MTM in 2026: Star Ratings, Med Sync, and AI Triage

flowchart LR
 A[Payment and Star pressure] --> D[Continuous medication service]
 B[Med sync touchpoints] --> D
 C[AI triage queues] --> D
 D --> E[Earlier outreach]
 D --> F[Role-based workflow]
 D --> G[Proof beyond completion]

flowchart TD
 A[Patient enrolls in med sync] --> B[Refill dates aligned]
 B --> C[Pre-sync review queue]
 C --> D{Risk or barrier found?}
 D -->|No| E[Technician confirms refill]
 D -->|Yes| F[Pharmacist MTM review]
 F --> G[Document action and next sync date]
 E --> G

flowchart TD
 A[New data arrives] --> B[AI ranks risk and action]
 B --> C{Low complexity?}
 C -->|Yes| D[Automation or technician]
 C -->|No| E{Clinical risk high?}
 E -->|Yes| F[Pharmacist review]
 E -->|Unclear| G[Human queue check]
 D --> H[Outcome documented]
 F --> H
 G --> H

flowchart LR
 A[Trigger: Star, sync, discharge, refill risk] --> B[Triage and segmentation]
 B --> C[Automation or technician action]
 B --> D[Pharmacist intervention]
 C --> E[Barrier resolved or escalated]
 D --> E
 E --> F[Document outcome]
 F --> G[Report and learn]
 G --> B

timeline
 title 90-Day Pilot Path
 Days 1-15 : Pick pilot, owner, metric
 Days 16-30 : Map workflow and escalatio

 Days 31-45 : Configure queue and scripts
 Days 46-75 : Run pilot and weekly huddles
 Days 76-90 : Review results and scale decision