As value-based care (VBC) continues to shape the future of healthcare, managing high-risk patients efficiently is more important than ever. Chronic illnesses are the leading cause of death in the United States, accounting for 90% of the nation’s $4.5 trillion annual healthcare expenditures.
Despite medical advancements, chronic disease management remains a significant challenge, contributing to avoidable hospitalizations, increased costs and lower quality performance scores for healthcare providers.
PharmD Live’s virtual pharmacist-led Chronic Care Management (CCM) solutions offer a proactive approach to managing high-risk patients through predictive analytics, telehealth and medication optimization.
By providing continuous, high-touch care, PharmD Live helps healthcare organizations reduce preventable hospitalizations, improve adherence and drive performance in value-based care models.
The Challenge: Managing High-Risk Patients in Value-Based Care
Chronic conditions such as diabetes, hypertension, heart disease and COPD place a significant burden on healthcare systems, driving up costs and increasing utilization. Many high-risk patients struggle with poor medication adherence, which can lead to disease progression, complications and hospitalizations.
Additionally, fragmented care coordination often results in gaps in follow-up, contributing to preventable emergency room (ER) visits. A lack of patient engagement further exacerbates these challenges, limiting self-management and negatively impacting long-term health outcomes.
For healthcare providers operating under value-based care models like Medicare Shared Savings Programs (MSSP) and Medicare Advantage, ineffective chronic disease management can have serious consequences. Increased hospitalization and ER visits, declining Medicare Star Ratings and quality scores and financial penalties for exceeding cost benchmarks all threaten both patient outcomes and provider performance.
To thrive in value-based care, healthcare organizations must implement a scalable, virtual pharmacist-led CCM strategy that prioritizes proactive disease management, enhanced medication adherence and reduced healthcare utilization.
PharmD Live’s Chronic Care Management: A Scalable, Cost-Effective Solution
PharmD Live’s virtual clinical pharmacist-led CCM program seamlessly integrates into existing care models, offering 24/7 clinical support, real-time patient monitoring and AI-driven interventions to optimize outcomes for high-risk patients.
By combining personalized care coordination, predictive analytics and medication optimization, PharmD Live enables healthcare organizations to enhance chronic disease management while reducing costs. These comprehensive solutions include:
Proactive, High-Touch Care Coordination
- Personalized care plans tailored to patient conditions and risk factors.
- Telehealth check-ins for symptom monitoring, adherence support and treatment adjustments.
- Medication reconciliation to prevent adverse drug events and improve safety.
AI-Driven Predictive Analytics for Risk Management
- Detects non-adherence patterns and addresses them proactively.
- Identifies high-risk patients for timely intervention.
- Optimizes medication regimens to reduce ER visits and hospitalizations.
Enhancing Medication Adherence and Patient Engagement
- Behavioral coaching and education to support self-management.
- Medication synchronization and tracking to prevent therapy gaps.
- Telehealth pharmacist consultations for real-time medication support and adjustments.
Driving Cost Savings and Value-Based Care Performance
- Reduces hospital readmissions and ER visits, lowering healthcare costs.
- Improves Medicare Star Ratings and quality scores, enhancing reimbursement opportunities.
- Strengthens CCM and MTM programs, ensuring safer medication use and fewer adverse events.
PharmD Live’s technology-powered, pharmacist-led approach delivers a scalable, cost-effective CCM solution that helps healthcare providers optimize performance in value-based care.
The Impact: Better Outcomes, Lower Costs and Stronger Value-Based Care Performance
PharmD Live’s virtual pharmacist-led CCM solutions provide a proactive approach to improving patient outcomes while reducing healthcare costs. With medication mismanagement contributing to up to 50% of treatment failures and 25% of hospitalizations each year, PharmD Live’s personalized interventions, medication reconciliation and predictive analytics help mitigate these risks.
By addressing adherence barriers, optimizing medication regimens and leveraging telehealth technology, providers can achieve better chronic disease control, reduced hospital readmissions and improved patient engagement.
Through its Pharmacist Care Managers (PCMs), PharmD Live supports healthcare organizations in lowering preventable ER visits and hospitalizations, strengthening Medicare quality scores and enhancing patient satisfaction. As a result, providers operating in value-based care models can improve clinical performance while maintaining financial sustainability.
By integrating PCMs into chronic care management, PharmD Live enables healthcare organizations to deliver high-quality, cost-effective care that drives long-term health benefits for patients and improved performance in value-based reimbursement models.
Advancing Value-Based Care with Proactive Chronic Disease Management
Effectively managing high-risk patients is essential for success in value-based care. PharmD Live’s AI-powered, pharmacist-led CCM solutions provide the expertise, technology and patient engagement strategies necessary to:
- Improve chronic disease management and patient adherence.
- Reduce avoidable hospitalizations and ER visits.
- Strengthen quality performance and financial sustainability under value-based care models.
Contact PharmD Live today to learn how our CCM solutions can help your organization deliver better patient care, stronger clinical outcomes and greater success in value-based healthcare.
