Who We Serve
Medicare Plans
Drive higher Star ratings and increase reimbursements by improving adherence and controlling costs
Medicare plans rely on Insight into at-risk populations and operational efficiency to maximize Star bonuses and minimize expenses. CSS Health’s broad range of integrated medication management solutions helps Medicare plans like yours meet or exceed Star targets, with rapid returns on investment as high as 400%.
Powerful Data Analytics Across Pharmacy, Medical, and Lab ServicesCSS Health’s population data segmentation technology includes pharmacy, medical, and lab claims to identify members who might be likely to incur unusual expenses due to complex medication regimens, poor adherence, or chronic disease. By simplifying formulary management and identifying at-risk populations sooner, plans also reduce costs by eliminating redundant or inappropriate therapies.
Configurable Packaging and Person-to-Person Adherence Follow-UpAdherence is essential for maintaining or improving Star ratings, as well as other quality and wellness programs. Our configurable packaging systems use color-coded, individualized, by-day blister-packs to make it easier to follow complicated regimens.
CSS Health’s proactive outreach programs help people feel valued as individuals. Access to lower-cost generic drugs and wellness services defray often frightening medication expenses. Person-to-person contact reassures members that someone cares, especially among the newly ill and populations with complicated conditions. The result is happier, healthier members, and greater satisfaction with their Medicare plan.
Flexible Configurations for Organizations of All SizesWhether turnkey outsourced offerings or supplemental programs for targeted operational needs, CSS Health tailors its solutions for each Medicare plan customer. For more information on our Medicare-specific products and services, click on the links below.
MTM Medicare Part D
Smart™ Automated CMR and Person-to-Person Adherence Services Reduce Costs, Increase Margins, and Free Staff for Non-Administrative Tasks
Enhanced Adherence Programs
Improve outcomes, reduce costs, and improve Star ratings by preventing end-of-year drop-off in adherence
MTM PBM
Smart™ Automated CMR and Person-to-Person Adherence Services Reduce Costs, Increase Margins, and Free Staff for Non-Administrative Tasks
MTM Self-Insured
Smart™ Automated CMR and Person-to-Person Adherence Services Reduce Costs, Increase Margins, and Free Staff for Non-Administrative Tasks