By RaeAnn Grossman
Pharma. The most interesting and accurate data for persistent and inferred conditions is pharmacy data. If you know your pharma data, you can create a member profile for retrospective, concurrent, and care targeting. Prescriptions are typically closely aligned with conditions, not always at a one-to-one ratio. Make certain you have the complete data set from your PBM and that you are refreshing targeting monthly—it will help you see risk adjustment, quality, and care gap complexities coming your way.
If you need help with data, please seek ArroHealth’s help. Our BI tool showcases pharma data to create a path to risk adjustment strategies and campaigns.
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