MTM PROGRAM

The SinfoníaRx Medicare MTM program has been designed to be both innovative for our clients as well as fully compliant with the CMS MTM program requirements. We have the ability to target 75 qualification conditions and maintains over 1,200 clinical algorithms available for selection to create a custom rule set that applies best for a plan’s unique patient population. Additionally, each plan has the ability to select a custom CMR rate for their program, which Tabula Rasa HealthCare will guarantee the completion of through our proactive outreach methods that are fully controlled and managed by our internal team of MTM experts.

CLINICAL PROGRAMS

Our clinical services, such as MedWise Safety Reviews, offer comprehensive and fully customizable solutions for Medicaid, Exchanges and Commercial populations. Similar to our Medicare-required MTM program, our clinical services utilize prescription claims to identify areas for improvement in patients’ medication usage to improve the health of the unique population targeted. We target prevalent HEDIS^® measurements that help achieve state quality goals. With more flexibility possible in these programs, SinfoníaRx can work directly with our clients to build a program specifically designed to meet the needs for that program and its members. HEDIS^® is a registered trademark of the National Committee for Quality Assurance (NCQA).

NEW! ELEVATE YOUR MTM PROGRAM WITH MEDWISE PREDICTIVE MTM

MTM services can now be reinforced by MedWise Science, our proprietary, science-based medication decision support software. MedWise Predictive MTM elevates the quality of CMRs and adherence interventions by identifying and presenting opportunities to mitigate risk for adverse drug events. Transform MTM and adherence programs into innovative solutions by preventing hospitalizations and emergency room visits for patients at risk for adverse drug events. Total cost of care reductions are realized within the same plan year.

Personalize medication therapy with our unique simultaneous, multi-drug analysis of the complete medication profile. The future of MTM is enhanced with MedWise Predictive MTM.

QUALITY IMPROVEMENT PROGRAM

SinfoníaRx offers a customized Quality Improvement Program designed to improve both the Medicare Part D and Part C Star measures. Our Quality Improvement Program Modules allow for precision accuracy in targeting individual Star metrics at the CMS contract level. Through these modules, we are able to focus resources on improving and/or maintaining the Star metrics most important to individual health plans.

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SOFTWARE AS A SERVICE

SinfoníaRx offers MedWise MTM software as a solution for clients that are interested in enhanced technology support for their in-house MTM providers. Our award-winning system helps to streamline the delivery of clinical services in a highly efficient and effective manner, helping to maximize outcomes while minimizing program costs. Our SaaS model is currently utilized by the world’s largest retailer and one of the nation’s largest Blue Cross Blue Shield organizations.

CARE FOR OLDER ADULTS

Take advantage of the Care for Older Adults Program that helps health plans reach the Medicare Part C population and improve their ratings. The Care for Older Adults Program opens a dialogue between members and prescribers to provide continuity of care as it relates to pain assessment and medication safety.