Ongoing care and patient support.
HealthyConnect handles enrollment, delivers its ACCESS care, tracks progress and shares relevant clinical updates.
HealthyConnect bills Medicare directly for ACCESS care.
ACCESS PARTNERSHIP / PHARMACIES
Continuous care for your patients.
A focused, paid clinical role.
HealthyConnect delivers ongoing ACCESS care and bills Medicare directly. Your pharmacy keeps its patient relationship and performs qualifying medication review and coordination.
SEPARATE ROLES. SEPARATE PAYMENTS.
Clinical review and coordination.
Eligible clinicians review care updates, complete relevant coordination within their scope and document the work.
Your eligible organization bills for qualifying co-management.
$267Estimated gross revenue per modeled review hour
Illustrative first year: $150 per patient at an average 1.5 qualifying tracks. $135 for reviews plus $15 for qualifying onboarding, divided by 33.75 modeled review minutes.
Three 7.5-minute reviews per track, with distinct qualifying work for each. Onboarding and administrative time are additional. National-base illustration before practitioner, geography and applicable payment adjustments.
See the calculation and requirements ↗BUILT AROUND YOUR CLINICAL ROLE
The patient pathway for community pharmacy.
Medicare-enrolled pharmacies with specialty code A5 become CMP-eligible October 1, 2026.
The pharmacy needs the required Medicare enrollment and claim configuration. HealthyConnect handles patient ACCESS enrollment and care.
A patient reports difficulty taking a medicine as directed.
HealthyConnect sends the relevant care update and available medication context.
The pharmacist reviews, reconciles or coordinates with the prescriber, and documents the action.
Illustrative workflow. Sources, supported services and integration are confirmed for deployment.
Your one-page overview
See the clinical partnership, division of work and illustrative economics.
READY TO START?
One-page setup. HealthyConnect handles onboarding.
No fee to become a HealthyConnect referral partner. Two-hour target for standard referral setup after required information and contacts are available. Integration and billing enrollment are separate.