Medicare Advantage
Medicare Advantage Drug Measures
Move every Star drug measure in the right direction.
Medisolv's MA Drug Measure solution helps Medicare Advantage plans improve Star ratings through advanced analytics, real-time monitoring, and targeted interventions on the Star drug measures. Star and pharmacy leaders improve medication adherence, close gaps in care, and efficiently remediate inaccurate CMS data.
Now part of Medisolv
Formerly a Lilac Software solution. Lilac's payer analytics platform is now delivered by Medisolv.
Product description
One view of drug measure performance
MA Drug Measures brings your pharmacy claims, PDE submissions, medical data, and eligibility data together in one place, so Star and pharmacy teams work from a single, accurate view of drug measure performance.
Run PQA-licensed measures on demand, see where CMS and plan data disagree, and generate gap closure lists in minutes — so interventions happen inside the window where they still move the rating.
Features
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PQA-licensed engine: run drug measures on demand against pharmacy claims.
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Data validation & monitoring: track PDE submission and remediation end to end.
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CMS reconciliation: compare PDE and plan data to surface discrepancies with CMS and Acumen.
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Exclusions & adjustments: continuously tagged medical, pharmacy, and eligibility data for accurate calculations.
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Audit-ready trail: every calculation, exclusion, and adjustment traceable back to source data.
Why Medisolv's MA Drug Measures Solution?
Star and pharmacy leaders are working from CMS data that arrives late, disagrees with plan data, and leaves adherence lists out of date by the time an intervention is possible. MA Drug Measures removes that lag: PQA-licensed measures run on demand, discrepancies are found and remediated continuously, and gap closure lists reach the field in minutes instead of weeks.
Enhance Gap Closure
Make gap closure more effective with timely, accurate data from PQA-licensed measures.
Resolve CMS & Plan Data
Improve member-level adherence rates by finding and correcting discrepancies between CMS and plan data.
Forecast with Confidence
Take full control of drug measure management and forecasting with an engine you can run whenever you need it.
Expert Partnership
Medisolv teams support your quality, Star, and pharmacy leaders through every submission and remediation cycle.
What you get
Key capabilities
01.
PQA-licensed engine, on demand
02.
PDE submission & remediation tracking
03.
CMS and plan data reconciliation
04.
Accurate exclusions and adjustments
05.
Member-level gap closure lists in minutes
06.
Audit-ready calculation trail
See how MA Drug Measures fits your Star strategy.
SubmissionsPlus®
We provide you SubmissionsPlus® which means we handle submissions on behalf of every client including troubleshooting error resolution and audit support.
Effortless Data Connection
We make EHR data extraction and aggregation easy for your organization, so you don't have to pay another organization to extract your data.
Free Quality Education
We provide free quality educational content to all because we believe our quality leaders are the ones who will improve the quality of patient care, but they need our support navigating ever-changing regulations.