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Prescription Adherence and Clinical Management

Medication adherence tools to identify at-risk patients and intervene early.

Medication nonadherence significantly impacts patient health and increases healthcare costs

Medication nonadherence significantly impacts patient health and increases healthcare costs. Effective medication therapy hinges on patients not only obtaining their medications but also adhering consistently to their prescribed regimens. This challenge intensifies for those requiring multiple medications or facing obstacles like high costs, side effects, limited availability, or difficulties in accessing pharmacies.

The factors contributing to nonadherence vary widely and are often deeply personal. Addressing this issue requires a comprehensive approach that includes a variety of strategies tailored to individual needs. Equally crucial is a well-informed care team equipped to collaborate closely with patients, ensuring they achieve the best possible health outcomes. 

What's included

Medication adherence

Medication adherence tools

Manage patients at risk of nonadherence with their medications throughout their care journey.

Star measures

Star measures management

Identify, prioritize and manage consistently nonadherent patients with HEDIS® measure drugs.
 

HEDIS is a registered trademark of the National Committee for Quality Assurance

Analytics reporting

Analytics reporting and application programming

Enable population health monitoring and modeling via custom reporting. Leverage APIs to embed prescription pickup and propensity scores within existing applications.

Key benefits

Improved medication adherence

By reconciling e-prescription data from the provider’s EHR with point-of-sale data from the pharmacy, providers can be informed in near real-time when patients pick up their medications and identify opportunities to intervene when they don’t.

Reduced total cost of care

Using AI-enabled propensity modeling, healthcare organizations can predict which patients are at risk of nonadherence and once identified, these patients can be placed into early, personalized intervention programs.

Enhanced enterprise collaboration

Providers and the care team work together to ensure patients who are at risk of nonadherence are directed to the right care program and receive the resources they need.

Related healthcare insights

White paper

Risk adjustment star ratings success

Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.

E-book

The secret to lowering the total cost of care

Rising pharmacy costs concern everyone. Managing the underlying health conditions behind each prescription is key to addressing these high costs.

Article

Advancing health equity: How Optum Rx is overcoming challenges

Thought leaders discuss the intentional vigilance needed to overcome obstacles impeding better access to healthcare for all.

Product information and resources

  • PDF

     

    Fact sheet

    Overview of Prescription Adherence and Clinical Management

    Identifying patients at risk of medication nonadherence and offering early intervention to improve patient outcomes.

    Download fact sheet

Learn more about Prescription Adherence and Clinical Management

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