Achieving Better Quality and Lower Costs in Medicaid Through Enhanced Pharmacy Services.

One of the challenges confronting the U.S. health care system is delivering high-value, effective therapies and clinical services that provide the best health outcomes. The 2016 Medicare Board of Trustees report projects the Medicare trust fund will become insolvent by 2028.1 The U.S. ranks last amongst industrialized countries in cost, quality and health equity.2 The Affordable Care Act (ACA), enacted in 2010, is implementing numerous ways to extract greater value from the U.S. health care system framed around three core tenets of care: Quality, Access and Cost. The overriding emphasis and focus of payers and providers has been on controlling total health care spending and “Bending the Cost Curve” as ACA is being implemented.