PharmD Live Highlights the Role of Clinical Pharmacist Care Managers in Helping Providers Avoid Medicare Penalties

WASHINGTON, Jan. 9, 2025 – PharmD Live, an innovative pharmacist-led virtual care solution powered by AI-driven algorithms, recognizes the impact of Medicare penalties on provider practices failing to meet quality metrics taking effect in early 2025. PharmD Live highlights the value of Pharmacist Care Managers (PCMs) in helping practices meet Medicare’s value-based care programs, including metrics for medication adherence, chronic disease management and hospital readmission rates.

Medicare’s value-based reimbursement models, such as the Merit-based Incentive Payment System (MIPS), will impose substantial financial penalties on providers who fail to meet quality benchmarks —  potentially reducing reimbursements by up to 9%. Such cuts can compromise financial stability and the ability to deliver high-quality care. 

With Medicare’s increased emphasis on quality, providers must navigate multiple performance categories—Quality, Cost, Promoting Interoperability and Improvement Activities—each requiring extensive data collection, reporting and compliance. Keeping track of metrics, extracting data, ensuring timely submissions and maintaining documentation is daunting for many practices without dedicated support, raising the risk of penalties.

“Failure to meet these standards can mean tens or even hundreds of thousands of dollars in lost revenue,” says Cynthia Chioma Nwaubani, PharmD, BCGP, CEO and founder, PharmD Live. “Our pharmacist-led telehealth solutions address medication adherence, reduce adverse drug events and optimize chronic disease management, helping providers meet rigorous benchmarks.”

PharmD Live’s solutions also reduce administrative burdens and physician workloads, enabling providers to focus on patient care. Unlike many higher-cost market alternatives, PharmD Live’s model requires no implementation fees, ensuring a cost-effective, physician-centered approach that can be seamlessly adopted without straining practice resources.

“As deadlines approach, providers need solutions that deliver measurable results quickly and effectively,” says Dr. Nwaubani. “PharmD Live offers a proven pathway to compliance, cost savings and better care while empowering providers to thrive in value-based care models.”

About PharmD Live
PharmD Live is a leading innovator in virtual clinical pharmacist solutions, dedicated to revolutionizing chronic care and medication management. Founded with a vision to improve patient outcomes and streamline healthcare delivery, PharmD Live combines the expertise of clinical pharmacist care managers supported by cutting-edge AI technology to provide scalable, quality care solutions. Our platform empowers physicians with actionable clinical intelligence, enabling them to deliver high-quality, personalized care while enhancing revenue through participation in value-based care programs. https://www.pharmdlive.com/