Company profile

AdhereHealth

Pharmacy & Medication Management

Company profile

About AdhereHealth

AdhereHealth is an industry-leading healthcare technology company that delivers whole-journey adherence solutions for value-based care initiatives. The company partners with managed care organizations, self-insured employers, PBMs, health systems, and other risk-bearing entities to engage members across the risk spectrum, including the highest-risk, hardest-to-reach populations. AdhereHealth's approach combines proprietary predictive analytics, intelligent workflow software, data targeting, clinical and behavioral science expertise, omnichannel engagement, and stakeholder coordination to improve health outcomes, quality metrics, and cost savings. The company addresses social determinants of health (SDOH) and behavioral barriers through personalized interventions delivered by a nationwide team of licensed clinicians using evidence-based telepharmacy outreach techniques. AdhereHealth's solutions drive measurable improvements in government-sponsored pay-for-performance programs, including Medicare Star Ratings, HEDIS measures, and MTM program completion. The company's proprietary Adhere Platform leverages sophisticated daily predictive analytics that combine plan-provided data with publicly available SDOH data to identify at-risk members and resolve barriers to adherence. With support for over 100 health plans and delivery of more than 12 million interventions, AdhereHealth demonstrates a proven 4:1 ROI through outcomes-based billing models that align payment with measurable business benefits and long-term health equity improvements.

Company description AdhereHealth official website

Primary marketPharmacy & Medication Management
Commercial modelCommercial information available on request
Company presenceOfficial website
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01 · Operating footprint

Where the Company operates

Company-profile context for clinical focus, customers, deployment, integration, milestones, and partnerships.

Clinical focus

  • diabetes
  • high cholesterol
  • hypertension
  • mental health
  • opioid and benzodiazepine concurrent use
  • polypharmacy management

Who it serves

  • Commercial Plans
  • Health Plans
  • Health Systems
  • Medicaid Plans
  • Medicare Advantage Plans
  • PBMs
  • QHP Exchange Plans
  • Self-Insured Employers

Deployment & integration

Cloud Saas · Hybrid deployment with recorded integration context.

Recorded integration context: medical claims systems, PBMs, pharmacy services, prescription claims systems.

Geographic context

MarketsUnited States
Company sourceOfficial website

Company milestones

Platform expansion

Multi-year contracts with national and regional health plans, expansion across entire populations for existing customers, white paper on health equity and social risk factors

Partnerships

Recorded partners

No partners are currently listed.

02 · Flagship portfolio

Products, workflows, and platform capabilities

Selected source-backed Company products and the available commercial context.

Adhere Platform

Healthcare technology platform for value-based reimbursement and cost reduction

Platform · Cloud SaaSCompany source

Medicare Part C HEDIS Programs

Improve Part C measure performance through holistic member engagement

Service · HybridCompany source

Medicare Part D Adherence Programs

Drive Part D performance improvement with SDOH-first adherence interventions

Service · HybridCompany source

Value-Based Care Reimbursement Solutions

Increase Star Ratings and P4P program performance through adherence interventions

Service · HybridCompany source

Value-Based Cost Reduction

Reduce drug therapy problems and medical costs through predictive analytics

Service · HybridCompany source

03 · Research intelligence

Research Intelligence evidence

Publications, preprints, clinical validation, and regulatory records in Evidence Position order.

Evidence position

Publications, clinical validation, and regulatory records connected to this Company appear here.

Research

Publications & preprints

Faculty experiences developing and directing a novel multi-campus medication therapy management introductory pharmacy practice experience.

Currents in pharmacy teaching & learning · Jul 1, 2025

Clinical validation

Clinical-trial records

No linked records are currently available.

Regulatory

Regulatory records

No linked records are currently available.

04 · Company-reported outcomes

Outcomes and case studies

Company-reported outcomes and customer stories are distinct from linked Research Intelligence evidence.

4:1 ROI

Proven cost savings across programs

1 to 1.5 point improvement

CMS Star Rating improvement per measure in first year

100+ health plans supported

Scale of customer base

12M+ interventions delivered

Volume of member engagement

National Health Plan

Outcomes-based billing model for adherence programs

4:1 ROI with outcomes-based payment model where vendor only gets paid if they benefit the business

Regional Health Plan

Improved Medicare Star Ratings through medication adherence program

Improved from 2.5 Star Rating to 3.5-4.0 Stars (1 to 1.5 point improvement per measure in first year)

05 · Leadership

Leadership team

Leadership profiles and professional links from the current Company record.

No active leadership profiles are currently listed.

06 · Company updates

Updates from AdhereHealth

Recent articles published on AdhereHealth's official website.

No Company updates are currently listed.

07 · HAIC coverage

Coverage and analysis

Health AI Central reporting that mentions this Company.

No HAIC coverage is currently linked to this Company.

08 · Official presence

Company sources and channels

Curated official destinations from the active Company record.

09 · Market pathway

Additional Companies in this Market

Other active Companies in the same market, selected alphabetically from the HAIC directory.

Market context

Pharmacy & Medication Management

Companies using AI for medication optimization, pharmacy automation, drug pricing and access, medication adherence, polypharmacy management, or pharmacy workflow optimization. Includes platforms that help patients access affordable medications, tools that reduce medication errors, and AI systems that optimize drug regimens for complex patients.

Explore the full market directory or compare this Company with additional active profiles.

View all Companies in this market

10 · Pro research

Coming soon

Expanded Company research is in development.

Health AI Central Pro · Coming Soon

Deeper Company research is coming soon.

Pro Research will introduce expanded technical context, linked evidence analysis, and comparative Company research.

ResearchEvidence analysis

Linked research, clinical, and regulatory source pathways.

CompanyTechnical context

Expanded product, deployment, integration, and partnership research.

MethodSource & review record

Record-level provenance and review context.

Coming Soon