AdhereHealth
AdhereHealth is a Nashville-based healthcare technology company that sells an AI-enabled SaaS platform and clinical outreach services to Medicare Advantage, Medicaid, commercial health plans, and PBMs to improve medication adherence, CMS Star Ratings, HEDIS, and value-based care outcomes.
- Company typePrivate
- Founded2006
- HeadquartersNashville, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What AdhereHealth does
AdhereHealth (legal entity AdhereHealth Solutions LLC, formerly PharmMD) is a Nashville-based healthcare technology company that sells medication adherence and value-based care solutions to Medicare Advantage, Medicaid, commercial health plans, self-insured employers, PBMs, and government-sponsored pay-for-performance programs. Its core offering is the Adhere Platform, an AI-enabled SaaS that combines predictive analytics on medical and pharmacy claims with publicly available social determinants of health (SDOH) data to identify members at risk of non-adherence, surface drug therapy problems, and route personalized interventions. The platform is offered either as standalone SaaS or bundled with a nationwide team of licensed clinicians (nurses, pharmacists, pharmacy technicians) trained in behavioral science and motivational interviewing, who deliver telepharmacy and omnichannel outreach. Solution modules include Value-Based Care Reimbursement (Star Ratings optimization), Value-Based Cost Reduction (DTP resolution), Medication Therapy Management (MTM), Resolve (member experience/CAHPS), and a Health Equity Index (HEI) solution.
AdhereHealth monetizes through a hybrid model: subscription SaaS licensing for the Adhere Platform and outcomes-based performance pricing for technology-enabled services, with multi-year contracts and full-risk performance guarantees. The company supports 100+ health plans, has delivered 12M+ interventions, and claims a 4:1 client ROI. Distribution is anchored by relationships with 9 of the 10 largest U.S. pharmacy chains and more than 25,000 pharmacies, providing a reach of approximately 170 million patients. The company holds HITRUST r2 certification and was named to Fortune's 2024 Most Innovative Companies list. Its leadership team is led by CEO Kempton Presley and President & COO Patrick McNulty, with domain CXOs including a Chief Adherence Officer, Chief Experience Officer, CIO, and CTO.
AdhereHealth firmographics
Firmographics- Name
- AdhereHealth
- Legal name
- AdhereHealth Solutions LLC
- Website
- https://adherehealth.com
- Company type
- Private
- Founded year
- 2006
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- AdhereHealth is a Nashville-based healthcare technology company that sells an AI-enabled SaaS platform and clinical outreach services to Medicare Advantage, Medicaid, commercial health plans, and PBMs to improve medication adherence, CMS Star Ratings, HEDIS, and value-based care outcomes.
- Ownership category
- akta.pro rank
AdhereHealth industry classification
Industry- Product category
- Healthcare SaaS / Medication Adherence Technology
- NAICS
- Other Ambulatory Health Care Services (6219), Home Health Care Services (62161)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Medication Adherence, Reminders & Patient Support (HLACAKAF)
- akta.pro secondary industries
- Adherence, Reminders & Engagement Automation (Medication/Follow-up) (HLACAEAJ), Patient Access Programs & Affordability (Copay/Hubs/PSP) (HLAIAKAG), Chronic Condition Medication Programs (e.g., diabetes, hypertension) with Integrated Prescribing (HLALAIAH), Medication Adherence, Packaging & Fulfillment Services (Blister/Unit-Dose) (HLAFALAJ)
Keywords
Where AdhereHealth is headquartered
LocationHeadquarters
- HQ city
- Nashville
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
AdhereHealth business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Value-Based Care Solutions: AdhereHealth offers outcomes-based billing model where they only get paid if they benefit the client's business. Provides full-risk, outcomes-based performance guarantee. Revenue is tied to measurable improvements in Star Ratings, medication adherence, and cost savings for health plans.
- SaaS Platform Licensing: The Adhere Platform is available as standalone SaaS technology that health plans can use independently to drive value-based reimbursement and cost reduction. This represents a subscription/SaaS licensing revenue stream.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Outcome Based/ Performance | Multi-year contract | Outcomes-based performance model with performance guarantee |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels7 records
AdhereHealth product offering
Product offeringCore offering
AdhereHealth delivers whole-journey medication adherence solutions that combine AI-enabled predictive analytics, behavioral science expertise, omnichannel engagement, and a nationwide team of licensed clinicians to help health plans improve CMS Star Ratings, reduce drug therapy problems, and lower medical costs. Its core Adhere Platform is offered as standalone SaaS or bundled with technology-enabled clinical services targeting Medicare Advantage, Medicaid, Commercial, and self-insured employer populations.
Product overview
AdhereHealth offers the Adhere Platform as its core healthcare technology, a SaaS solution underlying all proprietary offerings. The product portfolio consists of the Adhere Platform combined with five named solution modules: Value-Based Care Reimbursement (focused on Star Ratings improvement), Value-Based Cost Reduction (focused on medical cost savings through DTP resolution), Medication Therapy Management (MTM), Resolve (member experience/CAHPS improvement), and a Health Equity/HEI Solution (for HEI-qualified measure performance). The Adhere Platform powers all solutions through SDOH-first predictive analytics, clinical workflow, and omnichannel engagement, while solutions are available as SaaS alone or bundled with AdhereHealth's nationwide clinician team services.
Differentiator
Problem solved
Functional benefit
Products and services
- Adhere Platform
Quantifiable outcome
- 4:1 ROI for health plan clients
- +5 more outcomes
Companies that use AdhereHealth
Customer profileNamed customers5 records
Segments4 records
Ideal customer profiles4 records
AdhereHealth technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability4 records
Feature5 records
AdhereHealth partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core.
