Don’t Pay for Under Performance

Medication Therapy Management for Health Plans

StarMTM

The power of PharmMD’s StarMTM combines a systematic and scalable technology vital for guaranteed Comprehensive Medication Review (CMR) rates and a true ROI. Responsible use of medication through a quality-driven MTM program can help improve adherence and prevent health costs from rising. Developing a performance-based partnership with PharmMD means your investment is tied directly to the success rate of the quality CMRs completed.

DID YOU KNOW? PharmMD supported a client in the first CMS MTM mock-audit pilot!

“We’re a Medicare Advantage prescription drug plan, with also special needs plans, as well. Those being institutional, dual-eligible, and chronic care for cardiovascular disease and diabetes. We have a total of 186,000 Medicare members, 15% of which are in special needs plans.”

“And then having gone through the audit, it was also clear to us that our well-established working relationship with PharmMD definitely facilitated easy audit coordination and preparation.”

Watch presentation – start at 23:22 mark.

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Features

  • MTM Pilot & Mock Audit Support
  • Rx & Medical Claims - ICD 9/10
  • Transparent ROI
  • First-in/First-out Call Queuing
  • Rule-based Adherence Monitoring
  • Automated MAP/PML Creation
  • Real-time updates & Clinical Analysis
  • Wrap Around Service & Surge Support

How It Works

97%
of guaranteed
obligations met or
exceeded

95%
Member Satisfaction
3rd Straight Year
2014-2016

100%
Data Validation

As a key component of StarMTM is P3Link, our clinical documentation and decision support platform. Utilizing PharmMD’s propietary clinical rules engine and most up-to-date drug database, our clinicans remain member-focused and empowered to provide a quality CMR.

Collaboration is continuous from initial data transfer through data validation, regardless of program start date. PharmMD can accomodate any MTM program submission changes.

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