MedImpact | Clinical and health solutions

Clinical and health solutions

MedImpact’s clinical solutions go beyond pharmacy-only thinking and bring a whole health approach to delivering better health and lower costs.

Today’s landscape

Today, 62 percent of people have at least one chronic condition, 12 percent have 5 or more, and those individuals fill on average 51 prescriptions a year. Clearly, the industry’s go-to disease and condition management programs are not enough.

A holistic approach

MedImpact’s advanced solutions identify members with the greatest health risk and engage them with highly personalized, clinically proven interventions. Our holistic approach incorporates medication therapy management, while encouraging better nutrition and a healthy lifestyle. The result: improved outcomes, a better member experience, and lower costs for plans and patients.

$10.62 PMPM

Savings by clients who switched to MedImpact

5:1

HCG Choice™ return on investment average.

3:1

Refill reminder program return on investment.

Clinical trend management solutions

We combine point-of-service utilization tools that target medications prone to inappropriate use or where lower cost therapeutic alternatives are available. This program has been developed by our clinical team to help ensure that the prescriptions members get are the most clinically appropriate and cost effective.

High-cost generics solutions

MedImpact has developed three solutions aimed at addressing high-cost generics (HCG): HCG Choice™, HCG X™, and HCG Select™. Developed using our clinical expertise and advanced analytics, we identify and track list prices, MACs, and claim costs for more than 2,000 generic drugs. This allows us to quickly respond to price changes and maximize cost-saving opportunities.

Refill reminder program

This program targets members who are most likely to benefit from the program and have not filled their medication(s), leading to: Better adherence and clinical outcomes; higher member satisfaction; improved CMS Star Ratings and increased Quality Bonus Payments for Part D plans; and lower overall costs.

Quality performance management program

This program delivers information–at both the group and member level–about adherence, gaps in care, and safety issues to help plans increase CMS Star Ratings and bonus payments, and improve member outcomes and plan competitiveness.

ON A MISSION

Connected care

Every year, we invest hundreds of millions of dollars in technology, people, and solutions to make healthcare benefits more connected, personal, and affordable.