Pharmacy has long been recognized as a burgeoning component of the medical expense ratio. It is only now getting the proper attention in areas of opportunity to significantly improve outcomes. The most important aspect of monitoring adherence is to compare fills to months, and identify members that are not acquiring the appropriate amount of medication. This group includes:

• Diabetics
• Hypertension
• Cardiac
• COPD
• Asthma

This allows appropriate funneling of members through Complex Care Management.

For a more detailed discussion, please contact us.