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Value-Based Care
Pinpoint opportunities to improve adherence & close gaps in care
Overview
Get a sharper view of patients’ medications, care & benefits
Value-based care is bringing more incentives to work across organizations to manage patient health—but success requires real-time information at the patient and population levels. Otherwise, it’s almost impossible to track incentivized care activities and avoid those with low value.
The Surescripts Network Alliance® is bringing value-based care success within reach by supplying insights to keep people well between provider visits. With more visibility into patients’ care and benefits, teams can easily pinpoint opportunities to improve adherence, avoid unnecessary costs and close gaps in care.
42 million
medication histories for populations delivered in 20231
20%
reduction in 90-day follow-up calls after implementing Medication History for Populations2
76%
of care locations in the U.S. have clinical events identifiable with Surescripts3
Key products to help you meet value-based care goals
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Clinical Direct Messaging
Coordinate medication management, send referral and consultation notes, address controlled substance abuse and aid collaborative practice agreements.
In 2022, 823,000 individuals & organizations—including more than 23,000 pharmacies— used Clinical Direct Messaging for secure, HIPAA-compliant exchange of protected health information.1
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Medication History for Populations
Easily identify patients within value-based care populations who may need help with their medications and monitor their activity to help keep them healthy over time.
Within five months of implementing Surescripts Medication History with patient notifications, one population health team saw their overall percentage of days covered score rise by 60%.4
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Real-Time Prescription Benefit
Improve adherence with patient-specific cost and coverage insights as well as alternatives that have lower out-of-pocket costs or align better with the patient’s benefit plan.
Since implementing Real-Time Prescription Benefit, one New York City pharmacy owner found that first-fill prescription abandonment rates declined by 50–70% depending on drug class.5
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Record Locator & Exchange
Surface clinical records to help determine whether patients are receiving recommended care and gain visibility into care events outside of the provider network.
In a single year, a health system in Connecticut identified more than 6.8 million records of care their patients received outside the state.6
The Surescripts Platform
Powering the future of healthcare
Health intelligence sharing at scale requires powerful infrastructure. The Surescripts Platform supports every Surescripts product and every Network Alliance participant with industry-leading reliability, security and scalability.
Success Stories
Real-world results
“Dispensed prescription data is invaluable to providers looking to deliver high quality care, particularly when they are responsible for at-risk populations.”
Troyen Brennan, MD
Former Chief Medical Officer, CVS Health
“Record Locator & Exchange is turbocharging the information we receive about patients as we’re seeing them. It just makes it really easy to do the right thing.”
Dr. Nitu Kashyap
Associate Chief Medical Information Officer, Yale New Haven Health
insights
Keep pace with healthcare innovation
Footnotes:
- Surescripts, “2023 National Progress Report,” March 2024.
- Surescripts, “Case Study: How Medication History Helps Parkland Health & Hospital System Avoid Readmissions and Pinpoint Nonadherence,” January 2021.
- Analysis of Surescripts network data and data provided by National Plan & Provider Enumeration System, Definitive Healthcare and the Carequality directory, 2022.
- Melissa Nix, “At Mount Sinai, Managing 10,000 Patients Is Personal,” November 8, 2021.
- Surescripts, “2022 Medication Affordability & Adherence Impact Report," 2022.
- Surescripts, “2018 Impact Report: Clinical Interoperability," April 2019.
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