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Solutions Value-Based Care Reimbursement Value-Based Cost Reduction Resources News Events Blog Downloads About Our Story Leadership Careers Contact Us Request a Consultation Search The Pioneer in Breakthrough Medication Adherence Solutions The Adhere Platform™ will help you… Make Data-Driven Decisions Reach 4.0+ Stars with Improved Adherence The Adhere Platform™ will help you… Increase your CMS Star Rating​ Reduce Medical Spending and Improve MLR The Adhere Platform™ will help you… Achieve Value-Based Cost Reduction ​ Take Action to Increase Your Star Rating Request a sample adherence impact analysis to learn how adherence improvements impact your Stars, QBP and ROI. Get Started Now Improve Health Equity in Members with Social Risk Factors (SRF) Read more to address adherence and improve health outcomes in vulnerable members . Download White Paper SDOH-First Solutions for Medication Adherence Purpose-built, innovative technology and capabilities that drive improved value-based performance and MLR AdhereHealth™ supports the managed care industry, self-insured employers and other risk-bearing entities in engaging all members of the risk spectrum in adherence for improved health outcomes. We specialize in engagement of the highest-risk, hardest-to-reach member cohort through our innovative solutions, powered by our proprietary technology. AdhereHealth enhances quality of care and cost outcomes—all with a foundational SDOH-first approach for improved health equity. Our unique combination of predictive analytics, intelligent clinical workflow software and proactive telepharmacy outreach, performed by a nationwide team of licensed clinicians, improves performance on government-sponsored pay-for-performance programs, and value-based cost reduction. Value-Based Care Reimbursement Drive performance improvement on Star Ratings and government-sponsored P4P programs through a data-driven, SDOH-first approach to medication adherence, especially in the highest-risk members. Learn More Adhere Platform™ Leverage AdhereHealth's healthcare technology, available on its own as SaaS and underlying all our proprietary solutions, to drive maximized value-baesd reimbursement and cost reduction. Learn More Value-Based Cost Reduction Maximize reduction of drug therapy problems (DTPs) and improve medical cost savings through predictive analytics with aligned medical and prescription claims review, plus other opportunities for additional savings Learn More What Our Customers Are Saying In Their Words "To put AdhereHealth’s impact in perspective, our plan’s CMS Star Rating was 2.5 prior to using Adhere, which was very low. We engaged Adhere to work with our medication adherence measures and we improved 1 to 1.5 points for each measure in the first year of the program.” VP of Stars Regional Health Plan "I think they're really strong in analytics for at-risk population identification. And, they're able to onboard additional members and programs quickly. Their scalability is a huge value because inevitably in Q4, we always need something else, and they're always able to accommodate that, which has been key to our multi-year relationship with them." Senior Director Technology Solutions Regional Health Plan "Part of our decision-making is the member experience the vendor is able to provide. We're a very high-touch organization. So we want to make sure that members are seeing value in the experience. So that's one of the things that we look at, which comes along with the AdhereHealth solution." AVP, Performance ProgramsReporting Regional Health Plan "Pricing is definitely one of the keys to our decision process. And specific to pricing, AdhereHealth's outcomes-based billing model, where they work our members and only get paid if they benefit our business, is a big factor for us." Senior Director of Technology StrategySolutions National Health Plan "So we were looking for an end-to-end platform that could help us with adherence that was why we started talking to AdhereHealth and ultimately led to us going with them. The Adhere Platform can connect and integrate with a range of pharmacy services including the PBMs. It parses out the patient information and provides the support, the risk levels and things that are needed to best manage a Medicare patient population." VP Digital Experience, Regional, Resolve, MA Regional Health Plan "I know from an enterprise perspective, there are other markets that have a relationship with AdhereHealth too. Our particular plan started using them across our entire population in 2018. Since then, we’re in our second 3-year contract with them.” AVP, Performance ProgramsReporting National Health Plan "Another thing we like about AdhereHealth is how good their language capabilities are. This allows them to support our diverse patient population very well. In different states, our members' primary language may be Spanish, Mandarin or several other Asian languages. Adhere is able to support all of these languages well, communicating with the member in their primary language.” VP of Stars Regional Health Plan "We needed help as far as reaching more at-risk members. In addition to excelling at that, AdhereHealth offers additional benefits, like addressing mental health and many other HEDIS measures. They provided a higher touch approach that reaches more members and gets them adherent. Based on some webinars that AdhereHealth put out at the end of last year, they're thinking in the right direction with whole patient care.” Senior Director of Enterprise Pharmacy for Government Programs National Health Plan I need help with... Medicare Advantage Star Ratings Medicare Advantage Part C Medication Adherence Medication Therapy Management Transitions of Care Medicare Advantage Star Ratings How we solve this challenge: Hypertension (RAS) Prescribing pattern analytics that identify potential adherence issues for ACE/ARB. Learn More Cholesterol (Statins) Identify potential adverse medication effects that require a change in drug classification to mitigate adherence barriers. Learn More Measure Budgeting Demystify which measures, patients, and providers are most important for achieving quality outcome improvement and insight into the financial outlays. Learn More OpioidsBenzodiazepines Opioid surveillance analytics for potential patient prescription fraud and discontinuation of benzodiazepine. Learn More SUPD/SUPC AHA and CAD clinical guideline analytics to initiate a dual pronged engagement approach for patients and providers. Learn More Comprehensive Diabetes Control Improve diabetic health though medication adherence to enable HbA1c control, kidney function and decreased risk of retinopathy. Learn More Medicare Advantage Part C How we solve this challenge: Comprehensive Diabetes Control Improve diabetic health though medication adherence to enable HbA1c control, kidney function and decrease risk of retinopathy. Learn More SUPC AHA and CAD clinical guideline cardiovascular analytics to initiate a dual pronged engagement approach for patient and providers. Learn More Post Hospital Discharge Med Reconciliation Within 48 hours of discharge, patient assessment using clinical decision support tools that identify comprehensive medication errors, duplicative therapies, and drug contraindication. Learn More Preventive Screenings In coordination with medication adherence conversion, increase process gap closure through patient outreach. Learn More COAPain Assessment Part C analytics identify high-risk elderly patients to facilitate pain and safety medication assessments. Learn More OsteoporosisRheumatoid Arthritis Provider and patient outreach to deliver necessary screening assessments for appropriate medication usage in narrow timeframe. Learn More Medication Adherence How we solve this challenge: Comprehensive Diabetes Control Achieve Comprehensive Diabetes Control through insulin coverage combined with oral diabetic...