Value-Based Care for Health Plan Members

Helping you do what you do best – care for your members. With Value of Future Adherence Score®, RxAnte uses a patented predictive score to identify members who can receive the most benefit from our adherence packaging pharmacy services. VFA identifies future medical costs that can be prevented.

How is Our Member Targeting Different?

We Use Many Parameters to Evaluate:

• Based on prevalent chronic therapies where medication use influences medical utilization
• Considering all relevant conditions and medications for each member

Mosaic coordinates with the patient’s healthcare providers and caregivers to improve medication adherence. By intervening early and proactively, Mosaic helps prevent hospitalizations and other adverse health outcomes, ultimately improving patient outcomes and reducing healthcare costs.

We understand how time-consuming and stressful it can be to coordinate monthly medication refills. Our comprehensive pharmacy services involve routine clinical evaluations and efficient refill management to ensure patients get the right medications at the right time without leaving their homes.

Mosaic serves as a direct line to your member’s healthcare providers. We coordinate any medication changes and work closely with their doctors to deliver the safest, most affordable medications covered by their insurance.

• Comprehensive Medication Review (CRM) Completion on all enrolled members, in your MTM vendor’s platform.
• Connect health plan members to the plan’s Risk Adjustment, Quality, and Social Determinants of Health (SDoH) programs and services.

Mosaic’s value-based pharmacy service makes it easier for at-risk patients to take their medication, speak with a pharmacist 24/7, and receive clinical support. Our pharmacy care services for health plan members offer the convenience of medication home delivery and 24/7 patient support. We ensure patients get the correct medication and dosing and have the guidance they need to use these pills safely and effectively.

There is one big common challenge that Medicare Advantage Prescription Drug (MAPD) plan members face: staying adherent to their medication with many pills to manage. At Mosaic, we promote patient empowerment through health literacy. By helping members understand and manage their medication regimens, they feel more informed and empowered about their medical situation and are more likely to fill their prescriptions.