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PlatformPharmaciesHealth PlansHow It WorksAboutContact
THE ADHERENCE AND CLINICAL PERFORMANCE PLATFORM

Catch adherence gaps before they hit your metrics.

Manage adherence, deliver care, engage patients, and track performance and revenue in one platform.

PillCoach platform dashboard showing real-time pharmacy performance metrics and adherence tracking
INTEGRATED WITH

PioneerRx | Liberty | PrimeRx

WHO WE SERVE

One system. Both sides of the equation.

Pharmacies and health plans share one goal - better adherence outcomes. PillCoach gives both sides a single system to help drive it.

Pharmacies

Run your entire adherence operation from one screen. PDC tracking, MTM workflows, clinical monitoring, vaccine tasks, patient communications, and financial tracking. Integrated with leading pharmacy management systems. Your team never leaves the platform.

Explore Pharmacy Solutions →

Health Plans & PBMs

Monitor real-time adherence performance across your pharmacy network. PillCoach provides the visibility, reporting, and intervention infrastructure designed to help improve the adherence measures that factor into Star Ratings. See every pharmacy. Act before gaps widen.

Explore Payer Solutions →
Pharmacist providing personalized medication consultation to improve patient outcomes
WHAT WE DO

Every adherence lever. One system.

PDC
ADHERENCE OPTIMIZATION
CMS
ADHERENCE WORKFLOWS
DIR
PREFERRED NETWORK STATUS
MTM
PROGRAM AUTOMATION
THE PROBLEM

Adherence gaps don't announce themselves. They accumulate.

Most pharmacies find out about PDC shortfalls after the measurement period closes. Health plans lose visibility into network performance until Star Ratings are published. By then, the window to intervene has passed. PillCoach gives both sides the tools to catch gaps early and close them in real time.

80%

PDC threshold to earn Star Rating credit on adherence measures

$300B+

in preventable U.S. healthcare costs from medication non-adherence annually

25%

of U.S. hospitalizations are attributed to medication non-adherence

$12.7B

CMS Quality Bonus Payment pool where adherence is a key rating driver

Adherence gaps don't announce themselves. They accumulate.

Most pharmacies find out about PDC shortfalls after the measurement period closes. Health plans lose visibility into network performance until Star Ratings are published. By then, the window to intervene has passed. PillCoach gives both sides the tools to catch gaps early and close them in real time.

WHAT'S INSIDE

Six workflows. Zero tab switching.

Everything a pharmacy team touches daily - built into a single platform.

MTM

MTM Management

CMRs, medication reconciliations, and medication guides managed and delivered from one workflow. No separate portals.

CLINICAL

Clinical Monitoring

Track blood pressure, blood glucose, pulse ox, weight, A1C, and cholesterol labs. Document clinical encounters in the same system.

VACCINES

Vaccine Workflows

Manage vaccine tasks alongside adherence and clinical workflows. One prioritized queue for everything your team needs to act on.

FINANCIAL

Financial Performance

Track prescription reimbursements at the patient level or across your organization. Give admins full visibility into financial and user performance.

ADHERENCE TRACKING

Real-time PDC visibility across every measure.

Most pharmacies find out about PDC shortfalls after the measurement period closes. PillCoach gives your team daily visibility into which patients need intervention before gaps widen.

All major PDC measures plus HIV and SUPD

Track diabetes, hypertension, cholesterol, HIV, and SUPD - all from one dashboard. See where each patient stands before gaps become missed opportunities.

Gap detection for at-risk patients

See which patients are falling below the 80% PDC threshold before the window to intervene closes.

Prioritized daily worklists

Your team starts each day knowing exactly which patients need attention and where to focus for the greatest impact on PDC performance.

MTM MANAGEMENT

MTM without the tab switching.

PillCoach consolidates CMRs, medication reconciliations, and TMRs into a single workflow - so your team spends time on patient care, not portal navigation.

CMRs, MedRecs, and TMRs in one workflow

No separate portals. No duplicate documentation. Every MTM service type managed from a single interface.

Complete TMRs directly in PillCoach

Complete and document TMRs without leaving the platform. Review workflows integrated into your daily operations.

Complete documentation trail

Every encounter documented and timestamped. Ready for plan submissions and internal review without manual assembly.

PATIENT COMMUNICATIONS

Every channel. One platform.

Your team should never have to leave PillCoach to reach a patient. Every interaction documented in the patient record automatically.

Fax and document delivery

Send faxes and documents directly from PillCoach. Everything attached to the patient record automatically.

Text messaging and calling

Send texts and initiate calls from within the platform. Reach patients on the channel they respond to most.

