Better Outcomes, Lower Costs

Medication Adherence

A Pharmacist-Led Solution That Improves Outcomes and Lowers Costs

Medication non-adherence leads to more than 125,000 preventable deaths and $289 billion in avoidable health care costs annually. For payors, PBMs, and pharmacies, missed doses and skipped refills not only harm members but also erode quality scores and drive up costs.

With adherence measures heavily influencing CMS Star Ratings and bonuses, plans can’t afford to leave gaps unaddressed. Our pharmacist-led, longitudinal program ensures members receive consistent, personalized support over time, improving outcomes and strengthening performance.

120

MAPD and PDP
Contracts Supported

500

Pharmacist-Led Member Touchpoints Annually

Lift in the Percentage of
Adherent Members

Increase in Refill Rates through AI-Powered Quality Assurance

Pharmacist-Guided Success

A Pharmacist-Led Path to Stronger Adherence

Our pharmacist team leverages data intelligence and omnichannel technology to boost refill rates, address SDOH barriers, and support sustained adherence.

Engagement that Sustains Adherence

Pharmacists connect with members to support timely refills and sustain adherence for diabetes, hypertension, and cholesterol therapies.

Team-Based Support

By partnering with members, providers, and pharmacies, we create an integrated care experience that supports adherence and better health.

Whole Person Care

By addressing SDOH factors such as access and social support, we connect members to plan and community resources that remove barriers.

Omnichannel Outreach That Delivers

Coordinated live and SMS outreach boosts engagement and follow-through, delivering a 72% increase in reach rates.

Real-Time Insight for Measurable Impact

Real-time insights power smarter decisions: we track PDC performance and year-end projections to help payors stay proactive and confident.

AI Insights That Drive Refill Behavior

Our AI-driven QA system analyzes pharmacist interactions to identify strengths and uncover opportunities, leading to a 43% lift in refill rates

Case Study:

How Data Intelligence Tools Improved Adherence & Delivered $21M ROI

D-SNP members with highly complex care needs and low adherence across all measures

Longitudinal pharmacist-led interventions:

Targeted high-risk members with SDOH
Leveraged data intelligence tools to track adherence at the member level
Adjusted member prioritization and engagement strategies per real-time data

Year-end impact:

5-6% in adherent members vs control

$7M ROI per measure → $21M total

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