You already identify the opportunities. PGxAlly closes them, through a pharmacist-led execution model that turns adherence, polypharmacy, transitions-of-care, behavioral health, specialty, and PGx opportunities into completed actions and measurable outcomes. The result is gap closure you can defend in value-based contracts and sell at renewal.
Plans and PBMs already have analytics, dashboards, and risk models. You can identify gaps at scale. What's missing is the workforce to act on all of it, member by member, provider by provider.
Identified opportunities that never get executed cost money to produce and return nothing. We turn them into completed actions.
A national pharmacist network, plus workflow technology and provider engagement, deployed against the opportunities you already identify.
Deploy any combination against your highest-value populations.
Close the gap between prescribed and taken, where Star and HEDIS measures live.
Medication reconciliation that reduces costly readmissions.
Lower medication burden and avoid adverse drug events.
Optimize psychotropic therapy and improve adherence in a high-cost population.
Appropriate use and better value from your fastest-growing spend category.
Genetic insight for safer, more effective medication decisions.
PBMs and plans buy programs. Here are common initiatives partners launch with us.
Close the statin-use-in-diabetes gap that drives Star and HEDIS performance.
Improve PDC across diabetes, hypertension, and cholesterol measures.
Lower high-risk medication use and avoid adverse drug events.
Reduce readmissions with post-discharge medication reconciliation.
Genetic insight for safer, more effective medication decisions.
Improve psychotropic therapy selection and adherence.
Every engagement is designed to produce measurable results. We are partnering with organizations now to establish baseline metrics.
Medication gap-closure rate
Estimated savings & validated gap closure where data is available
Reduction in readmissions & ER visits
Star, HEDIS & quality program support
High-risk medication reduction
Member satisfaction
Scale gap closure without scaling internal headcount.
Results you can put in value-based and risk contracts.
Recommendations reach providers in workflow, not as another fax.
Supports Star, HEDIS, adherence, and quality initiatives.
Consolidate point solutions into a single execution layer.
We increase the likelihood a provider actually acts.
Structure the relationship the way your finance and contracting teams prefer. We will recommend the model that fits the program and population.
A predictable PMPM rate across a defined population. Simple to budget and easy to model against existing spend.
Pay for completed clinical actions rather than access. Costs track directly to work performed and documented.
Align our economics with realized results where data supports measurement. Structured collaboratively as baselines are established.
A scoped, time-boxed engagement against a single program and population. The most common way partners begin.
Most partners start with a pilot, then move to a PMPM or per-intervention model as programs scale.
Then expand based on results. No enterprise-wide transformation required.
We define success together, measure outcomes transparently, and grow where it works.
We'll show you how we close them, and what that's worth at your next renewal.