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

Feb
20

Part 2: Questions Before Queries

Questions Before Queries: 5 Approaches to Improving the Report Request Discussion Part 2 of the Series: Healthier By the Numbers: Musings in Pursuit of Data Interpretation and Explanation |by Kempton Presley, M.P.H., M.S. VP, Business Information Solutions & Client Performance Everyone wants answers, but few understand the questions. When evaluating report requests, information supply does not always meet demand. We do not take enough Read More

Feb
19

Knocking Out the Report Creation Process

Knocking Out the Report Creation Process…in 3 Rounds (Part 2, 3, and 4) Healthier By the Numbers: Musings in Pursuit of Data Interpretation and Explanation |by Kempton Presley, M.P.H., M.S. VP, Business Information Solutions & Client Performance Everyone wants answers. In internal business operations, a well-developed report can drive improved decisions. In client services, quantifying return on investment can protect and extend relationships. In Read More

Feb
16

Report Creation: Questions Before Queries

"Healthier Through the Numbers: Musings in Pursuit of Data Interpretation and Explanation," blog overview. https://youtu.be/JB98oZywmQs by Kempton Presley, M.P.H., M.S. VP, Business Information Solutions & Client Performance Read More

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