Star Solutions

Overview

PharmMD Star Solutions focuses on improving your performance. By using our proprietary MedPro 2.0™ Star system and the industry renowned StarCard™, Star Rating clarity is achieved by identifying gaps of care. PharmMD strategically closes those gaps with specific and targeted interventions to increase your ratings.

Star Solutions coordinates and implements proven tactical strategies and initiatives working directly with members and physicians all designed for one purpose – to improve your Star Ratings in real time now!

Increasing a 20,000 member plan from 3 to 4 stars can equal $7 million!

Highlights

  • Customized for your organization Identifies and closes gaps in care
  • Improves quality in all domains Proven and trusted process
  • Provides exceptional value and service

Key Features

Sustainable processes - Develop and implement sustainable processes to support clinical interventions and appropriate use:

  • Focus on Part C and Part D nested measures as these criteria are weighted 3x.
  • Patient-centered care focused on Part C measures.
  • MTM platform - PharmMD utilizes a nation leading MTM platform that addresses multiple criteria including:
  • HEDIS measures
  • HRM
  • Use of ACE & ARB’s for members with diabetes, hypertension and medication adherence.
  • StarCard™ for targeting rapid process improvement.
  • Decision support at the point of prescribing and dispensing, formulary management, member and prescriber education.

Quality Measures

Both CMS and PharmMD Star Solutions focus on improving the member experience and quality of care. By deploying our cutting-edge documentation system, call-center technology, and our national network of pharmacist experts to quickly track and analyze your pharmacy, laboratory and medical claims data, we deploy actionable initiatives to close gaps of care to achieve the levels to increase your rating for specific criteria. The result is a well-choreographed program that has an immediate impact on your Star Rating.

For more information on PharmMD Star Solutions contact:

Michael Ansel
Chief Development Officer, PharmMD
Michael.Ansel@pharmmd.com