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MTM in 2026: How Star Ratings, Med Sync, and AI Triage Are Rewriting the Service

  • 72 minutes
  • 38 slides
What we'll cover
  • 0:00 Why MTM Changed
  • 8:00 Star Ratings Reset Incentives
  • 20:00 Med Sync As Front Door
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What you'll take away

Practical shifts you can apply this week

  • Identify 2026 Market Forces

    See why MTM is shifting from annual events to a continuous medication service model.

  • Compare Targeting And Staffing Choices

    Weigh how Stars, med sync, and AI change who you reach first and who should do the work.

  • Evaluate What To Automate

    Sort patients, touchpoints, and tasks into automation, sync workflows, or clinician escalation.

  • Design A Future-State Workflow

    Map one service model that connects adherence, safety, and patient experience without extra sprawl.

  • Draft A 90-Day Plan

    Leave with practical metrics for access, completion, clinical yield, and operational efficiency.

Agenda

What we'll cover

  1. 0:00

    Why MTM Changed

    Why 2026 is structurally different, and why the old annual CMR playbook no longer fits.

  2. 8:00

    Star Ratings Reset Incentives

    How quality pressure changes outreach timing, targeting logic, and what success should mean.

  3. 20:00

    Med Sync As Front Door

    Use refill cadence as the trigger for intervention before gaps and confusion pile up.

  4. 29:00

    AI Triage Sorts The Queue

    Where AI helps rank risk and next best action, and where human judgment still needs the last word.

  5. 41:00

    Future-State Workflow And Roles

    Define handoffs across techs, pharmacists, and analysts so each task lands in the right lane.

  6. 51:00

    Metrics That Prove Value

    Track access, completion, yield, and throughput so good-looking volume does not hide weak results.

  7. 56:00

    90-Day Plan And Q&A

    Pick one pilot, assign an owner, choose a metric, and leave with a start date.

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