Creating a Healthier World Through the Most Effective Use of the Right Medication

Guaranteed Results with At-Risk Partnerships.

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.

Identification

We review pharmacy and medical utilization claims for every member to ensure they are taking the right medications at the right time.

Intervention

We inform and compel providers to optimize medication therapy for their patients and, in turn, drive change for the entire population.

Impact

We live by value-based care. The majority of our compensation requires that we prove claims-based behavior change and show economic returns.

StarSolutions Suite

End-to-end solution for Part C/HEDIS and Part D regulated MTM programs, including performance-based results for new Star measure thresholds.

StarMTM

End-to-end solution for Part D regulated MTM program, including performance-based results for new Star thresholds.

Medication Risk Management

Finding and solving any and all identifiable Drug Therapy Problems, with clinical intervention strategies geared towards reducing cost across the healthcare continuum.

P3 Link

Technology-enabled service platform for MTM, supporting operational efficiency and CMS reporting compliance.

Recent News

Nov
07

WEBINAR: Predict STAR Ratings & Protect Bonus Payments

Complimentary Webinar              November 15, 2017 • 12:00 PM - 1:00 PM CST Click here to register free. Join us for a webinar on Wednesday, November 15: Create and Manage ROI Projections at Member & Measure Level Forecast Qi-Factor Analysis at Measure Level Predict Future Star-Ratings Measures for Part D, Part C & HEDIS Understand Star Measure Status Read More

Oct
16

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

Oct
06

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

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