
Blog
As D-SNP Enrollment Grows, So Does the Need for Smarter, More Integrated Support
With federal rules pushing for better integration of Medicare and Medicaid benefits—and Star Ratings harder to achieve—health plans need more
4:1 ROI
Proven cost savings
100+
Supported health plans
12M+
Interventions delivered
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.
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.
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.
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.
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.
AdhereHealth programs drive Part D performance improvement* by targeting at-risk members and resolving SDOH challenges to achieve and maintain adherence.
Our solution provides:
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:
Looking for a measure not in the list? Contact us to request additional measures.
*Addressing the needs of Medicare, Medicaid and QHP Exchange plans
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.
Blog
With federal rules pushing for better integration of Medicare and Medicaid benefits—and Star Ratings harder to achieve—health plans need more
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When it comes to solving medication adherence challenges, the stakes are high—and so are the expectations. Health plans are under