OptimizeMTM™ is PharmMD’s performance-based Medication Therapy Management (MTM) solution. By combining data-driven technology and clinical insights, we can tailor OptimizeMTM™ to meet each partner’s specific needs and program submission criteria.
From MTM eligibility qualification/offer through data validation, the solution harnesses our SaaS-based P3Link™ platform to efficiently manage clinical workflows and regulatory reporting requirements, allowing clinicians to focus on consumer health and wellness – not administrative tasks.
Performance
- CMR conversion full-risk pricing model aligns goals and objectives
- Tech-enabled workflow empower higher CMR completion ratio
- Transparent ROI, resolving Drug Therapy Problem (DTP) resolution actuarial validation, provides for improved healthcare outcomes and financial return
Scalability
- SaaS-enabled deployment across internal health plan clinical teams and/or provider network
- Sophisticated analytics ingests multiple data sources to provide for a more comprehensive consumer profile
- Rules-based analytics aggregate client data (e.g., pharmacy, eligibility, medical) which is fully integrated into the patient record
- Unlimited capacity to support multi-tiered clinical resources
Compliance
- Automated Medication-related Action Plan (MAP) and Personal Medication List (PML ) creation
- 100% data validation and Health Plan Management System (HPMS)
- Supports MTM mock audit and program criteria changes
Benefits
Data Analysis
Real-time clinical analysis, eligibility data, medical claims, pharmacy claims, OTCs, supplements and consumer reported medications
Call Queue Scheduling
First-in and first-out call queuing, CMR scheduling, detailed user-level reporting
Rules Engine
Adherence monitoring, at-risk stratification and evaluation
Fulfillment & Compliance
Automated MAP/PML creation, mitigate data validation risk
Higher Quality Scores
Data-driven MTM reduces gaps leading to better performance
MTM Results



How We Make an Impact
REAL CONSUMER STORIES
Data-Driven Tools
Stratify™
Stratify™ predictive analytics identify medication adherence and care assessment gaps using comparative benchmarks that support targeted consumer and provider engagement.
Learn MoreQuantify™
Quantify™ builds actionable client-specific scenario modeling for value-based care incentive structures and incorporates Stratify™ analytics to achieve targeted outcomes.
Learn MoreP3Link™
P3Link™ is a regulatory compliant clinical workflow for Medication Therapy Management (MTM) that uses Stratify™ analytics to guide interventions.
Learn MoreQiLink™
QiLink™ is a clinical workflow using decision support to guide gap closure for clinical and non-clinical interventions with consumers and providers using Stratify™ analytics.
Learn MoreDiscern™
Discern™ is a business analytics solution that provides real-time client data visualization of outcomes and program performance.
Learn More