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OutcomesProfile date: 2025-06-04 Outcomes: Connecting Healthcare for Better Patient Results
Outcomes is a prominent healthcare technology company in the United States focused on creating a more connected and efficient healthcare ecosystem. The company provides a suite of solutions designed to unite pharmacies, payers (such as insurance companies and health plans), and pharmaceutical companies through patient engagement tools, advanced workflow optimization, and clinical service platforms. Their core mission is to improve patient health outcomes by empowering pharmacists, enhancing patient engagement, and streamlining collaboration across the healthcare continuum. Historically, Outcomes has evolved by integrating various pharmacy management and engagement solutions, including Rx30, Computer-Rx, PrescribeWellness, OutcomesMTM, mscripts, and TelePharm, under a unified strategy.
In June 2023, it was announced that Cardinal Health's Outcomes? business would merge with Transaction Data Systems (TDS), a portfolio company of BlackRock Long Term Private Capital and GTCR. This strategic combination aims to create an expansive, integrated offering of pharmacy workflow software, patient engagement tools, and clinical solutions, serving a vast network of pharmacies and further enhancing connectivity within the healthcare ecosystem.
Continue…What Outcomes Does
Outcomes specializes in developing and deploying technology that bridges the gaps between key healthcare stakeholders. Their solutions are patient-centric and pharmacy-empowered, designed to facilitate better medication adherence, optimize pharmacy operations, improve payer performance ratings, and allow pharmaceutical companies to engage more effectively with patients through their network of pharmacies.
Key activities and functional areas include:
- Pharmacy Workflow Optimization: Providing software and tools that streamline the day-to-day operations of pharmacies, from prescription processing and dispensing to inventory management and clinical service delivery.
- Patient Engagement and Adherence: Offering solutions that help pharmacies and healthcare providers connect with patients through various channels (text, IVR, mobile apps) to improve medication adherence, manage appointments, and deliver personalized care.
- Clinical Service Delivery: Enabling pharmacies to expand their clinical services, such as Medication Therapy Management (MTM), immunizations, point-of-care testing, and other health consultations. This includes providing the platforms for documentation and medical billing.
- Payer and Pharma Connectivity: Creating a network that allows payers to manage their members' health more effectively and pharmaceutical companies to support patient access and adherence to prescribed therapies through pharmacy-led interventions.
- Data and Analytics: Leveraging data to provide actionable insights for pharmacies, payers, and pharma companies to improve patient outcomes, manage costs, and identify opportunities for clinical interventions.
- Technology Integration: Ensuring their solutions integrate with existing Pharmacy Management Systems (PMS) and other healthcare IT infrastructure to provide a seamless user experience.
Products and Services Offered
Outcomes provides a comprehensive suite of software solutions and services tailored to the needs of pharmacies, payers, and pharmaceutical companies.
For Pharmacies:
- Pharmacy Management Systems (PMS):
- Rx30: A robust pharmacy management system offering features for prescription processing, inventory management, workflow automation, point-of-sale (POS) integration, eCare plan documentation, and DIR fee management.
- Computer-Rx: An easy-to-use pharmacy management software solution for independent pharmacists covering dispensing, billing, POS, patient engagement, and more.
- Outcomes Premium (formerly PrescribeWellness): A platform designed to help pharmacies "go beyond the fill" by unlocking new revenue opportunities and delivering clinically impactful care. It integrates modules for:
- Opportunities: Streamlines workflows, improves clinical services with features like Pharmacy Tasks, Patient Profiles, Pharmacy Data Management, Medicare Plan Finder, and identifies manufacturer-sponsored opportunities.
- Engagement: Builds patient connections through multi-channel messaging (text, app, IVR), appointment scheduling, and patient intake forms.
- Clinical: Supports clinical documentation for services like point-of-care testing (influenza, strep, COVID-19), Evaluation and Management (E&M) services, eCare Plans, medical claims submission and tracking, and Collaborative Practice Agreements (CPAs).
- Vaccines: Manages immunization records, facilitates automated reporting to state and local registries, identifies targeted vaccine opportunities, and supports vaccine-related CPAs.
- Medication Therapy Management (MTM) Platform (OutcomesMTM / OutcomesOne): Enables pharmacies to participate in payer and pharma-sponsored clinical programs, identify patients for targeted interventions (TIPs) across numerous disease states, document MTM services, and bill for these services. This platform is integrated with most Pharmacy Management Systems.
- TelePharm: A cloud-based telepharmacy platform that allows for remote prescription verification, patient counseling, and management of remote dispensing sites, expanding pharmacy reach and access to care.
- PillCount: An automated, vision-based pill counting solution powered by an iPad Pro, designed to improve accuracy, speed up dispensing, reduce human error, and integrate with PMS for tracking. It stores images for digital verification and audits.
- Virtual Verification: Solutions to facilitate remote checking of prescriptions, enhancing workflow efficiency and safety.
- Interactive Voice Response (IVR): Customizable IVR technology to enhance patient engagement, automate refill requests, and improve pharmacy workflow efficiency.
- Specialty Pharmacy Solutions (e.g., KloudScript): Platforms enabling community pharmacies to provide specialty pharmacy care and retain patients needing complex medication regimens.
- Medical Billing Services: Tools and platforms to simplify the submission and management of medical claims for clinical services provided by pharmacists.
- Reconciliation Solutions: Services to help pharmacies manage and reconcile payments, maximizing revenue.
- Integration Partners: Outcomes collaborates with various integration partners to enhance connectivity and functionality within the pharmacy ecosystem.
For Payers:
- Network of Pharmacies: Access to a vast network of over 48,000 community, chain, and grocery pharmacies, covering more than 70 million patient lives.
- Medication Adherence Programs: Tools and interventions delivered through pharmacies to improve member adherence to medications and close gaps in care.
- Clinical Intervention Opportunities: Platforms to identify and engage high-risk members for targeted clinical interventions by pharmacists, aiming to improve health outcomes and STAR ratings.
- Data Insights: Analytics and reporting on member engagement, medication adherence, and the impact of clinical programs.
For Pharmaceutical Companies:
- Patient Access and Engagement Programs: Solutions to support patient access to medications and engage patients throughout their therapy journey via the connected pharmacy network.
- Adherence Solutions: Programs delivered through pharmacies to help patients stay on their prescribed therapies.
- Clinical Trial Support/Real-World Evidence: Potential to leverage the pharmacy network for patient identification and data collection, though this is not a primary advertised service, the infrastructure could support it.
- Data and Insights: Information on patient engagement with therapies and the effectiveness of support programs.
Strategic Focus and Market Position
Outcomes positions itself as a leader in pharmacy solutions, dedicated to advancing the role of pharmacists as vital healthcare providers. The company emphasizes patient-centricity and the power of the pharmacist-patient relationship. By connecting various stakeholders on a unified platform, Outcomes aims to:
- Improve health outcomes for patients.
- Optimize pharmacy operations and diversify revenue streams for pharmacies.
- Help payers improve performance metrics and manage healthcare costs.
- Enable pharmaceutical companies to effectively support patients on their therapies.
The merger with Transaction Data Systems is expected to significantly strengthen its market position by combining complementary pharmacy management systems (Rx30, Computer-Rx) with Outcomes' robust patient engagement and clinical intervention platforms. This creates a comprehensive technology provider with an extensive reach across the U.S. pharmacy landscape, well-equipped to drive the evolution of pharmacy-delivered care.
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