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

Jan
18

What Does a Guaranteed at Risk Partnership Mean With PharmMD?

Boosting Quality Scores by Better Integrating Your Risk Adjustment and Quality Improvement Programs Strategies for more effective utilization of both quality and risk data that can: Help close gaps Reduce chart-chase burden Enhance intervention development Enable risk-adjustment vendors do double-duty https://youtu.be/7W9eqSZMvR4 Kent Holdcroft speaking at the 8th Star Rating Master Class Summit in San Diego, December 12-13, 2017. Read More

Jan
18

Kent Holdcroft, our Chief Revenue Officer, answers why PharmMD got into the Stars Quality Ratings solution business.

Boosting Quality Scores by Better Integrating Your Risk Adjustment and Quality Improvement Programs Strategies for more effective utilization of both quality and risk data that can: Help close gaps Reduce chart-chase burden Enhance intervention development Enable risk-adjustment vendors do double-duty Kent Holdcroft speaking at the 8th Star Rating Master Class Summit in San Diego, December 12-13, 2017. Read More

Dec
13

How to Predict STAR Quality Measurement Outcomes

About 10 years ago, CMS invented a star-rating system for Medicare’s private insurance coverage to improve care for patients. Each year, companies are assigned a star measure rating from one to five stars. If health plans provide high-quality care to Medicare beneficiaries, it’s likely they will fall into the four to five-star spectrum and earn a five percent boost to Read More

See All News Subscribe

Subscribe to News