Surescripts Powers Population Health and Value-Based Care with the Expansion of Enhanced Visibility into Patient Medication Histories for Health Plans

Comprehensive, Accurate Medication History Helps Care Managers Better Manage High-Risk Patient Populations and Address Gaps in Care

ARLINGTON, Va. – November 6, 2024 – Surescripts®, the nation's leading health information network, is expanding its Medication History for Populations solution to health plans to better support patient care, improve medication adherence and lower costs.

Surescripts Medication History for Populations now enables health plans’ care management teams with a comprehensive view of their patient’s medication data that’s needed to identify key opportunities to address gaps in care, improve medication adherence and care outcomes. Identifying gaps and providing quality care are key factors that contribute to positive HEDIS measures and Star Ratings that health plans are striving to achieve.

For several years, provider organizations have been using Surescripts Medication History for Populations to make their care management programs more efficient. Patient data that once took a full month to reach them now arrives in 1–3 days.

“Helping care providers get on the same page with access to timely, complete and accurate patient insights is one example of how Surescripts continues delivering on its purpose of serving the nation with simpler, trusted health intelligence sharing and how we are innovating to solve challenges for both clinicians and health plans at scale,” said Frank Harvey, Chief Executive Officer for Surescripts. “Having better visibility into a patient’s health information can meaningfully improve medication adherence, support safer prescribing and deliver overall better quality, less costly care for patients.”

With more than a quarter of U.S. adults facing multiple common chronic conditions, like diabetes and hypertension, and a population seeing the largest and fastest increase among people ages 65 and older in more than a century, care providers are managing more at-risk patient populations than ever before. It’s become even more critical that care teams have the patient intelligence they need—within their workflow—to spot gaps in care. And for good reason, as unseen medications can cause adverse drug events and trouble accessing the patient data needed for administrative tasks can delay care.

“The ability to access complete patient information is necessary for all partners supporting a patient’s care but is especially critical to reducing risks for those patients with multiple chronic conditions like diabetes and hypertension,” said Tara Dragert, Chief Product Officer for Surescripts. “When care providers have the full, up-to-date picture of their patients, uncertainty is eliminated between an information gap and a true gap in care. This means care teams can better support patients with targeted interventions and meaningful medication management support between provider visits, bringing more success to value-based care programs and most importantly, improved care outcomes for patients.”

Background:

Medication History for Populations makes it simpler to identify patients within at-risk populations who may benefit from outreach concerning their medications, then help keep patients healthy over time by monitoring their medication activity with proactive prescription notifications.

This solution gives health plans access to dispensed medication data and by providing these insights across patient groups, care managers can see the big picture of health: identify gaps in care, spot medication non-adherence, uncover potential abuse, and find at-risk patient populations that historically may have gone unnoticed. Enhancing visibility into patients’ medication histories can ultimately improve care delivery, quality, and efficiency while reducing costs.