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What do changes to the QI Hold Harmless provision mean for Medicare Advantage plans?
The quest for continuous improvement is a hallmark of the Medicare Advantage program. The Star Ratings system holds MA plans
Delivered as tech-enabled telepharmacy services or Software-as-a-Service (SaaS), the Adhere Platform™ touches nearly 30 million patients across dozens of health plans, self-insured employers, and other risk-bearing entities. As a comprehensive platform, it delivers telepharmacy intelligent clinical workflow that integrates advanced analytics into a proprietary patient relationship management (PRM) tool, supporting better clinical outcomes, patient experience, and medical cost avoidance.
The Adhere Platform™ is designed to address areas of non-adherence and gaps in care, engage providers and patients for better healthcare access, overcome SDOH issues and coordinate community resources needed to improve health outcomes.
Tech-enabled or fully configurable SaaS-based, end-to-end medication adherence offering that supports government-sponsored value-based care programs.
Real-time predictive analytics and intelligent clinical workflows drive maximum identification and resolution of care gaps.
The Adhere Platform™ integrates with a wide range of pharmacy services and resources to provide seamless, immediate support for patients of all risk levels.
Prescribing pattern analytics that identify potential adherence issues for ACE/ARB.
Identify potential adverse medication effects that require a change in drug classification to mitigate adherence barriers.
Demystify which measures, patients, and providers are most important for achieving quality outcome improvement and insight into the financial outlays.
Opioid surveillance analytics for potential patient prescription fraud and discontinuation of benzodiazepine.
AHA and CAD clinical guideline analytics to initiate a dual pronged engagement approach for patients and providers.
Improve diabetic health though medication adherence to enable HbA1c control, kidney function and decreased risk of retinopathy.
Blog
The quest for continuous improvement is a hallmark of the Medicare Advantage program. The Star Ratings system holds MA plans
Blog
For health plans, driving value is critical. It helps ensure that provided care enables members to achieve positive health outcomes,
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Podcast – With medication adherence having a direct impact on the health outcomes of managed care members, it’s alarming