2020 Program Performance Report
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.
SinfoníaRx has been part of the Tabula Rasa HealthCare (TRHC) family of companies for three years. In 2020, as we continue to improve healthcare and expand our programs with TRHC service offerings, our branding will also evolve. Our clinical call centers will be MedWiseRx™, and our award-winning software platform, RxCompanion™, will be MedWise™ for Medication Therapy Management. We will ease our patients and partners into this transition, and they will still receive the same exceptional service from our committed teams.
At SinfoníaRx, we are dedicated to advancing care for the patients and partners we serve. We understand the complexity of healthcare and the need for innovative approaches to provide care. During my first year as Chief Executive Officer at SinfoníaRx, our presence in population health, pharmacy, and research has flourished through collaborations and acquisitions. As a leader in providing Medication Therapy Management solutions, it was a natural step to expand our Comprehensive Medication Review offering to provide community pharmacies with clinician escalation services – growing our clinical intelligence footprint.
SinfoníaRx broke barriers to provide quality healthcare by adding programs, such as the National Diabetes Prevention Program in partnership with the American Pharmacists Association (APhA), and integrating innovative technology from PrescribeWellness, the newest addition to the TRHC family of companies. PrescribeWellness adds tremendous value to how we personalize and deliver care. The ability to reach patients face-to-face through our expanded network of community pharmacies strengthens our proactive outreach methods and takes us another step forward.
I am honored to lead a team of devoted people who positively impact on millions of patients across the nation through our best-in-class services. As we continue to integrate solutions across TRHC, we look forward to pursuing even greater opportunities to improve access to comprehensive care, quality, and outcomes.
Sandra Leal, PharmD, MPH, FAPhA, CDE
Executive Vice President, SinfoníaRx, A TRHC Solution
2020–2021 APhA President-elect
Full-service solutions
Medication Therapy Management (MTM)
- Guaranteed custom Comprehensive Medication Review (CMR) completion rates
Quality Improvement Program
- Targeted outreach for improved plan performance in Star, HEDIS®, and Display measures
CompanionRx™
- Solutions for Medicaid, commercial plans, and employers
Opioid Management Services
- Pain management and support for our clients and the patients we serve
Software as a Service (SaaS)
- MTM support through our award-winning, HITRUST CSF Certified software platform, RxCompanion
- Clinical services support through our proprietary, medication safety, HITRUST CSF Certified platform, MedWise
-
CMR support through a centralized solution that visualizes actionable data, Patient Engagement CenterTM
Patient Engagement Center will soon be named PrescribeWellness software
Care for Older Adults Program
- Medication and pain assessment services for Medicare Special Needs Plan (SNP) patients
- Lifestyle change program to help prevent type 2 diabetes and promote healthy living
Integrating patient relationship solutions
Targeted contract achievement
- The SinfoníaRx MTM program delivers full service support to health plans, enabling each to select a guaranteed custom CMR completion rate for its program. Our MTM services were built to be innovative and patient-centric to provide the best outcomes and quality for the beneficiaries that we serve.
124,000+
- Interventions completed in 2019 for plans that received 4- and 5-Star Ratings
579,900+
- Comprehensive Medication Reviews completed in 2019
5,840,800+
- Interventions completed in 2019
Clinical clarity - Success story spotlight
During his Comprehensive Medication Review, Jacob told his SinfoníaRx pharmacist about recent changes to his medication regimen. These changes included the addition of three inhalers over the course of one month. Jacob was unclear about the purpose of each inhaler and also expressed concerns about the costs associated with the additional prescription medicine.
Upon review, the pharmacist identified a duplication of therapy among two of the prescribed inhalers. The pharmacist counseled Jacob on the purpose of each medication and discussed with him the duplication of therapy. Jacob was also encouraged to follow up with his provider to examine both drug-therapy and cost-saving adjustments to his medication regimen. The pharmacist, through diligent clinical review, provided Jacob with the opportunity to receive more effective and manageable medication therapy.
Personal information has been modified to protect the privacy of those involved.
Clinical intelligence positioned for growth
Population health management - RxCompanion 10.0
- RxCompanion 10.0 is a highly customizable, proprietary software platform that helps identify and resolve medication-related problems and improve patient outcomes, Star Ratings, HEDIS®, and other quality measures. RxCompanion optimizes the delivery of clinical services, helping to minimize program costs while maximizing program outcomes.
- MedWise is a proprietary medication safety platform that helps pharmacists manage and optimize regimens by presenting meaningful opportunities to mitigate risks. MedWise delivers a simultaneous, multi-drug analysis and is reinforced by science-based medication decision support tools, including the MedWise Risk ScoreTM. The MedWise Risk Score helps pharmacists identify and reduce risk for preventable adverse drug events. Medication decision support tools help pharmacists provide enhanced clinical services and usher in the new phase of pharmacy innovation. Clients report a 5:1 return on investment.
Patient relationship and wellness
- The PrescribeWellness centralized platform empowers pharmacies to manage high-value patients and transition to an appointment-based model. With the PrescribeWellness platform, pharmacists provide comprehensive, adherence-driven outreach. This solution uses performance metrics, outbound voice/text communications, medication synchronization (med sync), Medicare Part D plan reviews, and eCare to help optimize the care provided by pharmacies.
