Who We Serve
Health Plans
Medication therapy management has become the preferred approach for optimizing drug regimens. Whether you are looking for a full-service solution or a platform to make your plan clinicians more efficient and effective, CSS Health provides the solutions you need. Our suite of solutions for health plans will help you improve patient outcomes, lower risk and cost, improve critical quality measures, reduce or eliminate unnecessary therapy, and enhance member satisfaction.
Advanced Platform
At the core of our offering is the MTMPath™ platform—a pharmacist EHR that supports reliable, high-volume medication regimen review. Instantly identify drug therapy problems in a patient’s regimen and effortlessly intervene with patients and prescribers. Manage your core MTM program and expand to address adherence, HEDIS and STAR quality, and opioid management.
Direct Member Outreach
The CSS Health clinical call center can support your member outreach initiatives. Encourage medication management with a human, personalized touch and ensure that your plan achieves high CMR rates.
Advanced Practice Network
Use community pharmacies and ambulatory pharmacists to enhance patient engagement. Expand your member health improvement efforts in areas like adherence, smoking cessation, diabetes management, and more.
A solution to fit your needs—and your budget
Choose your solution below to see how CSS Health can help you improve adherence and patient outcomes, reduce costs, and free staff time.
Medicare Part D MTM
The most transparent and audit hardened Part D MTM program available. Achieve target CMR rates with regulatory compliance.
Medicaid Medication Management
Apply medication management to optimize opioid and behavioral medication management use and improve Medicaid HEDIS measures.
Medication Management for Commercial Plans
Improve medication cost, medication use, and medication-related wellness in your Commercial Health Plan.
Enhanced Adherence Programs
CSS Health AdherencePath™ programs allow you to target members at the point of non-compliance. Intervene with members just after they have become non-compliant and when they forget to pick up their medications. Improve STAR adherence rates or adherence in any therapeutic class.
Medication Management for PBMs
CSS Health offers over twenty types of Medication Management programs for PBMs to whitelist and offer to their clients.
MTM Self-Insured
Improve medication cost and operate medication related wellness programs in your Self-Insured Health Plan. Monitor medication use in both pharmacy and medical claims.