- Blue Cross and Blue Shield of Kansas CitycoreKansas City-based health plan partnership for medication adherence solutions. Blue KC is the largest not-for-profit health insurer in Kansas City, serving members in the region with AdhereHealth's medication adherence technology and services.
- Global Pharmaceutical ManufacturerscorePartnership with global pharmaceutical manufacturers to deliver personalized medication support through AdhereHealth's pharmacy-led patient engagement platform, serving approximately 170 million patients.
- Major U.S. Pharmacy ChainscoreRelationships with nine of the ten largest U.S. pharmacy chains and more than 25,000 pharmacies for pharmacy-led patient engagement and medication support delivery.
Scale indicators9 records
Recent moves7 records
Expansion highlights6 records
AdhereHealth competitors and assessment
Company assessmentDirect peers
- RxAnte: RxAnte provides predictive analytics for medication adherence targeted at health plans and PBMs — directly comparable to AdhereHealth's core adherence analytics and Star Ratings optimization offering.
- AllazoHealth: AllazoHealth applies AI-driven predictive analytics to medication adherence and patient engagement for pharma and payers, overlapping directly with AdhereHealth's AI-enabled Adhere Platform and predictive analytics engine.
- DrFirst: DrFirst provides ePrescribing, medication management, and clinical workflow tools that integrate into EHRs and pharmacy systems — comparable to AdhereHealth's Adhere Platform and EHR-integrated provider messaging.
Broad incumbents
- CoverMyMeds (part of McKesson): CoverMyMeds operates one of the largest medication access, ePrescribing, and adherence networks in the U.S., overlapping with AdhereHealth's pharmacy-integrated engagement and patient support capabilities but at much broader scale.
- Surescripts: Surescripts operates the dominant U.S. clinical health information network connecting EHRs, PBMs, and pharmacies, comparable to the data integration layer underlying AdhereHealth's platform but at a national network scale.
- Health Catalyst: Health Catalyst is a healthcare data and analytics platform serving health systems and payers; while broader in scope, its analytics layer overlaps with AdhereHealth's predictive analytics and population risk identification capabilities.
- Wolters Kluwer Health (Clinical Effectiveness / Medi-Span): Wolters Kluwer's Clinical Drug Information and decision-support products (e.g., Medi-Span, Sentri7) address medication safety and DTP identification, comparable to AdhereHealth's drug therapy problem detection and clinical workflow alerting.
Emerging players
- OptimizeRx: OptimizeRx delivers AI-enabled messaging at the point-of-prescribe to improve medication adherence and access, with overlap to AdhereHealth's adherence and patient affordability offerings — particularly pharma-funded engagement.
- mPulse Mobile: mPulse Mobile provides omnichannel consumer engagement for healthcare, including medication reminders and adherence messaging — closely aligned with AdhereHealth's omnichannel engagement system and Resolve member experience solution.
Others
- Datavant (health data connectivity): Datavant provides health data connectivity and de-identification across payers, providers, and pharmacies — adjacent infrastructure relevant to AdhereHealth's need to integrate SDOH, claims, and pharmacy data into its predictive models.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights6 records
Customer concentration
AdhereHealth social profiles
Digital presenceAdhereHealth compliance and trust
Trust signalCompliance1 record
AdhereHealth financial estimates
Financial estimateRevenue estimate
Valuation estimate
AdhereHealth leadership team
Management profileNumber of profiles
Profiles11 records
AdhereHealth funding detail
Funding detailFunding overview
Funding rounds1 record
Investors4 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
AdhereHealth M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about AdhereHealth
What does AdhereHealth do?
AdhereHealth delivers whole-journey medication adherence solutions that combine AI-enabled predictive analytics, behavioral science expertise, omnichannel engagement, and a nationwide team of licensed clinicians to help health plans improve CMS Star Ratings, reduce drug therapy problems, and lower medical costs. Its core Adhere Platform is offered as standalone SaaS or bundled with technology-enabled clinical services targeting Medicare Advantage, Medicaid, Commercial, and self-insured employer populations.
Is AdhereHealth a public or private company?
AdhereHealth is a private company. It is classified as private equity controlled and is currently operating.
When was AdhereHealth founded?
AdhereHealth was founded in 2006. It employs 101 to 250 people.
Where is AdhereHealth based?
AdhereHealth is headquartered in Nashville, United States, in the North America region.
How does AdhereHealth make money?
Two revenue lines are on record. Value-Based Care Solutions are the primary driver. The others are saaS Platform Licensing.
Who are AdhereHealth's main competitors?
Direct peers on record are RxAnte, AllazoHealth and DrFirst. Broad incumbents are CoverMyMeds (part of McKesson), Surescripts, Health Catalyst and Wolters Kluwer Health (Clinical Effectiveness / Medi-Span). Emerging players are OptimizeRx and mPulse Mobile. Datavant (health data connectivity) is listed as an others.
Does AdhereHealth have an API?
No public API is recorded for AdhereHealth.
What industry is AdhereHealth in?
AdhereHealth's product category is Healthcare SaaS / Medication Adherence Technology. Its primary akta.pro industry code is HLACAKAF, Medication Adherence, Reminders & Patient Support, with a secondary code of HLACAEAJ, Adherence, Reminders & Engagement Automation (Medication/Follow-up). Its NAICS code is 6219 and its SIC code is 8000.