Health Plans

Medication Therapy Management

Providing prescription drug education to MA and PDP
members in accordance with Medicare Part D.

IntelliCare can be a valuable partner for Medicare Advantage (MA) and Prescription Drug (PDP) Plans. By providing Medicare Part D compliant Medication Therapy Management (MTM) services, IntelliCare can help your members understand their medication treatment and provide the support they need to stick with it. The end result? A cost effective solution that will allow your plan to provide a comprehensive MTM program in accordance with all Medicare Part D requirements.

Our MTM services are designed to help plan members who have multiple chronic diseases, are taking multiple medications and who are likely to have high drug costs. Through a combination of outbound clinical interventions, member education and inbound telephonic support, IntelliCare can optimize your members therapeutic outcomes and reduce the risk of adverse events.

The goals of our program are simple. We aim to:

  • Enhance member understanding
  • Increase adherence to medication regimens and,
  • Reduce the risk of adverse drug events

So how do we reach those goals? As most MA and PDP plans have realized, the Centers for Medicare and Medicaid Services (CMS) have left the door open for a wide range of approaches. Some plans have opted to develop internal programs, which can be extremely costly and complex. Others have chosen to outsource these services to venders who provide educational materials with limited one-on-one interaction. Health plans have an opportunity to drastically change the quality of life for their members with our MTM program. By outsourcing these services to IntelliCare, you can do more for your members while you reduce spending on outreach and education services.

Through our experience, best-in-class health information and ability to integrate with existing programs, IntelliCare has developed a robust MTM program that will provide your members with comprehensive clinical interventions and health information at a price far less then in-house options.

Over the last 10 years, IntelliCare has become a leading expert in providing clinical education and support to health plan members. We've used this industry know-how to create a MTM service that will allow you to benefit from IntelliCare's:

  • Experienced Staff
    IntelliCare's MTM services are staffed by registered nurses, pharmacists and specially trained non-clinical agents. Registered Nurses average 19 years of experience and many have prior experience in pharmaceutical environments.

  • Clinical Expertise
    IntelliCare's clinical management team has extensive experience designing, deploying and optimizing clinical outreach programs beyond MTM, including CMS demonstration projects and commercial disease management programs. Our team will work with you on a consultative basis to optimize MTM Program design.

  • Flexible Technology
    IntelliCare's proprietary call center technology, IntelliViewSM allows program workflows and scripting to be customized as needed and modified as the program evolves.

  • Best in Class Health Information Content
    The Healthwise Knowledgebase medical content database provides IntelliCare's MTM staff with over 5,500 information topics on health conditions, medical tests and procedures, medications, and everyday health and wellness issues. The content is decision focused and action oriented to help patients improve healthcare choices and outcomes.

  • Robust Reporting Capabilities
    IntelliCare's data warehouse and analytic tools allow for flexible and customizable reporting capabilities. In addition to report creation, IntelliCare provides direct access to program data that can be integrated with client systems.

For more information regarding IntelliCare Medication Therapy Management services, please contact our sales department. You can also check out our recent press release that describes how HealthSpring, Inc has successfully implemented our MTM program.

 

 

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