Close Gaps Where Your Members Live
A turnkey pharmacy-based solution for HEDIS gap closure, member engagement, and population health management.
Proof Points From the Field
Data from the Cone Health pharmacy-based screening pilot
86%
of screened patients had diabetes and/or hypertension
78%
opted in for follow-up communications
41%
had no PCP or hadn’t seen one in 12+ months
56%
of network pharmacies in socially vulnerable areas (CDC)
A Phased Approach to Quality Improvement
Phase 1
Months 1–3
Foundational Quality Wins
- Immunizations (adult, adolescent, influenza)
- BMI screening
- Blood pressure measurement
- Point-of-care A1C testing
Phase 2
Months 4–6
Preventive & Behavioral Health
- Depression screening (ages 12–17, postpartum)
- Comprehensive health assessments
- Smoking/tobacco cessation counseling
Phase 3
Months 7–11
Targeted Interventions
- Medication adherence (diabetes, hypertension, statins)
- Colorectal cancer screening coordination
- Diabetic eye exam referrals
- Opioid use monitoring
Operational Workflow
Data Intake
Member data, pharmacy data, EMR integration
Outreach & Engagement
Multi-channel outreach: SMS, phone, email, community marketing
Patient Activation
On-site testing, screening events, health risk assessments
Billing & Coding
Pharmacist gap billing, compliance, audit protection
Program Analytics
Engagement reporting, encounters, member outcomes
Pricing Flexibility
We tailor pricing to your plan's structure and goals.
PMPM
Per Member Per Month
Subscription / SaaS License
Predictable monthly cost
Outcome-Based
Value-aligned pricing
Usage-Based Fees
Pay per screening or encounter
Ready to Close Quality Gaps at Scale?
See how pharmacy-based screening can improve your HEDIS measures and member outcomes.