Humana Launches Pharmacist Quality Rewards Program in Ohio

New value-based initiative aims to boost chronic care management through community pharmacists.

Apr. 8, 2026 at 5:45pm

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An extreme close-up X-ray image revealing the delicate internal structure of a human heart, conceptually representing the enhanced role of pharmacists in chronic disease management.A new value-based care program aims to empower community pharmacists to take a more active role in managing chronic conditions.Louisville Today

Humana Healthy Horizons, the Medicaid managed care division of Humana, has partnered with CPESN USA to launch a new value-based Pharmacist Quality Rewards program in Ohio. The program is designed to incentivize community pharmacists to provide enhanced chronic condition management services for Humana's Medicaid members.

Why it matters

This program represents a shift towards value-based care models that empower pharmacists to play a greater role in improving health outcomes for patients with chronic diseases. By aligning financial incentives with quality metrics, it aims to drive more proactive, coordinated care from pharmacists who are embedded in local communities.

The details

The Pharmacist Quality Rewards program will compensate participating pharmacists based on their ability to meet certain quality measures related to medication management, patient engagement, and chronic condition outcomes. Pharmacists can earn additional payments for activities like comprehensive medication reviews, patient education, and coordination with primary care providers.

  • The new program launched in April 2026.

The players

Humana Healthy Horizons

The Medicaid managed care division of the health insurance company Humana.

CPESN USA

A nationwide network of community-based pharmacies focused on providing enhanced clinical services.

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What they’re saying

“This program empowers pharmacists to take a more active role in chronic disease management and improve health outcomes for our Medicaid members.”

— Dr. William Shrank, Chief Medical Officer, Humana Healthy Horizons

“We're excited to partner with Humana to demonstrate how community pharmacists can drive better quality and lower costs through value-based care models.”

— Troy Trygstad, Executive Director, CPESN USA

What’s next

Humana and CPESN USA plan to expand the Pharmacist Quality Rewards program to additional markets in the coming years if the Ohio pilot proves successful.

The takeaway

This initiative reflects a growing trend of health plans collaborating with community pharmacists to enhance chronic disease management and improve health outcomes, particularly for vulnerable Medicaid populations.