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FOR HEALTH PLANS & PBMs

Network-wide adherence performance.

PillCoach gives health plans and PBMs real-time visibility into pharmacy-level adherence performance across all PDC measures plus HIV and SUPD, scalable MTM program management including CMRs, TMRs, medication reconciliations, and medication guides, clinical monitoring data, and the analytics infrastructure designed to support the adherence measures that factor into Star Ratings.

Patient using telehealth with pharmacist for remote clinical monitoring and medication management
THE CHALLENGE

You can't manage what you can't measure

Many health plans have limited visibility into pharmacy-level performance. MTM programs are fragmented, clinical monitoring data is siloed, and adherence gaps often surface too late to address.

Network Blind Spots

You know your network's aggregate PDC scores, but you may not see which pharmacies are driving performance - or where gaps are forming - until it is too late to intervene.

MTM at Scale

Running MTM programs across hundreds of pharmacies often means fragmented workflows, inconsistent documentation, and completion rates that are difficult to improve without standardized infrastructure.

Adherence Measure Visibility

Medication adherence measures carry significant weight in Star Ratings calculations. Without real-time pharmacy performance data, plans often lack the visibility to intervene before measurement periods close.

THE SOLUTION

Visibility across every pharmacy.

PillCoach connects directly to your pharmacy network via integrations with leading pharmacy management systems, providing the infrastructure designed to help improve adherence performance and clinical program outcomes across your network.

Network Performance Dashboard

See real time PDC scores across all measures including HIV and SUPD, adherence trends, clinical monitoring outcomes, and performance rankings across every pharmacy in your network. Identify top performers and intervene with underperformers before quarterly reports arrive.

Scalable MTM Programs

Deploy standardized CMR, TMR, medication reconciliation, and medication guide workflows across your entire network. Consistent documentation, centralized tracking, patient communications via fax, text, and telehealth, and automated completion reporting - at scale.

Adherence Measure Analytics

Analytics that combine adherence data, clinical monitoring outcomes, and MTM completion rates to help give you earlier visibility into the measures that factor into Star Ratings calculations.

PillCoach analytics dashboard showing health plan performance metrics and Star Ratings data
NETWORK CAPABILITIES

Built for network-scale performance.

PDC
NETWORK ADHERENCE + HIV + SUPD
MTM
MTM + CLINICAL PROGRAMS
CMS
ADHERENCE MEASURE ANALYTICS
DIR
FEE OPTIMIZATION

Adherence, MTM, and performance analytics across your entire pharmacy network.

See how PillCoach supports network-wide adherence performance

Schedule a 30-minute briefing and see how PillCoach helps support the adherence measures that factor into Star Ratings, streamline MTM completion, and provide clinical outcome visibility across your pharmacy network.

Schedule a Briefing