The pharmacy and medical claims data handled by Pharmacy Benefit Managers (PBMs) and Third Party Administrators (TPAs) figuratively serve as the bloodstream for the entire healthcare system.  Health information that can be extrapolated from this data can support many wellness and regulatory initiatives required by clients in the current healthcare environment.

Companies seeking to support Medication Therapy Management initiatives under Medicare Part D can utilize our MTMPath™ software to fulfill their client’s regulatory requirements.  Clinical Support Services offers its iDealTherapy™ product that incorporates current clinical information provided by the prescriber with pharmacy claims data to evaluate drug therapy utilization.

For clients who seek a more collaborative therapy approach, claims data can serve as the foundation for a coaching program under our iDealWellness™ product.  Under this model, pharmacists serve as coaches and work with members to manage drug and disease-related issues.  Again, our web-based MTM software can be used to efficiently and effectively review a member’s medications to assess appropriate therapy following an interview process.