We helped write the book on effective Medication Therapy Management in this data-driven age, now central to Star Ratings Success and Medication Risk Management. Our solutions are tailored for MAPD, PDP, Medicaid, Marketplace and Commercial health plans as well as Self-insured Employer Groups. Our pharmacists and clinician staff educate patients on healthy habits, remove barriers and intervene personally to keep member fully compliant. From correcting misfiled claims to monitoring your specific group for individual disease risks and medication conflicts. We put people first, one person at a time.
We review pharmacy and medical utilization claims for every member to ensure they are taking the right medications at the right time.
We inform and compel providers to optimize medication therapy for their patients and, in turn, drive change for the entire population.
We live by value-based care. The majority of our compensation requires that we prove claims-based behavior change and show economic returns.
End-to-end solution for Part C/HEDIS and Part D regulated MTM programs, including performance-based results for new Star measure thresholds.
Modern Healthcare: Medicare Advantage star ratings show insurers’ performance hasn’t improved
Medicare Advantage star ratings show insurers’ performance hasn’t improved Source: Modern Healthcare Breaking NewsPublished on 2017-10-11 Read More
Why You Need a Medication Risk Management Solution
As a self-insured employer or risk-bearing entity wanting to improve member and employee health, a great first step is identifying Drug Therapy Problems (DTPs). When an average of one in six people have an open drug therapy problem, a behavioral shift to initiate change is needed. This change can begin by implementing PharmMD’s Medication Risk Management (MRM) solution, which is Read More
Why PharmMD Wants to Keep Patients Healthy and Adherent
The moment a visitor walks into the PharmMD lobby, they are greeted by a framed quote on the wall by the company’s founder, Clayton McWhorter: “We are transforming the industry from a ‘get sick business’ to a ‘get well one.’ ” While the health care industry may have its complexities, PharmMD’s vision is really quite simple: providing patients with the best information Read More