Annual Report 2022

Ribbon cutting for Community Care Physicians

2022 Overview

CDPHP entered 2022 with renewed resolve to meet the diverse health needs of our community. Powered by a resilience honed over nearly 40 years of navigating an evolving health care landscape, we refocused our efforts to address critical issues, including care access, quality, affordability, equity, and now, health care staffing shortages. We met these challenges with innovation and a commitment to quality and service that is unmatched by our competitors.

Under the guidance of our first-ever female chief medical officer and a highly engaged, physician-led board of directors and administration, we:

  • Continued to advance our vision for an integrated model of care delivery that is aligned with positive population health outcomes, supported by timely data and innovative health benefits, and focused on fully and equitably meeting members’ needs, wherever they are on the continuum of care.  

  • Transitioned to a new pharmacy benefit manager (PBM), Capital Rx. Not only does Capital Rx share CDPHP values concerning high-quality care and superior customer service, this game-changing PBM adds a bold layer of transparency to an historically opaque system, setting its prices using actual unit drug costs based on the National Average Drug Acquisition Cost (NADAC) maintained by CMS. Capital Rx is also more agile than most PBMs, updating drug formularies in days rather than weeks or months. This means that as newer, more affordable drugs come to market, CDPHP is able to quickly offer them to members.

  • Added to our fleet of ConnectRx retail pharmacies in the Capital Region Health Park in Latham, NY to bring the convenience of an onsite pharmacy to the patients who visit their doctors or seek urgent care there.

  • Expanded support for our network physicians by launching several initiatives designed to promote member health, facilitate medical practice management, and improve transitions of care.

  • Again earned recognition from the National Committee for Quality Assurance (NCQA) as one of the top plans in New York state and the nation, and maintained a 5-Star rating for our Medicare plans even after the Centers for Medicare & Medicaid Services (CMS) raised its quality standards.