AdhereHealth Medication Adherence Solution

The Pioneer in Breakthrough Medication Adherence Solutions

The Adhere Platform™ will help you…

Improve Adherence

Reach 4.0+ Stars with Improved Adherence

The Adhere Platform™ will help you…

Improve MLR

Reduce Medical Spending and Improve MLR

The Adhere Platform™ will help you…

Increase Star Ratings

Take Action to Increase Your Star Rating

Request a sample adherence impact analysis to learn how adherence improvements impact your Stars, QBP and ROI.

Social Risk Factors

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

Read more to address adherence and improve health outcomes in vulnerable members.

SDOH-First Solutions for Medication Adherence

Purpose-built, innovative technology and capabilities that drive improved value-based performance and MLR

AdhereHealth™ supports the managed care industry, self-insured employers and other risk-bearing entities in engaging all members of the risk spectrum in adherence for improved health outcomes. We specialize in engagement of the highest-risk, hardest-to-reach member cohort through our innovative solutions, powered by our proprietary technology. AdhereHealth enhances quality of care and cost outcomes—all with a foundational SDOH-first approach for improved health equity.

Our unique combination of predictive analytics, intelligent clinical workflow software and proactive telepharmacy outreach, performed by a nationwide team of licensed clinicians, improves performance on government-sponsored pay-for-performance programs, and value-based cost reduction.

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Care Reimbursement

Drive performance improvement on Star Ratings and government-sponsored P4P programs through a data-driven, SDOH-first approach to medication adherence, especially in the highest-risk members.

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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.

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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 other opportunities for additional savings

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 DrugsConcurrent 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
Health Equity
Patient Experience
Medication Optimization

How We Make An Impact

Real Patient Stories

In the News

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CAHPS Member Engagement

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