Telehealth and appointments

Launch telehealth sessions and manage appointment scheduling alongside adherence and clinical workflows. One calendar. One queue.

CLINICAL MONITORING

Track vitals alongside adherence.

Document clinical encounters in the same system where your team manages adherence and MTM. No separate clinical documentation tools.

Blood Pressure

Track systolic and diastolic readings alongside medication adherence data.

Blood Glucose

Monitor glucose levels for patients on diabetes medications in real time.

A1C

Log A1C lab results to track long-term glycemic control over time.

Pulse Ox

Record pulse oximetry readings for respiratory and cardiovascular patients.

Weight

Document weight changes over time to support chronic condition management.

Cholesterol

Capture lipid panel results to inform cholesterol medication management.

FINANCIAL VISIBILITY

See where the revenue is. See where it isn't.

Admins get full visibility into prescription reimbursements and user productivity. The data you need to make informed decisions about your adherence operation.

Prescription reimbursement tracking

See reimbursement data at the individual patient level or aggregated across your organization. Real-time visibility into the metrics that drive preferred network status.

User productivity visibility

Admins see individual user performance - who's completing tasks, where bottlenecks form, and how capacity is distributed across the team.

Organization-level dashboards

Roll up performance data across locations and users. One view for leadership, detailed views for operational teams.

Built for the systems you already use.

Direct integrations with the PMS platforms that power independent pharmacy. No rip and replace. No double entry.

PioneerRx

Liberty

PrimeRx

More integrations in development

PHARMACIES

Replace the patchwork. Run the whole operation.

Spreadsheets, separate portals, manual tracking - PillCoach consolidates all of it. Adherence, MTM, clinical monitoring, communications, and vaccines prioritized in a single daily workflow.

1

Prioritized daily worklists

See exactly which patients need attention today, ranked by impact on PDC performance and clinical urgency.

2

Every channel, built in

Fax, text, calling, telehealth, and appointments without switching tools. Document every interaction without leaving the platform.

3

Financial and performance visibility

Admins see individual user productivity and prescription reimbursement data at the patient or organization level.

4

Integrated with your PMS

Connects with PioneerRx, Liberty, and PrimeRx. No double entry. No context switching.

Replace the patchwork. Run the whole operation.

Spreadsheets, separate portals, manual tracking - PillCoach consolidates all of it. Adherence, MTM, clinical monitoring, communications, and vaccines prioritized in a single daily workflow.

HEALTH PLANS AND PBMS

Pharmacy-level adherence visibility for your network.

PillCoach is designed to give health plans the analytics infrastructure to monitor PDC performance across pharmacy networks, support scalable MTM programs, and access clinical monitoring data - built around the adherence measures that factor into Star Ratings.

1

Network-level PDC visibility

Monitor pharmacy-level adherence data designed to support the quality measures that factor into Star Ratings.

2

Scalable MTM infrastructure

Built to support structured MTM workflows across your network with completion tracking and compliance reporting.

3

Clinical monitoring data

Access blood pressure, glucose, A1C, and other clinical data captured at the pharmacy level for population health visibility.

4

Adherence analytics and reporting

Data and reporting designed to support the quality measures that help drive preferred network positioning.

Pharmacy-level adherence visibility for your network.

PillCoach is designed to give health plans the analytics infrastructure to monitor PDC performance across pharmacy networks, support scalable MTM programs, and access clinical monitoring data - built around the adherence measures that factor into Star Ratings.

HOW IT WORKS

Setup to impact in four steps.

From PMS integration to prioritized daily workflows - here's what the first week looks like.

1. Connect

PillCoach integrates with your pharmacy management system. Your patient data populates the platform.

2. Configure

Define which workflows your team sees first. Set priorities by measure, urgency, or patient risk.

3. Perform

Your team works from one prioritized queue. Every patient interaction, clinical encounter, and follow-up in one place.

4. Measure

Track PDC performance, MTM completions, clinical outcomes, and financial impact across your organization.

OUTCOMES

What changes when your team uses PillCoach.

The platform is the tool. These are the results.

Fewer systems, faster workflows

Your team stops switching between portals, spreadsheets, and phone systems. Everything consolidates.

Interventions that happen on time

Real-time PDC visibility means your team acts when it matters - not after the measurement period closes.

Performance you can actually measure

Admin-level visibility into user productivity, prescription reimbursements, and clinical outcomes across your organization.

Your adherence metrics are already moving. The question is where.

See a live patient workflow in 15 minutes. Walk through your adherence data inside PillCoach.

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