AdhereHealth Medication Adherence Solution

The Pioneer in Breakthrough Medication Adherence Solutions

Enhance Member Outcomes with Evidence-Based Adherence Strategies

AdhereHealth Using Data and Behavioral Insights to Drive Member Engagement

Behavioral Science for Improved Adherence

Using Data and Behavioral Insights to Drive Member Engagement 

Improve MLR

Reduce Medical Spending and Improve MLR

Discover How to Improve Adherence and Drive Down Costs

Social Risk Factors

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

Reduce Health Disparities through Personalized Interventions

Unlock Strategic Insights to Boost Your Star Ratings Exclusive Webinar for Health Plan Leaders

New 2025 Stars Strategy Webinar

Unlock Strategic Insights to Boost Your Star Ratings: Exclusive Webinar for Health Plan Leaders

Behavioral Science–Driven Solutions for Improved Adherence

Innovative technology and SDOH-first strategies to enhance value-based performance and reduce medical loss ratios (MLR)

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

We partner 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.

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Value-Based
Care Reimbursement

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

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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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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 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
MTM
Health Equity
Patient Experience
Medication Optimization

How We Make An Impact

Real Patient Stories

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