Comprehensive Medication Management Overview

This document is a technical report detailing the Comprehensive Medication Management (CMM) solution offered by AdhereHealth. The CMM aims to enhance drug therapy problem (DTP) identification and resolution, thereby improving medical loss ratios for commercial health plans, accountable care organizations (ACOs), and risk-based provider entities. It outlines the proprietary rules engine that identifies at-risk patients using near-real-time data, facilitating clinician outreach. The report describes the alignment of medical and pharmacy claims to maximize DTP resolution and reduce costs. It also presents the benefits of an omnichannel program with partner-deployed clinicians, ensuring high-quality services. Additionally, the document highlights the simplified clinician experience through an intelligent workflow and interactive dashboards for tracking pharmacy gap closure. A case study of a patient named Ms. Philips illustrates the effectiveness of the CMM in avoiding adverse medication interactions and reducing unnecessary hospitalizations, showcasing the potential for significant return on investment.