Changing behavior across a population can be challenging. For high value, triple-weighted Star measures, you need a great partner with all the right tools, such as a nationwide network of MTM providers, predictive analytics and 21 years of MTM expertise.
What if you could tell your leadership that you’ll get the adherence Star Rating they want? Let OutcomesMTM engage our multi-channel approach—including the largest, most active pharmacy network—to move the needle on adherence. With our patient-specific modeling, we deploy targeted interventions at the right time to help the member stay on track. We engage pharmacists across multiple delivery channels for a tailored interaction to help a member overcome the unique mix of adherence barriers they face. Select a performance guarantee that aligns with your goals for adherence-focused Star measures for diabetes, hypertension (RAS antagonists) and cholesterol (statins).
Choose your desired Star Rating for each adherence measure.
Select a target rate of members who reach ≥80% proportion of days covered (PDC).
Set your desired number of completed adherence interventions.
Pharmacist intervention, prompted by TIPs in our widely used Connect Platform, spurs improvement or lays a foundation of support for maintained adherence. Here are two examples of members who achieved adherence after intervention by an MTM provider with OutcomesMTM. The charts show proportion of days covered (PDC) rates three months prior to the MTM intervention and three months after the intervention.
Multiple touchpoints keep adherence on track
Personal Pharmacist™ Hai Wu
A TIP indicated one of Hai’s patient was not adherent to their anti-diabetic medication. Hai reached out to the patient and counseled them on the value of adherence, converted them to a 90-day fill of their medication and enrolled them in the Adherence Monitoring Program. Hai monitored the patient through quarterly checkpoints to ensure the patient’s continued adherence.
Confirmed refill ensures medication supply
Personal Pharmacist™ Kendrick Pires
A TIP alerted Kendrick to a patient who needed a refill of their cholesterol lowering medication. Adherence to this medication is essential for controlling the patient’s cholesterol and helping to prevent a possible heart attack or stroke. With this in mind, Kendrick reached out to the patient to confirm a refill was needed. Kendrick filled for the requested 90-day supply and set the patient up to receive the refill through the pharmacy’s delivery program. He also noted the date for the next refill for the patient so they could remain adherent to the medication.
Our Insight™ Clinical Engine identifies the services most relevant to your members from a range of interventions designed to help them better understand their medication therapy, take it appropriately and stay on track for optimal results. Adherence services vary in intensity and may be targeted to members who are non-adherent or at risk of becoming non-adherent. The following services are examples of interventions that may be leveraged for members enrolled in your Star Boost Adherence program.