Government-sponsored health plans require medication therapy management (MTM) to expertly navigate clinical workflow needs with regulatory compliance. Further, self-insured employers are demanding medical cost-reduction through medication adherence solutions. These programs require complex data integration of medical, pharmacy and enrollment to maximize consumer engagement.
At the cornerstone of AdhereHealth’s MTM solution, OptimizeMTM™, is the P3Link™ technology to support clinical workflow and continuity of care. P3Link™ clinical decision support is integrated within the Adhere™ platform to efficiently perform Comprehensive Medication Reviews (CMR) for MTM programs. Health plan case management teams and provider networks can leverage the tool as a SaaS offering to advance value-based care initiatives.
Supporting both client-specific configurations and regulatory standards, P3Link™ empowers clinicians with real-time clinical decision support while engaging with consumers to improve medication adherence. Because it is fully integrated with AdhereHealth’s Pharmacy at Home™ offering, clinicians can provide real-time medication synchronization so consumers can efficiently receive medications at their doorstep. Pharmacy at Home™ includes interfaces with AdhereHealth’s national pharmacy partners. Pharmacy at Home™ includes AdhereHealth’s pharmacy, AdhereRx™, which provides private-couriered services to high-acuity consumers who benefit from ongoing medication counseling for polypharmacy management.
Benefits
Better Health
Prescribed workflow keeps providers and pharmacists on track for better outcomes
Efficient CMR Workflow
Maximize CMR completion rates and increase Star Ratings
Robust Data Integration
Incorporates medical claims, pharmacy claims, and consumer-reported information
SaaS-Enabled
Deployable for internal health plan, clinical staff, provider network and retail pharmacy
Comprehensive Reporting
Sophisticated data management and segmentation ensures transparent outcomes reporting
Features
Data Analysis
Real-time clinical analysis, enhanced user navigation
Call Queue Scheduling
First-in/first-out call queuing, user reporting, CMR scheduling
Rules Engine
Adherence monitoring, at-risk stratification and evaluation, CMRs, TMRs
Fulfillment & Compliance
Automated MAP/PML creation, mitigate data validation risk
Outcome-Driven Results
Fully-Integrated Technology-Enabled Services
Resolve™
Resolve™ is AdhereHealth's clinical decision support solution that guides medication adherence intervention using Stratify™ predictive analytics.
OptimizeMTM™
OptimizeMTM™ is AdhereHealth's Medication Therapy Management (MTM) solution that addresses client goals and regulatory requirements by incorporating Stratify™ predictive analytics.