Transform Pharmacy Operations with Medicare Voice AI
coverage voice empowers pharmacy benefit managers (PBMs) and retail pharmacies to improve medication adherence, reduce refill delays, and increase prescription volume through HIPAA-compliant automation.
The $500 Billion Medication Adherence Problem
Medication non-adherence remains one of healthcare's biggest cost drivers $500 billion in preventable spending, 125,000 avoidable deaths, and 50% of patients not taking prescriptions correctly. coverage voice Medicare Voice AI automates patient engagement to improve adherence, cut costs, and boost Star Ratings.
Reduce non-adherence
40%
Improve Refill Rates
25%
Cut Call Costs
60%
Boost Star Rating
Up to 1 point
Always-On Patient Engagement
Omnichannel Voice AI
Refill reminders via phone, SMS, or chat. Proactive calls for Med Sync, refills, or vaccinations. Warm transfers for pharmacist consultations. 24/7 after-hours coverage.
Digital-First Outreach
Social & PPC lead handling for new prescription programs. Integration with pharmacy websites and CRM campaigns. HIPAA-secure consent capture and logging.
Seamless Integrations for PBMs & Pharmacies
coverage voice integrates easily into your existing systems for real-time synchronization and compliance.
ScriptPro
CVS Caremark
AthenaHealth
Epic Systems
Cerner
Snowflake
Twilio
ScriptPro
CVS Caremark
AthenaHealth
Epic Systems
Cerner
Snowflake
Twilio
Why PBMs & Pharmacies Choose coverage voice
Purpose-Built for Pharmacy Workflows
Unlike generic call bots, coverage voice understands pharmacy terminology, refill logic, insurance workflows, and adherence barriers.
Star Rating Impact
Directly improves high-weight CMS metrics, boosting plan performance and quality bonuses.
Scalable Infrastructure
Whether serving 10 pharmacies or 10,000 members, coverage voice scales instantly—handling 100 or 100,000 calls per day without extra staff.
Compliance Built-In
All calls, reminders, and data flows operate under HIPAA BAA with automatic logging, encryption, and retention for 10 years.
How Coverage Voice AI Works for PBMs & Pharmacies
coverage voice replaces manual calls, refill tracking, and reminder scripts with AI automation that sounds human, stays compliant, and scales instantly.
Medication Refill Automation
AI Outreach That Prevents Missed Doses. Calls patients 5–7 days before medications deplete, confirms pickup or home delivery preferences, identifies barriers like cost, side effects, or transportation, and routes pharmacist consults or patient assistance programs automatically.
AI-Coordinated Medication Schedules
Medication Schedules That Simplify Lives. coverage voice identifies patients taking 3+ medications and synchronizes all refills to one pickup date per month. Detects eligible patients via prescription history, schedules Med Sync calls explaining benefits, aligns refill cycles automatically (via short fills), and contacts patients monthly to confirm changes and update physicians when renewals are needed.
Predictive Adherence Analytics
AI That Spots Risk Before It Becomes Non-Adherence. Machine learning analyzes fill patterns, pickup history, medication type, and social factors to predict risk. High-Risk Patients receive intensive follow-ups and pharmacist consults. Adherent Patients stay engaged through periodic reminders only.
Star Rating Optimization
Medicare Advantage Star Ratings depend heavily on medication adherence across three CMS measures: Diabetes Medication Adherence (DMA), Hypertension Medication Adherence (RASA), and Cholesterol Medication Adherence (Statins).
Always-On Patient Engagement
coverage voice keeps members connected across every channel, increasing pickup rates and patient loyalty. Omnichannel Voice AI includes refill reminders via phone, SMS, or chat, proactive calls for Med Sync, refills, or vaccinations, warm transfers for pharmacist consultations, and 24/7 after-hours coverage.
Frequently Asked Questions
PBM stands for Pharmacy Benefit Manager, an organization that manages prescription drug benefits on behalf of health insurers and Medicare Advantage plans.
Medicare Voice AI proactively reminds patients, coordinates refills, and detects non-adherence early, improving refill rates by up to 25% and adherence by 40%.
Yes. coverage voice connects with leading systems like McKesson EnterpriseRx, PrimeRx, and PBM claim adjudication platforms for real-time updates.
Absolutely. coverage voice automates outreach for adherence measures directly tied to Star Ratings, helping pharmacies and PBMs improve DMA, RASA, and Statin metrics.
Yes. All communications are encrypted, logged, and managed under HIPAA BAA with SOC 2-certified infrastructure.
Future-Proof Your Pharmacy & PBM Operations
Medication adherence drives every key metric—Star Ratings, patient outcomes, and revenue. coverage voice makes adherence effortless with automation that's proactive, compliant, and human-sounding.