Partnering with Arine to support adherence for disengaged Priority Health PPO members

We’re partnering with Arine, our Medication Therapy Management (MTM) vendor, to support medication adherence for Priority Health PPO members who are noncompliant or tracking toward noncompliance with their medication.

Arine’s outreach is fully funded by Priority Health and won’t impact the administrative budgets of ACNs participating in an Alternative Payment Model (APM) contract.

What’s happening?

Beginning now through December 2025, Arine’s contacting Priority Health PPO members with medication adherence care gaps to help with the following:

• Educate members on the health benefits of staying consistent with medication
• Offer tips and clinical best practices for taking their medication
• Identify barriers to adherence and find resources available through the member’s plan to help with affordability or accessibility
• Assist the member with accessing the programs and resources available to them
• Encourage members to see their PCP for needed care

How will this impact you?

You may be contacted by an Arine or Priority Health pharmacist on behalf of Priority Health Medication Therapy Management to discuss your patient's current medication, the possibility of processing a new 90-day prescription or entering a measure-specific exclusion diagnosis for them. Adding and submitting a needed exclusion diagnosis for your patient removes them from select medication adherence measures. This lowers your population in these measures, increases your Medicare quality performance and may increase your performance in our PCP Incentive Program (PIP).