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Beyond the Buzzwords: What We Learned Bridging Pharmacy, Quality, AI, and Data Science to Improve Performance
Pricing: Free for Members and Non-Members
Course Description
Pharmacy, quality improvement, and data science each bring their own “buzzwords” from CMS Star Ratings to predictive modeling and AI. When these disciplines remain siloed, opportunities for meaningful improvement are missed. This structured fireside chat moves beyond jargon to share real-world lessons from managed care pharmacists and data professionals who learned to collaborate across business, clinical, and analytic domains. Attendees will hear how this interdisciplinary approach led to over 2% growth in adherence among health equity index (HEI) and dual eligible special needs plans (DSNP) members in 1 year, sustaining 4.5+/4 STAR ratings across multiple CMS contracts, and other quality outcomes in a 1.3-million-member health plan across commercial, Medicaid, and Medicare lines of business. Participants will leave with practical strategies to foster collaboration, enhance data literacy, and turn analytic insights into better patient care and improved organizational performance, thereby reducing risk and protecting key revenue streams through high performance in Stars.
Target Audience
Pharmacists who practice in managed care settings.
Learning Objectives
At the completion of this activity, participants should be able to:
- Define key terminology across pharmacy, quality improvement, and data analytics that support effective interdisciplinary collaboration.
- Identify organizational insights used to develop and implement strategies that enhance analytic literacy within pharmacy practice, driving improvements in quality measures and performance outcomes.
- Describe frameworks for pharmacist-data analyst collaborations that demonstrate measurable improvements in CMS quality measures.
Travis James Macfarlane, PharmD
Medicare Quality, Clinical Pharmacist
Priority Health
Matthew Metzler, MSIS Candidate
Lead Business Intelligence Analyst
Priority Health
Disclosures
| Faculty/Reviewer/Planner | Reported Relevant Financial Relationships |
| Travis Macfarlane Faculty | Employee: Corewell |
| Matthew Metzler Faculty | Disclosed no relevant financial relationships |
| Francisco Burgin Peer Reviewer | Employee: Ultragenyx |
| Brittany Henry Planner | Disclosed no relevant financial relationships |
The Academy of Managed Care Pharmacy (AMCP) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
ACPE UAN: 0233-0000-26-008-H04-P • Activity Type: Knowledge-Based
Contact Hours: 1.25
Release Date: April 20, 2026 • Expiration Date: December 31, 2027
Activity Fee: Free for Members and Non-Members
Participants should claim continuing pharmacy education (CPE) credit for this home study activity only if they have not claimed credit for the live activity presented at AMCP 2026. CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor. Please allow 72 hours for processing and posting in your NABP account.
To receive credit for an online activity you must:
- Review the full content of the activity.
- Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
- Complete a specific activity evaluation.
Available Credit
- 1.25 ACPEThe Academy of Managed Care Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.