Medication Optimization Solutions for Health Plans

This document is a guide that outlines the Medication Optimization solution offered by AdhereHealth, aimed at reducing medical and pharmacy costs for health plans while improving care outcomes. It describes the rising expenses associated with pharmaceutical and medical claims, highlighting the inadequacies of current Pharmacy Benefit Manager (PBM) solutions in addressing these challenges. The guide details how the Adhere Platform™ engages members and practice groups to optimize drug therapy and resolve medication gaps, which can lead to significant cost savings. It presents statistics indicating that a considerable portion of members experience drug therapy problems that contribute to increased medical claims. The document emphasizes the importance of proactive identification of these issues to facilitate cost-effective drug substitutions and improve overall health outcomes. Additionally, it mentions the potential return on investment for health plans utilizing these solutions, illustrating the financial benefits of implementing the AdhereHealth approach.