PharmD Live® supports payers with clinical operations—CCM, RPM, TCM, medication programs, risk capture—to manage membership, reduce cost, and improve quality.
Payers need to manage risk, control cost, and deliver quality to stakeholders. We become your clinical care management arm, delivering member-centric programs across their network. We support risk stratification, clinical oversight, care coordination, and medication expertise so you meet your value-based goals.
Payers lose revenue and face high medical loss ratio due to avoidable hospitalizations.
Medication nonadherence alone accounts for $100–300B in avoidable costs annually.
VBC Complete™™ (payers coupling with provider networks)
Chronic Care Management (CCM) + RPM
Transitions of Care Management (TCM)
HCC Risk Capture & Documentation
Medication Optimization / MTM
We provide a turnkey clinical operations engine across provider networks. With our pharmacist-led care, analytics, and coordinated execution, payers can reduce MLR, improve member outcomes, and elevate plan competitiveness.