Overview

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, hospitals and accountable care organizations can easily retrieve up-to-date data to spot and close gaps in care via panel management or patient notifications. 

Prescription history data from nearly all major pharmacies and pharmacy benefit managers (PBMs) helps pinpoint those at risk of nonadherence, adverse drug events (ADEs) or potential abuse—and easily triage patients by risk group. This data can also support CMS metrics and reimbursement. 

37.6 million

medication histories for populations delivered in 20221

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

A closer look

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 for patients.

  • EHR vendors
  • Health systems
  • Healthcare analytics vendors

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, patient notifications or both. 

icon improve care green
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. 

icon manage high risk
Help manage high-risk groups better

Put comprehensive patient medication data at care teams’ fingertips to reduce readmission and CMS penalties, and maximize reimbursements.

icon expand value
Expand value with proactive alerts

Activate patient 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.

EHRVendors HealthSystems@2x

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.

icon improve care green
Improve patient care

Give your teams the data they need to spot gaps in care, identify outreach opportunities and improve patient outcomes.

icon manage high risk
Manage high-risk groups better

Put comprehensive patient medication data at care teams’ fingertips to reduce readmission and CMS penalties, and maximize reimbursements.

icon expand value
Enable timely, proactive interventions

Activate patient 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 notifications.

icon ensure customers
Ensure customers have high-quality data

Integrate complete, trustworthy medication history information from pharmacy fill records (including cash-pay medications) and claims data.

icon improve reimbursement
Improve reimbursement

Streamline reimbursement for clients working within value-based care arrangements by improving adherence and outcomes.

icon reduce readmissions
Reduce readmissions and penalties

Empower your clients to reduce readmissions and CMS penalties by ensuring patients fill their medication after discharge.

icon high risk patients
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.

HealthcareAnalyticVendors@2x
Features In Focus

Trigger timely interventions with patient notifications

Patient 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 patients and medication events to track

Submit a targeted patient list and select which types of notifications you want to receive.

Monitor pharmacy activity in near real time

Surescripts identifies successfully enrolled patients in our Master Patient Index and continuously monitors pharmacy activity using data that is current—within 24–48 hours and updated daily.

Get alerts in existing workflows

Surescripts generates alerts based on the selected notification types, which clinicians receive in their electronic workflow.

Success Stories

Real-world results

“Getting these Surescripts notifications allows us to know the right time to contact these patients and help facilitate their education and engagement with their providers.”

Robert Dean Care Navigator, Mount Sinai Health System

“Sometimes it can take hours to try to get records from different places. Not only are they busy in the ED, but so are pharmacists and pharmacy technicians in retail pharmacy locations. If you’re calling and trying to get information from them, they have to also pull away from their customers and they’re short-staffed as well.”

Kristin Alvarez Director, Center for Innovation and Value at Parkland

“[Medication History for Populations] allowed us to be a 3-, 4- and 5-Star performing plan, which was fantastic.”

Megan Slaga Pharm.D., Director of Pharmacy
FAQs

Find out more about Medication History for Populations

Can Medication History for Populations be customized for specific patient 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 medications that have been purchased by the patient. 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 a medication is confirmed to have been purchased by the patient from a connected pharmacy or through a pharmacy benefit plan, 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.

Insights

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