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Medication Therapy Management
Medication Therapy Management software makes pharmacists part of the equation.
Provides Medication Therapy Management (MTM) services for both Commercial and Medicare members, improves quality and adherence outcomes (STAR’s, HEDIS, PQA), and consequently reduces healthcare costs.
How We Help:
Population Targeting
More than 100 patient identification algorithms aligned to CMS, STAR, HEDIS, and PQA measures, that feed a robust workflow engine allowing payors and community pharmacies to complete Comprehensive and Targeted Medication Reviews (CMRs and TMRs), address gaps, and provide better patient care.
Prioritized Work
Always know what needs to be done next with prioritized tasks and queues that consolidates work including tasks from external platforms into a single view.
Efficient Workflows
Workflows intentionally designed to leverage technicians and allow pharmacists to practice at the top of their license. They support efficient, compliant documentation, automatic checks for medication interactions, and integrations that ensure systems stay in sync.
Follow Up
Generate automated follow-ups for continuous disease monitoring and longitudinal care to ensure outcomes are met.
Care Plan
Generate opportunities and interventions dynamically based on data received from multiple sources and refer patients to the appropriate service provider. Patient level tracking of opportunities and intervention outcomes.
CMS Compliant
Ensure CMS compliant patient identification, documentation, data collection and reporting in support CMS programs including the Medication Therapy Management Program. Deliver CMS required patient materials including Patient Medication List and Action Plan.
Reporting
Operational reports including KPIs such as PDC rates and CMR Completion Rates along with compliant CMS regulatory reports.
High Quality Patient Interactions
Make the most out of each patient touchpoint. Our Health360 view of the patient provides a holistic view that allows users to see all the things that can be addressed so they can make the most of each patient interaction. The platform also allows users to engage the patient where they are by supporting face-to-face, telephonic, and telehealth interactions.
Features and Functionality
  • Data and system integrations
  • Medication adherence and gaps in care monitoring
  • MTM Program and STAR Measures
  • Drug Management Program
  • Clinical program workflows and documentation
  • Assessment library
  • Vaccine registry integration
  • Telehealth and Patient Engagement
  • Specialty pharmacy workflow management
Combine these modules for even greater benefits:
Akumen™
A dynamic analytics platform leveraging AI-based predictive modeling and data-driven decision-making to manage risk.
Capabilities
Cloud-based Architecture
EMPI for Member and Provider
Stratify Populations for Vaccines and Wellness
Personalized Metrics for Outcomes
Predictive Insights
Boosts Efficiency
Medical Credentialing and Enrollment
Streamline provider credentialing and enrollment with payors for faster onboarding and compliance.
Capabilities
Provider Credentialing
Payor Enrollment
License Verification
Compliance Monitoring
Re-credentialing Management
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