A robust platform to deliver a cohesive patient experience
The ActualMeds InConcert Medication Management (ICMM) platform is powered by the industry's most innovative technology, allowing pharmacists and medication care coordinators to follow patients throughout the care continuum. With seamless delivery of high-touch services and resolution of medication issues across care settings, we ensure a cohesive patient experience.
Keep Patients at Home Through Proper Medication Management & Medication Adherence
41
States covered with licensed clinical pharmacists
200k+
Served with Medication Management Services and software
1k+
Skilled Nursing Facilities (SNFs) Served
Seamlessly connecting payers, providers, and patients through the care continuum
Our integrated solutions serve both payer and provider organizations, ensuring timely and accurate medication information for patients to reduce care gaps, hospitalizations, and readmissions. Discover how we help patients better manage chronic conditions by linking medication management with continuity of care.
Enhance value-based reimbursement while reducing medical costs
Optimize medication regimens and promote better adherence for high-risk members with continuous, accurate, and timely medication information. Our industry-leading approach helps patients avoid hospitalizations and maintain their health in the community, including at home.
Manage successful transitions of care with accurate and timely medication information
Medication reconciliation data at your fingertips ensures successful care transitions for high-risk patients, minimizing costly readmission penalties.
The ICMM platform makes just-in-time, high-touch medication management scalable
Accessing the most accurate information about a patient's medication and conditions at the right time and place presents the greatest opportunity to improve outcomes. Our platform uses AI and predictive algorithms to identify specific problems and care gaps, along with recommended interventions, to target high-risk patients. These capabilities are underpinned by process automation to help coordinate medication management with patient care.
Data-driven information you can trust
The ICMM platfrom automatically imports and aligns near real-time medication data from various sources, including medication claims, medical claims, and the patient, validating its accuracy for use across multiple clinical medication management programs. Longitudinal maintenance of data continually refines patient targeting, engagement, and resolution of drug therapy problems.
Identifies risks and makes them actionable
Our risk algorithms identify potential drug therapy problems and other gaps in care, while structured interviews capture patient self-medication behavior, including OTC meds and social determinants of health (SDOH), providing critical context to the patient's risk profile. Once identified, risks are made actionable with system-generated medication action plans, assisting pharmacists in making condition-specific recommendations to the patient's care team.
A single platform for medication management
ICMM offers comprehensive medication management support across various care settings by leveraging core clinical medication data and program-specific metadata to follow the patient. This allows healthcare providers to address multiple problems and meet objectives from different programs in the same patient encounter, reducing redundancies and patient abrasion.
The choice is yours: Turnkey service or in-house SaaS
Our national team of pharmacists and medication care coordinators provide medication action plans to patient care teams across 41 states. They are expert users of the InConcert platform and can offer total support for your medication management programs, or serve as augmentation to your internally supported programs. With the ability to quickly scale up new programs and eliminate internal operating overhead, our virtual pharmacists can help lower the total cost of ownership for medication management solutions and become part of every patient's care team.
- Expert clinical pharmacists for your most complex patients
- Capacity when you need it
- Convert fixed costs to variable costs
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Our national team of pharmacists and medication care coordinators provide medication action plans to patient care teams across 41 states. They are expert users of the InConcert platform and can offer total support for your medication management programs, or serve as augmentation to your internally supported programs. With the ability to quickly scale up new programs and eliminate internal operating overhead, our virtual pharmacists can help lower the total cost of ownership for medication management solutions and become part of every patient's care team.
- Expert clinical pharmacists for your most complex patients
- Capacity when you need it
- Convert fixed costs to variable costs
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We handle the import frequency and validation of your data sources, and maintain validated, structured data for reporting and analytics. Your team will have access to a configurable user interface, rule sets, and work queue management capabilities to integrate ICMM into your clinical workflows. This allows you to link programs and improve patient outcomes, making your internal pharmacy teams more productive.
- Leverage your internal pharmacy teams and programs
- Reduce dependency on organizational IT support for internally developed systems
- Insure scalability and system backup of programs
Improving patient outcomes through best practice medication reconciliation during transitions of care
High-risk patients (those with multiple chronic diseases and taking more than six medications) account for the majority of hospitalizations. When discharged from an acute episode to rehab or home, there is an increased risk of therapeutic duplication or omission of a crucial medication that may lead to an adverse drug event and readmission. Provider organizations face significant penalties to their overall Medicare reimbursement based on their readmission rates. Our POD team has access to all current pre-admission and discharge medications, with the ability to provide best practice medication reconciliation at the time of discharge, ensuring a successful transition of care for the patient.
