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Surescripts
Trusted data for population health initiatives
Medication adherence is critical for patient safety—especially for at-risk health populations. With Medication History for Populations, health systems, pharmacy benefit managers (PBMs), health plans, hospitals and accountable care organizations can easily retrieve up-to-date data to spot and close gaps in care via panel management or prescription notifications.
Prescription history data from nearly all major pharmacies and PBMs helps pinpoint those at risk of nonadherence, adverse drug events (ADEs) or potential abuse—and easily triage patients and members by risk group. This data can also support CMS metrics and reimbursement.
42 million
medication histories for populations delivered in 20231
20%
reduction in 90-day follow-up calls after implementing Medication History for Populations2
26%
reduction in nonadherence false positives with Medication History for Populations3
What can Medication History for Populations do for you?
Choose your organization type to see how Medication History for Populations can help you bring reliable medication information into the workflow to improve outcomes.
Power population health with dispensed medication data
Missing medication histories and incomplete patient records create more work for teams managing at-risk populations. Provide access to timely, accurate data about dispensed medication for patient populations within your EHR workflows with panel management, prescription notifications or both.
Improve patient care
Give population health teams the data they need to spot gaps in care, identify opportunities to get ahead of potential ADEs or nonadherence, and improve patient outcomes.
Help manage high-risk groups better
Put comprehensive patient medication data at care teams’ fingertips to reduce readmission and CMS penalties, and maximize reimbursements.
Expand value with proactive alerts
Activate prescription notifications to proactively inform care managers of events like refill nonadherence, running out of refills or receiving a new prescription.
How it works for EHR vendors
Using the panel management feature, the organization requests data on an at-risk population.
Medication History for Populations powers targeted analytics for specified patient groups of any size.
Surescripts identifies the patients to accurately retrieve their records.
Surescripts performs a match using our Master Patient Index and initiates the request based on Industry standards.
Surescripts submits queries to all applicable PBMs and pharmacies.
PBMs and pharmacies return claims and fill data, including prescriptions purchased with insurance and cash.
Within 24–36 hours, Surescripts delivers a comprehensive panel history file.
The care management team receives standardized patient records for each patient in the panel.
Power population health with dispensed medication data
Help care managers better manage high-risk groups with comprehensive, accurate medication history. Comprehensive data makes it simpler to identify members within value-based care populations who may benefit from outreach concerning their medications, then help keep them healthy over time by monitoring their medication activity with proactive prescription notifications.
Ensure high-quality data
Access members’ claims and pharmacy fill records—including cash-pay medications—from virtually every pharmacy and PBM in the U.S.
Close targeted care gaps
Track medication adherence to identify outreach opportunities in value-based care populations.
Reduce readmissions and penalties
Comprehensive medication data lets care managers reduce readmission and CMS penalties—and maximize reimbursements.
Improve cost control and quality measures
Gain insights that support utilization and care management programs while making it easier to measure quality improvement for member populations.
How it works for health plans
Using the panel management feature, the organization requests data on an at-risk population.
Medication History for Populations powers targeted analytics for specified member groups of any size.
Surescripts identifies the members to accurately retrieve their records.
Surescripts performs a match using our Master Patient Index and initiates the request based on Industry standards.
Surescripts submits queries to all applicable PBMs and pharmacies.
PBMs and pharmacies return claims and fill data, including prescriptions purchased with insurance and cash.
Within 24–36 hours, Surescripts delivers a comprehensive panel history file.
The care management team receives standardized records for each member in the panel.
Power population health with dispensed medication data
Managing at-risk populations is even more challenging when medication histories are incomplete or unreliable. Add timely, accurate data about dispensed medications to your population health workflows.
Improve patient care
Give your teams the data they need to spot gaps in care, identify outreach opportunities and improve patient outcomes.
Manage high-risk groups better
Put comprehensive patient medication data at care teams’ fingertips to reduce readmission and CMS penalties, and maximize reimbursements.
Enable timely, proactive interventions
Activate prescription notifications to proactively inform care managers of events like refill nonadherence, running out of refills or receiving a new prescription.
How it works for health systems
Using the panel management functionality, your team requests data on an at-risk population.
Medication History for Populations powers targeted analytics for specified patient groups of any size.
Surescripts identifies the patients to accurately retrieve their records.
Surescripts performs a match using our Master Patient Index and initiates the request based on Industry standards.
Surescripts submits queries to all applicable PBMs and pharmacies.
PBMs and pharmacies return claims and fill data, including prescriptions purchased with insurance and cash.
