Value-Based Care Reimbursement

"To put AdhereHealth’s impact in perspective, our plan’s CMS Star Rating was 2.5 prior to using Adhere, which was very low.

We engaged Adhere to work with our medication adherence measures and we improved 1 to 1.5 points for each measure in the first year of the program.”

"I think they're really strong in analytics for at-risk population identification. And, they're able to onboard additional members and programs quickly.

Their scalability is a huge value because inevitably in Q4, we always need something else, and they're always able to accommodate that, which has been key to our multi-year relationship with them."

"Part of our decision-making is the member experience the vendor is able to provide.

We're a very high-touch organization. So we want to make sure that members are seeing value in the experience. So that's one of the things that we look at, which comes along with the AdhereHealth solution."

"Pricing is definitely one of the keys to our decision process. And specific to pricing, AdhereHealth's outcomes-based billing model, where they work our members and only get paid if they benefit our business, is a big factor for us."

"So we were looking for an end-to-end platform that could help us with adherence that was why we started talking to AdhereHealth and ultimately led to us going with them.

The Adhere Platform can connect and integrate with a range of pharmacy services including the PBMs. It parses out the patient information and provides the support, the risk levels and things that are needed to best manage a Medicare patient population."

"I know from an enterprise perspective, there are other markets that have a relationship with AdhereHealth too.

Our particular plan started using them across our entire population in 2018. Since then, we’re in our second 3-year contract with them.”

"Another thing we like about AdhereHealth is how good their language capabilities are. This allows them to support our diverse patient population very well.

In different states, our members' primary language may be Spanish, Mandarin or several other Asian languages. Adhere is able to support all of these languages well, communicating with the member in their primary language.”

"We needed help as far as reaching more at-risk members. In addition to excelling at that, AdhereHealth offers additional benefits, like addressing mental health and many other HEDIS measures. They provided a higher touch approach that reaches more members and gets them adherent.

Based on some webinars that AdhereHealth put out at the end of last year, they're thinking in the right direction with whole patient care.”