AssureCare Medication Therapy Management (MTM) is a cloud-based software platform designed for pharmacies and health plans to optimize medication safety, adherence, and clinical outcomes. The platform supports both Commercial and Medicare members, integrating more than 100 patient identification algorithms aligned to CMS, STAR, HEDIS, and PQA measures. It enables pharmacists to perform Comprehensive Medication Reviews (CMRs), Targeted Medication Reviews (TMRs), and other clinical services, with efficient workflows that leverage pharmacy technicians and allow pharmacists to practice at the top of their license. The system consolidates tasks from external platforms, automates follow-ups for disease monitoring, and generates dynamic care plans based on real-time data. It supports compliant documentation, medication interaction checks, and billing for clinical services within medical benefits. The platform provides a 360-degree member-centric view, streamlining medication management workflows and supporting longitudinal care, reporting, and regulatory compliance.

Key Features

Population Targeting Identifies patients for MTM services using advanced algorithms.

• Aligns with CMS, STAR, HEDIS, and PQA measures
• Supports targeted interventions for at-risk populations

Comprehensive and Targeted Medication Reviews (CMR/TMR) Enables pharmacists to assess medication appropriateness, safety, and effectiveness.

• Supports clinical documentation and billing
• Addresses gaps in care and optimizes therapy

Efficient Workflows Streamlines task management and documentation.

• Consolidates tasks from multiple platforms
• Automates medication interaction checks

Automated Follow-Up Ensures ongoing disease monitoring and care.

• Generates follow-up tasks for longitudinal patient management
• Tracks intervention outcomes

Dynamic Care Plan Generation Creates and updates care plans based on real-time data.

• Refers patients to appropriate services
• Tracks opportunities and outcomes at the patient level

System Integrations Connects with EMR, pharmacy, and external data sources.

• Ensures data consistency and interoperability
• Supports seamless workflow across organizations

Regulatory Compliance and Reporting Facilitates compliance with CMS and other standards.

• Provides robust reporting and analytics
• Supports quality improvement initiatives

Benefits

Improved Medication Safety and Adherence Enhances patient outcomes by optimizing medication regimens.

• Reduces adverse drug events
• Increases adherence to therapy

Operational Efficiency Automates and streamlines MTM workflows.

• Saves time for pharmacists and technicians
• Reduces administrative burden

Revenue Optimization Enables billing for clinical services within medical benefits.

• Supports direct billing to health plans
• Expands clinical service offerings for pharmacies

Regulatory and Quality Compliance Aligns with national quality measures and reporting requirements.

• Facilitates compliance with CMS, STAR, HEDIS, and PQA
• Supports audit and quality improvement processes