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Committee questions how pharmacist outreach will affect patients and providers
Summary
Committee members pressed staff and presenters on how CDPHP pharmacists would contact providers, how often providers respond, and whether employees could be forced to change prescriptions; staff said outreach is provider-to-provider and patients retain decision-making with physicians.
Committee members asked detailed operational and patient-protection questions about the proposed CDPHP pharmacy-concierge program.
A committee member (S1) framed the concern: "I just don't want it to feel like that for our employees ... they're gonna put me on something else just because it's saving x," expressing worry that cost-savings might drive prescribing decisions. Staff member (S2) responded that the model is provider-to-provider outreach and emphasized patient choice: "Your doctor is supposed to have a conversation with you that to prescribe the b. Because you're going to have to go… So I can say to the doctor no way or whatever." S2 and the presenter (S4) clarified that pharmacists would contact providers and that prescription changes would be handled at the provider level rather than by retail pharmacies.
Committee members also asked how often providers respond and whether the vendor has evidence that outreach yields the forecasted savings; staff offered to obtain historical examples and provider-response rates from CDPHP. The committee recorded these concerns and requested vendor data as part of the Board referral packet.
