Medication adherence is a critical component of ensuring positive patient outcomes, as well as improving or maintaining Star Ratings.
Certain high-cost and high-risk medications require consistent adherence to avoid viral resistance, disease progression, and additional health care resources. In partnership with UMass Chan Medical School, we provide data analysis, monitoring, and tracking services (including reminder phone calls to prescribers) to ensure that members remain consistent with their medication usage. These services may utilize the broad resources of a Drug Utilization Review team of consultant pharmacists, data analysts, and pharmacy associates.
Star Rating Enhancement
In partnership with UMass Chan Medical School, we have developed Star Rating enhancement services that focus on key criteria used to measure plan performance. Our resources include more than 60 clinical pharmacists, a customer service contact center, a university-based survey research division, and data analytics capabilities.
Member Outreach
We have prioritized the member experience across all levels of services we provide for health plans. Whether your organization is looking to simply engage and assist members, or develop targeted solutions to improve health outcomes, we can provide a solution to meet your needs.
Prescriber Outreach
We collaborate with clinical pharmacists and pharmacy associates at UMass Chan Medical School to develop successful prescriber outreach and education programs. These customized outreach programs can produce medication-related savings quickly, while ensuring patients receive the appropriate medication for optimal outcomes.
Monitoring and Compliance
We use knowledge-based software to create, store, and retrieve information unique to each of our clients. This ensures that our customer service representatives have a full picture of your organization — and appear to be part of it in the eyes of your members and patients.