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- A patient’s longitudinal medication history is maintained by the ICMM platform and follows them across care settings.
- The patient’s medication and medical history is validated by matching prescriber’s orders at admission and discharge with near real time claims and fills.
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- Our platform is designed to interoperate with EHR and care management platforms, so that medication management may be incorporated into the patient’s on-going care and information is shared across care settings.
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- Omissions of critical medications or therapeutic duplications frequently lead to readmissions. With ActualMeds, an experienced pharmacist conducts a true medication reconciliation at the time of discharge from acute care and admission to the next care setting, comparing a patient's current "at home meds" with new prescriptions and noting any changes in condition.
Preventing hospitalizations and readmissions for patients with chronic conditions
Regular medication monitoring and adjustment for patients with chronic diseases is essential for their care management, helping to delay disease progression and keep them in the lowest cost care setting — home.
Comprehensive Medication Review (CMR) for chronic disease populations
Pharmacokinetic profiles of medications associated with chronic conditions can differ from those in non-risk populations. Using a condition-specific risk framework that includes dose adjustments and labs, a POD will review patients according to program requirements. Members of the care team can access and use the CMR at the point of care as part of ongoing patient monitoring.
- Chronic Kidney Disease (CKD)
- Congestive Heart Failure (CHF)
- Diabetes
- COPD
Medication management for government quality and compliance programs that supports health equity
Part D STARs
Although call rates and patient engagement are crucial metrics for driving STARs performance, the timing of outreach can be even more critical. Frequent automated import and validation of claims data helps minimize latency issues and, when combined with predictive analytics, can optimize medication regimens and supply for patients. The ICMM platform provides more time for the POD team to engage with patients, coordinate care, and resolve issues with prescribers and pharmacies. This program delivers industry-leading results, even for the most challenging low-income subsidized (LIS) and Special Needs Plans (SNP) populations, which are often the most challenged by social determinants of health (SDOH).
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Part D STARs
Although call rates and patient engagement are crucial metrics for driving STARs performance, the timing of outreach can be even more critical. Frequent automated import and validation of claims data helps minimize latency issues and, when combined with predictive analytics, can optimize medication regimens and supply for patients. The ICMM platform provides more time for the POD team to engage with patients, coordinate care, and resolve issues with prescribers and pharmacies. This program delivers industry-leading results, even for the most challenging low-income subsidized (LIS) and Special Needs Plans (SNP) populations, which are often the most challenged by social determinants of health (SDOH).
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Part D MTM
Our platform supports end-to-end MTM, from determining and maintaining member eligibility to generating beneficiary-level reporting (BLR) at the end of the annual program. Unlike other MTM pharmacist models, our platform enables our POD team to engage patients at higher rates and with greater visibility, resolving drug therapy problems (DTPs) identified throughout the year. The annual Comprehensive Medication Review (CMR) becomes part of the patient's longitudinal care history.
Adherence / STARS Management for Medicare Advantage Plans
Outperforming the industry on improving STAR ratings for Medicare Advantage plans through:
Real Time Risk Assessment
See risks in the medication regimen, gaps in care and quality measures for patients at point of care, and for high risk populations under management.
Team Based Intervention
Reconcile medications easily and communicate patient Medication Action Plans across multiple stakeholders and organizations.
High-Touch Patient Engagement
Direct engagement with patients managed by a team of expert pharmacists leveraging proven optimal outreach times for patient engagement.
Connecting Skilled Nursing Facilities (SNFs) to the care continuum
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Our POD team performs real-time best practice medication reconciliation upon admission to the facility, comparing a patient's "at-home" medication with their hospital discharge medication. This process helps to avoid therapeutic duplication or omission of a needed drug, reducing the risk of adverse drug events that could lead to re-admission to acute care. Additionally, PODs provides medication reconciliation when a patient is discharged from a SNF to home, optimizing their regimen and ensuring proper understanding of medication use. SNFs that demonstrate these best practices and reduced readmission rates can become preferred providers for a health plan's members.
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ActualMeds pharmacists conduct Monthly Medication Reviews (MMRs) for long-term care patients in over 1,000 Skilled Nursing Facilities nationwide and provide data and reports to support Medicare requirements for SNF review and audit. CMS is set to release more stringent coding requirements linked to reimbursement, effective from October 1, 2023. Accurate data at the time of admission will be critical to meeting these new requirements, and ActualMeds is the only provider capable of delivering a complete view of a patient's validated medications from admission to discharge. The solution is integrated with the LTC facility’s pharmacy and EHR systems, offering an end-to-end solution.