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 Services
CSS 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-Up
Adherence 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.
Telehealth outreach services supplement these offerings by coaching members on how to follow their medication regimens and monitoring their progress. This integrated process connects members to providers, pharmacies, and support resources to create a unified member experience, which in turn drives improved Part C & D Star ratings.
Improved Member Satisfaction
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 Sizes
Whether 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.