The Importance of Driving Pharmacy Adherence and Performance Metrics

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The Importance of Driving Pharmacy Adherence and Performance Metrics

As we step into 2025, the importance of patient adherence to medication regimens cannot be overstated. Understanding and improving your patient’s adherence measures is crucial for evaluating patient outcomes and refining treatment strategies. In 2024, Outcomes observed adherence rates across various chronic conditions gathered from benchmark data (Outcomes Index), reflecting a positive trend in patient commitment and medication management.

 

Understanding the Proportion of Days Covered (PDC) Threshold 

Meeting the Proportion of Days Covered (PDC) threshold is crucial for assessing medication adherence in chronic conditions like diabetes and hypertension. The standard PDC threshold is 80%, above which medication use is more likely to provide clinical benefits. Achieving adherence at or above this level can lead to better health outcomes and fewer complications for your patients. 

As of December 2024, diabetes, cholesterol, and hypertension medication adherence rates observed in the Outcomes Index were all above 80%, as seen in the below PDC charts.1 

data

 

Maximize Clinical Revenue with the Power of the Largest Pharmacy Network 

Pharmacists can use various tools and resources to improve your pharmacy’s adherence performance metrics. Outcomes’ pharmacy network works with payers to present Medication Therapy Management (MTM) opportunities that often influence the same adherence measures impacting pharmacies. By logging into the Outcomes platform, pharmacists can review their performance metrics and compare them with peers in the network. Targeted Intervention Program (TIP) and Comprehensive Medication Review (CMR) completion rates are important indicators of MTM performance. Regular review of your dashboard will provide insights and metrics to help you enhance your performance, leading to additional clinical revenue for your pharmacy and helping impact your pharmacy’s adherence measures. ops_screen_calloutIn 2024, we observed over 1 million CMRs delivered, a 29% increase in completed CMR volume year over year. With complex medication regimens and patients using multiple pharmacies, boosting your CMR completion rate in 2025 benefits both you and your patients. Patients get optimized treatment through your expertise and personalized care, while you strengthen patient relationships.  

In addition, we observed 9.5 million TIPs successfully completed. TIPs address potential drug therapy problems and should not be overlooked. Conversations with prescribers about drug interactions, therapy gaps, and vaccinations in addition to daily discussions with patients regarding adherence and disease state management are often identified as TIPs and can be completed quickly in the platform. Incorporating the review of available TIPs at the start of your workday only takes a few minutes and helps engage patients and prescribers more effectively, improving health outcomes and therapeutic programs. 

 

Starting 2025 Off in the Right Direction! 

To make 2025 a year of exceptional patient care and improved health outcomes, we encourage all pharmacists to actively engage with Outcomes. Explore your performance metrics, understand the significance of TIP and CMR completion rates, and utilize the insights from your dashboard to drive better patient adherence and MTM performance metrics.  

If you are looking for ways to improve your overall performance, discover how Outcomes can help you identify hidden opportunities, close care gaps, boost medication adherence, and complete more payer TIPs and CMRs—building a stronger, more efficient, and patient-focused pharmacy. Together, we can make a significant impact on patients’ health and well-being.  

Contact us today to learn how you can tap into the full potential of your pharmacy and lead the way in delivering exceptional care and achieving long-term success. Let’s get started! 

 

 

  1. The demonstrated adherence rates represent the percent of the population filling their medications at least 80% of the time, based on Outcomes PMS claims data.