Solutions
Pharmacy Adherence & Medication Gaps
Medication adherence drives multiple Part D Star measures. We provide:
- Pharmacy Technician Outreach: Refill reminders, synchronization, and home delivery coordination.
- Pharmacist-Led Adherence Counseling: Addressing barriers to persistence.
- MTM & Med Reconciliation: Reducing drug-drug interactions and therapy interruptions.
- Reporting: PDC (proportion of days covered) rates monitored at the member level.
Stars & HEDIS Gap Closure
We address the full spectrum of clinical and preventive measures:
- Breast Cancer Screenings (BCS)
- Colorectal Cancer Screenings (COL)
- Diabetes HbA1c Control (HBD)
- Controlling High Blood Pressure (CBP)
- Statin Therapy for Patients with Cardiovascular Disease (SPC)
- Osteoporosis Management (OMW)
- Childhood Immunizations (CIS)
Our outreach teams ensure members are contacted, scheduled, and documented. Weekly reporting tracks numerators, denominators, and closure progress.
Provider Engagement & Virtual Outreach
We reduce provider burden by handling member contact and scheduling.
Coordinators
Call members directly to book visits and screenings.
Clinical Team
Telehealth visits for screenings and blood pressure follow-ups.
Integration
Fax, portal, or EHR-compatible documentation returned to the PCP.
Impact
Increases numerator while protecting provider satisfaction.
Telehealth Gap Closure Programs
BP Checks & A1c Testing
At-home monitoring integrated with telehealth encounters.
Preventive Screenings
Virtual counseling and scheduling for mammograms, colonoscopies, and immunizations.
Member Engagement at Scale
National telehealth reach with weekly activity reports.
ROI
Virtual completion ensures denominator reduction with minimal cost per closure.