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iMedicare’s new platform helps manage Star Ratings

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NEW YORK — iMedicare has released a new version of its decision automation platform that manages pharmacy Star Ratings within their current workflow.

The company said Thursday that the new iMedicare platform enables pharmacies to quickly tend to each Star Rating action during the fill process, since they don’t have to access a separate dashboard.

iMedicare_Star Ratings screen

iMedicare can help pharmacies improve Star Ratings by identifying patients who can benefit from interventions.

iMedicare’s new solution identifies patients that increase a pharmacy’s direct and indirect remuneration (DIR) fees and triggers an action. Using a proprietary machine-learning algorithm that detects the patient’s current plan, subsidy and DIR fee impact, the software determines the specific action to be taken for each patient.

“Pharmacies do not have the time to log into several dashboards daily and check every patient’s adherence, or statin use or MTM cases. Moreover, each insurance plan calculates Star Ratings differently,” according to Flaviu Simihaian, chief executive officer of iMedicare. “We use machine learning and augmented reality to give our member pharmacies an edge without any interruption in their workflow.”

Designed to help patients lower their out-of-pocket costs, the iMedicare service — used by more than 5,000 pharmacies — can be used to research and compare information about local and national Medicare plans during the open enrollment period as well as throughout the year.

iMedicare noted that its software integrates smoothly into a pharmacy’s workflow by automating and simplifying the plan finding process. The solution integrates with more than 45 pharmacy management systems.

Food and drug chains that use the iMedicare service include Discount Drug Mart, Fagen Pharmacy, Health Mart, Hi-School Pharmacy, Kinney Drugs, Lewis Drug, Long’s Drugs, Medicine Shoppe, NuCara Pharmacy, Osborn Drugs, Red Cross Pharmacy, Sav-More, Sterling Pharmacy, Thrifty White Pharmacy, U-Save-It Pharmacy, USave Pharmacy, Geno, Dierbergs, Hy-Vee, Price Cutter, Tops Friendly Markets, ShopRite and Weis Markets.


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