Archive: March 2016

Powerful Analytic Platforms Launched at RISE

RISE Nashville Summit on March 20-22nd, is “THE Premier Event for Risk Adjustment and Quality Performance Optimization for Plans and Providers.” Headlined by PharmMD’s team of experts, including Cyndi Barham, VP of Quality/Stars, Tom Sherrard, VP of Product Development and Jake Woods, Data Scientist, it’s

Masking Behaviors by Combining Data

[By Jake Woods, Data Scientist] A critical step in looking for trends is identifying all of the variables that may possibly have a direct effect on the trend you are trying to measure.  Does height correlate with better driving, measured as the number of accidents

Finding your PDE Evaluation

PharmMD recognizes the value of getting your data right. StarFinderTM is our PDE reconciliation analytics and evaluation tool and could mean the difference between one Star Ratings level and the next. These analytics are available on a monthly or annual basis and may be used throughout the measurement period into the following year, protecting your revenue and decreasing your risk.

CMR Member Satisfaction Survey Results

In the 2015 measurement period, our Plan & PBM partners relied heavily on PharmMD’s ability to increase productivity through a quality-drive program in order to meet new CMS Star Rating thresholds. Many of our clients experienced leaps of 2 Star year-over-year improvement, which in many cases doubled or tripled previous vendors’ performance.

PharmMD Drives MTM Performance for National MAPD and PDP Organization

CMR Completion Rate Achievements In 2016, Health Plans and Pharmacy Benefits Managers (PBMs) will continue to face increased challenges regarding their Comprehensive Medication Review (CMR) completion rates in the wake of CMS requirements and Star Ratings. In late 2015, an existing Plan partner asked PharmMD