Client Case Review: Exceeding Contracted Obligations for MTM

The Challenge

Health plans and PBMs are facing the highest CMR completion rate hike to obtain a 5-star rating in 2017. CMS has set the table for plans and PBMs to focus on health outcomes – driving MTM services towards being the level of pharmacy – driven population health.

The Solution

PharmMD’s StarMTM™ solution provides the clinical resources, operational processes and tailored technology platform vital for a guaranteed CMR completion rate and a true ROI. Our systematic and scalable approach integrates the power of targeted clinical analytics to meet regulatory requirements, accurately identify Drug Therapy Problems (DTPs) and complete quality CMRs – all in a performance-based partnership. With over 10 years of experience in managing medication risk, PharmMD possesses the necessary insights and capabilities to project success and allocate the appropriate resources to achieve and exceed contractual goals.

Conclusion

PharmMD has submitted over 66.5 million MTM related data points to CMS and has a 95% member satisfaction rating for the 3rd straight year according to post-CMR member survey results. PharmMD’s ability to provide surge resources enabled our Plan partners to add capacity to their own internal teams through the use of PharmMD’s P3Link™ platform. The results is a perfect example of an ideal partnership: technology, resources, and performance-based alliance all resulting in meaningful results that support improved health outcomes.

In 2017, 97% of our MTM clients renewed their partnerships, because we get results. We invite you to join our mission to ensure your members are taking the right medication, at the right time. Together we can help build healthier lives.

  • 95% Member Satisfaction for 3rd straight year according to post-CMR survey results
  • 98% Guaranteed obligations met or exceeded for MTM services
  • 97% of PharmMD’s Plan & PBM clients renewed for 2017
  • Over 66.5 million MTM-related data points submitted to CMS

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