Medication Management to Reduce Costs and Improve Outcomes

The Challenge

Health plans continue to be challenged with rising costs of care, particularly in managed care populations where many are dealing with multiple chronic conditions and polypharmacy. Costly hospitalizations and readmissions can be prevented with the right support to help  members better manage their health.

Providing resources to help members manage their medications is one way to tackle this challenge. Medication management support not only helps members stay healthy—and out of the hospital—it enables you to deliver added value, lower costs and achieve better outcomes.

10% of Medicare beneficiaries account for the majority of Medicare spending

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Long-Term Care Level of Pharmacy Service

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ExactCare Pharmacy provides comprehensive medication management solutions for medically complex members with multiple disease states and on multiple daily medications, helping plans drive improved medication adherence for some of the costliest members. Our proven approach successfully engages members in a high-touch medication adherence program that improves member health, enhances plan performance, decreases costs, and helps build member loyalty.

Better Clinical and Economic Outcomes

Reduce Healthcare Costs

Reduce Healthcare Costs

Avoid hospitalizations and readmissions

Increase PDC Metrics

Increase PDC Metrics

Improve proportion of days covered (PDC)

Improve Medication Effectiveness

Improve Medication Effectiveness

Eliminate unnecessary or duplicate medications

Improve Medicare Star Ratings

Improve Medicare Star Ratings

Enhance your rating to increase Medicare reimbursement

Improve Health for Costly Members

Improve Health for Costly Members

Achieve better health for members with chronic conditions

Increase Member Loyalty

Increase Member Loyalty

Help members achieve better health and quality of life

How it Works

THE REFERRAL

THE REFERRAL

You identify members who may benefit from ExactCare’s services and refer them to us. You can provide a list of members to us all at once or engage your case managers in the referral process. All we need for each member is his or her name, address and phone number. We’ll take care of the rest!

HOME ASSESSMENT

HOME ASSESSMENT

An ExactCare representative will visit the member at home to gather prescription information and provide an overview of how our service works. This is the first step in the medication review and reconciliation process. The information is then sent to the pharmacy for a comprehensive clinical review and to begin the process of verifying and obtaining the member’s prescriptions.

MEDICATION RECONCILIATION

MEDICATION RECONCILIATION

Our clinical pharmacists perform a thorough review of the member’s complete medication profile. We review doses for accuracy and check for things such as duplicate therapies, contraindications, and potential drug interactions. If we detect any issues, our pharmacists work with the member’s physicians to find a solution.

THE EXACTPACK®

THE EXACTPACK®

Members receive a customized ExactPack® each month, which consolidates medication doses based on the day and time they should be taken. Every ExactPack® pouch is clearly labeled with the proper administration time, a list of the medications inside and a description of each.

ONGOING REFILL MANAGEMENT

ONGOING REFILL MANAGEMENT

Our pharmacists work directly with members’ physicians to update prescriptions and secure refills. We can even notify members if an appointment is needed before we can obtain a new prescription.

MONTHLY HOME DELIVERY

MONTHLY HOME DELIVERY

The member receives a delivery at home each month complete with his or her customized ExactPack, as well as any medication that may not go into the ExactPack. This may include topicals, inhalers, injectables and diabetic supplies.

Quality & Compliance

Quality checks in our processes

ExactCare utilizes several quality and safety measures to ensure patients receive the proper medication. Not only is every shipment checked three times by a pharmacist before it leaves our building, but we’ve also invested in advanced technology to ensure accuracy.

A key component of this process is a machine that uses digital recognition technology to individually scan each pouch in every ExactPack, ensuring it contains the proper medication. If it flags something for review, a pharmacist will examine that exact pouch to verify its contents. If needed, we will re-pack the ExactPack and send it through the same quality assurance process before it is shipped to the patient.

Compliance

ExactCare respects patients’ privacy and is committed to protecting it through compliance with all State and Federal privacy laws. For more information:

ExactCare is licensed to provide services to patients in nearly all 50 states and Washington, D.C. For more information regarding our service area, please contact us at marketing@exactcarepharmacy.com.

What Our Patients Are Saying

  • I love your service! I always enjoy speaking to everyone who works hard to make sure my medication is received on time. With each call my experience is more than pleasant. It touches my heart.

    DavidExactCare Patient
  • Thank you for doing such a wonderful job! My medication is always on time, and when I call to ask for something you always deliver! I love working with ExactCare and am so glad I made the switch.

    CharlesExactCare Patient
  • I am very happy with your service. I really like that I speak to the same people every time I call. It's a lot easier speaking to one person instead of having to re-explain things every time.

    RizekExactCare Patient

Partner With Us

If you are interested in partnering with us, send us your information!
We’ll be in touch soon to answer your questions and discuss collaboration opportunities.

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I want to Refer a Patient