TECKS Healthcare – Part D Clinical Module
The TECKS Part D Clinical Module is a differentiated, end-to-end solution designed to help Medicare health plans transform pharmacy claims data into actionable insights and targeted clinical interventions—ultimately driving improvement in Part D Clinical Star measures.
The solution enables health plans to seamlessly ingest PBM pharmacy data, calculate adherence and other Part D measures at a frequency that aligns with their operational needs, and identify members who may benefit from timely interventions.
Key Capabilities
- PBM Data Integration: Import and process pharmacy claims data from PBMs to support ongoing Part D clinical analytics.
- Flexible Measure Execution: Run adherence, SUPD, Poly ACH and COB measures on a schedule and frequency defined by the health plan.
- Actionable Interventions and Outreach: Execute targeted interventions across members, pharmacies, and providers based on identified opportunities. Perform outreach to any of those entities while tracking all of the outreach within the software and set follow up deadlines by case.
- First-Fill Member Identification: A unique capability that identifies members at their first pharmacy fill, allowing plans to engage members proactively rather than waiting for adherence gaps to develop.
- Member Prioritization: Advanced metrics help plans identify and prioritize members with the greatest potential impact on Part D Star performance, enabling teams to focus their resources where they can generate the most value.
- Continuous Monitoring: Repeated measure runs provide plans with the ability to monitor measure trends, evaluate intervention opportunities, and track progress over time.
Designed to Improve Part D Star Performance
By combining pharmacy data, measure analytics, member segmentation, prioritization, and intervention workflows in a single platform, TECKS helps health plans move beyond retrospective reporting toward proactive, data-driven clinical improvement.
The platform enables plans to answer critical questions such as:
- Which members are at risk of becoming non-adherent?
- Which members are newly initiating therapy and should be engaged early?
- Which members offer the greatest opportunity for Star improvement?
- Which pharmacies or providers may require targeted outreach?
- Where should limited clinical resources be deployed for maximum impact?
Security & Compliance
TECKS Healthcare is SOC 2 certified and follows established security and compliance practices for protecting Protected Health Information (PHI) and other sensitive healthcare data. The platform is designed with security controls and protocols appropriate for the handling of healthcare data.
TECKS Part D Clinical brings together pharmacy data, clinical analytics, intelligent member prioritization, and intervention capabilities to help health plans identify opportunities earlier, act more strategically, and improve Part D clinical outcomes and Star performance.