is 1 pharmacy per 1000 Medicaid members per county in Vermont.

                                         
  Access to Care:  # of Pharmacies per 1000 Medicaid Members   
    SFY20 SFY21  
  May-20 Jun-20 Jul-20 Aug-20 Sep-20 Oct-20  
  County #
Medicaid Members
# pharm # pharm per 1000 members #
Medicaid Members
# pharm # pharm per 1000 members #
Medicaid Members
# pharm # pharm per 1000 members #
Medicaid Members
# pharm # pharm per 1000 members #
Medicaid Members
# pharm # pharm per 1000 members #
Medicaid Members
# pharm # pharm per 1000 members  
  Addison 8359 9 1.08 8473 9 1.06 8622 9.00 1.04 8718 9.00 1.03 8806.00 9.00 1.02 8877 9 1.01  
  Bennington 12108 10 0.83 12228 10 0.82 12368 9.00 0.73 12431 9.00 0.72 12562.00 9.00 0.72 12610 10 0.79  
  Caledonia 10590 8 0.76 10685 8 0.75 10773 8.00 0.74 10829 8.00 0.74 10954.00 8.00 0.73 10972 8 0.73  
  Chittenden 32091 37 1.15 32409 37 1.14 32888 37.00 1.13 33193 37.00 1.11 33700.00 37.00 1.10 34010 37 1.09  
  Essex 2288 1 0.44 2317 1 0.43 2332 1.00 0.43 2347 1.00 0.43 2356.00 1.00 0.42 2390 1 0.42  
  Franklin 14385 10 0.70 14535 9 0.62 14643 9.00 0.61 14754 9.00 0.61 14933.00 9.00 0.60 14999 9 0.60  
  Grand Isle 1853 3 1.62 1871 3 1.60 1884 3.00 1.59 1896 3.00 1.58 1921.00 3.00 1.56 1932 3 1.55  
  Lamoille 7339 6 0.82 7425 6 0.81 7549 6.00 0.79 7605 6.00 0.79 7708.00 6.00 0.78 7760 6 0.77  
  Orange 8101 5 0.62 8167 5 0.61 8249 5.00 0.61 8309 5.00 0.60 8443.00 5.00 0.59 8504 6 0.71  
  Orleans 11068 5 0.45 11181 5 0.45 11295 5.00 0.44 11370 5.00 0.44 11482.00 5.00 0.44 11566 5 0.43  
  Rutland 18721 17 0.91 18894 17 0.90 19141 17.00 0.89 19280 17.00 0.88 19500.00 17.00 0.87 19658 17 0.86  
  Washington 14863 16 1.08 14993 16 1.07 15196 15.00 0.99 15323 15.00 0.98 15511.00 15.00 0.97 15569 15 0.96  
  Windham 12552 10 0.80 12706 10 0.79 12867 10.00 0.78 12981 10.00 0.77 13199.00 10.00 0.76 13291 10 0.75  
  Windsor 16813 12 0.71 17022 12 0.70 17205 12.00 0.70 17318 12.00 0.69 17533.00 12.00 0.68 17691 12 0.68  
  Total 171,131 149 0.87 172,906 148 0.86 175,012 146 0.83 176,354 146 0.83 178,608 146 0.82 179,829 148 0.82  
                                         
Partners
  • DVHA Data Unit
  • DVHA Pharmacy Unit
  • Provider Community
Story Behind the Curve

Vermont is experiencing a physician shortage in key specialty areas. DVHA has chosen to monitor 5 key groups with dwindling provider counts in order to work with multiple agencies to address issues proactively:  behavior and mental health and substance abuse providers, cardiologists, dentists, pharmacies, and primary care providers (PCPs).

Vermont is showing a shortage of pharmacists available to fill prescriptions. This seems to be a nation-wide trend. As Vermont Medicaid does not enroll pharmacists, we must measure how many pharmacies are available to meet our member needs. Drug stores around Vermont have been trimming back their hours in response to a growing shortage of pharmacists. Family-owned pharmacies are also dwindling in number in Vermont and elsewhere. Small pharmacies face stiff competition from chains.

Despite their increasingly important role in health care delivery, little is known about the availability and characteristics of community pharmacies in the United States. Due to member complaints about the travel time to get to pharmacies PMR wants to gauge how many pharmacies exist in each county and what services they offer.

While no national statistics exist, we have sent a benchmark of 1 pharmacy in a 60 mile radius for every 1000 Medicaid members.

Last updated: 10/15/2020

Strategy
  • PMR continues to work with pharmacies to understand the services they offer in order to meet the needs of the members.
  • Targeted outreach is done with all providers about obligation under the provider agreement.
  • Provider Member Relations has started collaborating with Vermont Society of Health System Pharmacists (VtSHP) who is a non for profit organization with the following objectives:
    • To advance public health by promoting the professional interests of Pharmacists practicing in hospitals and other organized health care settings.
    • To foster pharmaceutical services aimed at drug use control and rational drug therapy.
    • To develop professional standards for pharmaceutical services.
    • To foster an adequate supply of well trained, competent pharmacists and technicians and other associated personnel.
    • To developing and conduct programs for maintaining and improving competence of pharmacists and technicians and associated personnel.
    • To disseminate information about pharmaceutical services and rational drug use.
    • To improve communication among pharmacists, other members of the health care industry, and the public.
    • To promote research in the health and pharmaceutical sciences and in pharmaceutical services.
    • To promote the economic welfare of pharmacists, technicians and other associated personnel.

 

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