>As an easy example, we have no idea if our patients actually fill their prescriptions properly once they leave, making it impossible for us to do any sort of i

>As an easy example, we have no idea if our patients actually fill their prescriptions properly once they leave, making it impossible for us to do any sort of intervention on medication adherence. This is probably the lowest hanging fruit of all waste in Medicare. Consider the average Medicare patient has 7 prescribing physicians and 10 prescription therapies, yet not a single physician has access to the claims data to see what another physician has prescribed, leading to duplicate therapies and adverse drug interacts at ridiculous rates. These are generally for chronic care patients also, meaning complications with diabetes, blood pressure, cholesterol, etc... resulting in costly hospitalization. MTM was a step to fixing these issues, I am guessing perhaps what you may be referencing in improvement in sharing claims data (maybe you use OutcomesMTM), but realistically MTM is just a program for insurers to monetize their claims data.