Medication Optimization for Health Plans and Provider Entities

This document is a guide that outlines the AdhereHealth medication optimization solution designed for health plans, Accountable Care Organizations (ACOs), and risk-based provider entities. It addresses the rising expenses associated with pharmaceutical and medical claims, emphasizing the need for effective solutions to manage drug therapy problems (DTPs). The guide details how the medication optimization solution aligns pharmacy and medical claims to identify and resolve DTPs, ultimately improving medical loss ratios. It presents various features of the solution, including a proprietary rules engine for patient identification, omnichannel program options, and interactive dashboards for tracking progress. The document also highlights the potential cost savings associated with proactive DTP identification and switching to lower-cost drug alternatives. By implementing this solution, health plans can drive positive health outcomes while simultaneously reducing medical and pharmacy costs, thereby maximizing savings and improving overall patient care.