Arine Elevate is a comprehensive, AI-driven Medication Therapy Management (MTM) and quality improvement solution designed for health plans and at-risk provider organizations. The platform leverages Arine's proprietary Medication Intelligence by integrating diverse data sets—including clinical records, pharmacy data, claims data, and Social Determinants of Health (SDoH)—to create a holistic view of each member's medication experience. This deep analysis allows the platform to move beyond 'check-the-box' MTM to drive significant clinical and economic outcomes.
Key Benefits and Outcomes:
- Achieve High CMS Star Ratings: Clients have achieved 4-5 Stars on MTM, Part C, and Part D measures.
- Improve Efficiency: The platform automates workflows, generating personalized care plans, member education materials, and prescriber communications, which has been shown to improve care team efficiency by 5-10 times.
- Reduce Costs and Hospitalizations: Arine's solutions have demonstrated a greater than 10% decrease in total cost of care and a 40% reduction in hospitalizations.
Main Features and Capabilities:
- AI-Powered Prioritization: Uses predictive algorithms to identify and prioritize individuals most at risk for medication-related problems for just-in-time interventions.
- Comprehensive Data Integration: Analyzes clinical, behavioral, and social data, including SDoH factors, to uncover diverse member needs and address disparities.
- Automated Workflow Engine: Streamlines and automates tasks, intelligently assigning them to the most qualified care team member.
- Personalized Care Plans: Automatically generates customized care plans and tailored recommendations for members and prescribers.
- Live Dashboards & Reporting: Provides near real-time dashboards to track MTM program performance, quality measures (Star Ratings, HEDIS, CAHPS), and clinical/economic impact.
Target Users: The software is primarily for Health Plans and At-Risk Provider Organizations (e.g., ACOs) managing Medicare, Medicaid, Special Needs, and Commercial populations.