Within 24–36 hours, Surescripts delivers a comprehensive panel history file.
Your care management team receives standardized patient records for each patient in the panel.
Power population health with dispensed medication data
Give your clients access to comprehensive, accurate medication history information within your solution. Help care managers identify patients within value-based care populations who may need outreach and monitor their medication activity with proactive prescription notifications.
Ensure customers have high-quality data
Integrate complete, trustworthy medication history information from pharmacy fill records (including cash-pay medications) and claims data.
Improve reimbursement
Streamline reimbursement for clients working within value-based care arrangements by improving adherence and outcomes.
Reduce readmissions and penalties
Empower your clients to reduce readmissions and CMS penalties by ensuring patients fill their medication after discharge.
Identify high-risk patients
Pinpoint potential opioid abuse for patients on an opioid watch list and identify patients on risk and complex medication regimens.
How it works for healthcare analytics vendors
Using the panel management feature, the organization requests data on an at-risk population.
Medication History for Populations powers targeted analytics for specified patient groups of any size.
Surescripts identifies the patients to accurately retrieve their records.
Surescripts performs a match using our Master Patient Index and initiates the request based on Industry standards.
Surescripts submits queries to all applicable PBMs and pharmacies.
PBMs and pharmacies return claims and fill data, including prescriptions purchased with insurance and cash.
Within 24–36 hours, Surescripts delivers a comprehensive panel history file.
The care management team receives standardized patient records for each patient in the panel.
Power population health with dispensed medication data
Equip care managers with timely, accurate dispensed medication data inside their workflow. Help them identify members within value-based care populations who may benefit from outreach concerning their medications and keep them healthy over time by monitoring their medication activity.
Ensure high-quality data
With a Master Patient Index of over 99% of the U.S. population and connections to virtually every pharmacy and PBM in the country, you can be confident that our medication history data is comprehensive and accurate.
Close targeted care gaps
Help care managers identify outreach opportunities in value-based care populations by tracking members’ medication adherence.
Reduce readmissions and penalties
More insight into member risks and ongoing care plan adherence lets care managers reduce admissions, avoid CMS penalties and maximize reimbursements.
Improve cost control and quality measures
Gain insights that support utilization and care management programs while making it easier to measure quality improvement for member populations.
How it works for pharmacy benefit managers
Using the panel management feature, the organization requests data on an at-risk population.
Medication History for Populations powers targeted analytics for specified member groups of any size.
Surescripts identifies the members to accurately retrieve their records.
Surescripts performs a match using our Master Patient Index and initiates the request based on Industry standards.
Surescripts submits queries to all applicable PBMs and pharmacies.
PBMs and pharmacies return claims and fill data, including prescriptions purchased with insurance and cash.
Within 24–36 hours, Surescripts delivers a comprehensive panel history file.
The care management team receives standardized records for each member in the panel.
Trigger timely interventions with prescription notifications
Prescription notifications alert teams to potential issues such as running out of refills or an unexpected or abandoned prescription, allowing them to reach out before nonadherence or ADEs harm health.
Choose which medication events to track
Submit a targeted list of at-risk patients and members and select which types of notifications you want to receive.
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Monitor pharmacy activity in near real time
Surescripts identifies successfully enrolled members in our Master Patient Index and continuously monitors pharmacy activity using data that is current—within 24–48 hours and updated daily.
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Get alerts in existing workflows
Surescripts generates alerts based on the selected notification types, which clinicians receive in their electronic workflow.
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Real-world results
Find out more about Medication History for Populations
Can Medication History for Populations be customized for specific cohorts?
Yes. Care managers and their associated technology platforms can set up Medication History for Populations to receive specific medication history data feeds for populations such as high-risk or post-surgical patients. Cohorts can also be established based on demographic or patient information such as a specific insurance plan.
What makes Surescripts Medication History unique?
Unlike traditional health information exchange or EHR medication lists, Surescripts Medication History provides an accurate list of purchased medications. Surescripts’ unique approach supplies medication information from pharmacy fill data as well as pharmacy benefit plan claims.
How soon after a medication is prescribed will the medication show up on a medication history data feed?
Once connected pharmacy or PBM confirms that a medication was purchased, it will appear on the medication history list within about 24 hours. This means that a medication picked up at the pharmacy yesterday morning should appear on the medication list today.
Keep pace with healthcare innovation
- 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.
- Surescripts, “Case study: How Aledade improved quality scores and star ratings,” 2020.
Connect with our team to explore how we can partner to increase patient safety, reduce costs and ensure quality care.
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