Pharmacies do not have the time to log into several dashboards daily and check every patient’s adherence, or statin use, or MTM cases. Moreover, each insurance plan calculates star ratings differently. That is why, by using machine learning and augmented reality, iMedicare gives member pharmacies an edge without any interruption in their workflow.
Today, iMedicare introduced a new platform that manages pharmacy Star Ratings within pharmacies’ existing workflow. Without a separate dashboard, pharmacies can quickly tend to each Star Rating action during the fill process.
The new platform identifies patients that increase a pharmacy’s DIRs (Direct and Indirect Remuneration Fees) and triggers an action. Using a proprietary machine learning algorithm that detects the patient’s current plan, subsidy, and DIR fee impact, iMedicare identifies the specific action to be taken for each patient.