Health plans can improve member health outcomes and reduce spending associated with worsening health conditions with an AdhereHealth medication optimization solution.
Our solution helps improve MLR by:
- Maximizing identification of drug therapy problems (DTPs)
- Empowering pharmacists to strengthen the value of comprehensive medication reviews (CMRs)
- Resolving both primary and secondary nonadherence
By combining medical and pharmacy claims date, with sophisticated predictive analytics and multimodal outreach to members, prescribers and pharmacies, the Medication Optimization solution allows plans to resolve a maximum number of drug therapy problems (DTPs). Data analytics uncover hundreds of DTP types, including: lacking fill for medical diagnosis, drug-drug interaction, over- / under-medicated, nonadherence, drug cost savings opportunities and more. Additional opportunities for savings, like identifying ICD-10 codes without corresponding NDC pharmacy claim codes, or opportunities to transition to lower-cost specialty drugs, add to potential cost reduction for health plans looking to reduce utilization and associated costs.