Medication Adherence and Beyond

Achieve better outcomes for value-based care initiatives including adherence, MTM and HEDIS. AdhereHealth is a trusted partner that delivers innovative, science-backed results. 

Proven Outcomes. Measurable Impact.

4:1 ROI

Proven cost savings

100+

Supported health plans

12M+

Interventions delivered

AdhereHealth delivers purpose-built, solutions that align behavioral science, advanced technology and expert clinical outreach to optimize value-based performance and MLR

AdhereHealth™ delivers whole-journey adherence solutions that combine data targeting, clinical and behavioral science expertise, omnichannel engagement and stakeholder coordination to improve health, quality and cost savings. 

Your Trusted Partner

AdhereHealth partners with managed care organizations, self-insured employers and other risk-bearing entities to engage members across the risk spectrum—including the highest-risk, hardest-to-reach populations. By addressing social determinants of health (SDOH) and behavioral barriers and leveraging our proprietary predictive analytics and intelligent workflow software, we deliver personalized interventions that enhance medication adherence and improve health equity.

Through evidence-based telepharmacy outreach techniques from our nationwide team of licensed clinicians, AdhereHealth drives measurable improvement in government-sponsored pay-for-performance programs and value-based cost reduction initiatives.

Boost outcomes with AdhereHealth as your trusted partner in medication adherence and beyond

Increase Star Ratings and Improve Member Health

Value-Based Care Reimbursement

Increase Stars and excel in P4P programs in your highest-risk members by addressing SDOH and medication adherence with targeted solutions rooted in behavioral science.

Adhere Platform™

Leverage AdhereHealth's healthcare technology, available on its own as SaaS and underlying all our proprietary solutions, to drive maximized value-based reimbursement and cost reduction.

Value-Based Cost Reduction

Maximize reduction of drug therapy problems (DTPs) and improve medical cost savings through predictive analytics with aligned medical and prescription claims review, plus additional savings.

2025 stars ratings planning

New 2025 Stars Strategy Webinar

Unlock strategic insights to boost your Star Ratings. An exclusive webinar for health plan leaders.

2025 stars ratings planning
Reduce health disparities through personalized interventions

Improve Health Equity in Members with Social Risk Factors (SRF)

Reduce health disparities through personalized interventions.

Reduce health disparities through personalized interventions

What Our Customers Are Saying

In Their Words

I need help with...

Medicare Part D / Adherence

AdhereHealth Solutions and Services

AdhereHealth programs drive Part D performance improvement* by targeting at-risk members and resolving SDOH challenges to achieve and maintain adherence.  

Our solution provides: 

  • Part D performance improvement 
  • Our full-risk, outcomes-based performance guarantee 
  • Long-term SDOH barrier resolution for improved health equity 

Our SDOH-first approach is powered by our proprietary Adhere Platform and utilizes sophisticated daily predictive analytics, which leverage a combination of plan-provided data and publicly available SDOH data, to identify members at risk of non-adherence. Our robust healthcare analytics (available as SaaS or in tandem with our nationwide clinician team) empower the efforts of outreach clinicians to help members tackle the barriers to adherence. This paves the way for long-term, longitudinal adherence and increased performance on Part D / pharmacy measures for government-sponsored lines of business (Medicare, Medicaid and Exchange plans).  

We impact the following measures: 

  • Medication Adherence for Diabetes Medications (MAD) 
  • Medication Adherence for Hypertension (RAS) 
  • Medication Adherence for Cholesterol (Statins) 
  • MTM Program Completion Rate for CMR (MTM) 
  • Statin Use in Persons with Diabetes (SUPD) 
  • Getting Needed Prescription Drugs Concurrent Use of Opioids and Benzodiazepines (COB) 
  • Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) 
  • Polypharmacy: Use of Multiple CNS-Active Medications in Older Adults (Poly-CNS)

Looking for a measure not in the list? Contact us to request additional measures.

*Addressing the needs of Medicare, Medicaid and QHP Exchange plans

Medicare Part C / HEDIS
MTM
Health Equity
Patient Experience
Medication Optimization

How We Make An Impact

Real Patient Stories

Your Path to 4+ Star Ratings Starts Here

AdhereHealth offers a collection of white papers showcasing our expertise in medication adherence and beyond. These papers illustrate how our behavioral science approach drives meaningful improvements in adherence, leading to better health outcomes.

In the News

The latest from AdhereHealth

Year round medication adherence success with AdhereHealth

Medication Adherence as a Journey—A Year-Round Strategy for Medicare Advantage Success

American Journal of Managed Care – Across Medicare Advantage, medication adherence stands at the crossroads of member health and financial performance.

Medicare Advantage adherence strategies for SDS risk adjustment

Navigating Medicare Advantage SDS Risk Adjustment Changes to Adherence Measures

Beginning in MY 2026, CMS is introducing sociodemographic status (SDS) risk adjustment into the three cornerstone Part D adherence measures:

Fierce Healthcare Podnosis

A Playbook to Boost Medication Adherence

Fierce Healthcare: Podnosis podcast – Medication nonadherence remains one of the most entrenched challenges in healthcare. Despite decades of awareness