Drive Pharmacy Performance and Outcomes
Deploy value-based programs that enable pharmacies to deliver enhanced clinical services, close care gaps, and drive quality performance—all through a single, unified platform.
For Payer
Our platform enables payers to deploy enhanced clinical services across 95% of pharmacies nationwide, driving measurable improvements in quality metrics while reducing care gaps.
For Pharmacies
Expand your role in patient care while unlocking new revenue streams. Access clinical programs from multiple payers, deliver enhanced services, and earn incentives for quality improvement.
OUR CUSTOMERS

Proven Results for Payers and Pharmacies

73.79%

YOY increase in statin adherence

66.67%

YOY increase in diabetes adherence

95%

pharmacy network coverage

70%

direct impact on HEDIS® numerators

42,000+

pharmacies actively participating

91.75%

YOY increase in RASA adherence

An integral part of the value-based care suite

Risk adjustment

Transform your risk adjustment program with intelligent workflows and real-time insights that improve coding accuracy and patient outcomes.

Quality management

Align payers, providers, pharmacies, and members to drive measurable improvements in quality performance.

Contract management

Build predictable revenue models, strengthen contract negotiations, and maximize financial performance in value-based care.

Population Health Analytics

Population Health Analytics leverages the full power of the Data Activation Platform to deliver actionable insights that drive performance in value-based care.

Care Management

Innovaccer's Care Management Copilot uses advanced AI to automate documentation, generate care insights, and predict patient risk.

Frequently Asked Questions

How does your platform enable pharmacy-based clinical services? 

Our platform supports the deployment of enhanced clinical services across your pharmacy network, including blood pressure readings, A1C screenings, immunizations, and medication therapy management. Pharmacies receive patient care opportunities through the platform, access standardized documentation tools, and can submit clinical data directly to payers. This data is automatically mapped to quality measures and processed as HEDIS® supplemental data, with up to 70% direct contribution to measure numerators.

What types of quality programs can pharmacies participate in? 

Our platform supports a comprehensive range of quality programs including medication adherence (diabetes, hypertension, cholesterol, antiretrovirals), gap closure initiatives (blood pressure, A1C testing), immunization programs, and medication therapy management. Pharmacies can participate in multiple programs through a single platform, with automated performance tracking and incentive management. We support both quality improvement programs (QIP) and pay-for-performance (P4P) models.

What network coverage and integration capabilities do you provide?

Our platform connects with 95% of pharmacies nationwide, including national chains, regional chains, independent pharmacies, and grocery/big box retailers. We provide standardized bi-directional data exchange, automated workflow tools, and seamless integration with pharmacy systems. For payers, we offer automated data aggregation, NCQA-certified supplemental data processing, and direct integration with quality reporting systems.

How do you measure and report program success? 

We provide comprehensive analytics and reporting capabilities that track both process and outcome measures. For payers, we monitor quality measure impact, gap closure rates, and member engagement metrics. For pharmacies, we provide real-time performance dashboards, benchmark comparisons, and detailed incentive tracking. Our platform has demonstrated significant results, including 77% YoY increase in all 3 adherence metrics and quality measure performance increases of 2-9% across key adherence measures.
NEWS
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