Pharmacy-level visibility into the Part D measures that drive Star Ratings — triple-weighted adherence (D08, D09, D10), MTM completion (D11 returns to scoring in 2029 SR), and the new single-weighted safety measures (COB, Poly-ACH) first scored in 2028 Star Ratings.
You track aggregate PDC across your network. But aggregate data doesn't show which pharmacies are missing quality targets, which measures are dragging down Star Ratings, or where medication review programs are falling short.
And the landscape is shifting. CMS added COB and Poly-ACH as Part D measures — display in 2027 Star Ratings, first scored in 2028. D11 CMR returns to scoring in 2029. Plans with site-level data across every relevant measure will have the advantage when scoring starts.
One platform covering every Part D measure in Star Ratings — the three triple-weighted PDC measures, D11 CMR (returns 2029 SR), SUPD, and the new single-weighted safety measures (COB, Poly-ACH) first scored in 2028 SR.
Monitor diabetes, RAS antagonist, and statin PDC at both the network and individual pharmacy level. Quickly identify which locations meet the 80% threshold and where adherence is falling short. SUPD tracking surfaces members with diabetes who haven't filled a statin - a gap that's straightforward to address once it's visible.
Three medication review workflows across your pharmacy network - tracked centrally, reported to leadership.
Comprehensive Medication Reviews — pharmacists schedule, track, and complete CMRs inside PillCoach. Plan leadership sees completion rates network-wide. D11 scores in 2029 Star Ratings (MY 2027).
Targeted Medication Reviews - focused interventions for specific patients with structured documentation and completion tracking.
Medication Reconciliations - standardized reconciliation workflows across every pharmacy in your network.
Most plans haven't operationalized COB or Poly-ACH yet. The window to build pharmacy-level programs before scoring starts is narrowing.
CMS will track members with 30+ concurrent days on both opioids and benzodiazepines. PillCoach's medication review workflows help pharmacists identify these members and initiate interventions.
Members 65+ on two or more anticholinergic medications for 30+ overlapping days. TMRs and MedRecs help pharmacists identify candidates for deprescribing conversations.
Both measures display in 2027 Star Ratings and are first scored in 2028 Star Ratings as single-weighted process measures. Plans with pharmacy-level programs running before scoring begins will have a meaningful head start.
Performance data by location across every adherence and MTM measure. See which sites are on target, which need support, and how the network is trending quarter over quarter.
Pharmacist-documented vitals and labs - BP, glucose, A1C, cholesterol, pulse ox, weight
Vaccine task tracking across pharmacy teams
Activity feeds and performance metrics for plan administrators and pharmacy managers
End-to-end encryption, role-based access, and audit logging on HIPAA-compliant infrastructure
Your Program. Your Control.
Some plans want direct control over their adherence programs - no vendor middleman, no black-box reporting. PillCoach gives your clinical operations team a single platform to run the full program in-house, from PDC interventions to MTM completion to patient outreach.
Your pharmacists and clinical staff use PillCoach as their daily operating system - managing adherence interventions, completing CMRs and TMRs, documenting clinical encounters, and coordinating patient outreach from one login.
Every metric your team needs - adherence rates, review completion, clinical documentation - visible from a single view. You set the workflows, the priorities, and the pace, on infrastructure that scales with your program.
Many managed adherence programs charge per member per month and keep the operational relationship at arm's length. Running PillCoach in-house gives your team the same capabilities with direct control over execution and predictable platform costs.
One Platform. Two Models.
Whether you want to equip your pharmacy network or run adherence operations internally, PillCoach adapts to how your organization works.
PillCoach runs inside every pharmacy in your network. Pharmacists use it daily to manage adherence gaps, complete MTM reviews, and document clinical encounters. Your plan gets visibility into performance across every location and every measure.
Your clinical ops team uses PillCoach as the operating system for adherence management. Set priorities, assign interventions, monitor outcomes, and report to leadership - all under one roof, without third-party overhead.
30-minute walkthrough. We'll show you the platform, the measures, and what network-wide visibility looks like in practice.
Schedule a Briefing