Community pharmacy solutions powered by RxCompanion
Medication adherence metrics and overall network performance
Total membership
2.2 Million lives
- Commercial pharmacy and medical claims data
10 Million lives
- Medicare Part D pharmacy claims data
Results
2.2 Million consultations
- Completed by community pharmacists in 2019
$7.7 Million
- Additional revenue generated for community pharmacies in 2019
Maximizing outreach
Quality Improvement Program
The Quality Improvement Program targets patients with precision accuracy to maximize engagement and improve Star Ratings, HEDIS®, and Display measures. RxCompanion facilitates the program through proprietary clinical algorithms and comprehensive reporting. Our Quality Improvement Program is supported by a comprehensive network of regional and multi-lingual clinical call centers and community pharmacies that use proactive outreach methods.
Our Quality Improvement Program covers:
- Adherence
- Medication/disease state opportunities
- Drug-disease interactions
- Safety concerns
- Opioid over-utilization prevention
- Medication and pain assessment for Medicare Part C
New!
Expanded network of pharmacists and integration with individualized patient engagement technology
Ground Support
- 15,000+ community pharmacies in the United States
- Personalized daily voice, text, and email communications
Air Support
- 8 regional clinical call centers
- 800 pharmacy team members
- Proactive outreach methods
100,000 daily communications
28 supported languages
20M+ calls annually
Bridging innovation in pharmacy
Our interprofessional teams focused on improving patient engagement and medication adherence through documentation and completion of action-oriented, patient-centered alerts. Through clinical intelligence, integrated technology, informatic expertise, and a national network of devoted providers, SinfoníaRx is better able to inform, empower, and support clinical initiatives of community pharmacies through novel adherence-driven initiatives. With one-click completion of adherence, 90-day opportunities, and continuous review of algorithms to ensure new medications and updated guidelines are considered, SinfoníaRx is able to improve HEDIS® and Star measures.
New! Virtual assistance for pharmacies
VRxAssist is our virtual team that acts as an extension for community pharmacies. Our virtual team enrolls high-value patients into a Med Sync program, supports a year-round vaccination program, implements strategic marketing to engage and attract new patients, and helps to lower direct and indirect remuneration fees.
Flip the Pharmacy Program
The Flip the Pharmacy Program, a transformative and collaborative initiative, is designed to equip community pharmacies with tools for better outcomes. TRHC and PrescribeWellness serve as official Flip the Pharmacy Program sponsors, providing valuable industry knowledge and operational resources to community pharmacies across America.
- eCare plan documentation and submission
- Patient adherence monitoring
- Appointment-based model medication synchronization
Face-to-face CMRs
Our advanced population health management services enable community pharmacists to conduct face-to-face CMRs directly though the PrescribeWellness platform. Documented quickly and accurately as eCare plans, these CMRs enable pharmacies to receive additional compensation for patient-centric, clinical services.
Academia-CPESN® Transformation (ACT) Pharmacy Collaborative
Through our academic partnership with The University of Arizona College of Pharmacy, we are pleased to support the ACT Pharmacy Collaborative and its Community Pharmacy Practice Transformation Initiative. The ACT Pharmacy Collaborative aims to help revolutionize community-based pharmacy practice into a pharmacy care delivery model.
- Connect schools of pharmacy and colleges of pharmacy with pharmacist leaders
- Assemble resources for support and implementation
- Stenghten the development of a sustainable model
International expansion
TRHC is established in the United States as a leader in the development of technologies for safe and effective medication management and risk mitigation. As awareness grows of the problems associated with multi-drug interactions, TRHC is once again at the forefront with programs established for the use of SaaS technology in Europe and Canada.
Redefining science through industry-leading research
Our unique relationships with the industry’s leading academic institutions have helped us build one of the nation’s most comprehensive research programs. Last year we unified numerous nationwide research collaborators, including partners from TRHC’s Precision Pharmacotherapy Research & Development Institute, Applied Precision Pharmacotherapy Institute, Healthcare Analytics, DoseMe, SinfoníaRx, The University of Arizona College of Pharmacy, and The Ohio State University Institute of Therapeutic Innovations and Outcomes. We are excited to strengthen our research reputation in the healthcare industry as a part of the payer unit of the TRHC Precision Pharmacotherapy Research & Development Institute.
2019 Enhanced research activity
- including the Journal of Managed Care & Specialty Pharmacy, the British Journal of Clinical Pharmacology, Clinical Pharmacology & Therapeutics, the Journal of the American Pharmacists Association, and more.
45 Leadership roles
- including professional organizations and leading journals, further positioning SinfoníaRx as a key stakeholder in the future of MTM and medication safety.
- For the 2021–2022 term, Sandra Leal, PharmD, MPH, FAPhA, CDE, will assume the office of APhA President, leading the first-established and largest association of pharmacists in the United States.
34 Live research presentations
- conducted at professional forums hosted by the APhA, the American Case Management Association, Tabula Rasa HealthCare University, and more.